Assessment of Air Pollution Effects on the Respiratory System Based on Pulmonary Function Tests Performed During Spirometry Days.

The Polish Spirometry Day is an initiative aimed at increasing awareness of the causes, symptoms, course, and effects that accompany respiratory diseases, especially asthma and chronic obstructive pulmonary disease (COPD). In 2013, the second edition of the Spirometry Day was held. It gathered 180 medical centers and other institution.

[Post-polio syndrome - a case report].

Post-polio syndrome occurs 30-40 years after polio virus infection. The main symptoms of PPS are slowly progressive muscle limbs paresis with muscle atrophy, joints pain, paresthesia. In 90% of patients the main symptom is fatigue that leads to physical and mental activity deterioration.

[Pituitary apoplexy - not always correctly recognized life-threatening entity].

Pituitary apoplexy is a life-threatening circumstance developing as a result of ischemia or hemorrhage into pre-existing pituitary tumor. Frequency of this condition is hard to be precisely estimated. Clinical course is characteristic and commonly consists of severe headache accompanied by nausea, vomiting, impaired consciousness, visual field impairment as well as eyeballs movement restriction.

[Long-term outcomes after "anatomic" reconstruction of anterior cruciate ligament using central third of patellar tendon].

Unlabelled: Reconstruction of the anterior cruciate ligament (ACL) is one of the most commonly performed procedures in orthopedics.

Aim: The aim of the study was to evaluate long-term results of anterior cruciate ligament reconstruction using middle third patellar tendon grafts.

Materials And Methods: The study included 29 patients with an average 8 years follow - up.

CD34+ progenitor cells in pulmonary sarcoidosis.

Unlabelled: Sarcoidosis is a disease of unclear etiology, immunopathogenesis complex and diverse clinical course.

Aim: The aim of study was to evaluate the usefulness of CD34+ cells, CD4 and CD8 lymphocytes in peripheral blood for the diagnosis and better understanding of the sarcoidosis pathogenesis.

Materials And Methods: The study included 40 patients (16 women and 24 men) aged 29-71 years (mean 45 years) with newly diagnosed pulmonary sarcoidosis.

[Current concepts in surgical treatment of chronic ankle joint instability].

Ankle sprain is one of the most common musculoskeletal injuries. Initial treatment of choice in acute injury is conservative and is obtained by immobilization. The goal of such treatment is to heal ruptured capsular-ligamentous complex.

[Retroperitoneal perforation of duodenum - surgical approach].

Retroperitoneal perforation of the duodenum, caused by abdominal trauma, endoscopic examination or diverticulitis, is a serious clinical problem, because of it's lack of specific symptoms. Surgical treatment is often performed in sepsis. That is why the knowledge of adequate techniques is crucial for surgeons.

[Use of rituximab in the induction of remission of severe, resistant and recurrent form of polyangiitis associated with c-ANCA antibodies - case report].

Indications for rituximab (RTX) have recently widened. We present a case of 25-years old patient with anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis of high disease activity. The patient in severe condition, massive changes of nasal sinuses, with destruction of the orbit bones, with inflammatory infiltrations of the optical nerves and end stage renal disease was admitted to Nephrology Clinic to begin renal replacement therapy (RRT).

[Amyothropic neuralgy of lumbosacral plexus - case report].

Amyothropic neuralgy is a rare disease witch unknown etiopathogenesis. The main popular theory says that inflammatory and immunomodulatory process is connected with that disease. Diagnosis is made after exclusion of other causes of plexus lumbosacralis damage.

The occurrence of tumors of the central nervous system in a clinical observation.

Unlabelled: Brain tumor is an abnormal growth of cells in central nervous system (CNS). The most common primary brain tumors are: gliomas, meningiomas, pituitary adenomas and craniopharyngiomas. The secondary group are metastatic tumors.

[Cardiovascular risk and inflammatory markers in patients with hypertension].

Unlabelled: Arterial hypertension (AH) is one of the main risk factors of negative cardiovascular (CVR) events and the complex evaluation of CVR is necessary for the successful treatment of patients with AH. Simultaneously CVR increases when the inflammatory markers levels are elevated.

Aim: The aim of study was to evaluate the frequency of CVR factors presence and their relation to the inflammatory markers in patients with AH.

[The current pharmacotherapy of pulmonary arterial hypertension].

Pulmonary arterial hypertension (PAH) is a chronic, serious disease caused by remodeling of small pulmonary vessels, which leads to increase of pulmonary resistance, right heart failure and death. The 1990ths of XX century are the beginning of dynamic research into the pathophysiology and treatment of this disease. Actually, the goal oriented therapy based on three main metabolic pathways includes: prostacyclin's analogues, endothelin receptor antagonists and phosphodiesterase-5 inhibitors.

[Effect of post-traumatic disorders of the victims and causes of traffic accidents in the early stages of treatment].

Unlabelled: Poland is a country in which every year there is a lot of motor vehicle accidents, number of victims is one of the highest in European union. Helping patients after motor vehicle accidents should base on cooperation of doctors and psychologists because holistic approach to patient enables rapid and effective rehabilitation.

The Aim Of Study: To show connection between physical damage cause in motor vehicle accident with mental trauma, which increase on process of full recovery.

[Usefulness of the multislices computed tomography in post-operative anatomy assessment in patients after bariatric surgery].

Obesity is a systemic disease, which, together with complications and comorbidities is a major health problem of a large percentage of the world population. Because of the failure of behavioral and pharmacological treatment the new branch of surgery has been developed - the so-called bariatric surgery, dealing with operative treatment of obesity. Rapid increase of performed bariatric procedures requires the ability to interpret correctly the multislice CT imaging studies of patients treated with this innovative procedures.

[Principles of management in biological infections].

The effectiveness of the management in respiratory infection is depending on the nature of the biological pathogen and the immune status of the patient. For this reason, providing assistance to victims the organ function support, similarly as defining the pathogen and targeted antibiotic therapy should be applied. Available diagnostic tests provide rapid ability to identify the pathogen and antibiotics are able to control infection.

[Segregation and evacuation of victims caused by biological pathogens].

Threat of the use of biological pathogens is still real. The degree of preparation assistance at various stages directly affects the efficiency of operations in the event of mass cases. The need for and scope of assistance given in relation to current recommendations, and our own experience with patients with severe infections.

[Fungal diseases of the respiratory tract].

Fungal infections are becoming more common causes of respiratory disease, since most species of pathogenic fungi occurring in Europe are responsible for developing opportunistic infections. Most cases of fungal infections of the respiratory system are caused by a species commonly encountered in the environment or colonizing saprophytic species such as the gastrointestinal tract. Some recognition of fungal diseases can be determined on the basis of: breeding material taken from the affected places, or blood, or microscopic histopathology.

[Today's threat of rickettsioses].

Rickettsioses are infectious diseases transmitted to human by arthropodes, characterized by different clinical manifestation, from subclinical symptoms, through the mild virus-like infection to severe disease with multiorgan complications. Rickettsiosis include typhus, spotted fevers, anaplasmosis, bartonellosis and Q fever. In some of these diseases respiratory symptoms predominate (i.

[Mycobacterioses as still current clinical problem].

Mycobacterioses are caused by nontuberculous mycobacteria which are common in natural environment. They were isolated from water and soil. Patients with suppressed immune system are most likely to be affected.

[Contemporary threat of tuberculosis].

Tuberculosis is an infectious disease caused by mycobacteria which belongs to the genus Mycobacterium and the family Mycobacteriaceae. Although tuberculosis is known for thousands of years, it is still an important diagnostic and therapeutic problem throughout the world, especially in poorer countries. Still correct diagnosis of active infection with M.

[Contemporary risks of infections by Mycoplasma pneumoniae and Chlamydophila pneumoniae].

Atypical microorganisms, like Mycoplasma pneumoniae and Chlamydophila pneumoniae are common subject of studies because of caused diseases. In the last years, attention is paid on serious complications, which persistent infection of this atypical pathogens can cause and on the immunological body answer for them.

[Influenza virus infections].

Influenza is a viral infectious disease, having mainly a predisposition to the respiratory system, but also in particular circumstances giving multi-organ complications. Due to the ongoing volatility and continuous evolution of the biology of the virus, the fight with it, and effective prevention is still a challenge for researchers. However, the results and observations made to date indicate that the immunizations are considered the most appropriate method for preventing mass illness.

[Viral infections of the respiratory tract].

Viral infections are the most common cause of acute respiratory diseases. They are caused by adenoviruses, rhinoviruses, influenza and parainfluenza viruses, metapneumoviruses, syncytial-respiratory viruses and coronaviruses. Respiratory symptoms also may be due to hemorrhagic fever viruses, especially hantaviruses, that not occur in Poland.

[Invasive meningococcal disease].

Invasive meningococcal disease a serious problem for public health. Two severe clinical manifestations--spinal meningitis and septicemia--are diseases extending very rapidly with serious prognosis. Pathogenic bacterium--Neisseria meningitidis--is the only natural reservoir in human beings.

[Hospital-acquired pneumonia caused by biological pathogens].

Hospital-acquired pneumonia (HAP) is recognized when the clinical and radiological symptoms appear in the 48-72 hours from the admission to the hospital or in the case of pneumonia during the mechanical respiration after 72 hours of the patient's intubation. The frequency of HAP placed between 5 to 15 per 1000 patients undergoing hospital treatment. The appearance of clinical symptoms: high fever, cough with expelling of purulent sputum, an increased number of breaths or dyspnoe and the occurrence of inflammation's morphological markers and the presence of new changes in the radiography (or severity seen earlier) confirms the diagnosis.