Wiadomości lekarskie (Warsaw, Poland : 1960)
-
Effective laws provide a series of duties to be performed by physicians and other medical personnel associated 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 up to 270 days. There is a requirement to use appropriate codes to define TB irrespective of LCD-10 classification.
-
The conference 'Rare diseases not only in the curriculum', organised on 12th May, 2014 in Pomeranian Medical University in Szczecin, had a scientific and educational character. Representatives of patient organizations, medical students, junior doctors and physiotherapist were active participants of the meeting. ⋯ The importance of physiotherapy of children with spinal muscular atrophy was discussed. The place ofthe issue of rare diseases in the idea of personalized medicine was specified and difficulties in the care of patients with rare diseases, including muscle and metabolic diseases, in Poland were explained.
-
Hypermagnesemia, defined as a plasma total magnesium concentration greater than 1.2 mmol/l, is much less common than hypomagnesemia, however it may be also life-threatening. In this review causes, clinical presentation and treatment of hypermagnesemia is shortly reviewed.
-
Sudden health-threatening conditions with cardiovascular aetiology constitute a great number of all interventions of emergency medicine teams. Diagnostic and therapeutic abilities of modern cardiology lead to the necessity of introducing diagnostic methods which enable effective pre-hospital diagnostics in patients with circulatory system diseases also in emergency medicine. The ECG teletransmissions performed by emergency medicine teams prior to hospitalization increase the accuracy of the diagnosis and thus improve the organization of medical transport of patients to the medical centres appropriate to their medical condition. ⋯ The system of ECG teletransmissions and consultations was appreciated by ZRMs and significantly supported their actions. The system should be supervised and coordinated by emergency medicine centres such as the Teletransmission Centre, Emergency Departments or Emergency Rooms. ECG teletransmissions make it possible to extend the paramedics and nurses' competences as regards emergency medical actions with patients with circulatory system diseases. The introduction of ECG teletransmissions from the place of the incident and the doctor's consultation have led to the optimization of transport of patients to appropriate in respect to their condition medical centres.
-
Fournier's gangrene is a necrotizing fasciitis and soft-tissue infection of the perineal region. The clinical course of the disease, in many cases, is fulminant. This case presents a patient with symptoms of Fournier's gangrene that developed during hospitalization following a vehicular accident. ⋯ Because of the progressing septic shock, the patient was admitted to the Intensive Care Unit. Treatment was based on extensive soft tissue debridement, antibiotic and hyperbaric-oxygen therapy. The patient was discharged 7 weeks after hospitalization.