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Abstract

Wild boars use natural feed such as ground cover for about half a year. In this work the contamination of boar muscles with caesium-137 and contamination of ground cover were compared. The level of caesium- 137 was measured by spectromertic method. Muscle samples from total 86 wild boars were collected just after Chernobyl accident (years I 986-1988 and in years I 998-1999). The results of the studies indicate that there is a relationship between radiocontamination of the environment as well as muscles of wild boars. It seems that animals at large can be good indicators of radiocontamination of the environment.
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Authors and Affiliations

Dariusz Jaworek
Jan Wiśniewski
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Abstract

The paper presents two sample preparation procedures for the determination of aldehydes in wet deposition. In both cases the 2,4-dinitrophenylhydrazine derivatization and solid phase extraction were applied. The derivatization in method A was applied before the extraction, the extraction in method B was carried out with simultaneous derivatisation. Accuracy of both methods was evaluated on the basis of the analysis of aqueous solutions of selected carbonyl compounds. Both methods were characterized by good recovery, however, due to the precision of the method expressed as RSD for testing of environmental samples the method B was used.

The analysis of environmental samples showed significant differences in the concentrations of aldehydes in wet deposition, depending on the location of the sampling point. In the case of samples taken from agricultural areas the predominant aldehydes were formaldehyde and acetaldehyde. Formaldehyde was from 31% to 47% of the determined compounds. While in samples collected near a traffic source, in the deposition acrolein was determined at the levels from 62% to 64% of the identified compounds.

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Authors and Affiliations

Marianna Czaplicka
Katarzyna Jaworek
Agnieszka Wochnik
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Abstract

Atopic dermatitis (AD) is the most common inflammatory skin disease. However, recent reports concerning the simple clinical aspects of treatment with topical glucocorticosteroids (TCS) and calcineurin inhibitors (TCI) are lacking. The objective of this study is providing an update on these characteristics of AD management. A group of 150 adults suffering from AD treated with TCS during last year was asked to fill an anonymous questionnaire. The course of topical treatment was analyzed in the context of the severity of symptoms and the knowledge of the patients about therapy. During the last year, the majority of patients (66%) were treated with class IV TCS; however, in the last two weeks, class I TCS was used the most frequently (35%). Only 11% were familiar with the concept of intermittent therapy and 4% used the fingertip unit (FTU). In total, 77% of them used TCI. Most of the patients used the same class of TCS permanently. Unfortunately, patients are unaware of simple approaches (like intermittent therapy or FTU) that increase both the effectiveness and safety of the treatment. Practicians should be aware of these problems to identify and eliminate them, primarily through the education of patients.
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Authors and Affiliations

Przemysław Hałubiec
1
ORCID: ORCID
Andrzej Kazimierz Jaworek
2
Anna Wojas-Pelc
2

  1. University Hospital, Kraków, Poland
  2. Department of Dermatology, Jagiellonian University Medical College, Kraków, Poland
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Abstract

Pellagra is a rare disease caused by niacin deficiency or a disruption of its metabolism. Its manifestations are dermatitis with pronounced photosensitivity, gastrointestinal symptoms, and neuropsychiatric ailments. Currently pellagra is developed in people who chronically abuse alcohol or are treated with medications from specific pharmacological groups (immunosuppressive and anti-tuberculosis drugs).
Although the root cause of the disease was established in the mid-twentieth century, a detailed explanation of the processes leading to the development of symptoms has not yet been proposed. They include complex abnormalities at the molecular, metabolic, and immunological levels. Diagnostics is based primarily on the clinical presentation of the disease, while auxiliary tests play secondary role. The low prevalence of the disease, meaning that physicians are unfamiliar with its re-cognition, often leads to delays in diagnosis and appropriate treatment. The therapy is causal and based on administering niacinamide. Failure to implement treatment in the early stages of the disease leads to the patient’s death.
The aim of this literature review is to summarize the current state of knowledge on the pathomechanisms of pellagra, highlighting the clinical implications, and key elements of diagnostic and therapeutic manage-ment that are important in the treatment of pellagra patients.
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Bibliography

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Authors and Affiliations

Przemysław Hałubiec
1
ORCID: ORCID
Monika Leończyk
1
Filip Staszewski
1
Monika Łazarczyk
1
Andrzej Kazimierz Jaworek
1
Anna Wojas-Pelc
1

  1. Department of Dermatology, Jagiellonian University Medical College, Kraków, Poland
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Abstract

The purpose of this study was to examine the height of the main septum (MS) in the sphenoid sinuses and its type, depending on the percentage prevalence of its tissue composition (osseous and membranous) in the adult population.
M a t e r i a l s a n d M e t h o d s: A retrospective analysis of 296 computed tomography (CT) scans (147 females, 149 males) of the paranasal sinuses was conducted. The patients did not present any pathology in the sphenoid sinuses. The CT scans of the paranasal sinuses were carried out with a spiral CT scanner (Siemens Somatom Sensation 16) in a standard procedure, in the option Siemens CARE Dose 4D. No contrast medium was used. Having obtained the transversal planes, a secondary reconstruction tool (multiplans reconstruction — MPR) was used in furtherance of gleaning sagittal and frontal planes.
R e s u l t s: In all cases, the height of the MS was measured by using a straight line running parallel to the course of the septum (when the MS was regarded as straight) or curved (when the MS was regarded as irregularly shaped). The average height of the MS was 2.1 ± 0.41 cm in the whole research group. Completely osseous MS was found in 32.77% of the patients. In 63.85% of them, the MS was partially membranous. The rarest was the MS which was not even partially ossified —a membranous type, that was observed in 3.38% of the patients.
C o n c l u s i o n s: Variant anatomy of the paranasal sinuses may lead to complications encountered during a surgery, hence a CT scan is advised before the planned treatment.

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Authors and Affiliations

Joanna Jaworek-Troć
1 2
Michał Zarzecki
1
Izabela Zamojska
1
Robert Chrzan
2
Anna Curlej- Wądrzyk
3
Joe Iwanaga
4
Jerzy Walocha
1
Andrzej Urbanik
2

  1. Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland
  2. Department of Radiology, Jagiellonian University Medical College, Kraków, Poland
  3. Department of Integrated Dentistry, Institute of Dentistry Jagiellonian University Medical College, Kraków, Poland
  4. Department of Neurosurgery, School of Medicine, Tulane University, New Orleans, USA
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Abstract

Atopic dermatitis (AD) is a chronic, recurrent inflammatory dermatosis. The most characteristic symptoms of the disease include itch, eczematous eruptions and excessive dryness of the skin. Elderly patients with AD represent a poorly characterized population because the physiological ageing, possible comorbidity and polypharmacy modify the clinical presentation typically observed in the younger age groups. The aim of the study is to comprehensively assess the clinical characteristics of elderly patients (>60 years old) with AD. Data were collected from 26 AD patients treated in the Department of Derma-tology of the University Hospital in Krakow. Late-onset AD with generalized/prurigo lesions was the most predominant phenotype. Skin biopsy was required in 15 (58%) patients in the differential diagnosis process. Allergic rhinitis, a positive family history of atopy and xerosis were associated with a higher number of hospitalizations during the year prior to the last admission (p = 0.034, p = 0.046 and p = 0.036, respectively). Xerosis was more prevalent among subjects with polypharmacy (p = 0.046) and higher serum total IgE concentration (p = 0.048). AD in elderly patients is a new phenotype of the disease that requires careful differential diagnosis. Aged patients with an individual or family history of atopy, due to the increased incidence of severe exacerbations of AD, may benefit from the introduction of proactive therapy.
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Authors and Affiliations

Andrzej Kazimierz Jaworek
1
Przemysław Hałubiec
2
ORCID: ORCID
Natalia Kachnic
3
Alicja Podolska
3
Julia Radzikowska
3
Arletta Kozłowska
2
Anna Wojas-Pelc
1

  1. Department of Dermatology, Jagiellonian University Medical College, Kraków, Poland
  2. University Hospital, Kraków, Poland
  3. Student Scientific Group of Dermatology, Jagiellonian University Medical College, Kraków, Poland

Authors and Affiliations

Wiesława Klimek-Piotrowska
Izabela Mróz
Małgorzata Mazur
Mateusz Hołda
Mateusz Koziej
Marcin Kuniewicz
Aleksandra Matuszyk
Monika Konarska
Joanna Jaworek
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Abstract

Purpose: The purpose of this research is to defi ne the total number of septa and the total number of antra in the sphenoid sinuses (created as a result of the presence of additional septa), as well as the relation between the number of the septa and their location in the adult population.

Materials and Methods: The study was conducted as a retrospective analysis of the computed tomography (CT) scans of the paranasal sinuses of 296 patients (147 females and 149 males), who did not present any pathology in the sphenoid sinuses. The CT scans of the paranasal sinuses were done with the spiral CT scanner (Siemens Somatom Sensation 16) by using a standard procedure, in the option Siemens CARE Dose 4D, without using any contrast medium. After obtaining the transverse planes, the frontal and sagittal planes were created using secondary reconstruction tool (multiplans reconstruction — MPR).

Results: The analysis of the obtained images in the transverse plane and secondary CT reconstructions has shown the presence of only one sphenoid septum (main septum — MS) in 21.96% of the patients, which divided the sphenoid sinus into two sphenoid antra. In 78.04% of the patients, there were more than one sphenoid septa present in the posterior part of the sphenoid sinuses, hence there were additional septa (AS) present. One AS was present in 22.97% of the patients. The most common variant — two AS — was found in 32.09% of the cases. The presence of more than two AS was found in the following number of patients: three AS in 9.8%, four AS in 7.09%, five AS in 1.69%, six AS in 3.04% and seven AS in 1.01%. Th e rarest variant was the presence of more than seven AS: eight AS in 0.34% and nine AS also in 0.34%. Th ere were no sphenoid sinuses that would have more than nine AS in the researched material.

Conclusions: Due to the high incidence of the anatomical variants of the paranasal sinuses, a CT scan is recommended in all patients before a planned surgery in order to avoid the potential complications that might arise as a result of the complicated structure of the paranasal sinuses.

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Authors and Affiliations

Joanna Jaworek-Troć
Michał Zarzecki
Izabela Mróz
Paweł Troć
Robert Chrzan
Jarosław Zawiliński
Jerzy Walocha
Andrzej Urbanik
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Abstract

The purpose of the research was to define the frequency prevalence of the incorporation of sphenoid sinuses’ septum / septa in the carotid canal of the adult population.
M a t e r i a l s and M e t h o d s: 296 computed tomography (CT) scans of the patients (147 females, 149 males), who did not present any pathology in the sphenoid sinuses, were evaluated in this retrospective analysis. Spiral CT scanner — Siemens Somatom Sensation 16 — was used to glean the medical images. Standard procedure applied in the option Siemens CARE Dose 4D. No contrast medium was administered. Multiplans reconstruction (MPR) tool was used in order to obtain frontal and sagittal planes from the transverse planes previously received.
R e s u l t s: Bilateral incorporation of the main septum (MS) in the carotid canal was not present in any of the patients, whereas unilateral incorporation was noticed in 21.96% of the patients (17.68% females, 26.17% males). On the right side it occurred in 11.82% of cases (10.88% females, 12.75% males), and on the left side in 10.14% of cases (6.8% females, 13.42% males). Bilateral incorporation of the additional septum (AS) was found in 8.45% of the patients (4.08% females, 12.75% males), whereas unilateral incorporation was noted in 28.37% of the patients. It was seen on the right side in 11.82% of cases (12.93% females, 10.74% males), and on the left side in 16.55% cases (15.65% females, 17.45% males). The most common variant was the incorporation of only one of the septa (either the MS or the AS) in the wall of the carotid canal unilaterally. Such situation took place in 30.07% of the patients (29.25% females, 30.87% males).
Incorporation of two septa on the same side was noticed in 4.39% of cases (4.08% females, 4.7% males), and incorporation of three septa in 0.34% of cases (0.7% males).
C o n c l u s i o n s: The anatomy of the paranasal sinuses is varied to a great extent, hence performing a CT scan is crucial before the scheduled surgery, as it may lessen the unforeseeable surgical complications, that may result from the high prevalence of variants in the sinuses.


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Authors and Affiliations

Joanna Jaworek-Troć
1 2
Michał Zarzecki
1
Dariusz Lusina
1
Tomasz Gładysz
3
Paweł Depukat
1
Agata Mazurek
1
Wojciech Twardokęs
4
Anna Curlej- Wądrzyk
5
Joe Iwanaga
6
Ewa Walocha
7
Robert Chrzan
2
Andrzej Urbanik
2

  1. Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland
  2. Department of Radiology, Jagiellonian University Medical College, Kraków, Poland
  3. Department of Dental Surgery, Institute of Dentistry, Jagiellonian University Medical College, Kraków, Poland
  4. Department of Histology, Cytophysiology and Embryology, Faculty of Medicine in Zabrze, University of Technology in Katowice, Zabrze, Poland
  5. Department of Integrated Dentistry, Institute of Dentistry, Jagiellonian University Medical College, Kraków, Poland
  6. Department of Neurosurgery, Tulane University, New Orleans, USA
  7. Department of Clinical Nursing, Institute of Nursing and Obstetrics, Jagiellonian University Medical College, Kraków, Poland
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Abstract

The purpose of this study was to determine the course of the main septum (MS) in the sphenoid sinuses in the adult population.

Materials and Methods: 296 patients (147 females, 149 males), who did not present any pathology in the paranasal sinuses, were included in this retrospective analysis of the computed tomography (CT) scans. Spiral CT scanner (Siemens Somatom Sensation 16) was used in order to glean the images of the paranasal sinuses, using standard procedure, in the option Siemens CARE Dose 4D, without using any contrast medium. Secondary reconstructions of the sagittal and frontal planes were obtained using multi-plans reconstruction (MPR) tool after obtaining transverse planes in the first instance.

Results: The course of the MS changed the most often from the anterior to the posterior part of the sphenoid sinuses. Such situation took place in 83.78% of the patients, in 32.43% of whom a clear shift to the lateral side was noticed only in the posterior part of the MS: in 18.24% of the patients to the right side, and in 14.19% of the patients to the left side. In 17.57% of the patients the lateral shift was visible in both anterior and posterior parts of the septum, where in 9.46% of the patients it was from the left side to the right, whereas in 8.11% of the patients the shift took place from the right side to the left. The MS had the shape of the letter ‘C’ in 22.29% of the cases, and 11.82% had the typical shape of the letter ‘C,’ and in 10.47% of the patients it paralleled the inverted letter ‘C’ (upside down). Amongst the types of the MS shifting directions the rarest was the MS that resembled the letter ‘S’ — 11.48% of the patients. In 5.74% of the cases it looked like the typical letter ‘S,’ and in 5.74% of the cases it was similar to the inverted letter ‘S.’ Only 16.22% of the cases had the MS that did not change its course nor its shape and ran medially in the sagittal plane from the anterior to the posterior part of the sinuses.

Conclusions: In furtherance of reducing the risk of problems occurring during a surgery in the paranasal sinuses, it is prudent to have a CT scan done in all the patients beforehand, due to the high prevalence of the anatomical variations in the sinuses.

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Authors and Affiliations

Joanna Jaworek-Troć
1 2
Michał Zarzecki
1
Wojciech Przybycień
1
Marcin Lipski
1
Anna Curlej-Wądrzy
3
Joe Iwanaga
4
Jerzy Walocha
1
Agata Mazurek
1
Robert Chrzan
2
Andrzej Urbanik
2

  1. Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland
  2. Department of Radiology, Jagiellonian University Medical College, Kraków, Poland
  3. Department of Integrated Dentistry, Institute of Dentistry, Jagiellonian University Medical College, Kraków, Poland
  4. Department of Neurosurgery, Tulane University, New Orleans, USA

Authors and Affiliations

Tomasz Bereza
Izabela Mróz
Ewa Mizia
Wojciech Kurzydło
Piotr Bachul
Joanna Jaworek
Monika Konarska
Klaudia Walocha
Małgorzata Mazur
Marcin Kuniewicz
Paweł Depukat
Przemysław Chmielewski
Łukasz Warchoł
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Abstract

Rising carbon dioxide emissions are driving climate change and there is growing pressure to find alternative energy sources. Co-combustion of waste with fuels is still occurring in some regions of the world, and it is important to know the compounds emitted from such combustion. This study investigated the emissions from the combustion of wood pellets with waste. The wood pellet was combusted with different additions of polyethylene terephthalate plastic and medium-density fiberboard (10 and 50%), in a low-power boiler (18W). Phenols, alkylphenols, phthalates, biomass burning markers, and polycyclic aromatic hydrocarbon emissions were determined. Gas chromatography coupled with a mass spectrometry detector was used to analyze these compounds after extraction and derivatization in the particulate matter and gas phase. The emissions of biomass burning markers and phthalates were the highest among all the compounds determined for MDF addition. The total emission of these compounds was 685 mg/h and 408 mg/h for 10% addition and 2401 mg/h and 337 mg/h for 50% addition, respectively. For the co-combustion of biomass with PET, PAHs and phenols had the highest emission; the emission was 197 mg/h and 114.5 mg/h for 10% addition and 268 mg/h and 200 mg/h for 50% addition, respectively. In our opinion, the obtained results are insufficient for the identification of source apportionment from household heating. After further study, tested compounds could be treated as markers for the identification of the fuel type combusted in households.
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Authors and Affiliations

Justyna Klyta
1
ORCID: ORCID
Katarzyna Janoszka
1
ORCID: ORCID
Marianna Czaplicka
1
ORCID: ORCID
Tomasz Rachwał
1
ORCID: ORCID
Katarzyna Jaworek
1
ORCID: ORCID

  1. Institute of Environmental Engineering PAS, Poland
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Abstract

Anatomy of the vascular system of the leg was studied using classical anatomical dissection methods. Based also on literature we have reviewed the current knowledge on the vascularization of the lower leg and its embryological background with special respect toward the posterior tibial artery and its branches.

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Authors and Affiliations

Przemysław Chmielewski
Łukasz Warchoł
Izabela Mróz
Michał Malczak
Joanna Jaworek
Ewa Mizia
Ewa Walocha
Paweł Depukat
Piotr Bachul
Tomasz Bereza
Wojciech Kurzydło
Barbara Gach-Kuniewicz
Małgorzata Mazur
Krzysztof Tomaszewski
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Abstract

Authors paid attention to anatomy and clinical implications which are associated with the variations of the sphenoid sinus. We discuss also anatomical structure of the sphenoid bone implementing clinical application of this bone to diff erent invasive and miniinvasive procedures (i.e. FESS).

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Authors and Affiliations

Joanna Jaworek-Troć
Michał Zarzecki
Anna Bonczar
Lourdes N. Kaythampillai
Bartosz Rutowicz
Małgorzata Mazur
Jacenty Urbaniak
Wojciech Przybycień
Katarzyna Piątek-Koziej
Marcin Kuniewicz
Marcin Lipski
Wojciech Kowalski
Janusz Skrzat
Marios Loukas
Jerzy Walocha

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