European Journal of Clinical and Experimental Medicine T.15, z. 1 (2017)


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  • Pozycja
    Drug–induced gingival overgrowth after cyclosporin A therapy
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Ambicki, Miłosz; Brodowski, Robert; Mucha, Marta; Migut, Małgorzata; Malawski-Róg, Adam; Stopyra, Wojciech; Lewandowski, Bogumił
    Introduction. Drug–induced gingival overgrowth is a condition caused by side effects of treatment with one of three types of drugs: phenytoin (used in epilepsy treatment), cyclosporin A (used in transplantology after allogeneic organ transplants) and calcium channel blockers (in the treatment of hypertension). Gingival overgrowth leads to the development of inflammation within the gums and periodontium, reduced comfort in a patient’s life, and consequently even loss of teeth. Aim. The aim of this study was to present the issue of drug–induced gingival overgrowth based on a review of the literature and observations of patients treated in the Clinical Department of Maxillo-Facial Surgery, Frederic Chopin Provincial Specialist Hospital in Rzeszów. Case description. Massive gingival overgrowth requires surgical management. Attention should be paid to multidisciplinary cooperation in case of patients qualified for a transplant. It is also import_ant to qualify and evaluate the state of the oral cavity prior to the implementation of immunosuppressive medication, instruction of patients on oral hygiene and removal of the outbreaks of infection.
  • Pozycja
    Tumor of the pharynx – an unexpected diagnosis
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Ura-Sabat, Katarzyna; Domka, Wojciech; Gamrot-Wrzoł, Marta; Szuber, Krzysztof
    Introduction. Head and neck haemangiomas occur quite rarely. These are benign lesions, often involving the pharynx and larynx. They almost always pose a diagnostic and therapeutic problem. Case description. This paper describes the case of an asymptomatic internal carotid artery aneurysm manifested by a throat tumour. A 78-year old woman with sudden deafness and vertigo was additionally diagnosed with a throat tumour. After radiological diagnosis of a haemangioma, the patient refused surgery. This article presents diagnostic methods and various types of treatments for head and neck haemangiomas. Attention was paid to the possibility of serious complications when deciding on surgical intervention of haemangiomas without a confirmed diagnosis. Conclusion. Suspicion of head and neck haemangiomas necessitates using all available diagnostic methods. The treatment plan should take into account the pace of progression, the patient’s age and co-morbid conditions.
  • Pozycja
    The assessment of the impact of myofascial training on postural control – a case study
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Guzik, Agnieszka; Chwaszcz, Bartłomiej; Drużbicki, Mariusz; Wolan-Nieroda, Andżelina; Wyszyńska, Justyna
    Introduction. A sedentary lifestyle with lack of physical activity contributes to deteriorated balance among healthy young people. Physical activity is import_ant since it stimulates neuromuscular junctions that control body posture, especially at younger age, when greater postural sway may be observed in stabilography compared to adults. Proper work of individual muscle groups is import_ant to maintain proper balance. Abnormal muscle tone can lead to dysbalances that make it difficult o maintain a stable posture in a variety of conditions. Aim. The aim of the study was to evaluate the effect of a training cycle consisting of stretching of the ilopsoas, rectus femoris, gluteus maximus, hamstring and rectus abdominis, and eccentric training of the above mentioned muscles to improve static and dynamic balance. Methods. Oobjective and qualitative-subjective were used to assess the results in a man aged 22 yrs. Postural control was tested twice in the patient with the Neurocom International Inc. SMART EquiTest device under static conditions without visual control and with dynamic visual surrounding and unstable support surface. Automatic postural reflexes were also evaluated. In addition, clinical tests were performed. Results. Myo-fascial training, which included eccentric training combined with lower limb and trunk stretching improved the postural control in the subject.
  • Pozycja
    Cervical spine injuries in Poland – epidemiology, divisions, and causes
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Wolan-Nieroda, Andżelina; Maciejczak, Andrzej; Guzik, Agnieszka; Przysada, Grzegorz; Wyszyńska, Justyna; Szeliga, Ewa
    Aim. 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.
  • Pozycja
    Could 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, Paweł
    Aim. 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.