Post-traumatic diaphragma hernia

W niniejszym artykule przedstawiono przypadek 22-letniego mężczyzny z pourazową przepukliną przeponową, do powstania której doszło w następstwie tępego urazu klatki piersiowej i nadbrzusza. Na podstawie przeprowadzonych badań diagnostycznych rozpoznano pourazową przepuklinę przeponową lewostronną. Chorego operowano w trybie planowym. W trakcie laparotomii stwierdzono rozerwanie lewej kopuły przepony, przez które żołądek został w większej części przemieszczony do klatki piersiowej. Żołądek odprowadzono do jamy brzusznej i wykonano plastykę przepukliny pourazowej przepony, zeszywając ją przy rozprężonym płucu. W przebiegu pooperacyjnym wystąpiła odma opłucnowa lewostronna, którą leczono, wykonując drenaż lewej jamy opłucnowej. Drenaż usunięto w 4. dobie po operacji, po uzyskaniu upowietrznienia dolnego pola lewego płuca. Pacjenta wypisano z kliniki w 5. dobie po operacji w stanie dobrym.A case of a 22 year-old male with post-traumatic diaphragmatic hernia resulting from a blunt injury of chest and epigastrium is presented. Based on diagnostic procedures, left-sided posttraumatic diaphragmatic hernia was diagnosed. A scheduled surgical procedure was performed in the patient. A laparotomy revealed a rupture of the left diaphragmatic dome which allowed the displacement of the major part of the stomach to the thoracic cavity. The stomach was replaced in the abdominal cavity and a hernioplasty was performed by suturing the diaphragm while keeping the lungs expanded. During the postoperative course, left-sided pneumothorax occurred which was treated with left thoracic cavity drainage. The drain was removed on the fourth day after the operation when aeration of the lower field of the left lung was achieved. The patient was discharged in good condition on the fifth day after operation

Rawls, realizm polityczny i dzisiejsza demokracja liberalna

John Rawls’s theory is blamed by political realism for adopting the position of political moralism, i.e. for subordinating politics to morality and understanding political phi-losophy as applied ethics. This article addresses these charges. It addresses a number of issues: How does Rawls understand politics? Does he understand it at all? Does the theory of liberalism realistically describe democracies? What is its normative character? In what sense is it a ‘realist utopia’? By posing these questions this paper analyzes the self‑limiting, restrained character of political liberalism, which is a result of the realistic recognition of the fact of pluralism of reasonable doctrines in modern liberal societies. It is pointed out, however, that liberalism is not conceived as a self‑limiting political liberalism of Rawls, but as a ‘comprehensive doctrine’ that constitutes a unified ideological foundation for modern ‘liberal democracy’. The self‑limitation of liberalism cannot be sustained in this way, however, as is evidenced by the fact that Rawls’s theory attempting to separate the political sphere from the ‘background culture’ has clearly failed

Rogera Scrutona powrót do domu

This essay presents an intellectual profile of Roger Scruton. Its contents have been gathered from personal reminiscences of the author about their friendly encounters and discussions of books that inspired them both when Scruton was involved in the activities of the anti-communist opposition in East-Central Europe. His motives and ventures are tentatively reconstructed. He has been remembered in Poland as a conservative thinker and intellectual figure with views that are shown here against the background of his past and in the context of his efforts to understand religion with its practices, origin, the role in Western and local communities, and its bearing on the changes that have occurred European culture

The Sarmatian Review, Vol. 25, No. 3

Contents: "SR Index"; Zdzisław Krasnodębski, "The Past and Present Ends of History"; "BOOKS"; Roger Cooke, "Stalin and His Hangmen (review)"; Joseph A. Kotarba, "Spanish Carlism and Polish Nationalism" (review); Patricia A. Gajda, "When Eagles Die" (review); Agnieszka Gutthy, "Bacacay" (review); Michael (Michał) Zioło, "The Only Known Picture of God" (excerpts); Sutherland Edwards, "The Polish Captivity" (chapters 1 and 2); "Announcements and Notes"; "About the Authors"; "Thank You Note

The Sarmatian Review, Vol. 24, No. 2

Contents: "SARMATIAN REVIEW INDEX"; Zdzisław Krasnodębski, "Democracy at the Periphery (translation of portions of book )"; James R. Thompson, "The Entry of Poland into the European Union: Moving the Center to the Periphery"; "BOOKS Received"; Beata Płonka, "Poland’s Transformation: A Work in Progress (review)"; Mark F. Tattenbaum, "A Concise History of the Polish Theater from the Eleventh to the Twentieth Centuries (review)"; Krzysztof Kamil Baczyƒski, "Four War Poems" (translated by Alex Kurczaba); Michael Quilty, '"Theology (All Saints’ Mass):' A Poem"; "Letters"; David Spencer, "Polish Working Class Poetry: 'Polish Easter' and 'Polish Gothic'"; "About the Authors"; "Thank You Note

Whose Poland is it to be? PiS and the struggle between monism and pluralism

Since 2015, the Law and Justice (Prawo i Sprawiedliwość, PiS) governments in Poland have engineered a revolt against the post-1989 'liberal consensus' and a shift towards a regime rooted in executive aggrandisement, populism and nativism. In this article, we contextualise this shift in terms of a persistent ‘metapolitical’ dispute over the legitimacy of political actors and the contestability of certain areas of policy. PiS claims to be reintroducing pluralism to a Polish politics dominated by monistic technocratic liberalism. In response, the party has implemented a series of changes entrenching an even more exclusionist form of monism. Whilst economic policies have empowered social groups that felt excluded from post-1989 reforms, nativist cultural policies and colonisation of the political-institutional infrastructure have militated against the pluralist understanding of politics as structured disagreement. We conclude that Polish politics remains dominated not by disagreements over policy, but by the metapolitical question of who has the right to govern Poland