Przegla̧d lekarski
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The ability of the somatosensory system to detect noxious and potentially tissue-damaging stimuli is an important protective mechanism, that involves multiple interacting peripheral and central mechanisms. The postoperative pain is related with surgical procedure irrevocable. The effective relief of pain is of paramount importance to anyone treating patients undergoing surgery. ⋯ These problems are unpleasant for the patient and may prolong hospital stay. Choice of technique will also be influenced by the degree of training and expertise of the staff. The choice of pain-relieving techniques may be influenced by the site of surgery.
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Review
[Bone and joint decade--"mile step" in diagnostics and treatment of movement system diseases?].
Musculoskeletal disorders affect hundreds of millions of people across the world and are the most common causes of severe long-term pain and physical disability. The impact from such disorders on the individual and on society let to propose by WHO for the Decade of the Bone and Joint from 2000 to 2010. The goal of the Decade is to improve the health-related quality of life for people with musculoskeletal disorders throughout the world and this could be achieved by raising awareness of the growing burden of bone and joint diseases on society, promoting prevention and treatment and advancing understanding of musculoskeletal disorders through research. ⋯ In our Department we study problems concerning on traumatology of old patients, multitrauma injury, biomechanics in spinal disorders, in degenerative joint disease and foot diseases. Apart from contemporary imaging methods like US or CT we use pedobarographic diagnostics and fotogrammetric examination. In this study we present strategic goals and the summary of our ongoing projects in our Department related to the goals of the Bone and Joint Decade.
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Multicenter Study
[The health state evaluation in persons after therapy of Hodgkin's disease in childhood: report of the Polish Pediatric Leukemia/Lymphoma Study Group].
The introduction of modern methods of combined therapy: chemotherapy and radiotherapy, allows the cure more than 90% of children and adolescents with Hodgkin's disease. However, the intensive treatment may cause early and late complications. The late complications may include: damage of soft tissues and respiratory, cardiovascular, skeletal, and endocrine systems, and second cancers. ⋯ Second cancers were diagnosed in 1.7% of patients. The health status of children and adolescents cured from Hodgkin's disease and other childhood cancers should be regularly evaluated. Results of these evaluations will be the basis for introducing new treatment protocols aimed of decreasing the incidence of late complications while maintaining or improving cure rates.
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Review
[Diagnostic aspects and analytical problems of glycemia monitoring in intensive care unit patients].
Blood glucose is one of the most frequently ordered laboratory tests used mainly for diagnosis and monitoring of diabetes treatment. However, disturbances of glucose metabolism occur also in patients without diabetes in critical illnesses of various etiopathogenesis, including acute coronary syndrome, multi-organ injuries, sepsis, septic shock, burns or post-surgery trauma. The disturbances are caused by increased secretion of stress hormones and inflammatory cytokines resulting in insulin resistance and hyperglycemia. ⋯ This kind of test has its specificity associated with the kind of employed material and the measurement techniques adjusted to "fresh" blood as material of testing, distinguishing results of glucose POCT assays and results obtained in the laboratory. Tests are performed in the blood samples immediately after collection sample and take no longer than a few minutes. Real time glycemia control in intensive care unit patients has become an important part of present medical procedures.
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Diagnosis of the focal epilepsy is possible even based on the clinical history. More precise identification of bioelectrical focus, type of epileptic attack and type of epilepsy requires EEG or videoEEG analysis. ⋯ (1) EEG patterns in children with partial epilepsy were dominated by localized and lateralized changes. EEG was crucial for localization of bioelectric foci especially in children with normal MRI. (2) Focal EEG changes were significantly more often in children with hippocampal sclerosis. (3) In terms of localization HMRS were more compatible with EEG than with MRI findings. HMRS examination is strongly indicated especially in children with EEG localized discharges and with normal brain MRI.