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Open access

Zygmunt Domagała, Paweł Dąbrowski, Michał Porwolik, Krystian Porwolik and Bohdan Gworys

Abstract

There are a limited number of studies on secular changes in the neonatal period, and the majority of them concern research related to childhood and puberty The objective of our study was to carry out a comparative analysis of body weight and length at birth in neonates born in Wrocław in subsequent decades since 1950 to find out if these parameters are subject to secular trend, and what values they attained during the studied period of 50 years. The study was carried out in the 1950s, 1960s, 1970s, 1980s, 1990s and in 2000 to analyse changes in body length, body weight and Rohrer index over time. The sample studied consisted of 7510 neonates, 3882 males and 3628 females, born in Wroclaw. Secular changes were tested using one-way variance analysis. The values of F statistics were compared to the critical values of the F Snedecor distribution. Changes in the features of neonates in subsequent study years were analysed using the modified z-score. Data were normalised for standard deviation in decade increments. Results demonstrated very slight, though statistically insignificant increase in body weight at birth. Over the 50-year period the mean body weight of neonates was in the range of 3.3-3.4 kg, regardless of sex. Results demonstrated very slight, though statistically insignificant increase in body weight at birth. Over the 50-year period the mean body weight of neonates was in the range of 3.3-3.4 kg, regardless of sex. The acceleration in the body length of neonates caused a gradual decrease in the mean values of the Rohrer index. No secular trend in body weight was found in Wrocław neonates over the 50-year period between 1950 and 2000 With regard to body length at birth, four waves of deceleration and acceleration were found: period 1 (1950s): deceleration in the increase of the analysed body parameters of neonates; period 2 (1960s): acceleration in neonates’ growth; period 3 (1970s and 1980s): economic crisis and political transformations in Poland; this is reflected by the stable mean values of body dimensions in neonates. The secular trend clearly decelerated, and period 4 (1990s and 2000) - very intense acceleration in both body weight and length and the Rohrer index.

Open access

Ahmed Elsaftawy, Bohdan Gworys, Jerzy Jabłecki and Tobiasz Szajerka

Abstract

Carpal tunnel release became one of the most common operations in the field of hand surgery. Many controversies has been made about frequency of the so-called dangerous variations of motor branch of the median nerve. Knowledge of all the anatomical variations motor branches is the duty of every surgeon dealing with the subject.

The aim of the study was to present the incidence of dangerous variants of median nerve motor branch in the carpal tunnel based on both clinical experience and anatomical studies performed on 20 cadaver wrists.

Material and methods. Between 2006-2012 during minimally open carpal tunnel release we made photographic documentation of all visible dangerous varieties of recurrent motor branches of the median nerve. We also studied 20 cadaver wrists in the Department of Anatomy Medical University in Wrocław.

Results. Dangerous varieties of the motor branch of median nerve was found in three clinical cases and in one cadaver wrist. Also In one wrist we found one regular branche, which, however, has atypical two separate branches supplying the thenar muscles.

Conclusions. Dangerous varieties of the motor branch of median nerve occur very rare in the population, but does not release from the fact that in each case special attention must be given.We also conclude that, at the minimally open carpal tunnel release procedure, the transverse carpal ligament should be released rather from the line of radial border of the 4th finger to minimize the risk of injury to the recurrent motor branch of median nerve

Open access

Zygmunt Domagała, Dariusz Kałka, Bożena Kurc-Darak, Krzysztof Womperski, Lesław Rusiecki, Ewa S. Krauz, Bohdan Gworys and Paweł Dąbrowski

Abstract

The basic anthropometric data describing a person in the broadest context are body weight and height, two of the most frequently analyzed somatometric parameters. The same is true I in relation to clinical patients. The aim of the present study was to compare the self-reported and actual body weight, height and BMI in patients suffering from coronary artery disease and undergoing cardiac rehabilitation. The study sample consisted of 100 patients treated for coronary artery disease. The patients were asked to state their body weight and height. At the same time a three-person study team took measurements, which were later the basis for verification and objective assessment of the data provided by the patients. Statistical analysis was performed with Statistics 11.0 PL software. The analysis of mean results for the assessed group of patients has shown the presence of statistically significant differences between declared and actual data. The differences were observed for both male and female study population. It has been proven that the subjects declare greater body height (mean value 1.697 m vs. 1.666 m) and lower body weight (80.643 kg vs. 82.051 kg). Based on the data from surveys and direct measurements, the body mass index for the self-reported and actual data was calculated. A comparison of these values has shown considerable statistically significant differences. The differences between declared and actual data point to highly subjective self-assessment, which disqualifies the declared data in the context of monitoring of treatment and rehabilitation processes. The authors believe that actual data should be used in direct trial examination of patients suffering from coronary artery disease who presented with acute coronary syndrome.