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    Tytuł:
    Texture and geochemistry of surface horizons of Arctic soils from a non-glaciated catchment, SW Spitsbergen
    Autorzy:
    Szymański, Wojciech
    Siwek, Janusz
    Waścińska, Joanna
    Wojtuń, Bronisław
    Powiązania:
    https://bibliotekanauki.pl/articles/2046814.pdf
    Data publikacji:
    2016
    Wydawca:
    Polska Akademia Nauk. Czytelnia Czasopism PAN
    Tematy:
    Arctic
    chemical composition
    Cryosols
    surface layer
    Svalbard
    texture
    Źródło:
    Polish Polar Research; 2016, 37, 3; 361-377
    0138-0338
    2081-8262
    Pojawia się w:
    Polish Polar Research
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Ability to activate pelvic floor muscles among women during the early postpartum period – initial findings
    Umiejętność aktywacji mięśni dna miednicy wśród kobiet we wczesnym połogu – doniesienia wstępne
    Autorzy:
    Łataś-Zagrajek, Karolina
    Starzec, Małgorzata
    Sierdziński, Janusz
    Szymański, Jacek
    Powiązania:
    https://bibliotekanauki.pl/articles/1790808.pdf
    Data publikacji:
    2019-03-24
    Wydawca:
    Akademia Wychowania Fizycznego im. Bronisława Czecha w Krakowie
    Tematy:
    pelvic floor
    pelvic floor disorders
    postpartum period
    urinary incontinence
    pelvic organ pro-lapse
    prevention
    mięśnie dna miednicy
    dysfunkcje dna miednicy
    połóg
    nietrzymanie moczu
    obniżenie narządu rodnego
    profilaktyka
    Opis:
    Introduction: One of the main elements in the conservative treatment of postpartum pelvic floor dysfunctions is muscle training. The aim of the study was to verify the ability to contract pelvic floor muscles (PFM) among Polish puerperae and to confirm the rationale to implement early instructions already during the hospital stay. Material and methods: Analysis included 591 reports from PFM physiotherapeutic examination carried out at maternity wards. The reports of patients aged 18 to 45 (mean 31.03, SD 4.42) after vaginal delivery were included in the study. Based on the examination conducted according to the PERFECT scheme, the ability to perform and the quality of PFM contraction were assessed. Results: Conscious PFM contraction was noted in 68% of the participants. Proper isolated PFM contraction coordinated with breathing was observed in 54% of the subjects. In 13% of the women, apart from conscious contraction of PFM, contraction of additional structures was also noted. In 32% of the participants, initial lack of conscious PFM contraction was noted. Among them, 25% contracted other muscle groups, 6% pushed, while for 1% of the subjects, no reaction was observed. Nearly 20% of the participants reported that they did not know what PFMs are. Previous PFM training was declared by 55% of the study participants, while 22.5% of them did not perform conscious PFM contraction. Conclusions: During early postpartum stage, women are able to activate the PFMs similarly to those not shortly after labour. Implementing instructions on how to contract pelvic floor muscles appropriately at the early postpartum phase is needed due to the existing large number of errors related to this action.
    Wstęp: Trening mięśniowy to jeden z głównych elementów terapii zachowawczej poporodowych dysfunkcji mięśni dna miednicy (MDM). Celem badania było sprawdzenie, jaka część położnic potrafi wykonać prawidłową aktywację MDM oraz potwierdzenie zasadności wprowadzenia wczesnego instruktażu dotyczącego aktywacji tych struktur, już w trakcie pobytu w szpitalu. Materiał i metody: Analizie poddano 591 kart z fizjoterapeutycznego badania MDM wykonywanego na oddziale położnicznym. Do badania włączono karty pacjentek po porodach siłami natury, w wieku od 18 do 45 lat (średnio 31,03, SD 4,42). Na podstawie badania wykonywanego według schematu PERFECT oceniano umiejętność i jakość samodzielnej aktywacji MDM. Wyniki: Świadome napięcie MDM uzyskano u 68% badanych. Prawidłową, izolowaną aktywację MDM, w koordynacji z oddechem uzyskano u 54%. Wśród 13% badanych, oprócz świadomego napięcia MDM, zanotowano również aktywację innych mięśni. U 32% nie uzyskano początkowo świadomej aktywacji MDM: 25% uruchamiało inne grupy mięśniowe, 6% parło, u 1% nie zanotowano żadnej reakcji. Prawie 20% badanych zgłosiło, że nie wie czym są MDM. Wcześniejszy trening MDM zadeklarowało 55% badanych – 22,5% z nich nie wykonało świadomego napięcia MDM. Wnioski: Kobiety we wczesnym okresie połogu mają zbliżoną zdolność do samodzielnej aktywacji MDM co kobiety nie będące we wczesnym okresie poporodowym. Ze względu na częste błędy podczas samodzielnych prób uruchomienia mięśni dna miednicy potrzebny jest instruktaż dotyczący prawidłowej ich aktywacji.
    Źródło:
    Medical Rehabilitation; 2019, 23(1); 23-28
    1427-9622
    1896-3250
    Pojawia się w:
    Medical Rehabilitation
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Synchronous occurrence of multiple focal nodular hyperplasia and huge hepatic Perivascular epithelioid cells tumor (PEComa) in young woman after oral contraceptive use – is there a common pathogenesis?
    Autorzy:
    Durczyński, Adam
    Hogendorf, Piotr
    Szymański, Dariusz
    Sporny, Stanisław
    Strzelczyk, Janusz
    Powiązania:
    https://bibliotekanauki.pl/articles/1396820.pdf
    Data publikacji:
    2012-10-01
    Wydawca:
    Index Copernicus International
    Tematy:
    liver
    perivascular epithelioid cells tumor
    focal nodular hyperplasia
    oral contraceptive
    Opis:
    The association of focal nodular hyperplasia (FNH) and various neoplasms was described, but coincidence of multiple FNH and hepatic perivascular epithelioid cells tumor (PEComa) has not been reported. The clinical debate of oral contraceptive (OC) influence on FNH growth is ongoing, but no evidence exists about association of hepatic PEComa with OC use. Herein, we report a case of two FNH lesions and huge (150x100x80 mm) left hepatic lobe PEComa that occurred simultaneously in 18-year-old female with previous two year history of OC use, who underwent left hemihepatectomy and right hepatic FNH enucleation. Up to date, the patient has been followed-up for 65 months and remained disease-free. FNH and PEComa have a common vascular cytogenetic denominator. Our case raising a question of a causal relationship of FNH and PEComa with OC use that might be attributed to vascular changes. Future researches of larger sample sizes should further address this issue.
    Źródło:
    Polish Journal of Surgery; 2012, 84, 9; 457-460
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Organic carbon and nutrients (N, P) in surface soil horizons in a non-glaciated catchment, SW Spitsbergen
    Autorzy:
    Szymański, Wojciech
    Wojtuń, Bronisław
    Stolarczyk, Mateusz
    Siwek, Janusz
    Waścińska, Joanna
    Powiązania:
    https://bibliotekanauki.pl/articles/2046864.pdf
    Data publikacji:
    2016
    Wydawca:
    Polska Akademia Nauk. Czytelnia Czasopism PAN
    Tematy:
    Arctic
    Svalbard
    soil organic carbon
    nitrogen
    phosphorus
    Cryosols
    Źródło:
    Polish Polar Research; 2016, 37, 1; 49-66
    0138-0338
    2081-8262
    Pojawia się w:
    Polish Polar Research
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    One stage onlay hernia repair with abdominoplasty in patients following gastric bypass surgery
    Autorzy:
    Iljin, Aleksandra
    Antoszewski, Bogusław
    Zieliński, Tomasz
    Skulimowski, Aleksander
    Szymański, Dariusz
    Strzelczyk, Janusz
    Powiązania:
    https://bibliotekanauki.pl/articles/1392910.pdf
    Data publikacji:
    2018
    Wydawca:
    Index Copernicus International
    Tematy:
    bariatric surgery
    abdominoplasty
    life quality
    Opis:
    Purpose: 1. Evaluation of results after one-time incisional hernia repair (IHR) modo on-lay and abdominoplasty (Ab-pl) in patients after loss of weight following previous Roux-en-Y Gastric Bypass – RYGB. 2. Analysis of differences in quality of life (QL) changes in bariatric patients before RYGB, as well as before and after abdominal contouring operation. Material and Methods: Clinical analysis involved 20 patients with abdominal disfigurement (following RYGB, and massive weight loss) who underwent one-time IHR using on-lay method together with abdominoplasty. We estimated postoperative results, as well as changes in QL, before RYGB and before and after abdominal contouring procedure (based on DAS 24 and SF-36 scales) in comparison with stage before surgeries. Results: Complications - abnormal wound healing (infection, local necrosis) and pneumonia were found in two persons, seroma in two cases, whereas dysesthesia in four patients. We confirmed QL improvement in all aspects after each stage of treatment. Conclusions: 1. One-stage on-lay hernia repair and abdominoplasty is a safe method improving the functioning of patients. 
2. All stages of bariatric treatment resulted in gradual improvement of the quality of life. 3. High BMI in patients before onlay incisional hernia repair with abdominoplasty increases the risk of complications, which is connected with longer hospital stay.
    Źródło:
    Polish Journal of Surgery; 2018, 90, 6; 32-36
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Very High Concentration of D-Dimers in Portal Blood in Patients with Pancreatic Cancer
    Autorzy:
    Durczyński, Adam
    Szymański, Dariusz
    Nowicki, Michał
    Hogendorf, Piotr
    Poznańska, Grażyna
    Strzelczyk, Janusz
    Powiązania:
    https://bibliotekanauki.pl/articles/1396873.pdf
    Data publikacji:
    2012-12-01
    Wydawca:
    Index Copernicus International
    Tematy:
    D-dimers
    pancreatic cancer
    portal blood
    peripheral blood
    Opis:
    Nowadays, increasing attention has been focused on relation between increased D-dimer levels and cancer among patients without detectable thrombosis. The aim of the study was to measure plasma D-dimer levels in portal and peripheral blood in pancreatic cancer patients with absence of venous thromboembolism. Material and methods. Fifteen consecutive patients hospitalized in the Department of General and Transplant Surgery of Medical University in Łódź, from January to March 2012 who underwent surgery due to a pancreatic cancer were enrolled. At laparotomy, portal and peripheral blood were sampled concurrently. D-dimer and fibrinogen levels were measured. Moreover, to investigate overall coagulation function prothrombin time (PT), prothrombin index (PI), international normalized ratio (INR), thrombin time (TT), activated partial thromboplastin time (APTT), TT and APTT index were evaluated. Results. Peripheral plasma D-dimmer levels above normal range were found in 10/15 patients (66,67%), whereas D-dimer above normal values were confirmed in all portal blood samples. Mean D-dimer values were higher in portal than in peripheral blood (3279.37 vs 824.64, by 297%, p=0,025). These discrepancies were accompanied by normal limits of portal and peripheral levels of fibrinogen and comparable coagulation function indexes. Conclusion. Our preliminary study showed the close relation between activation of hemostasis, reflected by elevated D-dimers in portal blood and presence of pancreatic cancer. These data suggest that measurement of portal blood D-dimer levels may be a potentially useful technique for screening the pancreatic cancer.
    Źródło:
    Polish Journal of Surgery; 2012, 84, 10; 521-525
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Insulinoma - Rare, But Important Clinical Problem. Analysis of a Series of 530 Patients Who Underwent Surgical Treatment for the Pancreatic Tumor
    Autorzy:
    Durczyński, Adam
    Hogendorf, Piotr
    Szymański, Dariusz
    Izdebski, Witold
    Kaczka, Aleksandra
    Durko, Łukasz
    Strzelczyk, Janusz
    Powiązania:
    https://bibliotekanauki.pl/articles/1395993.pdf
    Data publikacji:
    2015-02-03
    Wydawca:
    Index Copernicus International
    Tematy:
    insulinoma
    pancreatic tumor
    surgery
    Opis:
    Insulinomas are rare tumors, accounting for 1-2% of all neoplasms of the pancreas. Usually their treatment is not associated with any problems; however there is a small subset of problematic clinical cases. The authors present their own clinical experience with surgical treatment of insulinomas of the pancreas. The aim of the study was to conduct a retrospective analysis of patients with insulinomas of the pancreas who underwent surgical treatment at Department of General and Transplant Surgery Medical University in Łódź. Material and methods. The study included all patients who underwent surgical treatment at the Department between 2007 and 2013 for the tumor of the pancreas. Further retrospective analysis included all patients with tumors of the insulinoma type. The data was obtained from medical records, surgical protocols and histopathology reports. Results. The analysis included 530 patients who underwent surgical treatment for the tumor of the pancreas. Insulinoma was found in 10 (1.88%) patients (8 females, 2 males). An average age of patients who underwent surgical treatment was 47.5±13.8 years. An average size of the tumor was 1.6±0.5 cm. Six patients underwent extirpation of the insulinoma, while the other patients underwent distal resection of the pancreas. All patients underwent “an open surgical procedure”. The average duration of the surgical procedure was 55±45 minutes. Duration of the hospitalization in the analyzed group of patients was 7±5 days. Incidence of postoperative pancreatic fistulas was 10%. All insulinomas were benign. Conclusions. Insulinomas were rare among patients who underwent surgical treatment at the Department. They were benign and their treatment was unproblematic. However, there is a small group of cases that can be associated with problematic clinical situations. Thus treatment of patients with insulinomas should be conducted at specialist centers. Correct diagnostic and therapeutic management, involving close cooperation between multiple medical specialists, results in complete curing of majority of patients.
    Źródło:
    Polish Journal of Surgery; 2014, 86, 11; 505-510
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Neutrophil-lymphocyte ratio and creatinine reduction ratio predict good early graft function among adult cadaveric donor renal transplant recipients. Single institution series
    Autorzy:
    Hogendorf, Piotr
    Suska, Anna
    Skulimowski, Aleksander
    Rut, Joanna
    Grochowska, Monika
    Wencel, Aleksandra
    Dziwisz, Filip
    Nowicki, Michał
    Szymański, Dariusz
    Poznańska, Grażyna
    Durczyński, Adam
    Strzelczyk, Janusz
    Powiązania:
    https://bibliotekanauki.pl/articles/1392878.pdf
    Data publikacji:
    2018
    Wydawca:
    Index Copernicus International
    Tematy:
    neutrophil-lymphocyte ratio
    creatinine reduction ratio
    graft function
    cadaveric donor
    delayed graft function kidney transplant
    Opis:
    The Background Delayed graft function (DGF) is a common complication following kidney transplantation and is associated with ischemia-reperfusion injury (IRI). Lymphocytes contribute to the pathogenesis of IRI and ischemia-reperfusion related to delayed graft function. Materials and Methods : 135 Caucasian patients received a kidney graft from deceased heart-beating organ donors. We divided patients into 2 groups - patients with the eGFR>=30 on the 21st day post-transplantation (n=36) and patients with the eGFR<30 on the 21st day post-transplantation (n=99) to assess kidney graft function. We measured serum creatinine levels on 1st and 2nd post-transplant day and preoperative levels of monocytes, lymphocytes, platelets, and neutrophils and their ratios. Results: We have found statistically significant differences between the eGFR<30 and the eGFR>=30 groups in the average lnLymphocytes (0.36 +/-0.6 vs. -0.016 +/-0.74, respectively p=0.004) lnNLR (1,27 +/-0.92 vs. 1.73+/-1.08 p=0.016) lnLMR (1.01 +/-0.57 vs. 0.73 +/-0.64 p=0.02), lnPLR (4.97 +/-0.55 vs. 5.26 +/- 0.67 p=0.023), and CCR 2% (-20.20 +/- 21.55 vs. -4.29 +/- 29.62 p=0.004. In the univariate analysis, factors of lnLymphocytes >=0.22 (OR=0.331 95%CI 0.151-0.728 p=0.006), lnLMR>=1.4 (OR=0.255 95%CI 0.072-0.903 p=0.034) were associated with a worse graft function, while lnNLR>=1.05 (OR=2.653 95%CI 1.158-6,078 p=0.021), lnPLR>=5.15 (OR=2.536 95%CI 1.155-5.566 p=0.02) and CRR2 (OR=3.286 95% CI 1.359-7.944 p=0.008) indicated a better graft function. Conclusion: A higher absolute lymphocyte count (lnLymphocytes) and lnLMR, as well as lower lnNLR and lnPLR were associated with a lower eGFR on the 21st day after kidney transplantation. In the multivariate analysis, CRR2 in combination with either lnLymphocytes, lnNLR or lnPLR improved the accuracy of detecting patients with poor graft function.
    Źródło:
    Polish Journal of Surgery; 2018, 90, 2; 28-33
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-10 z 10

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