Polskie Archiwum Medycyny Wewnętrznej
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Pol. Arch. Med. Wewn. · Oct 2008
Multicenter StudyVenous thromboembolism risk and prophylaxis in the acute hospital care setting--results of the ENDORSE study in Poland.
Venous thromboembolism (VTE) is the most common preventable cause of in-hospital death. However, the risk of VTE and prophylaxis practices in Polish hospitals are not known. ⋯ In Polish hospitals more than 40% of patients hospitalized for acute illness are at risk of VTE, but only a small proportion of them receives appropriate prophylaxis. These results call for decisive actions to ensure that at-risk patients receive recommended VTE prophylaxis.
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Actinomycosis is a rare infectious inflammatory disease caused by the bacteria of the Actinomyces species. Infection occurs following damage to the skin or mucous membrane. ⋯ Masses suggestive of an advanced cancer were detected in her pelvis and abdominal cavity. A diagnosis of actinomycosis was made after histopathological examination of the tissue sample.
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Pol. Arch. Med. Wewn. · Sep 2008
Case ReportsAmiodarone induced pneumonitis and hyperthyroidism: case report.
Amiodarone is a highly effective antiarrhythmic agent used in life-threatening ventricular and supraventricular arrhythmias. Its long-term use may however lead to several adverse effects, including corneal deposits, liver and thyroid gland dysfunction, lung lesions, bone marrow injury, skin lesions, or neurological abnormalities. The article presents the case of a 56-year-old man with a history of a stroke, who after a few days of amiodarone therapy for an episode of atrial fibrillation was diagnosed with amiodarone-induced hyperthyroidism and interstitial pulmonary lesions. ⋯ Based on the presented case, the risk of appearance of 2 serious concomitant adverse effects was demonstrated, even following a short-term amiodarone therapy. This paper also contains an overview of adverse effects which may be encountered during or after therapy with this effective antiarrhythmic agent. It was emphasized how important it is to select patients appropriately, and to monitor potential adverse effects during amiodarone therapy.
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Pol. Arch. Med. Wewn. · Jul 2008
Controlled Clinical TrialFemale and male chronic obstructive pulmonary disease patients with severe dyspnea do not profit less from pulmonary rehabilitation.
Pulmonary rehabilitation (PR) is an established component of COPD management. The lack of exercise performance improvement (EPI) in severely dyspnoeic patients (Medical Research Council [MRC] score 5) has been questioned. The data on the gender impact on EPI after PR remain scarce. ⋯ Patients with severe dyspnea did not benefit less from PR. Gender did not influence PR outcome in this study.