Annales Universitatis Mariae Curie-Skłodowska. Sectio D: Medicina

Publications in this journal

• Article: Finger Tapping Test as a useful measure in the evaluation of motor performance in patients with myasthenia gravis

  Emilia J. Sitek, Małgorzata M. Bilińska, Dariusz Wieczorek, Lucyna Wilczewska, Jarosław Sławek
  Annales Universitatis Mariae Curie-Skłodowska. Sectio D: Medicina 12/2008; LXIII(2).
• Article: Kinesiology in treatment children with psychomotoric disorders

  Mariusz Janusz, Tomasz Ridan, Dorota Sarad
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  ABSTRACT: The objectives of the research were to prove to what extent Educational Kinesiology has an impact on the effectiveness of rehabilitation - compensational classes for children aged 4-10 with psychomotoric disorders. Analysis of the research results proves that exercising the brain has a positive effect on psychophysical skills of children with psychomotoric problems. The group of children which had undergone brain exercise through rehabilitation - compensational classes obtained a higher final test result than the control group.
  Annales Universitatis Mariae Curie-Skłodowska. Sectio D: Medicina 03/2007; LXII(3):45-48.
• Article: The level of secretory IgA in saliva of patients with dental infections.

  Anna Maria Szyszkowska
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  ABSTRACT: In this study the level of s-IgA in saliva of the patients with dental infections was measured. In the treatment only herbal drug was applied locally after the surgical procedures. The samples of saliva were taken three times: I--before treatment, II--after 3-4 days of the treatment and III--after the treatment. The level of s-IgA in saliva was measured according to ELISA method. Results were compared with 30-people control. Statistical analysis was done according to t-Student test. The level of s-IgA in saliva differed a lot between patients. Mean level of s-IgA in saliva of the patients was statistically higher before treatment and just after the treatment as compared to control (*p < 0.05, **p < 0.01). It was also shown that the level of s-IgA in women before treatment was higher as compared to man. The level of s-IgA was statistically higher in younger age group in comparison with older age group. The statistical differences between women treated and the control in measurements I and II were found (*p < 0.05; **p < 0.01).
  Annales Universitatis Mariae Curie-Skłodowska. Sectio D: Medicina 02/2004; 59(2):528-34.
• Article: Bone mineral content of the mandible and spine in ovariectomized rats with estrogen deficiency.

  Mansur Rahnama
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  ABSTRACT: The aim of this study was to assess the bone mineral content of the mandible and spine in rats with estrogen deficiency after ovariectomy. Female rats were divided into the following groups: CL--control, SH--sham-operated, OV--after ovariectomy, OVH--after ovariectomy receiving 17beta-estradiol in three different doses (1.25, 12.5, 125 microg) during seven weeks. After the experiment densitometric examinations of the mandible and spine were made using DEXA method and there was measured bone mineral content (BMC). The results of the examination indicate that estrogen deficiency after ovariectomy leads to decreasing of BMC index of the examined bones, and densitometric examinations allow to carefully evaluate changes in the mineral part of the examined bones.
  Annales Universitatis Mariae Curie-Skłodowska. Sectio D: Medicina 02/2004; 59(2):543-6.
• Article: Green Or preparation in dentin hypersensitivity treatment.

  Małgorzata Majewska-Paradowska
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  ABSTRACT: The effectiveness of Green Or preparation in the treatment of cervical dental hypersensitivity was evaluated. This problem is difficult for patients and for dentists because of dual and unknown methods of treatment. The preparation was used in 30 patients between the ages of 20 and 70 years on 240 teeth with exposed and hypersensitive necks. The obtained results are acceptable, as total elimination of hypersensitivity was attained in 85% of cases, partial reduction of hypersensitivity in 15% cases.
  Annales Universitatis Mariae Curie-Skłodowska. Sectio D: Medicina 02/2004; 59(1):265-8.
• Article: Lymphangitis carcinomatosa in thin section computed tomography.

  Marek Pasławski, Konrad Krzyzanowski, Janusz Złomaniec
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  ABSTRACT: High resolution computed tomography is a diagnostic method of choice in the evaluation of lung parenchyma. HRCT enables the evaluation of small interstitial changes, invisible on plain chest radiographs, and their assessment at the level of the lung lobule. The aim of the study was the assessment of typical findings in HRCT in lymphangitis carcinomatosa, enabling differential diagnosis. Material comprises a group of 18 patients with lymphangitic spread of carcinoma, in whom HRCT examination was performed. Nodular thickening of the peribronchovascular interstitium and interlobular septa are typical in lymphangitic spread of carcinoma. Smooth peribronchovascular and septal thickenings are typical in sarcoidosis, and are only seen in some patients in the lymphangitic spread of carcinoma. In lymphangitis carcinomatosa lung architecture remains unchanged, which allows differentiating from sarcoidosis.
  Annales Universitatis Mariae Curie-Skłodowska. Sectio D: Medicina 02/2004; 59(1):1-5.
• Article: Morphological characteristics of malignant solitary pulmonary nodules.

  Marek Pasławski, Konrad Krzyzanowski, Janusz Złomaniec, Jacek Gwizdak
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  ABSTRACT: The solitary pulmonary nodule is a common radiologic abnormality, which is often detected incidentally. It is defined as focal, round or oval areas of increased opacity in the lung which are caused by a variety of disorders, including neoplasm, infection, inflammations, and vascular and congenital abnormalities. Most of the solitary pulmonary nodules are benign, but up to 30%-40% of them are malignant. The main goal of the radiologic evaluation of suspected solitary pulmonary nodules is to differentiate benign from malignant lesions as accurately as possible. The aim of the study was the assessment of the morphological characteristics of the malignant solitary pulmonary nodules. Large nodule size, irregular, spiculated margins, inhomogeneous density of nodule thick walls in cavitary nodules suggest the presence of the malignant lesion. Smooth, well-defined margins, homogeneous density or the presence of diffuse, laminated, central or popcorn-like calcifications suggest the benign nodule. Diffuse, irregular amorphous calcifications suggest the malignant process. Unfortunately there is a kind of overlapping, and some benign nodules may show features typical of malignancy, and some malignant lesions may appear benign. Morphologic characteristics in computed tomography is however helpful in differentiation of benign from malignant nodules.
  Annales Universitatis Mariae Curie-Skłodowska. Sectio D: Medicina 02/2004; 59(1):6-13.
• Article: Morphology of root canal cross-sections of resected roots of first and second lower molars.

  Mariusz Duda, Agata Skoczek, Bartłomiej Kowal, Agnieszka Komorek
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  ABSTRACT: Precise preparation of the root canal ostium with a view to hermetical closing with retrograde root filling is an important prognostic factor determining the success of the procedure of tooth resection. Root canals interconnected with a narrow isthmus may cause problems both in endodontic treatment and in retrograde filling. The aim of this work is the research of the transverse cross-section of root canals of first and second lower molars on the resection model. The research encompasses 100 randomly selected molar teeth: 50 first and 50 second lower molars. The tooth root apexes were cut 3 mm below the apex and examined under an electron microscope, special attention being paid to the shape of root canal cross-sections. In the group of first molar teeth, in 20% the presence of an isthmus between canals in the proximal roots was observed; in the group of second molar teeth an isthmus between the canals of proximal roots occurred in 18% of the cases. It seems that the relatively high percentage (20%-18%) of the occurrence of an isthmus, 3 mm below the root apex, between two elongated transverse cross-section proximal root canals of first and second molars should encourage particular caution in the retrograde filling of the above-mentioned canals during the procedure of resection.
  Annales Universitatis Mariae Curie-Skłodowska. Sectio D: Medicina 02/2004; 59(1):54-60.
• Article: Abdominal aortic aneurysm in ultrasound and CT examination.

  Marek Pasławski, Konrad Krzyzanowski, Janusz Złomaniec
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  ABSTRACT: About 75% of AAAs are asymptomatic. They come to light as the chance findings of a lump with or without pulsation, noted on self-examination, a routine physical check-up, or during diagnostic investigations. Ultrasonography and CT are two most often used in diagnosing of AAAs. The aim of the study was the assessment of the diagnostic value of computed tomography and ultrasonography in the evaluation of abdominal aortic aneurysm. Material comprises a group of 26 patients with abdominal aortic aneurysm. There were 18 men and 8 women, aged between 48 and 76 years (mean age 62 years). In each patient computed tomography and ultrasound examinations were performed. Computed tomography is more accurate technique than ultrasonography. In obese patients or in the presence of gas in the bowel the abdominal aorta may be invisible in ultrasonography, but is easily and clearly visualized in CT. Measurements of aneurysm diameters are much more reliable in CT than in ultrasonography. In CT it is possible to imagine and measure the length of the aneurysm in various MPR reconstructions. The bifurcation of the aorta and iliac arteries are well imagined in CT. The coexistent aneurysms of thoracic aorta are easily diagnosed just by performing few additional sections of the thoracic aorta. In properly prepared patients ultrasonography provides good imaging modality in performed screening examination, and in controlling patients with small aneurysm because it is widely accessible and cheap. In preoperative assessment the CT examination is necessary.
  Annales Universitatis Mariae Curie-Skłodowska. Sectio D: Medicina 02/2004; 59(1):84-90.
• Article: Diagnostic value of multiplanar CT reconstructions in the assessment of abdominal aortic aneurysms.

  Marek Pasławski, Konrad Krzyzanowski, Janusz Złomaniec
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  ABSTRACT: The increased use of ultrasonography and computed tomography result in the increased number of detected aneurysms, especially with relatively small diameters so the prevalence of the abdominal aortic aneurysms (AAA) is increasing. The aim of the study was to assess the usefulness of multiplanar (MPR) CT reconstructions in the evaluation of abdominal aortic aneurysms. Material comprises a group of 30 patients with the abdominal aortic aneurysm. There were 22 men and eight women, aged between 54 and 78 years (mean age was 62 years). In all the patients the CT examination of the abdominal aorta was performed. The diameter of the aortic aneurysm, measured using computed tomography scans and the rate of growth are the most important determinants of the risk of rupture, and in determining when elective repair is justified. The exact measurements of the aortic aneurysm are required. The tortuous aorta is clearly visible on MPR reconstruction, which enables choosing the proper axial section to measure the true diameter of the aneurysm. The exact measurement of the aneurysm length, possible on MPR sections is essential in determining the rate of aneurysm growth. The presence and size of thrombus correlate with the risk of aneurysm rupture. The MPR reconstructions enable exact measurements of the thrombus length. The visualization of aortic bifurcation is better on MPR reconstructions in coronal plane. The beginning of the dissection in some patients is visible only on MPR images. An MPR reconstruction provides additional information in CT examination of abdominal aortic aneurysm and should be performed in each CT examination of aortic aneurysms.
  Annales Universitatis Mariae Curie-Skłodowska. Sectio D: Medicina 02/2004; 59(1):91-8.
• Article: Evaluation of the association between atypical bacteria infections and respiratory tract diseases with emphasis on bronchial asthma exacerbations in children.

  Agnieszka Szczepanik, Maria Kozioł-Montewka, Ewa Tuszkiewicz-Misztal, Grazyna Niedzielska, Grazyna Górnicka, Justyna Niedźwiadek, Artur Niedzielski
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  ABSTRACT: Mycoplasma pneumoniae and Chlamydia pneumonie are important etiological agents responsible for human respiratory tract diseases. Recently, these atypical microorganisms received much attention regarding their role in bronchial asthma pathogenesis, which is one of the most frequent chronic diseases in children. The aim of the study was to investigate the association between infections caused by these pathogens and respiratory tract diseases in children. Levels of M. pneumoniae and C. pneumoniae-specific antibodies were determined in serum samples obtained from 30 patients suffering from bronchial asthma exacerbations, 10 patients with pneumonia, 28 patients with chronic otitis media with effusion (COME) and 22 sinusitis patients. Specific anti-M. pneumoniae antibodies were detected more frequently in the patients enrolled in the study than in control subjects. The highest percentage of the serum samples, which demonstrated the presence of M. pneumoniae-specific antibodies was demonstrated in patients with asthma (60%) and it was twofold higher than in control subjects. Serologic profile of 26.6% patients with asthma, 50% of patients with pneumonia, 39.2% of patients with COME, 45.4% of patients with sinusitis and 10% of control subjects was consistent with a possible acute infection caused by M. pneumoniae. The presence of specific anti-C. pneumoniae antibodies was demonstrated in a smaller percentage of patients--in 13.3% of children with asthma, 10% of children with pneumonia and in 7.1% of patients with COME; the level of specific antiobodies was suggestive of acute chlamydial infection only in COME patients. Analysis of serologic markers for atypical bacteria infections indicates a possible association between infections caused by M. pneumoniae and bronchial asthma exacerbations and other respiratory tract disorders including pneumonia, sinusitis and COME.
  Annales Universitatis Mariae Curie-Skłodowska. Sectio D: Medicina 02/2004; 59(1):105-11.
• Article: Non-ketotic hyperglycinemia as the cause of infant seizures--the case study.

  Monika E Kaźmierczuk-Skubis, Maria Zatorska-Karpuś, Elzbieta Pac-Kozuchowska, Jolanta Bojko-Jaworska, Wanda Furmaga-Jabłońska
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  ABSTRACT: Non-ketotic hyperglycinemia is a disease that causes serious functional disorders of CNS and the degradation of its structure. The frequency of recognition of this disease is disproportionally low with relation to the number of unexplained deaths of the neonates. We present a case of a neonate in whom the seizures occurred during the first 24 hours of life. A detailed subsequent diagnosis of the seizures by excluding inflammatory reasons, electrolyte disorders and primary neurological reasons was done. The final diagnosis of NKH was based on high concentration of glycine in the blood serum, craniospinal fluid and elevated value of Scriver index, lack of ketosis, changes in EEG tests, (initially the record of "discharge-silence" type, and next the record of hypsarrhythmia type), hypotony of the muscular system and imaging tests of CNS. The taken up treatment decreased the intensity and the frequency of seizure attacks, caused the increase of muscular tone and of motor activity of the child.
  Annales Universitatis Mariae Curie-Skłodowska. Sectio D: Medicina 02/2004; 59(1):237-41.
• Article: Basic-fibroblast growth factor (b-FGF)--its biological role in physiologic and pathologic conditions.

  Grazyna Chodorowska, Małgorzata Tomczyk, Anna Głowacka
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  ABSTRACT: Basic-Fibroblast Growth Factor (b-FGF) is a multifunctional polypeptide that promotes growth and differentiation of a broad spectrum of cell types, including dermal fibroblasts, keratinocytes, endothelial cells and melanocytes. Due to its powerful mitogenic and angiogenic abilities it can influence the tissue remodeling, wound healing, neovascularization and promote tumor growth and metastases. b-FGF is also involved in some inflammatory skin diseases, but its biological role both in physiologic and pathologic conditions is not entirely recognized yet.
  Annales Universitatis Mariae Curie-Skłodowska. Sectio D: Medicina 02/2004; 59(1):286-91.
• Article: Frequency of self-monitoring and its effect on metabolic control in patients with type 2 diabetes.

  Justyna Jaworska, Piotr Dziemidok, Teresa B Kulik, Ewa Rudnicka-Drozak
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  ABSTRACT: The aim of the study was to investigate the frequency of self-monitoring of blood glucose in patients with type 2 diabetes and to determine its effect on metabolic control measured as glycosylated hemoglobin level. The study involved 218 patients with type 2 diabetes (68.8% of females and 31.19% of males) who reported to the Outpatient Department for Diabetes at the Institute of Agricultural Medicine in Lublin. All patients were asked to complete a questionnaire form containing questions concerning, among other things, demographic data, course of diabetes, method of treatment, ability to adjust insulin doses and frequency of self-monitoring of blood glucose level. The levels of glycosylated emoglobin were obtained based on medical records. The analysis of the data showed that 59.22% of patients tested their blood glucose levels at home > or = 1/day, 21.36% of them tested their blood glucose > or = 1/week, whereas 8.74% of patients tested glucose < or = 1/week. 10.68% of patients stated that they never racticed SMBG. Statistical differences were observed in the level of education. Among the group of patients who exercised self-monitoring the most dominant were those with secondary school or university level of education (60.66%), while among patients who did not maintain self-monitoring the greatest number had only elementary or vocational education (72.73) (p = 0.01). The greatest number of patients who most often maintained self-monitoring were office workers (52.46%), whereas among those who did not exercise self-monitoring, those employed in agriculture dominated (45.45%) (p < 0.01). Urban inhabitants exercised self-monitoring more frequently than urban inhabitants (p < 0.01). The frequency of self-monitoring did not affect glycemia control. Urban inhabitants with secondary school or university education level and those who perform office work are more keen on frequent home monitoring of glycemia. In patients with type 2 diabetes the intensity of self-monitoring does not exert any effect on diabetes control evaluated by means of glycosylated hemoglobin level.
  Annales Universitatis Mariae Curie-Skłodowska. Sectio D: Medicina 02/2004; 59(1):310-6.
• Article: Comparison of fluorine level in the tissues of healthy teeth and teeth with decay process.

  Anna Pikuła, Anna Kedra, Monika Sałaga-Pylak, Adam Stadnik, Barbara Sokołowska, Andrzej Borzecki
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  ABSTRACT: The aim of the study was to examine quantitative fluorine content in tooth tissues with the decay process, tissues of teeth without decay and tissues with diseases different than those of decay origin. It has been found that in the examined teeth decay process the average fluorine content in hard tissues amounted to 235.6 ppm of fluorine and it was lower than in healthy teeth (304.8 ppm) extracted for orthodontic or periodontological reasons, whereas the highest fluorine content--383.5 ppm--was found in teeth with diseases of non-decay etiology. Analyzing particular teeth groups depending on the age of the patients, it was observed that the fluorine level is higher in the teeth received from younger patients, especially in the group of healthy teeth and teeth with wedge defects. Susceptibility of tooth enamel to dissolution was estimated by the CRT test with the use of discs impregnated with crystal violet (hexamethylene-4 hydrochloride of fuchsin) with the range of colour change from yellow and green to violet and blue at ph 0.1-1.5. The lengthening of the time of reaction in this test testified to lower acid sensitivity of tissues and at the same time to harder demineralization of enamel, e.g. in the process of decay. Longer time of reaction was observed in teeth with higher indicated fluorine content.
  Annales Universitatis Mariae Curie-Skłodowska. Sectio D: Medicina 02/2004; 59(1):317-20.
• Article: Frequency of occurrence of obesity and body mass deficits among children of Lublin grammar-schools.

  Ilona Olejarnik, Grzegorz Borzecki, Magdalena Kowalska, Andrzej Borzecki
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  ABSTRACT: The aim of the research was to evaluate the frequency of occurrence of obesity and body mass deficits among the children of grammar schools in Lublin. The research included 1,096 children (549 girls and 547 boys) at the age of 14 and 15. The measurements of height and weight of the examined children were taken and BMI - index of related to age standards presented in centile charts elaborated by the Institute of Mother and Child in Warsaw. The research showed that the average values of height, weight and BMI index of the examined children were between centile 25 and 75. Obesity features were observed with 4.9% of all the examined children (5.5% of girls and 4.4% of boys). Body mass deficits were observed with 5.5% of the examined children (6% of girls and 4.9% of boys). Incorrectness of physical development parameters are more often observed with 15-year-olds and more often in the group of girls than in that of boys. Obesity was observed with 4.9% of girls and 2.2% of boys at the age of 14 and with 6% of girls and 5.9% of boys at the age of 15. Features of body mass deficit were observed with 7.7% of girls and 5.3% of boys at the age of 14 and with 4.6% of girls and 4.4% of boys at the age of 15.
  Annales Universitatis Mariae Curie-Skłodowska. Sectio D: Medicina 02/2004; 59(1):325-9.
• Article: Occupational hazard evaluation of working population in a select automotive industrial plant.

  Alicja Wójcik, Zdzisław Borzecki, Edyta Kowalska, Andrzej Borzecki
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  ABSTRACT: The research was conducted in the selected vehicle industry plant. Work conditions were assessed on the assembly line by measuring chemical and physical factors. Exposure to noise in the investigated plant exceeded the values of permissible standards. The pollution on the posts did not exceed the standards except singular concentrations. While assessing the values of chemical factors concentration, no toxicological danger was revealed in the investigated population. The work conditions of the investigated plant did not create the danger of professional diseases.
  Annales Universitatis Mariae Curie-Skłodowska. Sectio D: Medicina 02/2004; 59(1):330-4.
• Article: Diffuse hemangioma of the rectum detected on multi-slice CT in an 18-year-old woman with Klippel-Trenaunay syndrome.

  Elzbieta Czekajska-Chehab, Dariusz Borowiec, Andrzej Drop, Marek Durakiewicz, Grzegorz Staśkiewicz
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  ABSTRACT: The paper reports a rare case of an 18-year-old woman with Klippel-Trenaunay syndrome, whose multi-phase multi-slice CT revealed diffuse colorectal hemangioma. The patient presented symptoms of consumption coagulopathy (Kasabach-Meritt syndrome) and intense collateral circulation in the course of portal hypertension. The CT lesions and possibilities of multiformat and 3D volume rendering reconstructions are presented. To our knowledge, this is the first report of diffuse hemangioma of the colon and rectum in a patient with KTS detected with multi-slice CT.
  Annales Universitatis Mariae Curie-Skłodowska. Sectio D: Medicina 02/2004; 59(1):356-60.
• Article: The modern methods of gastric imaging.

  Andrzej Drop, Katarzyna Zbańska-Klonowska, Elzbieta Czekajska-Chehab, Luiza Grzycka-Kowalczyk, Agnieszka Trojanowska
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  ABSTRACT: The major aim of the review is presenting contemporary diagnostic methods applied in gastric imaging as well as their place in clinical treatment. The authors discuss both conventional and modern methods. Although the method of double contrast barium meal is still the most important in stomach diagnostics, the modern methods such as EUSG, CT and MRI are becoming more and more meaningful not only in evaluating gastric neoplastic pathological changes. All applied diagnostic procedures should not be competitive but complementary and constitute an excellent means in hands of an experienced clinicist and radiologist.
  Annales Universitatis Mariae Curie-Skłodowska. Sectio D: Medicina 02/2004; 59(1):373-81.
• Article: Cardiac arrest in the early stage of cardiosurgical procedure.

  Janusz Stazka, Marek Czajkowski, Piotr Dudka, Wojciech Dabrowski
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  ABSTRACT: Cardiosurgical operations remain one of the most demanding and complicated surgical procedures. Cardiac arrest before extra corporeal circulation (ECC) is one of severe intraoperative complications which can occur in any moment of operation. We have tried to evaluate possible risk factors of intraoperative, pre-ECC cardiac arrest in cardiac surgical patients and also have tried to estimate, if such an incident itself can be a risk factor for further post-operative complications. Pre-ECC intraoperative cardiac arrest (ICA) has occurred in 28 (aged 34-9) of 1,288 cardiac surgical patients operated on in our institution between July 1998 and December 2001. In 20 of these patients (71%) CABG was a planned procedure and in the remaining eight heart valve prostheses implantation were planned. In all 28 cases ventricular fibrillation was a cause of ICA and all patients required indirect and/or direct cardiac massage up to the moment of ECC start. In the subgroup with coronary artery disease (CAD) eight patients (35%) had left main stenosis, 13 (46.4%) had myocardial infarction in medical history. In the group of valve patients mitro-aortis valve disease was diagnosed in three cases and mitro-aorto-tricuspid valve disease with CAD or mitral valve disease or aortic valve disease in single patients. ICA was the most frequent during sternotomy (eight cases), pericardium opening (seven cases) and harvesting of left internal mammary artery (LIMA). In 16 cases prolonged reperfusion was necessary after declamping of the aorta, and in two of these cases ECC re-entry was needed. Eight patients (28.6%) have died, in 14 cases (50%) low output syndrome has been diagnosed, in five cases (18%) myocardial infarction has occurred and, in nine cases (32%) different neurological complications have been found postoperatively and five patients required resternotomy. All these complications were significantly more frequent in the investigated group than in the whole population of patients. We conclude that pre-ECC ICA contributes to noticeable post-operative complications rate increase. Sternotomy and opening of pericardium are the most frequent moments when pre-ECC ICA appears. We have not found any significant preoperative risk factors for pre-ECC ICA.
  Annales Universitatis Mariae Curie-Skłodowska. Sectio D: Medicina 02/2004; 59(1):392-6.