Medicina
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This study evaluates the clinical efficacy of interscalene brachial plexus block (according to G. Meier) for shoulder surgery. ⋯ Single injection interscalene brachial plexus block is a reliable anesthetic and effective method of providing postoperative pain relief after shoulder surgery.
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Cancer pain is a major problem for cancer patients, as about 80 percent patients with advanced cancer declare pain as their main symptom. The causes of the pain are very different: due to the main tumor, its metastases, anticancer treatment, debility caused by the cancer or other diseases. The cancer pain relief algorithm is proposed in the article, including determination of the cause, type, intensity of pain, its pharmacological and non-pharmacological management, opioid rotation rules, treatment of adverse drug reactions, etc.
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Lipoma of the greater omentum is observed very rarely, particularly in the childhood. We report a case of large 10x11x8 cm asymptomatic lipoma of the greater omentum, which was diagnosed incidentally. ⋯ The excision of the tumor and omentectomy was performed. The histopathological diagnosis was lipoma with focal necrosis areas.
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Comparative Study
Role of the skin patch test in diagnosing food allergy in children with atopic dermatitis.
The aim of the study was to determine peculiarities of food allergy in children with atopic dermatitis and to evaluate the significance of skin patch test in determining the main food allergens. ⋯ Skin patch test is an informative and reliable diagnostic test in evaluating the delayed type allergic reactions. In about half of the tested persons with atopic dermatitis, food allergy appeared in delayed type allergic reactions. Therefore it is very important to do the skin patch test for toddlers and pre-school age children. The most common allergens found with the help of skin patch test are soy, milk, peanuts, carrot, egg whites, wheat, and corn.
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Review Comparative Study
[Ibogaine--the substance for treatment of toxicomania. Neurochemical and pharmacological action].
The review of scientific literature, concerning the indol alkaloid Ibogaine, which is extracted from the bush Tabernanthe Iboga, is presented in this article. Used as a stimulating factor for hundred of years in non-traditional medicine, this alkaloid could be important for modern pharmacology because of potential anti-addictive properties. The mechanism of action of this alkaloid is closely related to different neurotransmitting systems. Studies with animals allow concluding that Ibogaine or medicines based on this alkaloid can be used for treatment of drug dependencies.