Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego
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Pol. Merkur. Lekarski · Sep 2015
Case Reports[Damage of the lungs after exposure to obscurant smoke - a case report].
Firing smoke candle, on reaction of pyrotechnic mixture of zinc oxide and hexachloroethane, releases of white smoke, which can damage the pulmonary parenchyma. Presented case illustrates the effects of such an inhalation injury that has led to acute respiratory distress syndrome (ARDS). The use of mechanical ventilation and administration of antibiotics and corticosteroids give the possibility to obtain clinical improvement. The resulting changes in the lung parenchyma shown on imaging studies resulted in significant impairment of breathing.
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Organophosphates are stable cholinesterases inhibitors (AChE). Inhibition of AChE activity leads to the accumulation of large amounts of acetylcholine and hyperactivity of the cholinergic system by stimulating acetylcholine receptors - muscarinic and nicotinic. This group included tabun, sarin, soman and VX gases. ⋯ Therapeutic management of acute poisoning organophosphorus compounds boils down to treating symptomatic and supportive vital functions. Monitoring of cardiovascular, respiratory and renal failure in intensive care gives only guarantee the effective treatment of poisoning. Properties toxic organophosphorus compounds also are of interest to terrorist groups.
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Pol. Merkur. Lekarski · Sep 2015
[Detection of disease markers in the breath using optoelectronic methods].
Great interest of scientific community is observed recently over non-invasive tests methods dedicated to diagnose disease states using biomarkers. The ability to detect these substances in the human breath can provide valuable information about disorder of biochemical processes in the body. Breath analysis is non-invasive, painless and can provide a quick answer about the existence of the disease. In addition, the sampling process is carried out comfortably for both the patient and the medical staff. ⋯ Developed sensors are characterized by high sensitivity (ppb-level) and high selectivity, simple and fast measurement procedure. Therefore, they can be applied as medical screening tools enabling biomarkers detection in exhaled air at the molecular level.
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Pol. Merkur. Lekarski · Aug 2015
Comparative StudyComparison of supraglottic airway laryngopharyngeal tube, oropharyngeal and nasopharyngeal airway use by Polish soldiers on the manikin with difficult airway.
Airway obstruction represents 6% of avoidable deaths in a combat zone. Statistical analysis of deaths in the battlefield during combat missions in Iraq and Afghanistan shows that 1% of the soldiers are killed because of airway obstruction. The aim of the study was to objectively evaluate the use of S.A.L.T. (Supraglottic Airway Laryngopharyngeal Tube), oropharyngeal airway (OPA) and nasopharyngeal airway (NPA) on the manikin with difficult airway to assess the risk of air introduction into the stomach during ventilation trauma patient and time of insertion of each device. ⋯ Total volume of air entering into the stomach using S.A.L.T. was the lowest among all three devices. The use of NPA did not show any clinically important advantage, the fastest insertion time for OPA may be of value in the battlefield.
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Pol. Merkur. Lekarski · Jul 2015
Randomized Controlled Trial Comparative Study[Assessment of rehabilitation progress in patients with cervical radicular pain syndrome after application of high intensity laser therapy - HILT and Saunders traction device].
Osteoarthritis of the spine is a major global health problem, it is an epidemic of our times. It affects all parts of the spine, but the hardest to treat is its cervical region. The cervical spine is most mobile, delicate and sensitive to any load. It requires special care in conservative treatment. To date the selection of effective therapeutic approaches has been controversial. ⋯ Both therapeutic methods manifest analgesic effect and a positive impact on the improvement of range of cervical spine movement in patients with radicular pain in this spine region. HILT laser therapy and Saunders traction device reduce neck disability index in the treated patients.