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Biomedical subjects

M Majewski

Publications and source records attributed to M Majewski.

At least 19 recordsLinked to original sources
PubMed2006

Bone marrow stem cell imaging after intracoronary administration.

Although feasibility and safety of autologous stem cells administration to the post-infarction heart has been proven it is not known what proportion of cells effectively do home at the damaged site. Therefore, we have labeled autologous bone marrow cells (ABMC's) by radioactive Indium and single photon emission computed tomography (SPECT) tissue distribution has been analyzed. It was detected that up to 10% of the cells were retained within the myocardium while their majority migrated or has been anchored at the spleen and liver. Comparing the number of homed cells to the total number of cells delivered one may postulate the indirect role for few hundred thousands ABMC's at heart regeneration.

Aged↗
PubMed2006

Dosimetric properties of new cards with high-sensitivity MCP-N (LiF:Mg,Cu,P) detectors for Harshaw automatic reader.

A new configuration for a thermoluminescent dosimetric card has been developed through collaboration between the Institute of Nuclear Physics in Kraków and several commercial dosimetric companies. The card is based on high-sensitivity LiF:Mg,Cu,P circular pellets (MCP-N) welded inside synthetic foils. The basic configuration consists of two pellets of 3.6 mm diameter and thicknesses from 0.25 up to 0.38 mm. The cards can be processed in a standard 6600 or 8800 Harshaw automatic TLD reader. The dosemeters demonstrate very high sensitivity, low background and good stability. This article presents results of the performance tests of the new dosimetric cards in the automatic TLD readers and a comparison of their properties.

Environmental Exposure↗
PubMed2006

Epidemiology of athletic knee injuries: A 10-year study.

The knee is an anatomically and biomechanically complex joint. Few studies have been published reporting the type and frequency of knee injuries. However, this information that may help to prevent, diagnose, and treat knee joint injuries. We have documented 17,397 patients with 19,530 sport injuries over a 10-year period of time. 6434 patients (37%) had 7769 injuries (39.8%) related to the knee joint. 68.1% of those patients were men and 31.6% were women. Almost 50% of the patients were between the ages of 20-29 (43.1%) at the time of injury. The injuries documented were ACL lesion (20.3%), medial meniscus lesion (10.8%), lateral meniscus lesion (3.7%), MCL lesion (7.9%), LCL lesion (1.1%), and PCL lesion (0.65%). The activities leading to most injuries were soccer (35%) and skiing (26%). LCL injury was associated with tennis and gymnastics, MCL with judo and skiing, ACL with handball and volleyball, PCL with handball, lateral meniscus with gymnastics and dancing, and medial meniscus with tennis and jogging.

Adolescent↗
PubMed2005

The impact of the CCD-angle on range of motion and cup positioning in total hip arthroplasty.

BACKGROUND: Biomechanical analysis and clinical experience reveal that offset total hip stems increase soft tissue tension and reduce the risk for dislocation in total hip arthroplasty. Most of these stems have a smaller neck-shaft-angle to increase the offset. This study investigates if changing the neck-shaft-angle has an impact on how cup and stem should be positioned with regard to range of motion. METHODS: A mathematical model of a total hip arthroplasty was developed to analyze range of motion until impingement between cup and neck. Range of motion was determined for each combination of neck-shaft-angles and additional parameters like cup inclination, cup anteversion, stem antetorsion, head/neck ratio and design of the cup opening. RESULTS: A maximized range of motion is achieved for neck-shaft-angles between 125 degrees and 131 degrees . Reducing the neck-shaft-angle by one degree requires reducing the cup anteversion by about 2 degrees and increasing the cup inclination by 0.45 degrees . Stems with neck-shaft-angles more than 135 degrees are not recommended when the head/neck ratio is 2.3 or less. INTERPRETATION: Stems with a reduced neck-shaft-angle for an increased offset should be coupled with cups that are inclined slightly higher and less anteverted as compared to a standard stem. Precise recommendations for optimal component positioning can only be given for a specific prosthesis system regarding all parameters.

Arthroplasty, Replacement, Hip↗
PubMed2005

Improvements in balance after total hip replacement.

We have investigated whether control of balance is improved during stance and gait and sit-to-stand tasks after unilateral total hip replacement undertaken for osteoarthritis of the hip. We examined 25 patients with a mean age of 67 years (sd 6.2) before and at four and 12 months after surgery and compared the findings with those of 50 healthy age-matched control subjects. For all tasks, balance was quantified using angular measurements of movement of the trunk. Before surgery, control of balance during gait and sit-to-stand tasks was abnormal in patients with severe osteoarthritis of the hip, while balance during stance was similar to that of the healthy control group. After total hip replacement, there was a progressive improvement at four and 12 months for most gait and sit-to-stand tasks and in the time needed to complete them. By 12 months, the values approached those of the control group. However, trunk pitch (forwards-backwards) and roll (side-to-side) velocities were less stable (greater than the control) when walking over barriers as was roll for the sit-to-stand task, indicative of a residual deficit of balance. Our data suggest that patients with symptomatic osteoarthritis of the hip have marked deficits of balance in gait tasks, which may explain the increased risk of falling which has been reported in some epidemiological studies. However, total hip replacement may help these patients to regain almost normal control of balance for some gait tasks, as we found in this study. Despite the improvement in most components of balance, however, the deficit in the control of trunk velocity during gait suggests that a cautious follow-up is required after total hip replacement regarding the risk of a fall, especially in the elderly.

Accidental Falls↗
PubMed2004

The distribution and chemical coding of neurons in the celiac-superior mesenteric ganglion complex supplying the normal and inflamed ileum in the pig.

The present study investigated the chemical coding of neurons in the celiac-superior mesenteric ganglion complex supplying the normal (n=4) and inflamed (n=4) ileum (chemically-induced inflammation) in juvenile pigs using retrograde tracing combined with immunohistochemistry. Ileum-projecting neurons (IPN) were predominantly distributed in the left and right superior mesenteric pools of the ganglion. The majority of them were adrenergic (tyrosine hydroxylase-positive) and also contained neuropeptide Y, somatostatin or galanin. No clear-cut differences in the distribution and chemical coding of IPN were found between normal and inflamed pigs. However, in the inflamed group, the density of peptidergic, IPN-associated nerve fibres was higher than that found in the control group.

Animals↗
PubMed2004

Adrenergic innervation and steroidogenic activity of cystic porcine ovaries.

We studied both morphology and steroidogenic activity of porcine ovaries after dexamethasone (DMX)-induced polycystic status. In the polycystic-changed ovaries, an increase in the number of DbetaH-IR and/or NPY-IR nerve terminals was found in the wall of follicles, cysts and blood vessels. After DXM injections, we observed changes in the mean contents of progesterone, androstendione, estradiol-17beta, as well as noradrenaline, dopamine and adrenaline in the studied ovarian structures. The obtained data revealed that, in the polycystic ovaries of gilts, an increase in the number of adrenergic nerve terminals was associated with changes of the steroidogenic activity, what may suggest an important role of the adrenergic innervation in the ovarian cyst formation in the gilts.

Analysis of Variance↗
PubMed2003

Anatomical and neurochemical features of the extrinsic and intrinsic innervation of the striated muscle in the porcine esophagus: evidence for regional and species differences.

Studies of the intrinsic and extrinsic innervation patterns of esophageal motor endplates (MEPs) are mainly confined to small rodents. Therefore, an immunocytochemical, denervation and tracing study was conducted on the pig, an experimental model in which the distribution of the striated esophageal muscle portion more closely resembles the human situation. The purpose of this study was to analyze the origin and neurochemical content of the nerve fibers participating in the myoneural synapse. Fifteen 6-week-old domestic pigs were studied by immunohistochemistry combined with alpha-bungarotoxin labeling to define the co-innervation patterns of nitrergic and peptidergic nerve terminals in MEPs. Some animals were subjected to unilateral infra- or supranodose vagotomy to determine the origin of the nerve terminals in MEPs. Special attention was paid to the interregional differences in terms of co-innervation rates, and these findings were compared with literature data on small mammals. Double stainings revealed that most of the nNOS-immunoreactive (ir) terminals in MEPs co-stained for VIP, GAL and NPY, but not for PACAP and L-ENK. PACAP- and L-ENK-ir terminals were coarser than nNOS-ir terminals, and largely co-localized VAChT. High percentages of MEPs at the cervical level were contacted by PACAP- (approximately 94%) and L-ENK-ir (approximately 78%) terminals, but the proportion of both decreased in the rostrocaudal direction. Vagotomy significantly reduced their presence in MEPs at the thoracic and abdominal levels, while nNOS-ir terminals observed in approximately 30% of the MEPs were unaffected by vagotomy. Immunostainings on brainstem cryosections after retrograde tracing from the cervical esophagus showed that a large number of FB-positive cells in the nucleus ambiguus were PACAP-ir (approximately 72%). C-kit-positive interstitial cells of Cajal were seen adjacent to the striated muscle fibers, apparently without direct relationship to MEPs. Similar to mouse esophagus, intrinsic nitrergic fibers were found to run close to, or even spiral around, these interstitial cells, an association that might point to a role as specialized spindle proprioceptors. In conclusion, the cholinergic terminals-part of which coexpress PACAP and/or L-ENK-that innervate MEPs in the porcine esophagus have a vagal origin, whereas the nNOS/VIP/GAL/NPY-ir fibers co-innervating these MEPs are intrinsic in nature. The regional differences observed along the esophageal length pertain to the neurochemical content of the vagal motor innervation of the MEPs.

Amidines↗
PubMed2003

[Value of sonography to monitor the course of Achilles tendon rupture after treatment--comparison of conservative therapy, percutaneous tendon adaptation, and open suture].

In this prospective study,73 patients (with an average age of 36 years) were examined by ultrasound to compare the results of open Achilles tendon surgery, percutaneous tendon adaptation, and conservative treatment. Once the accident reports had been collected, all of the patients presented themselves at the Sportklinik Stuttgart at intervals of 4, 8, 12, 26 weeks, and approx. 2.5 years after the accident. During the course of these examinations, the thickness and structure of the tendon was quantified via ultrasound and the quality by clinical examination. The results of the ultrasonic quantification of the healing process appeared to be similar in all patients. On the day of the accident the thickness of the tendon was 9.3 mm. Four weeks later a remarkable regeneration could be seen in all patients (12.0 mm), which reached a maximum (16.7 mm) after 26 weeks. By the end of the study, however, the result was a scarred and thickened tendon of 11.5 mm. The comparison of the ultrasound results and the clinical examination after 26 weeks and 2.5 years showed no correlation between the value of the echo structure and functionality of the tendon, and the comparison between the different therapy groups showed no significant difference in the healing process either. In conclusion, ultrasound examination is able to provide information concerning the stage of the healing process. The quality of the healing and healed Achilles tendon and the relationship to their function cannot be studied with ultrasound, and this is not influenced by the choice of therapy.

Achilles Tendon↗
PubMed2002

A new technique for arthroscopic management of painful stiff knee after anterior cruciate ligament reconstruction due to femoral malposition.

It is well known that a loss of motion occurs after ACL reconstruction, particularly after anterior placement of the femoral insertion of the graft. The problem, however, is related to the nonanatomical placement of the graft and not a consequence of an abnormal healing process. This situation can usually be improved by total graft resection. In our consideration the proximal transplant shift is probably a better treatment for patients with a structurally intact graft. This study was undertaken to illustrate our clinical findings. We examined 4 women and 7 men with a mean age of 28 years; the average follow-up period was 18 months. Preoperatively all patients complained of pain related to activity. The range of motion was 123 degrees -9.5 degrees -0 degrees flexion-extension. Eight patients were unable to participate in sports, and three were unable to work. The IKDC scores were: one B, four C, and six D. The Lachman test was negative or slide positive (1+). Postoperatively all patients improved and reported no or slight pain with a free range of motion (140 degrees -0 degrees -0 degrees ). All patients returned to work, and eight patients were able to practice sports again. The IKDC scores were two A, seven B, and two C. The average Lysholm score was 86 points. The clinical Lachman test was slide positive (1+). The radiological Lachman test and the KT-1000 test had a side-to-side difference of 2 mm. Based on these results, the proximal transplant shift seems to be a good alternative treatment for us at the present time.

Adolescent↗
PubMed2002

[Achilles tendon ruptures: 25 year's experience in sport-orthopedic treatment].

From 1972 - 1996 570 Achilles tendon ruptures in 565 patients were treated in the Sportklinik Stuttgart. The 499 men and 66 women had an average age of 38 years. For the diagnosis of a Achilles tendon rupture Ultrasound and MRI are important procedures, but clinical history and examination are still the best methods to find an Achilles tendon rupture (100%). However,the Actiology of the Achilles tendon rupture is still controversial and cannot be answered by these methods. Opposed to the degenerative theory, biomechanical experiments show that any Achilles tendon can tear when the calf muscle is tensed before the tendon is quickly stretched. We found that 69.8% of the patients with Achilles tendon rupture had a real trauma. Regardless of that, the treatment of the ruptured Achilles tendon has considerably changed over the last ten years. Responsible for this development are the positive experiences at the field of sports medicine with minimally invasive methods and the early functional treatment after knee surgery. Since we use an early functional rehabilitation concept instead of plaster immobilisation, all methods to treat a ruptured Achilles tendon have been improved. 43.5% of the patients after plaster immobilisation and 28.8% of the patients after early functional rehabilitation had a subjectively felt force reduction. Other important selecting criteria are the risk factors related to treatment method. Minimal invasive percutaneous Achilles tendon repair is considerably better than conservative therapy with a high rate of re-rupture (9.8%) and better than the open surgical repair, which carries a higher risk of infection (2.2%)

Achilles Tendon↗
PubMed2002

Histochemical localization of NADPH-d-positive structures in bovine uterine and ovarian arteries during the oestrous cycle and early pregnancy.

The aim of the present study was to histochemically demonstrate nitric oxide synthase-related NADPH-d activity in ovarian and uterine arteries of heifers at different stages of the oestrous cycle and during early pregnancy. Catalytic activity of NADPH-d activity was found in the endothelial lining of all examined vessels, however, staining intensity was higher in the segments ipsilateral to the corpus luteum than in those taken from the contralateral side. Moreover, the reaction was much more intense during the luteal than during the follicular stage of the cycle. Similar differences were observed for NADPH-d activity in the muscular coat. In conclusion, the present results suggest that the endothelial/muscular cells may be the main source of nitric oxide in the studied parts of the bovine arteries, and also that NADPH-d activity may depend on the hormonal status of the organism.

Animals↗
PubMed2002

Pituitary adenylate cyclase-activating polypeptide-immunoreactive (PACAP-IR) nerve fibers in the pig pineal gland.

The present study demonstrates the occurrence of PACAP-immunoreactive (PACAP-IR) nerve fibers in different compartments of the pig pineal gland, including glandular capsule (where they form a very dense network) and subependymal tissue close to the pineal recess (moderate to dense meshwork of varicose fibers). Furthermore, several varicose fibers penetrate from the capsule into the connective tissue septa and then into the parenchyma, where they form unequally distributed, fine network and, in some cases, basket-like structures around pinealocytes. Some of the PACAP-IR nerve fibers, observed both in the habenular and posterior epithalamic areas, extend to the pineal gland. PACAP-IR cells could be demonstrated neither in the pineal gland, nor in epithalamic areas.

Animals↗
PubMed2002

Neither axotomy nor target-tissue inflammation changes the NOS- or VIP-synthesis rate in distal bowel-projecting neurons of the porcine inferior mesenteric ganglion (IMG).

The present study was aimed at disclosing axotomy- and inflammation-induced changes in the chemical coding of retrogradely labelled distal bowel-projecting neurons in the porcine IMG. Particular attention was paid to the changes in the expression pattern of vasoactive intestinal polypeptide and nitric oxide synthase (as a marker of nitric oxide) in affected cells, as these substances are thought to play a crucial role in the regeneration of injured sympathetic neurons. However, while both pathological processes failed to induce an increase in the number of sympathetic bowel-projecting neurons exhibiting vasoactive intestinal polypeptide or nitric oxide synthase, axotomy, but not target-tissue inflammation, led to the upregulation in the expression pattern of galanin, pituitary adenylate cyclase-activating peptide and/or Leu5-enkephalin in the affected perikarya. On the other hand, axotomy resulted in a diminished density of vasoactive intestinal polypeptide-immunoreactive intraganglionic nerve fibres, whilst target-tissue inflammation evoked a distinct increase in the number of visible vasoactive intestinal polypeptide-immunoreactive terminals, especially in those regions where bowel-projecting neurons were located. Thus, the data obtained in the present study run counter to the results of the injury-related responses observed in neurons of the sympathetic chain ganglia, suggesting the existence of either species- or target tissue-dependent differences in the injury-induced responses of the affected sympathetic neurons.

Animals↗
PubMed2001

Role of phosphatidylinositol 3-kinase-Akt pathway in nucleophosmin/anaplastic lymphoma kinase-mediated lymphomagenesis.

The NPM/ALK fusion gene, formed by the t(2;5) translocation in a subset of anaplastic large cell lymphomas, encodes a Mr 75,000 hybrid protein that contains the NH2-terminal portion of the nucleolar phosphoprotein nucleophosmin (NPM) joined to the entire cytoplasmic portion of the receptor tyrosine kinase anaplastic lymphoma kinase (ALK). NPM/ALK encodes a constitutively activated tyrosine kinase that belongs to the family of tyrosine kinases activated by chromosomal translocations. Our studies showed that NPM/ALK, similar to other members of this family, activates phosphatidylinositol 3-kinase (PI3K) and its downstream effector, serine/threonine kinase (Akt). PI3K was found in complex with NPM/ALK. Both PI3K and Akt kinase were permanently activated in NPM/ALK-transfected BaF3 murine hematopoietic cells and in NPM/ALK-positive, but not in NPM/ALK-negative, patient-derived anaplastic large cell lymphoma cell lines. In addition, Akt was phosphorylated/activated in protein samples isolated from four patients diagnosed with ALK-positive T/null-cell lymphomas. The PI3K inhibitors wortmannin and LY294002 induced apoptosis in NPM/ALK+ cells but exerted only minor effects on the control BaF3 parental cells and peripheral blood mononuclear cells stimulated by growth factors. Furthermore, retroviral infection of NPM/ALK+ BaF3 cells with a dominant-negative PI3K mutant (delta p85) or a dominant-negative Akt mutant (K179M) inhibited proliferation and clonogenic properties of the infected cells. Finally, the Akt mutant (K179M) suppressed the tumorigenicity of NPM/ALK-transfected BaF3 cells injected into syngeneic mice. In conclusion, our data indicate that NPM/ALK constitutively activates the PI3K-Akt pathway and that this pathway plays an important role in the NPM/ALK-mediated malignant transformation.

Animals↗
PubMed2001

Differences in the distribution and chemical coding between neurons in the inferior mesenteric ganglion supplying the colon and rectum in the pig.

The distribution and chemical coding of neurons in the porcine left and right inferior mesenteric ganglion projecting to the ascending colon and rectum have been investigated by using combined retrograde tracing and double-labelling immunohistochemistry. The ganglion contained many neurons supplying both gut regions. The colon-projecting neurons (CPN) occurred exclusively in the cranial part of the ganglia where they formed a large cluster distributed along the dorso-lateral ganglionic border and a smaller cluster located close to the caudal colonic nerve output. The rectum-projecting neurons (RPN) formed a long stripe along the entire length of the lateral ganglionic border and, within the right ganglion only, a small cluster located close to the caudal colonic nerve output. Immunohistochemistry revealed that the vast majority of the CPN and RPN were noradrenergic (tyrosine-hydroxylase-positive). Many noradrenergic neurons supplying the colon contained somatostatin or, less frequently, neuropeptide Y. In contrast, a significant subpopulation of the noradrenergic RPN expressed neuropeptide Y, whereas only a small proportion contained somatostatin. A small number of the non-adrenergic RPN were cholinergic (choline-acetyltransferase-positive) and a much larger subpopulation of the nerve cells supplying both the colon and rectum were non-adrenergic and non-cholinergic. Many cholinergic neurons contained neuropeptide Y. The non-adrenergic non-cholinergic neurons expressed mostly somatostatin or neuropeptide Y and some of those projecting to the rectum contained nitric oxide synthase, galanin or vasoactive intestinal polypeptide. Many of both the CPN and RPN were supplied with varicose nerve fibres exhibiting immunoreactivity against Leu5-enkephalin, somatostatin, choline-acetyltransferase, vasoactive intestinal polypeptide or nitric oxide synthase The somatotopic and neurochemical organization of this relatively large population of differently coded inferior mesenteric ganglion neurons projecting to the large bowel indicates that these cells are probably involved in intestino-intestinal reflexes controlling peristaltic and secretory activities.

Animals↗
PubMed2001

Localization of NADPH-diaphorase activity in the pineal gland of the domestic pig.

The study showed the presence of NADPH-diaphorase containing structures in the pineal gland of the domestic pig. NADPH-diaphorase activity was found in the nerve fibers and in the endothelial cells of the vasculature. The nerve fibers were localized in the capsule, around the blood vessels as well as in the parenchyma. The positive staining was not observed in the pig pinealocytes.

Animals↗