Students of the Medical College against the background of three other faculties of the Jan Kochanowski University in Kielce

The need to limit people-to-people contacts during the COVID-19 pandemic introduced the need for distance learning at universities. After two years of pandemic restrictions, we decided to check the opinion of medical students and three other faculties on the conducted classes and compare groups with each other. We conducted a survey research based on standardized questionnaire which included 306 students from four faculties of the Jan Kochanowski University in Kielce – Faculty of Law and Social Sciences (1), Medical College (2), Faculty of Exact and Life Sciences (3), Faculty of Pedagogy and Psychology (4). Students did not differ in the assessment of most types of classes conducted in a virtual form. The exceptions were virtual meetings in a group of students, which were better assessed at the faculty no. 1 compared to 2 and 4. Students of Medical College faculty differed in terms of assessing level of distance learning and their own involvement. Their ratings on these two issues were the lowest among the four groups. The students of individual faculties did not differ in terms of assessing the effectiveness of the elements of education in the traditional and remote modes of operation.   The subjective assessment of distance learning by students from various faculties shows subtle differences. The transition to distance education resulted in a decline in the involvement of medical students in their education and a subjective decrease in quality of teaching comparing to other faculties. This opinion may be taken into account when adapting curricula and selecting the type of classes to be conducted in the course of distance or hybrid learning

Remote learning during the COVID-19 pandemic in the opinion of academic teachers. Survey research

During the COVID-19 pandemic, the academic community had to drop out of the full-time on-site education and switch to distance learning. After two years of this state of affairs and the current return to the traditional form, we would like to explore the opinions of academic teachers on this form of teaching.  The study was a questionnaire-based survey, including 86 teaching staff members of the Jan Kochanowski University of Kielce, working at four faculties. The teachers assessed the level of distance learning as average, no different from the traditional approach.  However, they pointed out that the involvement, activity of students, regularity of work, quality of the assignments completed, and the adequacy of the grades received is greater in the traditional approach. In the case of remote learning, in the group's assessment, the timeliness of performing the assignments had not deteriorated. The most frequently indicated advantage of remote learning was time saving, while the most common disadvantage was reduced contact with students. In the teachers' opinion, the traditional mode of learning still has an advantage over distance learning. Studies assessing effectiveness in achieving educational goals are needed in order to objectify the results. &nbsp

Comparison of the assessment of teaching components during distance and traditional learning – perspective of academic teachers and students. Questionnaire survey

The Covid-19 pandemic forced students and academic teachers to start distance learning. Although both sides participated in the same process, its assessment from both sides may differ. In our study, using a structured survey, academic teachers and students assessed on a 5-point Likert's scale (where 1 = greater in traditional education, 5 =definitely greater in remote education) the effectiveness of 6 key elements of learning such as: student's involvement (1), student's activity (2), contact with the lecturer (3), consistent manner of work (4), timeliness of tasks performed (5), quality of tasks performed (6) and adequacy of grades awarded (7) . Most of the elements in both groups were assessed as more effective in traditional learning. The average score in the group of teachers in each of the elements was shifted towards greater effectiveness of traditional teaching. The greatest difference in grades between the two groups occurred in the scope of a student's involvement and activity. Students and teachers did not differ in the assessment of contact with the lecturer, although both groups indicated that it was greater in the case of traditional learning. Lecturers and students differed in assessing the effectiveness of key features of learning during distance and traditional education. It is necessary to continuously adapt curricula in order to improve the overall assessment of the examined elements and to ensure that there are no differences between the two groups

Students of the Medical College against the background of three other faculties of the Jan Kochanowski University in Kielce

The need to limit people-to-people contacts during the COVID-19 pandemic introduced the need for distance learning at universities. After two years of pandemic restrictions, we decided to check the opinion of medical students and three other faculties on the conducted classes and compare groups with each other. We conducted a survey research based on standardized questionnaire which included 306 students from four faculties of the Jan Kochanowski University in Kielce – Faculty of Law and Social Sciences (1), Medical College (2), Faculty of Exact and Life Sciences (3), Faculty of Pedagogy and Psychology (4). Students did not differ in the assessment of most types of classes conducted in a virtual form. The exceptions were virtual meetings in a group of students, which were better assessed at the faculty no. 1 compared to 2 and 4. Students of Medical College faculty differed in terms of assessing level of distance learning and their own involvement. Their ratings on these two issues were the lowest among the four groups. The students of individual faculties did not differ in terms of assessing the effectiveness of the elements of education in the traditional and remote modes of operation.   The subjective assessment of distance learning by students from various faculties shows subtle differences. The transition to distance education resulted in a decline in the involvement of medical students in their education and a subjective decrease in quality of teaching comparing to other faculties. This opinion may be taken into account when adapting curricula and selecting the type of classes to be conducted in the course of distance or hybrid learning

Canagliflozin and renal outcomes in type 2 diabetes and nephropathy

BACKGROUND Type 2 diabetes mellitus is the leading cause of kidney failure worldwide, but few effective long-term treatments are available. In cardiovascular trials of inhibitors of sodium–glucose cotransporter 2 (SGLT2), exploratory results have suggested that such drugs may improve renal outcomes in patients with type 2 diabetes. METHODS In this double-blind, randomized trial, we assigned patients with type 2 diabetes and albuminuric chronic kidney disease to receive canagliflozin, an oral SGLT2 inhibitor, at a dose of 100 mg daily or placebo. All the patients had an estimated glomerular filtration rate (GFR) of 30 to <90 ml per minute per 1.73 m2 of body-surface area and albuminuria (ratio of albumin [mg] to creatinine [g], >300 to 5000) and were treated with renin–angiotensin system blockade. The primary outcome was a composite of end-stage kidney disease (dialysis, transplantation, or a sustained estimated GFR of <15 ml per minute per 1.73 m2), a doubling of the serum creatinine level, or death from renal or cardiovascular causes. Prespecified secondary outcomes were tested hierarchically. RESULTS The trial was stopped early after a planned interim analysis on the recommendation of the data and safety monitoring committee. At that time, 4401 patients had undergone randomization, with a median follow-up of 2.62 years. The relative risk of the primary outcome was 30% lower in the canagliflozin group than in the placebo group, with event rates of 43.2 and 61.2 per 1000 patient-years, respectively (hazard ratio, 0.70; 95% confidence interval [CI], 0.59 to 0.82; P=0.00001). The relative risk of the renal-specific composite of end-stage kidney disease, a doubling of the creatinine level, or death from renal causes was lower by 34% (hazard ratio, 0.66; 95% CI, 0.53 to 0.81; P<0.001), and the relative risk of end-stage kidney disease was lower by 32% (hazard ratio, 0.68; 95% CI, 0.54 to 0.86; P=0.002). The canagliflozin group also had a lower risk of cardiovascular death, myocardial infarction, or stroke (hazard ratio, 0.80; 95% CI, 0.67 to 0.95; P=0.01) and hospitalization for heart failure (hazard ratio, 0.61; 95% CI, 0.47 to 0.80; P<0.001). There were no significant differences in rates of amputation or fracture. CONCLUSIONS In patients with type 2 diabetes and kidney disease, the risk of kidney failure and cardiovascular events was lower in the canagliflozin group than in the placebo group at a median follow-up of 2.62 years

Conservatively treated, live, 12-week cervical pregnancy – case report

MLODAWSKI, Jakub, CHABIK, Anna, ALBRZYKOWSKI, Maciej, MLODAWSKA, Marta & SWIERCZ, Grzegorz. Conservatively treated, live, 12-week cervical pregnancy – case report. Journal of Education, Health and Sport. 2022;12(12):311-316. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2022.12.12.047 https://apcz.umk.pl/JEHS/article/view/40839 https://zenodo.org/record/7467345 The journal has had 40 points in Ministry of Education and Science of Poland parametric evaluation. Annex to the announcement of the Minister of Education and Science of December 21, 2021. No. 32343. Has a Journal's Unique Identifier: 201159. Scientific disciplines assigned: Physical Culture Sciences (Field of Medical sciences and health sciences); Health Sciences (Field of Medical Sciences and Health Sciences). Punkty Ministerialne z 2019 - aktualny rok 40 punktów. Załącznik do komunikatu Ministra Edukacji i Nauki z dnia 21 grudnia 2021 r. Lp. 32343. Posiada Unikatowy Identyfikator Czasopisma: 201159. Przypisane dyscypliny naukowe: Nauki o kulturze fizycznej (Dziedzina nauk medycznych i nauk o zdrowiu); Nauki o zdrowiu (Dziedzina nauk medycznych i nauk o zdrowiu). © The Authors 2022; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 12.11.2022. Revised: 21.12.2022. Accepted: 21.12.2022. Conservatively treated, live, 12-week cervical pregnancy – case report Jakub Mlodawski1, Anna Chabik2, Maciej Albrzykowski2, Marta Mlodawska1, Grzegorz Swiercz1 Jan Kochanowski University n Kielce, Collegium Medicum “Eskulap” Student’s Scientific Society, Jan Kochanowski University in Kielce Abstract: Cervical pregnancy is one of the rarest forms of ectopic pregnancy. Due to the low prevalence of this pregnancy complications, the management of this complication is not standardized. In this work, we describe conservative management of a 12-week cervical pregnancy. Descriptions of the cases of such a large pregnancy treated conservatively are scarce. In order to protect the fertility of the patient, most of the described conservative procedures available in the literature were applied, such as: the administration of a 15% solution of KCl into the gestational sac, administration of methotrexate into the gestational sac and intramuscularly, as well as embolization of the uterine arteries with cervical canal curettage. After 5 weeks of observation and applied treatment, the patient was discharged home with a preserved uterus. Keywords: cervical pregnancy, ectopic pregnancy, methotrexate, arterial embolisatio

Navigating Uncertain Waters: First-Trimester Screening’s Role in Identifying Neonatal Complications

Background: Contemporary diagnostic methods aimed at assessing neonatal outcomes predominantly rely on the medical history of pregnant women. Ideally, universal biomarkers indicating an increased risk of delivering infants in poor clinical condition, with a heightened likelihood of requiring hospitalization in a Neonatal Intensive Care Unit (NICU), would be beneficial for appropriately stratifying pregnant women into a high-risk category. Our study evaluated whether biochemical and ultrasonographical markers universally used in first-trimester screenings for non-heritable chromosomal aberrations could serve this purpose. Methods: This study encompassed 1164 patients who underwent first-trimester screening, including patient history, ultrasound examinations, and biochemical tests for pregnancy-associated plasma protein-A (PAPP-A) and the free beta-HCG subunit (fbHCG), from January 2019 to December 2021. The research concentrated on the correlation between these prenatal test results and neonatal outcomes, particularly Apgar scores, umbilical blood pH levels, and the necessity for NICU admission. Results: In our cohort, neonates scoring lower than 8 on the Apgar scale at birth exhibited lower concentrations of PAPP-A in the first trimester, both in raw and normalized values (PAPP-A MoM 0.93 vs. 1.027, p = 0.032). We also observed a higher pulsatility index in the venous duct in the first trimester in full-term neonates born with p = 0.04). We also noted that neonates requiring NICU hospitalization post-delivery had lower first-trimester bHCG concentrations (0.93 MoM vs. 1.11 MoM, p = 0.03). However, none of the correlations in our study translated into a robust prognostic ability for predicting dichotomous outcomes. All areas under the curve achieved a value Conclusions: Low concentrations of PAPP-A and free bHCG subunit in the first trimester may be associated with poorer clinical and biochemical conditions in neonates post-delivery. However, the relationship is weak and has limited predictive capability. Further research evaluating these relationships is necessary for the appropriate stratification of pregnant women into high-risk categories for neonatological complications

Is There Association Between Changes in eGFR Value and the Risk of Permanent Type of Atrial Fibrillation? - Analysis of Valvular and Non-Valvular Atrial Fibrillation Population

Background/Aims: There are no data concerning renal function in population with valvular and non-valvular atrial fibrillation (AF). To assess renal function in patients with AF, the association between eGFR and AF perpetuation, in-hospital mortality. Methods: We studied 1523 patients with AF. Patients with chronic kidney disease (CKD) were compared to population with preserved renal function. Results: CKD was more frequently observed in patients with valvular AF(p=0.009). In non-valvular AF patients eGFR 2 had more often permanent AF(p2DS2VASc score was 4.1±1.5 and HAS-BLED score was 2.1±1.2 and it was higher as compared to population with preserved renal function (p75 years old(OR=3.70,p=0.01,95%CI1.33-10.28), with CKD (OR=2.61,p=0.03,95%CI1.09-6.23). The type of AF had no significant influence on in-hospital mortality(OR=0.71,p=0.45,95%CI0.30-1.70). Conclusions: CKD is more often observed in patients with valvular AF. In population with non-valvular AF decreased eGFR is associated with permanent type of AF and with higher CHA2DS2VASc and HAS-BLED score. Among valvular AF patients there are no differences in type of AF between patients with and without CKD. There is the correlation between CKD and AF perpetuation but only in non-valvular population

Thyroid Cancer Risk Factors in Children with Thyroid Nodules: A One-Center Study

Thyroid nodules are common in the adult population (13%), but in childhood, they are relatively rarely diagnosed (0.2–5%). The risk factors and diagnostic and therapeutic algorithms are well-known and effectively used in adults, but no clear procedures supported by scientific research are available in the pediatric population. Our aim in this study was to identify predictive factors for thyroid cancer in a pediatric population. We retrospectively analyzed 112 children (80 girls and 32 boys, aged 0.6–18 years, with an average group age of 13.4 ± 4.5 years) with thyroid nodules who presented or were referred between 2010 and 2021. A total of 37 children qualified for partial or total thyroidectomy. After histopathological nodule examination, the most common cases were benign lesions in 23 patients (57.5%) and malignant lesions in 14 children (32.5%). Solitary benign thyroid nodules were found in 16 children (40%). Malignancy risk was higher in children with increased nodule diameter (greater than 7 mm; p = 0.018) or hypoechogenic lesions in ultrasound (p = 0.010), with no correlation between increased blood flow in the vessels and tumor diagnosis. The relative risk of developing thyroid cancer for class III was found to be higher in comparison to adults and 11.1 times higher than for classes I and II combined