Przegla̧d lekarski
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The history of HIV infection has always been associated with patient nutritional problems, initially in the form of wasting syndrome, and since the introduction of highly active antiretroviral therapy such metabolic disorders as lipodystrophy, obesity, insulin resistance, dyslipidemia that are risk factors for cardiovascular diseases have been observed. ⋯ The prevalence of overweight or obesity in the studied cohort of HIV infected patients is significantly lower than among the not infected people. At the same time the HIV infection is significantly more often accompanied by features of central obesity, expressed as abnormal waist circumference value. HIV infected patients have significantly lower BMI and higher WHR values. Higher WHR in the infected group is due to low hip circumference. HIV infected women usually have normal body weight and are significantly more likely than not infected women to show the features of central obesity as a result of increased waist circumference and low hip circumference. Men infected with HIV, compared with not infected ones, are characterized by lower, normal body weight, and their significantly higher WHR is determined by low value of hip circumference. Waist circumference seems to be an appropriate diagnostic criterion for central obesity in the studied population.
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Poisoning is a clinical syndrome caused by the poison, which entered into the body. Poison is every substance that taken in the specified amounts may cause adverse effects. ⋯ Acute poisoning with the exception of household products ingestion were more common in girls than in boys. The most common cause of poisoning in children were drugs overdose and ethanol ingestion. Cases of suicidal poisoning target group included only female sex. Accidental poisoning were observed mainly in young children and usually caused by chemicals.
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Aim of the study was presentation of own experiences with stent assisted endovascular treatment of cerebral aneurysm. Employment of cerebral stents extended endovascular embolisation technique to wide neck cerebral aneurysms. From March 2007 and October 2011 40 patients - 28 (70%) women and 12 (30%) man with 43 intracranial aneurysms were treated with stent assisted embolisation technique. ⋯ Complications appeared in 4 (9%) cases - 3 times acute stent thrombosis and once intracranial bleeding. Stent assisted endovascular treatment of intracranial aneurysm allows to effectively treatment of wide neck aneurysm and decreases amount of recanalisation. However more complicated technique and higher risk of complication require experience and appropriate qualification for that treatment.
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Methoxetamine (MXE) is an analogue of ketamine. ⋯ MXE presents the new healthcare threat because of easy accessibility via Internet, and lack of legal restrictions in many countries. The low dose of MXE can cause "peace and serenity", however, higher dose may act opposite.