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Biomedical subjects

J Kamiński

Publications and source records attributed to J Kamiński.

At least 19 recordsLinked to original sources
PubMed2001

Dyspnoea exaggerated in the supine position and during exertion--diagnostic challenge.

The case of dyspnoea, exaggerated when in the supine position and during exertion, as a result of severe weakness of the diaphragm is reported. The aim of the study was to present a rare case of idiopathic bilateral diaphragmatic paresis (BDP) and to describe all the diagnostic procedures necessary to perform differential diagnostics. In order to establish the final diagnosis, chest radiography, haemodynamic evaluation of the circulatory system, ultrasonography, ultrasonocardiography, measurement of transdiaphragmatic pressures, scintiscanning of the lungs, spirometry, analysis of arterial blood gases, computed tomography of the thorax and external stimulation of the phrenic nerve were performed. The measurement of transdiaphragmatic pressure was crucial to establish and confirm the diagnosis of BDP, as only a small difference in gastric and oesophageal pressures during tidal breathing and inspiratory efforts was recorded. As no cause of diaphragmatic paresis was found, the case was classified as idiopathic. The final diagnosis of non-trauma related bilateral diaphragmatic weakness was generally delayed. In the case of the described patient, dyspnoea, the main symptom he was suffering from, was supposed to result from his congenital heart defect. We recommend that the suspicion of idiopathic diaphragmatic paresis should always be raised in patients suffering from respiratory failure of unknown origin. It is, however, necessary to perform extensive diagnostics to exclude the other causes of phrenic-diaphragmatic impairment. It's also necessary to consider all infections, injuries and surgical procedures within the thorax as possible causes of diaphragmatic paresis.

Diagnosis, Differential↗
PubMed2001

[Frequency and causes of hemoptysis and role of bronchoscopy in patients with normal chest roentgenogram hospitalized in the Department of Physiopneumonology Silesian Medical University in the years 1961-1996].

Among 3498 patients with hemoptysis 513 had normal chest x-ray picture. Bronchoscopy performed in all these patients allowed to recognise malignant neoplasms of the lungs, trachea and pharynx in 109 patients. In 222 patients--nonspecific bronchitis and in 46--tuberculosis were recognised. In 86 patients diagnosis was not established.

Bronchitis↗
PubMed2000

[Problems of Doctor Judym's peers].

This paper is a work on the health conditions of the inhabitants of Rzeszów and the surrounding area in the second half of the 19th century as based on the mortality analysis. A comparison and contrast has been made between the daily work of a doctor nowadays and a hundred years ago. The issues have been presented at various levels, with reference to the political, socio-economic and cultural relations existing at that time. The work is enhanced with additional comments on the doctor's profession and the problem of diagnostic difficulties as well as the possibility of making a mistaken judgement. Additionally, the definition of death at that time and at present has been formulated. The issues of colleague solidarity, ethical and moral issues and the activities of the Doctors' Association over the above mentioned period are also discussed. I noted the "plague" of the time which was the provision of medical treatment by the unqualified. The above considerations may be a starting point for the present, popular discussion on the principles of a doctor's ethics and duty.

History, 19th Century↗
PubMed1999

Cell adhesion to polymeric surfaces: experimental study and simple theoretical approach.

In a medium without serum, the initial adhesion of L1210 cells to nonsulfonated and sulfonated polymer surfaces was investigated. In the case of sulfonated polymer surfaces, the relative number of adhering cells strongly increases with an increase of the interfacial surface tension; that is, adhesion strongly depends on the surface density of sulfonic groups. However, in the case of nonsulfonated polymer surfaces, the relative number of adhering cells is high and independent of the interfacial surface tension. To extend the basic knowledge of these phenomena, a semi-empirical quantum chemical computational study was undertaken. Simple probe molecules were chosen that mimic the chemical properties of functional groups present on polymeric surfaces. The energies of interaction between these molecules and ones representing the midchain polypeptide building blocks were calculated. To discuss the steric effects involved in similar interactions on real surfaces, a simple model of polymeric surfaces was proposed. Also the interactions among such surfaces and the short hydrated polypeptide chain were studied at the molecular mechanics level of theory. The derived intermolecular energy parameter was found to change in parallel to the number of adhered cells within the two groups of substrata under study: nonsulfonated and sulfonated. The computational results suggest the possible existence of differently arranged cell membrane protein centers responsible for docking to these two types of surfaces.

Biocompatible Materials↗
PubMed1999

[Unilateral hyperlucent lung syndrome--differentiation from lung vasculature pathology].

A cases of unilateral hyperlucent lung syndrome (Swyer-James', MacLeod's syndrome) in a 45-years old male patients is presented. The patient was being treated since 1982 because of recurrent upper and lower respiratory tract's infections. An increasing dyspnea was the main patient's manifestation. In 1997 the patient was admitted to the Department of Phthisiopneumonology Silesian Medical University when diagnosis of unilateral lucent lung syndrome was established. The value of conventional radiological examination of the chest in diagnosis of this syndrome and the meaning of perfusion and ventilatory lung scintigraphy in its differentiation are emphasised.

Diagnosis, Differential↗
PubMed1999

[Pulmonary adverse effect after amiodarone treatment--case report].

A case of amiodarone induced pulmonary toxicity is presented in a 64 years old male. The patient had been treated with amiodarone for four years in daily dose 200 mg/day without any adverse effects until the daily dose was doubled. After withdrawing the drug, without any additional treatment, clinical, functional and partly radiological improvement was observed. Further radiological remission followed the introduction of corticosteroids. This case confirms the importance of dose boosting in the induction of amiodarone's toxicity. It also suggests a significant clinical and functional response to the discontinuation of amiodarone's administration.

Amiodarone↗