Przegla̧d lekarski
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The paper approximates news relating to pathophysiology, prophylaxis and treatment of postoperative nausea and vomiting, which, besides the pain, remain some of the most unpleasant memories of the recovery phase. In spite of the fact that they belong to very common ailments of the postoperative phase, they are placed low on this list, probably because the common belief that they do not threaten life imminently. However they may cause a varity of undesired symptoms, among them aspiration of stomach contents into the lungs in patients with impaired consciousnesess, also dehydratation, and electrolytic disturbances, especially with children and older patients. This paper has presented methods for their prevention and treatment.
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CO poisoning remains a serious public health problem. Oxygen is the basis of its treatment and HBO has been proven more effective to prevent cognitive sequelae than NBO. Most commonly accepted criteria for HBO treatment are: comatose patient, loss of consciousness, neuropsychological and cardiac symptoms and pregnancy. However, patients not requiring HBO, have to be treated by a correct NBO regimen.
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Treatment of prostate cancer is a challenge for both urologists and radiation oncologists. Currently two radical methods of treatment are recommended i.e. radical prostatectomy and radiotherapy. Hormonal therapy is mainly indicated for treatment of patients with metastases, but lately has become popular in combination with radical radiotherapy. ⋯ This study showed that 2 years of adjuvant hormonal therapy produced significant prolongation of the 5-year overall survival by 80% in comparison to 69% for patients treated without adjuvant hormonal therapy. Despite these few trials, lacking is still data and the following crucial questions are waiting for answers in the near future: What is the optimal timing of hormonal therapy? Which patients will obtain the greatest benefits due to combined strategy? How does long lasting hormonal therapy influence on patient's quality of life? Future trials (RTOG 9413 and RTOG 9901) will give some answers to the mentioned above questions. Currently we can conclude that in the group of patients with high risk of relapse, hormonal therapy with radiotherapy improve results of treatment.
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Interstitial lung disease (ILD) is one of the most frequent and most serious complications of connective tissue diseases such as systemic sclerosis, systemic lupus erythematosus, dermato- and polymyositis, Sjogren's syndrome, or mixed connective tissue disease. Diagnosis of ILD is often delayed in patients with connective tissue diseases because of the systemic character of the primary condition, restricted physical activity of the patient and insufficient awareness of the physycian. The aim of the current review is to present the up-to-date information on ethiopathology, classification, diagnosis and treatment of ILD in patients with connective tissue diseases.
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Patient satisfaction is increasingly considered to be one of the most important factors in the measurement of quality of medical care. In the paper we show the most important aspects of patient satisfaction and the main reasons for its lack. We also suggest the possibilities of measurement and improvement of patient satisfaction as the main factor of better clinical care and a properly functioning family doctor.