Polski tygodnik lekarski (Warsaw, Poland : 1960)
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In the previous few years, there has been a startling escalation in intraoperative and radiologic anaphylactic episodes, some of them lethal, that have been assigned to rubber exposure. Immediate hypersensitivity reactions to natural rubber pose a significant risk to patient with spina bifida and urogenital abnormalities, health care workers, and rubber industry workers. It has been estimated that 2% to 10% of physicians and nursing personnel are latex allergic. ⋯ Skin prick testing must be considered experimental and should be only done by experienced physician. Serologic testing for latex allergy remains a safe alternative, although the sensitivity and specificity of this procedure is still undefined. Prophylactic regimes to avoid rubber exposure and decrease the antigen content of natural rubber products by the rubber industry should be implemented to decrease the rate of sensitization in the future and prevent allergic reactions.
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The study aimed at evaluating an incidence of hypo- and hypernatremia in the elderly and the results of therapy. Hyponatremia. The studies involved 18 patients aged 69.8 +/- 5.9 years with hyponatremia of 126.8 +/- 2.7 mmol/L. ⋯ Mortality rate in case of DH2o supplementation below 30% during the first 24 hours is about 66%., if DH2o supplementation is 31-60%, a mortality rate is 63%, and in DH2o supplementation over 60% mortality rate is 100%. The obtained results suggest that hypernatremia in the elderly is related to the high mortality rate (65%). An early decrease of water deficit increases mortality rate in patients with hypernatremia.
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Free oxygen radicals are highly active oxygen compounds contributing to several pathological states. A possible source of free oxygen radicals during reversible ischemic heart disease and mechanisms of their toxicity to the myocardium are discussed. Despite controversial results of clinical trials with the use of antioxidants in reducing an area of necrosis in the experimental myocardial infarction, it seems that free oxygen radicals play an important role in ischemic-reperfusion heart disease. Some promising results with the use of antioxidants (significant decrease in dyskinesis of ischemic left ventricular muscle and reduction of cardiac arrhythmias incidence) may be of clinical importance.