Ambulance Reliability Problems and Potential Technological Advancements to Solve Them

The goal of this IQP project was to discover flaws within the current ambulance design and outline solutions to fix them. The IQP team conducted interviews, polling, and participated in data collection. Through these methods it was discovered that the main problems in ambulance design are associated with the lack of dampening of road surface induced vibrations transmitted into the patient compartment. These vibrations decrease the ability of paramedics to perform the tests and treatments needed while simultaneously increasing the stress experienced by patients. The IQP focuses on technological advancements and design alternatives which may be implemented to decrease the road induced vibrations and increase ambulance efficiency

Building an Engineered Complex Stretcher

The focus for this project is to design and build a new complex stretcher. The background research rendered useful information on different types of ambulance stretchers that are found around the world. The redesigning of the stretcher begins following the specifications and goals set forth by the group, which are to reduce vibrations experienced by the patient, trim down the amount of weight, and simplify user operation while still maintaining a high level of safety, comfort, and patient-centered care. It is decided that the rebuilding of the stretcher will be from the ground up, utilizing lightweight materials, and minimizing the amount of components. The new stretcher employs new designs and features not seen or used on stretches today, while still successfully achieving its objectives

Male breast hypertrophy - a review of modern methods of treatment

Gynecomastia is a benign enlargement of the mammary gland in males. Nowadays it is a common disorder of all ages, including newborns, adolescents and adults. It may be bilateral or unilateral enlargement of the breast. Gynecomastia may be a severe problem in adolescents resulting in development of psychological disorders. Evolution of surgical treatment options, depending on the degree of breast hypertrophy advancement, brought significant improvement in aesthetic effect and patient’s quality of life. This paper presents the development of pharmaceutical and surgical treatment technics. The manuscript proposes the optimal methods of clinical approach to the patients with an enlargement of the breast

The role of visceral therapy, Kegel’s muscle, core stability and diet in pelvic support disorders and urinary incontinence — including sexological aspects and the role of physiotherapy and osteopathy

Proper diet and physical activity are a form of prevention of female genital prolapse disorders. The causal substrate of pelvic floor dysfunction is multifactorial. Fifty percent of women over the age of 50 have pelvic organ prolapse, often accompanied by urinary incontinence. It is a complicated social and medical (urogynecological and sexological) problem. The authors conducted a literature review on the role of visceral therapy, Kegel and core stability exercises and diet in pelvic support disorders and urinary incontinence. The eligible articles provided insights into sexological factors, as well as the role of osteopathy and physiotherapy. These results provide new insights into the relevance of clinical practice. In addition to standard treatment methods used in gynaecology, sexology, physiotherapy and osteopathy (e.g., visceral therapy), Kegel muscle and core stability exercises are becoming increasingly important. The aim of visceral therapy is to restore the mobility of the organs while reducing increased tension and improving blood and lymph circulation. This has the effect of reducing pain sensations, thereby influencing the function of the uterus and ovaries

Precision of scoring radiation-induced chromosomal aberrations and micronuclei by unexperienced scorers

Purpose: Dose assessment plays an important role in case of radiological accidents and can be performed by scoring structural changes of chromosome morphology induced in cells by ionizing radiation. The results of such a test are biased by scorer experience, therefore, simple to learn assays are recommended to be used when fast analysis of a large amount of data is needed. The aim of this study was to compare the performance of two radiobiological assays – chromosomal aberrations and micronuclei – by unexperienced scorers with the reference values generated by an expert. Materials and methods: Each participant of an EU-funded two-week radiobiology course was asked to score Chinese hamster ovary cells exposed to gamma radiation up to 4 Gy. The congruence of students’ and expert’s scores at each dose and the coherence of the dose-response curve parameters between the students were investigated. Results: Micronucleus test tended to be faster and easier to learn than scoring chromosomal aberrations. However, both assays carried out by inexperienced students showed reasonable dose-response curves. Conclusions: In the case of a large radiological accident involving many casualties, the unexperienced scorers would support the process of biodosimetric triage by cytogenetic biological dosimetry

Oncoplastic breast surgery techniques - a new look at surgical treatment of breast cancer

Breast cancer is the most common cancer among Polish women [1], thus, the problem of surgical treatment of breasts, especially with regard to conserving and/or reconstruction surgery, is extensively discussed. Currently, in Poland, efforts are made to increase the number of oncologic and reconstructive breast centers which offer specialized treatment of this cancer, the so-called ‘Breast Units’ [1]. This paper analyzes methods of reconstructions, discusses the techniques used in particular types of surgeries and additionally informs the reader of the oncological aspects of the procedures. Based on literature, statistical data of breast reconstructions from Poland and the world are presented. Moreover, complications and psychological aspects of mammary gland surgery are dealt with, and the aesthetic effects of breast reconstructions are discussed. To support of our findings, we also present selected clinical cases from the oncological and reconstructive point of view