"Medical Student Syndrome"-A Myth or a Real Disease Entity? Cross-Sectional Study of Medical Students of the Medical University of Silesia in Katowice, Poland.

The description of Medical Student Syndrome is based on the assumption that inexperienced medical students are prone to develop a pathological fear of medical conditions they are taught about. The aim of this study is to examine the sample of students (medical and non-medical) in order to assess and compare their level of hypochondriacal attitudes and health-related anxiety. We also examined other factors which might have had an influence on hypochondria and nosophobia attitudes among students. Methods: The study was conducted in two groups of students: 313 medical students at the Medical University of Silesia and 293 students at non-medical universities in Katowice, Poland. The study used the medical student syndrome self-explanatory questionnaire constructed for the study, taking into account the specificity of the group and the research problem. The research questionnaire was completed in an online survey by 606 students. Results: The results of the study showed that medical students obtained the same scores on a nosophobic scale as the non-medical students (p = 0.5). The analysis of hypochondriacal behavior showed significantly higher results in the non-medical student group (p = 0.02). In the entire study group, females and participants with mental disorders obtained higher scores in relation to nosophobia. Symptoms of depression and anxiety were more common in the group of medical students. Conclusions: Medical studies are not a risk factor for the occurrence of health anxiety and hypochondrial attitudes. Such factors are female gender and having a mental illness

The algorithm of steam soot blowers operation based on the monitoring of fouling factors of heating surfaces of a coal-fired boiler under operating conditions

The article deals with the problem of optimizing the operation of soot blowers in a pulverized coal-fired boiler based on the instantaneous degree of cleanliness of heating surfaces, determined in real time. The elaborated methodology of calculations and the algorithm that determines the optimal configuration of the blowers operation has been implemented and tested on a boiler with a capacity of 380 t/h. The indicator defining the degree of cleanliness of a given heating surface is calculated using available measurements of process parameters based on the epsilon-NTU method. The calculations are carried out in the DCS system for each surface individually (air and water heaters, evaporator, superheaters). During the standard operation of the boiler, the adopted methodology was verified, having analysed the usefulness of the tool to assess the boiler cleanliness under operating condition

A Case of Extensive Infl ammatory Changes (Osteomyelitis) in an Infant’s Skeleton from the Medieval Burial Ground (11th–12th c) in Wawrzeńczyce (Near Krakow)

The aim of this study was to diagnose and describe extensive infl ammatory changes in a child’s skeleton from Wawrzeńczyce, (the medieval period). The aim of the analysis was to determine the nature of the infl ammatory changes and their etiology by means of macroscopic techniques as well as X-ray analysis. The tests revealed that the individual suffered from a hematogenous multifocal osteitis. This condition might have been a result of an acute or sub-acute osteitis, and the untreated form of osteomyelitis might have contributed to the infection of the entire developing organism, leading to death

Diagenetic signals from ancient human remains : bioarchaeological applications

This preliminary study examines the potential effects of diagenetic processes on the oxygen-isotope ratios of bone and tooth phosphate (δ18O) from skeletal material of individuals representing the Corded Ware Culture (2500–2400 BC) discovered in Malżyce (Southern Poland). Intra-individual variability of Ca/P, CI, C/P, collagen content (%) and oxygen isotopes was observed through analysis of enamel, dentin and postcranial bones. Using a variety of analytical techniques, it was found that, despite the lack of differences in soil acidity, not all the parts of a skeleton on a given site had been equally exposed to diagenetic post mortem changes. In a few cases, qualitative changes in the FTIR spectrum of analysed bones were observed. The data suggest that apart from quantitative analyses, i.e., the calculation of Ca/P, CI, C/P and collagen content, qualitative analyses such as examination of the absorbance line are recommended. The degree to which a sample is, contaminated on the basis of any additional, non-biogenic peaks, deemed to be contaminated should also be specified

Zastosowanie sonoelastografii w diagnostyce i monitorowaniu leczenia zapaleń oraz choroby autoimmunologicznej tarczycy

Sonoelastography (USE) is a constantly evolving imaging technique used for the noninvasive and objective estimation of tissue stiffness. Several USE methods have been developed, including Quasi-Static or Strain Elastography and Shear Wave Elastography. The utility of USE has been demonstrated in differentiating between malignant and benign thyroid lesions. Recently, USE has been applied in the evaluation of thyroiditis and autoimmune thyroid disease (AITD).Thyroid inflammatory illnesses constitute a diverse group of diseases and may manifest various symptoms. These conditions may share some parallel clinical, biochemical, and ultrasonographic features, which can lead to diagnostic difficulties. USE may be an additional tool, supporting other methods in the diagnosis and treatment monitoring of thyroid diseases, other than thyroid nodular disease.The aim of this article was to analyse and summarise the available literature on the applicability of different elastographic techniques in the diagnosis, differentiation and monitoring of various types of thyroiditis and AITD. Advantages and limitations of this technique are also discussed. (Endokrynol Pol 2014; 65 (6): 520–531)Sonoelastografia (USE) jest stale rozwijającą się techniką obrazowania stosowaną do nieinwazyjnej i obiektywnej oceny sprężystości tkanki. Jak dotąd opracowano wiele metod USE, które można podzielić na dwie zasadnicze grupy: quasi-statyczną elastografię i elastografię fali poprzecznej (SWE). Wykazano wysoką skuteczność USE w różnicowaniu łagodnych i złośliwych zmian ogniskowych w gruczole tarczowym. Coraz częściej USE znajduje zastosowanie w ocenie zapaleń gruczołu tarczowego, w tym autoimmunologicznej choroby tarczycy (AITD). Zapalne choroby tarczycy stanowią bardzo zróżnicowaną grupę chorób, których wczesne objawy są nieswoiste. Trudności diagnostyczne mogą wynikać zarówno ze wspólnych cech klinicznych, biochemicznych, jak i ultrasonograficznych zapaleń tarczycy. Sonoelastografia może być uznana za dodatkowe narzędzie, wspierające inne stosowane metody w diagnostyce i monitorowaniu leczenia chorób tarczycy innych niż choroba guzkowa tarczycy.Celem niniejszego artykułu była analiza i podsumowanie dostępnej literatury na temat możliwości zastosowania technik elastograficznych w rozpoznawaniu, różnicowaniu i monitorowaniu różnych typów zapalenia gruczołu tarczowego. Przedstawiono zarówno wady, jak i zalety stosowania tej techniki w chorobach tarczycy. (Endokrynol Pol 2014; 65 (6): 520–531)

Morphological, anatomical, and phytochemical studies of Carlina acaulis L. cypsela

Carlina acaulis L. has a long tradition of use in folk medicine. The chemical composition of the roots and green parts of the plant is quite well known. There is the lowest amount of data on the cypsela (fruit) of this plant. In this study, the microscopic structures and the chemical composition of the cypsela were investigated. Preliminary cytochemical studies of the structure of the Carlina acaulis L. cypsela showed the presence of substantial amounts of protein and lipophilic substances. The chemical composition of the cypsela was investigated using spectrophotometry, gas chromatography with mass spectrometry, and high-performance liquid chromatography with spectrophotometric and fluorescence detection. The cypsela has been shown to be a rich source of macro- and microelements, vegetable oil (25%), α-tocopherol (approx. 2 g/kg of oil), protein (approx. 36% seed weight), and chlorogenic acids (approx. 22 g/kg seed weight). It also contains a complex set of volatile compounds. The C. acaulis cypsela is, therefore, a valuable source of nutrients and bioactive substances

Efficacy and safety of obinutuzumab-chlorambucil combination in the frontline treatment of elderly patients with chronic lymphocytic leukemia and comorbidities : real‑life data from Polish Adult Leukemia Group (PALG) analysis

Fludarabine- or bendamustine‑based upfront immunochemotherapy is the current standard of care in fit patients with chronic lymphocytic leukemia (CLL). These regimens are poorly tolerated by patients with comorbidities, for whom the obinutuzumab-chlorambucil combination became the recommended first‑line treatment. We aimed to analyze real‑life experience with the obinutuzumab-chlorambucil combination as the frontline treatment in elderly and unfit patients. The retrospective analysis included 86 elderly patients (median age, 74 years) with CLL and a significant burden of comorbidities, treated with obinutuzumab-chlorambucil as the frontline regimen. All patients had a Cumulative Illness Rating Scale score greater than 6 and/or creatinine clearance of 30 to 69 ml/min. Overall response rate at 2 months after treatment completion was 95.3%, with complete remission (CR) rate of 43% and partial remission (PR) rate of 52.3%. Stable disease rate was 4.7%. Progressive disease was not observed after treatment completion. The median progression‑free survival (PFS) was not reached after a median follow‑up of 18 months; estimated PFS at 30 months was 62%. We observed 6 relapses (7%), 3 (3.5%) in patients obtaining CR, and 3 (3.5%) in those with PR after immunochemotherapy. The most frequent adverse events were neutropenia and infusion‑related reactions (IRRs). Grade-3 neutropenia occurred in 11.6% of patients, and grade-3 IRRs, in 2.3%. There were no adverse events of grade 4 or 5. Our data confirm that the obinutuzumab-chlorambucil combination is an effective and well‑tolerated regimen in untreated CLL patients with comorbidities

Prognostic impact of combined fludarabine, treosulfan and mitoxantrone resistance profile in childhood acute myeloid leukemia

Background: The role of cellular drug resistance in childhood acute myeloid leukemia (AML) has not yet been established. The aim of the study was the analysis of the clinical value of ex vivo drug resistance in pediatric AML. Patients and Methods: A cohort of 90 children with de novo AML were assayed for drug resistance profile by the 3-4,5- dimethylthiazol-2-yl-2,5-difenyl tetrazolium bromide (MTT) assay and prognostic model of in vitro drug sensitivity was analyzed. Results: Children who relapsed during follow-up showed higher in vitro resistance of leukemic blasts to most of the drugs tested, except for cytarabine, cladribine, vincristine, mercaptopurine and thioguanine. A combined in vitro drug resistance profile to fludarabine, treosulfan and mitoxantrone (FTM score) was defined and it had an independent prognostic significance for disease free survival in pediatric AML. Conclusion: The combined fludarabine, treosulfan and mitoxantrone resistance profile to possibly may be used for better stratification of children with AML or indicate the necessity for additional therapy