Przegla̧d lekarski
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Tobacco smoking in Poland is fairly widespread on a large scale. Research suggests that the early twenty-first century, the percentage of female daily smokers aged 20 and above was 26%, and men the same age 43%. In addition, epidemiological studies have shown that smoking was the cause of approximately sixty-nine thousand deaths in Poland (including fifty-seven thousand men and twelve thousand women). ⋯ Development of knowledge about the neurobiology of addiction in a broader sense, including dependence on nicotine, contributed to a better understanding of the mechanism of smoking and allowed to search for more effective pharmacological treatments. Current research and clinical trials carried out in two main directions - a) the administration of non-nicotine alone, and b) in combination with nicotine replacement therapy. Publication focuses on the characteristics of the preparations for the treatment of nicotine dependence, including for example mechanism of action, method and duration of use, effectiveness in the treatment and side effects that may occur during the use of these substances.
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Review Case Reports
[Severe paracetamol poisoning complicated with liver and renal failure--case report and review of literature].
Paracetamol is a widely known over-the-counter analgesic and antipyretic which, in acute poisoning usually causes liver damage, and less commonly damage to the kidney, heart, and pancreas. In the present paper we report a case of acute suicidal paracetamol intoxication complicated by acute hepatic and renal failure. The discussion covers the pathogenesis, clinical course, and treatment of acute renal failure in the course of paracetamol poisoning. ⋯ In acute acetaminophen poisoning, in addition to standard monitoring of liver function, the monitoring of kidney function is necessary because of the risk of acute renal failure due to acute tubular necrosis. Kidney damage is likely to be transient and generally will not need long-term renal replacement therapy.
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Lipid emulsion intravenous infusion is recommended in reversing cardiac toxicity of local anaesthetics. Recent reports indicate, that it may be useful in the treatment of cardiotoxic drug overdose. While the mechanism of action is not fully understood, creation of a "lipid sink" is the predominant effect. The aim of the paper is to present the efficacy and indications for the use of lipid emulsion in acute poisoning, basing on the medical literature.
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Case Reports
[Endovascular treatment of vein of galen malformation with coils and onyx--case report].
Vein of galen malformation (VOGM) is a very rare disease which affects blood vessels of the brain. In general population the incidence is estimated at 1%. Treatment of choice is transluminal embolization. ⋯ Angiography confirmed total exclusion of the fistula and the circulation in the vein of Galen. One of the most important elements of treatment is to perform a proper diagnosis and evaluation of lesions morphology. With proper technique, high skills and proper equipment, intravascular embolization of vein of Galen malformation is an effective treatment.
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To assess the effectiveness of postoperatively applied pharmacological prophylaxis and the impact of demographic parameters (age, height, weight), gestational age, parturients' morbidity (hypertension, motion sickness), postoperative fluid resuscitation, applied anaesthetic technique (spinal needle type and diameter, patient's positioning, choice of intervertebral space for puncturing dura, a dose of local anaesthetic) on the incidence of PDPH after spinal anaesthesia for Caesarean section. ⋯ Neither prophylactic administration of caffeine, magnesium or aminophylline, nor postoperative fluid administration, did not influence the incidence of PDPH.