Vitamin D is an important substance that has a pleiotropic range of action in the human body. Its important role is to influence the cells of the immune system and regulate the body's inflammatory response. Many physiological processes at the immune level have been discovered to prove this. Vitamin D deficiency is common and results mainly from limited sun exposure at certain latitudes or from insufficient dietary supply. This likely increases the risk of many diseases, including autoimmune diseases. Numerous evidence shows that also in skin diseases such as AD or psoriasis, the level of calcitriol is of great importance, and its supplementation in the prevention and treatment of these diseases promotes frequent remissions and improves the clinical condition of patients. Therapy with high doses of vitamin D analogues can be effective and safe. The exact knowledge of the properties of this vitamin probably allows for its real and effective use in the treatment of skin diseases. However, numerous large-scale studies are still needed to more accurately determine the dosage, effects of this therapy and to use this preparation with certainty and the highest possible effectiveness in everyday medical practice.
Bacterial meningitis is still life-treating disease, which cause about 1.2 million cases and it is responsible for over 100 thousand of deaths across the globe. [2][ The most common pathogens which case the disease are Neisseria meningitidis, Streptococcus pneumoniae, Haemophilus influenzae and Listeria monocytogenes. Morbidity is significantly higher in Africa, than in other regions in the world. Region of the highest frequency of new cases is located in sub-Saharan Africa and called meningitis belt. Vaccination campaigns against bacterial, mostly meningococcal were conducted in some of these regions and the benefits of it were seen [5]. Young children and elderly patients are predisposed to have bacterial meningitis. In pediatric population the disease usually presents as fever, seizures, vomiting, chills, altered mental status and stiff neck. [4] Development of each country have impact on mortality and morbidity among children. [6] Elderly patients, because of their comorbidity are also predisposed to bacterial meningitis. Diseases like diabetes mellitus, alcoholism, cancer, HIV/AIDS or being after splenectomy may make the patients susceptible for bacterial invasion of CNS. Also, every factor which interrupt blood-brain barrier, like trauma or surgery may cause the infection. Intracerebral hemorrhage can be consequence of the infection, which cause other complications like impaired consciousness, focal neurological deficit, need of mechanical ventilation and seizures. It was noticed that in most of cases bacterial meningitis had S.pneumoniae etiology.
Introduction and purpose of the work : Commonly Z-drugs, especially zolpidem , are considered safer than short-acting drugs benzodiazepines . Recently, more and more is said about the abuse of these relatively harmless drugs. The aim of this study is to collect scientific reports on the increasing abuse of these drugs. State of knowledge: There are many reports of zolpidem abusers and addicts in the available literature . These people belong to three groups of patients: the first is people with insomnia who develop tolerance, the second is recreational use, and the third is people with mental disorders. Taking increased doses of zolpidem causes a psychostimulant effect, increased activity during sleep, up to delusions and psychotic symptoms. Rapid discontinuation of high doses of the drug should be performed in a hospital setting. Summary : Physicians should be advised to remain vigilant during therapy with group Z drugs and to check that the patient is not receiving the drug from multiple sources and is not taking zolpidem in supra-therapeutic doses .
Energy drinks are very popular nowadays. The number of people consuming this type of drink is growing every year, not only in the adult group but also in the population of adolescents and children. For many people, they are an alternative to stimulating coffee. In addition to the desired effects such as reducing fatigue, improving concentration and increasing physical and mental performance, energy drinks can also have adverse effects. The substances they contain, such as caffeine, taurine and large amounts of carbohydrates, may contribute to an increased risk of cardiovascular complications, metabolic and gastroenterological diseases, and mental disorders. [1] The aim of the article is to present the negative effects of consuming energy drinks in the population of adolescents and children.
Polycystic ovary syndrome (PCOS) is a known disease among endocrinologists and gynecologists. The aforementioned disease entity affects up to six to twelve percent of women of reproductive age. [1] In 2017, the incidence among women of childbearing age was 82.44 per 100,000 population. A decade ago, it was 1.45% lower.[2] PCOS is a disease in which we have abnormal hormone levels. The result may be a problem with regular menstruation, problems with becoming pregnant, acne or excessive body weight. [3] Most often, patients arediagnosed only when complications occur. It is closely related to asignificant reduction in living standards. There are problems such as hair loss, acne and infertility.
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