A preliminary study on the relationship between the complexity of the sagittal suture and cranial dimensions

The paper presents the results obtained from analysis of the correlation between cranial dimensions (length, width, and height) and indices against the complexity of the sagittal suture, which was expressed as the ratio between absolute sutural length to the linear length of the suture. The statistical study on 29 skulls shows a significant negative correlation between the height/width index of all skulls and suture complexity (r = -0.78 for male, r = -0.70 for female skulls) and a negative correlation between cranial height and suture complexity in male skulls only (r = -0.49). This implies that lower and broader skulls have a more complicated sagittal suture. Correlations of the height/length and width/length ratios were assessed as statistically insignificant in both sexes

Poisoning with methanol and other non-beverage alcohols - an analysis of the issue based on hospitalizations in department of toxicology

Introduction: Poisonings with non-beverage alcohols remain a significant problem in contemporary toxicology. Due to the large quantity and severe course of intoxications with methanol, the authors of this study focused primarily on poisonings with this substance. Methanol is widely used in industry. Its toxicity is attributed to its metabolites - formaldehyde and formic acid. Poisonings with methanol often lead to the patient's death due to a wide range of complications associated with progressive metabolic acidosis. Material and Methods: The study is of a retrospective nature. It involved the analysis of medical records of patients admitted to the department of toxicology in 2022 after the consumption of non-beverage alcohols, with a particular focus on methanol. Data on the number of individuals admitted due to non-beverage alcohol intoxication between 2018 and 2022 was also analyzed. Results: Over the last 5 years (2018-2022), 36 individuals were hospitalized in the Clinical Toxicological-Cardiological Department due to non-beverage alcohol poisoning, with 16 (44.4%) cases involving methanol. In the year 2022, the department admitted 10 individuals aged 18 to 68, and 5 (50%) of them consumed methanol. Among the hospitalized, 90% were male, and 60% came from rural areas. Deliberate intoxications accounted for 70% of the cases. Four hospitalizations (40%) resulted in patient death. All deaths were associated with methanol intoxication. Conclusions: Non-beverage alcohol is often used by people with alcohol dependence syndrome. Among non-beverage alcohols, patients most often reached for methanol. Its consumption is associated with a high mortality rate and should be taken very seriously and treated immediately.&nbsp

Detergents - useful or dangerous. Discussion of the toxic effects of detergents based on studies

Introduction and purpose: Detergents are compounds that constitute the main component of cleaning products. Due to their varied chemical structure, they have different functions and a wide range of applications. The aim of this study is to draw attention to the problem of toxic effects of detergents on the basis of analysis of cases of detergent poisoning by patients of the Toxicology and Cardiology Ward of the Stefan Cardinal Wyszyński Provincial Hospital in Lublin. Material and methods: The study was retrospective in nature. It used an analysis of the medical records of 11707 intoxications in patients between 01.01.2013 and 31.12.2022, from which a group of individuals with a diagnosis of T55 according to the ICD 10 classification "Toxic effects of soaps and detergents" consisting of 36 cases was selected. Results: The study population consisted of 18 (50%) women and 18 (50%) men. The majority- 19 patients (52.78%) were exposed to the toxic effects of detergents accidentally. 10 patients (27.78%) were suicide attempts. Accompanying medical conditions were mostly psychiatric disorders, with alcohol dependence syndrome predominating - 9 cases (25%). The majority - 33 patients (91.67%) intoxified themselves with detergents in the form of liquids and solids by the oral route . Conclusions: Despite their usefulness in households and industry, detergents contribute to adverse health effects in situations of accidental exposure or intentional intake. In order to reduce the number of complications, preventive measures should be implemented - such as storing detergents in less accessible areas, in original boxes with retained labels, and increasing funding for psychological-psychiatric care in a crisis situation

Hirschsprung's Disease - Review of Clinical Features, Diagnosis and Treatment

Introduction and purpose: Hirschsprung's disease, also known as congenital aganglionic megacolon, is a rare congenital disorder that affects the large intestine. Due to the absence of ganglion cells, the affected segment of the colon becomes narrow and unable to relax. The disease is present from birth but may not always be immediately apparent. In this paper, we will attempt to present the current state of knowledge regarding the diagnosis and treatment of Hirschsprung's disease, based on the analysis of literature available on the PubMed platform. Description of the state of knowledge: Hirschsprung's disease (HSCR), also known as congenital aganglionosis of the colon, involves abnormal migration, proliferation, and differentiation of neural crest cells, leading to the absence of autonomic nerve ganglia within the colon. HSCR is associated with mutations in several genes, with RET, GDNF, EDNRB and SOX10 being identified as the main causes of the disease. Mutations in the RET gene are associated with the hereditary form of Hirschsprung's disease. Symptoms of HSCR appear in newborns and may include bilious vomiting, diarrhea associated with enterocolitis, failure to pass meconium within the first 24 hours of life, impaired peristalsis, jaundice, feeding difficulties, and progressive abdominal distension. Summary: Diagnosis is typically made based on clinical presentation, imaging studies, and biopsy. Treatment usually involves surgery to remove the affected segment of the colon and reconnect the healthy portions. Although postoperative complications are relatively common, long-term studies suggest that the majority of children with Hirschsprung's disease function well in society

Baclofen - a great chance or danger - discussion of poisoning based on research

Introduction and purpose: Baclofen is a derivative of γ-aminobutyric acid (GABA). It is a spasmolytic drug that reduces skeletal muscle tension and is used in spasticity. Despite its many positive functions, its use is associated with a risk of side effects. The aim of this work is to gain a better understanding of baclofen and to highlight the toxicity and dangers of its misuse. Material and methods: The study was retrospective in nature. It used an analysis of the records of 11648 intoxications in patients hospitalised from 01.04.2013 to 01.04.2023 in the Clinical Toxicology and Cardiology Department of the Stefan Cardinal Wyszyński Provincial Hospital in Lublin, from which a group of baclofen intoxicated patients (T55), consisting of 19 cases, was distinguished. Results: The study population consisted of 10 women (52.63%) and 9 men (47.37%), aged between 16 and 83 years. The largest group consisted of patients aged up to 30 years - 9 patients (47.37%). The majority of patients - 11 patients (59.89%) were in a severe condition. An overwhelming number reported intentional poisoning - 16 cases (84.21%), including five suicide attempts (31.25%). Patients took other drugs and medicines in addition to baclofen. The most common was ethanol - 8 people (42.11%), followed by NSAIDs - 5 people (26.32%). Conclusions: In order to prevent complications following the use of baclofen, it is very important to educate patients, their family members and the general public about the mechanism of action of the drug itself, its function on the body and the risks of taking it. Prophylactic measures and education on how to deal with poisoning situations are necessary, as they are entirely preventable with immediate diagnosis and treatment

Cytokine profiling in exhaled breath condensate after exercise challenge in asthmatic children with post-exercise symptoms

Introduction: Markers of exhaled breath condensate (EBC) correlate with lung function impairment, airway remodeling and different aspects of the disease such as exercise-induced bronchoconstriction (EIB). Aim of the study was to determine the cytokine profile in EBC of children with asthma after an exercise treadmill challenge in order to obtain clinically useful information about mechanisms of EIB; also, to assess correlations between cytokine concentrations in EBC and clinical characteristics of the patients. Material and methods: The study population consisted of 25 randomly selected children, aged 8 to 19 years, with asthma and EIB symptoms despite the use of control medications. Patients on the day of the study visit underwent fractional exhaled nitric oxide measurement (FeNO) and baseline spirometry, performed an exercise treadmill challenge (ETC), and EBC samples were obtained at the end of the ETC. Results: In asthmatic children with positive ETC, monocyte hemotactic protein-1 (MCP-1) and IL-16 adjusted to pre-EBC forced expiratory volume in 1 s (FEV1) were significantly higher compared to children with negative ETC (p = 0.022 and p = 0.017 respectively). After adjustment to pre-EBC FEV1 other cytokines (IL-4, IL-5, IL-6, IL-8, MIG, TNF-) were not related to post-exercise changes in FEV1. Conclusions: We observed a specific inflammatory profile in the airways of asthmatic children with bronchoconstriction induced by exercise. The concentration of cytokines in EBC depended on the post-exercise decrease in FEV1, which was measured by the area under the curve (AUC). MCP-1 and IL-16, adjusted to pre-EBC FEV1, were significantly higher in children with a positive exercise challenge compared to those with a negative one.This study was funded by grant 503-2056-1 from the Medical University of Lodz, Poland. ClinicalTrials.gov Identifier: NCT01798823. The study was approved by the Medical University of Lodz Ethics committee, Poland. Written consent from the patients and their parents was obtained