Przegla̧d lekarski
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On 27 June 1994 a Japanese terrorist group, Aum Shinrikyo, released sarin in Matsumoto. Some 600 people were exposed: 58 were admitted to six hospitals and all recovered: seven casualties living close to the sarin release died outside hospital. This release followed an earlier attempt by Aum Shinrikyo to use sarin to kill the head of a religious sect perceived as a threat. ⋯ Over 5000 "casualties" sought medical attention of whom 984 were moderately poisoned and 54 were severely poisoned; 12 died. Despite some initial difficulties, Japanese emergency units and local hospitals were able to respond reasonably rapidly. Analysis of the events reveals a number of important lessons for authorities as well as physicians to consider when preparing for such incidents.
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Antidote ethanol is the basic treatment in ethylene glycol (EG) poisoning. EG ingestion is occasionally combined with ethanol. The objective was to evaluate the course of intoxications due to concurrent EG and ethanol ingestion. ⋯ Because of high-ingested dose six patients received haemodialysis. All seven patients from our study survived. The course and outcome of EG intoxication in this group of patients was very probably positively influenced by concurrent ingestion of EG and ethanol.
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Pelvic fractures determine one from greatest diagnostic and therapeutic problems in complex of multiple injures. Pelvic fractures observes one-self at 20-30% patients with multiple injures of the body. These injuries are attended for prognostic factor of severity status in this to group of patients. ⋯ One turned also attention on necessity wider usages of angiographic investigations of pelvic blood vessels and their immobilisation. One acknowledged that conduct according to worked out algorithms arranges and makes easy process of diagnosis and treatments. One confirmed advantages early closed reposition of pelvic fractures and their external stabilisation at unstable patients, as intervention saving life.
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In statistics from Poison Information Center in Kraków plant poisonings comprise 2% of the total registered poisonings. In toxicology cardiac glycosides poisonings existing in common foxglove plant, lilies of the valley, oleander are essential. Species of cardiotoxic plants which may cause a danger in Poland are presented in the research. The toxic mechanisms of cardiac glycosides are specified.
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Between 1994-1997 the Pain and Palliative Care Out-Patient Clinic founded by the Society of Friends of the Sick Hospicium in Kraków undertook hospice home care of 870 cancer patients. Retrospective evaluation of their files revealed that 48.2% of patients on admission were aware of their diagnosis and 61.2% of families did not discuss it with patients. ⋯ During the same time, among the cancer patients not admitted to hospice home care in the city of Kraków, only 23.7% died at home and the rest in institutions. In spite of demonstrated adequate home care, 16.5% of home care patients were admitted to the local hospital, which suggests the need for stationary hospice or palliative care ward cooperation.