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Biomedical subjects

D Jurkiewicz

Publications and source records attributed to D Jurkiewicz.

At least 37 records · Page 2Linked to original sources

[The value of gastrointestinal antigens in the monitoring of patients with malignant head neoplasms].

The authors present the results of examinations of test on the sensitivity of biochemical tumor marker (Ca 19-9) in a group of 35 patients with head malignant tumors. The sensitivity (SE) of Ca 19-9 was 22.9% in preliminary study. The values of Ca 19-9 changed from 22.9% to 25.9% in monitoring of tumors. Positive predictive value (PV+) and specify (SP) were 100% in preliminary study and in monitoring. Negative predictive value (PV-) was 50.9% in preliminary study and 51.6% in monitoring. In 25 patients we observed changes in examined parameters: SE--35%, SP--100%, PV(+)--100%, PV(-)--42.1% in monitoring. Our study indicates that serum levels of Ca 19-9 were higher in patients with head tumors than in control group. The surgical treatment of tumors didn't change the values of Ca 19-9.

Adolescent↗

[Use of long-acting drainage (sino-ject) in treatment of chronic maxillary sinusitis].

The authors present the results of treatment of chronic maxillary sinusitis with punctures and with permanent drainage (sino-ject). The use of permanent drainage shortened the time of treatment and increased percentage of very good results of treatment. Presented method of permanent drainage of maxillary sinus avoid many punctures of sinus. The drainage of sinus allow for each day rinsing of sinus with physiological saline and with drugs (mucolitic, antibiotic) and also for bacteriological examination of sinus secretion. As in classical puncture of maxillary sinus the permanent drainage play a diagnostic and therapeutic roles. The permanent drainage of maxillary sinus allow for inflow of oxygen into sinus and protect from anaerobic infection. The fact that puncture needle is pushed to a depth of only 1 cm greatly reduces the risk of injuring neighbouring structures. This method enables puncture of maxillary sinus with minimum trauma and hardly any pain.

Adult↗

[Use of "rinoflow" inhalation in treatment of paranasal sinusitis].

The inflammatory pathologies of the ENT tract are often characterized by presence of catarral, mucous-purulent and crusty secretions. In such cases, an efficient therapy has to change the dense secretions as first and then remove them. "Rinoflow" is a compressor-micronizer chamber system specially designed for treatment of affections of upper respiratory tract. We used Rinflow in treatment of 62 patients (23 female and 39 male, mean age 42.7 years) with chronic paranasal sinusitis. The results of treatment were estimated by patients, physicians and X-ray examinations. We observed in 37 patients (59.7%) good results after treatment. The use of "rinoflow" was practically effected when the secretions were blocking the natural ostium of paranasal sinuses.

Adolescent↗

[Tumor markers in monitoring of neoplasms].

Prophylaxis, diagnosis, radical treatment and monitoring have a basic significance in the clinic of head cancers. The aim of the clinical course of malignant disease preferred prematurely detection of the recurrence. In the monitoring wide applications have tumor markers. The authors present the results on the sensitivity of seven biochemical tumor markers (AFP, Ca-9, CEA, TPA, NSE, ferritin and SCC) in 42 patients with neoplasm of the head. The sensitivity is for AFP-0%, CEA-10%. Attention was drawn to the relatively high sensitivity for TPA, NSE, ferritin and SCC, particularly for the neoplasms of oral cavity (TPA-45%, NSE-68%, ferritin-38%, SCC-55%) and the pharynx (Ca 19-9-38%, TPA-63%, NSE-62%, ferritin-42%, SCC-83%).

Adolescent↗

[Rare malignant tumors of the larynx].

The study presents rare neoplasms of larynx. The authors introduce epidemiology, clinical history and medical treatment in two cases of adenocarcinoma and one case of sarcoma. The authors call attention to high malignancy of tumors, early metastases to neck lymph nodes and distant metastases.

Adenocarcinoma↗

[Delto-pectoral flap in reconstruction of esophagus after laryngectomy].

The authors present the case of 67 years old male with carcinoma of larynx and hypopharynx. The tumor was resected by total laryngectomy enlarged by partial resection of hypopharynx and esophagus. The reconstruction of hypopharynx and esophagus was made using deltopectoral flap because with a successful effect.

Aged↗

[Microsurgery of larynx in own material at the Otolaryngological Clinic of the Central Clinical Hospital at the Military School of Medicine].

In paper authors presented own material of performed in the years 1991-1996 in Clinic of Otolaryngology Central Clinical Hospital Military School of Medicine microsurgical operations of larynx (classic and laser). The authors postulate that indications for clinical diagnostic and therapeutic procedures should be considerably extended in diseases of larynx. This operating technique considerably shorten hospitalization period of patients and significantly contribute to an increase of percentage of early diagnoses of cancer of the larynx.

Adult↗

[Laser surgery and interferon in the treatment of laryngeal papilloma].

The laryngeal papilloma is very doubtful disease in children. The unknown etiology cause that there wasn't complete radical method in the treatment of laryngeal papilloma. Authors presented a case of 11 years old girl with recurrent laryngeal papilloma, who was treated twice with laser microsurgery without successful results. The 6 months application of interferon alfa after third laser microsurgery resulted in more than one year of remission of the disease.

Child↗

[Endoscopic surgery of the sinus: own experiences].

In the Clinic of Otolaryngology Central Clinical Hospital Military School of Medicine in Warsaw in years 1992-1996 there were performed 187 endoscopic operations of nose and paranasal sinuses. Authors analised own material paying particular attention to indications, benefits and failures of these operations. Authors postulate that indications for clinical diagnostic and therapeutic procedures of this technique should be considerably extended in diseases of nose and paranasal sinuses. The application of endoscopic sinus surgery in our Clinic decreased the number of more extended operations of paranasal sinuses.

Adolescent↗

[Rhinomanometry: a method of objective study of nasal patency].

Rhinomanometry is the most applied method of evaluation of nasal patency in the world. In the study the authors present application of rhinomanometry in the diagnosis of the nose disease. On own material the authors introduce the technique of rhinomanometry and interpretation of its results.

Manometry↗

[The evaluation of cellular immunity in patients with allergy to pollen].

The study comprised 180 patients with pollinosis, 30 patients with vasomotor rhinitis and 30 healthy male adults. The skin reactions of cellular immunity were determined by Multitest CMI. The numbers of lymphocytes T and numbers of CD4 and CD8 lymphocytes were determined under influence of histamine or clemastinum and histamine or cimetidine and histamine. There were statistically significant decrease of percentage of CD8 lymphocytes in patients with pollinosis after addition of histamine. Statistically significant increase of percentage of CD8 lymphocytes after the addition of H2 receptor blocker indicated that blocking of this receptor neutralized the effect of histamine on the CD8 lymphocytes. Author observed increase of Multitest CMI skin reactions (particularly for antigens: Streptococcus and Proteus mirabilis).

Adolescent↗

[The influence of antihistamine agents on reaction time].

Authors carried out the study of reaction time on auditory stimulus in a group of 200 patients taking a single dose of: Clemastin, Phenazolinum, Zyrtec, Astemizol, Claritin, Disophrol and placebo. The results indicate the prolongation of reaction time after the administration of either first or second generation antihistaminics.

Adolescent↗

[Trauma of the larynx and a method of treatment: case report].

The authors presented the case of trauma of larynx after explosion of bullet. The patient was treatment by use the special "T" tracheal cannula. That cannula fixed the larynx supported free passage of superior respiratory tract and led to good result of treatment.

Adult↗

[Evaluation of the differences in levels of immunoglobulin G, A,and M in the course of malignant head and neck tumors].

Serum levels of a variety of substances shows significant changes in head and neck cancer patients. IgG, IgA, IgM were examined in 100 patients with the head and neck cancer. Serum levels of IgG, IgA and IgM were different in variety localisation of the primary tumor. In patients with head and neck cancer medium serum levels of IgG and IgA were elevated but serum level of IgM was normal. Medium serum levels of IgG and IgA were higher in patients with another cancer than larynx cancer. Medium serum levels of IgM were highest in patients with larynx cancer.

Adolescent↗

[A case of laryngeal glandular cancer].

The authors described the rare case of larynx adenocarcinoma. T3 N3 M1 tumor of larynx in 53 years old patients was monitoring by the serum levels of cancer markers: AFP, CEA, Ca 19-9, ferritin, NSE, SCC. High levels of markers were observed.

Adenocarcinoma↗