Maciej Śniegocki
Nicolaus Copernicus University in Toruń
Network
Latest external collaboration on country level. Dive into details by clicking on the dots.
Publication
Featured researches published by Maciej Śniegocki.
Medical Science Monitor | 2012
Robert Ślusarz; Wojciech Beuth; Maciej Śniegocki
Summary Background Functional assessment of a patient focuses on the assessment of independence in activities of daily living. The aim of the study was to verify the usefulness of a new tool (Functional Capacity Scale – FCS) for early functional assessment of patients after surgical treatment of an intracranial aneurysm. Material/Methods The study was conducted in the Neurosurgical Department and Clinic, CM in Bydgoszcz, NCU, within a group of 128 patients after surgical treatment of an intracranial aneurysm. Direct observation and measurement were used in the study. In clinical assessment, the Hunt and Hess Scale was applied. For the final functional assessment, the Functional Capacity Scale (FCS), the Glasgow Outcome Scale, the Functional Index “Repty”, the Barthel Index, and the Rankin Scale were used. Results The study shows that on the day of discharge almost 60% of patients are independent or slightly dependent on others for functional capability, and 15% are significantly or totally dependent. FCS significantly correlates with FIR (0.93, p<0.001), GOS (0.89, p<0.01), RS (−0.88, p<0.01) and BI (0.82, p<0.001). Conclusions 1. Fifty percent of patients with intracranial aneurysm assessed at the early postoperative stage leave the ward as functionally capable of performing everyday activities. 2. There are significant correlations between FCS and the other scales used for functional assessment. 3. There is a significant relationship between functional capacity of the patient on the day of discharge and clinical condition before the surgical treatment.
PLOS ONE | 2018
Agnieszka Nowacka; Wojciech Smuczyński; Danuta Rość; Kamila Woźniak—Dąbrowska; Maciej Śniegocki
Angiogenesis plays an essential role in tumors development. In case of central nervous system tumors, the most important role in this process plays VEGF-A. The purpose of this study was to determine the plasma concentration of this agent in patients treated surgically because of intracranial tumors. The study involved 48 adult patients, both sexes, treated surgically because of a brain tumor. The control group consisted of 50 adult volunteers of both sexes, without cancer diagnosis. Based on the studies, it was found that serum VEGF-A levels before surgery are higher in patients with central nervous system tumors (10.39–150.57 pg/ml, median 41.70 pg/ml) than in non-cancer patients (0.00–130.77 pg/ml, median 22.56 pg/ml). The association between serum VEGF-A level and malignancy and histological type of intracranial tumor has not beed confirmed. The highest average preoperative serum VEGF-A level was found in patients with low grade gliomas, slightly lower (close to each other) in those with high grade gliomas and meningiomas, while the lowest level was characteristic for metastatic tumors. High variation in results was observed in patients with low grade gliomas (52.56 pg/ml)—higher than those reported in patients with high grade gliomas (32.38 pg/ml). In the rest types of tumors the differentiation was similar and oscillated within 23.08–27.50 pg/ml.
Advances in Dermatology and Allergology | 2018
Maciej Śniegocki; Agnieszka Nowacka; Wojciech Smuczyński; Kamila Woźniak
Address for correspondence: Agnieszka Nowacka PhD, Department of Neurosurgery, Neurotraumatology and Pediatric Neurosurgery, Collegium Medicum, Nicolaus Copernicus University, 9 Skłodowskiej-Curie St, 85-094 Bydgoszcz, Poland, phone: +48 601 644 756, e-mail: [email protected] Received: 11.09.2017, accepted: 12.10.2017. Intramedullary spinal cord metastasis from malignant melanoma: a case report of a central nervous system secondary lesion occurred 15 years after the primary skin lesion resection
Advances in Clinical and Experimental Medicine | 2017
Robert Ślusarz; Monika Biercewicz; Barbara Smarszcz; Maria T. Szewczyk; Joanna Rosińczuk; Maciej Śniegocki
BACKGROUND While data on the long-term (e.g., 1 year and subsequent years) outcomes of intracranial aneurysms treatment is relatively well-documented mainly in the clinical aspect (comparability of treatment, mortality, and complications), little is known about the early results, in terms of the functional outcome. OBJECTIVES The aim of the study was to analyze the use of Functional Capacity Scale (FCS) in the evaluation of patients in the early period after endovascular treatment of intracranial aneurysms. MATERIAL AND METHODS The study was conducted in the Neurosurgery Clinic, University Hospital Collegium Medicum in Bydgoszcz, on a group of 118 consecutively admitted patients with the diagnosis of intracranial aneurysm, qualified for treatment using the endovascular method (embolization). The assessment was performed twice. In the clinical assessment the Glasgow Coma Scale (GCS) was used to evaluate the level of consciousness and the Hunt and Hess Scale (H&H) to assess the patients condition. To assess the final outcome and early functional capacity Glasgow Outcome Scale (GOS), Barthel Index (BI), Modified Rankin Scale (mRS) and the new Functional Capacity Scale were used. RESULTS The assessment performed with the FCS was comparable to the assessment conducted with standardized tools such as BI, mRS or GOS. The clinical condition assessed with the GCS (p < 0.001) and H&H (p < 0.001) differentiates the functional condition assessed using the FCS. Statistically significant correlations were found between FCS and BI (r = -0.78), GOS (r = -0.69) and mRS (r = 0.68). CONCLUSIONS The study indicates that the FCS correlates with other scales used in the assessment of patients with intracranial aneurysm, which means that the proposed tool can be applied successfully in practice. However, further randomized multicenter studies are necessary in order to clarify the final conclusion.
The Journal of Neurological and Neurosurgical Nursing | 2016
Robert Ślusarz; Agnieszka Królikowska; Renata Jabłońska; Beata Haor; Anna Antczak; Karolina Filipska; Barbara Smarszcz; Maciej Śniegocki
Introduction . The interests of scientists, especially in the field of medicine and health science, contemplate the functional condition of patient in recent years. Proper functional capacity with good state of being and psychological attitude are the most important health indicators. Proper functional capacity is defined as the ability for independent performance and covering of basic vital needs, e.g. the control of the sphincter, nutrition, mobility and maintaining proper hygiene. The proper functional capacity of the whole system of vital activities means independence. Aim . The main aim of this study was the functional assessment of patients in the period of neurosurgical treatment. Material and Methods . The study included 415 patients hospitalized on neurosurgical wards. The functional capacity of patients was assessed twice (on the day of admission — Assessment 1 and on the day of discharge — Assessment 2). Functional capacity was analyzed using Functional Capacity Scale (FCS). The direct observation with measurement technique was used. The research proposal was approved by the bioethics committee. Results . On the day of admission, most of the patients (n=249; 60%), showed independence. Most of the independent patients were in the group of patients with tumors — 138 (83.6%), the second group were patients with brain aneurysm — 63 (63.0%) and the third group were patients with trauma — 48 (32.0%) (p 0.05). Conclusions . Most of the patients after neurosurgical treatment showed better functional capacity when compared with the period before it. Patients with brain tumors showed considerably better functional capacity on the day of admission when compared with patients with trauma or aneurysm. (JNNN 2016;5(2):46–52)
The journal is published under the auspices of the Institute of Health Sciences at the University of Humanities and Economics in Wloclawek. | 2014
Robert Ślusarz; Regina Lorencowicz; Joanna Rosińczuk; Renata Jabłońska; Agnieszka Królikowska; Maciej Śniegocki
Introduction . One of the most serious life and health hazards of a modern man are injuries, one of which is traumatic brain injury (TBI). Among functional scales that are most commonly used for the assessment of the condition of a patient after TBI we can distinguish the Modified Rankin Scale, Disability Rating Scale (DRS), Barthel Index, Functional Independence Measure (FIM), Glasgow Outcome Scale and Extended Glasgow Outcome Scale (GOSE). Aim . The main aim of this work was to present Functional Capacity Scale in the assessment of patients after traumatic brain injury. Material and Methods . In the multicenter studies, there were 159 patients examined. They were hospitalized in neurosurgical wards in Bydgoszcz, Lublin and Wroclaw due to traumatic brain injury. The research was based on twofold assessment (on the day of admission — assessment 1 and discharge — assessment 2) of the condition of a patient after traumatic brain injury with the use of standardized research tools such as Glasgow Coma Scale (GCS), Functional Capacity Scale (FCS) and Glasgow Outcome Scale (GOS). The method used was direct observation with measurement. Results . The average result of functional capacity in FCS was 34,41 points (71.7%) on the day of admission, and 41,87 points (87.2%) on the day of discharge. After analyzing the differences between the FCS results of men and women, there was no difference between gender groups that would be statistically significant (p>0.05) both on the day of admission and discharge. The age groups remained in statistically significant, low correlation with the results of FCS on the day of admission (R=0.261; p=0.001) and were on the edge of significance (R=0.140; p=0.088) on the day of discharge. The place of residence did not differentiate (p>0.05) the functional capacity assessed with FCS. The results of FCS remained in statistically significant correlation with GCS results (p<0.05) both on the day of admission and discharge and GOS (p=0.000) results on the day of discharge. Conclusions . The FCS scale, suggested for functional assessment of patients with traumatic brain injury, is a tool that appropriately recognizes the functional condition of a patient with traumatic brain injury. It substantially correlates with GCS and GOS, which denotes that its construction and prognostic features are accurate. (JNNN 2014;3(4):175–182)
Archive | 2013
Kamila Woźniak; Wojciech Smuczyński; Zygmunt Siedlecki; Marcin Grela; Maciej Śniegocki; Aleksandra Pawlicka; Natalia Ciesielska; Walery Zukow
Medical and Biological Sciences | 2012
Anetta Cubała; Maciej Śniegocki; Jarosław Hoffman; Dorota Ratuszek; Tomasz Jurkiewicz; Paweł Molski; Agnieszka Nowacka; Maciej Dzierżanowski
Archive | 2016
Waldemar Miszewski; Maciej Śniegocki; Agnieszka Miszewska; Iwona Głowacka; Wojciech Hagner; Sebastian Grzyb; Joanna Siminska; Zygmunt Siedlecki; Krystyna Nowacka; Katarzyna Pietkun
Archive | 2016
Kamila Woźniak; Dorota Ratuszek-Sadowska; Maciej Śniegocki