European Journal of Clinical and Experimental Medicine T.22, z. 3 (2024)

URI dla tej Kolekcjihttps://repozytorium.ur.edu.pl/handle/item/10842

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Minimally invasive percutaneous technique for harvesting iliac crest graft using a tap and drill sleeve
(Publishing Office of the University of Rzeszow, 2024-09) Kumar, Rakesh; Mahajan, Avijit; Sangwan, Nitesh; Sood, Ayush; Ranjan, Rajni; Batra, Ankit
Introduction and aim. Orthopedic surgeries often require acquiring cancellous bone grafts, commonly sourced from the iliac crest. Traditional harvesting methods pose risks of donor site morbidity, prompting interest in minimally invasive techniques. This study introduces and evaluates the efficacy and safety of a percutaneous technique using a tap and drill sleeve for iliac crest bone graft harvesting. This study aims to assess outcomes and complications associated with a minimally invasive percutaneous technique for iliac crest bone graft harvesting through a retrospective analysis of twenty patients undergoing upper limb reconstructive surgery. Material and methods. A retrospective analysis was conducted on twenty patients who underwent upper limb reconstructive surgery between January and March 2023. The technique involved making a bone deep stab incision, precisely positioning a drill and tap sleeve, utilizing controlled tapping techniques, and extracting the graft. Post-operative assessments included evaluating pain levels, ambulation, and patient satisfaction. Results. The minimally invasive percutaneous technique demonstrated favorable outcomes, with reduced donor site morbidity observed. Within 24 hours post-operatively, 70% of patients reported low visual analogue scale scores, and 80% regained normal walking ability. No instances of post-operative paresthesia were reported. Conclusion. The examined minimally invasive percutaneous technique for iliac crest bone graft harvesting showed reliability and safety, particularly in low resource settings. Utilizing basic orthopedic tools such as tap and drill sleeves offers accessibility and affordability. This approach could effectively mitigate donor site morbidity in orthopedic reconstructive treatments.
Improving diabetes mellitus care in Nigeria – health promotion and education perspectives
(Publishing Office of the University of Rzeszow, 2024-09) Agofure, Otovwe; Abiodun, Oluwafunmilayo Oluwaseun; Oyewole, Oyediran Emmanuel
Introduction and aim. In this review, we suggest ways to improve diabetes mellitus (DM) care in Nigeria from a Health Promotion and Education (HPE) perspective by addressing the gap in DM care through the adoption of strategies from the Ottawa Charter and National Health Promotion Policy (NHPP) guidelines. Material and methods. This review conducted a comprehensive literature search on Africa Journal Online, PubMed, Google Scholar, and Science Direct, from 1986 to 2023, using relevant keywords. Analysis of the literature. The adoption of the Ottawa charter and NHPP remains a key strategy in addressing the gap in DM care in Nigeria. This could be achieved by the adoption of population-focused multi-sectoral interventions encompassing legislation, regulation, and fiscal measures, creating sustaining and expanding health-promoting environments to reduce modifiable risk factors, and reorienting the primary health care services to aid the diagnosis, treatment and rehabilitation of DM patients. Conclusion. This review concluded that the government and other critical stakeholders should adopt the HPE strategies that covers increased financing, strict legislation on DM modifiable risk factors, reorientation of the primary healthcare system, and capacity building for HPE practitioners into DM care in Nigeria as a strategy to improving DM care and prevention in Nigeria.
Incidental vs. non-incidental gallbladder cancer – a hospital-based clinicopathological study
(Publishing Office of the University of Rzeszow, 2024-09) Dash, Sashibhusan; Anirvan, Prajna; Samantaray, Sagarika; Rout, Niranjan; Ranjit, Manoranjan
Introduction and aim. Most gallbladder cancers (GBCs) are discovered incidentally after routine cholecystectomy. The clinicopathological characteristics and prognostic implications of incidental gallbladder cancer (IGBC) versus non-incidental gallbladder cancer (NIGBC) is not known. Material and methods. During this study, clinicopathological details compared between incidental and non-incidental GBC groups included age, sex, clinical presentation, preoperative radiological diagnosis, surgical management, and macroscopic and microscopic features. The primary outcome of the study was difference in overall survival (OS) between IGBC and NIGBC. Results. Among 348 surgically treated patients, 56.6% weren’t preoperatively suspected of GBC. Macroscopic examination showed characteristic thickened gallbladder wall without mass lesion (IGBC) vs. clear mass lesion (NIGBC) on imaging. Interestingly, NIGBC had higher LVI (27% vs. 14%) and T stage (68% T2b/T3 vs. 47% T1b/T2a) despite lower margin involvement (p < 0.001). The OS for all patients was 12.2 months (median). Among patients who underwent surgery with curative intent, the median survival time was 21.4 months. However, within this group, NIGBC cases had a worse median survival (17 months) compared to IGBC cases (21 months). Conclusion. Rising incidental GBC necessitates routine microscopic examination of all gallbladder specimens. Surgeons in high-risk areas should remain vigilant for GBC in patients with atypical clinical and ultrasound findings. Early detection and curative resection are paramount for long-term survival in gallbladder carcinoma, with IGBC potentially offering a survival benefit regardless of stage or tumor characteristics. Prospective studies including detailed pathology and molecular analysis are needed to confirm this observation.
Wunderlich syndrome – report of a rare case with comments on clinical implications
(Publishing Office of the University of Rzeszow, 2024-09) Krowiak, Karolina; Krowiak, Anita; Rajda, Sebastian; Palak, Artur; Balawender, Krzysztof
Introduction and aim. Spontaneous renal hemorrhage, known as Wunderlich syndrome, is a rare clinical condition that occurs without any history of trauma. The most common causes of this syndrome are both benign and malignant renal tumors. The treatment strategy is determined based on the patient’s hemodynamic stability. Description of the case. We report a case where a patient was admitted to the emergency department experiencing persistent pain in the right flank for three days. A diagnosis of spontaneous renal hemorrhage, secondary to an angiomyolipoma, was established through CT imaging. In this case study, we detail the diagnostic process and management of a patient who, due to the absence of hemodynamic instability, did not require surgical intervention. Instead, the patient was monitored and managed with conservative treatment. Conclusion. This case highlights the importance of prompt diagnosis, implementation of appropriate treatment, and the relevance of active follow-up in hemodynamically stable patients receiving conservative treatment.
The impact of interpersonal support on quality of life in traumatic brain injury patients – a one-month post-treatment analysis
(Publishing Office of the University of Rzeszow, 2024-09) Suwaryo, Putra Agina Widyaswara; Kadir, Fairrul; Omar, Azizan; Singh, Sukhbeer Kaur Darsin; Bolong, Mohammad Firdaus
Introduction and aim. Traumatic brain injuries often result in serious consequences affecting the quality of life of patients, necessitating a profound understanding of influencing factors. This study aims to explore the relationship between interpersonal support and the quality of life in traumatic brain injury patients one month after treatment. The research seeks to identify the extent to which interpersonal support influences the quality of life in traumatic brain injury patients and whether this relationship remains significant one month after hospital treatment. Material and methods. The research method employed is quantitative, involving sampling of traumatic brain injury patients aged 18-50 years without complications or disabilities who are willing to participate. Data is collected one month post-treatment through questionnaires encompassing scales measuring interpersonal support (ISEL) and post-TBI quality of life (QOLIBRI). Data analysis is conducted using Pearson’s correlation test in SPSS version 26 software. Results. Statistical analysis revealed that traumatic brain injury patients with good interpersonal support exhibited significantly higher quality of life (p=0.002), with a strong correlation between the two variables (r=0.663). These findings indicate the crucial role of interpersonal support in enhancing the quality of life in patients. Conclusion. The study confirms a positive relationship between interpersonal support and the quality of life in traumatic brain injury patients.
Surgery experiences of patients with hematologic cancer, individual applications for the symptoms due to chemotherapy and determination of the anxiety levels
(Publishing Office of the University of Rzeszow, 2024-09) Yiğit, Gülcan; Aygin, Dilek
Introduction and aim. The aim of the study was to determine the surgical experiences of patients with hematologic cancer, their anxiety levels, and their individual practices regarding the symptoms they experience. Material and methods. The study was conducted by face-to-face interviews with 74 patients followed up in a hematology clinic. The “Patient information form” and “Beck Anxiety Scale” were administered to the patients before chemotherapy, and the “Questionnaire Form Including Patients Practices for Symptoms” was administered after chemotherapy. Results. The mean age of the participants was 63.76±15.1 years, 47.3% were female, 47.3% were diagnosed with lymphoma, 67.6% had undergone surgery, and 32% received education. The mean Beck Anxiety Scale score was 11.36±7.99 and was considered mild anxiety. A significant difference was observed between education and employment status and postoperative education status, gender and hair loss, employment status and anorexia, scale score and employment status, and the effect of COVID-19 on chemotherapy (p<0.05). Conclusion. It was determined that patients with hematological cancer had a low levels of knowledge about surgical procedures and they did not perform any negative practice due to chemotherapy. Their anxiety levels were mild and the pandemic process was effective on anxiety.
The importance of biochemical indicators in determining male infertility
(Publishing Office of the University of Rzeszow, 2024-09) Nazarova, Gunay Elshan
Introduction and aim. Recently, infertility has become a global problem and the frequency of the “male” factor in family infertility has reached 40-50%. The aim of the research is to investigate the role of some biochemical indicators (endocrine factors and fructose) in determining male infertility. Material and methods. In the study, the spermogram of 101 men aged 20–46 with idiopathic male infertility, the concentration of follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin and testosterone hormones in their blood, and the concentration of fructose in their sperm samples were analyzed, and their correlations were determined. Results. The concentration of FSH in the blood serum of men with asthenozoospermia and oligozoospermia increased statistically significantly by 57.7% and 2.4 times, respectively, compared to the control. More serious endocrinological disorders were recorded in men with azoospermia. In men with non-obstructive azoospermia, the concentration of FSH is 8.8 times, that of LH is 2.9 times; while prolactin increased by 89.0% compared to the control, testosterone concentration decreased by 22.9%. The fructose concentration in the oligozoospermia group compared to the control group increased by 60.8% (pH1<0.001), and in the non-obstructive azoospermia group by 2.0 times (pH1=0.001). A positive correlation between FSH and LH and a negative correlation between fructose concentration and forward motility of spermatozoa were determined in both asthenospermic and oligozoospermic patients (ρ=0.544; p=0.002). In case of non-obstructive azoospermia, FSH and prolactin, in azoospermia, LH and testosterone were directly proportional. Conclusion. During male infertility, there is a serious relationship between sperm indicators and endocrine disorders. An increase in the concentration of fructose is the main indicator of a decrease in the number and motility of spermatozoa. A high concentration of FSH and LH in men with azoospermia can be considered one of the important indicators in the diagnosis of non-obstructive azoospermia.
Phototherapy in the management of vitiligo – an updated narrative review
(Publishing Office of the University of Rzeszow, 2024-09) Wełniak, Adam; Białczyk, Aleksandra; Kamińska, Barbara; Czajkowski, Rafał
Introduction and aim. Vitiligo is a chronic skin disease characterized by progressive loss of melanocytes. Various treatment options have been developed to manage vitiligo, however, phototherapy has emerged as one of the most effective treatment options. Therefore, this review has been written to examine the mechanisms of this particular treatment approach and its optimal implementation. Material and methods. A review of the literature regarding combination of word vitiligo with the following: psoralen ultraviolet A (PUVA), narrowband ultraviolet B (NB-UVB) and excimer laser (EL) was performed using the PubMed database. Analysis of the literature. NB-UVB has demonstrated safety and efficacy in stimulating melanocyte proliferation and melanin synthesis, making it an attractive treatment option for both localized and generalized vitiligo. PUVA therapy, combining psoralen photosensitization with UVA irradiation, has shown remarkable efficacy in repigmentation, particularly in refractory or extensive vitiligo. However, because of possible side effects, it is not recommended as a first line phototherapy. With its targeted and precise approach, EL offers a localized treatment and has produced impressive results in localized and segmented vitiligo. Conclusion. Despite limitations, phototherapy continues to evolve, offering hope for individuals with vitiligo. Further research and advancements in treatment protocols are needed.
Assessment of nutritional status in relation to socio-economic status during the COVID-19 pandemic in early childhood in Morocco
(Publishing Office of the University of Rzeszow, 2024-09) Benayad, Fatima Zohra; Razine, Rachid; Barich, Fatima; Laamiri, Fatima Zahra; Haroun, Abbas Ermilo; El Hilali, Samia; Obtel, Majdouline
Introduction and aim. The objective of this study is to evaluate the nutritional status of children aged 0-24 months, and analyze its association with socioeconomic status during the COVID-19 pandemic in Morocco. Material and methods. This cross-sectional study was carried out in the outpatient health network between 2021 and 2022, by taking anthropometric measurements of children in accordance with World Health Organization standards and using a questionnaire sent to consenting mothers. Results. 1012 children were included in this study. The prevalence of overweight was 13.3%, obesity 3.2%, wasting and severe wasting 2.7%. The study revealed that boys had a higher prevalence of overweight compared to girls (p=0.01), while girls were more likely to have a normal weight than boys (p=0.001). Furthermore, a statistically significant association was observed between nutritional status and age in boys (p=0.003); however, malnutrition such as overweight and wasting increased after the age of 12 months in both genders. There was a significant correlation between child nutritional status, gender, and residence, but no significant association was found with parental education or household income. Conclusion. This study suggests that it is important to develop strategies to improve socio-economic status in the aftermath of the COVID-19 pandemic.
Prevalence and predictors of job stress among healthcare workers in secondary health centers in a Nigerian City
(Publishing Office of the University of Rzeszow, 2024-09) Oni, Daramola F.; Azeez, Ismaheel A.; Olaniyan, Fatai A.; Ilori, Titilayo H.
Introduction and aim. Stress is prevalent in all aspects of our lives and it seems particularly overwhelming in the workplace. This study identified prevalence and factors associated with job stress among healthcare workers in public secondary health facilities in the Ibadan metropolis, Nigeria. Material and methods. The study was a cross-sectional study. Two hundred and sixty-nine healthcare workers were recruited over three months. The respondents were recruited using the systematic sampling techniques. Results. The age range of the participants was 20–59 years with a mean age of 39.28(SD 9.39).The prevalence of job stress among physicians was 42.1%, health management staff 31.3%, pharmacists 28.6%, nurses 23.5%, and laboratory personnel 23.1%. Most participants 162(61.1%) had functional families. Participants from polygamous families were about 70% less likely to report job stress compared with those from monogamous setting (OR=0.3, 95%CI 0.07–0.9). Participants from dysfunctional families were about 2 times more likely to report job stress compared to those with functional families. OR=2.0, 95%CI (1.09–3.56). Conclusion. Compared with nurses, this study demonstrated a higher prevalence of job stress among physicians and other healthcare workers. Family type and family support were predictors of job stress among healthcare workers. The outcome of this study would be used as a source of information for practice and policy making for health facilities in Nigeria, and some places in Africa, with the aim of planning improved conditions for health workers through appropriate job stress management.
Acute myocarditis mimicking ST – elevation myocardial infarction in a young adult with pharyngitis – a case report
(Publishing Office of the University of Rzeszow, 2024-09) Christou, Andreas; Kaperonis, Alexandros; Veskoukis, Nikolaos
Introduction and aim. Acute myocarditis (AM) is a life-threatening inflammatory disease that manifests with a highly variable range of clinical symptoms, sometimes mimicking those of myocardial infarction. The aim of this report was to describe the diagnostic challenges of AM. Description of the case. A 22-years old male previously diagnosed with pharyngitis arrived in the emergency room (ER) with retrosternal chest pain. The electrocardiogram (ECG) showed ST elevation in inferior and posterior leads and reciprocal changes with ST depression in anterolateral leads. Laboratory tests revealed elevated cardiac enzymes and bedside echocardiogram (ECHO) revealed hypokinesis of the inferior wall. Initial diagnosis of ST elevation myocardial infarction (STEMI) was made. Coronary angiogram showed normal epicardial coronary arteries and cardiac magnetic resonance imaging (CMRI) revealed subepicardial late gadolinium enhancement (LGE). Conclusion. This case was proven challenging due to the unusual ECG and ECHO findings, mimicking inferoposterior STEMI. The need for available angiography and CMRI was mandatory for the final diagnosis of AM.
The relationship between health literacy levels and genital hygiene behaviors in female university students
(Publishing Office of the University of Rzeszow, 2024-09) Sağlık, Cavide; Istek, Zekiye; Demirbaş, Ayşegül; Bozkurt, Feyza Demir; Gümüş, Ecem Çiçek
Introduction and aim. This study investigates the correlation between health literacy levels and genital hygiene behaviors among female university students. Material and method. A descriptive-correlational study was conducted with 348 female students who voluntarily participated. Data were collected through an online survey comprising participant information forms, the Health Literacy Scale, and the Genital Hygiene Behaviors Scale. Statistical analyses, including descriptive statistics, chi-square test for categorical data, and correlation analyses, were performed using SPSS version 26.0. Results. The mean age of the participants was 21.92±2.51 years. The average scores on the Health Literacy Scale and Genital Hygiene Behaviors Scale were 106.0±17.9 and 86.73±10.13, respectively. Significant differences were observed in genital hygiene behavior scores concerning participants’ field of study and bathing habits. Furthermore, a moderately significant positive correlation was found between women’s health literacy scores and genital hygiene behavior scores. Conclusion. The study reveals a positive association between high health literacy levels and adequate genital hygiene behaviors among women. As women’s health literacy improves, their genital hygiene behaviors also enhance positively. Access to reliable health information resources is crucial to ensure accurate knowledge acquisition regarding genital hygiene practices.
The risk of developing alcohol addiction – what coping strategies do Ukrainian military personnel use after participating in intense hostilities?
(Publishing Office of the University of Rzeszow, 2024-09) Prykhodko, Ihor; Matsehora, Yanina; Baida, Maksim; Zahrebelnyi, Oleksandr; Lipatov, Ivan; Kuzina, Viktoriia; Marushchenko, Kateryna; Rumiantsev, Yurii; Skliarova, Hanna
Introduction and aim. Since February 24, 2022, military personnel of the Ukrainian Defense Forces have been resisting the military aggression of the Russian Federation. After participating in combat operations, military personnel accumulated combat stress. Drinking alcohol was one of the ways to overcome it. The purpose of the article is to identify the types of coping strategies for the risk of developing alcohol addiction among Ukrainian military personnel who participated in intense hostilities. Material and methods. Ukrainian Defense Forces military personnel (n=162 males, between 20 and 60 years of age) took part in this study. To determine coping strategies and the risk of developing alcohol addiction the AUDIT and the COPE Inventory were used. Results. Cluster analysis made it possible to identify 4 types of coping strategies with different prevalence and levels of risk of developing alcohol addiction among participants. Conclusion. Productive coping has been associated with a reduced risk of alcohol use in military personnel, but the ability to be situational flexible in the use of coping is important. Compulsive alcohol use was preceded by a period of intensive use of social support coping by military personnel. This period is sensitive to the risk of developing alcohol addiction.
The importance of ultrasonography examination in renal abscesses in pediatric patients
(Publishing Office of the University of Rzeszow, 2024-09) Kowalczyk, Katarzyna; Ożóg, Katarzyna; Klęba, Joanna; Kucharska-Miąsik, Iwona; Guzik, Anna; Guz, Wiesław
Introduction and aim. Renal abscess is a rare finding in the pediatric population, estimated at 0.2% of all intra-abdominal abscesses. The most common manifestations are fever, flank pain and simultaneously increased inflammatory markers in laboratory tests. Symptoms of this condition are non-specific and can be dismissed with other pathologies like renal tumor. Although the management is based on widespread antibiotic therapy, some cases need surgical intervention because of poor general condition and major diameter of abscess (>5 cm). We undertook this study to analyze the ultrasonography findings correlated with the clinical manifestations of renal abscesses in children that can potentially improve detecting renal abscesses in children earlier. Material and methods. We retrospectively studied 9 patients with renal abscesses treated in our hospital. Results. All patients were diagnosed with renal abscesses based on ultrasonography (US) examination and each of them had elevated inflammatory parameters at the time of admission. For treatment, all patients were treated with intravenous antibiotics and two of them were treated with surgical drainage. All study group recovered completely or received a reduction of abscesses diameters. The renal abscesses were monitored by ultrasonography. Conclusion. In our study, we assessed the usefulness of the US examination for diagnosis and treatment monitoring in pediatric patients. Ultrasonography is a gold standard due to its wide availability, noninvasiveness and low price. It also allows for immediate diagnosis, which is crucial to institute proper treatment. Treatment of abscesses depends on the clinical condition of the patient, other comorbidities, imaging presentation and the size of the abscess.
Knowledge, risk perception and utilization of hepatitis B vaccine among youths in a semi-urban area in Ibadan, Oyo state, Nigeria
(Publishing Office of the University of Rzeszow, 2024-09) Oyasope, Beatrice Tomisin; Atibioke, Oluyemi Peter; Dipeolu, Isaac Oluwafemi
Introduction and aim. Hepatitis B is a chronic liver disease responsible for high morbidity and mortality. Despite the availability of hepatitis B vaccine, the incidence of disease is increasing. This study was designed to investigate the knowledge, risk perception, and utilization of hepatitis B vaccine among youths in the Ido Local Government Area, Oyo state, Nigeria. Material and methods. A cross-sectional survey design was adapted, and 422 consenting youths were recruited. A pre-tested semi-structured questionnaire was used for data collection. A 19-point knowledge scale was used; scores ≤6, >6–12, and >12– 19 were considered poor, fair and good knowledge, respectively. Risk perception was measured on a 14-point scale, with scores ≤7 and >7 as poor and good, respectively. Data were analyzed using descriptive statistics, Chi-square and Fisher’s exact at α0.05. Results. Respondents were 26.6±3.5 years, and 56.2% were females. Only 13.7% had good knowledge of hepatitis B, and 53.2% had a good perception of hepatitis B infection. Moreover, 48.9% had received at least one dose of the Hepatitis B vaccine. A significant association existed between knowledge, risk perception and utilization of hepatitis B vaccine. Conclusion. Knowledge and utilization of hepatitis B vaccine were low among the respondents. Health education programs in the study area are crucial to improving hepatitis B vaccine utilization among youth.
Atypical presentation of extra-skeletal Ewing’s sarcoma in a 57-year-old female – a case report
(Publishing Office of the University of Rzeszow, 2024-09) Nagalakshmi, Kumbha; Ramachandran, Nair Parvati; Narla, Swetha Lakshmi; Subramanyan, Annapurneswari; Parasuraman, Brundha Marimuthu
Introduction and aim. Malignant soft tissue tumors exhibiting similar histological and immunohistochemical characteristics to Ewing sarcoma of the bones are referred to as extra-skeletal Ewing sarcoma within the pathology research domain. These tumors fall under the broader classification of Ewing sarcoma family of tumors, which encompasses Ewing sarcoma of the bones, extra-skeletal Ewing sarcoma, and primitive neuroectodermal tumor, the latter demonstrating a more pronounced neural differentiation compared to Ewing sarcoma of the bone. Extra-skeletal Ewing sarcoma stands out as a rare, aggressive, and rapidly growing malignant soft tissue tumor characterized by a notable recurrence rate and a predilection for occurrence in males. The roots of recognizing extra-skeletal Ewing sarcoma trace back to 1975 when Angervall and Enzinger reported the inaugural case. This study aims to underscore the significance of recognizing diverse clinical presentations for precise diagnosis and effective patient care of Extra-skeletal Ewing sarcoma in an elderly patient. Case description. In the context of our pathology research, a noteworthy case involves a 57-year-old female presenting with a mass in the left iliac fossa. The diagnosis, established through a comprehensive approach involving Imaging, histopathological examination, immunohistochemistry, and molecular studies such as fluorescence in situ hybridization, confirms the nature of the tumor as extra-skeletal Ewing sarcoma. This case adds to the understanding and documentation of this distinct variant through a multi-modal investigative process. Conclusion. This case report contributes to the existing literature by shedding light on an atypical presentation of extra-skeletal Ewing sarcoma in an older patient. Understanding the varied clinical manifestations and incorporating advanced diagnostic techniques, such as fluorescence in situ hybridization and immunohistochemistry, is pivotal for accurate diagnosis and optimal patient management.
Alcohol and nicotine use among Polish undergraduate students – the preliminary results
(Publishing Office of the University of Rzeszow, 2024-09) Kawalec, Agata
Introduction and aim. “DiSCO” (Dietary Supplements Consumption of Undergraduate Students) study aimed to characterize the chosen elements of lifestyle among university students, including alcohol consumption and nicotine use. Material and methods. The cross-sectional study was realized in cooperation with Italian Universities. The anonymous online survey was conducted from 01.02.2022 to 30.06.2023 among 294 Polish students (age range: 19-37): 202 women (mean age: 21.77; median: 21; SD: 2.46) and 92 men (mean age: 22.73; median: 22; SD: 2.89). The statistical analysis was performed with the use of Excel (Fisher’s exact test; Chi2 test; a significance level p<0.05) Results. 89.8% of students consumed alcohol in the last six months. 36.7% of students used tobacco products in the last year. The analysis of the frequency and type of nicotine products used and the frequency and circumstances of alcohol consumption by students did not reveal any significant differences among the sexes and age groups (p>0.05). Most of the students declared to occasionally use nicotine products (up to 3 times a week), most often traditional cigarettes or shredded tobacco. Most students consume alcohol 2–4 times a month, most often regardless of the meals. Conclusion. Alcohol consumption and nicotine use among Polish students are similar in both sexes.
Pectus excavatum treatment with the Nuss procedure: comparative results in pediatric and adult patients – experiences of a single physician
(Publishing Office of the University of Rzeszow, 2024-09) Dubus, Turkan
Introduction and aim. Pectus excavatum (PE) is a chest wall deformity characterized by a collapse of the rib cage. The Nuss procedure, originally intended for pediatric patients, is now also used in adults. The main aim of this study is to investigate whether the Nuss procedure can also lead to successful results in adult patients, although it is a widely used treatment method in pediatric patients. Material and methods. Data from 90 patients (October 2008-May 2020) included age, gender, preoperative findings, Haller index, operative details, and postoperative outcomes. The groups were divided into pediatric (<18 years) and adult (≥18 years) patients. Mann-Whitney U and chi-square tests were used to assess group differences. Results. The adult group had a significantly higher bar length and preoperative complaints rate (p>0.05). Conclusion. The Nuss procedure is safe and effective in both pediatric and adult PE patients. Age and preoperative symptoms influence surgical planning and outcomes, emphasizing their importance for treatment strategies.
Patterns of physical activity amidst COVID-19 among medical interns
(Publishing Office of the University of Rzeszow, 2024-09) Debata, Ipsita; Mohapatra, Ipsa; Sarkar, Avinandan; Sarkar, Bidisa; Sahu, Ritu; Padhee, Sourav
Introduction and aim. The COVID-19 pandemic restricted our daily lives significantly. This adversely affected the physical activity (PA) and productivity of students, including medical interns, who worked tirelessly during the pandemic. The study aimed to evaluate the changes in PA patterns and associated factors due to the imposed lockdown in medical interns compared to pre-pandemic levels. Material and methods. A cross-sectional study was conducted among consenting medical interns of the 2020-21 batch in a medical college in Bhubaneswar, selected by convenience sampling. They were contacted by email and briefed about the study. Data on demography, exercise patterns (pre-, during, and post-COVID-19), and associated factors was collected by an electronic survey format (Google form). Data was analyzed using EPI info and interpreted in frequencies, percentages, and the chi-square test. A p-value<0.05 was considered statistically significant. Results. Of 104, 54.28% were females. The frequency of exercise reduced by 13.92% during COVID-19. Around 56.9% of interns exercised regularly pre-pandemic which dropped to 33.3% during the pandemic. The change in PA pattern was significantly associated with regularity of exercise (p<0.001). Conclusion. Evaluating the extent of physical inactivity will enable the administration to provide appropriate support to the interns to take equal care of their health as their patients.
ST-segment elevation in anterior leads secondary to electric shock – a diagnostic dilemma
(Publishing Office of the University of Rzeszow, 2024-09) Muniraju, Anil Kumar; Rohila, Amit Kumar; Sharma, Ankur; Shekar, Rakesh Guna; Rodha, Mahaveer Singh
Introduction and aim. Electrical injuries can be life-threatening and prompt interventions can save lives. Cardiac complications like arrhythmias and sudden cardiac death are common after electric shock. Certain ECG abnormalities can persist after successfully reviving the patient which can mimic ST-Elevation occlusive myocardial infarction. This case report aims to inform the treating emergency physicians about this rare association of ST-Elevation in anterior leads after electric shock. Description of the case. After obtaining proper consent from the patient, we describe here an interesting case of a 19-year-old boy who was presented to the emergency room with cardiac arrest after sustaining electrical injury. The patient was revived after cardiopulmonary resuscitation; ECG, as well as echocardiographic findings, were consistent with ST-elevation myocardial infarction of the anterior wall. A diagnostic dilemma was there between occlusive and non-occlusive causes of this condition. A coronary angiogram and conservative management of the patient helped in decision making and he was discharged with a Glasgow coma scale of 15/15 after recovery. Conclusion. ST-Elevations in ECG can occur after electric shock injury and their cause is rarely due to occlusion of the coronaries. Hence thrombolysis in such cases is rarely needed and supportive management is required.

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Przeglądanie European Journal of Clinical and Experimental Medicine T.22, z. 3 (2024) według Data wydania