Przegla̧d lekarski
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Comparative Study Clinical Trial
[Comparison of the systems used for providing local anesthesia in dentistry--the Wand (Milestone Scientific) and Injex (Rosch)].
Local anesthesia is one of the basic and the most often executed interventions in dentistry. This procedure is very stressful for the patients because it is combined with pain. The new systems for delivering local anesthesia in dentistry have revolutionized the technique considerably by its simplify as well as reduction in pain. ⋯ on the basis of the results of this study it can be concluded that the less stressful and painful local anesthesia delivery system is the WAND.
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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.
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Historical Article
[Achievements of the Cracow School of Forensic Medicine--on the 200 the anniversary of the Chair of Forensic Medicine--Part I].
The Chair of Forensic Medicine was established at the Jagiellonian University in 1804. Initially, the Cracow academic institution developed along the similar lines as other Chairs of those times. Considerable progress was made thanks to Professor W. ⋯ Their important achievements include the test for COHb determination in blood of victims of carbon monoxide poisoning (the Wachholz-Sieradzki test), the explanation of death mechanisms involved in violent death by drawning, the development of protocols for opinionating and event reconstruction in cases of violent death by poisoning and mechanical injuries, and the widely accepted theory and medicolegal assessment of medical errors. Other outstanding achievements focused on investigations of biological trace evidence, serohematology in determinations of fatherhood, and--what may be the most important--identification of responsibilities and role of an expert in legal proceedings, and many others. The work of several generations of Cracow forensic medicine specialist has culminated in training a cadre of specialists who became heads of the majority of Chairs of Forensic Medicine in Poland, writing numerous textbooks for students, monographs, hundreds of research papers and an enormous number of medico-legal opinions, the participation in almost all major court proceedings held in Poland, as well as active membership in national and international scientific societies.