In patients with dyspeptic symptoms who have been treated for gastric cancer, other medical conditions apart from cancer recurrence should be considered. A long small-bowel loop left after esophagogastric anastomosis, flaccid diaphragmatic crura, and several external factors such as hard physical exertion can promote the development of postoperative hiatus hernia. The authors of this paper present a rare case of hiatus hernia considered a late complication of primary surgery performed due to gastric cancer. The 63-year-old patient had undergone total gastrectomy with double tract reconstruction (DTR) six years earlier. Gastrectomy was performed with extended lymphadenectomy (>D2). Histopathologic examination of tumor specimens showed mucinous adenocarcinoma with no lymph node metastasis and no distant metastases (pathologic staging: pT2, pN0, pM0). After six years, the patient was admitted to the 2nd Department of General and Gastroenterologic Surgery with abdominal pains, malaise, weight loss and feeling of fullness after small meals. Diagnostic procedures performed showed the presence of hiatus hernia, a very rare complication after this particular surgery, with no features of cancer recurrence. The patient was underwent surgery and the hernia was successfully repaired.
Gallbladder cancer is a relatively rare cancer of the gastrointestinal tract, most commonly detected (approximately 95% of cases) in the most advanced clinical stage IV and burdened with high mortality rate. This is mainly due to the nonspecific symptoms in the early stages of the disease. The remaining cases of gallbladder cancer are usually detected after surgery due to gallstone disease. Gallstones, their size and pancreatic juice reflux into the gallbladder are risk factors in the development of gallbladder cancer. In this paper the authors carried out a retrospective research based on an evaluation of a group of 38 patients treated surgically due to the gallbladder cancer in the years 2005-2012 in the Second Department of General and Gastroenterological Surgery in Białystok Medical University Hospital. In this group there were 29 women and 9 men, in age between 48-86 years. Although women suffered from gallbladder cancer more often than men, their survival rate was significantly better after the surgery. The research showed some benefits of extended surgical procedures even in patients with advanced stages of the disease, while the effectiveness of surgical treatment depends mainly on the possibility of radical resection of the primary lesion and, eventually, the resection of lymph nodes and other infiltrated tissues.
Purpose: This study is a descriptive study conducted to investigate the use of Complementary and Integrative Medicines (CIM) among internal medicine and surgical clinic nurses in the COVID-19 pandemic period. Materials and methods: The study sample consisted of 1112 nurses working at the internal medicine and surgical clinics of a hospital in eastern Turkey. The data were collected between November 2020 and February 2021 by using a Nurse Identification Form and a Questionnaire Form for Complementary/Integrative Treatment. Ethics board approval and institutional permission were obtained. Results: It was determined that 55.2% of the participants used at least one of the CIM methods, the most frequently used method was herbal treatment-phytotherapy (96.7%), and the least frequently used method was homeopathy (3.1%). On CIM usage, the having received CIM training (β=0.395), high levels of perceived danger regarding the effect of the COVID-19 pandemic on health (β=0.321), high levels of perceived infection probability (β=0.249), high levels of concern about being in crowded places (β=0.187), high levels of concern about getting the infection in oneself and/or family members (β=0.262) and being at the ages of 40-50 (β=0.116) had predictive effects. Conclusions: It was determined that the majority of the nurses used CIM methods in the COVID-19 pandemic process, and they preferred herbal treatment most. To prevent a negative outcome that may potentially be caused by a CIM method that is used, it is recommended to provide nurses with training on CIM use for the COVID-19 pandemic.
In the case of advanced ovarian cancer, primary surgical cytoreduction remains the main management option. The target of such a complex debulking procedure is the removal of all macroscopic tumor masses before adjuvant systematic treatment. En-bloc pelvic resection of all organs involved, including the peritoneum, uterus with adnexa and rectum, known as modified posterior exenteration, is the key element of optimal surgical debulking in advanced ovarian cancer. In this article the modified posterior exenteration procedure in advanced ovarian cancer is described in detail. The authors have divided the whole procedure into several steps for better understanding and illustrated them with some sketches and images.
PL
Podstawową metodą leczenia chirurgicznego zaawansowanego raka jajnika jest chirurgia cytoredukcyjna, której celem jest pierwotne usunięcie wszystkich makroskopowych ognisk rozsiewu tego nowotworu przed systemowym leczeniem uzupełniającym. Bardzo istotnym elementem optymalnej chirurgii cytoredukcyjnej w zaawansowanym raku jajnika jest miednicza, blokowa resekcja wielonarządowa, zwana zmodyfikowaną tylną egzenteracją, obejmującą usunięcie w jednym bloku nacieczonej nowotworowo otrzewnej ściennej miednicy wraz z zajętym narządem płciowym oraz odbytnicą. W artykule opisano szczegółowo operację zmodyfikowanej tylnej egzenteracji w zaawansowanym raku jajnika. Dla lepszego zrozumienia poszczególnych jej elementów autorzy wyszczególnili etapy tej procedury chirurgicznej, ilustrując je szkicami oraz fotografiami.
Early Western accounts of arabian medicine reflected the legacy of conflict rather than na analysis of islamic medicine as a component of a system of faith and a means of dealing with yhe universal problema of illness. For many European scholars, arabian medicine was significantonly in terms of the role it played in preserving greekliterature during the European Dark ages according to science and technology. There isn`t a good medicine and pharmacy. Therefore, arabian medicine was understood as synonymous with arabic medicine.
Aleksander Dubiski (1886-1939), ukończył studia lekarskie w Monachium, po czym podjął pracę w Szpitalu Sióstr Elżbietanek w Poznaniu. Po wybuchu I wojny światowej został zmobilizowany do armii pruskiej i skierowany do pracy w szpitalu wojskowym w Ostrowie Wielkopolskim. Po zakończeniu wojny, brał udział w powstaniu wielkopolskim i wojnie bolszewickiej. Po odzyskaniu przez Polskę niepodległości kierował oddziałem chirurgicznym i był dyrektorem powiatowego szpitala w Ostrowie Wielkopolskim. Po wybuchu II wojny światowej został aresztowany przez Niemców i rozstrzelany.
EN
Aleksander Dubiski (1886-1939) completed medical studies in Munich. He worked at the Sisters of St Elizabeth’s Hospital in Poznan. After the outbreak of the World War First, he was conscripted into the Prussian army and ordered to work at the military hospital in Ostrow Wielkopolski. He participated in the Wielkopolska Uprising and the Polish-Bolshevik war. After Poland regained independence, he managed the surgical ward and was the director of the district hospital in Ostrów Wielkopolski. After the outbreak of the World War Second, he was arrested by Germans and put before a firing squad.
Kazimierz Hołoga (1913-1958) ukończył konspiracyjne studia lekarskie w 1942 r. w Warszawie. Pracował jako chirurg w Szpitalu Elżbietanek w Poznaniu. Kiedy w okresie stalinowskim władze państwowe zlikwidowały ten szpital, Hołoga objął stanowisko dyrektora w szpitalu w Nowym Tomyślu. Był znany z wysokiego poziomu etycznego i uczciwości.
EN
Kazimierz Hołoga (1913-1959) graduated in medicine in 1942. He worked as a surgeon at the Hospital of Sisters of St. Elisabeth in Poznań. During the Stalinist period the hospital was taken over by the state authority and Dr. Hołoga was relocated to the town of Nowy Tomyśl, where he took a post of director of local hospital. He was known as a very ethical doctor and honest man.
W przypadku chorób bezobjawowych i stanowiących zagrożenie życia, jaką jest między innymi tętniak aorty brzusznej, nieoczekiwana diagnoza wywołuje silny dysonans poznawczy. Tak negatywna informacja zapoczątkowuje stresujące wydarzenie życiowe, powszechnie oceniane jako bardzo ważne w biografii każdego człowieka. Założono, że stosunek do własnej choroby i operacji różni się zależnie od tego, czy pacjent oczekuje na zabieg, czy też jest po interwencji chirurgicznej. Badania ankietowe przeprowadzono na dwóch grupach chorych z tętniakiem aorty brzusznej, to jest: 23 pacjentów przed operacją oraz 19 pacjentów, których zoperowano 2–4 lata przed badaniem. Wyniki zanalizowano statystycznie za pomocą testu „chi-kwadrat”. Analiza statystyczna pozwoliła na odrzucenie hipotezy badawczej, co świadczy o randze stresującego wydarzenia życiowego, jakim jest własna, śmiertelna choroba. Jego negatywne zabarwienie uczuciowe jest tak silne i trwałe, że nie zmienia go nawet upływ czasu. Okazało się, że wszyscy pacjenci dokładnie pamiętają swoją pierwszą reakcję na wiadomość o chorobie, przeważnie wskazują na zewnętrzne motywy decyzji o operacji, podkreślając rolę lekarza prowadzącego oraz oceniają tę decyzję jako trafną i uzasadnioną. Taka ocena dowodzi skuteczności zadaniowego podejścia do radzenia sobie z krytycznymi wydarzeniami życiowymi.
EN
Abstract In an asymptomatic disease, which may be life-threatening, a sudden diagnosis produces a cognitive dissonance between the actual physical status and the potential lethal risk of the disease. In the treatment of an abdominal aortic aneurysm, even elective surgical treatment is associated with the risk of death. It was assumed that the attitude to one's own illness and surgical intervention may change in the course of treatment, before and especially after surgery. Two groups of patients were examined with the use of aspecific questionnaire to establish these changes: group 1 - 23 patients scheduled for elective abdominal aortic aneurysm repair; group 2 - 19 patients presented for the follow-up 2-4 years after surgery. Answers obtained from the questionnaire were statistically analyzed and compared between the groups with the use of a chi-square test. The statistical analysis of the results obtained by comparing groups of patients made it possible to reject the hypothesis about the differences in attitudes to the illness in patients before and after surgery. Regardless of the time which elapsed after receiving the information about the disease - the patients accurately recall their first reaction to an unexpected message. Both groups of patients: waiting for the surgery, and those who have already had it, focused on the external reasons for the decision about the surgery, i.e., the convincing role of a doctor. Positive or very positive assessment of their own decisions, in both groups, indicates the performance-oriented approach to a difficult situation (the decision about surgery).
James Paget był jednym z najwybitniejszych lekarzy XIX stulecia, które ukształtowało współczesne fundamenty wiedzy i praktyki medycznej. Przyczynił się zarówno do rozwoju chirurgii, jak i do postępów w dziedzinie dermatologii. Jego osiągnięcia były wynikiem oparcia praktyki lekarskiej na racjonalnej, zgodnej z zasadami logiki wiedzy naukowej w stopniu znacznie większym aniżeli czynili to inni ówcześni lekarze i chirurdzy.
EN
Paget James was one of the most outstanding doctors of the XIX century which molded contemporary bases of the knowledge and the medical practice. He contributed both to the development of the surgery and to progress in the field of dermatology. His achievements were a result of basing his medical practice on the rational scientific knowledge, in accordance with principles of logic in the degree much greater than other doctors and surgeons made it.
The article presents the issues of criminallaw protection of life and health of the conceived child de lege lata and de lege ferenda. It brings closer the current rules of criminal responsibility for the attacks directed at this good and discusses the state of dogmatic theology and jurisprudence in this area. It presents the most important controversies at the level of science of law and jurisprudence and dilemmas of interpretation. The leading theme of this paper is the presentation and analysis of the changes to the Cryminal Code proposed by the Codification Commission in the draft of 2013. It draws attention to their wide scope and substantive significance. They represent modifications of systemic character and of fundamental significance to the very idea of protection of human life.
The name of Guido Guidi appears in the histories of medicine as that of the author of a beautifully illustrated book on surgery and as one of the innumerable anatomical eponyms. Guido Guidi practiced medicine and surgery in his native city Florence and made such a reputation that he was in 1542 invited by Francis I, King of France, to come to Paris. The King appointed him one of his personal physicians and permitted him to give public lectures in medicine and surgery at the newly founded College de France. Guidi was about to publish a surgical treatise, based on a Greek manuscript of the tenth century preserved in the Laurenzian Library at Florence. Among the notable features of this manuscript were thirty full-sized plates illustrating the commentary of Apollonius of Kitium on the Hippocratic treatise on dislocations and other pictures accompanying a copy of Galen's treatise on bandaging. These illustrations represented the genuine Hippocratic traditions of surgical practice as transmitted through later Greek channels to Byzantium. In Paris, Guidi lived with Benvenuto Cellini, who became his friend and who has many laudatory references to him in his autobiography. In 1544 Guidi's book on surgery appeared. It is a splendid folio volume, beautifully printed and containing remarkable woodcut copies, or rather adaptations, of the original tenth-century drawings. Guidi's Chirurgia was the best illustrated work on surgery that had appeared up to its date. It comprises translations of six works by Hippocrates, one by Galen and two by Oribasius, together with commentaries by Galen and by Guidi himself. The treatment of all varieties of fractures and dislocations is described in great detail and is very clearly illustrated. Some three years after the publication of his Chirurgia Guidi was recalled to Italy to become chief personal physician to Cosimo de Medici. He practiced and taught medicine at Pisa, took Holy Orders, received high' ecclesiastical preferment, and was in 1557 raised to the nobility. He died at the height of his renown on 26 May 1569 and was buried in the tomb of his ancestors in Florence. For some years before his death he had been occupied in writing a comprehensive work on medicine. This great work was completed and published by his nephew in three huge volumes between 1596 and 1611. This study is based on original research and it corrects many errors that have been perpetuated in standard reference books.
UK
Ім’я Гвідо Гвіді зустрічається в історії медицини як ім’я автора чудово ілюстрованої книги з хірургії та як один із незліченних анатомічних епонімів. Гвідо Гвіді займався медициною та хірургією у своєму рідному місті Флоренції і набув такої репутації, що у 1542 р. Франциск I, король Франції, запросив його приїхати до Парижа. Король призначив його одним зі своїх особистих лікарів і дозволив йому читати публічні лекції з медицини та хірургії у нещодавно заснованому Колеж де Франс. Гвіді збирався опублікувати хірургічний трактат, заснований на грецькому рукописі X ст., що зберігається у бібліотеці Лауренціана у Флоренції. Серед примітних особливостей цього рукопису були тридцять повнорозмірних аркушів, що ілюструють коментар Аполлонія Китійського до трактату Гіппократа про вивихи та інші малюнки, що супроводжують копію трактату Галена про перев’язки. Ці ілюстрації представляли справжні традиції Гіппократа в хірургічній практиці, передані через пізніші грецькі канали до Візантії. У Парижі Гвіді жив із Бенвенуто Челліні, який став його другом та багато разів із похвалою відгукувався про нього у своїй автобіографії. У 1544 р. з’явилася книга Гвіді з хірургії. Це чудовий фоліант, витончено надрукований і містить чудові ксилографічні копії, або, швидше, адаптації оригінальних малюнків X ст. Книга Гвіді «Хірургія» була найкращою ілюстрованою працею з хірургії, яка з’явилася до цього часу. Вона містить переклади шести робіт Гіппократа, однієї роботи Галена і двох робіт Орібасія, а також коментарі Галена та самого Гвіді. Лікування всіх видів переломів та вивихів описано дуже докладно та наочно проілюстровано. Приблизно через три роки після публікації своєї «Хірургії» Гвіді був відкликаний до Італії, щоб стати головним особистим лікарем Козімо Медічі. Він практикував і викладав медицину в Пізі, прийняв священний сан, отримав високі церковні привілеї і у 1557 р. був посвячений у дворянство. Він помер на піку своєї слави 26 травня 1569 р. та був похований у гробниці своїх предків у Флоренції. За кілька років до смерті він був зайнятий написанням всеосяжної праці з медицини. Ця велика праця була завершена та опублікована його племінником у трьох величезних томах між 1596 та 1611 рр. Це дослідження засноване на оригінальних дослідженнях та виправляє багато помилок, які були закріплені у стандартних довідниках того часу.
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.