OBJECTIVE: The cytochrome P450 2D6 (CYP2D6) is an enzyme involved in the oxidative biotransformation of various widely used drugs, including paroxetine, a substrate and strong inhibitor of the enzyme. The aim is to report on a case of protracted intoxication with paroxetine after a single overdose in a genotype-predicted intermediate CYP2D6 metabolizer. OBSERVATION: A 49-year-old man was receiving chronic treatment for more than 6 years with paroxetine 60 mg/day for an indication of agoraphobia. The patient ingested fifty 20 mg tablets of paroxetine in a suicide attempt. The toxic plasma level, accompanied by delirium, persisted for approximately 1 month after the overdose. According to the genotype profile, the patient was evaluated as an intermediate metabolizer with reduced CYP2D6 enzyme activity. CONCLUSION: As a consequence of the suicide attempt with overdose and the chronic paroxetine treatment that preceded it, phenoconversion to a poor metabolizer with very low CYP2D6 enzyme activity is suggested as contributing to an extremely long intoxication accompanied by delirium. Prolonged monitoring over a standard 24 h of both physical symptoms and drug plasma levels, together with a genetic profile assessment and phenoconversion consideration, is recommended after a single overdose in patients chronically treated with paroxetine.
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
The present study aimed to evaluate the characteristic influence of physical therapeutic procedures of vacuum-compression therapy (VCT) on microvascular perfusion (MiP) and macrovascular perfusion (MaP) of the lower limb in diabetic patients. A sample of nine patients with a medical history of type 2 diabetes was used for the purpose of this study. Most of the subjects' medical conditions included venous and neurological complications of the lower limb, whereas the rest of the subjects entered the treatment due to injury recovery or their phlebological disease. The PeriFlux System 5000 (Perimed, Sweden) diagnostic device was used to measure MiP. The MaP was evaluated based on the perfusion index (PI) using the Extremiter monitoring device (Embitron, Czech Republic) designed to perform VCT procedures. The study found that MiP and MaP increase as an effect of VCT procedures and at the same time PI clearly reflects the effect of the applied vacuum and compression phases, verifying the method's vital influence on peripheral perfusion disorders.
- MeSH
- diabetes mellitus 2. typu komplikace diagnóza patofyziologie MeSH
- diabetická retinopatie MeSH
- dolní končetina patofyziologie MeSH
- lidé MeSH
- perfuze metody MeSH
- vakuum MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
Effects of low-frequency electromagnetic fields (LF EMF) on the activation of different tissue recovery processes have not yet been fully understood. The detailed quantification of LF EMF effects on the angiogenesis were analysed in our experiments by using cultured human and mouse endothelial cells. Two types of fields were used in the tests as follows: the LF EMF with rectangular pulses, 340-microsecond mode at a frequency of 72 Hz and peak intensity 4 mT, and the LF EMF with sinusoidal alternating waveform 5 000 Hz, amplitude-modulated by means of a special interference spectrum mode set to a frequency linear sweep from 1 to 100 Hz for 6 s and from 100 Hz to 1 Hz return also for 6 s, swing period of 12 second. Basic parameters of cultured cells measured after the LF EMF stimulus were viability and proliferation acceleration. Both types of endothelial cells (mouse and human ones) displayed significant changes in the proliferation after the application of the LF EMF under conditions of a rectangular pulse mode. Based on the results, another test of the stimulation on a more complex endothelial-fibroblast coculture model will be the future step of the investigation.
- MeSH
- elektromagnetická pole * MeSH
- elektromagnetické jevy MeSH
- endoteliální buňky pupečníkové žíly (lidské) fyziologie MeSH
- endoteliální buňky fyziologie MeSH
- kultivované buňky MeSH
- lidé MeSH
- myši MeSH
- viabilita buněk fyziologie MeSH
- zvířata MeSH
- Check Tag
- lidé MeSH
- myši MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
Nowadays, a high-induction magnetic stimulation is starting to be increasingly applied as a biophysical stimulation in the conservative treatment of the degenerative locomotor system diseases. These are mainly in correlation with the changes in soft tissue elasticity, which should be positively influenced by the flow-induced electrical currents of high current density during high-induction magnetic stimulation. This assumption was verified within the interventional and prospective study using the ultrasound elastography. The group consisted of 6 volunteers, whose elasticity of the patellar tendons was measured using the 2D shear-wave ultrasound elastography. The volunteers were then exposed to a 20-minute high-induction magnetic stimulation session with a frequency of 20 Hz, in 2 s package intervals, with a 5 s pause, and a induced electric current density of 100 Am-2 in the tendons area. A tendon tension was measured five times for all volunteers, where mean tension at the marked area of the tendon, as well as the highest point tension indicated by the Q-Box, was monitored. The measurement results show that high-induction magnetic stimulation has an influence on the patellar tendon tension change, which occurred in the case of all involved volunteers when the patellar tension was decreased.
- MeSH
- algoritmy MeSH
- biofyzika MeSH
- dospělí MeSH
- elastografie * MeSH
- lidé středního věku MeSH
- lidé MeSH
- ligamentum patellae diagnostické zobrazování MeSH
- pevnost ve smyku MeSH
- pohyb MeSH
- pružnost MeSH
- rehabilitace metody MeSH
- ultrasonografie * MeSH
- zdraví dobrovolníci pro lékařské studie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
Techniques to quantify postural stability usually rely on the evaluation of only two variables, that is, two coordinates of COP. However, by using three variables, that is, three components of acceleration vector, it is possible to describe human movement more precisely. For this purpose, a single three-axis accelerometer was used, making it possible to evaluate 3D movement by use of a novel method, convex polyhedron (CP), together with a traditional method, based on area of the confidence ellipse (ACE). Ten patients (Pts) with cerebellar ataxia and eleven healthy individuals of control group (CG) participated in the study. The results show a significant increase of volume of the CP (CPV) in Pts or CG standing on foam surface with eyes open (EO) and eyes closed (EC) after the EC phase. Significant difference between Pts and CG was found in all cases as well. Correlation coefficient indicates strong correlation between the CPV and ACE in most cases of patient examinations, thus confirming the possibility of quantification of postural instability by the introduced method of CPV.
- MeSH
- akcelerometrie metody MeSH
- dospělí MeSH
- lidé MeSH
- postura těla fyziologie MeSH
- posturální rovnováha fyziologie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
