Przegla̧d lekarski
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The aim of the study was to establish a difference/lack of difference in depression level between 83 patients with moderate or middle asthma and 78 healthy persons. Investigated group consisted of 37 men (aged 35.2 years) and 46 woman (38.5 years), and control group accordingly of 37 men (35.6 years) and 41 women (35.2 years). Results of Beck Depression Inventory appeared in asthmatic group 41% persons without depression symptoms and 18%--with severe depression level (in comparison to healthy persons 78.2% and 3.8%). Difference was statistically significant (p < 0.000).
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Cerebral vasospasm is a complication diagnosed in angiography among about 2/3 of patients after subarachnoid haemorrhage with ruptured cerebral aneurysm. In half of the cases it appears in disturbances of consciousness, neurological deficits and vegetative disturbances. It's final result can be ischemic stroke. ⋯ Undertaking hemodynamic treatment; 4. Aminosteroid administration; 5. Performance of angioplasty in the case of lack of reaction to previous types of treatment of cerebral vasospasm.
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The aim of the study was estimation of the IgE value, circulating immunocomplexes and the activity of complement system in allergic contact as well as atopic dermatitis in patients with skin nickel hypersensitivity. The study was done in 30 patients in the age range of 18-53 yrs suffering from allergic contact dermatitis (15 patients) and atopic dermatitis (15 patients) with positive skin patch test to nickel. ⋯ The results of the study indicated an increase of concentration of circulating immuno-complexes in 80% of the patients of both groups, an increase of total IgE in 50% of patients with atopic dermatitis and in 25% of the patients with contact dermatitis. There were no changes in the activity of C1inh and the value of CH50 in both groups of patients.
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Repolarization disorders leading to ventricular tachyarrhythmias are common causes of sudden cardiac death. Two of the disorders have been recently described at the molecular level revealing gene mutations: long QT syndrome, characterized by a prolonged QT interval corrected for heart rate and high incidence of malignant ventricular tachycardia, mainly torsade de pointes, and Brugada syndrome characterized by a ST segment elevation in the right precordial leads (V1-V3), right bundle branch block and idiopathic ventricular fibrillation. ⋯ On the basis of these repolarization disorders lay ion channel dysfunctions. The new discoveries may in the future allow a better diagnosis by genetic testing and raise the possibility of effective treatment by means of the gene-specific therapy.
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Early epicardial vessel patency and tissue perfusion limit infarct size, improve survival and are crucial for optimum functional recovery of the ischaemic myocardium in patients with acute myocardial infarction (AMI). Coronary angiography has been considered the "gold standard" in assessment of reperfusion. Restoration of coronary patency is not a guarantee of myocardial cellular perfusion. ST-segment elevation resolution observed in electrocardiogram (ECG) early after initiation of primary PTCA could be potentially correlated with reperfusion. ⋯ 1. Presence of early ST segment elevation resolution after angiographically successful primary PTCA identifies patients who are more likely to benefit from the early restoration of flow in the infarct related artery. 2. TIMI measures greatly overestimate the success of primary PTCA; they only assess vessel patency, not myocardial cellular perfusion. 3. "Electrocardiographic reperfusion" provides a real-time physiologic marker of cellular perfusion and is a significant predictor of LV contractility recovery--more useful than angiographic reperfusion. 4. ST-segment monitoring is a reliable, non-invasive and inexpensive method to evaluate myocardial perfusion.