Przegla̧d lekarski
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Case Reports
[Endovascular treatment of vein of galen malformation with coils and onyx--case report].
Vein of galen malformation (VOGM) is a very rare disease which affects blood vessels of the brain. In general population the incidence is estimated at 1%. Treatment of choice is transluminal embolization. ⋯ Angiography confirmed total exclusion of the fistula and the circulation in the vein of Galen. One of the most important elements of treatment is to perform a proper diagnosis and evaluation of lesions morphology. With proper technique, high skills and proper equipment, intravascular embolization of vein of Galen malformation is an effective treatment.
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Harmfulness of smoking on the human body leads to the development of tobacco-related diseases, which contributes to a reduction in years of life. Active smoker cigarettes more often suffers from ill-health, emotional state, physical function, social activity, than a non-smoker. These differences are even more pronounced among the elderly. The aim of the study was to compare the quality of life in middle-aged and elderly among chronic smokers and non-smokers. ⋯ Cigarette smokers have chronic diseases earlier, more often and more numerous than in the group of non-smoking peers. Worse physical and psychological health of smokers reduces social activity and decrease in quality of life.
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To assess the effectiveness of postoperatively applied pharmacological prophylaxis and the impact of demographic parameters (age, height, weight), gestational age, parturients' morbidity (hypertension, motion sickness), postoperative fluid resuscitation, applied anaesthetic technique (spinal needle type and diameter, patient's positioning, choice of intervertebral space for puncturing dura, a dose of local anaesthetic) on the incidence of PDPH after spinal anaesthesia for Caesarean section. ⋯ Neither prophylactic administration of caffeine, magnesium or aminophylline, nor postoperative fluid administration, did not influence the incidence of PDPH.
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Tabacco smoking is a major public health problem. The evidence demonstrates that smokers are over-represented among the patients with severe diseases. ⋯ This review covers the issues connected with critically ill patients addicted to nicotine emphasizing the problems that could occur during their stay in ICU. Identifying patients at risk of complication at ICU may lead to earlier intervention in routine clinical practice.
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Tobacco smoking in Poland is fairly widespread on a large scale. Research suggests that the early twenty-first century, the percentage of female daily smokers aged 20 and above was 26%, and men the same age 43%. In addition, epidemiological studies have shown that smoking was the cause of approximately sixty-nine thousand deaths in Poland (including fifty-seven thousand men and twelve thousand women). ⋯ Development of knowledge about the neurobiology of addiction in a broader sense, including dependence on nicotine, contributed to a better understanding of the mechanism of smoking and allowed to search for more effective pharmacological treatments. Current research and clinical trials carried out in two main directions - a) the administration of non-nicotine alone, and b) in combination with nicotine replacement therapy. Publication focuses on the characteristics of the preparations for the treatment of nicotine dependence, including for example mechanism of action, method and duration of use, effectiveness in the treatment and side effects that may occur during the use of these substances.