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Query: UMLS:C0030193 (pain)
 261,466 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

During a period of 18 months with a history of chronic pelvic pain symptomatology (severe dysmenorrhea, severe dyspareunia, extramenstrual pain) retroverted or retroflexed uterus, and infertility were subjected to laparoscopy for diagnostic and therapeutic purposes as well. These women were able to follow up this protocol. After informed consent had been presented patient decided, in a case of endometriosis being verified by the tissue pathology intraoperatively, which one mode of therapy (Group I or Group II) would be administered in her case. All women failed to respond to non-steroidal, antiinflammatory medication, as well as to oral contraceptive treatment. Proposed intraoperative staging of pelvic endometriosis that has not yet been published, was utilized by the author. Group I twenty women were subjected to a translaparoscopic CO2 laser excision and (or vaporization of endometriosis implants, CO2 laser uterine nerve ablation, uterine suspension with Falope Rings and intraperitoneally 32% Dextran was installed. Group II twenty women were subjected only to a translaparoscopic CO2 laser endometriosis excision and/or vaporization and intraperitoneally 32% Dextran-70 was installed. In Group I extramenstrually pain was 90%, severe dysmenorrhea 85%, and infertility 90% were cured. Ten per cent of extramenstrual pain, 5% of severe dysmenorrhea, and 15% of severe dyspareunia were improved. Infertility in this group was unchanged in 10%. Patients' symptoms were not worsened during the 18 months of observation. In Group II only 60% infertility was curred. In 60% extramenstrual pain, in 35% severe dysmenorrhea, in 5% severe dyspareunia were improved. Symptoms were noted to worsen in 5% extramenstrual pain, in 5% severe dysmenorrhea, in 10% severe dyspareunia.(ABSTRACT TRUNCATED AT 250 WORDS)
Mater Med Pol
PMID:A new translaparoscopic approach in endometriosis treatment: a. CO2 laser endometriosis excision and/or vaporization. b. CO2 laser uterine nerve ablation. c. Uterine suspension with Falope Rings. d. Intraperitoneally 32% Dextran-70 installation. 172 45

Effects of repetitive exposure (ten times in a period of two weeks) to chlorphenvinphos (CVP), at daily doses of 0.5 and 1.0 mg/kg, i.p., were studied in adult male Wistar rats of imp-DaK stock. It was found that 3 hrs after the last exposure, the cholinesterase (ChE) activity in the blood and brain was close to 50% of the control value in the 0.5 mg/kg group and less than 50% in the 1.0 mg/kg group. In both groups, normalization of ChE activity in plasma took less time than in erythrocytes, and the normalization of ChE activity in erythrocytes proceeded faster than in the majority of the brain areas studied. Electrophysiological investigations revealed a retardation of age-related epileptic-like cortical activity. This effect, however, was present only in the 1.0 mg/kg group, and only in the period of decreased ChE activity in the brain. Spectral analysis revealed an increase in 1-4 Hz activity in the cortical EEG of the 0.5 mg/kg group and heightened theta activity (4-7 and 7-9 Hz bands) in the hippocampal EEG of the 1.0 mg/kg group. The later effects were detected after a time sufficient for full normalization of ChE activity and manifested themselves most clearly in the presence of an acoustic stimulus associated with pain. The above results are in agreement with earlier observations on rabbits exposed repetitively to CVP. Data from both species suggest that, in the case of repetitive exposure to CVP, neither plasma nor erythrocyte ChE activity is a reliable indicator of toxicity, and that such exposure to this OP may lead to changes in EEG outlasting the period of lowered ChE activity in the blood and brain.
Pol J Occup Med Environ Health 1991
PMID:Changes in brain bioelectrical activity (EEG) after repetitive exposure to an organo-phosphate anticholinesterase. II. Rat. 179 44

The authors reviewed a series of 38 consecutive patients with trigeminal neuralgia treated with percutaneous thermocoagulation in years 1984-90. In 10 patients in whom the result of treatment was unsatisfactory the coagulation was repeated (in 2 out of 10 threefold). The analysis of the results showed that good outcome was connected with permanent anaesthesia in the area innervated by the coagulated branch. If the anaesthesia was not present 24 hours after the treatment, it suggested that an insufficient lesion was done and consequently unsatisfactory result was likely. In patients in whom there was sensory impairment after either thermocoagulation or other form of treatment (injection of alcohol or rhizotomy) repeated thermocoagulation not only did not give good results but could lead to worsening of pain.
Neurol Neurochir Pol
PMID:[Treatment of neuralgia of the 5th cranial nerve by the method of percutaneous coagulation of Gasser's ganglion]. 181 Nov 83

Twenty elderly patients of both sexes complaining of exercise--induced or rest pain in limbs were studied in order to evaluate the presence of peripheral vascular occlusive disease (PAOD). The analysis of results was made on the basis of segmental pressure index (SPI) and transcutaneous oxygen pressure measurement (TcPO2). Seventeen limbs fell into the category of critical vascular insufficiency with TcPO2 below 30 mm Hg. In 10 limbs SPI volumes could not be obtained due to technical problem to take adequate Doppler signal equal to systolic pressure in a segment of the limb. We failed to find a good correlation between both techniques of measurements used.
Mater Med Pol
PMID:The use of segmental pressure index and transcutaneous oxygen tension in the diagnosis of peripheral arterial occlusive disease in geriatric patients. 184 78

Prolonged ECG-recording with Holter's technique facilitated detection of heart ischemic episodes without accompanying anginal pain. It is estimated that ischemic heart disease without anginal pain involves about 20% of all patients with IHD, and the episodes of heart ischemia with and without anginal pain occur in 30% of these patients. A course of ischemic heart disease without anginal pain may be due to decreased sensitivity to pain stimuli caused by the lesions to sensory afferent nerves or by the increased serum endorphins. The majority of experiments has shown that asymptomatic ischemic heart disease increases the risk of sudden death. It may be explained by increased physical exercise attempted by these patients and not compliance with anti-sclerotic therapeutical and preventive measures. The treatment of asymptomatic ischemic heart disease is similar to that in symptomatic froms of this diseases.
Pol Tyg Lek
PMID:[Ischemic heart disease without anginal pain]. 184 71

In 45 patients with acute obstructive cholangitis (AOC) endoscopic sphincterotomy (ES) was performed within 24 hours after admission. Criteria for the diagnosis of AOC were as follows: clinical symptoms consisting of fever and chills, right upper abdominal pain, and jaundice (Charcot's triad) with coexisting laboratory data as elevated WBC, ERS, bilirubin level and evidence of obstructive biliary disease confirmed by endoscopic retrograde cholangiopancreatography. The causes of AOC were: in 38 patients (84.5%)--common bile duct stones, in 2 patients (4.5%)--carcinoma of the papilla of Vater, and in 5 patients (11%)--benign stenosis of the papilla of Vater. A rapid clinical improvement was observed in 40 patients after ES. Within 24 hours after ES patients had relief of pain, fever subsided and white blood cell count returned from 11.7 +/- 6.9 G/l to 7.0 +/- 3.0 G/l. Bilirubin level decreased from 101 +/- 86 mumol/l to 77 +/- 68 mumol/l. Endoscopic drainage failed only in 4 patients (9%) who required surgery. One patient (2%)--died. In the treatment of acute obstructive cholangitis urgent endoscopic sphincterotomy should be a method of choice. Surgery should be reserved only for patients in whom ES failed.
Pol Arch Med Wewn 1991 Feb
PMID:[Emergency endoscopic sphincterotomy in acute obstructive cholangitis]. 186 19

Relationship between duration of myocardial infarction pain (MIP) and homeostatic disturbances as well as degree of myocardial injury was investigated. Thirty patients admitted to the Coronary Care Unit during the pain due to progressive myocardial infarction were studied. Patients were divided into two groups according to the duration of pain. First one consisted of subject with pain lasting up to four hours, second group included those whose pain exceeded 4 hours. Following parameters were measured: 24 hours urine catecholamines excretion, serum triiodothyronine and creatinine phosphokinase activity estimated every 6 hours during consecutive two days. We concluded that patients with longer MIP displayed lager thyro-adrenergic and myocardial injury.
Pol Arch Med Wewn 1990 Nov
PMID:[Myocardial infarction pain duration in relation to alterations in homeostasis characteristics of cardiac injury]. 207 19

The purpose of the study was to describe the clinical picture in patients with ischemic heart disease (IHD) and verifying severity of ventricular arrhythmias. The study included 856 patients with IHD aged 23-88 years (mean = 55.3), including 659 men and 197 women. Holter monitoring was performed in all patients. Ventricular arrhythmias were graded according to Lown. The patients were divided into five groups: group 1-349 patients with Lown's grade 1 and 2; group 2-95 patients with grade 3; group 3-152 patients with grade 4a and 4b; group 4-11 patients with grade 5; group 5-507 patients (selected from groups 2, 3 and 4) with Lown's grade 3 and 4 or 5. Arterial hypertension was found in 17.1%, myocardial infraction in 66%, and syncope in 12.3% of the patients. The patients with complex ventricular arrhythmias versus Lown's grade 1 and 2 show significant differences especially in respect to: the frequency of previous anterior myocardial infraction, the incidence of pain at rest, loss consciousness, the frequency of ventricular tachycardia and fibrillation, anginal pain and exercise-related arrhythmias. The patients with Lown's ventricular arrhythmia grade 3-5 do not differ significantly in their clinical manifestations of IHD from the patients with ventricular arrhythmias grade from 3 to 5. The development of silent myocardial ischemia during exercise stress testing is typical also for the patients with complex ventricular arrhythmias. A decreased contractility index, ejection fraction and dyskinesis are significantly more frequent in the patients with complex ventricular arrhythmias.
Kardiol Pol 1990 Mar
PMID:[Complex ventricular arrhythmias in ischemic heart disease]. 208 68

A case of a 18-year female patient is presented. The patient suffered from certain symptoms of malabsorption syndrome. She was also retarded sexually. Celiac disease was diagnosed according to ESPGAN criteria. Gluten -free diet produced body weight increase, pain relief, improved well-being and normal menstruation.
Pol Tyg Lek
PMID:[Delayed puberty in an 18-year-old female patient with late diagnosis of celiac disease]. 209 48

The value of radioimmunoassay for creatine kinase BB isoenzyme (CK-BB) determination in early diagnosis of acute myocardial infarction was estimated. The clinical material consisted of 35 randomly selected patients admitted to a coronary care unit during the 4 h after chest pain suspected for myocardial infarction. In all patients standard 12 lead electrocardiograms were obtained on admission and at 24, 48 and 72 hours after admission. Blood samples for CK-BB analysis were collected on admission and at 4 hourly intervals for 48 h after admission. Aspartate aminotransferase (GOT) activity was determined in all patients on admission and in samples obtained at 24 and 48 hours. The patients were classified to 3 groups according to electrocardiographic and clinical findings. The first group consisted of 10 patients whose electrocardiograms fulfilled the criteria of transmural infarction. The electrocardiograms of 10 patients of the second group fulfilled the criteria of subendocardial infarction. The remaining 15 patients made up a third group of coronary insufficiency. The activity of CK-BB at various time intervals after chest pain in all groups was compared in order to estimate the value of this method for differentiation of the 3 causes of coronary pain. The frequency of positive results (the values exceeding upper limits of normal range for healthy people) at various time intervals after pain obtained with both enzymatic methods was compared in order to estimate the sensitivity of analysed method.(ABSTRACT TRUNCATED AT 250 WORDS)
Kardiol Pol 1990
PMID:[Usefulness of determining creatine kinase BB isoenzyme activity in early diagnosis of myocardial infarction]. 209 50


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