Stress disease of the 21st century?

The concept of stress is already 80 years old, the issue is getting better researched. Mechanisms of action better understood. We notice the difference between eustress and distress - that what is good and usefull for our body, and what is not. This topic of this research is getting more and more important - faster and faster pace of life, more and more civilization diseases. 77% of people regularly experience physical symptoms of stress, while psychologically, 73%. With such figures, the authors would like to draw attention to the importance of this issue and to what are the latest findings in this area, what else has to be done and how can we now handle it. The amount of illness that is associated with stress is enormous. Whether directly as their main cause or indirect as a factor predisposing to its occurrence. Literature provides numerous examples of immunology, cardiology or neurology. Extremaly worrying is the impact of stress during pregnancy to the adult life of an unborn child. Of course we can also find ways of treating it, whether it is pharmacological: stress or its consequences or by reducing stress. In conclusion, this is a significant condition that has a large effect on a large number of people. Worrying that even doctor and nurses who have knowledge of this subject is not devoid of the negative effects of stress. Exactly due to the specifics of work more exposed

New possibilities in Pectus Excavatum

Pectus Excavatum is one of the most frequent deformations of the chest wall, diagnose and surgical treatment mainly in pediatric patients (1:300 - 1:1000 live births). More often in men than in women, the etiology of this disease is not entirely clear, probably multifactorial. The aim of the study was to analyze the current literature regarding the surgical treatment of pectus excavatum and to indicate new treatment options. For the purpose of this study, we analyzed the current papers on pectus excavatum found in the PubMed database. The Ravich and Nuss procedure remains the basic way to treat pectus excavatum, and over the years both methods have found their supporters. The work focused on the improvement of both of these methods, however, mainly the Nuss Procedure was considered, becasue of be minimally invasive. Attention was also paid to the possibility of simultaneous implementation of both methods and advantages of this way for the patients. The new possibilities concern not only the surgical techniques itself, but also the new technical possibilities used in surgery. Nowadays, the scientific focuses on improving currently used methods by reducing operational risk, shortening the time of surgery, and thus improving patient safety and, of course, improving its quality of living. Most likely, with the development of technology, further options will be adapted to the treatment of Pectus Excavatum

Atresia of the esophagus - thoracotomy vs thoracoscopy

Esophageal atresia is a congenital medical condition associated with the disorder of the alimentary tract. It is usually associated with one or more fistulas to the trachea. Esophageal atresia is often associated with other congenital defects. The most frequent anomalies with atresia of the esophagus are those that occur in the VACTERL association. The incidence of oesophageal atresia mention in the literature varies 0.7-4.55/10000, because of the different percentage of defects other than esophageal atresia and associated with esophageal atresia changes. The etiology of esophageal atresia is mainly unknown, but it is considered multifactorial, including genetic and environmental factors. Indeed, 6-10% of cases of esophageal atresia have been diagnosed with a chromosomal abnormality or syndrome. For the purpose of this study, we analyzed the current papers on esophageal atresia found in the PubMed database. Traditionally, the esophageal atresia has been operated by the right posterior thoracotomy. The first thoracoscopic repair of classic esophageal atresia was performed in 1999, and the first successful thoracoscopy of the tracheo-oesophageal fistula a year later. Together with these milestones, numerous health centers have begun adapting this surgical technique. Although thoracoscopic surgery in the case of esophageal atresia in patients with tracheo-bronchial fistula was conducted in many highly developed children's surgery centers, the safety and efficacy of this method remained controversial. The benefits of thoracoscopic surgery are obvious, including excellent visualization, less use of post-operative drugs and cosmetic effects. Jaureguiza et al. described the "scaly scapula", chest wall deformity, scoliosis and the development of the bad nipple in patients who underwent open surgery due to esophageal atresia with the accompanying tacha-oesophageal fistula. In the case of open thoracotomy, it was necessary to withdraw the lungs to expose the posterior mediastinum, resulting in lung damage and respiratory complications. Compared to the open surgery, thoracoscopy significantly reduced the time of hospital stay and the moment of the first oral meal. However, thoracoscopy was associated with a longer time of surgery. The incidence of leaks, narrowings, pulmonary complications, and blood loss were similar in both surgical technique. It seems that the benefits of thoracoscopy are significant

Polska i społeczeństwo w XXI wieku. Sekcja: Handel zagraniczny i amerykanistyka

Przemowa: "IV Międzynarodowa Konferencja Krakowskiej S2koły Wyższej im. Andrzeja Frycza Modrzewskiego obradowała od 30 maja do 1 czerwca 2004 roku. W tym roku uczestniczyło w niej ponad 150 naukowców z ośrodków akademickich: Polski, Węgier, Niemiec, Szwecji, Australii, Słowacji, Czech, Ukrainy, Serbii. Obrady konferencji toczyły się w siedmiu następujących sekcjach: ■ Prawo i Administracja, ■ Zarządzanie i marketing, ■ Architektura i sztuka, ■ Nauki o rodzinie, ■ Nauki polityczne, ■ Integracja europejska i turystyka międzynarodowa, ■ Handel zagraniczny i amerykanistyka. U progu nowego stulecia, które przyniosło Europie i światu tak znaczące, chociaż nie zawsze jednoznacznie pozytywne zmiany, zarówno w polityce, jak i w życiu gospodarczym czy społecznym, warto je było omówić i skomentować z nową refleksją, już po wejściu Polski do Unii Europejskiej. Takie też były oczekiwania władz uczelni i Rady naukowej konferencji, kiedy przyjmowano za temat przewodni hasło - „Państwo i społeczeństwo XXI wieku”."(...

Społeczne, gospodarcze i polityczne relacje we współczesnych stosunkach międzynarodowych

Publikacja recenzowana / Peer-reviewed publicatio

Are medical students aware of surgical checklist and basics of patient safety in the OR? - Medical University of Lublin experience

Gołębiowska Maria, Gołębiowska Beata. Are medical students aware of surgical checklist and basics of patient safety in the OR? - Medical University of Lublin experience. Journal of Education, Health and Sport. 2018;8(1):18-25. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1134658 http://ojs.ukw.edu.pl/index.php/johs/article/view/5184 https://pbn.nauka.gov.pl/sedno-webapp/works/843880 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2018; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, 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 (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/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: 09.12.2017. Revised: 15.12.2017. Accepted: 02.01.2018. Are medical students aware of surgical checklist and basics of patient safety in the OR? - Medical University of Lublin experience Authors: Maria Gołębiowska1, Beata Gołębiowska2 MD, PhD, 1 Student, I Faculty of Medicine, Medical University of Lublin 2 Pediatric Neurology Department, III Chair of Pediatrics, Medical University of Lublin Abstract: WHO Surgical Checklist is a tool created for the operating teams in order to provide a surgical safety track of procedures, unified in a worldwide scale. Patient safety is still the biggest challenge of healthcare, despite the introduction of newest technology and medicine overcoming plenty of surgical challenges in modern surgery. Among 8% of all adverse events are surgical adverse events, and nearly half of them could be easily preventable. That is why the aim of our study is to examine the awareness and knowledge level of medical students about surgical safety procedures. For this purpose, the survey on the basic understanding of surgical checklist and patient safety within surgical procedures was distributed during surgical workshops both basic and advanced skills in years 2015-2016 for 115 students. Respondents age, country of origin, year of study, previous attendance to surgical procedures information was also obtained. Our study proved, that the vast majority of medical students interested in surgical fields as their future profession are unaware of surgical safety procedures and its basic terminology (85% of respondents). The highest response of correct answers was noted within sign out procedures - post surgical check-up within the OR (74%). The Surgical Safety Checklist unifies the process of avoiding human error in surgery at all costs. However, despite 15 years of introduction to the surgical field, the medical education methods among undergraduate students are still insufficient. This should be changed in order to save more lives and provide better health care for all, with the most important principle in mind - first, do no harm. Keywords MeSH: patient safety, surgical checklist, surger