European Journal of Clinical and Experimental Medicine
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European Journal of Clinical and Experimental Medicine (poprzednio: Przegląd Medyczny Uniwersytetu Rzeszowskiego i Narodowego Instytutu Leków w Warszawie; Medical Review) to recenzowane czasopismo (kwartalnik), wydawane przez Uniwersytet Rzeszowski. Do trzeciego kwartału 2015 roku wersję pierwotną czasopisma stanowiło wydanie papierowe. Od czwartego kwartału 2015 roku wersją pierwotną (referencyjną) czasopisma jest wydanie elektroniczne. European Journal of Clinical and Experimental Medicine jest wydawane w wersji angielskiej. Tematyka prac publikowanych w czasopiśmie obejmuje zagadnienia związane z szeroko pojętą medycyną, medycyną kliniczną, doświadczalną, rehabilitacją, fizjoterapią, farmakoterapią, a także tematy dotyczące oceny jakości leków i bezpieczeństwa ich stosowania. Redakcja publikuje również przedruki (standardy, zalecenia, czy opinie Konsultantów Krajowych różnych dziedzin medycyny) po uprzednim uzyskaniu zgody wydawcy.
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- PozycjaNaturally occurring photosensitizers and photodynamic therapy: laser or sun?(Wydawnictwo Uniwersytetu Rzeszowskiego, 2015) Dynarowicz, KlaudiaIntroduction. Our understanding of photodynamic therapy (PDT) is crucial for the applications of this treatment. In this physical phenomenon occurs light absorption by the applied photosensitizer, which results in its excitation to higher electron levels. After activation, a series of complex physicochemical processes take place in the tissues, Aim. The aim of this study was to describe the basic naturally occurring photosensitizers used in PDT techniques. This study clarified applications of photosensitizers. Material and methods. This study was used basic information about PDT reaction and the selective destruction of the tumor by photooxidation: a photosensitizer, a light source and oxygen. The papers reviewed here are based on Medline/Pub. Analysis of the literature. Photodynamic therapy is an innovative form of treatment. This method is not a commonly used therapeutic and therapeutic tool, but a supplement to many already tested and analyzed techniques. Thanks to continuous research, this method has a wider and wider range of applications in medicine. Conclusion. The data indicates increased number of papers regarding applications of PDT in medicine.
- PozycjaA prospective, interventional clinical study to evaluate the safety and efficacy of Liv.52 DS in the management of non-alcoholic fatty liver disease(Wydawnictwo Uniwersytetu Rzeszowskiego, 2015) Siregar, Gontar; Paramesh, Rangesh; Kumawat, Rajesh; Palaniyamma, D; Srikrishna, HAIntroduction. Non-alcoholic fatty liver disease (NAFLD) is excessive fat build-up in the liver due to causes other than alcohol use. Aim. To evaluate the clinical efficacy and safety of Liv.52 DS tablets in the management of NAFLD. Material and methods. Prospective, interventional clinical study conducted on 60 patients of both sex, aged between 18-65 years, confirmed with NAFLD from clinical examination, laboratory test, ultrasound findings and those willing to give informed consent. All patients received Liv.52 DS at a dose of 2 tablets twice daily for 2 months. All patients were evaluated at baseline, end of 1st month, and end of 2nd month for liver function tests, hepatomegaly by ultrasound, NAFLD Fibrosis Score, lipid profile, hematology and biochemical investigations. Results. Study data was analyzed with GraphPad Prism Software Version 6.07. Data of those patients who completed the study was considered for analysis. Significant improvement in hepatomegaly, liver enzymes was observed. NAFLD fibrosis score revealed no progression of liver fibrosis due to NAFLD during the study period. No abnormal lab values were recorded and there were no adverse events reported during the study. Conclusion. Study concludes that Liv.52 DS is safe and beneficial in individuals suffering from NAFLD.
- PozycjaThe influence of oxalate decarboxylase on the urinary oxalate excretion in swine model of nephrocalcinosis induced by hydroxyproline(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Pierzynowska, Kateryna; Pierzynowski, Stefan Grzegorz ; Lozinska, Liudamyla; Jarmakiewicz, Sara; Świeboda, Paulina; Fedkiv, Olexandr; Szwiec, Katarzyna; Valverde Piedra, Jose Louis; Filip, RafałIntroduction. Kidney stone formation may be a result of increased urinary oxalate supersaturation. Material and Methods. Eighteen pigs were randomly divided into: Control group, where standard cereal-based feed was supplemented with 4% HP only, Prevention group, where treatment with OxDc slurry started at the end of the adaptation period when pigs were switched to 4% HP diet, Reduction group, where the treatment with OxDc lyo powder started after pigs were already on a 4% HP diet for 6 days. Results. OxDc slurry prevented oxalate excretion in urine. The reduction effect of OxDc lyo feed addition was generally visible during the first two days of the therapy (p<0.05). Both dietary intake of 4% HP and OxDc preparations did not influence weight gain, water or feed intake, urine excretion and creatinine clearance. Conclusions. The capacity of OxDc in preventing induced hyperoxaluria was moderate. Most probably, this is due to the incoherent response of animals to the HP enriched diet dependent on their gut pH, since optimum pH for OxDc is around 5-6. A higher pH essentially reduces the activity of OxDc. The capacity of OxDc in reversing the hyperoxaluria induced by a HP enriched diet was significant during the first 2 days after introducing OxDc to the diet.
- PozycjaReal world data supporting identification of the pharmacist’s role in obesity and overweight treatment in Poland – a preliminary report(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Drozd, Mariola; Bułaś, Lucyna; Szkultecka-Dębek, Monika; Skowron, AgnieszkaIntroduction. Obesity is a significant health and economic problem, both for the patient and the health care system. An essential element in the prevention and treatment of each disease is the engagement of all groups of healthcare professionals. In our study, we performed an analysis of the real world data, obtained from a survey of the medical and socioeconomic problems associated with overweight and obesity. We aimed to identify the pharmacist’s role in the management of overweight and obese patients, including their individualized education in an outpatient setting. Material and methods. The study material consisted of responses obtained from a specially designed questionnaire. Our findings indicate that the study patients had easy access to a pharmacist’s professional knowledge, relevant to comprehensive treatment of obesity. In addition, our data indicates a lack of patient knowledge of a healthy lifestyle and an inability to implement such knowledge in practice. Results. The community pharmacist should actively provide support to patients with obesity (including the primary obesity and those who want to lose excessive body mass for health-related and also for aesthetic reasons) and the management of their weight. The results of our study should be considered as an introduction to further research to facilitate the understanding of problems and expectations of patients and to prepare pharmacists to perform pharmaceutical care (PC) in this regard. Conclusion. One of the potential options to protect society against the obesity epidemic is an education about the risks inherent to obesity and promotion of a healthy lifestyle.
- PozycjaCould changes in the ultrasound image of the muscles of the lateral abdominal wall be seen as a sign of muscle activity? A narrative review(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Linek, PawełAim. Currently, ultrasonography (USG) is used to study changes occurring in the lateral abdominal wall muscles (LAM). Here, the question that naturally arises is whether a change in the thickness of the ultrasound image can be identified with a change in muscle activity. Therefore, the purpose of the present work is to: 1) undertake an analysis of available publications exploring the relationship between electromyography (EMG) and USG; 2) define the USG measurement of each LAM; 3) identify gaps in the literature. Material and methods. The databases MEDLINE, POL-index and Google Scholar were used to search the literature. We used a combination of terms (in Polish and English) containing the abbreviated and full names of the following expressions: ultrasound, electromyography and external oblique muscle, internal oblique muscle, or transverse abdominal muscle. Results. Nine publications fulfilled the conditions for inclusion in the analysis. These used different methodologies and test conditions, making it difficult to interpret the results of individual works. The majority demonstrated poor or no correlation between EMG and USG measurements. Conclusion. Changes in the thickness of the LAM using USG should not be equated with a change in muscle activity. To avoid misinterpretation, one should avoid the term “muscle activity” in evaluating changes in the thickness of the LAM. It is recommended that the terms “thickness change” or “morphological change” be used in the assessment of this phenomenon, which is closely related to real changes in USG imaging, expressing a more complex phenomenon than a mere change in bioelectrical potential.
- PozycjaEffects of an abdominal drawing-in manoeuvre on stabilometric and gait parameters in adults: a pilot study(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Linek, Paweł; Nowakowska, Katarzyna; Michnik, Robert; Myśliwiec, Andrzej; Mikołajowski, Grzegorz; Gzik, MarekIntroduction. To our knowledge, no studies have checked the effect of the abdominal drawing-in maneuver (ADIM) on gait and stabilometric parameters in lower back pain (LBP) and pain-free subjects Aim. To assess the effect of sustained ADIM on a) gait pattern and b) stabilometric parameters with opened eyes and closed eyes in an adult population. Material and Methods. A group of 20 adults were invited to participate in the study. The Oswestry Disability Index was used for assessing LBP. Gait analysis was performed on a treadmill ZEBRIS FDM-T. The static balance assessment was performed on a stabilometric platform ZEBRIS FDM-S. Results. There were no significant differences in all tests conducted on the stabilometric platform. Results of gait analysis showed between-group differences in the main effect of group (Non-LBP vs. LBP) for the difference in maximal vertical ground reaction force during the terminal stance (GRFts). The mean GRFts value in the Non-LBP group was greater by 14.8 N (95% CI 9.55–20.1) compared with the LBP group (Table 3). Conclusions. ADIM has no immediate effects on selected stabilometric and gait parameters in the study group. No effect was seen in subjects with and without pain during the examination.
- PozycjaCombined effect of flavonoid compounds and cytostatics in cancer treatment(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Stompor, Monika; Podgórski, Rafał; Kubrak, TomaszAim. The aim of the study was to review the literature on the combination of cytostatics with flavonoids as a promising way to improve the cancer therapy. Material and methods. A review of Polish and foreign literature was performed. The following databases were searched: PubMed, Scopus, Science Direct, and Polish Medical Bibliography. Literature analysis. Effective strategies to inhibit the progression of cancer are needed. Compounds of natural origin, including plant polyphenols, are a part of our diet. Due to their availability, and antioxidant properties, they may serve as efficacious adjuvants in cancer therapy, enhancing the effectiveness of chemotherapeutics. Epidemiological studies have shown an inverse relationship between diets rich in fruits, vegetables, and supplements, and the risk of all causes of death from cancer. Based on their diverse biological activity, flavonoids may be potential adjuvant therapeutic agents that act synergistically with cytostatics for treatment of many types of cancer. This review of the results is a summary the research on anticancer activity of flavonoids and may also raise consciousness of consumers, who will be able to compose their diet armed with the knowledge of preventive and therapeutic anticancer properties of food ingredients. There is need for further research on polyphenols of plant origin, including interactions among food components that coexist. Another important aspect is to understand how the activity of phytocompounds depends on concentration and the presence of additional factors (e.g. microflore, metal ions), which could possibly make a compound harmful, instead of having positive theraputics effect. Elucidation of the mechanisms involved in biological activity of the described phytocompounds is essential for a better understanding of their influence on an organism.
- PozycjaBioactive food components in the diet of patients diagnosed with cancer(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Klekot, Konrad; Zubelewicz-Szkodzińska, BarbaraIntroduction. Cancer, after cardiovascular disease, is the second most common cause of death both in Poland and Europe, so it is important to investigate and search for dietary components with anti-cancer properties. Components which can modulate different stages of carcinogenesis through epigenetic process are called bioactive food components. Aim. The aim of this study was to evaluate nutritional habits of patients diagnosed with cancer in terms of level of bioactive food components consumption. Material and methods. A group of 123 patients diagnosed with cancer were enrolled the study. The study was conducted by means of an anonymous questionnaire on diet history prepared by the authors. Statistical analysis was performed using IBM SPSS software, statistical significance was adopted at the level of p < 0.05. Results. Based on the results of the questionnaires, major risk factors that increase the prevalence of cancer disease were age (above 55 years) and increased BMI (the score indicated overweight or obesity). Additionally, it was observed that cancer diagnosis resulted in change of eating habits in approx. 61.8% of the participants. Enrolled patients mostly consumed inadequate amounts of green vegetables, legumes, green tea and whole grains before the diagnosis. Moreover, patients with breast and colorectal cancer were found to be more likely to consume more red meat in comparison to others. – Both non-modifiable factors: age and modifiable ones: body weight and lifestyle influence morbidity. – Most participants ate incorrectly before cancer diagnosis; diagnosis of the disease changed their eating habits.
- PozycjaInfuence of HbA1c, serum lipids, blood pressure and BMI on Auditory Brainstem Response in diabetic patients(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Dąbrowski, Mariusz; Mielnik-Niedzielska, Grażyna; Nowakowski, AndrzejIntroduction. Impaired hearing organ function including abnormalities in auditory brainstem response (ABR) are more frequent in diabetic subjects compared to the general population. The aim of our study was to assess the impact of selected modifiable factors on ABR latencies in diabetic subjects. Material and Methods. 58 patients with type 1 and type 2 diabetes, aged <45 years, with diabetes duration <10 years, and without clinically overt hearing impairment or diabetic neuropathy, were included. In all subjects vital signs and blood samples were obtained, and ABR audiometry was performed. Results. Significantly delayed latencies in ABR were found in patients with total cholesterol <192 mg/dL, with HDL-cholesterol <49.5 mg/dL, with triglycerides >89 mg/dL, with presence of hypertension, and with systolic and diastolic blood pressure >135 and >78 mm Hg respectively. A linear correlation between triglycerides and wave I and III latencies, and between systolic blood pressure and wave III latency were revealed. A relationship between ABR latencies and HbA1c, LDL-cholesterol or BMI was not found. Conclusions. Several modifiable factors affect functioning of the retrocochlear part of the auditory pathway. If these results were confirmed in further studies, a vast area of possible therapeutic interventions to preserve hearing function in diabetic patients would become available.
- PozycjaNon-specific low back pain – what does it exactly mean? A proposed redefinition and classification of the problem(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Małecki, JacekIntroduction. Analysis of the medical literature shows that non-specific low back pain is a multifaceted affliction. Determining the unequivocal definition and classification of the ailment could be somewhat difficult. The following review presents a multiplicity of common low back pain nuances. The paper also shows necessity of unification of the definition and clarification, for placing non-specific low back pain among other musculoskeletal disorders. Aim. The author will attempt to provide the answers to basic questions about non-specific low back pain. In its form, the paper will have similarities to the prospect study with narrative review features. Although the reader should remember that the article is neither a result of expert team efforts nor non-specific low back pain leading authority opinion. Therefore the suggestions should be interpreted with necessary distance and scientific scepticism. Material and methods. Proper publications were searched in PubMed and EBSCO scientific articles databases, using terms: ‘nonspecific low back pain’ or ‘non-specific low back pain’, ‘definition’, ‘diagnostic triage’, and ‘classification’ in different combinations. Results. As a result of the review, subtle correction of the current non-specific low back pain definition has been proposed. Acknowledgments. The author of this review wishes to show his appreciation to Prof. Edward Saulicz, the promotor and mentor for didactic support, methodologic and merythoric advice, and for manuscript correction. Thanks also extended to colleague Łukasz Sejboth, master of physiotherapy, for help with appropriate references and motivation to scientific exploration with his unassailable attitude and professionalism. Furthermore, author would like to acknowledge Keith Littlewood for his kind and valid amendments in the English version of the manuscript.
- PozycjaAdaptation of a Polish version of the National Youth Tobacco Survey Questionnaire. A pilot study(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Lintowska, Agnieszka; Mazur, ArturIntroduction. In today’s world, tobacco is the most common cause of morbidity and mortality and is associated with unhealthy behavior. Poland is among the countries with high rates of smoking, and occurrence of tobacco related diseases. Tobacco use by children and adolescents is a serious public health problem because of the immediate and long-lasting harmful effects on health. A large group of current smokers begin smoking during youth. The goal of the work was to culturally and linguistically adapt, and test and pre-evaluate a Polish version of the National Youth Tobacco Survey (NYTS), which identifies and monitors trends in tobacco use among young people. Materials and methods. The test was administered by a test-retest method in 2015 with participation of 47 (25 girls and 22 boys) people aged 17–18. Respondents filled out the questionnaire twice within two weeks. The compliance percentage of individual test items and correlations between individual items in repeated measurements were evaluated. Results. More than seventy percent have reliability ratios at very high or high levels with twenty five percent at moderate levels. Conclusion. The tested Polish version of the NYTS questionnaire may be used in adolescent studies.
- PozycjaCervical spine injuries in Poland – epidemiology, divisions, and causes(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Wolan-Nieroda, Andżelina; Maciejczak, Andrzej; Guzik, Agnieszka; Przysada, Grzegorz; Wyszyńska, Justyna; Szeliga, EwaAim. The aim of the study was to review the literature on the prevalence of cervical spine injuries divided between the level of the injury and the causes of fractures. Material and methods. A review of Polish and foreign literature was performed. The following databases were searched: PubMed, Medline, Science Direct, Termedia, and Polish Medical Bibliography. Literature analysis. In Poland the incidence of spinal injuries, including damage to the cord, is estimated at the level of 25–35 persons per one million of the population, half of these being cervical spine injuries. More than one in three of all spinal injuries affect the atlantoaxial and occipital area. It is estimated that axis fractures occur in up to 40% of the cases involving cervical spine injury. Odontoid fractures constitute 10–15% of all cervical spine fractures. Hangman fractures account for 20% of vertebral fractures. Cervical spine injuries more frequently occur in males than in females, and the relevant rates for males are from 1.5 to 2.7 times higher. The most common causes of cervical spine injuries include road traffic accidents, accounting for 33 to 75% of the cases, falls from heights (15–44%) and sports injuries (4–18%). Cervical spine injuries are most often diagnosed in subjects over thirty years of age. Such injuries most commonly are related to the second, fifth and sixth cervical vertebrae. On the other hand damage to the first and second cervical vertebrae is often observed in the same patients who are found with injury to lower cervical vertebrae (approx. 9% of the cases). In the group of advanced age subjects the most frequent cervical spine injuries are axial fractures and they are diagnosed in 15% of adult patients with cervical spine fractures.
- PozycjaHealth behaviors of patients after breast cancer surgery in the Podkarpackie voivodeship(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Pusz-Sapa, Aleksandra; Gaweł, Greta; Sobczyk, Joanna; Wojtasik, Aneta; Król, Małgorzata; Misiewicz, Emilia; Lidwin, BarbaraAim. An evaluation of lifestyle changes (physical activity, diet) in patients after breast cancer surgery. Materials and method. 200 women after breast cancer surgery were surveyed. The respondents were asked whether the surgery caused a change in their diet and physical activity. An analysis was performed concerning the education, place of residence and age of the respondents. Results. Prior to being diagnosed with breast cancer, about one third of the respondents were concerned about their diet and physical activity. After the surgery more than a half of the respondents were concerned about a healthy lifestyle. Women below 50 years old with higher education, who live in a city, were concerned about their diet and physical activity both before and after surgery. Conclusions. As a result of the breast cancer surgery, lifestyle changes were most often found in women aged 50-69 years old with higher education who lived in a city. Statistical relevance of the results was noted.
- PozycjaFunctional MRI – how does it work?(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Truszkiewicz, Adrian; Aebisher, David; Przypek, Aneta; Guz, Wiesław; Bartusik-Aebisher, DorotaMagnetic Nuclear Resonance (MRI) is a non-invasive tissue imaging method. This technique is based on the influence of a strong magnetic field and electromagnetic wave of strictly defined frequency on the nucleus of elements with non-zero spin. The study describes one of the variants of functional MRI, (fMRI), which has become a key technique in brain imaging. This technique has excellent spatial and temporal resolution and involves a changing signal intensity depending on the degree of oxygenation of the blood. Blood oxygenation levels are known to vary in accordance with neural activity and these differences can be used to detect brain activity. This is due to increased demand for energy and oxygen in the area of increased neural activity. The basis of this imaging is the so-called Blood Oxygenation-Level Dependent (BLOD) effect. The aim of this paper is to present the scope of fMRI as a diagnostic method in neurology and in neurosurgery. This paper presents the principles of fMRI, methods of application, research result development, and suggests areas of possible medical applications. The limitations of fMRI as a clinical tool in medical applications will also be addressed. Studies presented in this paper are based on clinical fMRI experience and a literature review.
- PozycjaNutritional behavior of pregnant women from the Podkarpacie province(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Dereń, Katarzyna; Gaweł, Magdalena; Łuszczki, Edyta; Jarmakiewicz, Sara; Sokal, Aneta; Polak, Ewelina; Wyszyńska, JustynaIntroduction. Healthy nutrition is very important during pregnancy for both a baby and a mother. Modification of metabolic and hormonal processes i.e. metabolic programming occurs already at the prenatal stage. This process significantly affects the baby’s health and eating habits at a later age. The diet of a pregnant woman should supplement the demand for energy, nutrients, vitamins and minerals. An expecting woman needs to also avoid products that are contraindicated during this period, such as raw milk, eggs or meat. Aim. Assessment of nutritional behavior of pregnant women from the Podkarpacie province. Materials and method. 228 women living in the Podkarpackie province were enrolled in the study. Surveys were collected via the Internet. An anonymous questionnaire developed by the authors was used. Results. Women’s eating habits are primarily influenced by education. Most women had knowledge about proper nutrition and awareness of its impact on the health of the baby. A worrying fact was a very low intake of dairy products. 44% of women consumed dairy products only once a day. Fruit and vegetables consumption was also low (40% of the respondents ate only from 100 to 200 g during the day). Conclusions. Although part of the eating habits of pregnant women is correct, nutritional education should be introduced in this group, especially related to the adequate supply of dairy products, fruit and vegetables to supplement the necessary vitamins, minerals and protein.
- PozycjaMacro and micronutrient deficiency in inflammatory bowel diseases(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Jarmakiewicz, Sara; Piątek, Dominika; Filip, RafałIntroduction. Inflammatory bowel disease (IBD) is group of global range inflammatory conditions. There has been a regular increase in the number of IBD cases. Patients exclude whole food groups from their diet fearing the emergence of disease symptoms or due to learning from unreliable sources. Doing so, they might deepen the already existing vitamin deficiencies which occur along with the shortage of many minerals. These deficiencies might intensify the disease process or cause a new one. The most common deficits pointed out by numerous researchers concern vitamin D, calcium, cobalamin, folic acid and iron. It is well worth introducing selenium, zinc and ascorbic acid into a diet because of their immunomodulating effect. Important aspect of the healing process is a personalized diet which is designed to compensate for, or prevent vitamin and mineral deficiencies. Aim. The purpose of the study was to review the literature about vitamin and mineral deficiency in Inflammatory Bowel Diseases. Materials and method. Analysis of literature.
- PozycjaPatient’s satisfaction with anesthesia based on the polish version of the of Iowa Satisfaction with Anesthesia Scale. Satisfaction with anesthesia in patients with craniofacial trauma(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Ozga, Dorota; Dyk, Danuta; Gutysz-Wojnicka, Aleksandra; Wojtaszek, Marek; Mędrzycka-Dąbrowska, WiolettaPurpose. The article presents an assessment concerning patient satisfaction with anesthesia as based on the Polish version of the Iowa Satisfaction with Anesthesia Scale. Material and Methods. The study group consisted of 198 patients with maxillofacial injury admitted to the Clinical Ward of Maxillofacial Surgery. The quality of the anesthesiological care was evaluated with the Polish version of Iowa Satisfaction with Anesthesia Scale. Results. It was stated that the level of satisfaction with the anesthesia in patients operated on due to maxillofacial injury used was average. According to the Polish version of the Iowa Satisfaction with Anesthesia Scale, the average score in the studied population was 0.8 on a scale from -3 to +3, SD 2.41. There were differences observed depending on patient age (18-30 years old (p = 0.0001)) and clinical condition. Conclusion. The level of satisfaction with anesthesia in patients with craniofacial trauma is moderately positive, however, in patients with an injury of the upper face and in patients with ASA scale I and II, the same level of satisfaction is higher. Among the analyzed socio-demographical factors only the age determines the level of satisfaction with anesthesia. The level of satisfaction is higher in older patients.
- PozycjaMorbidity trend of lip cancer in Podkarpacie and in Poland in the years 1963–2013(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Gawełko, Jan; Cierpiał-Wolan, Marek; Podgórska-Bednarz, Justyna; Kawecki, AndrzejIntroduction. The dramatic decline in the incidence of lip cancer, which until the 80s of the twentieth century was the cause of significant morbidity, is an example of changes in the structure and trends of cancer incidence both in Poland and in the regions. Aim. Therefore, the aim of this paper is to analyze the changes in the morbidity trend of the lip cancer during the last 50 years, both in Poland and in Podkarpacie. Material and methods. A retrospective analysis of the lip cancer morbidity in the Podkarpackie region and in Poland in the years 1963–2013 was carried out based on data from the literature and our own research. Results and conclusion. A steady decline in the incidence of lip cancer in Podkarpacie has been observed since 1982 for men and 1983 for women. In Poland these trends have been observed since 1972 for men and 1993 for women. In the analysed period significant changes in the incidence structure in terms of sex are observed – from approximately 1:10 (women / men) in 1963 similarly in Podkarpackie and Poland – to 1:4.6 in Podkarpacie and 1: 2.6 in Poland in 2013.
- PozycjaAssessment of relation between gait and static balance in children with cerebral palsy(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Majewska, Joanna; Szczepanik, Magdalena; Drużbicki, Mariusz; Snela, Sławomir; Rusek, Wojciech; Sobota, Grzegorz; Nowak, Ewelina; Durmała, Jacek; Bonikowski, MarcinIntroduction. Cancer, after cardiovascular disease, is the second most common cause of death both in Poland anIntroduction. In children with cerebral palsy, gait and balance assessment allows for an objective gait pattern evaluation as well as for therapy planning and assessment. It was hypothesised that asymmetry of the lower limbs load in a standing position causes asymmetry of spatiotemporal gait parameters. Material and methods. 19 children with spastic diplegia and 20 healthy children participated in this study. 3D gait analysis was performed using the BTS Smart optoelectronic system. Stabilometric evaluation was performed using the Zebris Force Plate. Additionally, the Symmetry Index for selected gait and balance parameters was calculated. Results and conclusion. It was shown that symmetry of gait parameters and lower limb load in standing position differs significantly between the study and control groups. There was no correlation confirmed between lower limbs symmetry in standing position and symmetry of gait parameters. It was shown that 80% of children with cerebral palsy had asymmetrical gait patterns. It has also been shown that asymmetry of lower limbs load in a standing position correlates with an asymmetry of spatiotemporal gait parameters. The majority of children with spastic diplegia present asymmetrical gait patterns and asymmetrical balance parameters, but it has no influence on gait symmetry.
- PozycjaA renal abscess in the isthmus of horseshoe kidney(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Balawender, Krzysztof; Orkisz, Stanisław; Biela, Przemysław; Sęk-Mastej, AnnaHorseshoe kidney (HSK) is the renal fusion anomaly caused by disturbances in embryonic development when the kidneys are fused together in the lower or upper pole forming an isthmus. The most common disorders in urinary tract related to horseshoe kidney are ureteral pelvic junction obstruction, urinary tract infection and urolithiasis. In our study, we present a rare case of an abscess in the isthmus of horseshoe kidney after extracorporeal shockwave lithotripsy on the right kidney was performed. The patient has had recurrent urolithiasis and underwent 4 treatments on the left kidney in the past without complications.