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Biomedical subjects

Z Sićko

Publications and source records attributed to Z Sićko.

8 recordsLinked to original sources

The effect of hyperbaric oxygen on nasal mucociliary transport.

Nasal mucociliary transport was measured in a group of 30 adult patients (eight women and 22 men; age range 21-78 years, mean 47.9 years) treated with hyperbaric oxygen (HBO) therapy and in a control group of 32 adult subjects (two women and 30 men; age range 20-50 years, mean 32.0 years) compressed in a hyperbaric chamber without oxygen therapy. The treated patients breathed 100% oxygen at 250 kPa pressure for 60 min. Subjects from the control group were compressed in the hyperbaric chamber at 250 kPa for 70 min. Nasal mucociliary transport was measured with the saccharin clearance test. After exposure to HBO, the nasal mucociliary transport time was significantly decreased by 26% (P < 0.01) and returned to the original value after 24 h (increased by 8.3%, P = 0.25). In the control group, compressed in air, there were no statistically significant changes. This study shows that simultaneous compression and pure oxygen cause an increase in nasal mucociliary transport. The mechanism of activation of mucociliary clearance is probably the increased oxygenation of blood plasma and enhancement of metabolism in ciliated epithelium.

Adult↗

[Hyperbaric oxygen therapy as a method of treatment of laryngeal and pharyngeal radionecrosis].

The authors described two cases of palatine tonsil carcinoma treated with surgery and subsequent radiation therapy after which occurred severe radionecrosis of the larynx, pharynx and oral cavity. These subjects were treated with hyperbaric oxygen therapy (HBO). Complete resolution of postradiation changes was observed. The authors described: 1) basic changes in the tissues caused by radiation therapy; 2) the mechanisms of healing activity of hyperbaric oxygen.

Female↗

Effect of saturated air and nitrox diving on selected parameters of haemostasis.

The objective of the study was to evaluate decompression stress after air and nitrox saturated divings on the basis of the parameters of haemostasis. Before and after each diving the following examinations were performed: blood platelet count, aggregation, fibrinogen level and coagulation factors VII, X and XII. After the air saturated dives a slight reduction of factor X and XII and of fibrinogen was observed. Evaluation of haemostatis may be one of the basic elements in the assessment of decompression sickness risk.

Adult↗

Selected problems of health and safety of divers in the light of Polish regulations.

The work addresses legal aspects of employing amateurs (diving clubs members) at underwater works, and lack of standards and regulations regarding light diving equipment for diving teams. New legislation is needed to lay down pensionable age for divers, regulate the employment of women for underwater works in some professions, and medical aspects of fitness certification for divers.

Accidents, Occupational↗

Efficacy of hyperbaric oxygenation in atopic dermatitis.

Ten patients (5 with atopic dermatitis and 5 with asthma-prurigo) aged 8-38 years, were treated with hyperbarie oxygenation, at the Institute of Maritime and Tropical Medicine. Daily one exposure was applied at 0.1 MPa pure oxygen, during 15 days. Parallelly to the clinical evaluation also G, M, E immunoglobulins and the level of C3 and C4 complement were determined. All patients given this treatment improved clinically. In 9 of them, the level of IgE immunoglobulin decreased. The complement levels also decreased.

Adolescent↗

Effect of nitrox saturation diving upon platelet hemostasis.

Two nitrox saturation exposures (seven- and nine-days) at a pressure equivalent to 40 and 45 m (pO2 40-50 kPa) with three divers were carried out. During one exposure 6 excursions from the plateau to the depth of 70 m (one hour) and 60 m (four hours) were made. Before and after the exposures blood platelet count, aggregation and adhesion of blood cells were determined. After the first series of diving a slight increase of adhesion and aggregation was observed, after the other one, despite the larger depth and the excursions from the saturation plateau to 60 and 70 m, a slight decrease of adhesion occurred. This allows to conclude that the phenomenon is related to the decompression load degree as well as to the condition of the divers. Finding about the effect of decompression upon the processes of hemostasis may be useful for the evaluation of the verified system of saturation decompression.

Decompression↗

Preliminary reports on hyperbaric oxygen therapy in multiple sclerosis.

Preliminary clinical examinations comprised 16 patients suffering from multiple sclerosis, the mean duration of the disease 9.33 years, of the manifestations at different stages of the development--evaluated on the basis of Kurtzke scale. The patients were subjected exclusively to the treatment with oxygen hyperbary--all in all 25-30 exposures, with the intervals of 24 hours, under the O2 pressure of 2 ata. The qualification for the purposes of treatment and the classification of the symptoms present were carried out according to Fisher, the results obtained were evaluated in conformity with standard version of the Disability Status Scale of Kurtzke. Apart from the routine clinical and laboratory tests the programme of the examinations included also a quantitative determination of immunoglobulins level, complement activity as well as the determination of T and B lymphocytes. An eminent change for the better was found in 14 afflicted persons, in one patient after 15 exposures a worsening was observed and the treatment was arrested. As to the immunological parameters investigated, a general decrease of IgG, IgM, IgA in serum, increase of the complement fraction and its 50% hemolysis determined activity were observed, whereas quantitatively investigated T and B lymphocytes did not show any typical changes. The authors discuss the results.

Adolescent↗

Case of carbon monoxide poisoning treated with oxygen hyperbarism.

A case of heavy carbon monoxide poisoning is reported, with disorders in the central nervous system and circulatory disturbances (brain oedema), disfunction of the cardiac muscle and of platelet haemostasis). The level of carboxyhaemoglobin was over 45%. The patient was given hyperbaric treatment at 0.15 MPa (2.5 ATA). On the first day of treatment, the time of stay in the hyperbaric chamber was 90 minutes. During the session the patient regained consciousness. Hyperbaric treatment was continued for 4 days more. At completion of the treatment, the disturbances in both the central nervous system and blood circulation recessed.

Accidents, Occupational↗