- MeSH
- History, 21st Century MeSH
- History of Dentistry * MeSH
- Check Tag
- History, 21st Century MeSH
- Publication type
- Biography MeSH
- Historical Article MeSH
- Interview MeSH
- Geographicals
- Czech Republic MeSH
- About
- Czochrowska, Ewa M Authority
PURPOSE OF THE STUDY The study evaluated the method of arthroscopic stabilisation of dynamic scapholunate (SL) instability by scapholunate joint resection using bone graft to create synarthrosis between the scaphoid and lunate. MATERIAL AND METHODS Twenty-six patients with chronic dynamic SL instability of Geisler-Messina - EWAS grade IIIB, C and IV were treated by artificial synarthrosis of SL joint using an arthroscopic technique. The mean follow-up period of the patients was 32.2 months (28-39 months, when the range of motion and grip strength were assessed. The functional results were evaluated through the Mayo wrist score. RESULTS Post-operatively, a statistically significant improvement in grip strength was reported, with the mean improvement of 9 kg. On the other hand, significant worsening of flexion with a mean change of -6°, a mean change in extension of -5° and ulnar deviation -2° were identified. According to the visual analogue scale, there was a significant reduction in pain associated with everyday activity (mean change -4) as well as with heavy manual work (mean change -4). According to the Mayo wrist score, the overall results in 3 patients were excellent, in 16 patients good, in 6 patients satisfactory, and in one patient poor. DISCUSSION A limited range of motion significantly influencing the overall results of the functional assessment on the Mayo wrist score does not have a substantial subjective impact on patients and their routine activities. All the studies evaluating the operative techniques restoring stability of proximal row of the carpal bones report limited range of motion in the wrist. These interventions aim at a strong, pain-free grip with preserved wrist function. CONCLUSIONS This study illustrates that the arthroscopic stabilisation of scapholunate joint by synarthrosis is a reliable, minimally invasive surgical method to treat the higher grade of dynamic SL instability. This method makes it possible to achieve good stability of the damaged joint and leads to satisfactory functional results. Key words:wrist, instability, scapholunate joint, arthroscopy, bone graft.
- MeSH
- Arthroscopy * adverse effects methods MeSH
- Scaphoid Bone MeSH
- Adult MeSH
- Carpal Joints MeSH
- Middle Aged MeSH
- Humans MeSH
- Pain Measurement methods MeSH
- Minimally Invasive Surgical Procedures methods MeSH
- Joint Instability * diagnosis physiopathology surgery MeSH
- Lunate Bone MeSH
- Pain, Postoperative diagnosis MeSH
- Range of Motion, Articular MeSH
- Hand Strength MeSH
- Bone Transplantation methods MeSH
- Treatment Outcome MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
Cíl: Gastrointestinální trakt (GIT) je nejčastějším zdrojem závažného krvácení při nadměrné antikoagulaci warfarinem (excessive warfarin anticoagulation, EWA). Naším cílem bylo určit rizikové faktory a výsledný stav spojené s krvácením do horní části GIT (upper gastrointestinal bleeding, UGIB) u pacientů přijatých s EWA. Metody: Zkoumali jsme demografi cké charakteristiky, klinické, laboratorní i endoskopické nálezy u pacientů hospitalizovaných s EWA mezi roky 2003 až 2015. Dále jsme zaznamenávali nemocniční mortalitu, použití krevních derivátů i délku hospitalizace. Pomocí regresních analýz jsme se pokusili vypracovat způsob predikce krvácení do GIT a mortality u pacientů s EWA. Výsledky: Prohlédli jsme nemocniční záznamy 157 žen a 121 mužů. Ze 41 hospitalizovaných pacientů s UGIB jich u 31 (75,6 %) bylo provedeno ezofagogastroduodenoskopické vyšetření. U těchto pacientů byly nejčastějším zdrojem krvácení (32,2 %) již přítomné peptické vředy. Nemocniční mortalita pacientů s UGIB činila 9,8 %, což byla podobná hodnota jako u nemocných bez UGIB. Pacientům s UGIB bylo v průměru nutno podat dvě jednotky erytrocytárního koncentrátu a čerstvě zmrazené plazmy. U pacientů s EWA byly prediktory UGIB vyšší věk (p = 0,045) a vředová choroba v anamnéze (p < 0,001). Závěr: U pacientů s EWA byla nejsilnějším prediktorem vzniku UGIB přítomnost peptického vředu, ať již v anamnéze, nebo v současnosti. Přes srovnatelnou nemocniční mortalitu bylo u těchto pacientů nutno častěji provádět transfuzi krevních derivátů.
Aim: Gastrointestinal tract is the most common source of severe bleeding following excessive warfarin anticoagulation (EWA). We aimed to describe the risk factors and outcome associated with upper gastrointestinal bleeding (UGIB) in patients admitted with EWA. Methods: Demographics, clinical, laboratory and endoscopic fi ndings of patients admitted with EWA from 2003 to 2015 were reviewed. Hospital mortality, blood product utilization and hospital length of stay were recorded. Regression analyses were performed for prediction of GI bleeding and mortality in patients with EWA. Results: Medical records of 157 women and 121 men were reviewed. From 41 patients presented with UGIB, 31 (75.6%) underwent esophagogastroduodenoscopy. Preexisting peptic ulceration (32.2%) was the most common source of bleeding in these patients. Hospital mortality was 9.8% in patients with UGIB which was similar to those without. In average, patients with UGIB required 2 units more packed red blood cells and fresh frozen plasma. Older age (p = 0.045) and previous history of peptic ulcer disease (p < 0.001) were the predictors of UGIB in patients with EWA. Conclusion: Presence of past or current peptic disorders was the strongest predictor of UGIB in patients with EWA. Despite comparable hospital mortality, these patients required more transfusion of blood products.
- MeSH
- Gastrointestinal Hemorrhage * etiology MeSH
- Gastroscopy methods MeSH
- Upper Gastrointestinal Tract physiopathology MeSH
- Middle Aged MeSH
- Humans MeSH
- Drug-Related Side Effects and Adverse Reactions MeSH
- Retrospective Studies MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Warfarin * adverse effects MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Female MeSH
... Raising Awareness 146 -- Zuza Wiorogórska, Jgdrzej Lešniewski and Ewa Rozkosz -- Seeking Serendipity: ...
276 stran ; 30 cm
- MeSH
- Information Literacy MeSH
- Information Dissemination MeSH
- Health Communication MeSH
- Publication type
- Collected Work MeSH
- Conspectus
- Výchova a vzdělávání
- NML Fields
- knihovnictví, informační věda a muzeologie
... Ewa Rozkosz, University of Lower Silesia, Poland -- 63. ...
200 stran ; 29 cm
- MeSH
- Behavior and Behavior Mechanisms MeSH
- Information Literacy MeSH
- Information Science education MeSH
- Online Systems MeSH
- Computer Literacy MeSH
- Publication type
- Abstracts MeSH
- Congress MeSH
- Collected Work MeSH
- Conspectus
- Knihovnictví. Informatika
- NML Fields
- knihovnictví, informační věda a muzeologie
... Ewa Witkowska 23. The Technology of Analyzing Nucleic Acids in Cancer 347 Jill E. ...
Edition 4 xxiii, 863 stran : ilustrace (převážně barev.) ; 29 cm
- Conspectus
- Patologie. Klinická medicína
- NML Fields
- onkologie
- genetika, lékařská genetika
- biologie
- NML Publication type
- kolektivní monografie
... Exercise physiology, nutrition and genomics 137 -- Ewa Sadowska-Kr<;pa, Barbara Klapcinska, Izabela Zajqc-Gawlak ...
1. elektronické vydání 1 online zdroj (370 stran)
- Keywords
- Sporty,
- MeSH
- Child MeSH
- Adult MeSH
- Sports Nutritional Physiological Phenomena MeSH
- Genomics MeSH
- Kinesiology, Applied MeSH
- Motor Activity physiology MeSH
- Sports physiology MeSH
- Exercise Movement Techniques MeSH
- Check Tag
- Child MeSH
- Adult MeSH
- NML Fields
- tělovýchovné lékařství
- tělovýchovné lékařství
... Exercise physiology, nutrition and genomics 137 -- Ewa Sadowska-Kr<;pa, Barbara Klapcinska, Izabela Zajqc-Gawlak ...
1st ed. 369 s. : il., tab. ; 23 cm
- MeSH
- Child MeSH
- Adult MeSH
- Sports Nutritional Physiological Phenomena MeSH
- Genomics MeSH
- Kinesiology, Applied MeSH
- Motor Activity physiology MeSH
- Sports physiology MeSH
- Exercise Movement Techniques MeSH
- Check Tag
- Child MeSH
- Adult MeSH
- Publication type
- Collected Work MeSH
- Conspectus
- Sport. Hry. Tělesná cvičení
- NML Fields
- tělovýchovné lékařství
- tělovýchovné lékařství
... Summary -- Alexander Nosyrev, Infoservice, Ukraine 171 e-learning -- Good and bad sides of e-learning -- Ewa ...
284 stran : ilustrace ; 30 cm
- MeSH
- Information Technology MeSH
- Medical Informatics MeSH
- Telemedicine MeSH
- Publication type
- Congress MeSH
- Collected Work MeSH
- Conspectus
- Informační věda
- NML Fields
- knihovnictví, informační věda a muzeologie