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Lesiński J, Zielonka TM, Kaszyńska A, Wajtryt O, Peplińska K, Życińska K, Wardyn KA. Clinical Manifestations of Huge Diaphragmatic Hernias. ADVANCES IN EXPERIMENTAL MEDICINE AND BIOLOGY 2018; 1039:55-65. [PMID: 28681184 DOI: 10.1007/5584_2017_49] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/10/2023]
Abstract
Translocation of abdominal organs into the thoracic cavity may cause dyspnea, heart disorders, and gastric symptoms. Diaphragmatic hernias can cause diagnostic difficulties, since both clinical and radiological symptoms might imitate different disorders. In these cases computed tomography of the chest is the method of choice. The aim of this study was to assess clinical manifestations, risk factors, and prognosis in patients with huge diaphragmatic hernias with displacement of abdominal organs into the thorax, depending on the action taken. We carried out a retrospective study using data of patients hospitalized in the years 2012-2016. Ten patients were qualified for the study (8 women and 2 men). The mean age of the subjects was 86.5 ± 10.5 years. Thirty percent of the hernias were post-traumatic. All of the patients reported cardiovascular or respiratory symptoms. Upper gastrointestinal symptoms occurred in half of the patients. Twenty percent of patients underwent surgery with a positive outcome, while 30% of patients, who were not qualified for surgery due to numerous co-morbidities, died. The main risk factors predisposing to the occurrence of large diaphragmatic hernias were the following: old age, female gender, and thoracic cage deformities.
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Lesiński J, Zielonka TM, Zel A, Życińska K. [Dyspnea in a patient after open reduction of fracture of the femur]. WIADOMOSCI LEKARSKIE (WARSAW, POLAND : 1960) 2017; 70:399-404. [PMID: 29059665] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Acute dyspnoea in the postoperative period requires quick consideration of all possible causes and implementation of the proper treatment. During the differential diagnostic process, other than the most common cardio-pneumological and otolaryngological reasons, we should consider a whole array of rare causes such as neuromuscular illnesses, renal failure, and gastrointestinal diseases. This case is an example of sudden onset of dyspnoea presenting in a 67 year old woman with COPD. The dyspnoea occurred in first postoperative day after open reduction of fracture of the femur. Onset of respiratory insufficiency symptoms and circulatory instability appeared suddenly and advanced quickly, as result of a large Morgagni type retrosternal hernia, requiring urgent thoraco-surgical intervention. In the long term, the effects of this operation were very good.
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Zielonka TM, Lesiński J, Zycińska K, Machowicz R, Wardyn AK. [Vaccination against influenza in medical staff of Warsaw university hospitals and in students of Warsaw Medical University]. Med Pr 2009; 60:369-376. [PMID: 19999040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023] Open
Abstract
BACKGROUND According to CDC recommendations, medical staff should be vaccinated against influenza each year. The objective of this work was to establish the percentage of medical personnel and students vaccinated against influenza in two Warsaw university hospitals and Warsaw Medical University, to evaluate their level of awareness about the importance of vaccination and to identify reasons for not taking vaccines. MATERIAL AND METHODS The anonymous questionnaire survey was conducted in the population of 166 physicians, 104 nurses and 254 students. RESULTS Only 22.3% of physicians, 10.6% of nurses and 13.4% of students regularly take vaccines against influenza. Free of charge vaccination was offered to 19% of physicians, 15% of nurses and 6% of students. Awareness of the need for influenza vaccination and willingness to take free-of-charge vaccination were declared by 42% of nurses. Physicians justified their decisions not to undergo vaccination by no need to vaccinate, laziness and lack of time, nurses by no need to vaccinate and costs, and students by costs and laziness. CONCLUSIONS The percentage of medical staff of Warsaw university hospitals who regularly take vaccines against influenza is low. In view of the reluctance to take influenza vaccines observed in the study population, there is an urgent need to intensify educational efforts to increase awareness of the importance to be vaccinated.
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Dabrowska M, Kolasa A, Zukowska M, Lesiński J, Domagała-Kulawik J, Maskey-Warzechowska M, Krenke R, Rowiński O, Chazan R. [Analysis of solitary pulmonary nodules found in chest radiograms]. PNEUMONOLOGIA I ALERGOLOGIA POLSKA 2009; 77:37-42. [PMID: 19308908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023] Open
Abstract
INTRODUCTION The detection of solitary pulmonary nodules (SPNs) has increased due to widespread use of computed tomography; nevertheless, chest radiographs still remain the basic routine examination. The aim of the study was to estimate the detection of SPNs in routine chest X-rays in hospitalized patients and to assess the incidence of malignancy in newly diagnosed SPNs. MATERIAL AND METHODS We analyzed 5,726 routine chest radiographs of patients admitted to the Department of Internal Diseases, Pneumology and Allergology in 2004 and 2005. Most of the patients were admitted to hospital due to emergency reasons. The malignant nature of the nodules was confirmed by pathological examination. The nature of benign nodules was confirmed either by pathological examination or based on radiological criteria: no growth within 2 years of radiological follow up, regression in control radiograms or CT scans, benign pattern of calcification. RESULTS Among the 5,726 radiograms we found 116 newly diagnosed SPNs (2.2%). Twenty-four nodules (21%) were malignant: NSCLC in 21 cases and metastases in 3 cases. Fifty-one nodules (44%) were benign. In 19 patients (16%) SPNs proved to be artefacts or erroneously interpreted extrathoracic lesions. In 22 cases (19%) there was no final diagnosis (lack of data, diagnostic procedure renunciation). CONCLUSION The incidence of newly detected SPNs in chest X-rays was 2.2%. Most SPNs were benign. About 21% of SPNs were diagnosed as malignant.
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Dąbrowska M, Kolasa A, Żukowska M, Lesiński J, Domagała-Kulawik J, Maskey-Warzęchowska M, Krenke R, Rowiński O, Chazan R. Analysis of Solitary Pulmonary Nodules Found in Chest Radiograms. Adv Respir Med 2008. [DOI: 10.5603/arm.27851] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Introduction: The detection of solitary pulmonary nodules (SPNs) has increased due to widespread use of computed tomography; nevertheless, chest radiographs still remain the basic routine examination. The aim of the study was to estimate the detection of SPNs in routine chest X-rays in hospitalized patients and to assess the incidence of malignancy in newly diagnosed SPNs. Material and methods: We analyzed 5726 routine chest radiographs of patients admitted to the Department of Internal Diseases, Pneumology and Allergology in 2004 and 2005. Most of the patients were admitted to hospital due to emergency reasons. The malignant nature of the nodules was confirmed by pathological examination. The nature of benign nodules was confirmed either by pathological examination or based on radiological criteria: no growth within 2 years of radiological follow up, regression in control radiograms or CT scans, benign pattern of calcification. Results: Among the 5726 radiograms we found 116 newly diagnosed SPNs (2.2%). Twenty-four nodules (21%) were malignant: NSCLC in 21 cases and metastases in 3 cases. Fifty-one nodules (44%) were benign. In 19 patients (16%) SPNs proved to be artefacts or erroneously interpreted extrathoracic lesions. In 22 cases (19%) there was no final diagnosis (lack of data, diagnostic procedure renunciation). Conclusion: The incidence of newly detected SPNs in chest X-rays was 2.2%. Most SPNs were benign. About 21% of SPNs were diagnosed as malignant.
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Zielonka TM, Lesiński J, Zukowska M, Domagała-Kulawik J, Kaperski L, Przybyłowski T, Chazan R. [Bronchorrhea in a case of pneumonic type of bronchioloalveolar carcinoma]. POLSKIE ARCHIWUM MEDYCYNY WEWNETRZNEJ 2004; 112:961-7. [PMID: 15675272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/01/2023]
Abstract
The authors describe a case of 80-years old male hospitalized because of radiological and clinical signs suggestive of right-sided pneumonia. The main complaints of the patient were of productive cough with increasing amounts of watery sputum irregular fever up to 39 degrees C, progressive dyspnea, generalized weakness and loss of weight. Despite extensive use of antimicrobial and antituberculosis agents significant deterioration of patients general condition and the progression of X-ray picture were observed, inflammatory infiltration started to encompass the contralateral lung. Bronchial washing revealed the presence of atypical and neoplasmatic cells of adenous origin type. Since this finding contrasted with the pattern of radiological abnormality that did not show any tumor-like changes, another diagnostic approach was undertaken. Transthoracic fine needle aspiration biopsy revealed cells of non-small cell lung carcinoma. The diagnosis of bronchioalveolar carcinoma established on the basis of clinicoradiologic pattern was confirmed at autopsy. Increasing bronchorrhea was the most prominent symptom.
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Bałkowska A, Lesiński J, Szymański G, Werblan L. Conductivity of ionic solutions of LiAsF6 and LiBF4 in equimolar mixtures of γ-butyrolactone with 2-methyltetrahydrofuran. ACTA ACUST UNITED AC 1990. [DOI: 10.1016/0022-0728(90)87214-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Lesiński J, Hryniewicka I, Krach-Karczmarczyk J, Wiśniewska C. [Further studies on the usefulness of the TPHA and FTA-ABS reactions for routine verification of positive results of screening tests]. PRZEGLAD DERMATOLOGICZNY 1979; 66:495-500. [PMID: 392626] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
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Lesiński J, Kadziewicz E, Kulikowska B. [Specificity of TPHA reaction in patients with malignant neoplasms]. PRZEGLAD DERMATOLOGICZNY 1978; 65:523-6. [PMID: 725095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Lesiński J, Szymczak M, Hryniewiecka I, Lyzwa T. [Practical value of the TPHA test as a method of routine prophylactic studies]. PRZEGLAD DERMATOLOGICZNY 1978; 65:383-8. [PMID: 358300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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Lesiński J, Nawara A, Hryniewiecka I, Lyzwa T, Kotyńska J. [Specificity of TPHA reaction in subjects with suspected biologically false results of cardiolipin test and its usefulness as a routine method of serological verification]. PRZEGLAD DERMATOLOGICZNY 1977; 64:441-6. [PMID: 897238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Lesiński J, Hoffmann B, Dabrowski M, Borowska Z. [Value of the TPHA test in the diagnosis of late syphilis]. PRZEGLAD DERMATOLOGICZNY 1976; 63:809-17. [PMID: 794934] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Lesiński J, Kilczewski W, Hryniewicka I, Wiśniewska C, Bramska S. [Intensive treatment of gonorrhea with biseptol]. PRZEGLAD DERMATOLOGICZNY 1976; 63:313-8. [PMID: 935529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Lesiński J, Jakubowski A, Szymczak M, Wiśniewska C, Krach J, Lyzwa T. [Value of preventive serologic examinations in the control of syphilis incidence in the Białystok Province in 1969-1974]. PRZEGLAD DERMATOLOGICZNY 1976; 63:151-8. [PMID: 1265302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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Hoffmann B, Krach J, Lesiński J, Dollar B, Miklus M, Slaska M, Szufnara K, Legendziewicz H. [An appraisal of cardiolipin antigens manufactured domestically for the so-called rapid reagin tests]. PRZEGLAD DERMATOLOGICZNY 1976; 63:39-45. [PMID: 56763] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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Lesiński J, Krach J, Kadziewicz E. Specificity, sensitivity, and diagnostic value of the TPHA test. Br J Vener Dis 1974; 50:334-40. [PMID: 4609562 PMCID: PMC1045058 DOI: 10.1136/sti.50.5.334] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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Lesiński J. [Significance of the passive hemagglutination test of spirochaeta (TPHA) in syphilis serodiagnosis]. POLSKI TYGODNIK LEKARSKI (WARSAW, POLAND : 1960) 1974; 29:1141-3. [PMID: 4603829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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Lesiński J, Jakubowski A, Szymczak M, Wiśniewska C. [Epidemiologic usefulness of prophylactic serological examinations during a period of decrease in syphilis morbidity]. PRZEGLAD DERMATOLOGICZNY 1974; 61:295-301. [PMID: 4848654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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Lesiński J, Krach-Karczmarczyk J, Malyszko E. [Appraisal of sensitivity, specificity and diagnostic usefulness of the unheated serum reagin test (USR) and its modification]. PRZEGLAD DERMATOLOGICZNY 1974; 61:33-9. [PMID: 4847379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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Lesiński J, Krach-Karczmarczyk J. [Diagnostic value of the macroscopic cardiolipin test (the RPR-card test)]. PRZEGLAD DERMATOLOGICZNY 1973; 60:739-41. [PMID: 4769957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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Lesiński J, Dzierzanowska D, Szymczak M, Linda H, Wiśniewska C, Nawara A, Winogrodzka A. Treatment of gonorrhoea with procaine penicillin plus probenecid. Br J Vener Dis 1973; 49:358-61. [PMID: 4580021 PMCID: PMC1044930 DOI: 10.1136/sti.49.4.358] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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Lesiński J, Krach-Karczmarczyk J, Malyszko E. [Reactivity and specificity of the cardiolipin test adapted for the examination of a dried blood drop (preliminary communication)]. PRZEGLAD DERMATOLOGICZNY 1973; 60:205-8. [PMID: 4791676] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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Lesiński J, Krach-Karczmarczyk J. [Sensitivity and specificity of TPHA tests. Preliminary communication]. PRZEGLAD DERMATOLOGICZNY 1973; 60:41-4. [PMID: 4597380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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Lesiński J, Krach-Karczmarczyk J, Malyszko E. [The unheated serum reagin test (USR) and its usefulness in the diagnosis of symphilis]. PRZEGLAD DERMATOLOGICZNY 1972; 59:491-3. [PMID: 5070460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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Lesiński J, Serwatko M, Krach J, Wiśniewska C, Szymczak M. [Current epidemiological value of prophylactic serological tests]. PRZEGLAD DERMATOLOGICZNY 1971; 58:163-8. [PMID: 5577700] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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