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EN
Echinococcosis, is a parasitic disease of tapeworms in the genus Echinococcus. We report an unusual case of a 17-year-old girl with asymptomatic hepatic echinococcosis. The patient was admitted to the hospital after a car accident to perform routine radiological exams. Abdominal ultrasonography revealed a cystic mass of size 65 × 52 mm in the right lobe of liver. Computed tomography (CT) confirmed the cystic mass of size 67 mm x 59 mm x 56 mm in the right lobe of the liver. A routine brain CT was normal. Laboratory tests revealed a high count of eosinophil count (6.9%). Serological tests confirmed Echinococcus granulosus. The patient was transferred to the department of infectious diseases for further treatment.
EN
Introduction. Endometriosis is defined as a presence of endometrial glands and stroma outside the uterus. Urinary track endometriosis is a rare occurrence (1-2%) usually associated with bladder involvement (85%). Aim. The diagnostic evaluation is not complicated but can be delay because of the lack of specific symptoms. Description of the case. We present a case of 20-years old female with bladder endometriosis localized on the posterior wall. The patient was effective treated with laparoscopic partial cystectomy Conclusion. The patient was effective treated with laparoscopic partial cystectomy
EN
Aim. Currently, ultrasonography (USG) is used to study changes occurring in the lateral abdominal wall muscles (LAM). Here, the question that naturally arises is whether a change in the thickness of the ultrasound image can be identified with a change in muscle activity. Therefore, the purpose of the present work is to: 1) undertake an analysis of available publications exploring the relationship between electromyography (EMG) and USG; 2) define the USG measurement of each LAM; 3) identify gaps in the literature. Material and methods. The databases MEDLINE, POL-index and Google Scholar were used to search the literature. We used a combination of terms (in Polish and English) containing the abbreviated and full names of the following expressions: ultrasound, electromyography and external oblique muscle, internal oblique muscle, or transverse abdominal muscle. Results. Nine publications fulfilled the conditions for inclusion in the analysis. These used different methodologies and test conditions, making it difficult to interpret the results of individual works. The majority demonstrated poor or no correlation between EMG and USG measurements. Conclusion. Changes in the thickness of the LAM using USG should not be equated with a change in muscle activity. To avoid misinterpretation, one should avoid the term “muscle activity” in evaluating changes in the thickness of the LAM. It is recommended that the terms “thickness change” or “morphological change” be used in the assessment of this phenomenon, which is closely related to real changes in USG imaging, expressing a more complex phenomenon than a mere change in bioelectrical potential.
PL
Wstęp: Ocenie poddana została wiarygodność pomiaru, przekroju poprzecznego mięśnia wielodzielnego w lędźwiowym odcinku kręgosłupa z wykorzystaniem ultrasonografii. Materiał i metody: W badaniach uczestniczyło dziesięć osób (K = 4), w przedziale wiekowym 19–26 lat. Byli to studenci Akademii Wychowania Fizycznego, prezentujący relatywnie zbliżony, aktywny styl życia. Kryterium wyłączenia z badania, stanowiły aktualne dolegliwości bólowe: lędźwiowego odcinka kręgosłupa, miednicy i kończyn dolnych oraz urazy i zabiegi chirurgiczne w tych okolicach ciała w przeszłości. Jako narzędzie pomiarowe wykorzystano aparat USG Mindray DP6600. Badania przeprowadzano trzy razy w tygodniu (poniedziałek, środa piątek). Pomiary powtarzane były pięciokrotnie przez dwóch badających. Pozwoliło to na oszacowanie współczynników określających wiarygodność pomiaru zarówno jednego, jak i dwóch badaczy, a tym samym na identyfikację wielkości i źródeł błędów pojawiających się przy pomiarach tego typu. Wyniki: Wykonanie co najmniej dwóch powtórzeń pomiaru wielkości przekroju poprzecznego mięśnia wielodzielnego przez jednego i dwóch badających, wykazuje dobrą i doskonałą wartość wskaźników wiarygodności ICC – intraclass correlation coefficients (ICC od 0,81 do 0,99). Natomiast wskaźniki wiarygodności zmiany wielkości przekroju poprzecznego, osiągały poziom dobry (ICC od 0,82 do 0,86) po wykonaniu pięciu pomiarów. Wnioski: By ocenić wiarygodność zmian przekroju poprzecznego, rekomenduje się wykonanie pięciu powtórzeń pomiaru, natomiast badając przekrój poprzeczny – dwóch. Taki poziom wiarygodności usprawiedliwia wykorzystanie przedstawionej metodyki w warunkach klinicznych oraz na potrzeby badań naukowych.
EN
Background: The objective of this study was to evaluate the reliability of measurement of lumbar multifidus muscle thickness using real-time ultrasonography. Material and methods: Ten subjects (F = 4) aged 19–26 years were selected for participation. All were students of the University of Physical Education presenting relatively similar, active lifestyle. All met the following inclusion criteria: lack of any current pain in the area of the lumbar spine, pelvis and lower limbs; lack of any previous injuries/ surgeries in these areas of the body in the past. A Mindray DP6600 ultrasound device was used with a linear 75L38EA array. The measurements were carried out three times a week (Monday, Wednesday, Friday). Measurements were repeated five times by the two investigators. This allowed for estimation of reliability indices and identification of the measurement error size and its sources. Results: The results indicate that two repetitions of the muscle thickness measurements are sufficient to obtain fair and excellent reliability defined by intraclass correlation coefficients (ICCs ranging from 0,81 to 0,99). Five repetitions of change in muscle thickness measurement are necessary to obtain fair reliability (ICCs ranging from 0,82 to 0,86). Conclusions: To evaluate the reliability of muscle thickness change authors indicate to perform five measurements of mentioned variable, to evaluate muscle thickness reliability alone – two measurement. Such a number of repeated measurements justifies the use of presented methodology in clinical and scientific settings.
EN
Objectives: Shoulder disorders in the occupational environment have been widely studied, but the quality of research and methodology applied vary. Little has been done to ascertain whether shoulder pain in female repetitive workers is due to any verifiable pathology, or to compare findings with the general population. Therefore, we decided to evaluate the prevalence of self-reported shoulder pain in a group of female supermarket cashiers and in the general female population using a standardized questionnaire. Shoulder pain prevalence was then compared to imaging findings in order to assess specific and non-specific pain prevalence. Material and Methods: 196 cashiers and 302 controls filled in a standardized shoulder questionnaire and underwent an imaging examination of a shoulder. Results: The prevalence of shoulder pain was significantly higher in the group of cashiers (46.4%) than in the general population (25.5%) (OR = 1.821; 95% CI: 1.426–2.325). Specific pain prevalence was higher among the controls (19.5%) than among the cashiers (13.2%). Conclusions: The more frequent reports of shoulder pain in the supermarket cashiers are not correlated with a higher prevalence of imaging abnormalities. The causes of these more frequent complaints should be probably sought in the psycho-social and occupational environment.
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