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    Wyświetlanie 1-4 z 4
    Tytuł:
    Perioperative care of patients undergoing Functional Endoscopic Sinus Surgery
    Autorzy:
    Zieliński, Maciej
    Miśkiewicz-Orczyk, Katarzyna
    Waligóra, Aleksandra
    Ura-Sabat, Katarzyna
    Misiołek, Maciej
    Powiązania:
    https://bibliotekanauki.pl/articles/1401690.pdf
    Data publikacji:
    2016
    Wydawca:
    Index Copernicus International
    Tematy:
    perioperative care
    FESS
    Endoscopic sinus surgery (FESS)
    nasal irrigation
    Opis:
    The final success and outcomes of patients treatment undergoing Functional Endoscopic Sinus Surgery depends on the correct preparation for surgery, perioperative and postoperative care. Proceedings before FESS in case of chronic rhinosinusitis arise from „European position paper on rhinosinusitis and nasal polyps 2012” and includes pretreatment with local nasal and systemic steroids, sinus irrigation, as well as in some cases antibiotic therapy. Reduction of intra- and post-operative bleeding is possible by intraoperative use of gauze local vasoconstricting inserts, reverse Trendelenburg position, reduction of blood pressure and application of tranexamic acid. After the surgery the use of nasal packing is often recommended. Moreover postoperative care has been largely transferred to the patient and therefore we are highlighting how important is education of patient, providing accurate information and training in the appropriate use of prescribed preparations for na-posal irrigation and nasal steroids. The use of steroids was proved to reduce the risk of recurrence of the disease and it is reasonable when we are sure that they have an opportunity to reach physically to whole mucous membrane of the nose. The effectiveness of nasal irrigation can be enhanced by use of the containers enabling the appropriate application (the exact adherence to the nasal vestibule , at an angle 45° ) and generating sufficient pressure ( rinse of the entire nasal cavity –120 mbar) and the use of appropriate fluid composition accelerates healing and reduce pain. Use of in vitro studies and computational fluid dynamics simulations allow to predict the effectiveness of rinsing different paranasal sinuses.
    Źródło:
    Polski Przegląd Otorynolaryngologiczny; 2016, 5, 3; 55-59
    2084-5308
    2300-7338
    Pojawia się w:
    Polski Przegląd Otorynolaryngologiczny
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Analysis of systemic symptoms in COVID-19
    Analiza objawów ogólnoustrojowych w przebiegu COVID-19
    Autorzy:
    Dadok, Adam S.
    Lisowska, Grażyna
    Zięba, Natalia
    Goroszkiewicz, Karolina
    Stryjewska-Makuch, Grażyna
    Kubik, Hanna
    Miśkiewicz-Orczyk, Katarzyna
    Powiązania:
    https://bibliotekanauki.pl/articles/2082207.pdf
    Data publikacji:
    2022-08-08
    Wydawca:
    Śląski Uniwersytet Medyczny w Katowicach
    Tematy:
    COVID-19
    coronavirus
    symptoms
    koronawirus
    objawy
    Opis:
    INTRODUCTION: COVID-19 (coronavirus disease 2019), a disease caused by SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) infection, may have a more or less severe course. The aim of this study was to analyse the symptoms which occurred in a group of people who tested positively for the presence of the genetic material of the virus. MATERIAL AND METHODS: The analysis was based on the results of 337 questionnaires collected from Polish patients – 185 (55%) females and 152 (45%) males aged 18–86. The questionnaire included 26 questions, of which 11 were related to systemic symptoms. The frequency of their occurrence and their severity were determined according to Visual Analogue Scale (VAS). RESULTS: The most common symptoms that occurred in over 50% of the respondents included: general weakness (91% of the respondents, severity of 6.25 on VAS), musculoskeletal pain (77%, VAS 5.67), headache (65%, VAS 5.37) and cough (56%, VAS 4.76). Runny nose, fever above 38℃ and sore throat were less common and occurred in 39% of the subjects. The least frequent symptoms were diarrhoea (23%), skin lesions (7%) and vomiting (3%). When determining the correlation coefficient, it was also found that dyspnoea occurred most often with general weakness (r = 1), whereas general weakness was less frequently associated with musculoskeletal pain (r = 0.8). No statistically significant relationships were found between the frequency of the symptoms and age, gender or the presence of comorbidities in the respondents. CONCLUSIONS: The observations showed that in the analysed group of people with SARS-CoV-2 infection, the disease had a mild-to-moderate course. General weakness, musculoskeletal pain, cough, and upper respiratory tract infection symptoms were the most common.
    WSTĘP: COVID-19 (coronavirus disease 2019), choroba wywołana infekcją SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2), może charakteryzować się mniej lub bardziej nasilonym przebiegiem. Celem niniejszego opracowania była analiza objawów, jakie wystąpiły w grupie osób z dodatnim wynikiem testu na obecność materiału genetycznego wirusa. MATERIAŁ I METODY: Analizę przeprowadzono na podstawie wyników ankiety przeprowadzonej wśród 337 polskich pacjentów – 185 (55%) kobiet oraz 152 (45%) mężczyzn w wieku 18–86 lat. Kwestionariusz zawierał 26 pytań, z czego 11 dotyczyło objawów ogólnoustrojowych. Określono częstość ich występowania oraz nasilenie w skali VAS (Visual Analogue Scale). WYNIKI: Do najczęstszych objawów, występujących u ponad 50% ankietowanych, należą: ogólne osłabienie (91% ankietowanych, nasilenie 6,25 w skali VAS), bóle układu mięśniowo-szkieletowego (77%, VAS 5,67), bóle głowy (65%, VAS 5,37) oraz kaszel (56%, VAS 4,76). Chorobie rzadziej towarzyszyły katar, gorączka powyżej 38°C oraz bóle gardła, które wystąpiły u 39% pacjentów. Najrzadziej występowały biegunka (23%), zmiany skórne (7%) oraz wymioty (3%). Określając współczynnik korelacji, stwierdzono również, iż duszności występowały najczęściej z ogólnym osła-bieniem (r = 1), natomiast rzadziej ogólnemu osłabieniu towarzyszyły bóle mięśniowo-szkieletowe (r = 0,8). Nie stwierdzono statystycznie istotnych zależności między częstością występowania danych objawów a wiekiem, płcią czy chorobami współistniejącymi u ankietowanych. WNIOSKI: Obserwacje wykazały, iż w analizowanej grupie zakażonych SARS-CoV-2 choroba miała przebieg łagodny lub umiarkowany. Najczęstszymi objawami były: ogólne zmęczenie, bóle mięśniowo-szkieletowe, kaszel oraz objawy nieżytu górnych dróg oddechowych.
    Źródło:
    Annales Academiae Medicae Silesiensis; 2022, 76; 86-90
    1734-025X
    Pojawia się w:
    Annales Academiae Medicae Silesiensis
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Assessment of life quality and health perception among recovered COVID-19 patients: multivariate analysis – own material and a review of previous reports on life quality assessment among convalescents
    Autorzy:
    Zięba, Natalia
    Stryjewska-Makuch, Grażyna
    Goroszkiewicz, Karolina
    Zieliński, Maciej
    Dadok, Adam
    Pietrzyk, Barbara
    Gajewska, Julia
    Miśkiewicz-Orczyk, Katarzyna
    Lisowska, Grażyna
    Powiązania:
    https://bibliotekanauki.pl/articles/2152935.pdf
    Data publikacji:
    2022
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    SARS-CoV-2
    COVID-19 pandemic
    long COVID-19
    quality of life
    post-COVID-19 syndrome
    health perception after COVID-19
    Opis:
    Background The SARS-CoV-2 virus, causing acute respiratory disease, is responsible for the COVID-19 pandemic, which began in early 2020. In addition to symptoms typical of respiratory tract infections, the virus causes a number of non-specific, often long-lasting effects that hinder the daily functioning of individuals. The aim of the study was a subjective assessment of life quality and health perception among recovered COVID-19 patients. Material and Methods The study included 337 subjects who had been infected with SARS-CoV-2 confirmed by a positive RT-PCR test. The study participants were of legal age. The convalescents completed a questionnaire that contained 26 questions about gender, height, body weight, blood type, general and specific symptoms, comorbidities, hospital stay and duration of specific symptoms, the severity of which was assessed on the Visual Analogue Scale (VAS). The subjects determined whether the COVID-19 infection influenced their health perception and life quality. Results According to 46% of the respondents, COVID-19 had an impact on their quality of life and health. The chance for patients to notice the negative effects of COVID-19 on their current health status and life quality increased with each subsequent symptom of the disease by 49%, with each day of its occurrence by 3%, and with each VAS point of the severity of all infection symptoms by 30%. Conclusions The study shows that COVID-19 disease affects life quality and overall health perception after recovery. Significant impact of COVID-19 on the quality of life should be a signal to create mental support and rehabilitation programs for convalescents to minimize discomfort and shorten the duration of absenteeism from work.
    Źródło:
    Medycyna Pracy; 2022, 73, 6; 449-456
    0465-5893
    2353-1339
    Pojawia się w:
    Medycyna Pracy
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The multicenter study result of diagnosis and treatment laryngeal carcinoma in Poland from 2001 to 2010
    Autorzy:
    Osuch-Wójcikiewicz, Ewa
    Bruzgielewicz, Antoni
    Majszyk, Daniel
    Łuczaj, Jarosław
    Pawlak-Osińska, Katarzyna
    Stodulski, Dominik
    Pomarańska, Magdalena
    Kaczmarczyk, Dariusz
    Leszczyńska, Małgorzata
    Domka, Wojciech
    Miśkiewicz-Orczyk, Katarzyna
    Postuła, Sylwia
    Golusiński, Paweł
    Piotrowicz, Michał
    Niemczyk, Kazimierz
    Powiązania:
    https://bibliotekanauki.pl/articles/1400552.pdf
    Data publikacji:
    2016
    Wydawca:
    Index Copernicus International
    Tematy:
    laryngeal carcinoma
    epidemiology
    clinical characteristics
    multicenter study
    Opis:
    Introduction: The laryngeal cancer is the most frequently diagnose malignancy in head and neck region. The highest morbidity is within male patients in the age range between 50 and 70 years. The multicenter study, coordinated by Oto-laryngology Department of Medical University of Warsaw, was designed to investigate the epidemiology of laryngeal cancer in Poland from 1980 and to analyze the evolution of diagnostic and therapeutical procedures over the years.Material and methods: There was performed retrospective analysis of the medical records of patients with laryn-geal cancer hospitalized and treated in 12 otolaryngology centers in Poland from 2001 to 2010. The Microsoft Access 2003 (SP 2) platform was used to collect the data and subsequent statistical analysis.Results: There were collected data from 4124 patients, 3682 men (89,3%) and 442 women (10,7%). The largest group consisted of patients in the age range between 50 and 60 years (41,5%) and the second large group was of those be-tween 60 and 70 years (29,6%). The history of heavy cigarettes smoking was obtained from 81,3% of patients. Re-garding the staging of laryngeal cancer, there were 1634 patients with cancer stage of I or II, including 5 patients with carcinoma in situ and 2490 patients with III or IV stage. The most frequent localization of the cancer was the glottis, followed with invasion of all three laryngeal levels and tumors occupying both the epiglottis and glottis. The major-ity of patients – 1367 (33%) – has the T3 tumor advancement. The lymph nodes metastases (N) were present in 1216 (29,5%) patients and among them the N2b and N2c advancement ( lymph node larger than 6 cm, multiple) was de-tected in 533 of patients (13%). The lymph nodes involvement occurred in majority within advanced tumors of T3 or T4a. Considering the treatment options they varied depending on the staging of laryngeal cancer. The sole surgical procedures were performed in 73,7% of patients with cancer stage of I or II and in only 28.6% of patients with the stage of III or IV. The advanced tumors were in majority treated with the combined therapy: surgery and radiotherapy. The overall survival in patients with cancer stage of I and II was 64% and 61% for those with stage III and IV.Conclusions: The rate of laryngeal cancer detection is quite high in Poland, however the period from the onset of symptoms until diagnosis should be reduced. The effectiveness of surgical treatment is definitely unsatisfactory. The project to create a multicenter permanent base for monitoring the course of diagnosis and treatment in patients with laryngeal cancer surely will verify the procedures and enable to achieve better results. Continuation of this project is a task for all otorhinolaryngologists.KEYWORDS:laryngeal carcinoma, epidemiology, clinical characteristics, multicenter study
    Źródło:
    Polski Przegląd Otorynolaryngologiczny; 2016, 5, 2; 1-11
    2084-5308
    2300-7338
    Pojawia się w:
    Polski Przegląd Otorynolaryngologiczny
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-4 z 4

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