Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 17 de 17
Filtrar
Mais filtros

Base de dados
País/Região como assunto
Tipo de documento
País de afiliação
Intervalo de ano de publicação
1.
Environ Manage ; 69(2): 429-437, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-34845534

RESUMO

We studied the impact of the new fenced and accident-safe motorway on the mortality of European badgers Meles meles on local roads in western Poland in 2010-2015. We monitored the badgers mortality on local roads of three categories: main roads, secondary roads and county roads. The study was conducted before and after the opening of the motorway in 2012. We hypothesized that the mortality of badgers is lower due to traffic concentration on motorway. Ninety two badgers were killed in collisions with vehicles on all monitored roads. Mean number of killed badgers was lowest in 2010 before the motorway opening and the highest in 2012. The mortality of badgers on regional roads was highest after the opening of the motorway due to the changes in traffic on the access roads. Within the road network, the mortality of badgers was 5.8 individuals/10 km of road per whole study period with the highest rate on main roads 8.5 individuals/10 km. The badgers mortality was highest on county roads but it was lower than expected in relation to the road network density. The highest vehicle collision risk for badgers of both sexes occurred in June. Distance to human settlements was the only environmental factor that was positively related to badger mortality on roads. We conclude that the new motorway did not reduce the mortality rate of badgers on the adjacent roads because the status of local roads has changed and now they mainly function as access roads to the motorway.


Assuntos
Mortalidade , Mustelidae , Animais , Efeitos Antropogênicos , Feminino , Masculino , Polônia , Meios de Transporte
2.
Exp Appl Acarol ; 82(4): 503-513, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33098499

RESUMO

Badgers can gather huge quantities of organic material to build their nests for winter time and to rear their cubs. Moreover, badger burrows (setts) are characterized by specific microclimate with quite stable temperature and humidity. Their fauna is poorly studied, especially in respect of saprobiontic Uropodina mites. In 2018-2019, we monitored 94 badger setts to search for nest material that had been thrown away during cleaning of the chambers after mating and winter sleep. In the collected material from 32 badger nests, we found 413 Uropodina mites of 16 species, in various stages of development (adults, protonymphs, and deutonymphs). The community was dominated by three mite species: Trematura patavina (22.5%, n = 93), Oodinychus ovalis (17.2%, n = 71), and Olodiscus minima (15.5%, n = 64). Other nidicolous-i.e., nest-dwelling-species included: Nenteria oudemansi (14.8%, n = 61), Phaulodiaspis borealis (7.0%, n = 29), Phaulodiaspis rackei (4.6%, n = 19), Uroseius hunzikeri (1.7%, n = 7), Uropoda orbicularis (1.5%, n = 6), and Apionoseius infirmus (1.0%, n = 4). The most frequent species were: Oodinychus ovalis (62.5%, 20 nests), N. oudemansi (46.9%, 15 nests), and Olodiscus minima (40.6%, 13 nests). Detrended correspondence analysis indicated that the Uropodina community from badger nests differed from that of mole nests, studied earlier. In setts, the Uropodina community included T. patavina and N. oudemansi, which were for the first time recorded from underground badger nests. This is the first record of N. oudemansi from Poland.


Assuntos
Ácaros , Mustelidae , Animais , Polônia , Estações do Ano , Temperatura
3.
Med Sci Monit ; 24: 3895-3902, 2018 Jun 09.
Artigo em Inglês | MEDLINE | ID: mdl-29885161

RESUMO

BACKGROUND Several nomograms were developed for predicting the potential recurrence and cancer death risk in renal cell carcinoma patients. The combination of TNM classification and appropriately selected clinical classifiers allows for the creation of simple and effective risk calculators. MATERIAL AND METHODS There were 230 patients with renal cell cancer enrolled in this study. Basic parameters of blood count, serum creatinine and sodium concentrations, and histopathological features of the tumors were analyzed. A determination of whether any of the tested parameters could be used to assess the prognosis of kidney cancer was performed. RESULTS When the platelet cell count (PLT) increased by 10 thousand/µL, the risk of metastasis was higher by 5%, and cancer recurrence and death by 10%. A low-risk recurrence group was identified: T1b, PLT <230, Na of 140.6 mmol/L. A high-risk recurrence group was identified: T3a, PLT >280, Na of 143.4 mmol/L. A low-risk cancer specific mortality group was identified: T2a, absence of metastases, preoperative creatinine level of 85.6 µmol/L, and the value of PLT 227.0×103. A high-risk cancer specific mortality group was identified: T3a, the presence of metastases in the lungs (M), serum creatinine before treatment level of 97.9 µmol/L, and the value of PLT 299.5×10³. CONCLUSIONS Preoperative PLT, serum sodium, and tumor staging were independent risk factors for local recurrence. Blood PLT, serum sodium, creatinine, and tumor staging were useful indicators for estimating 5-year cancer specific survival.


Assuntos
Carcinoma de Células Renais/sangue , Creatinina/sangue , Neoplasias Renais/sangue , Sódio/sangue , Contagem de Células Sanguíneas , Feminino , Seguimentos , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Recidiva Local de Neoplasia/patologia , Contagem de Plaquetas , Prognóstico , Fatores de Risco
4.
Psychiatr Pol ; 57(6): 1169-1179, 2023 Dec 31.
Artigo em Inglês, Polonês | MEDLINE | ID: mdl-38564520

RESUMO

OBJECTIVES: Numerous studies show that a high level of psychopathic traits in youth is related to the propensity to use various types and forms of aggression. The presented study focuses on the relations between psychopathy and aggression, both indirect (relational) and direct in this age group. The triarchic model of psychopathy was used, according to which psychopathy is described as a configuration of boldness, meanness and disinhibition. It was assumed that boldness would be a predictor for indirect aggression and disinhibition - for the direct forms of aggressive behaviors. METHODS: The sample consisted of 200 older adolescents (108 boys and 92 girls), aged 16-19. Two groups were distinguished for comparison: juveniles from youth fostering centers and youth not violating legal norms. For the measurement of the variables the following self-reports were used: Triarchic Psychopathy Measure, Indirect Aggression Scale (Aggressor Version) and Aggression Questionnaire. RESULTS: From among the dimensions of psychopathy, the strongest predictor for both forms of aggression (indirect and direct) was disinhibition. The study also revealed the differences in the intensity of psychopathic traits and aggressive behaviors with reference to gender and institutionalization. However, the hypothesis on the relationship between boldness and indirect aggression was not confirmed. CONCLUSIONS: The results showed that disinhibition and meanness can be considered as significant personality risk factors for aggressive behaviors and violence not only in adults but also in adolescents. The study supported also the heterogeneity of the triarchic model of psychopathy itself.


Assuntos
Agressão , Modelos Psicológicos , Adulto , Masculino , Feminino , Humanos , Adolescente , Transtorno da Personalidade Antissocial , Inquéritos e Questionários , Autorrelato
5.
Animals (Basel) ; 12(7)2022 Mar 31.
Artigo em Inglês | MEDLINE | ID: mdl-35405886

RESUMO

The European badger plays an important role as a natural factor shaping species diversity in forests. Its extensive setts can be used by many other animals as shelters. Soil perturbations in their setts support plant communities that differ from the matrix landscape. The badger is also an effective seed disperser. We investigated its role as an ecosystem engineer in preserving species diversity and discussed its legal status across Europe. In most European countries (69.3% of the continent), the badger is hunted, sometimes year-round. The hunting season lasting through winter until early spring may have a negative effect on badger populations, especially when cubs are born in February. Although this species is Red Listed in 19 European countries (with categories ranging from LC to EN), the badger is strictly protected by law in 30.7% of its European range. A reduction in badger populations may limit its ecosystem services (seed dispersal, topsoil disturbances, microhabitat creation). Much new data on the importance of badgers in ecosystem engineering has allowed us to reconsider how we manage badger populations.

6.
Psychiatr Pol ; 55(5): 1157-1167, 2021 Oct 31.
Artigo em Inglês, Polonês | MEDLINE | ID: mdl-34997749

RESUMO

OBJECTIVES: The basic aim of the research was to analyze the associations between the traits of psychopathy in the triarchic model (boldness, meanness, disinhibition) and the level of psychological resilience and preferred style of coping with stress in the group of adolescents violating legal norms. The author assumes that the key symptoms in this relationship would be played by the symptoms of psychopathy included in the dimension of boldness. METHODS: The group of participants consisted of 111 girls and boys aged 16-18 years staying in youth correctional facilities. The Polish adaptation of the TriPM questionnaire was used to measure the severity of psychopathic traits in juveniles (Patrick, 2010, Pilch at al., 2015). The structure of psychological resilience and styles of coping with stress in the studied group were measured with the use of self-report methods: Skala Preznosci Psychicznej/SPP-18 (Polish scale to measure resilience in children and adolescents, Oginska-Bulik, Juczynski 2011) and the CISS questionnaire respectively. RESULTS: The general level of psychological resilience proved to be a mediator between boldness and task-oriented coping style. Boldness as a component of psychopathy was also associated with all psychological resilience scales. The disinhibition dimension of psychopathy negatively correlated with psychological resilience and was associated with more frequent occurrence of an emotion-oriented stress coping style. There were differences between sexes observed in the severity of meanness and emotion-oriented coping in a stressful situation. CONCLUSIONS: The research supports the treatment of psychopathy in youth as a complex and multidimensional construct. The data also confirm that certain features of psychopathy may be associated with indicators of good adaptation.


Assuntos
Resiliência Psicológica , Adaptação Psicológica , Adolescente , Transtorno da Personalidade Antissocial , Criança , Feminino , Humanos , Masculino , Autorrelato , Inquéritos e Questionários
7.
PLoS One ; 15(8): e0237642, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32797065

RESUMO

The setts of the European badger Meles meles can be cohabited during reproductive season by the red fox Vulpes vulpes and raccoon dog Nyctereutes procyonoides. There is no information on the possible impact of both species on the size of badgers' litter. The aim of the study was to show the influence of cohabitation of the same setts by badger, raccoon dog and fox on the litter size. The research was conducted in 2012-2014 and 2018 in the lowland forests of western Poland. We conducted the survey of setts by direct observations and analysis of photographic material from trap cameras during mid-April-July each year. We recorded 85 badger litters, 18 fox litters, and 15 raccoon dog litters. Average litter size was 1.71 (±0.90), 2.44 (±1.34) and 4.93 (±2.76) litter mates in badgers, foxes and raccoon dogs, respectively for all observed pairs. Badger litter size did not differ between setts used only by badgers including pairs with no cubs (1.66 ± 0.98) and cohabited with foxes (1.90 ± 0.32) or raccoon dogs (1.88 ± 0.81). However, foxes reared even more cubs in setts cohabited with badgers than when badger was absent (2.90 ± 1.37 vs. 1.88 ± 1.13 respectively). In the case of raccoon dogs, there were no differences in the mean number of their cubs in setts with badgers (5.25 ± 2.92) and without badgers (4.57 ± 2.76). The results indicate that the cohabitation of setts by badgers, foxes and raccoon dogs does not affect litter size negatively.


Assuntos
Raposas/fisiologia , Mustelidae/fisiologia , Cães Guaxinins/fisiologia , Animais , Ecossistema , Feminino , Tamanho da Ninhada de Vivíparos , Masculino , Polônia , Comportamento Sexual Animal
8.
Ann Agric Environ Med ; 25(3): 409-410, 2018 Sep 25.
Artigo em Inglês | MEDLINE | ID: mdl-30260200

RESUMO

Since 2009, Poland has been recognized as a country officially free of bovine tuberculosis (BTB). However, new outbreaks are each year quoted. In many countries it has been shown that badgers (Meles meles) are a vector of Mycobacterium bovis/caprae (M.bovis/caprae) and a source of bovine tuberculosis for many domestical species, mainly for cattle. The aim of the presented study was to determine, for the first time in Poland, the occurrence of tuberculosis in badgers in areas where the disease occurs in cattle. Tissue samples were examined by classical microbiology methods, mycobacteria growth indicator tube (MGIT), and real time PCR. A total of 155 samples from 31 badgers were examined. In any case Mycobacterium bovis/caprae infection has not been diagnosed. This indicates that badgers probably are not a vector of bovine tuberculosis in Poland.


Assuntos
Reservatórios de Doenças/veterinária , Mustelidae/microbiologia , Mycobacterium bovis/fisiologia , Tuberculose/veterinária , Animais , Animais Selvagens/microbiologia , Bovinos , Reservatórios de Doenças/microbiologia , Mycobacterium bovis/genética , Mycobacterium bovis/crescimento & desenvolvimento , Mycobacterium bovis/isolamento & purificação , Polônia/epidemiologia , Tuberculose/microbiologia , Tuberculose/transmissão , Tuberculose Bovina/epidemiologia , Tuberculose Bovina/microbiologia , Tuberculose Bovina/transmissão
9.
Psychiatr Pol ; 51(4): 751-762, 2017 Aug 29.
Artigo em Inglês, Polonês | MEDLINE | ID: mdl-28987062

RESUMO

OBJECTIVES: The analysis of the recent international reports in the literature on psychopathy has proved irrefutablythat there is a necessity for the in-depth studies on psychopathy among the female sentenced offenders. Although there is no disagreement among the researchers on the 'male' form of this disorder, there are still very few gender comparative studies. The aim of this project was to investigate the relationship between the intensity of particular psychopathic features and aggressive tendencies in a group of female and male inmates. METHODS: 100 incarcerated adult males and 100 incarcerated adult females were studied. To assess the intensity of the psychopathic features the Hare Psychopathy Checklist-Revised (PCL-R; Hare, 2003) was used. Aggressive tendencies were measured using the self-reported Buss-Perry Aggression Questionnaire (AQ; Buss and Perry, 1992). RESULTS: The analysis of variance showed that 12 out of the 20 PCL-R items differentiate indicators of aggressiveness at statistically significant level in the group of male and female prisoners. CONCLUSIONS: The obtained data suggest that there are gender differencesin the manifestation of psychopathy-characteristic features. In both gender groups psychopathic deficiencies can be linked with aggressive behaviors.


Assuntos
Agressão/psicologia , Transtorno da Personalidade Antissocial/diagnóstico , Transtorno da Personalidade Antissocial/psicologia , Prisioneiros/psicologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Determinação da Personalidade , Distribuição por Sexo , Temperamento
10.
Int Urol Nephrol ; 49(3): 387-397, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27988909

RESUMO

PURPOSE: Etiopathogenesis of VUR is composite and not fully understood. Many data indicate the importance of genetic predisposition. The aim of this study was to establish the relationship of selected polymorphisms: 14094 polymorphism of the ACE, polymorphism rs1800469 of TGFß-1, rs5443 gene polymorphism of the GNB3 and receptor gene polymorphism rs5186 type 1 AGTR1 with the occurrence of the primary vesicoureteral reflux. MATERIAL: The study included 190 children: 90 with the primary VUR confirmed with the voiding cystourethrogram and excluded secondary VUR and a control group of 100 children without a history of the diseases of the genitourinary tract. METHODS: The study was planned in the scheme: "tested case versus control." Genomic DNA was isolated from the leukocytes of peripheral blood samples. The results were statistically analyzed in the Statistica 10 using χ 2 test and analysis of the variance Anova. RESULTS: Any of the four studied polymorphisms showed no difference in the distribution of genotypes between patients with primary vesicoureteral reflux and the control group. In patients with VUR and TT genotype polymorphism rs5443 GNB3 gene, the glomerular filtration rate was significantly higher than in patients with genotype CC or CT. CONCLUSIONS: (1) No relationship was found between the studied polymorphisms (14094 ACE gene, rs1800469 gene TGFß1, GNB3 gene rs5443, rs5186 AGTR1 gene) and the occurrence of primary vesicoureteral reflux. (2) TT genotype polymorphism rs5443 GNB3 gene may be a protective factor for the improved renal function in patients with primary vesicoureteral reflux in patients with genotype CC or CT.


Assuntos
Proteínas Heterotriméricas de Ligação ao GTP/genética , Peptidil Dipeptidase A/genética , Receptor Tipo 1 de Angiotensina/genética , Fator de Crescimento Transformador beta1/genética , Refluxo Vesicoureteral/genética , Adolescente , Estudos de Casos e Controles , Criança , Pré-Escolar , Feminino , Predisposição Genética para Doença , Taxa de Filtração Glomerular/genética , Humanos , Masculino , Polimorfismo Genético , Refluxo Vesicoureteral/fisiopatologia , Adulto Jovem
11.
Biomed Res Int ; 2017: 2505034, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28299318

RESUMO

Objective. Treatment options for urolithiasis in children include URSL and RIRS. Various types of energy are used in the disintegration of deposits in these procedures. We decided to evaluate the usefulness of URSL and RIRS techniques and compare the effectiveness of pneumatic lithotripters and holmium lasers in the child population based on our experience. Materials and Methods. One hundred eight (108) children who underwent URSL and RIRS procedures were enrolled in the study and divided into two (2) groups according to the type of energy used: pneumatic lithotripter versus holmium laser. We evaluated the procedures' duration and effectiveness according to the stone-free rate (SFR) directly after the procedure and after fourteen (14) days and the rate of complications. Results. The mean operative time was shorter in the holmium laser group. A higher SFR was observed in the holmium laser but it was not statistically significant in the URSL and RIRS procedures. The rate of complications was similar in both groups. Conclusions. The URSL and RIRS procedures are highly efficient and safe methods. The use of a holmium laser reduces the duration of the procedure and increases its effectiveness in comparison with the use of a pneumatic lithotripter.


Assuntos
Cálculos Renais/cirurgia , Lasers de Estado Sólido , Litotripsia/instrumentação , Ureteroscopia/métodos , Adolescente , Criança , Pré-Escolar , Pesquisa Comparativa da Efetividade , Feminino , Seguimentos , Humanos , Laparoscopia/métodos , Litotripsia/métodos , Masculino , Duração da Cirurgia , Estudos Retrospectivos , Resultado do Tratamento , Sistema Urinário/patologia
12.
Biomed Res Int ; 2016: 8687575, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-28105437

RESUMO

Background. Renal cell carcinoma is the most common type of kidney cancer. Taking account of morbidity and mortality increase, it is evident that searching for independent prognostic factors is needed. Aim of the Study. The aim of the study was to analyze routinely performed blood parameters as potential prognostic factors for kidney cancer. Material and Methods. We have retrospectively reviewed the records of 230 patients treated for renal cell carcinoma in the years 2000-2006. Preoperative blood parameters, postoperative histopathological results, and staging and grading were performed. To estimate the risk of tumor recurrence and cancer specific mortality (CSM) within five years of follow-up, uni- and multivariate Cox and regression analyses were used. To assess the quality of classifiers and to search for the optimal cut-off point, the ROC curve was used. Results. T stage of the tumor metastasis is the most important risk factor for early recurrence and cancer specific mortality (p < 0.001). The preoperative platelet count (PLT) above 351 × 103/uL (95.3%; 55.1%) and AUC of 77% are negative prognostic factors and correlate with increased cancer specific mortality (CSM) during the five-year follow-up (p < 0.001). Increased risk of local recurrence was observed for PLT above 243.5 × 103/ul (59%; 88%) and AUC of 80% (p = 0.001). The opposite was observed in the mean platelets volume (MPV) for cancer specific mortality (CSM). The cut-off point for the MPV was 10.1 fl (75.4%; 55.1%) and for the AUC is of 68.1% (p = 0.047). Conclusions. Many analyzed parameters in univariate regressions reached statistical significance and could be considered as potential prognostic factors for ccRCC. In multivariate analysis, only T stage, platelet count (PLT), and mean platelet volume (MPV) correlated with CSM or recurrent ccRCC.


Assuntos
Carcinoma de Células Renais , Neoplasias Renais , Idoso , Carcinoma de Células Renais/sangue , Carcinoma de Células Renais/mortalidade , Carcinoma de Células Renais/cirurgia , Intervalo Livre de Doença , Feminino , Seguimentos , Humanos , Neoplasias Renais/sangue , Neoplasias Renais/mortalidade , Neoplasias Renais/cirurgia , Masculino , Pessoa de Meia-Idade , Contagem de Plaquetas , Cuidados Pré-Operatórios , Estudos Retrospectivos , Taxa de Sobrevida
13.
Biomed Res Int ; 2015: 306191, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25789311

RESUMO

Introduction. Urinary diversion is very often associated with urinary retention and urinary incontinence. In this study, a surgical modification during cystectomy with orthotopic ileal neobladder is presented. Material and Methods. Female patients enrolled in the study (n-24) were subjected to sacrocolpopexy during the operation. Apart from oncological control, the follow-up consisted of 1-hour inlay test and questionnaires (UDI-6 and IIQ-7) in the 3rd, 6th, and 12th month after the operation. In the 12th month after the surgery, the urodynamic pressure-flow test was performed. Outcomes were compared with the control group (n-18) in which sacrocolpopexy was not implemented. Results. The study group was characterised by reduced urinary retention and improved continence. Conclusion. Sacrocolpopexy during cystectomy with orthotopic ileal bladder is a valuable surgical method which provides patients with a better quality of life.


Assuntos
Cistectomia/métodos , Íleo/cirurgia , Procedimentos Ortopédicos/métodos , Polipropilenos/administração & dosagem , Neoplasias da Bexiga Urinária/cirurgia , Bexiga Urinária/cirurgia , Estudos de Casos e Controles , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Qualidade de Vida , Inquéritos e Questionários , Derivação Urinária/métodos , Urodinâmica/efeitos dos fármacos
14.
Biomed Res Int ; 2014: 347856, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24745013

RESUMO

INTRODUCTION: This study is a comparative evaluation of the TVT, TOT, and our own modification of TOT (mTOT) in the treatment of female stress urinary incontinence from a single center experience. MATERIAL AND METHODS: The study was conducted on 527 patients with SUI diagnosed on the basis of urodynamic studies. They were divided into three groups--TVT: n=142, (TOT): n=129, and mTOT: n=256. All of the patients underwent evaluation at 1, 3, and 6 months after surgery. Results were statistically analysed and compared. RESULTS: Objective and subjective effectiveness after the surgery were not significantly different in the study groups and ranged from 90.1% to 96.4%. Mean surgery time was 32.3, 28.2, and 26.4 in the TVT, TOT, and mTOT, respectively. Mean hospitalization time was 2.51 days. Mean catheter maintenance time was significantly higher in the TVT than in other groups. In the TVT group total incidence of complications was 13.4%, and it was significantly higher than that in TOT and mTOT (9.3% and 8.6%, resp.). CONCLUSIONS: TVT, TOT, and mTOT are highly effective and safe methods in the treatment of SUI. There are no differences in the efficacy between the methods with a little higher percentage of complications in the TVT group.


Assuntos
Tempo de Internação/estatística & dados numéricos , Duração da Cirurgia , Complicações Pós-Operatórias/epidemiologia , Slings Suburetrais/efeitos adversos , Slings Suburetrais/estatística & dados numéricos , Incontinência Urinária por Estresse/epidemiologia , Incontinência Urinária por Estresse/cirurgia , Análise de Falha de Equipamento , Feminino , Humanos , Pessoa de Meia-Idade , Polônia/epidemiologia , Complicações Pós-Operatórias/prevenção & controle , Desenho de Prótese , Fatores de Risco , Resultado do Tratamento
15.
Cent European J Urol ; 66(1): 36-8, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24578985

RESUMO

The effect of the immunosuppressive therapy on the development of neoplasms has become the object of an ever increasing interest for clinicians all over the world. The literature on neoplasms development in the course of therapy following transplants has confirmed a considerable increase in the incidence of neoplasms of the skin and lymph nodes. Organ neoplasms developing in patients after transplants are characterized by increased progression, poor cellular diversification and a more unfavorable prognosis than in the general population The aim of the study is to present the case of a nephron-sparing surgery of a renal tumor (NSS) without any intraoperative ischaemia in a 55-year-old female patient with an orthotopic heart transplant and renal insufficiency following a prolonged immune suppression. It is estimated that the patients at the highest risk of neoplasm development are those in the first months after transplant, especially heart transplant. They require maximum doses of immunosuppressive drugs. In the case of patients with initial renal insufficiency the duration of ischaemia of the organ operated on should be minimized, and if possible, surgery should be conducted without clamping the renal pedicle. The surgical treatment of RCC (renal cell carcinoma) in transplant patients does not require any reduction in the amount of the immunosuppressive drugs.

16.
Cent European J Urol ; 66(3): 336-40, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24707380

RESUMO

We present a case of a 58-year-old man hospitalized because of gangrene of the penis and scrotum, after radiochemotherapy for rectal cancer. At the time of the admission the patient presented with extensive gangrene with necrosis affecting the scrotum and the penis. During the first day of hospitalization the patient was operated. Due to the progress of the disease he had to be operated again. The status of the patient, which initially was very bad, was gradually improving. He was discharged from the hospital after 59 days in a good general state with good wound healing.

17.
J Endourol ; 26(1): 52-7, 2012 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-22003819

RESUMO

OBJECTIVE: The gold standard for removal of renal stones more than 2 cm in diameter is percutaneous nephrolithotripsy (PCNL). Retrograde intrarenal surgery (RIRS) has become more and more fashionable because of its high safety and repeatability, especially in smaller stones. Many retrospective studies have proved its efficacy and safety in larger calculi, however. We decided to compare prospectively both procedures in terms of safety and efficacy in renal pelvic stones more than 2 cm in diameter. PATIENTS AND METHODS: This was a randomized single tertiary care center trial with two arms (32 patients in each arm). The first group comprised patients who underwent PCNL, while in the second group, there were patients in whom RIRS with a semirigid ureteroscope was used. The primary end points were hematocrit and hemoglobin drop after surgery as equivalents of safety and stone disintegration rate in terms of efficacy. The secondary end points comprised operating room time, visual analogue scale of pain, pain treatment, and hospital stay. RESULTS: The mean hematocrit drop after the procedure was lower in the second group. Similarly, operating room time and hospital stay were significantly shorter after RIRS in comparison with PCNL. In the second group, patients had favorable features in terms of pain intensity and treatment after the procedure. PCNL showed higher efficacy (94%) in comparison with RIRS (75%). The power of 83% was calculated for the primary end point. CONCLUSION: The efficacy of RIRS is acceptable and, emphasizing its high safety, it should be considered as a valuable alternative option for management of renal pelvic stones more than 2 cm in diameter.


Assuntos
Cálculos Renais/patologia , Cálculos Renais/cirurgia , Rim/cirurgia , Nefrostomia Percutânea/efeitos adversos , Nefrostomia Percutânea/métodos , Demografia , Feminino , Humanos , Rim/patologia , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Cuidados Pós-Operatórios , Cuidados Pré-Operatórios , Resultado do Tratamento
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA