Vŭtreshni bolesti
-
The interrelations between obesity and diabetes mellitus are discussed. Age type diabetes was established in 80-90 per cent of all diabetics. 80-90 per cent of them being with overweight. On the other hand, the incidence of latent and manifested diabetes among the patients with obesity is 10 times higher as compared wth the rest of the population. ⋯ The calories of carbohydrates are increased to 55 per cent with the present diet and at the same time, the calories from lipids are reduced to 25-35 per cent. The carbohydrates are taken in the form of polysaccharides, with increased content of fibres. The ratio between unsaturated and saturated fatty acids should be I.
-
Plasma aluminium concentration was followed up in 28 patients with chronic renal insufficiency, treated with hemodialysis in the course of four years. Increased value of plasma aluminium was established as compared with a control group of healthy subjects, not observing any clinical signs of dialysis dementia. ⋯ When purified water, by reverse osmosis, was used the plasma aluminium concentration of the patients was not changed during the dialysis (the differences observed were not statistically significant). That fact provided grounds the authors to admit that the reason for the plasma aluminium increase during dialysis was the aluminium found in the dialysis solution, which necessitates water meeting the standard requirements for the allowable aluminium content, to be used for the needs of hemodialysis.
-
The number of the recorded patients with Balkan endemic nephropathy gradually decreased during the period after 1970. The author explains that by the interrupted prophylactic examinations and screenings of the population from the endemic villages during that period. The results obtained with the repeated screening, after 16 years, of the population of one hyperendemic village in Vratza district support that view point. ⋯ Together with the 45 patients known so far, their total number amounts to 119, suggesting that 13,7 per cent of the population from that village has been affected by the disease. Those data convincingly suggest that the morbidity rate from Balkan endemic nephropathy in our country has not decreased - only its recording has been neglected, due to the interruption of the active search of those patients via screening of the population from the endemic settlements. That emphasizes the great importance of those investigation methods in the establishment of the real Balkan endemic nephropathy morbidity.