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    Wyświetlanie 1-4 z 4
    Tytuł:
    Formal defence in disciplinary proceedings against legal counsels
    Autorzy:
    Dąbrowski, Kamil
    Powiązania:
    https://bibliotekanauki.pl/articles/1364029.pdf
    Data publikacji:
    2018-09-30
    Wydawca:
    Uczelnia Łazarskiego. Oficyna Wydawnicza
    Tematy:
    prawo do obrony
    postępowanie dyscyplinarne
    : right to defence
    disciplinary proceedings
    Opis:
    The article discusses formal aspects of a suspected legal counsel’s right to defence and pinpoints the great vagueness of this issue. That is why, the author begins his discussion with the analysis of the essence of formal aspects of the right to defence and accepted rules of interpretation of provisions referring to other regulations. Next, using theoretical instruments created earlier, the author describes a suspected legal counsel’s basic rights, in particular, the right to have his own counsel for the defence, a translator’s assistance, and the right to claim a refund of incurred costs of defence. As a result, the author proves that current regulations, although they meet the requirements of the Constitution, should be changed. In his opinion, describing the substantial elements of the basic procedural guarantees with the use of the phrase “should be applied by analogy” makes those guarantees doubtful.
    Niniejsza praca – poddając analizie formalne oblicze obrony obwinionego radcy prawnego – dostrzega szeroką niedookreśloność przedmiotowego zagadnienia. Z tego powodu zawarte w niej rozważania rozpoczyna przedstawienie istoty formalnego aspektu obrony oraz przyjętych zasad wykładni przepisów odsyłających. Korzystając z wytworzonych w ten sposób instrumentów teoretycznoprawnych, autor obejmuje dalszą refleksją kwestie uprawnień obwinionego do pomocy obrońcy, tłumacza czy żądania zwrotu kosztów obrony. Poczynione z tej perspektywy przemyślenia prowadzą go zaś do przekonania, iż – mimo zachowania przez obecną regulację wymogów konstytucyjnych – konieczne są określone zmiany legislacyjne. Zdaniem autora pozostawienie istotnych zagadnień kształtu podstawowych gwarancji procesowych nieostrej formule odpowiedniego stosowania wzbudza uzasadnione wątpliwości.
    Źródło:
    Ius Novum; 2018, 12, 3; 70-86
    1897-5577
    Pojawia się w:
    Ius Novum
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Prediction of acute pancreatitis in the earliest stages – role of biochemical parameters and histopathological changes
    Autorzy:
    Baj, Jacek
    Radzikowska, Elżbieta
    Maciejewski, Marcin
    Dąbrowski, Andrzej
    Torres, Kamil
    Powiązania:
    https://bibliotekanauki.pl/articles/1393187.pdf
    Data publikacji:
    2017
    Wydawca:
    Index Copernicus International
    Tematy:
    Spormann score
    Opis:
    For many years, there has been a search for a set of biochemical parameters that could facilitate the assessment of severity, prognosis, and administration of early and appropriate treatment in acute pancreatitis. Administration of treatment within the first 48 hours since admission is associated with many problems of distinguishing patients with a mild form of acute pancreatitis (AP) from those with a severe form of acute pancreatitis. Study aim: To assess the relationship between the extent of change in the concentration of 10 selected biochemical indicators: amylase, lipase, total bilirubin, creatinine, uric acid, aspartate transaminase, alanine transaminase, glucose, magnesium, and iron and histopathological lesions in the pancreas within 2 and 6 hours since induction of AP. The selected time periods correspond to the first and the second day of the disease in people, respectively. Material and methods: The experiments were conducted in 110 male Wistar rats weighing from 250 to 300 g. Experimental animals were divided into three groups: Z – a group in which the ranges of the studied factors and histological structure were established; K – a group of animals operated on which were injected with 0.9% NaCl into the biliary-pancreatic duct; E – a group of animals operated on in which acute pancreatitis was induced by an injection of 5% sodium taurocholate into the biliary-pancreatic duct. Animals from the K and E groups were randomly assigned to one of five subgroups from which the material for biochemical and histological examinations was collected at 2 h and 6 h since the induction of AP. Whole pancreases were dissected for histological examinations, and the samples were dyed with hematoxylin and saturated alcoholic eosin solution. The degree of pancreatic lesions was assessed according to the Spormann score. Quantitative variables were characterized by arithmetic means, standard deviations, medians, minimum and maximum values, and 95% CIs. Results: In histological preparations from rats from the E group, after 2 hours, edematous lesions, neutrophilic infiltrations in the pancreatic parenchyma, together with single petechiae started to appear and were observed. After 6 hours, the lesions became more intense, and minor foci of coagulation necrosis and minor foci of purulent inflammation in the fatty tissue appeared. Within 2 hours, statistically significant differences in the amount of four markers: creatinine, ALT, amylase, and magnesium were observed. After six hours, statistically significant differences in the amount of two markers: AST and glucose were seen. The correlations between histological assessments according to the Spormann scale and biochemical indicators were investigated, and it was observed that within 2 hours the intensity of pancreatitis increased together with an increase in AST. In group K, within 6 hours, the intensity of inflammatory infiltration increased together with an increase in creatinine concentration (correlation coefficient 0.95; p=0.0138). In group E, in the period of 2 hours, lesion intensity in the form of inflammatory infiltration increased together with an increase in the AST level (correlation coefficient 0.90; p=0.0063) and an increase in the iron level (correlation coefficient 0.78; p=0.0399). In the same group and in the same period, an increase in the AST level (correlation coefficient 0.79; p=0.0343) was associated with an increase in lesion intensity in the form of ecchymoses. Inflammatory infiltration increased (correlation coefficient -0.87; p=0.0117) within 6 hours, whereas the creatinine level decreased. Interesting results were obtained with the use of regression analysis – forward stepwise regression. In the period of 2 hours, if the creatinine level increased by 1, the intensity of lesions in acute pancreatitis decreased by 9.02, according to the Spormann score, while the other variables remained at a stable level. However, if ALT level increased by 1, the intensity of lesions in acute pancreatitis increased by 0.02, according to the Spormann score; and if the amylase level increased by 1, the intensity of lesions in acute pancreatitis increased by 0.01, according to the Spormann score, while the other variables remained at a stable level. Conclusions: Histopathological lesions occurred prior to changes in laboratory test results, whereas significant correlations with Spormann scores were seen in the case of changes in AST and creatinine levels. The study results confirm the fact that diagnostics in acute pancreatitis is very difficult and requires monitoring of many laboratory parameters.
    Źródło:
    Polish Journal of Surgery; 2017, 89, 2; 31-38
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The influence of patient-related constutional and environmental factors on early results of a combined modality therapy of esophageal cancer
    Autorzy:
    Pudło, Kamil
    Błotniak, Alan
    Skoczylas, Tomasz
    Dąbrowski, Andrzej
    Szawłowski, Andrzej
    Kozłowski, Mirosław
    Lampe, Paweł
    Wallner, Grzegorz
    Powiązania:
    https://bibliotekanauki.pl/articles/1393912.pdf
    Data publikacji:
    2016
    Wydawca:
    Index Copernicus International
    Tematy:
    esophagus
    esophageal cancer
    chemotherapy
    chemoradiotherapy
    smoking
    alcohol
    toxic events
    postoperative complications
    Opis:
    Among many various factors affecting the outcome of cancer treatment one can distinguish patient, tumor- and treatment-related factors. The association of patient-related factors and results of a combined modality therapy of esophageal cancer has not been extensively explored. The aim of the study was to analyze the impact of patient-related constitutional and environmental factors on early results of combined modality therapy of esophageal squamous cell carcinoma. Material and methods. We retrospectively analyzed prospectively collected data of 84 patients with esophageal cancer randomly assigned to a combined modality treatment. We evaluated the relationship between early outcome of neoadjuvant therapy (overall toxic events, serious toxic events, treatmentrelated mortality, clinical and pathological response to the treatment) or surgical treatment (postoperative morbidity, mortality and curative resections – R0) and constitutional (age, gender, height, body mass index, Karnofski Performance Status – KPS, blood type) or environmental (inhabitation, smoking duration and intensity, frequency and amount of alcohol consumption and occupational exposure) patient-related factors. Results. Significantly more neoadjuvant therapy related deaths were found in patients with KPS 70‑80 (p=0.0016). Interestingly, significantly more toxic events (p=0.0034) after neoadjuvant therapy and a higher postoperative morbidity rate (p=0.0293) were observed in nonsmokers. Similarly, significantly more toxic events (p=0.0029) after neoadjuvant therapy and a higher postoperative mortality rate (p=0.0405) were found in light drinkers. Conclusions. Smoking and consumption of excessive amount of alcohol may attenuate toxic effect of neoadiuvant and surgical therapy in patients treated due to esophageal cancer. The information regarding the mentioned above addictions should not result in giving up an attempt to provide a curative treatmen
    Źródło:
    Polish Journal of Surgery; 2016, 88, 5; 448-463
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Supracondylar humerus fractures in children – a retrospective study
    Złamania nadkłykciowe kości ramiennej u dzieci – badanie retrospektywne
    Autorzy:
    Napora, Justyna
    Mazur, Natalia
    Trzciński, Rafał
    Sobocki, Bartosz Kamil
    Szczutkowski, Karol
    Krakowiak, Artur
    Dąbrowski, Filip
    Mazurek, Tomasz
    Powiązania:
    https://bibliotekanauki.pl/articles/2191550.pdf
    Data publikacji:
    2022-06-30
    Wydawca:
    Wydawnictwo Exemplum
    Tematy:
    supracondylar fracture
    paediatric orthopaedics
    humerus
    fracture
    children
    elbow
    złamanie nadkłykciowe
    ortopedia dziecięca
    kość ramienna
    złamanie
    dzieci
    łokieć
    Opis:
    Introduction. Supracondylar fracture of the humerus is the most common type of distal humeral fracture in children. Either operative or non-operative treatment depends on Gartland’s classification and neurovascular damage. There is still room for discussion on which Kirschner pin’s configuration should be chosen – crossed pinning or lateral pinning. Aim. Our study aimed to compare clinical results of treating supracondylar humeral fractures in children with cross and lateral pinning. We also aimed to assess the correlation between sociodemographic data and clinical results. Materials and methods. 75 patients aged less than 18 years, operated for supracondylar humeral fracture between September 2010 and June 2021 were retrospectively analysed. Two treatment modalities were studied for comparison – crossed pinning and lateral pinning. Results. Crossed pinning was performed in 62 patients (82.7%) and lateral pinning in 13 patients (17.3%). The mean age during trauma was 6.83 years (2-14). There was a significantly higher incidence (p = 0.03) of current complaints in the group treated from the side compared to the group treated crosswise (54% vs 32% of patients reported current complaints, respectively). There were no relevant differences observed between the type of fixation and the following studied parameters: current VAS (Visual Analogue Scale) pain score, Baumann angle of the operated limb, flexion deficit in the elbow joint of the operated limb, presence of current neurological complications, satisfaction with the current function of the limb, Flynn criteria, and Mayo Elbow Score. Conclusions. The discussion in the literature addressing the superiority of lateral or crossed pinning of supracondylar humeral fractures in children still exists. Both methods provide excellent clinical and functional results.
    Wstęp. Złamanie nadkłykciowe jest najczęstszym rodzajem złamania końca dalszego kości ramiennej u dzieci. W zależności od klasyfikacji Gartlanda i obecności uszkodzeń nerwowo-naczyniowych stosuje się leczenie operacyjne lub nieoperacyjne. Tematem do dyskusji pozostaje to która metoda stabilizacji daje lepsze wyniki – wprowadzanie drutów Kirschnera od boku czy na krzyż. Cel. Celem naszej pracy było przedstawienie i porównanie wyników leczenia złamań nadkłykciowych z podziałem na powyższe metody oraz ocena korelacji między danymi socjo-demograficznymi, a wynikiem leczenia. Materiał i metody. Analizie retrospektywnej poddano 75. chorych w wieku poniżej 18 lat, operowanych z powodu złamania nadkłykciowego kości ramiennej w okresie od września 2010 do czerwca 2021. W celu porównania zbadano dwie metody leczenia – stabilizację metodą od boku oraz na krzyż. Wyniki. Stabilizację metodą na krzyż wykonano u 62 chorych (82,7%), od boku u 13 (17,3%). Średni wiek w czasie urazu wynosił 6,83 lat (2-14). Wystąpiła istotnie większa częstość (p = 0,03) aktualnych dolegliwości w grupie leczonej metodą od boku w porównaniu z grupą leczoną metodą krzyżową (odpowiednio 54% vs. 32% chorych). Nie zaobserwowano istotnych różnic pomiędzy rodzajem stabilizacji, a następującymi badanymi parametrami: aktualna ocena bólu w skali VAS (Visual Analogue Scale), kąt Baumanna, deficyt zgięcia w stawie łokciowym operowanej kończyny, obecność aktualnych powikłań neurologicznych, zadowolenie z aktualnej funkcji kończyny, kryteria Flynna i Mayo Elbow Score. Wnioski. W piśmiennictwie nadal trwa dyskusja na temat wyższości bocznego lub krzyżowego stabilizowania złamań nadkłykciowych kości ramiennej u dzieci. Obie metody zespalania dają dobre wyniki kliniczne i funkcjonalne.
    Źródło:
    Chirurgia Narządów Ruchu i Ortopedia Polska; 2022, 87, 2; 57-62
    0009-479X
    2956-4719
    Pojawia się w:
    Chirurgia Narządów Ruchu i Ortopedia Polska
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-4 z 4

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