[Functional impairment of the respiratory system in silicosis in miners].
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Biomedical subjects
Publications and source records attributed to K Marek.
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In a group of 141 patients treated for coma following poisoning, complications of endotracheal intubation were assessed. The results of this study indicate that prolonged intubation is not quite safe and that serious complications occur in several per cent of cases. Complications are more common when intubation is prolonged over 24 hours. It was observed that hypoxaemia and hypercapnia have an unfavourable effect on the incidence of complications.
In the common opinion amongst woman, the surgical removal of the uterus and ovaries can be a cause of limited physical and sexual activity and have an effect on their attractiveness. The majority of women after hysterectomy can be permanently depressed and can also show symptoms of mixed anxiety-depressive disorder. The review of literature allows for an assumption that the topic of anxiety and depression should not be underrated, by treating it as an exaggerated theme, as some researchers do. By considering the research quoted in this paper the collected directions of diagnostic and therapeutic procedures undertaken by the psychiatrist and psychologist can be used before the planned operation. Special consideration must be given to patients who have a history of affective disorders or sexual abuse. Pharmacotherapy and psychotherapy should applied in order to prevent post-operative affective disorders.
Hysterectomy is a surgical procedure that significantly affects the quality in which the operated person views herself, lowers self-esteem and brings about changes in the quality of life. The results of the presented study show the necessity of a more accurate and specific dealing with the problem of affective disorders and anxiety states in women who have undergone such an operation. The course of the post-operative period and the return of the patients to full health are largely affected by their psychological state and the quality of life they experience. A successful (in a medical sense) surgical procedure is not a guarantee of the bringing back health in a holistic sense. The results of studies and clinical observations show that half of the group of women operated suffer from anxiety-depressive disorders as a cause of the operation, and a quarter of all those operated require specialist help. No psychological preparation for the operation, absence of closest people in the decision making before the operation, lack of knowledge on the surgical operational-span, lacking psychological aid after the operation--all these can significantly affect the rehabilitation and the process of regaining the social functions. It appears vital to introduce a psychological programme and special care taking of the women who declare having symptoms which appear to lead to the development of depressive disorders. The appearance of depressive symptoms post-operatively as well as the earlier presence of affective disorder symptoms can be prognostic in the further development of the disorder. The early diagnosis of the affective disorder and the higher level of anxiety in women post-hysterectomy and the fast application of appropriate treatment can inhibit further symptom elevation and persistence. Catamnestic studies on women post-hysterectomy due to non-oncologic causes will allow seeing the dynamics of the changes in the affective disorders at different time intervals from the operation.
Three homogeneous groups of patients with silicosis, coal workers' pneumoconiosis and arc welders' pneumoconiosis had been reexamined after an interval of six years. The same examinations were repeated on each occasion with the purpose of evaluating the evolution of radiographic and functional changes. The clinical course, roentgenographic findings and results of function tests differed in the three groups. In silicosis and coal workers' pneumoconiosis the roentgenographic changes showed distinct progression. This progression was less evident in coal workers' pneumoconiosis, but deterioration of pulmonary function was more pronounced than in silicosis, apparently due to emphysema. In pneumoconiosis of welders roentgenographic changes showed a clear tendency to regression and respiratory function was not impaired.
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