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Biomedical subjects

M Szymańska

Publications and source records attributed to M Szymańska.

At least 19 recordsLinked to original sources

Development of sensitivity to the needs and suffering of a sick person in students of medicine and dentistry.

Doctor and patient meet in a circle of feelings determined by suffering. Sensitivity to the suffering is an axis determining the nature of the doctor and patient relationship. The patient's experience of an illness is individual, private, and very often difficult to describe. But the possibility to understand the suffering of another person comes from the fact that suffering is a universal feeling. We propose to enter the world of patient's experience by writing a letter to a doctor, which would reflect their experiences and expectations towards him. This was the task required for 120 students of the second year of medicine and dentistry education.

Education, Medical↗

Posterior lumbar interbody fusion and cages.

The author of the paper presents an overview of posterior lumbar interbody fusion (PLIF), including a historical note, a global surgical strategy as well as specific indications for this procedure (discogenic low back pain, spondylosis, spondylolisthesis, recurrent disc herniation, failed chemonucleolysis, spinal stenosis). A short description of surgical technique can also be found in the paper. The author also emphasises the possible complications linked with this procedure and the need for experienced surgeons in order to decrease the number of postoperative complications. Finally the paper contains a short description of the most commonly used implants during surgical corrections of lumbar biomechanics.

Adult↗

[The evaluation of the psychosomatic development in children after infectious and idiopathic cholestatic jaundice in neonatal and infantile period].

We carried out the analysis of psychomotoric and somatic development of 38 children after the period of 6--12 months since suffering from neonatal and infantile jaundice (infectious and idiopathic). We did not confirm retardation of the psychomotoric development in the examined group, however we confirmed deficiency of body mass in 45% of patients. Cholestatic jaundice in this group did not influence the children's. psychomotoric development significantly in the following years. It seems, that deficiency of the body mass of examined children after cholestatic jaundice is mostly dependent on the gestational and labour risk factors or small birth weight rather than on clinical course of disease and etiological factors of jaundice.

Body Mass Index↗

[On carnitine requirements in full term and low birth weight neonates].

The concentration of total carnitine in the blood serum of 15 newborns between days 5-21 of life was determined. The concentration of carnitine in low-birth-weight newborns is decreased in comparison with normal weight newborns; this deficiency may increase as a consequence of lack of carnitine provided with food or concomitant infection. The authors suggest that supplementation with carnitine be provided to this group of patients so as to prevent possible metabolic and clinical consequences.

Carnitine↗

[Total carnitine level in infants with cystic fibrosis and deficit supplementation by means of pharmacologic preparations and diet. Introductory remarks].

Carnitine deficiency in the serum was found in 5 infants with cystic fibrosis, impaired liver function and neurological symptoms. Clinical improvement and progressive normalization of the carnitine level in the serum, as well of the biochemical parameters of liver function were obtained after enteral pharmacotherapy and a carnitine-rich diet.

Cardiomegaly↗

Morphological picture of the mucosa of small intestine in children with food allergy.

40 children aged from 1 to 8 years with failure to thrive, suspected of food allergy were examined. In the small intestine biopsy, normal mucosa or atrophy of intestinal villi of various intensity were found. Eosinophilic infiltration in the submucosa was present. In children over the 3rd year of life, "prick" skin test was performed, confirming polyallergy. Total IgE level was tested in all patients but only in 25% of children was it elevated.

Child↗

[Fluorine and the dentition].

In order to estimate the influence of fluorine (in drinking-water and air) on the occlusion 372 twelve-year-old children have been examined in four different localities with differing fluorine concentrations of drinking water and air. Apart from the determination of the fluorosis frequency and of the DMFt index, the number of children who do not require any orthodontic treatment according to the WHO recommendation has been determined. The degree of malocclusion has been defined by means of the Eismann-Masztalerz's method. There was observed that the optimal fluorine concentration in drinking water (0.7-0.9 mg/l) decreases the degree of malocclusion except for the crowding of the teeth whereas its concentration above the optimum (4.0-7.0 mg/l) as well as fluorine polluted air are one of the causes of crowding.

Air↗