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Kuczumow A, Gorzelak M, Kosiński J, Lasota A, Szabelska A, Blicharski T, Gągała J, Wawrzyniak J, Jarzębski M, Jabłoński M. Quantitative Description of Isomorphism in the Series of Simple Compounds. Int J Mol Sci 2023; 24:11324. [PMID: 37511085 PMCID: PMC10379828 DOI: 10.3390/ijms241411324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2023] [Revised: 07/06/2023] [Accepted: 07/07/2023] [Indexed: 07/30/2023] Open
Abstract
The introduction of the notion of energy change resulting from the ion exchange in apatites leads to the question: how can some simple isomorphic series be described using the mentioned idea? We concentrated on the simple isomorphic series of compounds: apatite, bioapatite, calcite, aragonite, celestine, K-, Zn- and Cu-Tutton's salts. It was demonstrated in all the series, except Tutton's salts, that the change in energy and the change in the crystal cell volume are, in a simple way, dependent on the change in the ionic radii of the introduced ions. The linear relationships between the variations in energy and in the universal crystallographic dimension d were derived from the earlier equations and proven based on available data. In many cases, except the Tutton's salts, linear dependence was discovered between the change in energy and the sinus of universal angle Θ, corresponding to the change in momentum transfer. In the same cases, linear dependencies were observed between the energy changes and the changes in the volumes of crystallographic cells, and mutually between changes in the crystallographic cell volume V, crystallographic dimension d, and diffraction angle Θ.
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Affiliation(s)
| | - Mieczysław Gorzelak
- Department of Orthopedics and Rehabilitation, Medical University of Lublin, 20-059 Lublin, Poland
| | - Jakub Kosiński
- Department of Orthopedics and Rehabilitation, Medical University of Lublin, 20-059 Lublin, Poland
| | - Agnieszka Lasota
- Chair and Department of Jaw Orthopedics, Medical University of Lublin, Chodźki 6, 20-093 Lublin, Poland
| | - Anna Szabelska
- Department of Dental Techniques with the Lab of Modern Technologies, Medical University of Lublin, Chodźki 6, 20-093 Lublin, Poland
| | - Tomasz Blicharski
- Department of Orthopedics and Rehabilitation, Medical University of Lublin, 20-059 Lublin, Poland
| | - Jacek Gągała
- Department of Orthopedics and Traumatology, Medical University of Lublin, K. Jaczewskiego 8, 20-090 Lublin, Poland
| | - Jolanta Wawrzyniak
- Faculty of Food Science and Nutrition, Poznań University of Life Sciences, 60-624 Poznań, Poland
| | - Maciej Jarzębski
- Department of Physics and Biophysics, Poznań University of Life Science, 60-637 Poznań, Poland
| | - Mirosław Jabłoński
- Department of Orthopedics and Rehabilitation, Medical University of Lublin, 20-059 Lublin, Poland
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Gorzelak M, Nowak D, Kuczumow A, Tracey DM, Adamowski W, Nowak J, Kosiński J, Gągała J, Blicharski T, Lasota A, Jabłoński M, Pawlicz J, Jarzębski M. Studies on Chemical Composition, Structure and Potential Applications of Keratoisis Corals. Int J Mol Sci 2023; 24:ijms24098355. [PMID: 37176062 PMCID: PMC10179572 DOI: 10.3390/ijms24098355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Revised: 04/12/2023] [Accepted: 04/20/2023] [Indexed: 05/15/2023] Open
Abstract
The chemical composition and structure of bamboo octocoral Keratoisis spp. skeletons were investigated by using: Scanning Electron Microscopy SEM, Raman Microscopy, X-ray Diffraction XRD, Laser Ablation-Inductively Coupled Plasma LA-ICP, and amino acid analyzers. Elements discovered in the nodes (mainly organic parts of the skeleton) of bamboo corals showed a very interesting arrangement in the growth ring areas, most probably enabling the application of bamboo corals as palaeochronometers and palaeothermometers. LA-ICP results showed that these gorgonian corals had an unusually large content of bromine, larger than any other organism yet studied. The local concentration of bromine in the organic part of the growth rings of one of the studied corals grew up to 29,000 ppm of bromine. That is over 440 times more than is contained in marine water and 35 times more than Murex contains, the species which was used to make Tyrian purple in ancient times. The organic matter of corals is called gorgonin, the specific substance that both from the XRD and Raman studies seem to be very similar to the reptile and bird keratins and less similar to the mammalian keratins. The missing cross-linking by S-S bridges, absence of aromatic rings, and significant participation of β-turn organization of peptides differs gorgonin from keratins. Perhaps, the gorgonin belongs to the affined but still different substances concerning reptile and bird keratin and in relation to the more advanced version-the mammalian one. Chemical components of bamboo corals seem to have great medical potential, with the internodes as material substituting the hard tissues and the nodes as the components of medicines.
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Affiliation(s)
- Mieczysław Gorzelak
- Department of Orthopedy and Rehabilitation, Medical University of Lublin, 20-059 Lublin, Poland
| | - Dorota Nowak
- Lab 196, Radawiec Duży 196, 21-030 Motycz, Poland
| | | | - Dianne M Tracey
- National Institute of Water and Atmospheric Research Ltd., Wellington 6022, New Zealand
| | - Witold Adamowski
- Department of Environmental Engineering, Bydgoszcz University of Science and Technology, 85-796 Bydgoszcz, Poland
| | - Jakub Nowak
- Lab 196, Radawiec Duży 196, 21-030 Motycz, Poland
| | - Jakub Kosiński
- Department of Orthopedy and Rehabilitation, Medical University of Lublin, 20-059 Lublin, Poland
| | - Jacek Gągała
- Department of Orthopedics and Traumatology, Medical University of Lublin, K. Jaczewskiego 8, 20-090 Lublin, Poland
| | - Tomasz Blicharski
- Department of Orthopedy and Rehabilitation, Medical University of Lublin, 20-059 Lublin, Poland
| | - Agnieszka Lasota
- Chair and Department of Jaw Orthopedics, Medical University of Lublin, Chodźki 6, 20-093 Lublin, Poland
| | - Mirosław Jabłoński
- Department of Orthopedy and Rehabilitation, Medical University of Lublin, 20-059 Lublin, Poland
| | - Jarosław Pawlicz
- Department of Orthopedics and Traumatology, Poznan University of Medical Sciences, 28 Czerwca 1956 135/147, 61-545 Poznań, Poland
| | - Maciej Jarzębski
- Department of Physics and Biophysics, Poznań University of Life Science, 60-637 Poznań, Poland
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Kuczumow A, Gorzelak M, Kosiński J, Lasota A, Blicharski T, Gągała J, Nowak J, Jarzębski M, Jabłoński M. Hierarchy of Bioapatites. Int J Mol Sci 2022; 23:ijms23179537. [PMID: 36076932 PMCID: PMC9455617 DOI: 10.3390/ijms23179537] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2022] [Revised: 08/15/2022] [Accepted: 08/18/2022] [Indexed: 11/24/2022] Open
Abstract
Apatites are one of the most intensively studied materials for possible biomedical applications. New perspectives of possible application of apatites correspond with the development of nanomaterials and nanocompounds. Here, an effort to systematize different kinds of human bioapatites forming bones, dentin, and enamel was undertaken. The precursors of bioapatites and hydroxyapatite were also considered. The rigorous consideration of compositions and stoichiometry of bioapatites allowed us to establish an order in their mutual sequence. The chemical reactions describing potential transformations of biomaterials from octacalcium phosphate into hydroxyapatite via all intermediate stages were postulated. Regardless of whether the reactions occur in reality, all apatite biomaterials behave as if they participate in them. To conserve the charge, additional free charges were introduced, with an assumed meaning to be joined with the defects. The distribution of defects was coupled with the values of crystallographic parameters “a” and “c”. The energetic balances of bioapatite transformations were calculated. The apatite biomaterials are surprisingly regular structures with non-integer stoichiometric coefficients. The results presented here will be helpful for the further design and development of nanomaterials.
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Affiliation(s)
- Andrzej Kuczumow
- ComerLab Dorota Nowak, Radawiec Duży 196, 21-030 Motycz, Poland
- Correspondence: (A.K.); or (M.J.); Tel.: +48-535-255-775 (M.J.)
| | - Mieczysław Gorzelak
- Department of Orthopaedics and Rehabilitation, Medical University of Lublin, K. Jaczewskiego 8, 20-090 Lublin, Poland
| | - Jakub Kosiński
- Department of Orthopaedics and Rehabilitation, Medical University of Lublin, K. Jaczewskiego 8, 20-090 Lublin, Poland
| | - Agnieszka Lasota
- Chair and Department of Jaw Orthopedics, Medical University of Lublin, Chodźki 6, 20-093 Lublin, Poland
| | - Tomasz Blicharski
- Department of Orthopaedics and Rehabilitation, Medical University of Lublin, K. Jaczewskiego 8, 20-090 Lublin, Poland
| | - Jacek Gągała
- Department of Orthopaedics and Traumatology, Medical University of Lublin, K. Jaczewskiego 8, 20-090 Lublin, Poland
| | - Jakub Nowak
- ComerLab Dorota Nowak, Radawiec Duży 196, 21-030 Motycz, Poland
| | - Maciej Jarzębski
- Department of Physics and Biophysics, Poznan University of Life Sciences, Wojska Polskiego 38/42, 60-637 Poznan, Poland
- Correspondence: (A.K.); or (M.J.); Tel.: +48-535-255-775 (M.J.)
| | - Mirosław Jabłoński
- Department of Orthopaedics and Rehabilitation, Medical University of Lublin, K. Jaczewskiego 8, 20-090 Lublin, Poland
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Przepiórka-Kosińska JM, Bartosińska J, Raczkiewicz D, Bojar I, Kosiński J, Krasowska D, Chodorowska G. Serum concentration of osteopontin and interleukin 17 in psoriatic patients. ADV CLIN EXP MED 2020; 29:203-208. [PMID: 32109010 DOI: 10.17219/acem/112604] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
BACKGROUND Psoriasis is a chronic, autoinflammatory disease characterized by activation and differentiation of naive T lymphocytes towards T helper CD4+ (including Th1 and Th17) and T cytotoxic CD8+. Osteopontin (OPN), which plays an important role in both physiological processes and inflammatory, neoplastic and autoimmune diseases, is also considered in the context of psoriasis pathogenesis. Current data indicates that OPN is a multifunctional protein involved in the modulation of Th1 and Th17 cellular responses, in stimulating keratinocyte proliferation, and in the regulation of cellular apoptosis. OBJECTIVES The assessment of OPN and interleukin 17 (IL-17) concentrations in the peripheral blood of psoriatic patients in comparison to healthy volunteers as well as the correlations of OPN and IL-17 with the severity of psoriasis. MATERIAL AND METHODS The study included 107 male psoriatic patients and 41 age-matched healthy men. The serum concentrations of IL-17 and OPN were examined using the enzyme-linked immunosorbent assay (ELISA) method. The skin change severity of psoriasis was assessed using the Psoriasis Area and Severity Index (PASI), Body Surface Area (BSA), Physician Global Assessment (PGA), and Dermatology Life Quality Index (DLQI). RESULTS Psoriatic patients had significantly higher concentrations of OPN (31.65 ng/mL on average) than the healthy volunteers (11.42 ng/mL on average) (p < 0.001). Interleukin 17 was also higher in psoriatic patients (0.53 pg/mL on average) compared to healthy volunteers (0.09 pg/mL on average) (p < 0.001). There was no significant correlation between OPN and IL-17 concentrations in psoriatic patients and in healthy volunteers. Psoriasis severity correlated positively to IL-17 serum concentration, but not to OPN. CONCLUSIONS Although the study did not show a relationship between OPN and IL-17 concentrations in psoriatic patients, it should be emphasized that serum concentrations were significantly higher in the patients with psoriasis compared to healthy volunteers.
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Affiliation(s)
| | - Joanna Bartosińska
- Department of Dermatology, Venereology and Pediatric Dermatology, Medical University of Lublin, Poland
| | - Dorota Raczkiewicz
- Institute of Statistics and Demography, Collegium of Economic Analysis, SGH Warsaw School of Economics, Warszawa, Poland
| | - Iwona Bojar
- Department for Women's Health, Institute of Rural Health, Lublin, Poland
| | - Jakub Kosiński
- Department of Rehabilitation and Orthopedics, Medical University of Lublin, Poland
| | - Dorota Krasowska
- Department of Dermatology, Venereology and Pediatric Dermatology, Medical University of Lublin, Poland
| | - Grażyna Chodorowska
- Department of Dermatology, Venereology and Pediatric Dermatology, Medical University of Lublin, Poland
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Kosiński J, Jarecki J, Przepiorka-Kosińska J, Ratajczak M. HYALURONIC ACID IN ORTHOPEDICS. Wiad Lek 2020; 73:1878-1881. [PMID: 33099534] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Hyaluronic acid (HA) as a compound was discovered in 1934 by Karl Meyer and John Palmer as one of the glycosaminoglycans (GAG) in the vitreous body of the bovine eye. HA occurs naturally in many organs, tissues and body fluids, and especially is presented in large quantities in articular cartilage and synovial fluid. It is a non-protein, non-sulfate glycosaminoglycan which has an important role in the physiological biomechanics of synovial fluid, there is responsible for lubrication and drug-elasticity. In the musculoskeletal system, hyaluronic acid is produced by synoviocytes, fibroblasts and chondrocytes. The concentration of hyaluronic acid decreases not only with age, but also in connection with the progression of certain diseases, for example osteoarthritis (OA). For this reason, it has been used for almost 50 years to try to alleviate and treat symptoms of OA in humans and animals. Numerous studies confirmed the beneficial effect of hyaluronic acid supplementation in OA. Patients which has intraarticular viscosupplementation of HA experience less pain and have a reduced need to take nonsteroidal anti-inflammatory drugs. Intra articular HA administration shows a low risk of local and systemic side effects while maintaining proper administration under aseptic conditions. Nevertheless, local inflammatory reactions occur, but it are most often self-limiting or do not require invasive treatment. The issue of recommending hyaluronic acid in osteoarthritis is still ambiguous and controversial.
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Affiliation(s)
- Jakub Kosiński
- CHAIR AND CLINIC OF REHABILITATION AND ORTHOPEDICS, MEDICAL UNIVERSITY OF LUBLIN, LUBLIN, POLAND
| | - Jaromir Jarecki
- CHAIR AND CLINIC OF REHABILITATION AND ORTHOPEDICS, MEDICAL UNIVERSITY OF LUBLIN, LUBLIN, POLAND
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Szymanek-Majchrzak K, Kosiński J, Żak K, Sułek K, Młynarczyk A, Młynarczyk G. Prevalence of methicillin resistant and mupirocin-resistant Staphylococcus aureus strains among medical students of Medical University in Warsaw. Przegl Epidemiol 2019; 73:39-48. [PMID: 31134773 DOI: 10.32394/pe.73.05] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
INTRODUCTION Staphylococcus aureus is a microorganism, which is able to colonize the human body without any pathogenic effect, but it also can cause life-threatening infections (opportunistic pathogen). Asymptomatic colonization with both methicillin resistant (MRSA) and methicillin susceptible (MSSA) S.aureus strains state is an important predisposing factor for infections. The risk of infection for carriers of MSSA is even three-times higher than for non-colonized people, and in the case of MRSA it is even four-times higher than in MSSA carriers. Carriers can be also a source of infection for other people, especially those belonging to high-risk groups. The drug of choice used for the local eradication of S.aureus is mupirocin (Mup). In recent years, the failure of decolonization therapy has been observed. The aim of the study was to assess and compare the level of colonization of S.aureus (MRSA or MSSA) among medical students and to evaluate the sensitivity of the strains to mupirocin. For MRSA/MupRSA isolates the molecular mechanism of resistance phenotype was determined. MATERIALS AND METHODS 955 swabs from 2014-2016 from pre-clinical students of medicine of the Medical University of Warsaw. The strains were identified using Pastorex-Staph-Plus (BioRad) and/or the VITEK-MS system (Biomerieux), according to manufacturer’s instructions. Susceptibility to methicillin and mupirocin was determined by disk diffusion and/or broth microdilution method, according to EUCAST. The presence of the mecA/mecC and mupA genes were detected with PCR technique. RESULTS Asymptomatic colonization with S.aureus strains was found in 245/955 (25,7%) students, in particular years in the range of 21,7-29,9%. 243 isolates expressed the MSSA/MupSSA phenotype, one strain was resistant to mupirocin MSSA/MupRSA (genotype mecA/mecC-negative, mupA-positive) and one showed simultaneous resistance to methicillin and mupirocin (mecA/mupA-positive genotype). The level of MRSA and MupRSA colonization was 0,1% and 0,2%, respectively. SUMMARY AND CONCLUSIONS The level of S.aureus colonization among surveyed students, didn’t differ from the norm for a generally healthy population, but showed an upward trend. The carriage of S.aureus, especially of multi-resistant strains among medical students at the beginning of their clinical activities, consist of a real threat to patients and other people.
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Affiliation(s)
- Ksenia Szymanek-Majchrzak
- Department of Medical Microbiology, Medical University of Warsaw; T. Chalubinskiego 5 Str., 02-004 Warsaw, Poland
| | - Jakub Kosiński
- Department of Medical Microbiology, Medical University of Warsaw; T. Chalubinskiego 5 Str., 02-004 Warsaw, Poland
| | - Katarzyna Żak
- Department of Medical Microbiology, Medical University of Warsaw; T. Chalubinskiego 5 Str., 02-004 Warsaw, Poland
| | - Katarzyna Sułek
- Department of Medical Microbiology, Medical University of Warsaw; T. Chalubinskiego 5 Str., 02-004 Warsaw, Poland
| | - Andrzej Młynarczyk
- Department of Medical Microbiology, The Infant Jesus Teaching Hospital; Lindleya 4 Str., 02-005 Warsaw, Poland
| | - Grażyna Młynarczyk
- Department of Medical Microbiology, Medical University of Warsaw; T. Chalubinskiego 5 Str., 02-004 Warsaw, Poland
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Kosiński J, Blicharski T, Przepiórka-Kosińska J, Dubiel A. [Sarcopenia - unnoticed problem of aging society]. Wiad Lek 2019; 72:1655-1659. [PMID: 31586978] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
In the elderly, there is a reduction of the efficiency in many organs, including muscles. The weight, strength and power reduction of elderly muscles is defined as sarcopenia. The pathophysiology of sarcopenia is multifactorial, it can be influenced by intrinsic and extrinsic factors such as reduced caloric intake, denervation of muscle fibers - in the course of various neurodegenerative diseases, intracellular oxidative stress, hormonal disorders and others. The European Working Group on sarcopenia in the elderly published diagnostic criteria for sarcopenia in 2010, which should increase the recognition of this disease and speed up the treatment process. The best-confirmed methods of treatment of sarcopenia are nutritional hyperalimentation and resistance training. Pharmacological agents, i.e. selective androgen receptor modulators, and myostatin inhibitors are not sufficiently tested to be approved, by the FDA as a treatment regimen of sarcopenia.
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Affiliation(s)
- Jakub Kosiński
- Katedra i Klinika Rehabilitacji i Ortopedii Uniwersytetu Medycznego w Lublinie, Lublin, Polska
| | - Tomasz Blicharski
- Katedra i Klinika Rehabilitacji i Ortopedii Uniwersytetu Medycznego w Lublinie, Lublin, Polska
| | - Joanna Przepiórka-Kosińska
- Katedra i Klinika Dermatologii, Wenerologii i Dermatologii Dziecięcej Uniwersytetu Medycznego w Lublinie, Lublin, Polska
| | - Anna Dubiel
- Katedra i Klinika Rehabilitacji i Ortopedii Uniwersytetu Medycznego w Lublinie, Lublin, Polska
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Korczyński P, Górska K, Jankowski P, Kosiński J, Kudas A, Sułek K, Jankowska M, Jaśkiewicz K, Krenke R. Akcja spirometrii w przestrzeni publicznej dla wczesnego wykrywania POChP—Szansa czy złudna nadzieja? Adv Respir Med 2017. [DOI: 10.5603/arm.54808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Wstęp: Niedoszacowanie liczby chorych na przewlekłą obturacyjną chorobę płuc (POChP) jest istotnym problemem klinicznym i społecznym. Wydaje się, że pomocna w identyfikacji osób z podejrzeniem POChP mogłaby być akcja spirometryczna przeprowadzana w przestrzeni publicznej. Celem badania było (1) oszacowanie wśród palących odsetka osób, które zgodzą się na wykonanie spirometrii, (2) ocena możliwości wykonania poprawnie technicznie spirometrii w czasie kampanii w przestrzeniu publicznej, oraz (3) ocena zależności między nasileniem objawów ze strony układu oddechowego a gotowością do wykonania spirometrii. Materiał i metody: Studenci medycyny rekrutowali do badania przechodniów w wieku > 40 lat, z wywiadem > 10 paczkolat palenia tytoniu. Po podpisaniu zgody ochotnicy wypełniali kwestionariusz z podstawowymi danymi osobowymi oraz klinicznymi, a następnie wykonywano badanie spirometryczne. Osoby z obturacją lub granicznymi wartościami parametrów spirometrycznych zapraszano do wykonania badań czynnościowych w warunkach poradni pulmonologicznej. Wyniki: Dziewięćset pięć osób spełniło kryteria włączenia do badania, spośród nich tylko 178 osób zgodziło się wypełnić kwestionariusz oraz wykonać spirometrię. U 22 osób stwierdzono obturację, u kolejnych 37 wysunięto podejrzenie obturacji dróg oddechowych. Z łącznie 59-osobowej grupy, tylko 15 pacjentów zgłosiło się na badanie kontrolne na oddziale szpitalnym w celu potwierdzenia wyników spirometrii wykonanej w przestrzeni publicznej. Na podstawie potwierdzonych wyników spirometrii szacuje się występowanie chorych ze świeżo rozpoznaną obturacją na 10.7%. Wnioski: Kampania spirometryczna w przestrzeni publicznej nie wydaje się skutecznym sposobem badań przesiewowych w kierunku POChP. Pomimo obecności objawów ze strony układu oddechowego osoby palące niechętnie poddają się spirometrii. Niniejsze obserwacje mogą w przyszłości być pomocne w opracowaniu programów badań przesiewowych w poszukiwaniu chorych na POChP.
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Korczyński P, Górska K, Jankowski P, Kosiński J, Kudas A, Sułek K, Jankowska M, Jaśkiewicz K, Krenke R. Public spirometry campaign in chronic obstructive pulmonary disease screening - hope or hype? Adv Respir Med 2017; 85:143-150. [PMID: 28667655 DOI: 10.5603/arm.2017.0024] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2017] [Revised: 06/29/2017] [Accepted: 06/04/2017] [Indexed: 11/25/2022]
Abstract
INTRODUCTION Underdiagnosis of COPD seems to be a relevant clinical and social problem. We hypothesized that active public spirometry campaign may help identify subjects with airflow limitation consistent with COPD. The aim of the study was (1) to evaluate the willingness of random smokers to undergo public spirometry, (2) to assess the ability to obtain an acceptable quality spirometry during a public campaign, and (3) to assess the relationships between the presence and severity of respiratory symptoms and readiness to undergo spirometry. MATERIAL AND METHODS Pedestrians aged > 40 years and a smoking history >10 pack-years were recruited by medical students to fill a questionnaire and perform spirometry. Those with obstructive or borderline ventilatory insuffciency were invited and encouraged to undergo stationary spirometry in a pulmonary outpatient department. RESULTS Nine hundred and five subjects meeting the inclusion criteria were invited to the study. Only 178 subjects agreed to complete the questionnaire and undergo spirometry. Airway obstruction and borderline spirometry result (classified as possible airway obstruction) were found in 22 and 37 subjects, respectively. Of these, only 15 patients attended follow-up visit to verify public spirometry results. Extrapolation of the limited data showed the incidence of newly diagnosed airway obstruction as 10.7%. CONCLUSION Public spirometry campaign does not seem to be an effective way of COPD screening. Smokers are reluctant to undergo complimentary spirometry even in the presence of pronounced respiratory symptoms. Our observations may be helpful in elaborating future screening programs for COPD.
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Affiliation(s)
| | - Katarzyna Górska
- Department of Internal Medicine, Pulmonary Diseases and Allergy, Medical University of Warsaw, Poland, e-mail:
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Zgorzalewicz T, Kowalska A, Kosiński J, Cyrkowicz A, Morawska E, Tilgner B. [Analysis of 1,059 cases of ectopic pregnancy]. Ginekol Pol 1977; 48:789-95. [PMID: 924225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
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Kosiński J, Czarnecki J. [Fibrinogenopenia in the course of toxic diarrhea]. Pediatr Pol 1975; 50:239-40. [PMID: 1114041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Kosiński J, Lysiak M, Czarnecki J. [Diagnostic difficulties in cases of neuroblastoma in infants]. Pol Tyg Lek 1973; 28:1239-41. [PMID: 4796026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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13
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Rudnicki S, Welc E, Kosiński J, Strzelecka D. [Effectiveness of physical rehabilitation of patients with recent myocardial infarct in a sanatorium]. Pol Tyg Lek 1972; 27:1265-8. [PMID: 5078214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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14
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Berlowski J, Kosiński J. [Bilateral dermoplasty of the nasal septum in the treatment of a case of Rendu-Osler disease]. Wiad Lek 1971; 24:591-4. [PMID: 4929740] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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15
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Kosiński J, Wieliczko C. [A case of placental angioma]. Patol Pol 1968; 19:111-4. [PMID: 5185573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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16
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Kosiński J, Raczyńska A. [Disturbances in glycogen metabolism (Pompé's disease)]. Pol Tyg Lek 1967; 22:142-4. [PMID: 4227492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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17
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Kosiński J, Lysiak M. [Contribution to the etiopathogenesis of endocardial fibroelastosis]. Pediatr Pol 1966; 41:1099-101. [PMID: 5975955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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