Przegla̧d lekarski
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The mixed irritable bowel syndrome (IBS) is a functional disorder concerned with diarrhea and constipation without organic changes. The etiology of IBS is complex, concerning with the changing psychological factors and associated with the autonomic dysfunction ultimately. The aim of the study was the estimation of the autonomic nervous system (ANS) activity in IBS patients using time and frequency domain analysis parameters of heart rate variability. ⋯ Our results indicate changes of the circadian ANS activity in patients with mixed IBS: the increase of the parasympathetic and the decrease of the sympathetic activity. However the ANS response to parasympathetic stimulation in DB test was diminished.
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Although much more about the safe and effective management of pain in children is now known, this knowledge has not been widely or effectively translated into routine clinical practice. Pain in children is still a big problem even thought available many possibilities to cure it. Malpractice during postoperative period influence not only for recovery, but also causes long lasting consequences (emotional changes). ⋯ Laryngological procedures in children cause a severe pain. The most common procedure in children in laryngological practice is adenotomy. There is a pressing need for further research and clinical development in the management of pain in children.
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In pregancy complicated by cigarette smoking prooxidant-antioxidant imbalance may have a pathomorphological and pathophysiological effect in fetus. Efficient enzymatic antioxidant systems are natural factors protecting cells from damaging by free oxygen species. Therefore the aim of the study was to estimate the effect of tobacco smoking during pregnancy on activities of superoxide dismutase, catalase, glutathione peroxidase and reductase in umbilical cord blood of newborns. ⋯ In erythrocytes of newborns from smoking mothers activity of superoxide dismutase was significantly correlated with concentration of cotinine (r = 0.61; p < 0.01). The similar correlation was not observed in red blood cells of non-smoking ones. Our results indicate that tobacco smoking during pregnancy may have a negative effect on enzymatic antioxidant systems in umbilical cord blood.
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In the last years the occurrence of type 2 diabetes mellitus has rapidly increased. The presence of cardiovascular complications, retinopathy, nephropathy and neuropathy are the results of delayed diagnosis. ⋯ Heart failure was present in 20% and paroxysmal atrial fibrillation in 21% of them. The other diabetic complications diagnosed in this group were: microalbuminuria (43%), proteinuria (27%), simple retinopathy (64%), proliferative retinopathy (21%), and peripheral neuropathy in 40 of patients.
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Comparative Study
[Mental processing in primary headache in children and adolescents].
Headaches in children and adolescents are the most common complaints in neurological practice. More than 90% of those are diagnosed as having migraine or tension-type headache (TTH). Memory disturbances are the most frequently observed symptoms in these patients. Event related potentials ( ERP), especially P300 potential reflect the processes of perception and cognition. The aim of these studies was to answer two questions: whether children and adolescents suffering from headache, especially migraine, show cognitive impairment in headache pain free period in comparison to healthy controls, and secondly what kind of factors can influence it. ⋯ Prolongation of N1 latency and the rise of N1-P2, P2-N2, N2-P3 amplitudes confirm the presence of cognitive disturbances mostly in children and adolescents suffering from migraine.