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Biomedical subjects

K Waliszewski

Publications and source records attributed to K Waliszewski.

12 recordsLinked to original sources

[Vaginal evisceration with secondary torsion of small intestine].

The case of vaginal evisceration in 87 year old woman is described. The evisceration occurred on a day preceding the admission of the patient to the hospital. On admission the intestinal ischemia due to torsion of the bowel loop was noticed and was immediately reversed in emergency room. On laparotomy the viability of the intestine was confirmed and repair of vaginal tear was performed. The brief review of the literature is also presented.

Aged↗

[The value of total contact casting in treatment of neuropathic foot ulcers in diabetic patients].

Neuropathic foot ulcers in diabetic patients pose great difficulties in treatment. Total contact casting is one of the available methods. It is thought to distribute the pressure evenly over the entire surface of the foot. The purpose of the study was the evaluation of the total contact casting as a method of treatment of neuropathic foot ulcers in diabetic patients. Ten diabetic patients with neuropathic foot ulcers were treated with total contact casting. The inclusion criteria were good arterial blood supply and the absence of bone, joints or surrounding soft tissue infection. The mean area of the ulcers was 1.9 cm2 (1.3-3.6 cm2). The average duration of the ulcer prior to commencement of the treatment was 10 months. Total contact cast was applied after thorough surgical debridement and covering of the ulcer with occlusive dressing. The casts were changed every six to ten days. The ulcers healed in 9 out of 10 treated patients. The healing time averaged two months. In one patient development of soft tissue infection necessitated discontinuation of the treatment and performing open ray amputation. In four patients superficial ulcerations of the skin of the dorsal aspect of the toes developed. They resulted in prolonged duration of the treatment. Total contact casting in adequately qualified and reliable patients is safe and effective method of treatment of neuropathic foot ulcers in diabetes.

Casts, Surgical↗

Plasma free amino acid level in subjects during maximal workload.

Ten healthy young males were subjected to one-time physical exercise on cycle ergometer up to exhaustion. For the investigations blood samples were obtained twice from a vein before and after exercise. In the venous blood the levels of lactic acid and pyruvic acid were determined by enzymatic methods. In heparized blood plasma the composition of free amino acids was determined using an autoanalyzer Beckmann-Multichrom. The following amino acids were determined: lys, his, arg, asp, tre, ser, glu, pro, gli, ala, cys, val, met, leu, ileu, tyr, phen. The obtained results were subjected to statistical analysis by the paired test of Student. The observed rise in the concentration after exercise concerned alanine, glutamate and phenylalanine. The concentrations of the remaining amino acids were not statistically significantly changed after the exercise.

Adult↗