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2019
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vol. 2
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issue 2
85-86
EN
not relevant for commentary
EN
Background: A late clip slippage from the previously properly secured cerebral aneurysm is rarely observed. To date these complications have not pooled and evaluated using systematic review methodology. The objective was to report factors attributed to the late slippage of the aneurysm clip in the postoperative period. Material and methods: All causes of postoperative clip slippage were systematically reviewed and analysed according to PRISMA Individual Patient Data protocol. Medline (PubMed), Embase, Cochrane, ISI Web of Knowledge and Google Scholar were searched for all relevant cases. Results: Systematic review of the literature yielded 105 original cases proving slipped clip in the postoperative period. The slipped clip caused bleeding in 53.8% of patients. The putative cause of clip slippage was provided in only 34.7% of the published cases. If a single clip was used, then complete clip slippage was noted more often (p=0.04). Multiple clipping and clip-wrapping techniques were postulated as ways to prevent postoperative clip slippage. Conclusions: The reason for late slippage of the aneurysm clip remains unexplained by most authors. Based on systematic reviewing, the use of tandem of clips prevents their late migration off the aneurysm. Clipping with wrapping or use of a single clip reinforced by any wrapping material seems a more durable solution.
EN
Background A late clip slippage from the previously properly secured cerebral aneurysm is rarely observed. To date these complications have not pooled and evaluated using systematic review methodology. The objective was to report factors attributed to the late slippage of the aneurysm clip in the postoperative period. Material and methods All causes of postoperative clip slippage were systematically reviewed and analysed according to PRISMA Individual Patient Data protocol. Medline (PubMed), Embase, Cochrane, ISI Web of Knowledge and Google Scholar were searched for all relevant cases. Results Systematic review of the literature yielded 105 original cases proving slipped clip in the postoperative period. The slipped clip caused bleeding in 53.8% of patients. The putative cause of clip slippage was provided in only 34.7% of the published cases. If a single clip was used, then complete clip slippage was noted more often (p=0.04). Multiple clipping and clip-wrapping techniques were postulated as ways to prevent postoperative clip slippage. Conclusions The reason for late slippage of the aneurysm clip remains unexplained by most authors. Based on systematic reviewing, the use of tandem of clips prevents their late migration off the aneurysm. Clipping with wrapping or use of a single clip reinforced by any wrapping material seems a more durable solution.
EN
This article is an instructive guide on how to write and publish a scientific article. It was inspired by a lecture given at the Medical University of Gdańsk by a distinguished professor. To further advance science, particularly in the currently emerging era of individualized medicine, the collaboration of researchers with a varied level of experience and from different areas of expertise is needed. It is vital to publish the results of research quickly and effectively. Knowing the basic mechanisms of writing and publishing will help to disseminate research results more effectively.
6
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Content available

Sciatica: Internet Search Trends

81%
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2020
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vol. 3
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issue 1
49-52
EN
Background Sciatica carries a significant health burden in the world as the lifetime incidence of sciatica estimated between 13% to 40%. We used modern scientific tools to assess the online health interest of sciatica and lower back pain. Material and methods Google Trends, Wikipedia statistics and PubMed data were used to gauge the online public interest in sciatica and lower back pain. Results Over the last five years, (2015–2019) the Wikipedia page for sciatica has ranked high in all four categories it was included in; this shows that sciatica is a major concern for the public. Wikipedia page views on sciatica and low back pain show a 28% and 90% increase respectively from July 2015 to March 2019. In the last eleven years (2008–2019) Google Trends shows that sciatica has had a 2-fold increase in search frequency worldwide on the web, a 6-fold increase on YouTube and a 3-fold increase on Google images. Scientific interest in sciatica is low (only 140 PubMed publications in 2018). Conclusions The public has a relatively high online interest concerning sciatica and back pain and this interest is rising. We suggest that hospitals clearly address the causes, pathophysiology, and management of sciatica to their patients to account for this increase.
7
Publication available in full text mode
Content available

Sciatica: Internet Search Trends

81%
EN
Background: Sciatica carries a significant health burden in the world as the lifetime incidence of sciatica estimated between 13% to 40%. We used modern scientific tools to assess the online health interest of sciatica and lower back pain. Material and methods: Google Trends, Wikipedia statistics and PubMed data were used to gauge the online public interest in sciatica and lower back pain. Results: Over the last five years, (2015–2019) the Wikipedia page for sciatica has ranked high in all four categories it was included in; this shows that sciatica is a major concern for the public. Wikipedia page views on sciatica and low back pain show a 28% and 90% increase respectively from July 2015 to March 2019. In the last eleven years (2008–2019) Google Trends shows that sciatica has had a 2-fold increase in search frequency worldwide on the web, a 6-fold increase on YouTube and a 3-fold increase on Google images. Scientific interest in sciatica is low (only 140 PubMed publications in 2018). Conclusions: The public has a relatively high online interest concerning sciatica and back pain and this interest is rising. We suggest that hospitals clearly address the causes, pathophysiology, and management of sciatica to their patients to account for this increase.
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2020
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vol. 3
|
issue 1
74-78
EN
Background This editorial is an instructive guide on how to write and publish a scientific paper. It was inspired by a lecture given at the Medical University of Gdańsk by a distinguished professor. To further advance science, particularly in the currently emerging era of individualized medicine, the collaboration of researchers with a varied level of experience, and from different areas of expertise is needed. It is vital to publish the results of research quickly and effectively. Knowing the basic mechanisms of writing and successful publication will assist in more effective dissemination of research results. Material and methods N/A Results N/A Conclusions N/A
EN
Background: Subarachnoid hemorrhage (SAH) is rare but potentially life-threatening cause of acute headache. First diagnostic test performed in the Emergency Department (ED) for acute “thunderclap” headache is computed tomography of the head (CT) without contrast enhancement. Negative non-contrast head CT may be erroneously interpreted as an exclusion of SAH and lead to ED discharge. The consequences of overlooking SAH are of special interest to the Emergency Physician. The aim of this study was to assess prevalence and clinical picture of CT-negative cases of SAH admitted to the ED. Material and methods: Retrospective analysis of charts of patients admitted to the ED and diagnosed with SAH during 18 consecutive months. Results: Our data gives information about clinical picture of patients with CT-negative SAH and their further clinical course. Out of 126 patients diagnosed with SAH, 5 (4.0%) were diagnosed with SAH despite negative non-contrast head CT scan. All cases were diagnosed by means of lumbar puncture and analysis of cerebrospinal fluid. In all patients with CT-negative SAH computed tomographic angiography (CTA) was performed and no vascular abnormalities were found. In one case digital subtraction angiography was performed due to equivocal CTA picture and it demonstrated small unruptured aneurysm of the medial cerebral artery. All patients with CT-negative SAH were admitted to a neurological ward and later discharged from the hospital without neurological deficit. There were no episodes of clinical deterioration and none of the patients required an urgent neurosurgical intervention. Conclusions: Although lumbar puncture remains a gold standard in exclusion of SAH, head CT scan without contrast enhancement appears to be a satisfying diagnostic tool in ED.
EN
Background Subarachnoid hemorrhage (SAH) is rare but potentially life-threatening cause of acute headache. First diagnostic test performed in the Emergency Department (ED) for acute “thunderclap” headache is computed tomography of the head (CT) without contrast enhancement. Negative non-contrast head CT may be erroneously interpreted as an exclusion of SAH and lead to ED discharge. The consequences of overlooking SAH are of special interest to the Emergency Physician. The aim of this study was to assess prevalence and clinical picture of CT-negative cases of SAH admitted to the ED. Material and methods Retrospective analysis of charts of patients admitted to the ED and diagnosed with SAH during 18 consecutive months. Results Our data gives information about clinical picture of patients with CT-negative SAH and their further clinical course. Out of 126 patients diagnosed with SAH, 5 (4.0%) were diagnosed with SAH despite negative non-contrast head CT scan. All cases were diagnosed by means of lumbar puncture and analysis of cerebrospinal fluid. In all patients with CT-negative SAH computed tomographic angiography (CTA) was performed and no vascular abnormalities were found. In one case digital subtraction angiography was performed due to equivocal CTA picture and it demonstrated small unruptured aneurysm of the medial cerebral artery. All patients with CT-negative SAH were admitted to a neurological ward and later discharged from the hospital without neurological deficit. There were no episodes of clinical deterioration and none of the patients required an urgent neurosurgical intervention. Conclusions Although lumbar puncture remains a gold standard in exclusion of SAH, head CT scan without contrast enhancement appears to be a satisfying diagnostic tool in ED.
EN
Background: The coronavirus pandemic has strongly affected health-care systems around the world, testing their patients’ care capacities. Admission restrictions, patients’ fear of hospitalization or other uncomprehended constraints has affected admissions to neurosurgery department. Material and methods: The clinical data of admissions from March 1st to July 24th 2020, as well as data of the control group in relevant periods of time in 2019 was collected from the local hospital database and compared. Results: The total number of procedures performed between March and July 2020 is 1545, compared to the corresponding period of the previous year it was the number of 2062, indicating a decrease by about 25%. Both head and aneurysm procedures decreased over the entire analyzed period. The number of procedures classified as "other" was higher in each of the three stages. Between March 1st and April 30th (Phase 1) mainly younger male patients were admitted. Conclusions: We demonstrated the impact of the COVID-19 pandemic on the work organization of our Neurosurgery Department. We report that after the introduction of appropriate solutions, it is possible to provide care to neurosurgical patients while ensuring the safety of patients and Staff during the pandemic.
EN
Sinusitis is a common problem in otorhinolaryngological practice. In the absence of appropriate treatment, intracranial complications may occur. Subdural empyema of skull base is a rare and dangerous complication. The authors present a case of 25-year old female in postpartum period, who was under interdyscyplinary treatment because of subdural empyema which was the result of acute sinusitis. Proper diagnostic procedures and early employed treatment prevented long lasting disorders and consequences of the disease. The complex and integrated therapeutic process that the patient required proved successful.
PL
Zapalenie zatok przynosowych jest częstym problemem w praktyce otolaryngologicznej. W przypadku braku odpowiedniego leczenia może dojść do powikłań wewnątrzczaszkowych. Ropniak podtwardówkowy podstawy czaszki jest rzadkim i groź- nym powikłaniem zapalenia zatok. Autorzy opisują przypadek 25-letniej chorej, będącej w połogu, leczonej interdyscyplinarnie z powodu ropniaka podtwardówkowego podstawy czaszki, do powstania którego doszło w przebiegu ostrego zapalenia zatok przynosowych. Odpowiednio przeprowadzona diagnostyka oraz wdrożone leczenie uchroniło pacjentkę przed trwałymi następstwami choroby. Chora wymagała zintegrowanego leczenia, które zakończyło się pomyślnie.
EN
Background During the COVID-19 era, it is crucial to determine the level of relevant infectious disease knowledge amongst medical students as they may influence public opinion by acting as informal medical advisors to their friends and family. We sought to assess the knowledge of students regarding COVID-19 at a single Polish medical university, to understand the level of knowledge and determine if dedicated COVID-19 education is necessary. Material and methods The survey was conducted in Google Forms and access was obtained through the university’s secure email. After exclusion, 1.001 students were enrolled. Results The most common mask used amongst students is a surgical mask. Regarding SARS-CoV-2 transmission, 79,1% chose droplet and 19,3% chose airborne transmission. Only 35% agreed that surgical masks protect them from coronavirus and 70% strongly agreed or agreed that all healthcare workers should wear an N95/FFP3 mask. Students with a healthcare worker in the family more likely agreed that all healthcare workers should wear N95/FFP3 (p = 0.001). The source of information used affected the route of transmission chosen (p = 0.006). Conclusions We recommend combatting contradicting information by healthcare students having dedicated education on SARS-CoV-2, PPE, filtering efficiency of masks, modes of transmission of viruses, and how to use evidence-based medicine for better public health dispersion.
EN
We gathered publicly available online data and prepared a database of epidemiology, demographics, economics, Bacille Calmette-Guérin vaccination and online search trend statistics relevant to the coronavirus disease 2019 (COVID-19). Moreover, we provide several suggestions on the use of this bioresource and reference other relevant datasets to promote research on COVID-19.
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