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1

Evaluation of peritoneal tissue by means of differential scanning calorimetry (DSC)

100%
Torres K., Trebacz H., Chroscicki A., Pietrzyk L., Torres A.
Folia Histochemica et Cytobiologica
|
2011
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tom 49
|
nr 4
2

Application of rapid prototyping techniques for modelling of anatomical structures in medical training and education

100%
Torres K., Staskiewicz G., Sniezynski M., Drop A., Maciejewski R.
Folia Morphologica
|
2011
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tom 70
|
nr 1
Rapid prototyping has become an innovative method of fast and cost-effective production of three-dimensional models for manufacturing. Wide access to advanced medical imaging methods allows application of this technique for medical training purposes. This paper presents the feasibility of rapid prototyping technologies: stereolithography, selective laser sintering, fused deposition modelling, and three-dimensional printing for medical education. Rapid prototyping techniques are a promising method for improvement of anatomical education in medical students but also a valuable source of training tools for medical specialists. (Folia Morphol 2011; 70, 1: 1–4)
3

Thoracic ectopic kidney in adults. A report of 2 cases

100%
Drop A., Czekajska-Chehab E., Maciejewski R., Staskiewicz G. J., Torres K.
Folia Morphologica
|
2003
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tom 62
|
nr 3
313-316
Thoracic kidney is the rarest, usually asymptomatic type of kidney ectopia. 2 cases of thoracic kidney discovered incidentally through chest radiography are reported. In both patients renal function tests were normal and no further treatment was necessary. Ultrasonography and computed tomography studies performed for confirmation of the diagnosis are presented. An embryonic background of this abnormality is discussed.
4

Does simulation-based training facilitate the integration of human anatomy with surgery? A report of a novel Surgical Anatomy Course

100%
Torres K., Denisow-Pietrzyk M., Pietrzyk L., Maciejewski R., Torres A.
Folia Morphologica
|
2018
|
tom 77
|
nr 2
Background: Knowledge of gross anatomy, as a basic core subject, is fundamental for medical students and essential to medical practitioners, particularly for those intending a surgical career. However, both medical students and clinical teachers have found a significant gap in teaching basic sciences and the transition into clinical skills. The authors present a Surgical Anatomy Course developed to teach the anatomical basis of surgical procedures with particular emphasis on laparoscopic skills while incorporating medical simulation. Materials and methods: An evaluation of the students’ satisfaction of the Surgical Anatomy Course was completed using a mix of multiple choice and open-ended questions, and a six-point Likert Scale. Questions were asked about the students’ perceived improvement in surgical and laparoscopic skills. Manual skills were assessed using a laparoscopic simulator. Results: Both evaluation of the course structure and the general impression of the course were positive. Most students believed the course should be an integral part of a modern curriculum. The course supported the traditional surgical classes and improved anatomical knowledge and strengthened students’ confidentiality and facilitated understanding and taking surgical rotations. Conclusions: A medical course combining the practical learning of anatomy and surgical-based approaches will bring out the best from the students. Medical students positively evaluated the Surgical Anatomy Course as useful and beneficial regarding understanding anatomical structure and relationship necessary for further surgical education. (Folia Morphol 2018; 77, 2: 279–285)
5

Supernumerary renal vessels: analysis of frequency and configuration in 996 computed tomography studies

86%
Staskiewicz G., Jajko K., Torres K., Czekajska-Chehab E., Maciejewski R., Drop A.
Folia Morphologica
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2016
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tom 75
|
nr 2
Background: Number, course and division pattern of renal vessels is highly variable. Variant renal vasculature is of high interest in nephrectomy for the renal transplantations, both in deceased and living donors. The purpose of the study was to analyse the frequency of supernumerary renal vessels in a large cohort of patients undergoing the multiphase abdominopelvic computed tomography (CT), as well as analyse the possible patterns of coexisting supernumerary arteries in veins. Materials and methods: A retrospective analysis of abdominopelvic CT studies within 1 year period was performed. In each study, number of renal arteries and veins was recorded. Course of left renal vein was classified into normal, retro- or periaortic. For statistical analysis of normal distribution data, t-Student test was used. Chi-square test was used for frequency of variant vessel distribution. Pearson correlation coefficient was used for the analysis of coexistence of supernumerary vessels. Results: 996 patients were included in the analysis, male to female ratio: 481:515 (48%:52%). Mean age was 57.9 ± 14.7 years. Single renal arteries were observed in 73% of cases, while single renal veins in 95%. Circumaortic or retroaortic courses of left renal veins were observed in 10% of cases. Number of renal vessels has been compared in patients with and without supernumerary vessels. In patients with supernumerary left renal artery, significantly more right renal vessels were observed. In patients with supernumerary right renal vein, mean number of all remaining vessels was significantly higher. Conclusions: Supernumerary renal vessels are a frequent finding in abdominal CT studies. Finding a supernumerary vessel should increase awareness of possible other supernumerary renal vessels. (Folia Morphol 2016; 75, 2: 245–250)
6
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The role of emotional intelligence in attitudes towards elderly patients - comparative study of medical students from rural and urban areas

86%
Mamcarz I., Torres K., Mamcarz P., Jurek K., Torres A., Szast K.
Annals of Agricultural and Environmental Medicine
|
2020
|
tom 27
|
nr 1
7

Spiegelian hernia - anatomy, diagnosing and imaging difficulties: a report of 2 cases

72%
Torres K., Chroscicki A., Torres A., Maciejewski R., Palczak R., Staskiewicz G., Drop A., Thomas N., Los T., Alexander J.
Folia Morphologica
|
2009
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tom 68
|
nr 3
Spiegelian hernias account for less than 1% of all hernias diagnosed in the adult population. The most important factors in the proper diagnostic process are detailed physical examination combined with imaging procedures. Two cases of Spiegelian hernias are presented. The anatomical background of the pathology, as well as diagnostic procedures and surgical treatment, is discussed. (Folia Morphol 2009; 68, 3: 179–183)
8

Simulation techniques in the anatomy curriculum: review of literature

72%
Torres K., Torres A., Pietrzyk L., Lisiecka J., Blonski M., Bacik-Donica M., Staskiewicz G., Maciejewski R.
Folia Morphologica
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2014
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tom 73
|
nr 1
Modern medical education faces a problem of combining the latest technology, procedures and information with classic teaching methods. Simulation is a technique, which replaces or amplifies doctor–patient experiences in controlled conditions and therefore evokes or replicates substantial aspects of the real world in a fully interactive manner. The basic course of anatomy in medical education could be recognised as the best example of implementing new educational techniques such as simulation, into the traditional medical curriculum. The PubMed database was searched using specific key words. Finally 72 articles were accepted and were divided into 3 basic categories of teaching methods: Category 1 — cadaveric dissection, Category 2 — simulator based education and Category 3 — other. A state of the art anatomical curriculum offers numerous possibilities and solutions including the oldest like cadaveric dissection and newest like simulators. Different simulation techniques are used with different intensity; however cadaveric dissection is still the most popular method. The second most frequent method is simulation-based training, in which North America is the leading country. The identification of anatomical structures during virtual surgical procedures or laparoscopic robotic procedures can be integrated into the traditional anatomy course. New technologies are supportive and beneficial in anatomy teaching however each excitement of new technologies sometimes should be tempered and evaluated for its usefulness in making the learning process constructive for students and their future practice. (Folia Morphol 2014; 73, 1: 1–6)
9

Anatomical variations of the coeliac trunk in the homogeneous Polish population

72%
Torres K., Staskiewicz G., Denisow M., Pietrzyk L., Torres A., Szukala M., Czekajska-Chehab E., Drop A.
Folia Morphologica
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2015
|
tom 74
|
nr 1
Background: The abdominal vessels show a number of abnormalities and pathologies knowledge of which is important during open as well as laparoscopic surgeries. One of the most common vessels which pattern has many variations is the coeliac trunk. The present study was undertaken on homogeneous population to assess morphology of the coeliac trunk and to evaluate the possible variability of its branches. Materials and methods: Standard abdominal multidetector computed tomography examinations were performed on a total of 1569 patients diagnosed by 2 radiologists independently; in case of doubts common assessment was performed. Results: The coeliac trunk followed the classic pattern in 92.7% of the cases (1455/1569 of patients). The gastrosplenic trunk was detected in 4.1% of cases (64/1569); the hepatosplenic trunk in 2.2% of cases (34/1569); the coeliac-mesenteric trunk was observed in 0.5% of cases (8/1569); the hepatogastric trunk in 0.2% of cases (4/1569); the splenomesenteric trunk was detected in 0.1% of cases (2/1569). In the next 0.1% the coeliac trunk was absent. The hepatosplenomesenteric and the coeliac-colic trunk were not observed in the study population. Conclusions: Vascular anatomical abnormality is usually asymptomatic hovewer, its preoperative knowledge is helpful to reduce complications like vascular bleeding when dissecting the hapato-pancreatic region. The coeliac trunk and its branches can be fast and easy evaluated in computed tomography exams performed due to various symptoms from abdominal cavity. (Folia Morphol 2015; 74, 1: 93–99)
10

Selected metabolites of neutrophils in patients with 2-type diabetes complicated and non complicated with diabetic foot syndrome during colonization of E. coli toxin

72%
Los T., Torres K., Bojarska-Los M., Torres A., Staskiewicz G., Maciejewski R., Rolinski J., Radej S., Klimowicz E.
Folia Histochemica et Cytobiologica
|
2009
|
tom 47
|
nr 3
11

Volumetric reconstruction of the right ventricle improves reproducibility of interventricular septum bowing in patients with pulmonary embolism

72%
Staskiewicz G., Czekajska-Chehab E., Uhlig S., Tomaszewski A., Torres K., Torres A., Walankiewicz M., Surtel W., Drop A.
Folia Morphologica
|
2013
|
tom 72
|
nr 2
Bowing of the interventricular septum (IVS) is a sign of severe pulmonary embolism (PE); however, it is affected by high interobserver variability. The aim of the study was to evaluate the application of volumetric reconstructions of the right ventricle for assessment of IVS position regarding its accuracy in identifying right ventricular dysfunction, as well as interobserver agreement in evaluating this sign. IVS bowing was evaluated with multiplanar reformations (MPR) and volumetric reconstruction (VR, volume rendering) by 2 observers. The accuracy of IVS bowing sign was better for VR-based assessment; however, it was not significantly better than the MPR-based evaluation. Interobserver agreement was found to be fair (kappa = 0.381) for the MPR-based grading of IVS position as normal or abnormal, while it was significantly better for the VR method (kappa = 0.629, p < 0.001). The VR-based method may improve utilisation of IVS bowing sign in patients with PE. (Folia Morphol 2013; 72, 2: 107–112)
12
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Low atmospheric pressure and humidity are related with more frequent pulmonary embolism episodes in male patients

72%
Staskiewicz G., Torres K., Czekajska-Chebab E., Pachowicz M., Torres A., Radej S., Opielak G., Maciejewski R., Drop A.
Annals of Agricultural and Environmental Medicine
|
2010
|
tom 17
|
nr 1
163-167
13

The course of the cystic artery during laparoscopic cholecystectomy

72%
Torres K., Chroscicki A., Golonka A., Torres A., Staskiewicz G., Palczak R., Ceja-Sanchez J. M., Ceccaroni M., Drop A.
Folia Morphologica
|
2009
|
tom 68
|
nr 3
Proper recognition of the particular structures that form the triangle of Calot is essential for the proper and safe performance of laparoscopic cholecystectomy. Proper recognition, ligation, and cut of the cystic duct and cystic artery with branches (dorsal and ventral) remain an integral condition for the removal of the gallbladder. Calot’s triangle, as an orientation structure, determines the most common location of the cystic artery. The triangle of Calot is one of the most variable regions of the abdomen in terms of anatomy. The aim of this study was to evaluate how important for surgery is the detailed anatomical recognition of the main branches of the cystic artery in Calot’s triangle during laparoscopic cholecystectomy. Relations of the main branches of the cystic artery were evaluated in 88 patients that underwent laparoscopic cholecystectomy at the Department of General Surgery of the District Specialistic Hospital of Lublin. The anatomical relations of cystic duct and artery were classified into typical and variant types. Significantly more frequently variants of cystic artery were observed in women. However, the time of the procedure was not significantly related with the type of cystic artery. (Folia Morphol 2009; 68, 3: 140–143)
14

The use of morphometric and fractal parameters to assess the effects of 5-fluorouracil, interferon and dexamethasone treatment on colonic anastomosis healing: an experimental study in rats

72%
Letowska-Andrzejewicz K., Torres A., Torres K., Dobrowolski P., Piersiak T., Maciejewski R., Gawron A., Staskiewicz G., Plewa Z.
Folia Histochemica et Cytobiologica
|
2011
|
tom 49
|
nr 1
15

Preliminary study on biological and physical properties of new surgical threads for soft tissues

72%
Maciejewski R., Tatara M. R., Sliwa E., Torres K., Dabrowski A., Patel J., Solecki M., Luszczewska-Sierakowska I., Adaszek L.
Bulletin of the Veterinary Institute in Puławy
|
2007
|
tom 51
|
nr 1
The aim of the study was to evaluate the physical and biological properties of new surgical threads provided by Matcur, S.A. De C.V., Mexico. The study was performed on 12 piglets of a Polish Large White breed, divided into two equal groups and subjected to surgical procedures at the age of 40 d of life. The first group of animals (control group) was subjected to a sham operation, whereas the experimental group had undergone gastric fundectomy. The fundectomy consisted of cutting out the fundus of the stomach. The soft tissues of the fundectomised stomach were sutured, using catgut quirurgico simple and catgut quirurgico cromico threads. The sham operation consisted of cutting through soft tissues of the abdominal region, which enabled access to the anatomical structures of the stomach, analogically to the experimental group. During the operation procedure, the threads were assessed for the needle penetration and ability to pass through tissues, the tendency to electrify, twisting ability, elasticity, knot stability and tendency to soak up tissue fluids. The mechanical properties of the threads were investigated using an extension test in Lloyd LRX testing machine. Furthermore, haematological and biochemical analyses of the serum were performed 60 d after the surgery. The obtained results showed very high surgical reliability of the investigated threads with no side effects in any of the experimental animals. The wound healing process was characterised by minimal reaction of the soft tissues. The extension test showed very high mechanical endurance of the investigated threads. Moreover, positive results were obtained after the evaluation of knot stability of the threads. Decreased values of haemoglobin, haematocrit, and daily body weight gain of the animals from the experimental group were observed as negative consequences of the fundectomy.
16

What do clinicians think of the anatomical knowledge of medical students? Results of a survey

72%
Staskiewicz G. J., Walczak E., Torres K., Torres A., Mazgaj M., Kostek H., Letowska-Andrzejewicz K., Maciejewski R., Wojtowicz Z.
Folia Morphologica
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2007
|
tom 66
|
nr 2
Human anatomy is one of basic courses in medical education. It usually takes place during the first year of the medical school syllabus. However, the results of the course, if defined as profound anatomical knowledge, are not applied by the students until several years after the final anatomy examination. The aim of the study was to evaluate the anatomical knowledge of senior medical students. For this reason a survey was distributed among teachers responsible for clinical rotas. The results of the study were intended to give the answer to the question, “What do students remember several years after the anatomy examination?” as expressed by their clinical teachers. The questionnaire included four closed questions and one open question. The closed questions concerned general anatomical knowledge, whether the anatomy course should be extended and whether additional courses should be introduced and included a question about student knowledge of particular systems. The open question concerned ways of improving anatomical education. As a result of the survey it was observed that surgical specialists had a significantly lower opinion of the medical knowledge of their students than had medical specialists. Most of the suggestions for improving anatomical education were related to introducing clinical applications of anatomical knowledge.
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