5 research outputs found

    Vacuum ÔÇô assisted closure in neurosurgery as treatment option for purulent wounds after spinal implants procedures ÔÇô short preliminary report

    Get PDF
    We present a short preliminary report about the use of vacuum - assisted closure in infected and purulent wounds treatment after neurosurgical spinal procedures. Our report is based on the currently treated patients and points out to other neurosurgeons this therapeutic possibility. We are currently treating two severely injured patients in bad functional state. These patients had severe spine injuries and were therefore treated surgically by decompression and fusion. Patient No. 1 had C5 burst fracture treated by anterior and posterior stabilization, while patient No. 2 had Th4 burst fracture treated with posterior transpedicular stabilization. The patients developed purulent surgical site infection. Revision and wounds irrigation were ineffective. Desire to leave titanium implants in patientÔÇÖs spines (which is important for future rehabilitation), it was decided to use V.A.C┬« in wounds healing. We find that vacuum - assisted closure appears to be of significant benefit in such treatment. It is a good therapeutic option in the management of such patients; however, this issue requires more extensive research in the future

    Extensive ossifications of falx cerebri ÔÇô literature review based on own experience and case report

    Get PDF
    Extensive ossification of the falx cerebri occur rarely however are described in the world literature references. Ossifications may concern both cerebral falx and other dural structures: tentorium. They are most often incidental findings and occurrence frequency in the population is remains unclear. The authors of the study are reviewing references on this subject, based on a case of extensive falx ossification. Manuscript describes the case of incidental detected of extensive calcification of the anterior brain sickle in a patient after head injury. Computed tomography revealed no pathology, but extensive ossification of falx was described. The patient did not complain of any significant complaints or neurological symptoms. The described calcification constituted a median and sagittal bone or calcium plate separating the frontal lobes of the brain. Analyzing references did not identify such extensive ossification of falx cerebri in human, however dural ossifications are reported in the references

    Wisdom of the elderly

    Get PDF
    In the studies on wisdom of the elderly, there are two kinds of wisdom: pragmatic and transcendent (spiritual), which is a general respond to the world and is associated with the level of personality development. Through its specific context, old age creates conditions for achieving wisdom. The fact whether these opportunities will be used and lead to the development of human personality in old age depends on the individuals.W badaniach nad m─ůdro┼Ťci─ů os├│b starszych wyr├│┼╝nia si─Ö dwa rodzaje m─ůdro┼Ťci: pragmatyczn─ů i transcendentn─ů (ducho-w─ů), kt├│ra jest og├│lnym ustosunkowaniem do ┼Ťwiata i zwi─ů-zana jest z poziomem rozwoju osobowo┼Ťci. Przez sw├│j specyficzny kontekst, staro┼Ť─ç stwarza warunki do osi─ůgania m─ůdro┼Ťci. Tylko od konkretnych jednostek zale┼╝y czy wykorzystaj─ů te mo┼╝liwo┼Ťci i doprowadz─ů do rozwoju osobo-wo┼Ťci cz┼éowieka w okresie staro┼Ťci

    Place of the elderly and diversity of their life situation in todayÔÇÖs society

    Get PDF
    According to GUS data of December 2014, the share of the population aged 65 years and above in the total population of Poland in 2013 was 14.7% (every seventh citizen of the country). Forecasts for the upcoming years are as follows: in 2020 - 18.9%, in 2035 - 24.5% and in 2050 - 32.7%. The percentage of people aged 65 years and older is called aging of the population factor. Among these people, 35.81% are rural residents. In the cities, elderly population accounts for almost 16% of the whole population; in rural areas this number is significantly smaller and accounts for slightly more than 13% of the population. However, it is expected that due to growing migration, in a short time, most seniors will live in cities. As a result, the share of the elderly will exceed 30% in rural areas, while in the cities it will come close to 35%. The majority of the elderly are women (approx. 61%). This is due to the higher mortality of men - women now live five years longer on average. Forecasts indicate that in 30 years every third citizen of our country will belong to the group of older people [1, 2].Wed┼éug danych GUS-u, z grudnia 2014 roku, udzia┼é ludno┼Ťci w wieku 65 lat i powy┼╝ej w populacji og├│┼éem w Polsce wyni├│s┼é w roku 2013 ÔÇô 14, 7 % (co si├│dmy obywatel kraju). Prognozy na kolejne lata przedstawiaj─ů si─Ö nast─Öpuj─ůco: w 2020 ÔÇô 18,9%, w 2035 ÔÇô 24,5%, a w 2050 ÔÇô 32,7%. Odsetek os├│b w wieku 65 lat i wi─Öcej jest nazywany wsp├│┼éczynnikiem staro┼Ťci danej populacji. W┼Ťr├│d tych os├│b 35,81 % to mieszka┼äcy wsi. W miastach ludno┼Ť─ç w starszym wieku stanowi prawie 16% populacji; na terenach wiejskich mieszka ich zdecydowanie mniej i stanowi─ů niewiele ponad 13% mieszka┼äc├│w wsi.┬á Przewiduje si─Ö jednak, ┼╝e na skutek rosn─ůcej migracji, w nied┼éugim czasie wi─Ökszo┼Ť─ç senior├│w b─Ödzie zamieszkiwa┼éa w miastach. W rezultacie udzia┼é os├│b starszych przekroczy 30% na obszarach wiejskich, natomiast w miastach zbli┼╝y si─Ö do 35%. Wi─Öksza cz─Ö┼Ť─ç os├│b starszych jest p┼éci ┼╝e┼äskiej (ok. 61 %). Wynika to z wy┼╝szej umieralno┼Ťci m─Ö┼╝czyzn ÔÇô kobiety ┼╝yj─ů dzi┼Ť przeci─Ötnie o 5 lat d┼éu┼╝ej. Prognozy wskazuj─ů, ┼╝e za 30 lat ju┼╝ co trzeci obywatel naszego kraju b─Ödzie nale┼╝a┼é do grupy os├│b w starszym wieku [1, 2]

    Dynamics of changes in the mental sphere of man

    Get PDF
    Life-span psychology assumes that development is multidimensional and multidirectional process that lasts throughout life, from birth until death. The cycle of this process includes both progression and regressive changes. Changes in cognitive functioning appearing in the elderly are the result of transformations occurring in the nervous system. This leads to a reduction in psychomotor skills, memory processes, learning as well as changes in thinking, emotions and motivation. Older people, however, do not lose the ability to participate in the intellectual life. The decrease in efficiency does not occur simultaneously in all directions nor equally. Due to the body's compensatory abilities, new intellectual capabilities may occur in older people. Mental training, especially cultivated throughout life, including old age, is of great importance for maintaining cognitive performance in the elderly.Psychologia life-span zak┼éada, ┼╝e rozw├│j jest procesem wielowymiarowym i wielokierunkowym, kt├│ry trwa przez ca┼ée ┼╝ycie, od momentu narodzin, a┼╝ do ┼Ťmierci. W trakcie tego procesu zachodzi zar├│wno progresja, jak i zmiany wsteczne. Pojawiaj─ůce si─Ö w wieku podesz┼éym zmiany w fun-kcjonowaniu poznawczym, s─ů konsekwencj─ů przeobra┼╝e┼ä zachodz─ůcych w uk┼éadzie nerwowym. Dochodzi do obni┼╝e-nia zdolno┼Ťci psychomotorycznych, proces├│w zapami─Ö-tywania, uczenia si─Ö, a tak┼╝e zmian w zakresie my┼Ťlenia, emocji oraz motywacji. Osoby starsze nie zatracaj─ů jednak zdolno┼Ťci do uczestniczenia w ┼╝yciu intelektualnym. Spadek sprawno┼Ťci nie nast─Öpuje jednocze┼Ťnie we wszystkich kierunkach i w jednakowym stopniu. Dzi─Öki kompens-acyjnym zdolno┼Ťciom organizmu, mog─ů pojawia─ç si─Ö u star-szych os├│b nowe mo┼╝liwo┼Ťci intelektualne. Du┼╝e znaczenie dla podtrzymania sprawno┼Ťci poznawczych os├│b w starszym wieku ma trening umys┼éowy, zw┼éaszcza uprawiany przez ca┼ée ┼╝ycie ze staro┼Ťci─ů w┼é─ůcznie
    corecore