Wiadomości lekarskie (Warsaw, Poland : 1960)
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New American Heart Association Guidelines 2010 emphasize the need for high-quality CPR, which can be seen in initiating chest compressions sooner (before 2 ventilations) and with slightly modified compression depth and rate. Fundamental change in CPR sequence is abandoning A-B-C steps for C-A-B (all age groups excluding newly born) to minimise the delay in initiating chest compressions. Dispatchers should help bystanders recognize cardiac arrests and provide instructions on Hands-Only CPR. ⋯ For symptomatic bradycardia pacing is still recommended but chronotropic drug infusions should be considered an alternative. Both morphine and oxygen should be used with caution in acute coronary syndromes as they might affect the outcome. Post-cardiac arrest care after ROSC should include multidisciplinary management and often includes hypothermia.
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Multicenter Study
[Efficacy and tolerability of dose-escalation with generic gabapentin--a multicenter, non-interventional study].
The aim of this study was to determine the efficacy and tolerability of 1800-2400 mg/day of generic gabapentin (Gabapentin Teva) as add-on treatment for refractory partial - onset epilepsy. This was a multicenter, open-label, dose-escalation study of patients with refractory epilepsy (median age of 45.5 years [41-50; 25-75% percentile range], male 45.6%, female 47.8%). The inclusion criteria were insufficient partial-onset epilepsy control, defined as at least 1 seizure per month, while on adjunctive therapy with gabapentin used on daily doses below 1200 mg. ⋯ The dose escalation with GBP was well tolerated by the majority of patients. The most common adverse events during visit II were somnolence (2.8%) and dizziness (1.8%). In conclusion, gabapentin dose escalation to a dose range of 1800-2400 mg/d over 8 [1-32] week period proved to be an effective and well tolerated in patients with insufficient seizure control on lower doses with partial-onset epilepsy.
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Przystanek Woodstock Festival is one of the biggest polish music festivals, which gathers nearly half million participants each year. The aim of the article was presentation of number and type of the medical cases and the medical interventions in the main field hospital - OAZA. The second aim was assessment of medical cover of XV and XVI Przystanek Woodstock Festival. ⋯ The organization of the Przystanek Woodstock Festival is tied with appearing of peculiar health threats and the early diagnosis of them is essential for correct protecting this mass events. Medical security turned out to be sufficient in relation to predicted threats.
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According to many authors, the access to public health service is obstructed for the intellectually handicapped people. To meet this argument Special Olympics created a program Healthy Sportsmen. This program relates to intellectually handicapped people all over the world and its aim is to diagnose selected clinical illnesses and create data bank of this social group. Additionally, it provides an opportunity for the 'young physicians' to improve their knowledge and skills in the area of practice with the handicapped. ⋯ There is a constant need to improve the methods of practice with the intellectually handicapped patients.
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Effective laws provide for a series of duties to be performed by physicians and other medical personnel in connection with TB. Every TB case and death resulting from TB as well as any case of undesirable result of BCG test requires notification and filling in of a special form. ⋯ TB patients can use special sick benefits extending to 270 days. There is a requirement to use appropriate codes to define TB irrespective of ICD-10 classification.