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Folia Medica Cracoviensia

Katarzyna Rebes, Grzegorz Cebula, Anna Mydlowska, Janusz Andres
INTRODUCTION: For many years, one of the biggest challenges of public healthcare system, in the European Union are cardiovascular diseases. PURPOSE: The purpose of this study was to analyze the variables influencing the specific aspects of the chain of survival in a large city. METHODS: Patients included in this study had to fulfill all of the following criteria: (1) patient had to experience an out-of-hospital cardiac arrest (OHCA), (2) emergency medical team had to initiate cardio-pulmonary resuscitation (CPR) at the site of the event...
2017: Folia Medica Cracoviensia
Dimitrios Patoulias, Christos Koutras
Herpes simplex virus (HSV) encephalitis is an acute infection of the Central Nervous System (CNS). During the last two decades its incidence has a ten-fold increase, while mortality rate exceeds 70%, if left undiagnosed and thus untreated. Clinical manifestations, imaging studies, cerebrospinal fluid (CSF) analysis and electroencephalogram (EEG) are the basis of diagnostic approach. Even when CSF analysis seems normal, imaging studies are not specific and HSV polymerase chain reaction (PCR) test is negative, the clinician should be more aggressive, if clinical presentation is indicative for HSV encephalitis, by administrating acyclovir early after patient's admission...
2017: Folia Medica Cracoviensia
Borys M Kwinta, Ewelina Grzywna, Roger M Krzyżewski, Dariusz Adamek
BACKGROUND: The aim of this study was to evaluate morphometrically the pituitary adenomas immunoexpression. METHODS: The cases of 72 patients were analyzed, who underwent transsphenoidal surgery for pituitary adenomas. Subsequently, the immunohistochemical pituitary hormone panel was applied including alpha- subunit of the glycoprotein hormones. Immunohistochemical sections were analyzed quantitatively with the help of morphometric grid. The percentage rate of the immunoexpression was calculated separately for every single hormone...
2017: Folia Medica Cracoviensia
Małgorzata Górecka, Małgorzata Pihut, Małgorzata Kulesa-Mrowiecka
Recent years have shown an increase in the number of patients reporting for treatment of pain due to musculoskeletal joint, associated with temporomandibular joint dysfunction. Therefore, studies were undertaken, aimed at analyzing the symptoms of the dysfunction, because of which patients come to the prosthetic treatment. Aim of the thesis: The aim of the study was a retrospective analysis of symptoms of temporomandibular joint dysfunction reported by patients diagnosed with this problem. MATERIAL AND METHODS: The research material was a retrospective medical records of 120 patients, aged 19 to 45 years who have taken prosthetic treatment due to temporomandibular joint dysfunction in the Consulting Room in Prosthetics Department in Kraków, from June 2015 to December 2016...
2017: Folia Medica Cracoviensia
Mateusz K Hołda, Wiesława Klimek-Piotrowska, Mateusz Koziej, Kamil Tyrak, Jakub Hołda
OBJECTIVES: To investigate the penetration depth of formaldehyde-based fixatives into cardiac muscle samples over the course of fixation. BACKGROUND: Fixation is the essential step in anatomical studies. However, very little is known about penetration of most common fixatives into cardiac tissue. METHODS: A total of 40 heart samples were investigated. 4 study groups (n=10 in each case) were formed in such manner they differed only in concentration and type of fixative (1) - 2% formaldehyde phosphate-buffered solution (FPBS); (2) - 4% FPBS (formalin); (3) - 10% FPBS; (4) - alcoholic formalin...
2017: Folia Medica Cracoviensia
Dimitrios Patoulias, Maria Kalogirou, Kyriakos Chatzopoulos, Ioannis Patoulias
Median raphe cysts (MRCs) are rare, benign congenital lesions of unknown origin, that can be found anywhere on the ventral side of the genital area, between the urethral meatus and the anus. The rarity of our case is attributed to the canaliform type, the scrotal and perineal localization and the epidermoid epithelium. A 5 year old boy, with free perinatal and family history, was admitted to our department as an outpatient due to the presence of an elongated and mildly painful lesion in the middle of the scrotum, gradually increasing in size...
2017: Folia Medica Cracoviensia
Agata Musiał, Michał Zarzecki, Ryszard Gryglewski, Jacenty Urbaniak, Tomasz Bereza, Jerzy Walocha
Ludwik Karol Teichmann was the last of gross anatomists. His magnificent work on the lymphatic system gained him appreciation of the whole current scientific world. Based on the unpublished materials authors wanted to commemorate one of the greatest Polish and world anatomists with special regard to coming soon 150th anniversary of Theatrum Anatomicum of Jagiellonian University Medical College.
2017: Folia Medica Cracoviensia
Gażyna Cepuch, Agnieszka Gniadek, Anna Gustyn, Lucyna Tomaszek
The aim of the study was to evaluate level of anxiety, depression and aggression and the sleep quality among Polish adolescent and young adult suffering from cystic fibrosis including the evaluation of their FEV1. The study involved 70 patients both male and female aged between 14 and 25 and suffering from cystic fibrosis. Anxiety, depression and aggression were evaluated by means of Hospital Anxiety and Depression Scale and the quality of sleep was examined following Athens Insomnia Scale another aspect taken into consideration was patients' FEV1...
2017: Folia Medica Cracoviensia
Agnieszka Piątek-Guziewicz, Paweł Zagrodzki, Paweł Paśko, Mirosław Krośniak, Tomasz Mach, Małgorzata Zwolińska-Wcisło
INTRODUCTION: Oxidative stress with an excessive free radical production and a reduction in the activity of protective antioxidants is considered as one of the mechanisms responsible for gluten toxicity. However, its role in celiac disease (CD) is unclear. OBJECTIVES: Evaluation of plasma nonenzymatic antioxidant capacity in patients with CD (both untreated patients and those receiving gluten-free diet [GFD]) by measuring the ferric reducing ability of plasma (FRAP) as well as assessing selected plasma antioxidants...
2017: Folia Medica Cracoviensia
Janusz Skrzat, Jacek Tarasiuk, Sebastian Wroński, Magdalena Kozerska
Grayscale images comparing to the color images may have less of visual information necessary for easy recognition of the anatomical structures. Although micro-CT scanners deliver images of ultra-high resolution, application of false-colors to the rendered structures enhance their visual perception and allow for quick delineation between them and surrounding bony matrix. This paper presents differences of imaging of the osseous structures of the inner ear labyrinth using pseudo-color volume rendering in contrast to grayscale volume rendering of the micro-CT data...
2017: Folia Medica Cracoviensia
Ilona Pawlicka, Anna Hyjek-Ryś, Maciej Kozak
STUDY OBJECTIVE: Anatomic and functional (function improvement) outcome of the aflibercept treatment for exudative age-related macular degeneration was analysed a er the first year of treatment. MATERIAL AND METHODS: 62 patients treated with intravitreal aflibercept injections according to the adapted regimen. The treatment efficacy was understood as a reduction in oedema (and the central retinal thickness), with an increase in or stabilisation of the best corrected visual acuity...
2017: Folia Medica Cracoviensia
Paulina Zielińska, Magdalena Jarosz, Agnieszka Kwiecińska, Barbara Bętkowska-Korpała
Delivering bad news is a major aspect of a doctor's work. The literature most often refers to patient's expectations or needs, and methods of delivering bad news, while medical perspective is often skipped. The purpose of this paper is to examine competencies (knowledge, skills and experience) in delivering bad news by medical specialists in the areas related to the causal and symptomatic treatment of oncological patients; identification of major communication problems and obstacles in this specific situation and evaluation of teaching needs for delivering bad news...
2017: Folia Medica Cracoviensia
Katarzyna Zbierska-Rubinkiewicz, Oksana Trębacz, Marek Tomala, Mateusz Rubinkiewicz, Iwona Chrzan, Andrzej Gackowski
INTRODUCTION: Contrast-induced nephropathy (CIN) is acute kidney injury (AKI), caused by administration of iodinated contrast media. The reported risk factors of CIN are: pre-existing renal dysfunction, admission anemia, diabetic nephropathy, old age, dehydration, high volume and osmolarity of administered contrast media. Patients with acute myocardial infarction (AMI) have threefold higher risk of developing CIN. The aim of the study was to identify risk factors of CIN among patients who underwent percutaneous coronary intervention (PCI) due to AMI...
2017: Folia Medica Cracoviensia
Agnieszka Wnuk, Ewa Mizia, Bartosz Rutowicz, Jerzy A Walocha
INTRODUCTION: Non-insertional Achilles tendinopathy is one of the most common overuse injuries experienced by joggers. The pes planus evaluation is often based only on the visual method without a dynamic test. Functionally inefficiency of longitudinal or transverse arch of the foot may be a significant risk factor affecting the lower limb biomechanics and causing of pain in the Achilles tendon area. Assumptions and purpose of the study: This is study was undertaken to determine and investigate the relationship between the functionally inefficient longitudinal and transverse arch of the foot and the prevalence of non-insertional Achilles tendinopathy...
2017: Folia Medica Cracoviensia
Agnieszka Skrzypek, Marta Szeliga, Agata Stalmach-Przygoda, Stanisław Górski, Bogumiła Kowalska, Anna Kocurek, Michał Nowakowski
BACKGROUND: In 2015 Department of Medical Education in Medical College of Jagiellonian University in Cracow performed a new format of integrated multidisciplinary skills assessment of third year students of medicine a er completing initial courses in internal medicine, surgery, pediatrics and gynecology. AIM: OSCE assessed from the perspective of 3rd year medical students. METHODS: Students of 3rd year's study of Faculty of medicine were evaluated by OSCE, which assessed their internal medicine, surgery, gynecology, pediatric skills...
2017: Folia Medica Cracoviensia
Małgorzata Pihut, Małgorzata Górecka, Piotr Ceranowicz
The temporomandibular joint pain, which occurs in the course of temporomandibular joint dysfunction, is one of the main clinical problems in the treatment of joint disc displacement. The aim of the study was to evaluate changes in temporomandibular joints pain in treatment supporting disc displacement without reduction using intra-articular injection of hyaluronic acid and platelet-rich plasma. MATERIAL AND METHODS: The study consisted of a group of 60 patients, aged 35-49, who reported for treatment, because of pain in the preauricural area...
2017: Folia Medica Cracoviensia
Dimitrios Patoulias, Vasileios Rafailidis, Maria Kalogirou, Konstantinos Farmakis, Dimitrios Rafailidis, Ioannis Patoulias
The aim of the present case study is to raise concern on the proper diagnostic approach of acute gastric volvulus (AGV) cases, in which, the key issue is the timely diagnosis and the prompt therapeutic intervention. After thorough and systematic research of the current literature, it is concluded that early diagnosis remains challenging, while there is no relevant publication with emphasis on the contribution of ultrasonography to the diagnostic documentation of AGV. A 6 years old boy was admitted to our Department due to repeatedly non bilious vomiting and food refusal during the last 72 hours before admission...
2017: Folia Medica Cracoviensia
Kamila Stachyra, Anna Kiepura, Rafał Olszanecki
Atherosclerosis is considered as a chronic, low-grade inflammatory process involving the aorta and the medium-sized arteries. Exposure to air pollutants, especially particulate matter, is highly related to cardiovascular diseases including atherosclerosis. Many studies confirm that proatherogenic potential of particulate matter is determined by its ability to induce inflammation, oxidative stress and thrombosis formation. Recently, an important role in the pathogenesis of atherosclerosis has been attributed to autoimmune response...
2017: Folia Medica Cracoviensia
Aleksiej Juszczak, Bernard Solewski, Marios Loukas, Maciej Lis, Lourdes Niroya Kaythampillai, Karolina Witkowska, Tomasz Bereza, Justyna Wajda, Jacenty Urbaniak, Dawid Maduzia, Jaerzy Walocha
Celiac artery (trunk) is one of the three major arteries which arise from abdominal aorta. It's variations not seem to be very uncommon. A routine dissection of a male cadaver at Department of Anatomy Jagiellonian University revealed unusual branching pattern of the celiac trunk with numerous supernumerary hepatic arteries. Additionally unusual venous drainage of the adrenal glands was found. A review of current literature has shown that a changed branching pattern may be important from clinical point of view, with special respect to endovascular procedures, laparoscopic surgery or radiology...
2017: Folia Medica Cracoviensia
Piotr Golec, Krzysztof A Tomaszewski, Sebastian Nowak, Agnieszka Kreska-Korus, Dominik Taterra, Zbigniew Dudkiewicz, Edward Golec
The choice of method for surgical treatment of articular calcaneal fractures remains problematic due to the potential complications and difficulty in restoring loss of functional status, anatomical geometry and congruence of joint surfaces. The preferred method of surgical treatment for these injuries, among others, is still minimally invasive percutaneous fixation. The aim of this study was to evaluate the radiological results of articular calcaneal fractures surgical treatment using a minimally invasive percutaneous fixation and to determine the prevalence of complications in early and long-term observation...
2017: Folia Medica Cracoviensia
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