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Biomedical subjects

B Pruszyński

Publications and source records attributed to B Pruszyński.

At least 19 recordsLinked to original sources
PubMed2000

[Efficacy of spiral computed tomography in evaluation of renal arteries in patients with renovascular hypertension].

UNLABELLED: The aim of this study is an estimation of efficacy of spiral computed tomography (SCT) in evaluation renal arteries in patients with renovascular hypertension. SCT was performed in 54 patients (32 females and 22 males) by means of Picker PQ 2000. The thickness 4 mm, index 4 mm, pitch 1.0. Contrast agents-Uropolinum 75% or Ultravist 350 were applied automatically 3-4 mm/sec. with delay 20-22 sec. Secondary reconstruction with 2 mm leyers was performed by Maximum Intensity Projection (MIP). In all patients the abdominal arteriography was performed as a reference method. The coincidence of both methods in evaluation of renal arteries occlusion or stenosis was estimated by Cohen kappa coefficient. In addition, sensitivity and specificity of SCT were estimated. RESULTS: Consistence of SCT and arteriography for right, left and additional renal artery were as follows: 0.914, 0.92, 0.85. Sensitivity and specificity SCT for rigt, left and additional renal artery were as follows: 95.5% and 95.8%, 96.5% and 95.8%, 50% and 100%. The highest efficacy of SCT was noted in ostium, the most difficult place in evaluation of renal artery during arteriography examination.

Adolescent↗
PubMed1998

[Intrahepatic portocaval shunt as a new method for treating and prevention of bleeding from esophageal varices in portal hypertension].

UNLABELLED: The aim of this study was the presentation of percutaneous transjugular intrahepatic porto-systemic shunt (TIPS) and its place among the other methods of the treatment of esophageal variceal bleedings. In the period from June 1992 to December 1997, 31 cirrhotic patients with portal hypertension and recurrent variceal bleedings were submitted for TIPS. This group consisted of 14 female and 17 male patients, their age ranging from 17 to 68 years (average 52). According to Child-Pugh classification 4 patients represented group A, 11--group B and 16--group C. Each of these patient was admitted to our Department after recurrent bleeding, resistant to typical treatment: terlipressein infusion, balloon tamponade and endoscopic sclerotherapy. In 24 patients (78%) TIPS was performed successfully. In 7 cases TIPS was performed in candidates for orthotopic liver transplantation. CONCLUSIONS: TIPS is quite new, nearly 10 years old method for portal decompression. It is an effective and less invasive method than surgical procedures in the treatment of portal hypertension, especially in Child-Pugh group B and C patients if the sclerotherapy is not effective. It protects cirrhotic patients waiting for liver transplantation against the esophageal bleedings.

Adolescent↗
PubMed1997

Problems of the Polish radiology in light of anticipated changes in the system of financing and organisation of the health care.

The present condition of radiology in Poland is evaluated. The main issues are the organisation, equipment and system of undergraduate and postgraduate training in radiology. The positive phenomena such as integration of all imaging techniques, good training of radiologists in the area of conventional radiology, establishing a number of modern imaging centres and lively international contacts, are presented. In light of anticipated changes in the organisation and financing of the health care as well as the possibility of increasing the integration of the Polish radiology with the European system of health care, the following seems advisable: reducing the exposure of the population to X-rays, prompt replacement of X-ray units which have been in use for over 15 years, improved effectiveness and modernization of postgraduate training in radiology and improved organisation of work, especially proper utilisation of the equipment.

Delivery of Health Care↗