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Quality of life of a patient with persistent complications after SARS-CoV-2 infection requiring urgent surgical intervention – endarterectomy with emergency angioplasty of an inflamed, bleeding Right Internal Carotid Artery (RICA) using the Trans-Carotid Artery Revascularization (TCAR)

100%

Hydzik A., Opławski M., Trystuła M., Pąchalska M.

vol. 21(3)

259-278

SUMMARY The purpose of this study was to determine the quality of life of a patient with persistent complications of SARS-CoV-2 infection requiring urgens surgical intervention – endarterectomy with emergency angioplasty of an inflamed, bleeding Right Internal Carotid Artery (RICA) by direct access via Right Common Carotid Artery (RCCA), known as Transcarotid Artery Revascularization (TCAR). A patient in her 60s was infected with the SARS-CoV-2 virus and contracted COVID-19 in March 2022, as confirmed by RT PCR antigen test. The infection was followed by short- and long-term complications, many of which can be linked to COVID. These include significant weakness persisting for months after the illness, rapid weight loss of 25 kg, sleep disturbances, chronic fatigue, severe dizziness, onset of diabetes, decrease dimmunity with increased periodontal inflammation (including formation of a periapical abscess of a molar tooth) and secondary suppuration of the submandibular lymphnodes, one of which lying jacent to the right internal carotidartery (RICA). This accumulation of symptoms led the patient to seek medical and neuropsychological help. Test ingusing the Beck Depression Inventory (BDI) confirmed depression, with vegetative disorders being the most predominant. Eight months after undergoing COVID-19, the patient suffered a Transient Ischemic Attack (TIA). The accumulation of diseases (diabetes mellitus, stage III hypertension and TIA) had a dramatic impact on the patient's health, including life-threatening conditions.A vascular surgeon consulted the patient advised immediate surgical treatment: carotid endarterectomy. The urgency of the situation was exacerbated by bleeding during the operation from the operated, secondarily inflamed wall of the RICA (lying adjacent to the suppurated submandibular node). This prompted an emergency decision for an endovascular procedure: the implantation of a stent covered with water-proof material (peripheral stent graft). This was made by a direct access via puncture of the common carotid artery (RCCA) below the endarterectomy level (TCAR). The SF-36 questionnaire was chosen to measure health-related quality of life (HRQOL).The SF-36 results are presented in such a way that higher scores correspond to fewer complaints, indicating better health and higher quality of life. Before revascularization, the patient's HRQOL was found to be lower, which was related to the negative impact of long COVID, while after the procedure, the quality of life gradually improved in subsequent surveys. A significant difference was found in physical function, with a mean score of 66.0 (p<0.001) compared to a score of 94.9 (±9.4) for 100 age-matched health subjects. A similar result was found in the physical role (p < 0.001). The patient's overall quality of life score was 331.0 compared to a score of 578.0 (±111.9) for age-matched normal healthy people. Better quality of life in patients with long COVID is an important therapeutic goal that can be achieved through comprehensive, multispecialty treatment for both physical and psychological conditions.

Operational Model for Atmospheric Transport and Deposition of Air Pollution/ Operacyjny Model Atmosferycznego Transportu I Depozycji Zanieczyszczeń

100%

Mazur A., Bartnicki J., Zwoździak J.

issue 3

385-400

An assessment of the current state of natural environment affected by air pollution, as well as, forecasts of pro-ecologic, economic and social activities are very often performed using models for atmospheric transport and deposition of air pollutants. In the present paper, we present an operational dispersion model developed at the Institute of Meteorology and Water Management in Warsaw. The basic assumptions and principles of the model are described together with the operational domain and examples of model applications. Two examples of model application are described and discussed here. The first, application is a simulation of the atmospheric transport and deposition of the radioactive isotopes released into the atmosphere during the Chernobyl Accident in 1998. The second example is related to simulation of atmospheric transport of the tracer released into the air during the ETEX experiment. These two examples and previous applications of the model showed that presented dispersion model is fully operational, not only for long term applications, but especially for emergency situations, like nuclear accidents or volcanic eruptions affecting Polish territory

Do oceny aktualnego stanu środowiska naturalnego w związku z rozprzestrzenianiem się zanieczyszczeń atmosferycznych i do związanego z tym prognozowania proekologicznych działań gospodarczych i społecznych powszechnie stosowane są modele transportu zanieczyszczeń w atmosferze. W niniejszej pracy opisano operacyjny model dyspersji opracowany w Instytucie Meteorologii i Gospodarki Wodnej w Warszawie. Omówiono obszar jego obliczeń, a także przykłady jego zastosowania: symulacja transportu atmosferycznego i depozycji substancji promieniotwórczych uwolnionych podczas awarii w Czarnobylu w 1986 roku. Drugi przykład dotyczył symulacji transportu atmosferycznego substancji pasywnej (tracera) podczas eksperymentu ETEX. Te dwa przykłady i poprzednie zastosowania modelu wykazały, że zaprezentowany model dyspersji jest w pełni funkcjonalny nie tylko do zastosowań długoterminowych, ale przede wszystkim w sytuacjach kryzysowych, takich jak wypadki jądrowe lub erupcje wulkaniczne, które mogą wpływać na stan środowiska na terytorium Polski.

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1 Acta Neuropsychologica

1 Ecological Chemistry and Engineering S

1 2023

1 2014

1 Bartnicki J.

1 Hydzik A.

1 Mazur A.

1 Opławski M.

1 Pąchalska M.

1 Trystuła M.

1 Zwoździak J.

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Quality of life of a patient with persistent complications after SARS-CoV-2 infection requiring urgent surgical intervention – endarterectomy with emergency angioplasty of an inflamed, bleeding Right Internal Carotid Artery (RICA) using the Trans-Carotid Artery Revascularization (TCAR)

Operational Model for Atmospheric Transport and Deposition of Air Pollution/ Operacyjny Model Atmosferycznego Transportu I Depozycji Zanieczyszczeń