Cíl studie: Upozornit na vzácnou komplikaci těhotenství. Typ studie: Kazuistika. Název a sídlo pracoviště: Gynekologicko-porodnická klinika 1. LF UK a VFN Praha. Předmět a metoda studie: Uvedený případ popisuje symptomy náhlé příhody břišní imitující apendicitidu, které překrývaly probíhající rupturu děložní. Závěr: Ruptura děložní je vzácná komplikace těhotenství. V současné době, se zvyšujícím se počtem císařských řezů a prenatálních operativních výkonů na děloze, je nutno více pomýšlet na popisovanou komplikaci.
Objective: To give attention to the rare complication of pregnancy. Design: Case report. Settings: Dept. of Obstetric and Gynecology, 1st Faculty of Medicine, Charles University and General Faculty Hospital Prague. Methods: Description of acute abdominal pain which immitated the appendicitis in case of the uterine rupture. Conclusion: The uterine rupture is the rare and very dangerous complication of pregnancy. In the time of increasing number of the cesarean section and the operation on the uterine wall, we must thing on the uterine rupture.
- Keywords
- náhlá příhoda břišní,
- MeSH
- Abdomen, Acute etiology MeSH
- Cesarean Section MeSH
- Adult MeSH
- Hysterectomy MeSH
- Hysteroscopy adverse effects MeSH
- Pregnancy Complications MeSH
- Humans MeSH
- Stillbirth MeSH
- Fetal Death MeSH
- Uterine Rupture diagnosis surgery ultrasonography MeSH
- Pregnancy MeSH
- Pregnancy Trimester, Third MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Pregnancy MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
A comparison of the effects of ultrasound produced by low- and high-frequency ultrasonic apparatuses upon biological systems is one of the basic problems when studying ultrasound cavitation effects. One possibility for how to compare these effects is the indirect method which uses well-known physical quantities characterizing the interaction of ionizing radiation with matter and which also converts these quantities to one common physical quantity. The comparison was performed with two methods applied to the chemical dosimetry of ionizing radiation. The first method employed a two-component dosimeter which is composed of 50 % chloroform and 50 % re-distilled water (i.e. Taplin dosimeter). The other method used a modified iodide dosimeter prepared from a 0.5 M potassium iodide solution. After irradiation or ultrasound exposure, measurable chemical changes occurred in both dosimeters. The longer the exposure, the greater the chemical changes. These effects are described by the relationship of these changes versus the exposure times in both dosimeters. The UZD 21 ultrasonic disintegrator (with a frequency of 20 kHz, 50 % power output) was used as a low-frequency ultrasound source, and the BTL-07 therapeutic instrument (with a frequency of 1 MHz and intensity of 2 W/cm2) was used as a high-frequency cavitation ultrasound source. For comparison, a 60 Co gamma source was applied (60 Co, gamma energies of 1.17 and 1.33 MeV, activity of 14 PBq). Results of this study have demonstrated that the sonochemical products are generated during exposure in the exposed samples of both dosimeters for all apparatuses used. The amount of these products depends linearly upon the exposure time. The resulting cavitation effects were recalculated to a gray-equivalent dose (the proposed unit is cavitation gray [cavitGy]) based on the sonochemical effects compared to the effects of ionizing radiation from the 60 Co source.
- MeSH
- Time Factors MeSH
- Models, Chemical MeSH
- Chloroform chemistry radiation effects MeSH
- Radiation Dosage * MeSH
- Equipment Design MeSH
- Potassium Iodide chemistry radiation effects MeSH
- Hydrogen-Ion Concentration MeSH
- Cobalt Radioisotopes * MeSH
- Radiometry instrumentation MeSH
- Ultrasonics * MeSH
- Dose-Response Relationship, Radiation MeSH
- Gamma Rays * MeSH
- Publication type
- Journal Article MeSH
- Comparative Study MeSH
Autoři uvádějí výsledky mikrobiologického vyšetření z nosu a hltanu u 253 zdravých zaměstnanců call-centra. Vyšetření byla provedena v důsledku preventivních opatření, po úmrtí jedné pracovnice firmy na suspektní meningokokovou sepsi. Mikrobiologické vyšetření nosu vykazovalo u 212 zaměstnanců (83,8 %) fyziologickou mikrobiální floru a u 41 vyšetřených (16,2 %) byly nálezy potenciálně patogenní mikroflory. Mikrobiologické vyšetření hltanu vykazovalo u 236 pracovníků (93,3 %) fyziologický nález a v 17 případech (6,7 %) byly nálezy potenciálně patologické včetně dvou nálezů N. meningitidis X a N. meningitidis netypovatelného sérotypu. V závěru autoři uvádějí návrhy na preventivní opatření pro exponované pracovníky call-center.
- MeSH
- Pharynx microbiology MeSH
- Humans MeSH
- Neisseria meningitidis immunology isolation & purification pathogenicity MeSH
- Occupational Diseases microbiology mortality MeSH
- Nose microbiology MeSH
- Check Tag
- Humans MeSH
- Publication type
- Case Reports MeSH
- MeSH
- Disseminated Intravascular Coagulation diagnosis therapy MeSH
- Pregnancy Complications, Hematologic MeSH
- Blood Coagulation Disorders diagnosis therapy MeSH
- Humans MeSH
- Critical Care MeSH
- Pregnancy MeSH
- Thromboembolism diagnosis prevention & control therapy MeSH
- Check Tag
- Humans MeSH
- Pregnancy MeSH
- Female MeSH
- MeSH
- Electrocardiography methods instrumentation MeSH
- Fetal Hypoxia diagnosis MeSH
- Publication type
- Congress MeSH
