Przegla̧d lekarski
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Comparative Study
[Assessment of chosen cognitive functions in children and adolescents with primary headaches].
Foundations and aim of the study: Right development of cognitive functions is one of the basal factors, which determines good realization of the developmental tasks, for example achievement in education. Primary headaches especially migraine can be one of the important factor disturbing cognitive functioning of children and adolescents. The aim of the study was to estimate the level of some chosen aspects of cognitive and intellectual functioning of children and adolescents with primary headaches: migraine and tension type (TTH). ⋯ Patients with migraine in comparison to children with TTH show important disturbances in ability of short-term visual memory and visuomotor integration. Diagnosed selected cognitive dysfunctions in children with primary headaches can disturb accomplishment of tasks connected with education but they do not have any important influence on general intellectual functioning.
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Although much more about the safe and effective management of pain in children is now known, this knowledge has not been widely or effectively translated into routine clinical practice. Pain in children is still a big problem even thought available many possibilities to cure it. Malpractice during postoperative period influence not only for recovery, but also causes long lasting consequences (emotional changes). ⋯ Laryngological procedures in children cause a severe pain. The most common procedure in children in laryngological practice is adenotomy. There is a pressing need for further research and clinical development in the management of pain in children.
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The mixed irritable bowel syndrome (IBS) is a functional disorder concerned with diarrhea and constipation without organic changes. The etiology of IBS is complex, concerning with the changing psychological factors and associated with the autonomic dysfunction ultimately. The aim of the study was the estimation of the autonomic nervous system (ANS) activity in IBS patients using time and frequency domain analysis parameters of heart rate variability. ⋯ Our results indicate changes of the circadian ANS activity in patients with mixed IBS: the increase of the parasympathetic and the decrease of the sympathetic activity. However the ANS response to parasympathetic stimulation in DB test was diminished.
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In the last years the occurrence of type 2 diabetes mellitus has rapidly increased. The presence of cardiovascular complications, retinopathy, nephropathy and neuropathy are the results of delayed diagnosis. ⋯ Heart failure was present in 20% and paroxysmal atrial fibrillation in 21% of them. The other diabetic complications diagnosed in this group were: microalbuminuria (43%), proteinuria (27%), simple retinopathy (64%), proliferative retinopathy (21%), and peripheral neuropathy in 40 of patients.
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Postoperative nausea and vomiting belong to fairly frequent postoperative complications, but they occupy a distant position on the list of complications, which most probably result from a general conviction that they do not pose a direct threat to patients. ⋯ (1) PONV is more frequent in women than in men. The same refers to non-smokers, suffering from migraine headaches, motion sickness, as well as obesity and suffering from PONV earlier. (2) The frequency of postoperative vomiting in the patients with nausea is higher by 65.2% than in the patients without nausea. (3) A clear relation between the frequency of postoperative nausea and vomiting occurrence and the type of operative procedure was noticed. It was the strongest in the sick who underwent orthopedic procedures. (4) The correlation between anesthesia induction agents and PONV was not observed.