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Biomedical subjects

Z Morawska

Publications and source records attributed to Z Morawska.

At least 19 recordsLinked to original sources

[Prolonged use of the femoral catheter as a temporary access for hemodialysis].

Cannulation of the femoral vein is the safest method of acute vascular access. It is recommended the removal of the femoral catheter after 72 h. The trial was undertaken, if it is possible a safe prolonged use of the femoral cannulation. The observations were performed in 70 patients (31 F, 39 M, age 3-70 years) with acute and chronic renal failure (RF). The femoral catheter was left in place for the period from 7 to 104 days, mean 21 days. None complications occurred in the group of 16 patients in whose the cannula was left up to 14 days. Bt duration of the cannulation above 15 days (54 patients) exist site infections appeared in 10 patients, catheter thrombosis in 12 patients and fiber in 6 patients (all with the catheter in place above 21 days). Noteworthly chronic RF patients were dialysed mostly on the ambulatory basis. Femoral catheter can be left safely in place for 14 days.

Adolescent

[Evaluation of the urinary tract in children with renal agenesis].

The condition of urinary tract in 24 children with kidney agenesia was estimated. 14 out of 24 children had additionally renal abnormalities or different renal diseases. It was detected that more than 50% of patients developed chronic failure of this single kidney, but renal function of normal single kidney remains many years correct.

Adolescent

[The fate of children with chronic kidney failure in the course of urinary tract abnormalities].

60 children with chronic renal failure caused by inborn urinary tract abnormalities were examined. It was detected that cysto-ureteral refluxes (65% of causes) were most frequent causes of chronic renal failure. Renal function was estimated in the time of diagnosis of the urinary tract abnormalities and after (between 6 months to 16 years). Renal function was impaired in 37% patients when the urinary tract abnormalities were recognised. Diagnosis of the inborn urinary tract abnormalities was delayed in spite of visible clinical manifestation of disease.

Adolescent

[The analysis of plasma beta 2-microglobulin concentration in patients with chronic renal failure treated by hemodialysis].

Plasma beta 2-microglobulin concentrations increase in long-term dialyzed patients. This rise correlates with impairment of excretion and degradation by inefficient kidneys and also with increased synthesis of this protein during standard hemodialysis. In extreme cases, in particular in patients treated by hemodialysis for a long time, when their plasma beta 2-concentration rises significantly, the protein can be deposited in tissues. This study reports the results of determining serum beta 2-microglobulin levels in 14 patients with chronic renal failure treated by hemodialysis. The average age of patients at the beginning of the study was 16 years. All patients were hemodialyzed with cuprophane membranes. Determinations of beta 2-microglobulin levels were repeated after 6, 12 and 24 months. The results show that serum beta 2-microglobulin levels rose during this period of hemodialysis therapy.

Adolescent

[Prevalence of chlamydia trachomatis in the epithelial cells of the urethra in children].

Tests for the presence of Chlamydia trachomatis were performed in 432 children, aged 4 months to 16 years at the Department of Paediatric Nephrology of the Academy of Wrocław, Poland. The children were hospitalised because of recurrent urinary tract infection. The presence of Chlamydia trachomatis was established in 27.5% of children by tissue culture on McCoy cells, in 22.8% when using the Chlamyset test (Orion Diagnostica) and in 8.9% when using the Chlamydiazyme test (Abbott).

Adolescent

[Perception of family by children and youth with chronic renal failure].

The perception of family by children and youth with chronic renal failure treated conservatively and with haemodialyses was studied. Intrafamilial relations were subjected to analysis. It was found that with the limitations due to the disease, family is the main environment where the psychophysical needs of the child are fulfilled and it is of decisive value for the quality of life of patients. In view of the importance ascribed to it, it may play a significant role in the accommodation of the patient to the disease, influencing the effectiveness of long-term treatment.

Adolescent

[Concentration of selected trace elements in serum and erythrocytes of children with chronic renal failure and am attempt at deficiency correction with animal blood preparation].

The results are presented of studies in 32 children with chronic renal failure treated conservatively in whom the value was evaluated of serum Mg, Zn, and Se concentration, and erythrocyte Mg, and Zn concentration. Among the patients a group of 15 children was isolated whose diet was enriched with the animal blood preparation brown Livex containing among others the studied trace elements. Significant Zn and Mg deficiency was demonstrated in the serum and Mg deficiency in the erythrocytes of the ill children which were effectively corrected after three months of supplementation with the preparation Livex.

Adolescent

[Polycystic renal disease in infants].

In the light of the observation of 4 infants with polycystic renal disease the clinical manifestation, diagnosis (with stress laid on USG) and therapeutic management are discussed. Attention is called to the possibility of adult-type polycystic renal disease in neonatal period and infancy. This type of nephropathy is supposed by the authors to be in 2 living children.

Female

[Acute renal failure in neonates and infants].

Causes, course and prognosis in 90 cases of the acute renal failure in neonates and infants have been discussed. All cases were treated between 1971 and 1985. Recently, an increase in the incidence of the acute renal failure is being noted. The acute diarrhoea and hemolytico-uremic syndromes are the most frequent cause of the acute renal failure. Consequences of the acute renal failure and its complications require further nephrological care.

Acute Kidney Injury