[Nematodes of humans in the Primorye Territory].

Nematodes occupy the top in the general pattern of human parasitic diseases in the Primorye Territory. In the south of the Far East, there are a total of 28 nematode species that can parasitize man. However, the authors have identified only 8 nematode-induced diseases, such as ascariasis, enterobiasis, toxocariasis, trichocephaliasis, anisakiasis, trichinosis, dirofilariasis, dioctophymosis. The latter has been found only once in the 1920s. According to official statistical data, the proportion of ascariasis and enterobiasis accounted for 43.8 and 53.5% of the total number of helminthiases, respectively.

[Human dirofilariasis in the Primorye Territory].

Out of 3 species of the nematodes of the genus Dirofilaria recorded in the Primorye Territory, only D. repens was found in human beings. In the past 3 years, there have been 8 cases of human dirofilariasis, of which only one case can be considered to be imported. Mosquitoes are vectors of dirofilariasis. Infestation occurred in the west and south districts of the Territory. The nematodes were most frequently detected first in the eye. Hence they migrated beneath the scalp giving rise to capsules on the cheek, occiput, forehead, or temple. The parasites were extracted only surgically.

Predictors of good clinical outcome in acute stroke patients treated with intravenous thrombolysis.

OBJECTIVES: Intravenous thrombolysis (IVT) is considered an effective treatment for acute ischemic stroke (IS). However, not all treated patients may achieve good outcome. The aim was to evaluate whether the initial NIHSS and DWI infarct volume could be the predictors for good outcome after IVT. PATIENTS AND METHODS: The set of 125 patients with consecutive hemispheric IS (78 men; mean age 66.0 ± 12.1 years) treated with IVT within 3 h was analyzed. DWI volume was measured on admission. Good outcome was defined as a score 0-2 in modified Rankin Scale. RESULTS: Multivariate logistic regression analysis showed initial NIHSS as an independent predictor of good outcome (P = 0.001). ROC curves showed baseline NIHSS ≤13.5 points and DWI volume ≤13.7 ml as cut-offs related to good outcome. CONCLUSIONS: The initial NIHSS and DWI volume might be the predictors for good clinical outcome in acute stroke patients treated with IVT. The initial NIHSS score seems to be more accurate.

Occurrence of diabetes mellitus in spontaneous intracerebral hemorrhage.

The role of diabetes mellitus (DM) in the etiopathogenesis of spontaneous intracerebral hemorrhage (SICH) is controversial. The aim was to assess the role of DM in our SICH patients. In a hospital-based cross-section study, the occurrence of DM prior to a hemorrhagic stroke was observed in 80 SICH patients (44 males, aged 36-87 years, mean 67.1 +/- 11.9 years; 36 females, aged 56-86 years, mean 71.1 +/- 8.3 years), and in a control group (CG) of 80 age- and sex-matched patients with low back pain. All patients were treated at the Departments of Neurology and Neurosurgery, University Hospital, Olomouc, Czech Republic. Two-sample t test and Pearson's homogeneity chi(2) test were applied when assessing statistical significance. DM was found in 37.5% of SICH patients versus 22.5% of CG subjects (P < 0.05). DM occurs significantly more frequently in SICH patients in the Olomouc region of the Czech Republic when compared to the general population.