Medicina
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Comparative Study
Changes in serum electrolyte levels and their influence on the incidence of atrial fibrillation after coronary artery bypass grafting surgery.
Our study was designed to assess the incidence of atrial fibrillation, changes of serum electrolyte concentrations following coronary artery bypass grafting surgery. ⋯ 1. The incidence of atrial fibrillation after coronary artery bypass surgery remains relatively high (26.83%). 2. Serum electrolyte concentration after coronary artery bypass grafting varies within normal ranges. 3. Patients with postoperative atrial fibrillation had higher chloride and lower phosphate concentration immediately after surgery and lower ionized calcium and phosphate level 18-20 hours after the surgery.
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Although aspirin (acetylsalicylic acid) has become widely available without prescription, cases of self-poisoning due to overdose of salicylates are quite uncommon, with a low reported mortality. However, severe poisoning with these preparations is life threatening. ⋯ On the basis of clinical and metabolic features or salicylate concentration in plasma it is very important to diagnose severe poisoning with salicylates in time and prescribe an adequate treatment. In the present review article various aspects of salicylate poisoning and its treatment are discussed: epidemiology, pharmacokinetics and pharmacodynamics of salicylates, clinical manifestations of their toxicity, management, enhanced elimination and prognosis.
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To evaluate initial (prehospital) assessment and management of high-energy blunt polytrauma patients. ⋯ Initial assessment of high-energy blunt polytrauma patients reached 14% and management reached 10.6% of that recommended by Advanced Trauma Life Support.
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To evaluate the relationship among risk factors for metabolic syndrome such as high body mass index, abdominal obesity, waist circumference, waist/hip ratio. ⋯ Statistically significant correlation between abdominal obesity, waist/hip ratio, waist circumference and body mass index was observed. Abdominal obesity is the mostly frequent indicator of metabolic syndrome.
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Comparative Study
[Evaluation of diagnostic criteria for metabolic syndrome to identify insulin resistance].
The aim of study was to evaluate the possibilities of different diagnostic criteria for metabolic syndrome in identifying subjects with insulin resistance and to assess the prevalence of metabolic syndrome according to gender in one Lithuanian district. ⋯ The highest prevalence of metabolic syndrome was determined according to the International Diabetes Federation criteria. According to the National Cholesterol Education Program and International Diabetes Federation criteria metabolic syndrome was observed more frequently in women. The highest prevalence of insulin resistance was determined in metabolic syndrome group based on World Health Organization criteria. Using the World Health Organization and International Diabetes Federation criteria for metabolic syndrome provides more opportunities to identify subjects with insulin resistance.