Polski tygodnik lekarski (Warsaw, Poland : 1960)最新文献

In 30 patients with prostatic carcinoma a higher of t-PA, a low of PAI-1, alpha 2-antiplasmin and plasminogen activity with increased fibrin degradation products (FDP) level and a short euglobulin lysis time (ELT) were observed. Following surgery a further increased of fibrinolytic activity occurred. The activity of t-PA and PAI-1 were higher than before operation. Apart from that we observed a decreased of plasminogen and alpha 2-AP with further increased level of FDP. On 5-th day the values of examined parameters were similar as before the operation.

The authors discuss effects of YAG:Nd laser beam of 35W and exposure time between 0.4 and 0.8 second on the internal surface of bladder wall in two dogs. Such an energy destroyed bladder tissues to not more than a half of their thickness.

During the last 6 years 300 stylet and Tenckhoff catheters were inserted into the peritoneal cavity. In 5 cases an abdominal viscus has been perforated or injured. The complications were twice a perforation of bowel, twice a perforation of bladder and once an injury of aorta. The authors discussed the therapeutic procedure (conservative or operative) and the late consequences of those complications.

The activity of alpha 1-antitrypsin in the blood of the patients with prostatic carcinoma and benign prostatic hyperplasia before and after the operation was examined. It was observed an increase of alpha 1-antitrypsin in the blood of patients with prostatic carcinoma and benign prostatic hyperplasia after the operation. In the blood patients of control group an increase of alpha 1-antitrypsin was observed too. The activity of alpha 1-antitrypsin in prostatic carcinoma was the highest during the whole observation period. The similar increase of the activity of alpha 1-antitrypsin after the operation in the blood of all groups of patients is connected with inflammatory reaction. The highest activity of alpha 1-antitrypsin in the blood of patients with prostatic carcinoma is the proof that the malignant neoplasm is associated with much more inflammatory reaction and the further hormonal treatment can be connected with a risk of thromboembolic complications.

Of the total 25381 delivered in our Department, in the time from January 1987 to December 1993, 175 (0,69%) were from pregnancies with complicated by diabetes mellitus. 171 of that number ended with healthy babies (172), which is a relatively satisfactory outcome. Only 4 patients lost their babies. They were 3 patients admitted to our programme late in their pregnancy period. Already during their first medical examination the diagnosis was a) nonviable pregnancy in 1 case and b) multiple, congenital defects in the remaining 2 cases. 1 baby was died three days after delivery (congenital heart disease). All patients attended classes of special diabetes mellitus education in the Pathology Ward. Each patient underwent programmed control visits by obstetrician and diabetologist; metabolic therapy reached the level of near normoglycemia. In each case the time of delivery was selected individually. As result of such approach majority of patients gave natural birth. Only in 29 cases (16,6%) caesarean operation was performed. The reason for caesarean operation in 12 of the 29 cases was a previous operation of this kind. In the other 5 cases natural birth was impossible, because of the big foetus. Observation of the newborn babies during their first days of life showed that most of them suffered from the following complications: hypoglycaemia (39,8%), hyperbilirubinemia (25,1%), anaemia (12,9%) and hypocalcaemia (7%). All the babies being in generally good condition were discharged from the hospital on the 5th-10th day together with their mothers. It seems that such good results could obtained owing to special programme, which could by applied also in Regional Gynecological-Obstetrical Ward with help of a local diabetologist.

Empathy is and important element in achieving didactic goals in the field of communication skills. It is a valuable feature particularly in the family doctor practice. 353 students (210 female and 143 male) from the first and last year of medical school were survived by using the psychological questionnaire-"Emotional Empathy Scale" by A. Mehrabian and N. Epstein, evaluating emotional aspects of empathy. The findings suggest that the level of empathy is higher among women than among men from the first year. The difference is statistically significant. During six years of medical education there is a significant decrease of empathy skill in women, specially in its emotional aspect. These students represent the lack of willingness in contact with people having problems. According to these findings we decided to continue our research to check the hypothesis concerning reasons of decreasing level of empathy in medical students.

The adherence of polymorphonuclear neutrophils was evaluated in patients with type I and type II diabetes as well as in group of elderly people. The adherence of these cells suspended in plasma: autologous, control, inactivated, zymosan-activated and in FMLP solution was estimated. The adherence of polymorphonuclear neutrophils obtained from controls after the suspension of cells in diabetic plasma was also estimated. The estimations were also performed after the heat-inactivation of diabetic plasma and its activation by zymosan. The obtained results seem to indicate that the enhanced adherence of polymorphonuclear neutrophils in diabetic patients is due to the presence of heterogeneous plasma factors.