Wiadomości lekarskie (Warsaw, Poland : 1960)
-
Delirium is a frequent complication of cancer. It is the cause of patients' suffering and due to worsening of communication, the impediment to clinical assessment. ⋯ Instant diagnosis and therapy of delirium are essential in clinical practice. In this review etiology, prevalence, clinical features and management of delirium in cancer patients are described.
-
Cardiac surgery with cardiopulmonary bypass (CPB) can lead to postoperative complications like systemic inflammatory response syndrome (SIRS). These changes are associated with a risk of postoperative organ dysfunction and increased morbidity and mortality in the postoperative period. Its etiology is not yet clarified in details, but this thought to be of immunologic origin. ⋯ Cardiac surgery induces neutrophil activation, degranulation and endothelial dysfunction. The nature of the participation of the neutrophil and its time course in the post CPB inflammatory response remains controversial. The aim of this work is to review state-of-the-art knowledge about neutrophil and the role of this cell as a regulator of immune response after cardiovascular surgery.
-
Review Historical Article
[Patient's consent to treatment with reference to the development of medical ethics].
In the paper the development of the patient's rights to informed consent to treatment has been discussed with reference to codes of medical ethics. The expression of the patient's rights and recognition of his/her active part in the course of treatment was proceeding gradually and parallel to the evolution of the subjective term "patient". Nowadays the patient's rights are determined by many declarations and international conventions, e.g. the Human Rights and Dignity Convention (1996). ⋯ Patients who are unconscious and those with limited consciousness constitute the problem that is still being solved. It is expected that along with the development of medical ethics, the medico-legal regulations concerning the above mentioned issues will be specified soon. Besides the obligatory legal regulations, in many difficult cases the assessment and decision whether the patient's consent is informed or not, burden only a physician's conscience.
-
In the nearest future cervical cancer incidence may be significantly reduced thanks to specific antiviral vaccine use. In the paper we analyzed current literature concerning human papillomavirus (HPV) infection epidemiology and possibility of prophylactic and therapeutic vaccine use.
-
Chronic obstructive pulmonary disease (COPD) is the most frequent disorder of respiratory tract. Smoking cigarettes and additionally occupational exposure to certain substances are the risk factors of this disease. The aim of our study was to assess the frequency of COPD among works of the pesticides producing factory in Jaworzno, Poland. ⋯ We concluded that the frequency of COPD is increased in workers exposed to pesticides at work compared to subjects not exposed. The main risk factors for development of COPD among these patients were the length of exposure to pesticides and to lesser degree number of smoked cigarettes.