Polish Annals of Medicine最新文献_第9页

Jan Janowicz – A pioneer of surgery in Olsztyn Jan Janowicz——奥尔什丁外科手术的先驱

Polish Annals of Medicine Pub Date : 2022-04-11 DOI: 10.29089/paom/147821

Roman Łesiów, Jan Trusewicz, Mirosław Łesiów, Maciej Trusewicz

{"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}

引用次数: 0

The effect of hypothermia on the human body 体温过低对人体的影响

Polish Annals of Medicine Pub Date : 2022-04-05 DOI: 10.29089/paom/147316

P. Jastrzębski, J. Snarska, Z. Adamiak, Tadeusz Miłowski

{"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}

引用次数: 0

The practical considerations of managing negative pressure pulmonary edema for anesthesiologists – literature review 麻醉师处理负压性肺水肿的实践考虑——文献综述

Polish Annals of Medicine Pub Date : 2022-04-04 DOI: 10.29089/paom/147041

W. Mańkowski, Paweł Radkowski, D. Onichimowski, Justyna Dawidowska-Fidrych

{"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}

引用次数: 0

Factors associated with academic performance among clinical year medical students: A cross-sectional study in a Southern Thailand medical school 临床医学生学业表现的相关因素:泰国南部一所医学院的横断面研究

Polish Annals of Medicine Pub Date : 2022-04-04 DOI: 10.29089/paom/146748

Supinya Sono, Jutinun Kittivarapong, Natchanok Chawakitchareon, Nitchanan Saenphantree, Tawan Limamornrat, Thanatip Sangmanee, Maytavee Jedtanajaroenchai, Saengthian Theerakitpaisal

{"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}

引用次数: 0

In search of protective antibody for coronavirus disease 2019: A retrospective study 寻找2019冠状病毒病的保护性抗体:一项回顾性研究

Polish Annals of Medicine Pub Date : 2022-04-04 DOI: 10.29089/paom/146894

Sayak Roy, Sandip Mukhopadhyay, Shatavisa Mukherjee, S. Samajdar, S. Tripathi

{"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}

引用次数: 0

A sinister mixed phenotype acute leukemia mimicking tonsil lymphoma 一种类似扁桃体淋巴瘤的恶性混合表型急性白血病

Polish Annals of Medicine Pub Date : 2022-04-04 DOI: 10.29089/paom/147387

Nurul Syuhadah Hasny, Iu Tong Lim, S. Mohamad, N. A. Che Jalil, M. Hassan, I. Mohamad, N. Mat Lazim

{"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}

引用次数: 0

A case of giant extra-uterine myxoid leiomyoma: An unusual benign pathology mimicking malignancy 巨大子宫外黏液样平滑肌瘤1例:一种不寻常的良性病理模拟恶性肿瘤

Polish Annals of Medicine Pub Date : 2022-03-17 DOI: 10.29089/paom/146658

Ali Ovayolu, T. Filiz, T. Savli

引用次数: 1

Infant feeding knowledge and practices among parents of infants aged 4-12 months in Poland: an online cross-sectional survey study 波兰4-12个月婴儿父母的婴儿喂养知识和实践：一项在线横断面调查研究

Polish Annals of Medicine Pub Date : 2022-03-17 DOI: 10.29089/paom/146442

A. Horváth, A. Stróżyk, H. Szajewska, P. Dziechciarz

{"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}

引用次数: 0

The status of all types of rollover crashes in Northern Iran and the contributing factors 伊朗北部所有类型翻车事故的状况及其影响因素

Polish Annals of Medicine Pub Date : 2022-03-17 DOI: 10.29089/paom/146582

Enayatollah Homaie Rad, Atousa Ghavami, L. Kouchakinejad-Eramsadati, S. Yousefzade-chabok, N. Khodadadi-Hassankiadeh

{"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}

引用次数: 0

Utility of the surgical Apgar score in predicting morbidity and mortality: A prospective study 外科Apgar评分在预测发病率和死亡率中的作用：一项前瞻性研究

Polish Annals of Medicine Pub Date : 2022-02-25 DOI: 10.29089/paom/137489

Harsha A. Huliyappa, Sreevathsa Ramachar

{"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}

引用次数: 0