Background and Objectives: The relationship between physical health and mental health has been considered for years. A number of studies have shown a correlation between depressive states and the progress of somatic diseases. It seems that the proper cooperation of specialists may result in the improvement of the patient’s well-being and a positive effect on the course of the rehabilitation process. The aim of this study was to assess the symptoms of depression, anxiety, and stress in patients with chronic obstructive pulmonary disease (COPD) as well as the assessment of the relationship of psychological symptoms with sociodemographic factors and physical condition. Materials and Methods: The study enrolled 51 COPD patients who underwent a three-week pulmonary rehabilitation program. After admission to the rehabilitation department, the subjects were asked to complete the Hospital Anxiety and Depression Scale (HADS) questionnaire, the Perception of Stress Questionnaire (PSQ), and a sociodemographic questionnaire. Results: Anxiety states were diagnosed in 70% of respondents and depressive states were diagnosed in 54% of patients. Some of the respondents (14%) also showed a tendency to experience various grounded stresses. Additionally, there were correlations between the mental state and the results of fitness and respiratory tests. Conclusions: Patients with COPD are at risk for mental disorders, which may adversely affect their general health and significantly limit their physical and respiratory efficiencies. The development of widely available therapeutic solutions to reduce symptoms associated with depression, anxiety, and stress seems to be an important challenge for the management of patients with COPD.
The study presents an atypical location of Non-Hodgkin lymphoma of the oral cavity in the area of the palate. Pathological changes of the mucosa of the palate in an 85-year-old female patient had been developing for many years as a result of upper denture irritation without any major symptoms. Histological examination revealed a Diffuse large B cell lymphoma. Due to being advanced in years, the patient was qualified for the local radiotherapy. In this particular case, the clinical picture of lymphoma imitated an inflammation of the mucosa of the oral cavity which resulted in delayed diagnosis and treatment.
Abdominal pressure of anesthetized dogs was elevated by the introduction of 18.5 mm Hg compressed air through a cannula tied securely into the peritoneal cavity. Significant decreases in circulating plasma volume (T-1824) were observed during the first 80 minutes of elevated pressure. Thereafter, plasma volume returned toward the control level except for a marked drop when the pressure was released. Hematocrit levels and plasma protein concentrations also indicated a loss of fluid. Mean vena cava pressure at the level of the heart did not markedly change, although the venous pressure below the diaphragm increased significantly. Arterial pressures decreased immediately upon elevation of the abdominal pressure, but returned to pre-experimental levels prior to release of elevated abdominal pressure. Concomitant with these circulatory alterations was a decrease in urine volume as well as a slight increase in serum potassium. Serum sodium remained essentially unaltered. These observations are compared to similar circulatory changes which occur during positive pressure breathing. Submitted on April 27, 1959
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