Application of Laserobaria 2.0_S device in the treatment of hard-to-heal wounds of mixed etiology — own experience

Introduction: The formation of hard-to-heal wounds can have many causes and is most often the result of the influence of several patient health factors. Some of the most difficult to treat effectively are wounds resulting from complications of diabetes, known as diabetic foot syndrome. Material and methods: Fifty-two patients (mean age 67 years ± 11.5) were eligible. All patients had chronic wounds of varied etiology in the lower limb, the previous treatment of which had not been satisfactory. Therapy parameters were selected individually; in addition to standard therapy, topical physical agents such as light therapy, pulsed electromagnetic field, ozone therapy, and oxygen therapy were included in the treatment. Each therapeutic cycle lasted 10 consecutive days (excluding Saturdays and Sundays), and each treatment lasted approximately 1 hour. Results: The analgesic effect of PEMF therapy was reported at 60% according to the VAS scale assessment. Pain was reduced from the third day of treatments, including for patients in whom pharmacological pain relief did not produce a clear improvement. Wound improvement, through granulation, after the first 10-day treatment cycle was observed in 40.5% of patients (14 k, 7 m). Four patients dropped the continuation of treatment because they did not see healing progress. Six patients dropped out of the next treatment cycle for other reasons (high cost of therapy, long distance of the clinic from home, and other socio-economic reasons). Conclusions: The high efficiency of combining standard treatment with innovative physical treatments allows for better patient care, which accelerates the necessary therapeutic steps toward holistic patient treatment. The authors recommend further multicenter, randomized, blinded trials to develop the optimal dosage to maximize the therapeutic effect and shorten the time to complete wound closure

Myofascial Trigger Points Therapy Modifies Thermal Map of Gluteal Region

Background. (ermal imaging may be effectively used in musculoskeletal system diagnostics and therapy evaluation; thus, it may be successfully applied in myofascial trigger points assessment. Objective. Investigation of thermal pattern changes after myofascial trigger points progressive compression therapy in healthy males and females. Methods. (e study included 30 healthy people (15 females and 15 males) with age range 19–34 years (mean age: 23.1 ± 4.21). (ermograms of myofascial trigger points were taken pre- and posttherapy and consecutively in the 15th and 30th minutes. Pain reproducible by palpation intensity was assessed with numeric rating scale. Results. Progressive compression therapy leads to myofascial trigger points temperature (p 0.02) and surface (p 0.01) in males. In females no statistically significant changes were observed. Manual treatment leads to a decrease in intensity of pain reproducible by palpation in males (p 0.03) and females (p 0.048). Conclusions. (e study indicates that myofascial trigger points reaction to applied therapy spreads in time and space and depends on participants’ sex

Digital-image analysis of the femoral shaft/neck angle in human foetuses

Measurements were made of the femoral shaft/neck angle (CCD angle) in 106 human foetuses, aged from 16 to 38 hbd, using a "FEM-GEO_03" computer program. The values of the CCD angle in the group under examination were: mean = 140.48°, SD = 6.95°, max = 157.90°, min = 113.93°. No significant differences were found in CCD angle size between male and female foetuses or between left and right bones. Dispersion analysis showed a decrease in the CCD angle during foetal development, which suggests that adaptation to a vertical position and bipedal gait starts during pregnancy and is manifest as an inborn feature

The use of mechanical thrombectomy in the treatment of basilar artery occlusion – case report

Occlusion of the basilar artery (BAO) is a rare cause of stroke, making up approximately 1% of all cases. Ischemic stroke within the basilar artery is associated with serious complications and high mortality (75–91%). BAO may occur initially in the form of mild prodromal symptoms with neurological disorders, the consequences of which can lead to death. For these reasons, BAO requires rapid diagnosis and treatment. We report the case of a 26-year-old man who suffered basilar artery occlusion and was treated with endovascular therapy. The patient was disqualified from intra-venous thrombolysis and endovascular treatment due to exceeding the therapeutic time window. Despite this, due to the location of ischemia and age of the patient, it was decided to proceed with a mechanical thrombectomy (TM). Vessel patency was restored using the Solitaire FR stent. Treatment continued with antiplatelet therapy. Despite a significant overshoot of the time window the procedure was successful and complete recanalization was achieved. During hospitalization, significant neurological symptom reductions were observed. There is no accurate data on which method of treatment of ischemic stroke is best for BAO. Expectations about the effectiveness of endovascular techniques are high

Knee Diameter and Cross-Section Area Measurements in MRI as New Promising Methods of Chondromalacia Diagnosis-Pilot Study.

Background and Objectives: Chondromalacia often affects the knee joint. Risk factors for the development of cartilage degenerative changes include overweight, female sex and age. The use of radiological parameters to assess the knee joint is rarely reported in the literature. Materials and Methods: The study involved 324 patients, including 159 (49%) women and 165 (51%) men, with an age range between 8-87 years (mean: 45.1 ± 20.9). The studied group had a body mass index (BMI) in the range of 14.3-47.3 (mean: 27.7 ± 5.02). A 1.5 Tesla and 3.0 Tesla (T) MRI scanner was used to assess the cartilage of the knee joint using the Outerbridge scale. The radiological parameters analyzed were the Insall-Salvati index, knee surface area, knee AP (antero-posterior) maximal diameter and knee SD (sinistro-dexter) maximal diameter. Results: Parameters such as the knee surface area, knee AP maximal diameter and knee SD maximal diameter showed a significant correlation with Outerbridge Scale (p < 0.014). The age of the patients showed a significant correlation with each knee parameter (p < 0.004). Results of knee AP and SD maximal diameter measurements strongly depended on BMI level. Conclusions: A significant relationship was found between the knee surface area, knee AP maximal diameter and knee SD maximal diameter and the advancement of chondromalacic changes in the knee joint, age and BMI

Relationship between Outerbridge Scale and Chondropathy Femorotibial Joint in Relation to Gender and Age-The Use of 1.5T and 3.0T MRI Scanners.

Background and Objective: Magnetic resonance imaging (MRI) enables the effective evaluation of chondromalacia of the knee joint. Cartilage disease is affected by many factors, including gender, age, and body mass index (BMI). The aim of this study was to check the relationship between the severity of chondromalacia of the femoro-tibial joint and age, gender, and BMI assessed with 1.5T and 3.0T MRI scanners. Materials and Methods: The cross-observational study included 324 patients-159 (49%) females and 165 (51%) males aged 8-87 (45.1 ± 20.9). The BMI of study group was between 14.3 and 47.3 (27.7 ± 5.02). 1.5T and 3.0T MRI scanners were used in the study. The articular cartilage of the knee joint was assessed using the Outerbridge scale. Results: The age of the patients showed a significant correlation with Outerbrige for each compartment of the femorotibial joint (Spearman's rank correlation rho: 0.69-0.74, p < 0.0001). A higher correlation between BMI and Outerbridge was noted in the femur medial (rho = 0.45, p < 0.001) and the tibia medial (rho = 0.43, p < 0.001) than in the femur lateral (rho = 0.29, p < 0.001) and the tibia lateral compartment (rho = 0.34, p < 0.001). Conclusions: The severity of chondromalacia significantly depends on age and BMI level, regardless of gender

Endovascular treatment of acute ischemic stroke – Own experience

Objective Presentation of the own experience in the treatment of ischemic stroke using endovascular methods of simultaneous evaluation of their effectiveness and safety. Materials and methods The retrospective study involved a group of 18 patients hospitalized in 2005–2012 who were treated with intraarterial thrombolysis and mechanical thrombectomy. Overall there were 24 procedures performed. The investigated group consisted of seven (38.89%) women and 11 (61.11%) men. The average age of the patients was 60 years (SD±17, median – 60 years). Results In 62.50% of cases (n=15) the effect of revascularization has been achieved and another 12.50% of cases (n=3) recanalization was achieved only partially. Only in 25% of procedures (n=6) failed to achieve recanalization of the artery (TICI≤1). The highest percentage of recanalized arteries were obtained by following the procedure of thrombolysis targeted – 69.24% (TICI≥2b). In the case of mechanical thrombectomy total patency (TICI≥2b) was 54.55%. The average duration of treatment (operation) is 157min. After 30 days successful result of the neurological status was achieved in 57.14% of patients (n=8). Full return to independent functioning as defined within 3 months after the surgery (mRS≤2) reached 57.14% of patients (n=8). Conclusion Studies suggest that endovascular techniques are effective and safe in the treatment of ischemic stroke. Greater efficiency is characterized by intraarterial thrombolysis. Patients who were treated endovascular improved significantly

Biliary duct obstruction treatment with aid of percutaneous transhepatic biliary drainage

AbstractIntroductionPercutaneous Transhepatic Biliary Drainage (PTBD) is a procedure indicated in patients with non-operative lesions, when endoscopic application of prosthesis is impossible due to anatomic reasons, complications or severe general condition of patient. Most often it is a palliative procedure, aiming for live-quality improvement, although not altering prognosis of basic disease.AimThis study presents own experience in biliary drainage with the aid of percutaneous transhepatic method and simultaneous assessment of method effectiveness and safety. The aim was to assess outcomes and complications of PTBD in a large group of patients.Materials and methodIn time period 2007–2014, 167 patients hospitalized in Radiodiagnostics and Radiology Department of Clinical Hospital, were investigated retrospectively. PTBD procedure was applied to patients with biliary tract obstruction. In total 186 procedures of percutaneous drainage were applied. Average age of patients was 63.6years. Bilirubin, alkaline phosphatase and gamma-glutamyl transferase were measured before and after procedure. All data were analyzed statistically.ResultsIn examined group percutaneous drainage was successful in 90.7% interventions. In 8.1% procedures drainage application was ineffective. The most common complication during procedure was hemobilia (3.2%) and the long term complication was drain dislocation (2.7%). The mean bilirubin levels declined from 397.06μmol/l before drainage to 297.88μmol/l after drainage (p<0.05).ConclusionsPTBD is an effective method of biliary tract decompression and it is an important alternative to endoscopic drainage. This method is indicated in patients with neoplastic obstruction of biliary tract with low expected survival rate and thus is a palliative procedure

Detection of Pulmonary Embolism on CT-Angiography Using Contrast Attenuation of Pulmonary Veins

Background: In areas of pulmonary embolism (PE), the enhancement of pulmonary veins on computed tomography pulmonary angiography (CTPA) should be decreased due to reduced arterial perfusion. Purpose: The purpose of this study was to investigate the accuracy of contrast density measurements (differences) in all pulmonary veins and the left atrium for the prediction of PE. Materials and Methods: 75 patients with PE and 22 patients without PE on CTPA were included. 4 readers measured the enhancement of the blood in the pulmonary vein immediately before the entrance to the left atrium, right after the aperture, in the center of the left atrium, in the pulmonary trunk and in the aorta. Enhancement of the pulmonary veins with and without upstream PE, and ROC curves with HU thresholds for optimal sensitivity and specificity for PE were calculated. Results: More PEs were found in the right and lower lobes. PE-affected lobes demonstrated 13.8+/-45 HU less enhancement in the pulmonary vein, compared to a paired non-affected pulmonary vein of the same patient (P &lt; 0.0001). On average, non-affected pulmonary veins demonstrated no difference in enhancement compared to each other: 0.2 +/-21 HU. The optimal cutoff level in the ROC curve analysis for PE affection proved to be decreasing enhancement in the pulmonary vein of more than 10 HU, compared to the atrium. Conclusion: Decreasing enhancement in the pulmonary vein of more than 10 HU compared to the atrium could provide additional information and confidence in the diagnosis of PE

Berberine, a popular dietary supplement for human and animal health: Quantitative research literature analysis a review

Berberine is an alkaloid with a wide range of reported beneficial health effects. The current work provides an extensive literature analysis on berberine. Bibliometric data were identified by means of the search string TOPIC=(berberin* OR umbellatine*), which yielded 5,547 publications indexed in the Web of Science Core Collection electronic database. The VOSviewer software generated bubble maps to visualize semantic terms with citation results. The ratio of original articles to reviews was 13.6:1. The literature has been growing more quickly since the 2010s. Major contributing countries were China, the United States, India, Japan, and South Korea. Most of the publications appeared in journals specialized in pharmacology pharmacy, biochemistry molecular biology, chemistry, and plant science. Some of the frequently mentioned chemicals/chemical classes were alkaloid, palmatine, jatrorrhizine, coptisine, isoquinoline, and sanguinarine. The prevalent medical conditions under investigation included Alzheimers disease, cancer, diabetes, and obesity.Acknowledge the support by the Polish KNOW (LeadingNational Research Centre) Scientific Consortium “Healthy Animal-Safe Food,” decision of Ministry of Science and Higher Education No. 05-1/KNOW2/2015 and the European Union under the European Regional Development Fund (Homing/2017-4/41). Antoni Sureda has been supported by the Institute of Health Carlos III (Project CIBEROBN CB12/03/30038). Joanna Feder-Kubis was financed by the Polish Ministry of Science and Higher Education for the Faculty of Chemistry of Wrocław University of Science and Technology.info:eu-repo/semantics/publishedVersio