Opis przypadku torbieli śledziony — materiał własny

In the paper the case of the patient with splenic cyst was described — the diagnostic workup including differential diagnostic as well as successful surgical treatment were presented.W pracy przedstawiono przypadek leczenia chorego z torbielą śledziony. Uwzględniono postępowanie diagnostyczne, w tym diagnostykę różnicową oraz leczenie chirurgiczne zakończone sukcesem

Comparison of Algorithms Classic and Fuzzy Inference on Example of Manager's Personnel Decision Support System

The aim of the study is to compare operation of divalent and fuzzy inference. The article contains describing the theoretical basis of operation of both algorithms and illustrated is to use each of them with a different version of the manager's decision support system. Next is shown knowledge base and accurate inference algorithm and also example of use system of classic inference in practice. The last part of the work is to describe the analysis of the similarities and differences between algorithms and of its conclusions. (original abstract

IMPLEMENTACJA „ŻYJĄCYCH FASAD” NA OSIEDLACH MIESZKANIOWYCH Z WIELKIEJ PŁYTY JAKO ELEMENT ADAPTACJI MIAST DO ZMIAN KLIMATU NA PRZYKŁADZIE WARSZAWY

The ongoing climate changes result in numerous negative effects on the human living environment. For cities it is especially challenging to address the problem of rising air temperatures that lead to stronger and more frequent heat waves. In order to readjust city space to new climate conditions, it is of key importance to research and implement adaptation strategies like nature based solutions (NBS) – actions inspired by nature which are sustainable and effective from the ecological, social and economic perspective. In this article, vines implemented on building walls are presented as an example of a nature based solution that ensures lower air temperature and higher thermal comfort. Studies conducted in a housing area in Warsaw – Bemowo district indicate that there is potential space for implementing the proposed idea and the majority of residents are supportive of it. Postępujące zmiany klimatyczne negatywnie wpływają na środowisko życiowe człowieka. W przestrzeniach miejskich szczególnie uciążliwy jest wzrost temperatury powietrza, który prowadzi do coraz częstszych i intensywniejszych fal upałów. W celu dostosowania przestrzeni miejskich do nowych warunków klimatycznych konieczne jest badanie oraz realizacja działań o charakterze adaptacyjnym, takich jak rozwiązania oparte na przyrodzie (NBS – nature based solutions) – inspirowane naturą, zrównoważone oraz wydajne ekologicznie, społecznie i finansowo. W niniejszym artykule przedstawiono zastosowanie pnączy na ścianach budynków jako przykład rozwiązania opartego na przyrodzie, które prowadzi do obniżenia emperatury powietrza oraz wzrostu komfortu termicznego. Przeprowadzone badania dowodzą, że dla analizowanej przestrzeni osiedlowej w dzielnicy Warszawa-Bemowo istnieje możliwość wprowadzenia proponowanego rozwiązania oraz że jest ono akceptowane przez większość mieszkańców

Embryonal tumor with abundant neuropil and true rosettes : an autopsy case-based update and review of the literature

Introduction Embryonal tumor with abundant neuropil and true rosettes (ETANTR) is a rare subtype of primitive neuroectodermal tumors first reported in 2000. It is rare among the group of embryonal central nervous system tumors with approximately 50 reported cases. ETANTR has been suggested to be a separate entity among this group of tumors. Case report Herein, we present only the second autopsy case of ETANTR, which occurred in a 17-month-old boy, and was located in the brainstem. The tumor was inoperable, and despite chemotherapy, the child died 3 months after initial hospitalization. A brain only autopsy was performed. Discussion Neuropathological and neuroimaging examinations suggest ETANTR grew by expansion rather than invasion distorting anatomical structures of the posterior fossa. We suggest that the characteristic histopathological picture of the tumor is the result of multifocal and dispersed germinative activity surrounded by mature neuropil-like areas. Conclusion ETANTR is a pediatric tumor occurring in children under 4 with a significantly poor prognosis with more cases and research required to characterize this rare embryonal tumor

The results of external quality assessment programme on urine leukocyte and erythrocyte counting in Poland

Introduction: Urine particle analysis is an important diagnostic tool. The aim of this study was to evaluate the quality of urine leukocyte (WBC) and erythrocyte (RBC) counting results obtained with manual and automated methods in Polish laboratories participating in the international external quality assessment (EQA) programme. Materials and methods: 1400 WBC and RBC counting results were obtained from 183 laboratories in EQA surveys organised by Labquality (Helsinki, Finland) from 2017 to 2019. The between-laboratory coefficient of variation (CV), the percentage difference between the laboratories\u27 results and target values (Q-score (%)), as well as modified Youden plots were analysed. Results: For automated method groups, the medians of inter-laboratory CVs varied from 14% to 33% for WBC counting and from 10% to 39% for RBC counting. For manual method groups, the medians of CV varied from 53% to 71% (WBC) and from 55% to 70% (RBC), and they were significantly higher, in comparison to CVs for most automated method groups (P < 0.001). The highest percentage of results outside the target limits (36%) and the highest range of Q-score (%) (from - 93% to 706%) were observed for laboratories which participated in the surveys for the first or second time. The percentage of deviating results and the ranges of Q-score decreased with an increased frequency of laboratories’ participation in the surveys. Conclusions: The quality of manual methods of urine WBC and RBC counting is unsatisfactory. There is an urgent need to take actions to improve laboratories’ performance and to increase harmonisation of the results

Przypadek raka pęcherzyka żółciowego — materiał własny

Prezentowany przypadek kliniczny raka pęcherzyka żółciowego znalazł się w grupie statystycznej 0,3–3%rozpoznania ustalanego pooperacyjnie po cholecystektomii wykonanej z innych przyczyn. W pracy omówiono specyfikę i sposób leczenia przypadkowo wykrytej choroby nowotworowej pęcherzyka żółciowego