[Behaviour of patients with inflammatory intracranial complications of otogenic origin].

The authors have the aim to discuss their experience in the field of treatment of otogenic intracranial complications results of inflammatory process. A short reference of the spread of this kind of pathology is made. The up-to-date methods for diagnostics, behaviour, conservative and surgery treatment of these patients are examined.

[Hyperprolactinemia--the main cause for hypogonadism and galactorrhea].

After describing several types of persistent galactorrhoea--dysmenorrhoea syndrome they are now classified under a common term hyperprolactinaemia. The physiology and pathology of the prolactin are discussed in this report as well as the author's opinion about the diagnostic and treatment of different forms of hyperprolactinaemia.

[Two cases of insulinoma treated as a psychiatric disease].

The insulin producing tumors are rare diseases and sometimes the diagnostics is very difficult. We present two cases of insulinoma treated as psychiatric diseases. We discuss the difficulties and particularities in the diagnostic process.

[Changes in the high-density lipoprotein level in patients with diabetes mellitus type II].

In 62 patients with diabetes mellitus type II, 22 patients with obesity I degree and 40 patients with normal body mass (28 with ischemic heart disease and 12 without ischemic heart disease) the blood sugar profile and the composition of the high density lipoproteins (HDL) were examined. In decompensated diabetes mellitus type II reduction of cholesterol and phospholipid contents of HDL and of apoprotein A were found. With compensation of the carbohydrate metabolism the composition of HDL becomes normal.

[Unsaturated fatty acids in diabetes mellitus].

The following unsaturated fatty acids were examined in the serum and in the high density lipoproteins of 38 patients with diabetes mellitus type Il and 20 healthy controls: linolic, linolenic, eicosandienoic, eicosanetrienoic, arachidonic and eicosanepentaenoic. In decompensates diabetes mellitus a decrease of linolenic, eicosanedienoic, arachidonic and eicosanepentaenoic acids and an increase of linolic and eicosanetrienoic acids were found. After compensation of carbohydrate metabolism the last fatty acids showed a tendency toward normalization.

[Fatty acids in diabetes mellitus].

In 38 patients with diabetes mellitus type II and in 20 healthy controls the total amount of saturated and unsaturated fatty acids was examined in the serum and in the high density lipoproteins (HDL) as well as the following fatty acids: palmitic, stearic, oleic and arachidonic. In decompensated diabetes an increase of the saturated fatty acids with a parallel decrease of the unsaturated fatty acids were found in the serum and in the HDL. The compensation of the diabetes led to normalization of the ratio between the saturated and unsaturated fatty acids.

[Lipoprotein and apoprotein changes in type-2 diabetes mellitus].

Lipid metabolism indices were followed up in 62 patients with diabetes mellitus type II and in 20 healthy persons as controls. An increase of serum triglycerides, very low density lipoproteins and low density lipoproteins, a decrease of high density lipoproteins and cholesterol in the upper reference range were found. Following diabetes compensation these indices became normal.

[Fine-needle aspiration biopsy in the diagnosis of thyroid diseases].

On 105 patients with thyroid gland diseases thin needle aspiration biopsy was performed. The cytologic examinations proved to be of great importance for the diagnosis of thyroiditis and thyroid cancer. When lymphoid cells were found immunocytochemical examination was made additionally.

[Adrenal function in patients with chronic obstructive lung diseases].

The hydrocortisone and ACTH blood levels, 17-hydroxycorticosteroids urine excretion and suprarenal function stimulation with Synacthen were studied in 22 patients with chronic obstructive pulmonary disease and 12 healthy persons as controls. The results show the presence of reliably higher hydrocortisone and 17-hydroxycorticosteroids levels in patients with low partial oxygen pressure as well as a higher ACTH plasma level and a strong Synacthen stimulation. After a comprehensive treatment including oxygen therapy the blood concentrations of hydrocortisone, ACTH, 17-hydroxycorticosteroids fell to levels found in healthy persons.