Search results

Sort By:

Limit search:

Long-term interaction of coal combustion by-product with water

100%

Żygadło M., Woźniak M.

Polish Journal of Chemical Technology

2008

vol. 10

issue 4

49-52

A terrestrial disposal of the fly ash has been regarded as a potential source of contamination due to the enrichment and surface association of trace elements in ash particles. In laboratory conditions the leaching of soluble components existing in ashes proceeds in a different way than in land deposits.On the landfill site coal combustion by-products are under the pressure of atmosphere agents, especially water, sun and rain activity (drying and wetting alternately), freeze/thaw (in cold climate) and gases included in the air. Also the time of exposition is an important parameter.In the presented experiment the observed dynamics of ash solubility over a long period of time provides the evidence that in the ash-water system, a variety of precipitation processes dominate the solubility of solid mass. Simulating the weathering by the freeze/thaw test approximates the effectuated changes in ash particles structure.The leaching of a particular ash component depends on reactions in the ash-water systems.Solidification by compaction of the material is often favoured because of the cementitious properties of ashes being in contact with water. Secondary hydrated minerals such as ettringite, portlandite and calcite are formed during a contact with water. Calcium -silicate hydrates, aluminate-hydrates and gypsum can occur as secondary minerals. The solubility of such new phases and the solidification process determine the leaching characteristics of the ash mass.

Ultrasound imaging as the basis of a clinical diagnosis of systemic bartonellosis in a patient after bone marrow transplantation. A case report

81%

Krasowska-Kwiecień A., Goździk J., Woźniak M., Czogała W.

Infections in immunocompromised patients after hematopoietic stem cell transplantation can have a severe and atypical course. Some opportunistic pathogens are difficult to detect in microbiological tests, and that is why treatment success depends on an accurate clinical diagnosis. This article presents a case of a 7-year-old girl with severe aplastic anemia treated with bone marrow transplantation with post-transplantation period complicated by persistent, hectic fever, with peak episodes of 39–40°C, lasting several weeks. Repeated microbiological tests failed to reveal the etiological agent, and empirical anti-infective treatment was ineffective. In the fourth week of fever, imaging showed multiple foci resembling abscesses in the patient’s internal organs and, subsequently, in soft tissues. The characteristics of these changes and data concerning environmental exposure led to the clinical diagnosis of cat scratch disease (bartonellosis) with multi-organ involvement and enabled the targeted treatment to be implemented. Fever subsided and organ lesions regressed. In this case, repeated ultrasound imaging was the basic diagnostic tool that helped arrive at a correct diagnosis and implement effective treatment of this life-threatening complication after hematopoietic stem cell transplantation.

Zakażenia w warunkach upośledzonej odporności po transplantacji komórek krwiotwórczych mogą mieć ciężki, nietypowy przebieg. Niektóre patogeny oportunistyczne są trudne w detekcji mikrobiologicznej i powodzenie leczenia zależy od właściwego rozpoznania klinicznego. W niniejszej pracy przedstawiono przypadek 7-letniej dziewczynki z ciężką anemią aplastyczną leczoną przeszczepieniem szpiku kostnego, u której w przebiegu potransplantacyjnym przez kilka tygodni występowały uporczywe, hektyczne stany gorączkowe z epizodami szczytowymi do 39–40°C. Powtarzane badania mikrobiologiczne nie wskazały czynnika etiologicznego, empiryczne leczenie przeciwzakaźne było nieskuteczne. W czwartym tygodniu trwania gorączki w badaniach obrazowych wykazano obecność mnogich ognisk o obrazie ropni w narządach wewnętrznych, następnie w tkankach miękkich. Charakterystyka zmian oraz informacja o ekspozycji środowiskowej dały podstawę do klinicznego rozpoznania narządowej postaci choroby kociego pazura (bartonellozy) i wdrożenia ukierunkowanego leczenia. Uzyskano ustąpienie gorączki i ograniczenie zmian narządowych. W omówionym przypadku powtarzane badania ultrasonograficzne były podstawowym narzędziem diagnostycznym w celu właściwego rozpoznania i zastosowania skutecznego leczenia w zagrażającym życiu powikłaniu po transplantacji krwiotwórczej.

Gastrointestinal Bleeding in Patients with Acute Surgical Diseases

61%

Winiarski M., Matłok M., Biesiada Z., Bolt L., Woźniak M., Merak A.

issue 12

603-608

The aim of the study was to analyse patients in whom upper gastroinentestinal bleeding appeared during hospitalization in the surgical clinic.Material and methods. The study group consisted on 61 patients. 35 were women and 26 were men. The mean age of women was 76 and men 64.8 years. The mean age of the whole group was 72.3 years. 30 patients (49%) were hospitalized in general surgery ward, 16 (26%) in trauma unit and 15 patients (25%) in intensive care unit.Results. The reasons of hospitalisation in general surgery ward were: acute cholecystitis, acute pancrtatitis, peritonitis, lower extremity ischemia with foot necrosis, large bowel cancer and cancer of the gall-bladder. Patients were admitted to trauma unit because of hip and pelvic fractures. Patients were hospitalized in intensive care unit because of polytrauma, diffuse peritonitis, isolated head trauma and necrotising pancreatitis. The main source of bleeding were duodenal and gastric ulcers. It appeared in 28 (45.9%) and 18 (29.5%) patients respectively. The other reasons of bleeding were: erosive gastritis (9 patients) and Mallory-Weiss syndrome (6 patients). Bleeding recurrence was found in 21 patients (34.4%). This group of patients was characterised by high mortality rate 43%. The highest was among patients in intensive care unit. It reached 60%.Conclusions. Based on the performed analysis we come to the following conclusions: 1. Upper gastrointestinal bleeding is serious complication during hospitalisation in surgical clinic; 2. Usually it affects older patients; 3. This complication is associated with high rate of rebleeding and high mortality rate.

Refine search results

1 Journal of Ultrasonography

1 Polish Journal of Chemical Technology

1 Polish Journal of Surgery

1 2016

1 2009

1 2008

3 Woźniak M.

1 Biesiada Z.

1 Bolt L.

1 Czogała W.

1 Goździk J.

1 Krasowska-Kwiecień A.

1 Matłok M.

1 Merak A.

1 Winiarski M.

1 Żygadło M.

Search results

Long-term interaction of coal combustion by-product with water

Ultrasound imaging as the basis of a clinical diagnosis of systemic bartonellosis in a patient after bone marrow transplantation. A case report

Gastrointestinal Bleeding in Patients with Acute Surgical Diseases