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Wyszukujesz frazę "Zeman, Marcin" wg kryterium: Autor


Wyświetlanie 1-4 z 4
Tytuł:
Evaluation of risk factors for postoperative complications in rectal cancer patients
Autorzy:
Zeman, Marcin
Czarnecki, Marek
Grajek, Maciej
Idasiak, Adam
Tukiendorf, Andrzej
Czarniecka, Agnieszka
Powiązania:
https://bibliotekanauki.pl/articles/1391899.pdf
Data publikacji:
2020
Wydawca:
Index Copernicus International
Tematy:
anastomotic leak
anterior resection
postoperative complications
rectal cancer
Opis:
Introduction: The complications of surgical treatment for rectal cancer, particularly anastomotic leaks after anterior resection, are a significant clinical problem. We retrospectively analysed preoperative factors that may affect the occurrence of complications. Meterial and Methods: A total of 392 rectal cancer patients were included in a retrospective analysis. A total of 257 anterior resections (AR) and 135 abdominoperineal resections (APR) were performed. The risk factors for early postoperative complications were analysed by logistic regression and receiver operating characteristic curves. Results: The significant risk factors for severe complications (grade 3B and higher on the Clavien-Dindo scale) in the multivariate analysis were neutrophil to lymphocyte ratio > 5 (P = 0.047) in the AR group, age of the patients (P = 0.031) in the APR group, and coronary artery disease in both groups (P = 0.03, P = 0.011, respectively). There were no risk factors for anastomotic leaks in the AR group before the analysis was divided into early and late leaks. In the univariate analysis, the statistically significant risk factors for early leaks were preoperative neutrophil to lymphocyte ratio > 5 and peripheral blood platelet count, while late leaks were associated with coronary artery disease; however, in the multivariate analysis, these factors were not statistically significant. Conclusions: The risk factors for severe postoperative complications were neutrophil to lymphocyte ratio > 5, advanced age of the patients and coronary artery disease. The different risk factors for early and late anastomotic leaks after anterior resection may indicate their different aetiologies.
Źródło:
Polish Journal of Surgery; 2020, 92, 5; 24-30
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Novel, self-made and cost-ective technique for closed-incision negative pressure wound therapy
Autorzy:
Andrzej, Walczak, Dominik
Maciej, Grajek,
Marcin, Zeman,
Tomasz, Pałka,
Mathias, Kalkum,
Mirosław, Dobrut,
Piotr, Drozdowski,
Rafał, Ulczok,
Karolina, Donocik,
Adam, Maciejewski,
Łukasz, Krakowczyk,
Powiązania:
https://bibliotekanauki.pl/articles/776394.pdf
Data publikacji:
2020
Wydawca:
Fundacja Medigent
Opis:
Background: It has been suggested that applying the negative pressure wound therapy (NPWT) to a closedsurgical incision may hasten the healing of the incision and decrease the incidence of wound healing complications. The goal of this study is to present the new idea of a simple, self-made, low-cost wound vacuum dressing for closed-incision NPWT that may become an alternative to currently manufactured medicalindustry products.Method: We designed a simple dressing for closed-incision NPWT from gauze pads, polyurethane adhesive film, stoma paste, and a drain tube. Negative pressure was created using a standard 50 ml syringe connected to the drain. First, the dressing was applied to the wound model and on the healthy volunteer. Finally, the dressing was applied to 10 patients after low anterior rectal resection. The vacuum dressing was left in place for 3 days, then changed and placed once more for the next 3 days.Results: We did not observe any adverse effects associatedwith the dressing. All postoperative wounds healed properly. 18 out of 20 dressings were still air-tight 72h post-placement.Conclusions: This simple, self-made dressing for NPWT is safe and effective and may decrease the wound infection rate. However future studies are needed to confirm that hypothesis.
Źródło:
Negative Pressure Wound Therapy Journal; 2020, 7, 1; 8-10
2392-0297
Pojawia się w:
Negative Pressure Wound Therapy Journal
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Psycho-social problems in patients with 22q11.2 deletion syndrome – according to subjective evaluation by parents
Autorzy:
Cywińska-Bernas, Agnieszka
Paśnik, Jarosław
Szałowska-Woźniak, Dorota
Pilarz, Eliza
Jarosz, Paweł
Piotrowicz, Małgorzata
Moll-Maryńczak, Agnieszka
Machnia, Marcin
Zeman, Krzysztof
Powiązania:
https://bibliotekanauki.pl/articles/973092.pdf
Data publikacji:
2018
Wydawca:
Stowarzyszenie Przyjaciół Medycyny Rodzinnej i Lekarzy Rodzinnych
Tematy:
22q11 deletion syndrome
behavior
psychology
child
parents.
Opis:
Background. Deletion syndrome 22q11.2 is a frequently occurring genetic disorder effecting not only malfunctions of the structure and function of many organs and systems, but also a number of psycho-social problems in patients of all ages. Objectives. The aim of the study was the evaluation of psycho-social problems experienced by people with confirmed 22q11DS observed by their parents/caregivers. Material and methods. A group of 32 parents’/caregivers’ children with 22q11DS diagnosis (confirmed by FISH or MLPA analysis) were examined. The age of patients at the moment of examination was from 3 months to 23 years. To identify the most frequent problems a questionnaire survey was used with the use of the authors’ questionnaire. Results. On the basis of the acquired data analysis it was stated that the most frequent problems in children reported by the questioned parents/caregivers were problems with speech development, problems with focusing attention, problem in relations with peers, and school difficulties. The questioned parents also emphasized excessive anxiety of the children and frequent behavior disorders. Moreover, many parents are concerned with their children’s adult lives, and emphasize the necessity of professional support (including psychological) in different stages of the sick child’s upbringing. Conclusions. Patients with 22q11DS experience many psychological and social problems and require, with their families, psychological support in different stages of life. The child’s condition, in many parents’ opinion, is a factor significantly influencing functioning in life and determining the occurrence of problems in the future. The task of primary care physicians is not only to identify patients suspected of 22q11DS and to lead them to genetic diagnostics, but also to provide support to the patients and their families in different stages of life in cooperation with many other specialists.
Źródło:
Family Medicine & Primary Care Review; 2018, 2; 117-123
1734-3402
Pojawia się w:
Family Medicine & Primary Care Review
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Evaluation of Outcomes and Treatment Safety of Patients with Metastatic Colorectal Cancer to the Liver with Estimation of Prognostic Factors
Autorzy:
Zeman, Marcin
Maciejewski, Adam
Półtorak, Stanisław
Kryj, Mariusz
Powiązania:
https://bibliotekanauki.pl/articles/1396271.pdf
Data publikacji:
2013-06-01
Wydawca:
Index Copernicus International
Tematy:
colorectal cancer liver metastases
liver resection
neutrophil to lymphocyte ratio
fibrinogen
Opis:
Liver resection is essential part of colorectal cancer liver metastases (CLM) treatment. Mean 5-year overall survival after resection achieves 30-45%. There are many factors influencing long-term outcomes, and among them the inflammatory response to tumor plays an important role. The aim of the study was evaluation of outcomes and treatment safety of patients with metastatic colorectal cancer to the liver with estimation of prognostic factors. Material and methods. 130 consecutive patients (70 men and 60 women) operated in MSC Institute and Cancer Center in Gliwice from 2001 to 2009 due to colorectal liver metastases were analysed. Age of the patients ranged from 33 to 82 years (median 60 years). 96 (74%) patients underwent potentially radical resection, and in remaining 34 (26%) was performed radiofrequency ablation (RFA) alone or combined with the resection. In the resection group 37 right hepatectomies, 11 left hepatectomies, 28 segmentectomies and 20 metastasectomies were performed. Disease-free survival (DFS) and overall survival (OS) were statistically analysed using the Kaplan-Meier method. Factors determining DFS and OS were analysed using Cox regression model. Results. In the resection group the 3- and 5-years OS was 64,5% and 46,6% respectively, and the 3- and 5-years DFS was 32% and 30,5% respectively. In the RFA group the 3- and 5-years OS was 33% and 9,5%. Statistically significant prognostic factors in the resection group in uni- and multivariate analysis were: grade and nodal involvement of the primary tumor, diameter of metastatic focus, positive and narrow (<1 mm) resection margins, preoperative fibrinogen level, preoperative neutrophil to lymphocyte ratio and leukocyte amount of the peripheral blood. The perioperative mortality rate was 3%. Conclusions. Liver resection due to colorectal liver metastases is a safe and effective method resulting in high survival rates. We confirmed some generally accepted prognostic factors influencing longterm outcomes and shown the impact of inflammatory response. We also confirmed the hypothesis that preoperative plasma fibrinogen level influences outcomes after liver resection due to CLM.
Źródło:
Polish Journal of Surgery; 2013, 85, 6; 333-339
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
    Wyświetlanie 1-4 z 4

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