Roman Łesiów, Jan Trusewicz, Mirosław Łesiów, Maciej Trusewicz
Jan Janowicz was born in 1893 in Giełuta. After arriving in Olsztyn in 1945, he began the process of establishing a surgical department in Olsztyn. In a short time, he set up hospital wards and outpatient clinics, which provided surgical care to the inhabitants of Olsztyn and Olsztyn voivodeship. Due to the lack of specialist staff, he was simultaneously the head of department at three hospitals in Olsztyn. On his initiative and under his supervision, independent departments of orthopedics, pediatric surgery, urology, and thoracic surgery were established. Jan Janowicz, as a pioneer in Olsztyn’s surgery and the founder of new departments, became the most important and most distinguished surgeon in the post-war history of medicine of Warmia and Mazury.The aim of the study is to present the biography of Jan Janowicz, the pioneer and most distinguished surgeon of Olsztyn and the Warmian-Masurian voivodeship.The study is based on the available literature as well as the authors’ own research.We present a biography of Jan Janowicz, a pioneer of Olsztyn’s medicine.Doctor Janowicz, who came to Olsztyn in 1945, was a pioneer and the first person to organize surgical care in what is now the Warmian-Masurian Voivodeship. His activities led to the establishment of independent departments of pediatric surgery, orthopedics, urology, and thoracic surgery.
Jan Janowicz 1893年出生于Giełuta。1945年到达奥尔什廷后，他开始在奥尔什廷建立外科部门。在很短的时间内，他建立了医院病房和门诊诊所，为奥尔什丁和奥尔什丁省的居民提供外科护理。由于缺乏专业人员，他同时担任奥尔什廷三家医院的部门主管。在他的倡议和监督下，成立了独立的骨科、儿科外科、泌尿外科和胸外科。Jan Janowicz作为Olsztyn外科的先驱和新科室的创始人，成为战后瓦米亚和马祖里医学史上最重要和最杰出的外科医生。这项研究的目的是介绍Jan Janowicz的传记，Jan Janowicz是Olsztyn和Warmian-Masurian省的先驱和最杰出的外科医生。这项研究是基于现有文献和作者自己的研究。我们将介绍简·雅诺维茨的传记，他是奥尔斯廷医学的先驱。雅诺维茨医生于1945年来到奥尔什廷，他是先驱，也是第一个在现在的沃姆-马苏里省组织外科护理的人。他的活动导致建立了独立的儿科外科、骨科、泌尿外科和胸外科。
{"title":"Jan Janowicz \u0000– A pioneer of surgery in Olsztyn","authors":"Roman Łesiów, Jan Trusewicz, Mirosław Łesiów, Maciej Trusewicz","doi":"10.29089/paom/147821","DOIUrl":"https://doi.org/10.29089/paom/147821","url":null,"abstract":"Jan Janowicz was born in 1893 in Giełuta. After arriving in Olsztyn in 1945, he began the process of establishing a surgical department in Olsztyn. In a short time, he set up hospital wards and outpatient clinics, which provided surgical care to the inhabitants of Olsztyn and Olsztyn voivodeship. Due to the lack of specialist staff, he was simultaneously the head of department at three hospitals in Olsztyn. On his initiative and under his supervision, independent departments of orthopedics, pediatric surgery, urology, and thoracic surgery were established. Jan Janowicz, as a pioneer in Olsztyn’s surgery and the founder of new departments, became the most important and most distinguished surgeon in the post-war history of medicine of Warmia and Mazury.The aim of the study is to present the biography of Jan Janowicz, the pioneer and most distinguished surgeon of Olsztyn and the Warmian-Masurian voivodeship.The study is based on the available literature as well as the authors’ own research.We present a biography of Jan Janowicz, a pioneer of Olsztyn’s medicine.Doctor Janowicz, who came to Olsztyn in 1945, was a pioneer and the first person to organize surgical care in what is now the Warmian-Masurian Voivodeship. His activities led to the establishment of independent departments of pediatric surgery, orthopedics, urology, and thoracic surgery.","PeriodicalId":38569,"journal":{"name":"Polish Annals of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42086658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Jastrzębski, J. Snarska, Z. Adamiak, Tadeusz Miłowski
Hypothermia may appear to be a benign condition, but it is an insidious and life-threatening dysfunction of the thermoregulatory system that occurs in all regions of the world, regardless of season. Hypothermia is caused by cooling when core body temperature decreases below 35°C. The information obtained during a patient interview is also helpful in establishing the causes of hypothermia. The pathophysiology of hypothermia has not been fully elucidated to date. It is rarely diagnosed, in particular in the temperate climate. Hypothermia poses a serious challenge for medical personnel, in particular medical rescue teams who arrive first at the scene.The aim of this study was to present new information concerning hypothermia and the management of this condition.This article reviews the available literature and statistical data relating to hypothermia, and it discusses various approaches to managing hypothermia, in particular in pre-hospital care.In homeotherms, significant changes in body temperature affect the functioning of most organs and disrupt homeostasis. According to the European Resuscitation Council, hypothermia is one of the reversible causes of sudden cardiac arrest, which is why hypothermic patients should be adequately managed. Further research is also needed to expand our knowledge about hypothermia.Hypothermia is an important cause of death particularly in the elderly, infants, and persons suffering from thermoregulatory disorders or diseases that influence thermogenesis. Therefore, education should be continued in this area and clinical studies should be conducted to deepen our understanding of this problem.
{"title":"The effect of hypothermia on the human body","authors":"P. Jastrzębski, J. Snarska, Z. Adamiak, Tadeusz Miłowski","doi":"10.29089/paom/147316","DOIUrl":"https://doi.org/10.29089/paom/147316","url":null,"abstract":"Hypothermia may appear to be a benign condition, but it is an insidious and life-threatening dysfunction of the thermoregulatory system that occurs in all regions of the world, regardless of season. Hypothermia is caused by cooling when core body temperature decreases below 35°C. The information obtained during a patient interview is also helpful in establishing the causes of hypothermia. The pathophysiology of hypothermia has not been fully elucidated to date. It is rarely diagnosed, in particular in the temperate climate. Hypothermia poses a serious challenge for medical personnel, in particular medical rescue teams who arrive first at the scene.The aim of this study was to present new information concerning hypothermia and the management of this condition.This article reviews the available literature and statistical data relating to hypothermia, and it discusses various approaches to managing hypothermia, in particular in pre-hospital care.In homeotherms, significant changes in body temperature affect the functioning of most organs and disrupt homeostasis. According to the European Resuscitation Council, hypothermia is one of the reversible causes of sudden cardiac arrest, which is why hypothermic patients should be adequately managed. Further research is also needed to expand our knowledge about hypothermia.Hypothermia is an important cause of death particularly in the elderly, infants, and persons suffering from thermoregulatory disorders or diseases that influence thermogenesis. Therefore, education should be continued in this area and clinical studies should be conducted to deepen our understanding of this problem.","PeriodicalId":38569,"journal":{"name":"Polish Annals of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46733184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
W. Mańkowski, Paweł Radkowski, D. Onichimowski, Justyna Dawidowska-Fidrych
Negative pressure pulmonary edema (NPPE) is an uncommon perioperative complication with a potentially fatal outcome. It is most predominant in young healthy men undergoing surgical procedures under general anesthesia. Due to its rare occurrence and uncharacteristic clinical presentation, it poses a potential diagnostic pitfall.The purpose of this article is to present clinical characteristics and management of NPPE.This paper is based on the available literature and the authors’ experience.Clinical presentation of NPPE is uncharacteristic and includes i.e. agitation, tachypnea, tachycardia, cyanosis and pink frothy sputum. Postponed extubation after general anesthesia is believed to be optimal in order to prevent NPPE as it minimizes asynchrony of muscle function reversal and probability of laryngospasm. Differential diagnosis includes and is not limited to pulmonary edema, aspiration pneumonia, anaphylaxis, septic shock, pulmonary embolism or exacerbation of bronchial asthma. Management of NPPE is symptomatic and focuses on symptomatic treatment and maintaining an open airway passage. Endotracheal intubation with low tidal volume ventilation of 6 mL/kg of ideal body weight with a plateau pressure of less than 30 cm H2O and high positive end-expiratory pressure (PEEP) may improve patients outcomes.It is crucial for anesthesiologists to familiarize themselves with this phenomenon for early recognition and proper therapeutic decisions. It should be emphasized that under the highest risk of developing NPPE are young male patients and the most common cause is post-extubation laryngospasm.
负压性肺水肿（NPPE）是一种罕见的围手术期并发症，有潜在的致命后果。它在全身麻醉下接受手术的年轻健康男性中最为常见。由于其罕见发生和不典型的临床表现，它构成了一个潜在的诊断陷阱。本文的目的是介绍NPPE的临床特点和管理。本文基于现有的文献和作者的经验。NPPE的临床表现不典型，包括躁动、呼吸急促、心动过速、发绀和粉红色泡沫痰。全麻后延迟拔管被认为是预防NPPE的最佳方法，因为它可以最大限度地减少肌肉功能逆转的不同步性和喉痉挛的可能性。鉴别诊断包括但不限于肺水肿、吸入性肺炎、过敏反应、感染性休克、肺栓塞或支气管哮喘恶化。NPPE的管理是有症状的，重点是症状治疗和保持气道畅通。气管插管配合6 mL/kg理想体重的低潮气量通气，平台压力小于30 cm H2O，呼气末正压（PEEP）高，可以改善患者的预后。麻醉师熟悉这一现象对于早期识别和正确的治疗决策至关重要。需要强调的是，发生NPPE的风险最高的是年轻男性患者，最常见的原因是拔管后喉痉挛。
{"title":"The practical considerations of managing negative pressure \u0000pulmonary edema for anesthesiologists – literature review","authors":"W. Mańkowski, Paweł Radkowski, D. Onichimowski, Justyna Dawidowska-Fidrych","doi":"10.29089/paom/147041","DOIUrl":"https://doi.org/10.29089/paom/147041","url":null,"abstract":"Negative pressure pulmonary edema (NPPE) is an uncommon perioperative complication with a potentially fatal outcome. It is most predominant in young healthy men undergoing surgical procedures under general anesthesia. Due to its rare occurrence and uncharacteristic clinical presentation, it poses a potential diagnostic pitfall.The purpose of this article is to present clinical characteristics and management of NPPE.This paper is based on the available literature and the authors’ experience.Clinical presentation of NPPE is uncharacteristic and includes i.e. agitation, tachypnea, tachycardia, cyanosis and pink frothy sputum. Postponed extubation after general anesthesia is believed to be optimal in order to prevent NPPE as it minimizes asynchrony of muscle function reversal and probability of laryngospasm. Differential diagnosis includes and is not limited to pulmonary edema, aspiration pneumonia, anaphylaxis, septic shock, pulmonary embolism or exacerbation of bronchial asthma. Management of NPPE is symptomatic and focuses on symptomatic treatment and maintaining an open airway passage. Endotracheal intubation with low tidal volume ventilation of 6 mL/kg of ideal body weight with a plateau pressure of less than 30 cm H2O and high positive end-expiratory pressure (PEEP) may improve patients outcomes.It is crucial for anesthesiologists to familiarize themselves with this phenomenon for early recognition and proper therapeutic decisions. It should be emphasized that under the highest risk of developing NPPE are young male patients and the most common cause is post-extubation laryngospasm.","PeriodicalId":38569,"journal":{"name":"Polish Annals of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44559892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical education is well known for its difficulty. However, one of the ultimate aims of medical education is academic success. Therefore, undergraduate medical students are facing multiple factors during academic courses that correlate with their academic performance.We aimed to study factors associated with academic performance among clinical year medical students in a Southern Thailand medical school.168 medical students in the fourth and fifth year of a southern Thailand tertiary teaching hospital participated in this cross-sectional questionnaire-based study; over March 2021. We developed the questionnaire to cover all factors affecting academic performance, indicated by accumulated grade point average (GPAX). The data were analyzed using the R Program (v. 4.0.4).Of 168 medical students, 55.5% were women. Median GPAX was 3.22. The multivariate analysis showed that a higher GPAX was associated with time spent on study more than 4 h per day (P = 0.013), time spent on social networks more than 4 h per day (P = 0.004), strong motivation to become specialists (P = 0.007) and having a good relationship with family (P = 0.034).Medical students' academic achievement was associated with increased study hours, time spent on social networks, motivation to become specialists, and having a good relationship with the family. However, we recommend further longitudinal studies to evaluate and confirm factors that affect academic performance.
{"title":"Factors associated with academic performance among clinical year medical students: A cross-sectional study in a Southern Thailand medical school","authors":"Supinya Sono, Jutinun Kittivarapong, Natchanok Chawakitchareon, Nitchanan Saenphantree, Tawan Limamornrat, Thanatip Sangmanee, Maytavee Jedtanajaroenchai, Saengthian Theerakitpaisal","doi":"10.29089/paom/146748","DOIUrl":"https://doi.org/10.29089/paom/146748","url":null,"abstract":"Medical education is well known for its difficulty. However, one of the ultimate aims of medical education is academic success. Therefore, undergraduate medical students are facing multiple factors during academic courses that correlate with their academic performance.We aimed to study factors associated with academic performance among clinical year medical students in a Southern Thailand medical school.168 medical students in the fourth and fifth year of a southern Thailand tertiary teaching hospital participated in this cross-sectional questionnaire-based study; over March 2021. We developed the questionnaire to cover all factors affecting academic performance, indicated by accumulated grade point average (GPAX). The data were analyzed using the R Program (v. 4.0.4).Of 168 medical students, 55.5% were women. Median GPAX was 3.22. The multivariate analysis showed that a higher GPAX was associated with time spent on study more than 4 h per day (P = 0.013), time spent on social networks more than 4 h per day (P = 0.004), strong motivation to become specialists (P = 0.007) and having a good relationship with family (P = 0.034).Medical students' academic achievement was associated with increased study hours, time spent on social networks, motivation to become specialists, and having a good relationship with the family. However, we recommend further longitudinal studies to evaluate and confirm factors that affect academic performance.","PeriodicalId":38569,"journal":{"name":"Polish Annals of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45534040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sayak Roy, Sandip Mukhopadhyay, Shatavisa Mukherjee, S. Samajdar, S. Tripathi
The search for a protective antibody titer level to prevent coronavirus disease 2019 (COVID-19) infection, progression, and death is far from over. To date, no specific cut-off values have been established for these protective antibodies or neutralizing antibody (NAb) titers. NAb titers inhibit viral replication.To find out the prevailing NAb titre which might give protection from COVID-19 infection, or complication arising out of it.The data of COVID-19 patients with NAb titers who underwent reverse transcription polymerase chain reaction and presented with mild symptoms within 3 days after receiving the results were analyzed. The data were obtained from the clinic’s electronic database. Of the recruited patients, 63 were included in the final analysis. All statistical analyses were performed using SPSS v. 21.A highly significant correlation (negative) existed between circulating NAb titer and duration of fever (P < 0.001); a positive significant correlation existed between the period from the 1st vaccine dose to the period of infection and the NAb titer level (P < 0.001). The NAb titer was significantly higher in the group that received both doses (P = 0.00016). Death and admission due to progression to moderate COVID-19 occurred in the group with a NAb titer of less than 10 U/L.The risk of complications and death due to COVID-19 may increase if the protective antibody level remains less than 10 U/L. The sample size used in this study was relatively small; therefore, this finding cannot be generalized. Hence, more robust studies should be performed to determine the appropriate protective NAb titer levels.
{"title":"In search of protective antibody for coronavirus disease 2019: A retrospective study","authors":"Sayak Roy, Sandip Mukhopadhyay, Shatavisa Mukherjee, S. Samajdar, S. Tripathi","doi":"10.29089/paom/146894","DOIUrl":"https://doi.org/10.29089/paom/146894","url":null,"abstract":"The search for a protective antibody titer level to prevent coronavirus disease 2019 (COVID-19) infection, progression, and death is far from over. To date, no specific cut-off values have been established for these protective antibodies or neutralizing antibody (NAb) titers. NAb titers inhibit viral replication.To find out the prevailing NAb titre which might give protection from COVID-19 infection, or complication arising out of it.The data of COVID-19 patients with NAb titers who underwent reverse transcription polymerase chain reaction and presented with mild symptoms within 3 days after receiving the results were analyzed. The data were obtained from the clinic’s electronic database. Of the recruited patients, 63 were included in the final analysis. All statistical analyses were performed using SPSS v. 21.A highly significant correlation (negative) existed between circulating NAb titer and duration of fever (P < 0.001); a positive significant correlation existed between the period from the 1st vaccine dose to the period of infection and the NAb titer level (P < 0.001). The NAb titer was significantly higher in the group that received both doses (P = 0.00016). Death and admission due to progression to moderate COVID-19 occurred in the group with a NAb titer of less than 10 U/L.The risk of complications and death due to COVID-19 may increase if the protective antibody level remains less than 10 U/L. The sample size used in this study was relatively small; therefore, this finding cannot be generalized. Hence, more robust studies should be performed to determine the appropriate protective NAb titer levels.","PeriodicalId":38569,"journal":{"name":"Polish Annals of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47718902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nurul Syuhadah Hasny, Iu Tong Lim, S. Mohamad, N. A. Che Jalil, M. Hassan, I. Mohamad, N. Mat Lazim
Unilateral tonsillar hypertrophy with accompanying cervical lymphadenopathy gives immediate suspicion of lymphoma or squamous cell carcinoma as the most probable diagnosis.We aim to highlight the role of diagnostic tonsillectomy for intact looking tonsil as opposed to incisional biopsy for obvious fungating mass or ulcerative lesion. We also emphasise not to overlook abnormal preliminary blood work up. If leukocytosis is present, a peripheral blood film must be done to rule out ongoing infection or a more cynical haematological disease.We report a case of a young female presenting with progressive dysphagia as well as bilateral neck swelling. Examination showed a unilateral tonsillar hypertrophy with bilateral cervical lymph nodes highly suggestive of tonsil lymphoma.She was opted for tonsillectomy for both diagnostic as well as therapeutic purposes. Histopathological examination (HPE) of the left tonsil removed paired with an elaborated blood workup finally diagnosed her with a rare case of mixed phenotype acute leukemia.A multidisciplinary team approach and early intervention are crucial to arrive at the correct diagnosis allowing prompt treatment and better prognosis and symptomatic relief.
{"title":"A sinister mixed phenotype acute leukemia mimicking tonsil lymphoma","authors":"Nurul Syuhadah Hasny, Iu Tong Lim, S. Mohamad, N. A. Che Jalil, M. Hassan, I. Mohamad, N. Mat Lazim","doi":"10.29089/paom/147387","DOIUrl":"https://doi.org/10.29089/paom/147387","url":null,"abstract":"Unilateral tonsillar hypertrophy with accompanying cervical lymphadenopathy gives immediate suspicion of lymphoma or squamous cell carcinoma as the most probable diagnosis.We aim to highlight the role of diagnostic tonsillectomy for intact looking tonsil as opposed to incisional biopsy for obvious fungating mass or ulcerative lesion. We also emphasise not to overlook abnormal preliminary blood work up. If leukocytosis is present, a peripheral blood film must be done to rule out ongoing infection or a more cynical haematological disease.We report a case of a young female presenting with progressive dysphagia as well as bilateral neck swelling. Examination showed a unilateral tonsillar hypertrophy with bilateral cervical lymph nodes highly suggestive of tonsil lymphoma.She was opted for tonsillectomy for both diagnostic as well as therapeutic purposes. Histopathological examination (HPE) of the left tonsil removed paired with an elaborated blood workup finally diagnosed her with a rare case of mixed phenotype acute leukemia.A multidisciplinary team approach and early intervention are crucial to arrive at the correct diagnosis allowing prompt treatment and better prognosis and symptomatic relief.","PeriodicalId":38569,"journal":{"name":"Polish Annals of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47976236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Leiomyoma is the most frequent benign pathology in females and arises from uterine smooth muscle.We present an uncommon example of a big, cystic-solid extra-uterine myoma that seemed on sonography and magnetic resonance imaging to be a primary malignant tumor.A woman was admitted to our hospital with a palpable abdominopelvic mass. Imaging studies described a large semisolid mass of 30 × 25 × 23 cm that filled the abdomen from the pelvis to the xiphoid process. Preoperatively, a primary malignant ovarian cancer or teratoma was identified.Histological analysis confirmed a leiomyoma with myxoid degeneration without any malignancy.There is a high risk of malignancy in a giant uterus/mass and fast-growing myomas. For the treatment of large leiomyomas/large extra-uterine leiomyomas, a surgical approach is usually chosen. Myxoid leiomyoma of the broad ligament is very rare, its diagnosis remains histological to date like uterine myxoid leiomyoma. Malignancy should always be ruled out.
{"title":"A case of giant extra-uterine myxoid leiomyoma: An unusual benign pathology mimicking malignancy","authors":"Ali Ovayolu, T. Filiz, T. Savli","doi":"10.29089/paom/146658","DOIUrl":"https://doi.org/10.29089/paom/146658","url":null,"abstract":"Leiomyoma is the most frequent benign pathology in females and arises from uterine smooth muscle.We present an uncommon example of a big, cystic-solid extra-uterine myoma that seemed on sonography and magnetic resonance imaging to be a primary malignant tumor.A woman was admitted to our hospital with a palpable abdominopelvic mass. Imaging studies described a large semisolid mass of 30 × 25 × 23 cm that filled the abdomen from the pelvis to the xiphoid process. Preoperatively, a primary malignant ovarian cancer or teratoma was identified.Histological analysis confirmed a leiomyoma with myxoid degeneration without any malignancy.There is a high risk of malignancy in a giant uterus/mass and fast-growing myomas. For the treatment of large leiomyomas/large extra-uterine leiomyomas, a surgical approach is usually chosen. Myxoid leiomyoma of the broad ligament is very rare, its diagnosis remains histological to date like uterine myxoid leiomyoma. Malignancy should always be ruled out.","PeriodicalId":38569,"journal":{"name":"Polish Annals of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44975047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Horváth, A. Stróżyk, H. Szajewska, P. Dziechciarz
A better understanding of current infant feeding practices and factors influencing them may improve the implementation of infant feeding guidelines in the future.To assess the confidence in knowledge and knowledge of selected infant feeding statements, and to assess selected infant feeding practices among parents of infants aged 4 to 12 months.A cross-sectional study was conducted in Poland. Self-selected parents were recruited through the Internet. Data from 6934 responders, almost exclusively (99.2%) mothers, were analysed.Almost 68.8% of mothers assessed their knowledge of infant complementary feeding practices as sufficient. In line with current recommendations, most mothers agreed that fruits are a good source of vitamins for infants (75.3%); and disagreed that fruit juices should be given to infants younger than age 1 year (61.1%); plant-based beverages are an appropriate alternative to breast-milk substitutes for infants (59.9%); potentially allergenic foods should be included into infant diet only after other complementary food had been introduced (68.4%), and, the introduction of other potentially allergenic foods should be delayed, if symptoms following the introduction of a new food occur (55.7%). However, some participants, albeit minority, reported the introduction of plant-based beverages (12.5%), cow’s milk (16.7%), and fruit juices to infants younger than 12 months (15.8%), thus, it was against the current recommendations.A discrepancy exists between the confidence in knowledge and knowledge of selected infant feeding statements and feeding practices among Polish mothers of infants aged 4 to 12 months.
{"title":"Infant feeding knowledge and practices among parents of infants aged 4-12 months in Poland: an online cross-sectional survey study","authors":"A. Horváth, A. Stróżyk, H. Szajewska, P. Dziechciarz","doi":"10.29089/paom/146442","DOIUrl":"https://doi.org/10.29089/paom/146442","url":null,"abstract":"A better understanding of current infant feeding practices and factors influencing them may improve the implementation of infant feeding guidelines in the future.To assess the confidence in knowledge and knowledge of selected infant feeding statements, and to assess selected infant feeding practices among parents of infants aged 4 to 12 months.A cross-sectional study was conducted in Poland. Self-selected parents were recruited through the Internet. Data from 6934 responders, almost exclusively (99.2%) mothers, were analysed.Almost 68.8% of mothers assessed their knowledge of infant complementary feeding practices as sufficient. In line with current recommendations, most mothers agreed that fruits are a good source of vitamins for infants (75.3%); and disagreed that fruit juices should be given to infants younger than age 1 year (61.1%); plant-based beverages are an appropriate alternative to breast-milk substitutes for infants (59.9%); potentially allergenic foods should be included into infant diet only after other complementary food had been introduced (68.4%), and, the introduction of other potentially allergenic foods should be delayed, if symptoms following the introduction of a new food occur (55.7%). However, some participants, albeit minority, reported the introduction of plant-based beverages (12.5%), cow’s milk (16.7%), and fruit juices to infants younger than 12 months (15.8%), thus, it was against the current recommendations.A discrepancy exists between the confidence in knowledge and knowledge of selected infant feeding statements and feeding practices among Polish mothers of infants aged 4 to 12 months.","PeriodicalId":38569,"journal":{"name":"Polish Annals of Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41739429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Enayatollah Homaie Rad, Atousa Ghavami, L. Kouchakinejad-Eramsadati, S. Yousefzade-chabok, N. Khodadadi-Hassankiadeh
There is little information about this type of traffic accident in northern Iran.This study aimed to determine the status of rollover crashes and the factors relating them.This was a retrospective analytical study. The data of this study were obtained from the reports of Traffic Police and the Department of Forensic Medicine. The data of this study included related data on vehicle damages, injuries, and fatalities of 5999 rollover crashes of motor and non-motor vehicles. All analyses were performed with Excel and SPSS v. 21 software.The probability of mortality due to rollover crashes decreases on slippery (P < 0.001) with age (P < 0.001) and at night (P < 0.001) and increases on road curves (P = 0.005) . The probability of injuries reduced with increase with age (P < 0.000) and in men (P < 0.027), on slippery roads (P < 0.04), heavy vehicle (P < 0.001), car (P < 0.009), pickup trucks (P = 0.011), but increased on the road curves (P < 0.001).Countermeasures include training drivers to increase their ability to control the vehicle and pay attention to the front and avoid driving in the opposite direction at the speed limit. Moreover, installing lower speed limits and installing speed cameras in high-risk areas reduce crashes. Corrective changes to the road and reduce road curve sharpness are as effective as trying to change drivers' behavior.
{"title":"The status of all types of rollover crashes in Northern Iran and the contributing factors","authors":"Enayatollah Homaie Rad, Atousa Ghavami, L. Kouchakinejad-Eramsadati, S. Yousefzade-chabok, N. Khodadadi-Hassankiadeh","doi":"10.29089/paom/146582","DOIUrl":"https://doi.org/10.29089/paom/146582","url":null,"abstract":"There is little information about this type of traffic accident in northern Iran.This study aimed to determine the status of rollover crashes and the factors relating them.This was a retrospective analytical study. The data of this study were obtained from the reports of Traffic Police and the Department of Forensic Medicine. The data of this study included related data on vehicle damages, injuries, and fatalities of 5999 rollover crashes of motor and non-motor vehicles. All analyses were performed with Excel and SPSS v. 21 software.The probability of mortality due to rollover crashes decreases on slippery (P < 0.001) with age (P < 0.001) and at night (P < 0.001) and increases on road curves (P = 0.005) .\u0000The probability of injuries reduced with increase with age (P < 0.000) and in men (P < 0.027), on slippery roads (P < 0.04), heavy vehicle (P < 0.001), car (P < 0.009), pickup trucks (P = 0.011), but increased on the road curves (P < 0.001).Countermeasures include training drivers to increase their ability to control the vehicle and pay attention to the front and avoid driving in the opposite direction at the speed limit. Moreover, installing lower speed limits and installing speed cameras in high-risk areas reduce crashes. Corrective changes to the road and reduce road curve sharpness are as effective as trying to change drivers' behavior.","PeriodicalId":38569,"journal":{"name":"Polish Annals of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43350997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Optimization of postoperative care is often contingent upon the risk stratification tools such as surgical scores that are used to prognosticate potential complications.This study evaluates the utility of surgical Apgar score (SAS) as a tool to predict morbidity and 30-day mortality among patients post general surgical procedures.The study cohort comprised of 400 patients aged between 15 to 75 years, and prospectively undergoing emergency or elective general surgery. SAS of patients were extracted from the anesthesiologist’s records on estimated blood loss, lowest heart rate and lowest mean arterial pressure. Post-operative outcomes such as major complications and mortality within 30 days of surgery were monitored.Out of the 297 elective procedures, 22 (7.41%) cases had major complications. While among those undergoing emergency surgeries (103), 38 (36.86%) patients developed major complications. The odds of developing major complications in patients with the high-risk SAS scores (31; 51.67%) was 5.42 (CI: 3.03–9.70) times greater than in patients with low-risk SAS scores (29; 48.33%). The odds of expiring after a general surgery was 11.92 times higher in high-risk patients (9; 75%) when contrasted with low-risk patients (3; 25%). The sensitivity and specificity of SAS in predicting major complications is 51.67% and 83.53%, respectively. The sensitivity and specificity of SAS in predicting mortality are 75% and 79.9%, respectively.SAS serves as a simple and dependable tool to predict morbidity and 30-day mortality in patients undergoing surgical procedures under anesthesia other than local, requiring intensive perioperative monitoring.
{"title":"Utility of the surgical Apgar score in predicting morbidity and mortality: A prospective study","authors":"Harsha A. Huliyappa, Sreevathsa Ramachar","doi":"10.29089/paom/137489","DOIUrl":"https://doi.org/10.29089/paom/137489","url":null,"abstract":"Optimization of postoperative care is often contingent upon the risk stratification tools such as surgical scores that are used to prognosticate potential complications.This study evaluates the utility of surgical Apgar score (SAS) as a tool to predict morbidity and 30-day mortality among patients post general surgical procedures.The study cohort comprised of 400 patients aged between 15 to 75 years, and prospectively undergoing emergency or elective general surgery. SAS of patients were extracted from the anesthesiologist’s records on estimated blood loss, lowest heart rate and lowest mean arterial pressure. Post-operative outcomes such as major complications and mortality within 30 days of surgery were monitored.Out of the 297 elective procedures, 22 (7.41%) cases had major complications. While among those undergoing emergency surgeries (103), 38 (36.86%) patients developed major complications. The odds of developing major complications in patients with the high-risk SAS scores (31; 51.67%) was 5.42 (CI: 3.03–9.70) times greater than in patients with low-risk SAS scores (29; 48.33%). The odds of expiring after a general surgery was 11.92 times higher in high-risk patients (9; 75%) when contrasted with low-risk patients (3; 25%). The sensitivity and specificity of SAS in predicting major complications is 51.67% and 83.53%, respectively. The sensitivity and specificity of SAS in predicting mortality are 75% and 79.9%, respectively.SAS serves as a simple and dependable tool to predict morbidity and 30-day mortality in patients undergoing surgical procedures under anesthesia other than local, requiring intensive perioperative monitoring.","PeriodicalId":38569,"journal":{"name":"Polish Annals of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42710079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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