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Novotný, K., Pytlík, M., Chochola, M., Vařejka, P., Táborský, J. The use of larvae Lucillia sericata in eliminating muscle necrosis following protracted ischemia of the limbs.
Kazuistiky v diabetologii 1, 1: 4 – 7, 2003. |
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We describe a case of a 41-year-old man with diabetes mellitus type II, who underwent one unsuccessful operation and two cuccessful leg saving arterial reconstruction. Majority of calf muscles necrosed due to prolonged ischemia. The necrosed tissues were cut surgically throught fasciotomias. Maggots of Lucilia Serricata were used for wound clean up.
Keywords: wound healing, leg ischemia, muscle necrosis, maggots, Lucilia Sericata, femorocrural bypass, diabetes mellitus
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Šípová, I., Šimon, J.
Consistent checks of glycogen in patients suffering from diabetes mellitus type 2 is one of the most important requirements for the prevention of further progression of diabetic macroangiopathy.
Kazuistiky v diabetologii 1, 1: 8 – 9, 2003. |
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Hromádková, M. The background of non-compliance in treating diabetes.
Kazuistiky v diabetologii 1, 1: 10 – 11, 2003. |
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Venháčová, J., Zapletalová, J., Venháčová, P., Hyjánek, J. Type 2 diabetes mellitus in a girl suffering from Prade Willi syndrome.
Kazuistiky v diabetologii 1, 1: 12 – 15, 2003. |
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Kovařík, Z. Decompensation of a diabetes patient and the difficulties in influencing therapy as a patagnomic sign of another serious complaint.
Kazuistiky v diabetologii 1, 1: 16 – 19, 2003. |
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Vávrová, H. From a warning of Paracelsus to percutaneous mercury poisoning.
Kazuistiky v diabetologii 1, 1: 20 – 22, 2003. |
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The case report of a 21year old student demonstrates how important is the knowledge of pharmacokinetic of prescribed drugs in an everyday practice not only with usual inhaling or injecting oral medicaments, but also with ointments. Negligence of this fact results in iatrogenous damage to the
patient's health.
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Kupková, E. Long term negligence of type 1 diabetes combines with renal glycosuria.
Kazuistiky v diabetologii 1, 1: 23 – 24, 2003. |
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Šípová, I., Šimon, J. The treatment of Charcot osteoartopathy.
Kazuistiky v diabetologii 1, 1: 25 – 27, 2003. |
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Danzig, V., Šimek, S., Goričan, K., Chochola, M. The significance of treatment of patients suffering from multi-stage macro vascular complications in cases of type
2 diabetes mellitus. Kazuistiky v diabetologii 1, 1: 28 – 29, 2003. |
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Chodová, I., Zamrazil, V., Piťhová, P. Hypoglycemic coma as a consequence of a decline in the absorption of insulin in cases of failure in diagnosing hypotyreosis.
Kazuistiky v diabetologii 1, 1: 30 – 31, 2003. |
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Kuzmová, D. Unusual treatment in newly diagnosed diabetes patients.
Kazuistiky v diabetologii 1, 1: 32 – 33, 2003. |
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Unusual therapeutic approach in newly diagnosed diabetes mellitus. Without creativity and individual approach to the patient is impossible to achieve the objectives (blood glucose as close to normal as possible and normal life) outlined in the DCCT and in the St. Vincent Declaration in everyday clinical practice. After a random high glucometer blood glucose reading on Friday afternoon and its laboratory confirmation (21,5 mmol/l) instead of sending the shocked newly diagnosed diabetic (Ms. I. P., age 29 years, employee of the Therapeutic Spa Bardejovské Kúpele) to hospital I decide to start immediately with intensified insulin therapy. Following a short education I. P. applies the first doses of Actrapid HM insulin with Novopen (Novo Nordisk) herself. The newly diagnosed patient refuses to be on the sick - list and on Saturday enters service in the spa. Four doses of short acting insulin are ordered according to her blood glucose values by phone. By Sunday, on the same regime the blood glucose values do not exceed 12 mmol/l. On Monday complete laboratory investigation is performed and the therapeutic regime is modified to a basal - bolus system. Ms. I. P. is now near euglycemic and fully compensated both physically and psychically. Despite the confirmed diagnosis of IDDM she enjoys her work and life and she does not feel that great changes occurred in her life.
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Šembera, Z. Necrosis of cervical fasciculi.
Kazuistiky v diabetologii 1, 1: 34 – 35, 2003. |
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Svačina, Š. Atypical course of tyreopathy and auto immune diabetes in immunosuppressive treatment. Kazuistiky v diabetologii 1,
1: 36 – 38, 2003. |
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Adamíková, A. Sepsis occurrences in cases of pregnant women suffering from type 1 diabetes.
Kazuistiky v diabetologii 1, 1: 39 – 41, 2003. |
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