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Maciej Łoziński, Piotr Ziółkowski and Anna Wysocka

Abstract

The Orava Basin is an intramontane depression filled with presumably fine-grained sediments deposited in river, floodplain, swamp and lake settings. The basin infilling constitutes a crucial record of the neoalpine evolution of the Inner/Outer Carpathian boundary area since the Neogene, when the Jurassic-Paleogene basement became consolidated, uplifted and eroded. The combination of sedimentological and structural studies with anisotropy of magnetic susceptibility (AMS) measurements provided an effective tool for recognition of terrestrial environments and deformations of the basin infilling. The lithofacies-oriented sampling and statistical approach to the large dataset of AMS specimens were utilized to define 12 AMS facies based on anisotropy degree (P) and shape (T). The AMS facies allowed a distinction of sedimentary facies ambiguous for classical methods, especially floodplain and lacustrine sediments, as well as revealing their various vulnerabilities to tectonic modification of AMS. A spatial analysis of facies showed that tuffites along with lacustrine and swamp deposits were generally restricted to marginal and southern parts of the basin. Significant deformations were noticed at basin margins and within two intrabasinal tectonic zones, which indicated the tectonic activity of the Pieniny Klippen Belt after the Middle Miocene. The large southern area of the basin recorded consistent N-NE trending compression during basin inversion. This regional tectonic rearrangement resulted in a partial removal of the southernmost basin deposits and shaped the basin’s present-day extent.

Open access

Sebastian Zduński, Witold Rongies, Marcin Ziółkowski, Tomasz Kozieł, Piotr Kazimierski, Rafał Hałaj and Janusz Sierdziński

Abstract

Introduction: In the majority of cases, anterior cruciate ligament (ACL) injuries require specialist surgical and physiotherapeutic treatment. The fact that the patient regains a full range of flexion and extension in the knee joint as well as the reduction or elimination of pain is a significant determinant of successful physiotherapy. Material and methods: The study included 72 randomly selected individuals with a complete ACL tear who were qualified for its surgical reconstruction. The research group included 37 patients aged 18-60 (mean age 37±10.3 years). All the participants from this group underwent physiotherapy based on recognised schemes of rehabilitation and performed for 4 weeks before the reconstruction surgery. The control group included 35 patients aged 18-60 (mean age 34±10.0 years) who did not undergo any presurgical physiotherapy programme. Results: Both in the research group and in the control group, subsequent measurements revealed a statistically significant improvement in the range of flexion and extension (p<0.05). Statistical analysis revealed a significantly better extension 1 week and 6 weeks after the ACL reconstruction (p<0.05) in the research group. Statistically significant differences in the level of pain in patients from both groups were noted in subsequent measurements (p<0.05). Also, a statistically significant difference concerning pain assessment 12 weeks after the reconstruction was noted in the research group (p<0.05). Conclusions: A quicker recovery of the range of extension in the operated knee joint and lower intensity of pain in the final measurement noted in the research group may indicate a certain therapeutic value of presurgical physiotherapy.

Open access

Jerzy Merkisz, Paweł Fuc, Maciej Bajerlein, Piotr Lijewski, Łukasz Rymaniak and Andrzej Ziółkowski

Abstract

The paper presents discusses the application of photovoltaic cells and provides information on solar energy in Poland. Article presents examples of research emission two buses, one of them was equipped with additional auxiliary photovoltaic system. Measurements was carried out in on-road, in urban traffic - bus line public transport. For measurement was used mobile gas analyzer included in Portable Emissions Measurement Systems (PEMS). The results have been developed in such a way as to determine the relative influence of the system implemented on the total environmental performance of the vehicle.

Open access

Andrzej Kłos, Zbigniew Ziembik, Małgorzata Rajfur, Agnieszka Dołhańczuk-Śródka, Zbigniew Bochenek, Jarle W. Bjerke, Hans Tømmervik, Bogdan Zagajewski, Dariusz Ziółkowski, Dominik Jerz, Maria Zielińska, Paweł Krems and Piotr Godyń

Abstract

Heavy metals and radioactive compounds are potentially hazardous substances for plants, animals and humans in the Arctic. A good knowledge of the spatial variation of these substances in soil and primary producers, and their sources, is therefore essential. In the samples of lichen Thamnolia vermicularis, Salix polaris and Cassiope tetragona, and the soil samples collected in 2014 in Svalbard near Longyearbyen, the concentrations of the following heavy metals were determined: Mn, Ni, Cu, Zn, Cd, Pb and Hg, as well as the activity concentrations of the following: K-40, Cs-137, Pb-210, Pb-212, Bi-212, Bi-214, Pb-214, Ac-228, Th-231 and U-235 in the soil samples. The differences in the concentrations of the analytes accumulated in the different plant species and soil were studied using statistical methods. Sea aerosol was indicated as the source of Pb, Hg, Cs-137, Pb-210 and Th-231 in the studied area. A relatively high concentration of nickel was determined in the biota samples collected near Longyearbyen, compared to other areas of Svalbard. It was supposed that nickel may be released into the atmosphere as a consequence of the local coal mining around Longyearbyen.

Open access

Marek Krawczyk, Michał Grąt, Krzysztof Barski, Joanna Ligocka, Arkadiusz Antczak, Oskar Kornasiewicz, Michał Skalski, Waldemar Patkowski, Paweł Nyckowski, Krzysztof Zieniewicz, Ireneusz Grzelak, Jacek Pawlak, Abdulsalam Alsharabi, Tadeusz Wróblewski, Rafał Paluszkiewicz, Bogusław Najnigier, Krzysztof Dudek, Piotr Remiszewski, Piotr Smoter, Mariusz Grodzicki, Michał Korba, Marcin Kotulski, Bartosz Cieślak, Piotr Kalinowski, Piotr Gierej, Mariusz Frączek, Łukasz Rdzanek, Rafał Stankiewicz, Konrad Kobryń, Łukasz Nazarewski, Dorota Leonowicz, Magdalena Urban-Lechowicz, Anna Skwarek, Dorota Giercuszkiewicz, Agata Paczkowska, Jolanta Piwowarska, Remigiusz Gelo, Paweł Andruszkiewicz, Anna Brudkowska, Renata Andrzejewska, Grzegorz Niewiński, Beata Kilińska, Aleksandra Zarzycka, Robert Nowak, Cezary Kosiński, Teresa Korta, Urszula Ołdakowska-Jedynak, Joanna Sańko-Resmer, Bartosz Foroncewicz, Jacek Ziółkowski, Krzysztof Mucha, Grzegorz Senatorski, Leszek Pączek, Andrzej Habior, Robert Lechowicz, Sławomir Polański, Elżbieta Leowska, Ryszard Pacho, Małgorzata Andrzejewska, Olgierd Rowiński, Sławomir Kozieł, Jerzy Żurakowski, Bogna Ziarkiewicz-Wróblewska, Barbara Górnicka, Piotr Hevelke, Bogdan Michałowicz, Andrzej Karwowski and Jerzy Szczerbań

1000 Liver Transplantations at the Department of General, Transplant and Liver Surgery, Medical University of Warsaw - Analysis of Indications and Results

The aim of the study was to analyze indications and results of the first one thousand liver transplantations at Chair and Clinic of General, Transplantation and Liver Surgery, Medical University of Warsaw.

Material and methods. Data from 1000 transplantations (944 patients) performed at Chair and Clinic of General, Transplantation and Liver Surgery between 1994 and 2011 were analyzed retrospectively. These included 943 first transplantations and 55 retransplantations and 2 re-retransplantations. Frequency of particular indications for first transplantation and retransplantations was established. Perioperative mortality was defined as death within 30 days after the transplantation. Kaplan-Meier survival analysis was used to estimate 5-year patient and graft survival.

Results. The most common indications for first transplantation included: liver failure caused by hepatitis C infection (27.8%) and hepatitis B infection (18%) and alcoholic liver disease (17.7%). Early (< 6 months) and late (> 6 months) retransplantations were dominated by hepatic artery thrombosis (54.3%) and recurrence of the underlying disease (45%). Perioperative mortality rate was 8.9% for first transplantations and 34.5% for retransplantations. Five-year patient and graft survival rate was 74.3% and 71%, respectively, after first transplantations and 54.7% and 52.9%, respectively, after retransplantations.

Conclusions. Development of liver transplantation program provided more than 1000 transplantations and excellent long-term results. Liver failure caused by hepatitis C and B infections remains the most common cause of liver transplantation and structure of other indications is consistent with European data.