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Introduction. Traumatic brain injuries (TBI) are a real social problem, with an upward trend worldwide. TBI is the leading cause of death and disability, especially among young men. Each year in Europe, and also in Poland, 243 per 100,000 individuals suffer from TBI. Assessing prognosis after traumatic brain injury is very important in order to help clinicians to make a decision about the implementation of specific methods of treatment, and to make communication with the patient and the patient’s family easier. Objective. The objective of this review was to present prognostic factors, to assess outcomes within a short time after a moderate to severe traumatic brain injury, as well as to predict functional outcome. The most important independent variables were: age, Glasgow Coma Scale (GCS) motor score, pupil response, Marshall CT classification and traumatic subarachnoid haemorrhage. Other important prognostic factors included hypotension, hypoxia, glucose, coagulopathy, haemoglobin and category of CT characteristic, such as midline shift, mass lesion, basal cistern. Conclusions. Gender and intraventricular haemorrhage did not have predictive value. This subject needs much more research in the area of new prognostic factors which would be better associated with outcome after traumatic brain injury.
The Department of Geoinformatics and Cartography of the University of Wrocław, Poland, is host institution of a project, financed by the National Science Centre in Poland, whose objective is to predict riverflow in real-time. If inundation is predicted, the problem of the verification of the overbank flow prognosis arises. This verification can be attained by utilizing an unmanned aerial vehicle that may be used for remote sensing applications. The unmanned aerial vehicle in question can take sequential photos with the unprecedented resolution of 3 cm/pix. Both the resolution and the opportunity for frequent flights – due to the low cost of the entire operation – allow us to compare prediction maps showing the forecasted overbank flow during an extreme hydrological event with the true observation obtained from the air. Although such verification is site- and event-specific, it can provide us with an objective technique for checking our system in a spatial domain. The main part of the system, known as HydroProg, produces multimodel ensemble hydrograph predictions and compares single-model prognoses; visualizations of them are then published in a web map service. The spatial predictions, along with the aerial orthophoto images, will also be presented online so that the user is able to observe the functioning of the system. Regular research flights have been carried out in Kłodzko County since 2012. The study areas correspond to sites where our Partner, the County Office in Kłodzko (SW Poland) – owner of the Local System for Flood Monitoring in Kłodzko County – has automatic gauges, and thus spatially reflect the hydrologic observation network. The aforementioned aerial module is experimental and will be incorporated into the entire system.
Flexor tendonitis and suspensory desmitis are among most prevalent musculoskeletal injuries observed in racehorses. The aim of this study was to determine which horse and race-related parameters can help to diminish the possibility of injury or – when injury has occurred – to evaluate the potential for the horse to continue a successful career after convalescence. Special attention was given to the comparison of Arabian and Thoroughbred racehorses. 187 horses with ultrasonographically visible lesions were included in the study. Following parameters were analyzed: structure (Superficial Digital Flexor Tendon [SDFT], Deep Digital Flexor Tendon [DDFT], Suspensory Ligament [SL]); percentage of cross sectional area increase; hypoechogenic lesion character; in horses with SDF tendonitis – tendonitis grade according to Genovese. This study showed that Thoroughbreds are more at risk of musculoskeletal problems than Arabian racehorses. In both breeds, the most frequent injuries concern SDFT, then SL. Over 95% of tendonitis concern forelimbs. In Thoroughbreds, the prevalence of tendonitis is higher in bigger horses, in males when compared to females and in fence / steeple racehorses when compared to flat track racehorses. The inside limb is more at risk of SDF tendonitis, when the external limb – of SL desmitis. Tendonitis severity increases with age and is greater in steeplechasers when compared to flat track racehorses. The outcome of tendonitis without hypoechogenic lesion is much better than that with hypoechogenic lesion. Evaluation of hypoechogenic lesion length is an easy and accurate prognosis tool, as the chances of returning to racing drop dramatically with lesions longer than 12 cm.
The clinical form of the protothecosis in animals is most commonly observed in countries with a warm and moist climate, only a few reports describing cases of this infection in cooler areas of the word exist. In the case of large bowel infection in dogs, organisms colonise the lamina propria and submucosa causing severe necrotizing ulcerative or haemorrhagic enterocolitis. In this report the intestinal form of protothecosis in 1.5 year old, male, mongrel dog with chronic hemorrhagic diarrhoea is described. History revealed that the dog spent some time in the countryside and afterwards diarrhoea with fresh blood appeared. The results of morphological and biochemical blood analysis were normal and stool examination did not reveal the presence of parasites. Treatment with anti-inflammatory doses of prednisone, metronidazole and enrofloxacin followed by sulphasalazine resulted in a short period of improvement, but was followed by deep deterioration of animal status. Because of the relapse diagnostic laparotomy was performed and tissue samples of the colon and jejunum were obtained for histopathology. On the basis of the clinical signs, exploratory laparotomy findings and histopathology the diagnosis of canine intestinal prototecosis was made and medical treatment was recommended.
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