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Wyświetlanie 1-2 z 2
Tytuł:
Lightning injury management at the Emergency Room - a case report of an unusual ground current injury during a local family fest
Autorzy:
Szewczyk, Artur
Powiązania:
https://bibliotekanauki.pl/articles/29432105.pdf
Data publikacji:
2020
Wydawca:
Towarzystwo Pomocy Doraźnej
Tematy:
lightning injury
critical care management
rhabdomyolysis
heart rhythm disorders
Opis:
Lightning injuries are one of the rarest types of injuries admitted to the ER. They are accompanied by a wide spectrum of symptoms with less or more dangerous evolutions. The most severe of them are rhabdomyolysis, acute kidney injury, and danger cardiac arrhythmias. Treatment of those patients is challenging for the whole personnel of the emergency ward. In this paper, we present a case of a 34-year-old male who suffered a lightning injury during a family fest organized at a public square. Over time, the patient's status was changing from almost a lack of symptoms to severe complications, including rhabdomyolysis, compartment syndrome, hyperkaliemia, and cardiac arrhythmias.
Źródło:
Critical Care Innovations; 2020, 3, 4; 35-46
2545-2533
Pojawia się w:
Critical Care Innovations
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Sexual dysfunctions following low anterior resection of the rectum in rectal cancer patients
Autorzy:
Włodarczyk, Marcin
Sobolewska, Justyna
Nowak, Artur
Szewczyk, Martyna
Kluska, Piotr
Dzika, Katarzyna
Darnikowska, Justyna
Mik-Wojtczak, Joanna
Włodarczyk, Jakub
Sobolewska-Włodarczyk, Aleksandra
Trzciński, Radzisław
Dziki, Łukasz
Powiązania:
https://bibliotekanauki.pl/articles/1391931.pdf
Data publikacji:
2019
Wydawca:
Index Copernicus International
Tematy:
sexual dysfunction
rectal cancer
low anterior resection
surgical treatment outcomes
Opis:
Introduction. Low anterior resection of the rectum (LAR) is a treatment of choice in patients with diagnosed low rectal cancer. Rectal cancer surgery has a close relationship with the urinary-sexual organs and also with related nerves and nerve plexus. Thus, the sympathetic and parasympathetic nerves of the pelvic area may be damaged. As a result of this, the important point is the sexual function loss following rectal surgeries. The aim of the study was to investigate the sexual disorders in patients with rectal cancer who underwent LAR. Materials and methods. In this retrospective study the sexual activity, comfort of the experience, quality of sexual life (QoSL) during 3 periods were analyzed: before surgery, a month after and half a year after surgery. Analysis of demographic characteristics, comorbidities, previous surgeries, toumor characteristics and adjuvant therapy as was performed. Results. Most patients (64/100, 64%) expressed that LAR operation has strongly affected their QoSL, 32 patients reported the mild decrease in QoSL, while only 4 patients stated that did not experience any changes in QoSL. QoSL was assessed in 3 different periods of time: before the operation, 1 month after and 6 months after the operation (22,6±3.7 vs. 11.3±7,9 vs. 17,0±6.3; p<0.0001 respectively). The decreased QoSL one and six months after the surgery were significantly lower in patients with diagnosed hypertension and higher BMI (p=0.0283). Conclusions. Sexual disorders after LAR for rectal cancer are often underestimated and it is very important to be aware of them. In our study, it was determined that male sex, higher BMI and hypertension are related to impair of sexual dysfunction after LAR. We observed that the most severe complaints related to sexual activity occur one month after the procedure, after 6 months in most of the patients' sexual disorders were decreased approaching the initial state.
Źródło:
Polish Journal of Surgery; 2019, 91, 3; 21-26
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
    Wyświetlanie 1-2 z 2

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