Tamponada serca po plastyce szewskiej klatki piersiowej

Pectus excavatum is the most common type of congenital chest wall abnormality (90%), occurs in an estimated 1 in 300–400 births, with male predominance (male-to-female ratio of 3:1). The exact mechanism involved in this abnormal bone and cartilage overgrowth is not known, and, to date, no known genetic defect is directly responsible for the development of pectus excavatum. Despite the lack of an identifiable genetic marker, the familial occurrence of pectus deformity is reported in 35% of cases. The main aim of the thesis was to present an ill patient, who was surgically treated because of pectum excavatum.Szewska klatka piersiowa to najczęstsza (90%) wrodzona deformacja ściany klatki piersiowej występująca w przypadku1 na 300–400 urodzeń, częściej u osób płci męskiej (proporcja płci męskiej do żeńskiej wynosi 3:1). Dokładny mechanizm powodujący nieprawidłowy wzrost kości i chrząstek nie jest znany. Nie wykryto dotychczas żadnego defektugenetycznego, który mógłby się bezpośrednio wiązać z rozwojem tej deformacji. Mimo braku określonego wskaźnikagenetycznego dane literaturowe wskazują na rodzinne występowanie szewskiej klatki piersiowej w 35% przypadków.Głównym celem niniejszej pracy jest przedstawienie przypadku chorego poddanego leczeniu chirurgicznemu z powoduszewskiej klatki piersiowej

Removal of foreign bodies from the airways and esophagus development of the method and equipment over the centuries

The problem of aspiration of foreign bodies was already known in antiquity. The first described death of man was the case of the Greek poet Anakreon, who in 475 BC choked himself with a grape. Initially, the treatment was limited to the pneumonia caused by the presence of a foreign body, then treatment of surgical procedures was attempted. The first documented case of tracheotomy (known as bronchotomy) for removing a foreign body was described in 1717 by Verdue. Unfortunately there was a significant disadvantage of the devices used to remove foreign bodies from the airways and esophagus - lack of a proper light source. At the beginning doctors were using candles, but their light was insufficient to observe anatomical structures. Philipp Bozzini developed the first light source which allowed to view the upper part of the esophagus - He called it a "lichtleiter". However a milestone in the endoscopy was made by the French urologist Antonin Desormeaux. He presented an improved device, which he called the "endoscope". For this reason, he was hailed as "father of endoscopy". Nevertheless scientific and technical progress is still continuing. Doctors have at their disposal more and more modern equipment for the diagnosis and removal of foreign bodies from the airways and esophagus. But even the most perfect endoscope will not replace the doctor's skills combined with assurance of maximum safety during and immediately after the procedure

Evaluation and management of pain in geriatric patients who were diagnosed in Emergency Department

Introduction and purpose of the work. Pain is one of the most common causes of medical rescue teams’ callings. Most of the cases are solved at patients’ homes. Some problems presented by geriatric patients are too difficult to be evaluated at home and need to be admitted to hospitals’ emergency departments(ED) for further diagnosis. Geriatric patients are often burdened with multiorgan dysfunctions which can cause pain. This problem in senior population is often overlooked or underestimated Material and method. Survey was conducted among 100 patients after 65 years of age who were admitted to ED because of pain. Location, the intensity of pain before and after application of analgesia, vital signs( heart rate, blood pressure, the number of breaths, temperature), previously administered pain killers and sociodemographic factors were evaluated and noted Results. Women predominated in the study group as well as the patients with posttraumatic pain (mostly fall from the same height). Forty five percent of patients took a painkiller at home. Preliminary average rating of pain numeric scale (NRS) was 7.49 points. Respondents who received painkillers before coming to the ED, felt more severe pain than those who did not take medications (NRS 7.93 vs. 7.41). Thirty minutes after application of analgesic pain intensity averaged 3.74 points. Conclusions. Pain is a common cause among elderly patients who report to ED, despite previously adopted analgesics. It remains underestimated in prehospital care and needs special attention in emergency departments

Mesothelioma - a growing medical problem with heterogeneous course

Mesothelioma is one of the most malignant neoplasms affecting the thin lining of the body's internal organs, known as the mesothelium. The incidence of mesothelioma in recent years has increased. It is assumed that the reason for this situation is the exposure in the past to natural mineral fibers (nickel, beryllium, silica dust), ionizing radiation, some organic compounds and SV40 virus but mostly to asbestos. The time from contact to the first symptoms is about 20-40 years. Probably the peak of morbidity is yet to come. Due to non-specific symptoms such as chest pain, shortness of breath, fluid in the pleural cavity, early detection is very difficult. Additionally, we can deal with mesothelioma which starting point is outside the pleural cavity. In such cases, diagnostics is even more difficult, because the only remaining symptom is pain. Therefore, it is important to pay attention to this growing problem

The number of passively smoked cigarettes and the risk of lung cancer among the inhabitants of the Lubelskie Region (2013-2017)

According to WHO, clean air is considered as one of the basic criterion influencing  human health. Airborne particulate matters (PM) 2,5 are mixtures of organic and inorganic particles smaller than 2.5 µm. They have broad negative effect on health especially on respiratory and cardiovascular system. They could increase the sensitivity to air ways infections, worsen: allergic diseases, hypertension, myocardial infarction and also increase the risk of neoplastic diseases. NO2 pollution arises mainly during burning of fossil fuels, which is mainly related to road transport. On the basis of numerous scientific research, it is believed that the long term exposure to NO2 could increase inflammation  and eventually lead to  higher  cancer morbidity. We analyzed the data available in the Polish National Cancer Registry (PNCR), Chief Inspectorate for Environmental Protection and Air Quality Guidelines, We checked air pollution by the means of  PM2.5and NO2 and thanks to mathematical equation delivered by Saskia C. van der Zee converted them into number of  passively smoked cigarettes. Above data we compared to lung cancer morbidity in Lubelskie Region.Based on the latest available data and literature, we can conclude that in 2013-2017 each inhabitant of Lubelskie Region smoked average 8 cigarettes a day +/- 2. The incidence of lung cancer is more or less the same number. After 75 years everyone in the exanimated region had 30 package-years of passive smoking and high risk of lung cancer. Over same period of time cumulative risk of lung cancer according to PNCR were in women almost 2% and in men almost 6%Air quality in Poland is not satisfactory, exceeding the standards presented in the WHO Guidelines 2005, we can assume that this translates into a high risk of the incidence of lung cancer among our inhabitants

Pain Evaluation in the Paediatric Emergency Department: Differences in Ratings by Patients, Parents and Nurses

The pain experienced by paediatric patients is rarely evaluated in emergency departments. The aim of the present study was to compare the degree of conformity in patients’ pain severity when assessed by themselves (if possible), their parents and a triage nurse trained in pain evaluation. Methods: A cross-sectional observational study was conducted at a tertiary paediatric emergency department in Eastern Poland involving children (aged six months to eighteen years), their parents and nurses. The patients had their pain assessed while collecting a medical history. For children ≥ four years of age, the Numerical Rate Scale was used by patients, parents and nurses to evaluate pain. Patients under four years of age were evaluated by parents and nurses using the FLACC scale. Results: Eighty patients and their parents were enrolled in the study. For children ≥ four years, patients rated their pain significantly higher than both their parents (p = 0.03) and nurses (p < 0.001), with the latter group producing the lowest scores. For children under four years of age, parental pain assessments did not significantly differ from those of nurses. Conclusion: Compared to the patients themselves and their parents, nurses tended to assign lower pain scores for children. Pain should be assessed on admission to the ED and, whenever possible, by the patients themselves

Evaluation and management of pain in geriatric patients who were diagnosed in Emergency Department

Rybojad Beata, Chudzik Robert, Mendrek Sim Magdalena, Pawelec Sławomir, Matuszewski Piotr, Piróg Paweł, Rybojad Paweł. Evaluation and management of pain in geriatric patients who were diagnosed in Emergency Department. Journal of Education, Health and Sport. 2019;9(2):393-402. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.2579120 http://ojs.ukw.edu.pl/index.php/johs/article/view/6632 https://pbn.nauka.gov.pl/sedno-webapp/works/905933 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 2019; 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 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: 16.01.2019. Revised: 30.01.2019. Accepted: 27.02.2019. Evaluation and management of pain in geriatric patients who were diagnosed in Emergency Department Beata Rybojad1,2, Robert Chudzik3, Magdalena Mendrek-Sim4, Sławomir Pawelec5, Piotr Matuszewski5, Paweł Piróg5, Paweł Rybojad3,5 1. Department of Anaesthesiology and Intensive Care, Children’s University Hospital of Lublin 2. Department of Emergency Medicine, Medical University of Lublin 3. Chair and Department of Thoracic Surgery, Medical University of Lublin 4. II Department of Physiotherapy, Medical University of Lublin 5. Department of Thoracic Surgery, Holy Cross Cancer Centre in Kielce Introduction and purpose of the work. Pain is one of the most common causes of medical rescue teams’ callings. Most of the cases are solved at patients’ homes. Some problems presented by geriatric patients are too difficult to be evaluated at home and need to be admitted to hospitals’ emergency departments(ED) for further diagnosis. Geriatric patients are often burdened with multiorgan dysfunctions which can cause pain. This problem in senior population is often overlooked or underestimated Material and method. Survey was conducted among 100 patients after 65 years of age who were admitted to ED because of pain. Location, the intensity of pain before and after application of analgesia, vital signs( heart rate, blood pressure, the number of breaths, temperature), previously administered pain killers and sociodemographic factors were evaluated and noted Results. Women predominated in the study group as well as the patients with posttraumatic pain (mostly fall from the same height). Forty five percent of patients took a painkiller at home. Preliminary average rating of pain numeric scale (NRS) was 7.49 points. Respondents who received painkillers before coming to the ED, felt more severe pain than those who did not take medications (NRS 7.93 vs. 7.41). Thirty minutes after application of analgesic pain intensity averaged 3.74 points. Conclusions. Pain is a common cause among elderly patients who report to ED, despite previously adopted analgesics. It remains underestimated in prehospital care and needs special attention in emergency departments. Key words: geriatric patient, injury, pain assessment, emergency departmen

Mesothelioma - a growing medical problem with heterogeneous course

Chudzik Robert, Pawelec Sławomir, Matuszewski Piotr, Piróg Paweł, Rybojad Beata, Mendrek Sim Magdalena, Boguniecki Jakub, Rybojad Paweł. Mesothelioma - a growing medical problem with heterogeneous course. Journal of Education, Health and Sport. 2019;9(2):450-457. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.2579762 http://ojs.ukw.edu.pl/index.php/johs/article/view/6638 https://pbn.nauka.gov.pl/sedno-webapp/works/906024 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 2019; 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 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: 16.01.2019. Revised: 30.01.2019. Accepted: 28.02.2019. Mesothelioma - a growing medical problem with heterogeneous course Robert Chudzik1, Sławomir Pawelec2, Piotr Matuszewski2, Paweł Piróg2, Beata Rybojad3,4, Magdalena Mendrek-Sim5, Jakub Boguniecki1, Paweł Rybojad1,2 1. Chair and Department of Thoracic Surgery, Medical University of Lublin 2. Department of Thoracic Surgery, Holy Cross Cancer Centre in Kielce 3. Department of Anaesthesiology and Intensive Care, Children’s University Hospital of Lublin 4. Department of Emergency Medicine, Medical University of Lublin 5. II Department of Physiotherapy, Medical University of Lublin Abstract Mesothelioma is one of the most malignant neoplasms affecting the thin lining of the body's internal organs, known as the mesothelium. The incidence of mesothelioma in recent years has increased. It is assumed that the reason for this situation is the exposure in the past to natural mineral fibers (nickel, beryllium, silica dust), ionizing radiation, some organic compounds and SV40 virus but mostly to asbestos. The time from contact to the first symptoms is about 20-40 years. Probably the peak of morbidity is yet to come. Due to non-specific symptoms such as chest pain, shortness of breath, fluid in the pleural cavity, early detection is very difficult. Additionally, we can deal with mesothelioma which starting point is outside the pleural cavity. In such cases, diagnostics is even more difficult, because the only remaining symptom is pain. Therefore, it is important to pay attention to this growing problem