Srp Ark Celok Lek
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Treatment of patients with acute ST elevation myocardial infarction starts after the onset of chest pain, involves contacts with medical services, aimed at attempting to recanalize the infarct-related artery with primary percutaneous coronary intervention. True ischaemic time correlates with the extent of myocardial necrosis, and it is essential to reduce every unnecessary time loss. It has been proven that antiaggregational therapy has an important effect on reopening of the infarct-related artery, function of microcirculation and prevention of stent thrombosis. ⋯ Optimal medical data acquisition is essential for the quality assessment of health services. Our data indicate that in logistics and organization of treatment of patients with acute ST elevation myocardial infarction, further improvements could be made in order to implement official guidelines and medicolegal obligations. The third phase of this project is necessary to achieve these objectives.
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Biography Historical Article
[Gerhard Küntscher and intramedullary fixation].
Gerhard Küntscher, a German surgeon, was born in Zwickau in 1900. He graduated from the School of Medicine in Jena in 1926. He is renowned for the development of intramedullary fixation as a solution for fixation of fractures in the long bones. ⋯ He introduced the method of percutaneous intramedullary nailing in the femur fractures, as well as the interlocking nail, nail fixation of the pertrochanteric fractures and nails for intramedullary osteotomy. He published over 200 papers and 4 books. In his papers, he was often ahead of his time, and today is considered one of the founders of the concept of intramedullary fixation in fractures.
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Dyspnoea is a characteristic symptom of chronic obstructive pulmonary disease (COPD), which impairs everyday functioning of patients. ⋯ The degree of dyspnoea of COPD outpatients that could be well-determined by the scales used in our study clearly reflects the impairment of their health-related quality of life as assessed by the instruments used. All of the questionnaires we used in this study have good measurement properties for their purposes.