Fournier gangrene - diagnostic and treatment

Fournier gangrene is a rare, progressively necrotizing perineum inflammation, often leading to death of the patient. The infection is caused by a mixed oxygen-anaerobic bacterial flora. Treatment is based on immediate and radical surgical intervention supported by antibiotic therapy and intensive general treatment. Adequate, quick adoption of curative and caring activities is one of the factors affecting the success of treatment. Depending on the dynamically progressing disease process, it is necessary to efficiently identify problems and modify treatment and nursing care plans from the stages of treatment

Health education of blood donors on HIV viral infections

The phenomenon of HIV today is not only a medical problem but also a social one. Due to the pathways of infection, everyone can get infected for us. Currently, there is a steady increase in HIV infection in the world. Convincing people about the lack of danger and the non-characteristic symptoms of infection or their lack, causes that many people do not realize that they are infected. Knowledge about the situations in which we can be infected and the possibility of transmission routes of these viruses can contribute to reducing the number of new infections. The aim of the work was to get to know the state of knowledge about the society about HIV / AIDS and to indicate the role of health education in the fight against infectious diseases. The study included 100 people. The quantitative method was used for research, while the sociological questionnaire was used as a research technique. The analysis of the empirical material shows that the state of knowledge about HIV infection requires education among the population. What's more, the public will be happy to take part in professional training on HIV / AIDS threats. The research shows that trainings should take place periodically, cover various social groups with the cooperation of many non-medical environments. It should be remembered that multisectoral cooperation is a prerequisite for the success of any health improvement program

Alcoholic fetal syndrome - a problem of the 21st century?

Fetal Alcohol Syndrome (FAS) is a disease entity that occurs in children who have been exposed to teratogenic alcohol durning fetal life. It includes neurobehavioral abnormalities and changes in the body structure and internal organs. The only reason for the occurrence of this type of disorder is the consumption of alcohol by a pregnant woman (even in small amounts). It is estimated that in Poland about 30% of women consume alcohol in this period (also in small amounts), while in the US every year is born about 40,000 children who are diagnosed with FAS or related disorders

Perioperative nutrition according to the ERAS protocol

Protocol ERAS - "Enhanced Recovery after Surgery" - is a modern multidisciplinary formula of perioperative care to improve treatment outcomes. Over the past few years, many attempts have been made to implement recommendations for the management of patients in the perioperative period. They were primarily aimed at improving the results of treatment of patients undergoing surgery, and thus shorteninglength of stay in hospital, and - as a consequence - reducing the risk of developing complications and even the number of deaths. One of the first author who noticed effectiveness of multimodal treatment for a faster recovery and a shorter stay in the hospital was Professor Henrik Kehlet from the University of Copenhagen. He emphasized that in order to understand the nature of complications occurring in patients undergoing surgery, the basis of the factors responsible for the response to the surgical trauma should be known. In the late 1990s, Kehlet postulated that steps should be taken to introduce a comprehensive program including, among others: effective anesthesia, early rehabilitation of the patient, reduction of surgical stress, or quick restoration of nutrition via the gastrointestinal tract. The comprehensive perioperative care protocol for improving the treatment results requires the need for cooperation of specialists and all medical staff related to perioperative care - not only a surgeon or anesthetist, but also a physiotherapist or dietitian

Quality of life at 3 to 5 years after surgical treatment of renal cell carcinoma – a pilot cross-sectional study

Introduction. The predicted distant health-related quality of life is one of the key elements in the long-term assessment of the effectiveness of therapy and a factor to be taken into account when deciding upon the choice of therapeutic options in modern cancer surgery. To assess the quality of life of patients having undergone surgical treatment for renal cell carcinoma. Material and methods. This cross-sectional study was carried out in a group of 44 (17 NR, 27 NSS) patients having received surgical treatment for renal cell carcinoma at the Department of Urology of the University Hospital no. 2 in Bydgoszcz. The control group consisted of 24 subjects within a matching age range. The standardized WHOQOL BREF questionnaire was used as the study tool. Results. No statistically significant differences (p > 0.05) were observed with regard to the subjectively assessed quality of life depending on the type of surgery performed, i.e. RN vs. NSS. A positive correlation was observed between the higher scores within the Social (p = 0.0453) and Environmental (p=0.0156) domains and the laparoscopic approach. Lower scores within the somatic (p = 0.0023), environmental (p = 0.0189) and emotional (p = 0.0356) scale domains were observed in female patients. A statistically significant inverse relationship was observed between the cancer stage and the self-assessed overall health scores (p = 0.0025). Conclusions. Minimally invasive surgical techniques open up the potential for the achievement of better quality of life of patients after surgery. Clinical and demographic variables influence the long-term health-related quality of life scores

The TT genotype of methylenetetrahydrofolate reductase 677C>T polymorphism increases the susceptibility to pediatric ischemic stroke: meta-analysis of the 822 cases and 1,552 controls

The 677C>T polymorphism within methylenetetrahydrofolate reductase (MTHFR) gene is related to an elevated level of homocysteine. Thus it may be considered as a genetic risk factor in ischemic stroke. Apparently studies of this type of polymorphism in childhood stroke have shown conflicting results. We performed meta-analysis of all the data that are available in relation with MTHFR polymorphism and the risk of ischemic stroke in children. We searched PubMed (last search dated December 2010) using “MTHFR polymorphism”, “ischemic stroke” “child”, “children”, “pediatric stroke” as keywords and reference lists of studies and reviews on the topic. Finally, 15 case–control studies corresponded to the inclusion criteria for meta-analysis. These studies involved the total number of 822 children and adolescents after ischemic stroke and 1,552 control subjects. Fixed or random effects models were used depending on the heterogeneity between the studies. The association between ischemic stroke and 677C>T polymorphism within MTHFR gene was observed in three of the studies. The pooled analysis showed that TT genotype of MTHFR gene is more common in stroke patients than in controls (p = 0.0402, odds ratio = 1.57, 95 % confidence interval 1.02–2.41). The Egger’s test did not reveal presence of a publication bias. The results based on a sizeable group of cases and controls have proved that the 677C>T polymorphism in MTHFR gene is associated with the development of ischemic stroke in children

Feasibility study of flood risk monitoring based on optical satellite data

This article presents an extensive feasibility study of the use of optical satellite data for flood risk monitoring. The article presents a review of existing and archival satellite systems. The capabilities and restrictions of using earth observation data are presented, in relation to the identified threat and taking into account the size, genesis and cause. The initial results of the studies demonstrate the potential of very high and highresolution satellite imagery for the operational detection of damage and risk areas. In the presented approach, two analyses were conducted: bare soil detection and water range detection, based on different radiometric indices. As a result of the conducted research, the best results in bare soil detection were obtained using the MSAVI and NDVI indices. The most effective at delimiting water was the NDVI index. The automatization of satellite data processing from different satellite systems gives opportunities for hydrological services and crisis management professionals to access accurate and up-to-date information about the condition of levees for the early detection of flood risk

Feasibility study of flood risk monitoring based on optical satellite data

This article presents an extensive feasibility study of the use of optical satellite data for flood risk monitoring. The article presents a review of existing and archival satellite systems. The capabilities and restrictions of using earth observation data are presented, in relation to the identified threat and taking into account the size, genesis and cause. The initial results of the studies demonstrate the potential of very high and highresolution satellite imagery for the operational detection of damage and risk areas. In the presented approach, two analyses were conducted: bare soil detection and water range detection, based on different radiometric indices. As a result of the conducted research, the best results in bare soil detection were obtained using the MSAVI and NDVI indices. The most effective at delimiting water was the NDVI index. The automatization of satellite data processing from different satellite systems gives opportunities for hydrological services and crisis management professionals to access accurate and up-to-date information about the condition of levees for the early detection of flood risk

Feasibility study of flood risk monitoring based on optical satellite data

This article presents an extensive feasibility study of the use of optical satellite data for flood risk monitoring. The article presents a review of existing and archival satellite systems. The capabilities and restrictions of using earth observation data are presented, in relation to the identified threat and taking into account the size, genesis and cause. The initial results of the studies demonstrate the potential of very high and highresolution satellite imagery for the operational detection of damage and risk areas. In the presented approach, two analyses were conducted: bare soil detection and water range detection, based on different radiometric indices. As a result of the conducted research, the best results in bare soil detection were obtained using the MSAVI and NDVI indices. The most effective at delimiting water was the NDVI index. The automatization of satellite data processing from different satellite systems gives opportunities for hydrological services and crisis management professionals to access accurate and up-to-date information about the condition of levees for the early detection of flood risk

Assessment of the Effectiveness of Pelvic Floor Muscle Training (PFMT) and Extracorporeal Magnetic Innervation (ExMI) in Treatment of Stress Urinary Incontinence in Women: A Randomized Controlled Trial

Objective. The purpose of this study is to assess the effectiveness of pelvic floor muscle training and extracorporeal magnetic innervation in treatment of urinary incontinence in women with stress urinary incontinence. Methods. The randomized controlled trial enrolled 128 women with stress urinary incontinence who were randomly allocated to either one out of two experimental groups (EG1 or EG2) or the control group (CG). Subjects in the experimental group 1 (EG1) received 12 sessions of pelvic floor muscle training, whereas subjects in the experimental group 2 (EG2) received 12 sessions of extracorporeal magnetic innervation. Subjects in the control group (CG) did not receive any therapeutic intervention. The following instruments were used to measure results in all study groups at the initial and final assessments: Revised Urinary Incontinence Scale (RUIS), Beck Depression Inventory (BDI-II), General Self-Efficacy Scale (GSES), and King’s Health Questionnaire (KHQ). Results. In both experimental groups, a statistically significant decline in depressive symptoms (BDI-II) and an improvement in urinary incontinence severity (RUIS) and quality of life (KHQ) were found in the following domains: “social limitations,” “emotions,” “severity measures,” and “symptom severity scale.” Moreover, self-efficacy beliefs (GSES) improved in the experimental group that received ExMI (EG2). No statistically significant differences were found between all measured variables in the control group. Comparative analysis of the three study groups showed statistically significant differences at the final assessment in the quality of life in the following domains: “physical limitations,” “social limitations,” “personal relationships,” and “emotions.” Conclusion. Pelvic floor muscle training and extracorporeal magnetic innervation proved to be effective treatment methods for stress urinary incontinence in women. The authors observed an improvement in both the physical and psychosocial aspects