Grzegorz Cieslar

Grzegorz Cieslar
Medical University of Silesia in Katowice | SUM · Department of Internal Medicine, Angiology and Physical Medicine

Prof., MD, PhD

About

261
Publications
37,071
Reads
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1,044
Citations
Citations since 2016
140 Research Items
668 Citations
2016201720182019202020212022050100150
2016201720182019202020212022050100150
2016201720182019202020212022050100150
2016201720182019202020212022050100150
Introduction
Grzegorz Cieslar currently works at the Department of Internal Medicine, Angiology and Physical Medicine, Medical University of Silesia in Katowice. Grzegorz does basic and clinical research in therapeutic mechanisms and medical applications of extremely low frequency magnetic fields, low-energy light, hyperbaric oxygen, whole body cryotherapy as well as photodiagnosis and photodynamic therapy. His current project is " Combined physical therapy of chronic wounds" and "Influence of whole-body cryostimulation on homeostatis of healthy subjects".
Additional affiliations
October 2007 - June 2017
Stanisław Staszic University of Applied Sciences in Piła
Position
  • Professor
Position
  • 1999- Ass. Professor and Vice-Head of Department and Clinic of Internal Diseases
Position
  • Angiology and Physical Medicine in Bytom
Education
December 2012 - September 2013
School of Medicine with the Division of Dentistry in Zabrze Medical University of Silesia in Katowice
Field of study
  • Internal Medicine
March 2005 - October 2006
School of Medicine with the Division of Dentistry in Zabrze Medical University of Silesia in Katowice
Field of study
  • Internal Medicine
January 1988 - June 1989
School of Medicine with the Division of Dentistry in Zabrze Medical University of Silesia in Katowice
Field of study
  • Internal Medicine

Publications

Publications (261)
Article
Full-text available
The poor prognosis of patients with esophageal cancer leads to the constant search for new ways of treatment of this disease. One of the methods used in high-grade dysplasia, superficial invasive carcinoma, and sometimes palliative care is photodynamic therapy (PDT). This method has come a long way from the first experimental studies to registratio...
Article
Treatment with ozone therapy is of interest in many fields of medicine. In the field of angiology, ozone is used to treat infected wounds that are difficult to heal. In this case report, the authors report the introduction of innovative therapeutic equipment into clinical practice to accelerate the healing process of clinical wounds by the external...
Article
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Modern high-resolution volumetric tomography, commonly known as cone beam computed tomography (CBCT), is one of the most innovative imaging techniques which can provide views of anatomical structures not attainable by conventional techniques. Magnetic field LED therapy is a physical therapy method, combining the effects of the Extremely Low Frequen...
Article
Full-text available
Background and objectives: For many years, medicine has been looking for effective methods to be used in the treatment of chronic wounds. Pharmacological treatment is insufficient and does not give expected results of treatment. In the comprehensive treatment of wounds, physical medicine methods have been used, which are characterized by high effi...
Article
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Upconversion (UC) is a process that describes the emission of shorter-wavelength light compared to that of the excitation source. Thus, UC is also referred to as anti-Stokes emission because the excitation wavelength is longer than the emission wavelength. UC materials are used in many fields, from electronics to medicine. The objective of using UC...
Article
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Cardiovascular diseases (CVDs) in the course of atherosclerosis are one of the most critical public health problems in the world. Endothelial cells synthesize numerous biologically active substances involved in regulating the functions of the cardiovascular system. Endothelial dysfunction is an essential element in the pathogenesis of atheroscleros...
Article
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Background: Diabetes mellitus is one of the most common metabolic diseases. The most serious complication of diabetes is diabetic foot ulcer, which affects several million people around the world each year. In recent years, increasingly modern methods of physical medicine including hyperbaric oxygen therapy have been used often in the complex thera...
Article
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Metabolic syndrome (MS) is not a single disease but a cluster of metabolic disorders associated with increased risk for development of diabetes mellitus and its complications. Currently, the definition of MS published in 2009 is widely used, but there are more versions of the diagnostic criteria, making it difficult to conduct scientific discourse...
Chapter
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Cancer and cardiovascular diseases are the most common causes of morbidity and mortality in developed countries. In some patients, cancer coexists with previously diagnosed cardiovascular disease. It has been found that some methods of oncological treatment may contribute to the development of systolic or diastolic dysfunction of the heart muscle,...
Chapter
Full-text available
Dyslipidemia is an important risk factor for the development of atherosclerotic cardiovascular diseases, which are the main cause of death in Poland. One of the pharmacotherapy options for dyslipidemia, especially for subjects with low cardiovascular risk, is supplementation with red fermented rice preparations with the use of Monascus purpureus ye...
Conference Paper
Full-text available
Tyrosine kinase inhibitors are an important tool in the targeted therapy of malignant neoplasms, which consists in possibly selective inhibition of biochemical signal transduction pathways involved in the oncogenesis process, which is associated with greater efficiency and safety compared to conventional chemotherapy. This group of drugs includes i...
Article
Introduction Recently, increased frequency of chronic leg ulcers has been observed. The aim of the study was to compare therapeutic efficacy of combined physical therapy to topical hyperbaric oxygen therapy in the treatment of venous leg ulcers. Materials and Methods Participants included 36 patients (14 females and 22 males) between 18 and 80 yea...
Article
A significant health problem in many countries of the world is the occurrence of hard to heal leg ulcers. In recent years modern methods of physical medicine in comprehensive treatment have been used often including ozone therapy. The study included 54 patients, 25 male and 29 female in age between 39 and 87 years (mean age: 66.7 ± 11.9 years) with...
Conference Paper
Full-text available
Transthoracic echocardiography plays a fundamental role in the assessment of the geometry and systolic function of the right ventricle. The parameter most widely used in routine clinical practice to assess right ventricular systolic function is tricuspid annular plane systolic excursion (TAPSE) assessed by univariate imaging. Other parameters desig...
Conference Paper
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Echocardiographic assessment of left ventricular diastolic function is of great interest and is particularly important in patients with suspected heart failure who have no evidence of systolic dysfunction. The structural basis of diastolic dysfunction is myocardial remodeling, leading to increased left ventricular filling pressure. There are three...
Conference Paper
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Pulmonary hypertension (PH), defined as abnormal increase in pressure in the pulmonary artery is not a homogeneous disease, but it may be a consequence of many processes of various etiopathogenesis, involving primarily the heart, lungs and pulmonary vessels. In clinical practice, the etiological classification of PH, developed by the European Socie...
Article
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Diabetes mellitus (DM) is a strong risk factor for the development of cardiovascular diseases (CVDs), which are the most important cause of morbidity and mortality in the population of patients living with DM. DM is associated with lipid metabolism disorders characterized by a decrease in the high-density lipoprotein blood concentration, an increas...
Conference Paper
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Cardiovascular diseases in the course of atherosclerosis are one of the most important health problems in the world. Atherosclerosis is a chronic inflammatory disease of the arteries, and dyslipidemia is an important risk factor for its development. The term dyslipidemia should be understood as abnormalities in the concentration of lipid metabolism...
Conference Paper
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Cardiovascular diseases are the leading cause of death among people worldwide, and the most crucial pathogenetic process leading to the development of these diseases is atherosclerosis. Scientific research aimed at deepening the knowledge on the pathogenesis of cardiovascular diseases in the course of atherosclerosis and at identifying new markers...
Conference Paper
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Diabetes mellitus is not only a condition of chronic hyperglycemia, but a complex disorder of carbohydrate, lipid, and protein metabolism. It is one of the most important risk factors for the development of cardiovascular diseases. The essence of type 1 diabetes is absolute insulin deficiency, and the essence of type 2 diabetes is relative insulin...
Article
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Colonoscopy is a fairly common test that serves both diagnostic and therapeutic purposes. It has been considered the gold standard in colorectal cancer screening for several years. Due to the nature of the examination, various types of complications may occur. The purpose of this analysis is to describe the various complications related to the peri...
Conference Paper
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The intima-media thickness (IMT) is the total thickness of the inner and middle layer of the artery wall as measured by ultrasound in presentation B. In clinical practice, the IMT is measured several times on the posterior wall of the common carotid artery (approximately one centimeter below the carotid division), then calculating the arithmetic me...
Conference Paper
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The toe-brachial index (TBI) is defined as the ratio of systolic blood pressure measured at the level of the big toe to the value of systolic blood pressure measured at the level of the upper arm in a supine patient. It is assumed that under normal conditions the TBI value exceeds 0.7, although the adoption of such a criterion raises some controver...
Chapter
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Diabetes mellitus is a heterogeneous group of diseases whose common feature is chronic hyperglycemia. Diabetes mellitus can lead to chronic complications including diabetic neuropathy. Gastroparesis is a disorder of gastric emptying that is not due to the presence of a mechanical obstruction. Gastroparesis may be one of the manifestations of diabet...
Article
Herpes zoster (shingles) is an acute infectious viral disease that may develop in individuals who have previously had chickenpox. Unlike chickenpox, shingles is more likely to occur in adults, with the risk increasing with age. The paper presents treatment outcomes in a 63-year-old patient with severe thoracic pain persisting for 5 weeks. The treat...
Conference Paper
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Restenosis is an important phenomenon that contributes to the limitation of the effectiveness of percutaneous balloon angioplasty with or without stent implantation. The results of the studies conducted so far indicate that inflammation plays an important role in the pathogenesis of in -stent restenosis. C-reactive protein promotes the synthesis of...
Conference Paper
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Endovascular procedures (percutaneous transluminal angioplasty, optionally with stent implantation) play an important role in the treatment of atherosclerotic diseases, such as coronary artery disease, chronic lower limb ischemia, and carotid atherosclerosis. The phenomenon of restenosis is the relapse of stenosis in the artery after angioplasty....
Article
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Breast cancer is the most common cancer affecting women and the incidence of occurrence is increasing. Currently, there are many methods of detecting and treating breast cancer. Some treatments have a number of side effects. Photodynamic therapy (PDT) is a minimally invasive method of treatment which uses monochromatic light of low to medium energy...
Article
Rany trudno gojące się stanowią istotny problem zdrowotny w populacji światowej. Właściwa diagnoza i odpowiednie leczenie są niezbędne w celu przyspieszenia ich gojenia oraz zapobiegania dalszym powikłaniom. Z dotychczasowych doświadczeń klinicznych wynika, że w przypadku wielu ran trudno gojących się o różnej etiologii jedynie kompleksowe postępow...
Article
Full-text available
Diabetes mellitus (DM) is a strong risk factor for the development of cardiovascular diseases such as coronary heart disease, cerebrovascular disease, and peripheral arterial disease (PAD). In the population of people living with DM, PAD is characterised by multi-level atherosclerotic lesions as well as greater involvement of the arteries below the...
Conference Paper
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Dyslipidemia jest czynnikiem ryzyka rozwoju chorób układu sercowo-naczyniowego w przebiegu miażdżycy, które stanowią jeden z najważniejszych problemów zdrowotnych na świecie. Możliwości leczenia farmakologicznego dyslipidemii powiększyły się znacząco w ciągu ostatnich lat, a wprowadzenie do praktyki klinicznej inhibitorów PCSK9 (przeciwciała monokl...
Conference Paper
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Ewinakumab jest przeciwciałem monoklonalnym, którego mechanizm działania polega na hamowaniu aktywności białka 3 podobnego do angiopoetyny (ANGPTL3, ang. angiopoietin-like protein 3). Białko ANGPTL3 jest syntetyzowane przede wszystkim w wątrobie i pełni funkcję regulatora aktywności lipazy lipoproteinowej oraz lipazy endotelialnej. Dotychczasowe wy...
Article
Background The anti-inflammatory and antibacterial action of preparations used during oral hygiene procedures is particularly important in patients with oral cleft. Few reports have been published assessing the influence of natural products on the state of the oral cavity in patients with oral cleft. The aim of this study was to assess the effect o...
Chapter
Full-text available
Cardiovascular disease in the course of diabetes is an important public health problem worldwide. Thromboembolic phenomena play a role in the pathogenesis of cardiovascular diseases in the course of atherosclerosis, including cardiovascular events. The results of the studies conducted so far indicate that in diabetic patients there is an increase i...
Chapter
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Acetylsalicylic acid is one of the most important antiplatelet drugs commonly used in routine clinical practice, especially in the secondary prevention of cardiovascular events. The mechanism of action of the drug is based on the inhibition of cyclooxygenase-1 (COX-1) activity in platelets as a result of irreversible acetylation of the seryl residu...
Chapter
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The purpose of this study was to review the literature and present the most important information on the criteria of diagnosis, epidemiology and selected mechanisms of the frailty syndrome pathogenesis. The literature review was based on the works indexed in PubMed and Google Scholar databases. Frailty syndrome is an interdisciplinary problem, whic...
Chapter
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The frailty syndrome is a condition resulting from a multi-system lowering of physiological reserves, weakening of resistance to stressful situations, as a result of which any factor disturbing the homeostasis, even of a relatively minor intensity, may lead to a significant deterioration of health and even death. The frailty syndrome most often occ...
Chapter
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Low-dose acetylsalicylic acid is one of the most important antiplatelet drugs used in the prevention of cardiovascular events. The benefits of using this drug are greatest in the case of secondary prevention, in people with a past cardiovascular event. However, it has been observed that in some patients platelets are resistant to the effects of ace...
Chapter
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The term hemostasis covers all physiological phenomena that are responsible for the inhibition of bleeding when the continuity of the blood vessel wall is interrupted, as well as for maintaining the fluidity of circulating blood. The correct structure and function of platelets is one of the elements that determine proper hemostasis. Platelets are s...
Chapter
Full-text available
Takayasu’s arteritis is a rare inflammatory disease of large vessels that usually affects the aorta and its branches, and less commonly, the pulmonary arteries. The pathogenesis of Takayasu's arteritis is not fully understood. So far, attention has been focused mainly on the role of autoimmune mechanisms and genetic predisposition. There are also r...
Article
Tibiotalocalcaneal arthrodesis (TTCA) is an increasingly used method of stiffening the ankle and subtalar joints in advanced degenerative deformities. The study group consisted of 19 men who were subjected to intramedullary and intra-osseous arthrodesis using an intramedullary nail. The average age of patients was 46 (range 19 to 68) years. The mai...
Article
Background: Early diagnosis of patients with Barrett's esophagus is required to implement appropriate treatment to prevent neoplastic disease development. In this work, we examined the usefulness of autofluorescence imaging as a method to increase the sensitivity of targeted biopsy under numerical color value control with the additional conversion...
Conference Paper
Full-text available
Choroby układu sercowo-naczyniowego w przebiegu miażdżycy są jedną z najważniejszych przyczyn chorobowości i umieralności na świecie. Identyfikacja osób o zwiększonym ryzyku rozwoju miażdżycy i wystąpienia zdarzeń sercowo-naczyniowych, a także rozpoznanie początkowego etapu dysfunkcji naczyń tętniczych jest więc istotnym zagadnieniem. Śródbłonek je...
Conference Paper
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Śródbłonek składa się z pojedynczej warstwy komórek, wyścielających wewnętrzną warstwę ściany naczyń krwionośnych, które wydzielają substancje wpływające na błonę mięśniową oraz przepuszczalność naczyń, układ krzepnięcia i fibrynolizy, oddziaływanie krwinek białych i płytkowych ze ścianą naczynia, a także regulację procesu zapalnego. Dysfunkcja śró...
Chapter
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Chronic lower limb ischemia is a manifestation of peripheral arterial disease that affects the arteries of the lower extremities. The most common cause of the disease is atherosclerosis. A typical symptom is intermittent claudication, the severity of which is assessed in the Fontaine scale. In the physical examination, the most important role is pl...
Chapter
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Obesity is an important risk factor for the development of civilization diseases, such as metabolic syndrome, hypertension, type 2 diabetes and atherosclerosis. The prevalence of overweight and obesity in the world has increased significantly over the past decades. It has been observed that some obese people do not develop metabolic disorders. Such...
Conference Paper
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Nadciśnienie tętnicze jest jedną z najczęściej występujących chorób układu sercowo-naczyniowego. Szacowana liczba chorych w Polsce przekracza dziesięć milionów. Nieoptymalnie leczone nadciśnienie tętnicze znacząco zwiększa ryzyko powikłań, do których należy między innymi udar mózgu, przemijający atak niedokrwienny oraz przewlekłe zmiany neurodegene...
Conference Paper
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Nadciśnienie płucne jest stanem polegającym na przewlekłym podwyższeniu średniej wartości ciśnienia krwi w tętnicy płucnej. Wyróżnia się pięć głównych grup etiologicznych nadciśnienia płucnego. Symptomatologia obejmuje głównie postępującą duszność wysiłkową, a w bardziej zaawansowanym stadium może wystąpić również ból o charakterze stenokardii. Pod...
Article
Herpetic withlow is a bacterial inflammation of the nail fold. The withlow is characterized by a bulla appearing in the area of the nail matrix, thickened warmed skin and strong pulsating pain ailments. In recent years, selected physical procedures have been used more and more often in the treatment of diseases in which inflammation occurs with acc...
Conference Paper
Full-text available
Dyslipidemia stanowi ważny modyfikowalny czynnik ryzyka sercowo�naczyniowego. Najważniejszym celem terapeutycznym w profilaktyce i leczeniu chorób układu sercowo-naczyniowego jest obniżenie stężenia cholesterolu frakcji lipoprotein o niskiej gęstości (LDL-C) poniżej wartości docelowej, ustalonej indywidualnie na podstawie oceny ryzyka sercowo-naczy...
Article
Full-text available
Treatment of malocclusions using fixed orthodontic appliances makes it difficult for patients to perform hygiene procedures. Insufficient removal of bacterial biofilm can cause enamel demineralization, manifesting by visible white spot lesions or periodontal diseases, such as gingivitis periodontitis or gingival hyperplasia. The classic methods of...
Article
Full-text available
Chronic and infected leg ulcers (LUs) are painful, debilitating, resistant to antibiotics, and immensely reduce a patient’s quality of life. The purpose of our study was to demonstrate the efficacy of photodynamic therapy (PDT) for the treatment of infected chronic LUs. Patients were randomized into two experimental groups: the first group received...
Conference Paper
Full-text available
Heart failure is one of the most serious complications of oncological treatment in the cardiovascular system. The structural basis of heart failure is myocardial systolic or diastolic dysfunction. Myocardial dysfunction due to oncological treatment is called cardiotoxicity. Drugs that may lead to cardiotoxicity include anthracyclines, taxanes, cisp...
Conference Paper
Full-text available
Diabetes mellitus is a strong cardiovascular risk factor which, as a result of numerous metabolic disorders, leads to the accelerated development of atherosclerosis and its underlying diseases, such as e.g. coronary artery disease and chronic lower limb ischemia. Cardiovascular events are the leading cause of mortality in the diabetic population. D...
Conference Paper
Full-text available
Diabetes mellitus is one of the biggest health problems in the world. It is estimated that around 422 million people suffer from the disease worldwide and the number of patients is systematically growing. As a consequence of inadequate glycemic control, chronic complications such as neuropathy, angiopathy, nephropathy, and retinopathy may occur. Th...
Conference Paper
Full-text available
Takayasu's arteritis is a rare inflammatory disease of large vessels that most commonly affects the aorta and its branches, less often the pulmonary arteries. The disease more often affects young women and people with HLA-B*52, HLA-B*13 and other alleles. The pathogenesis is not fully understood. It includes such phenomena as granulomatous inflamma...
Conference Paper
Full-text available
The term haemostasis covers all physiological processes that are responsible for preventing blood extravasation in the event of damage to the blood vessel wall, and for maintaining intravascular blood flow. Platelets, plasma coagulation factors, walls of blood vessels and the fibrinolytic system are involved in the process of haemostasis. Haemorrha...
Article
Background Oral cavity squamous cell carcinoma is a common cancer of the head and neck region. Due to the frequency of diagnoses, high rate of mortality, mutilating nature of classic therapy and numerous complications, new methods of treatment are being sought. One promising solution for treatment that is utilized in many fields of oncology is phot...
Article
Full-text available
Introduction: Treatment of decubitus ulcers is a grave medical problem. In many cases, it is difficult to cure a pressure ulcer, especially when it is deep and extensive, and prognosis is usually unfavourable. Treatment of decubitus ulcers requires new specialist dressings, which play an important role in the healing process. Aim: To evaluate th...
Conference Paper
Full-text available
Zespół słabości (ang. the frailty syndrome) jest jednym z wielkich problemów geriatrycznych. Wynika z wieloukładowego obniżenia dostępnych rezerw ustroju, co prowadzi do utrudnionej adaptacji do sytuacji stresowych, a także wiąże się ze zwiększonym ryzykiem takich niekorzystnych zjawisk, jak infekcja, upadek, pogorszenie funkcji poznawczych, a takż...
Conference Paper
Full-text available
Zespół słabości (ang. the frailty syndrome) jest ważnym problemem medycznym, zwłaszcza w populacji chorych w podeszłym wieku. Wiąże się z pogorszeniem zdolności adaptacyjnych organizmu. Jest istotnym czynnikiem pogarszającym rokowanie, a jego występowanie lepiej niż wiek metrykalny odzwierciedla stan ogólny chorego. Wskaźnik kostka-ramię (ABI) jest...
Conference Paper
Full-text available
Kwas acetylosalicylowy (ASA) jest lekiem przeciwpłytkowym powszechnie stosowanym w praktyce klinicznej w leczeniu między innymi takich chorób, jak choroba wieńcowa, miażdżycowa choroba naczyń mózgowych oraz choroba tętnic obwodowych. Odgrywa istotną rolę w prewencji zdarzeń sercowo-naczyniowych. U części chorych stwierdza się jednak oporność na ASA...
Conference Paper
Full-text available
Kwas acetylosalicylowy (ASA) jest jednym z najczęściej stosowanych leków przeciwpłytkowych. Mechanizm działania ASA polega na nieodwracalnym zahamowaniu aktywności cyklooksygenazy-1 (COX-1) w obrębie płytek krwi w wyniku acetylacji reszty serylowej. W wyniku tego dochodzi do nieodwracalnego zahamowania syntezy tromboksanu A2, który jest mediatorem...
Article
Objectives: Venous crural ulcer is a serious medical problem indeed, which is connected with patients' suffering and long term treatment generating high cost. The prognosis is unfavourable in many cases, as complete treatment of ulceration, when it is profound or really extensive is difficult to achieve, and sometimes impossible altogether. The ai...
Article
Venous ulcers in lower legs remain a profound treatment problem in contemporary medicine. Proper healing requires, among other things, sufficient blood supply and provision of suitable amount of oxygen to the treated tissues. The aim of the study was to assess the influence of combined physical therapy applied in patients with chronic venous leg ul...
Article
Introduction. There is a need to develop a new imaging technique in medicine. Gastroenterology is the branch of medicine focused on the digestive system and its disorders therefore for this branch is needed to detect all problems affecting the gastrointestinal tract. Aim. The aim of this article is to complete discuss the possibility of the new flu...