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Open access

Ewa Zieliński, Kinga Grobelska, Piotr Dzięgielewski and Romuald Olszański

Abstract

This paper presents a case report of a patient with a diagnosed complication of a sternum wound which was treated using hyperbaric oxygen, emphasizing the truism of the benefits of combined surgical therapy, antibiotic therapy and oxybarotherapy.

Open access

Kinga Grobelska, Monika Betyna and Ewa Zieliński

Abstract

Hyperbaric oxygen therapy (HBOT) is a safe treatment, provided fulfilling certain rules of patient qualifications to treatment, as well as supervision over the course of therapy by qualified medical staff. Side effects reported in the literature are rare, and are usually mild and transient. Professional medical staff allows minimising the adverse events occurrence. The scale of complications is unknown, especially in Polish hyperbaric center. Careful analysis could be used to develop prevention procedures for patients of hyperbaric oxygen therapy. Hyperbaric Oxygen Centre and Wound Treatment in Bydgoszcz during 28 months performed hyperbaric oxygen therapy (HBOT) in case of 423 patients. During this period, adverse events occurred occasionally. 17 cases have been reported. Authors described study case 77 year-old patient who was admitted due to non-healing wound-left lower abdomen (state after radiotherapy). During the fourth session, on decompression phase patient have had a generalized seizure (tonic-clonic). The decompression was stopped, the oxygen supply was disconnected but only after the drug administration seizures terminated. The most likely causative agent of the adverse reactions of the patient treated with HBOT was the oxygen toxic effect on the brain tissue. However, analyzing the circumstances of the seizure termination: phase of decompression at the pressure 2ATA and lack of oxygen disconnection response, it cannot be excluded other causes of this complication.

Open access

Ewa Zieliński, Anna Lipińska, Kinga Grobelska and Piotr Siermontowski

Abstract

This article presents a description of a case of a patient diagnosed with complicated inflammation of the tibia bone, who was treated hyperbarically, in order to underline the advantages of this method of treatment used not as an alternative to antibiotics and surgery, but as a supportive method.

Open access

Adam Kantanista, Krzysztof Kusy, Ewa Zarębska, Michał Włodarczyk, Monika Ciekot-Sołtysiak and Jacek Zieliński

Summary

Study aim: To compare the blood ammonia and lactate concentrations in sprinters and triathletes during an incremental treadmill exercise test and in the 30 minutes of recovery. Material and methods: The study included 10 male sprinters and 14 male triathletes who compete at the national and international level. A treadmill test until exhaustion was administered. Blood samples for ammonia and lactate were obtained when the athletes were at rest, during and immediately after exercise, and between 5 and 30 min after exercise.

Results: The ammonia concentration and time course were similar in the sprinters and triathletes (F = 1.81, p ≥ 0.05, η2 = 0.08). An exercise-related increase in blood ammonia was almost linear, regardless of the exercise intensity. In the case of lactate, the interactions between the concentrations measured in the sprinters and triathletes were statistically significant (F = 5.78, p ≤ 0.001, η2 = 0.21). Post-hoc tests revealed that the lactate concentrations differed significantly between the sprinters and triathletes in the 18th min (p ≤ 0.01) and the 21st min (p ≤ 0.001) of the exercise test. The blood lactate increased in a nonlinear manner (slowly at lower intensities and rapidly at higher intensities). During the 30 min recovery period, both the ammonia and lactate levels decreased linearly. However, in the sprinters, the peak values were maintained in the first stage of recovery (5 min post-exercise).

Conclusions: The study showed that the blood ammonia concentration may be a useful marker of exercise-related metabolic responses in sprint-trained as well as in endurance-trained competitive athletes. Blood ammonia levels were more intensity-sensitive across the whole intensity range during the incremental exercise when compared to the blood lactate levels.

Open access

Romuald Olszański, Zbigniew Dąbrowiecki, Dorota Niewiedział, Krzysztof Gadomski and Ewa Zieliński

Abstract

Allergic rhinitis occurs in various regions of the world and affects from 10 to 40% of the population. The skin prick test is the “gold standard” for the detection of type I allergic diseases according to the Gella and Coombs classification, which is mediated by IgE. For our experiment, skin prick tests were performed on 60 divers aged between 30 and 40 years of age. The following tests for airborne allergens were used: tests for pollen from trees, grasses, cereals, weeds, proteins from house dust mites, animal hair and epidermis, and moulds. On the basis of an interview and a positive skin prick test allergic rhinitis was diagnosed in 17 divers.

Conclusions:

  1. Allergic rhinitis can cause health problems in divers and be the cause of diving accidents.

  2. The application of the skin prick test during the health qualification in the Military Maritime Health Commission, would allow the exclusion of diver candidates suffering from allergies.

Open access

Romuald Olszański, Zbigniew Dąbrowiecki, Wojciech Marusza, Irina Netsvyetayeva, Dorota Niewiedział, Piotr Siermontowski and Ewa Zieliński

Abstract

The most hazardous adverse reactions following hyaluronic acid injections in aesthetic medicine involve vascular complications, known as the Nicolau Syndrome. This article presents a vascular complication in the area of the upper part of the nasolabial fold following subcutaneous administration of 0.5 ml of hyaluronic acid. At the time of the injection, paling occurred, which was followed by livedo racemosa appearing an hour later. Upon the lapse of a week, an ulceration appeared. It was not until the tenth day after the hyaluronic acid injection that hyaluronidase was administered. After 15 hyperbaric oxygen exposures, the ulcer was completely healed