Publications by authors named "Lepkowski A"

The paucity of scientifically rigorous school nursing clinical practice guidelines (CPGs) presents barriers to evidence-based care of students with special health-care needs. A (School Nursing CPG Model) was developed under the auspices of the National Association of School Nurses (NASN) to address this need. To test and validate this School Nursing CPG Model, a trial CPG development project was conducted to (1) identify structure and process gaps and areas for improvement within the School Nursing CPG Model and (2) develop an evidence-based CPG for school nursing practice that addresses a priority student health condition: seizures and epilepsy.

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School nurses contend with a variety of challenges related to collecting and using their own data. Seemingly small steps can be taken to overcome these challenges, which will result in significant improvements in data collection and use. Improving the quality of data collection assists school nurses to identify and define practice issues and guide implementation of evidence-based practice within their schools and districts.

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Therapeutic effects of TMZ treatment were evaluated in 31 patients with atrio-cochlear disorders caused by an insufficiency of cerebral circulation. It was found that the results of vestibular or cochlear disorders remission was dependent on the time interval between the onset of symptoms and the beginning of trimetazidine therapy. The best results were also found in patients suffering from atrio-cochlear disorders lasting not longer than two years and due to arterial hypertension or cerebral basilar artery insufficiency.

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The authors described a case of giant size tumor of the submental region in a 53 year old patient. The very large tumor (fig. 1, 2, 3) was treated by total extirpation.

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During the years 1980-1990 in the Otolaryngological Department of the Silesian Medical Academy in Katowice 452 patients with malignant neoplasms of the head and neck were treated. 154 (35%) patients treated by radiotherapy. 140 (30%) were operated, 133 (29%) were treated by both methods and 25 (6%) were treated symptomatically.

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A case of Wegener's granulomatosis in a 30 years old female was described. The authors have presented the diagnostic difficulties and treatment this rare disease.

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The authors describe an own method of surgical treatment of nosebleed caused by Rendu-Osler-Weber's disease. For closure of nasal septal defects we used free graft of fascia lata. In five patients treated by our method, the transplantation ended successful; during the several weeks after operations the fascia lata was covered with epithelium growing from the surrounding tissues.

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Authors present ten cases of tumors of the infratemporal fossa that have different etiology being treated by operation. Six of the patients died, four of them are alive. Authors describe diagnostical principles of these types of tumors.

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Collagen from tissues of the heart valve, the wall of the left auricle, palatine tonsils and periodontium was studied. The material was taken during surgical procedures, performed for therapeutic reasons, in patients with acquired valvular heart disease (avhd) and congenital heart disease. The obtained results pertain to the content of total collagen as well as to its soluble and insoluble fractions.

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