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EN
Prenatal cardiologists for councelling, most often are using both terminology and data from pediatric cardiology, which is a population of different age. As there is lack in polish literature data about pulmonary stenosis in prenatal population, we retrospectively evaluated our data from National Registry of Cardiac Problems in Fetuses.
EN
Influenza is an infectious disease of the respiratory system subject to constant monitoring in terms of the number of new cases and deaths. It was observed that the number of new cases of influenza decreased in the Silesian voivodeship in the second half of March 2020, and it was decided to verify whether it is related to the emergence of a new threat, which is the COVID pandemic. In the descriptive model of the study, the trend of influenza morbidity and hospitalization was analyzed, and at the same time the dynamics of the increase in new SARS-CoV-2 infections was presented. Chronological systematization of important administrative activities limiting development of the epidemic was also carried out. It cannot be ruled out that the observed decrease in the incidence and hospitalization due to influenza in the province of Silesia is related to the restrictive regulations on the organization of work and social life taken to minimize the COVID epidemic. Unambiguous conclusions will require in-depth research and a longer observation period.
PL
Grypa jest chorobą zakaźną układu oddechowego podlegającą stałemu monitorowaniu w zakresie liczby nowych zachorowań oraz zgonów. W drugiej połowie marca 2020 r. zaobserwowano spadek liczby zachorowań na grypę w woj. śląskim i postanowiono sprawdzić, czy ma to związek z pojawieniem się nowego zagrożenia, jakim jest pandemia COVID. W modelu badania opisowego dokonano analizy trendu zachorowalności i hospitalizacji z powodu grypy, a jednocześnie przedstawiono dynamikę wzrostu nowych zakażeń wirusem SARS-CoV-2. Dokonano również chronologicznego usystematyzowania ważnych działań administracyjnych ograniczających rozwój epidemii. Nie można wy-kluczyć, że obserwowany spadek zachorowań i hospitalizacji z powodu grypy w woj. śląskim ma związek z restrykcyjnymi przepisami organizacji pracy i życia społecznego podjętymi dla ograniczenia epidemii COVID. Jednoznaczne wnioskowanie będzie wymagało wnikliwych badań i dłuższego okresu obserwacji.
EN
Introduction: A Polish National Major Salivary Gland Benign Tumors Registry (SGR) is a report of benign salivary gland neoplasms (SGNs) from 26 different centres in Poland, introduced in 2014. The aim of this study is to analyze demographic characteristics and clinico-pathological factors of benign SGNs treated in large tertiary institutions and to determine possible correlations between selected variables. Material and method: Analysis of 585 patients recorded in SGR and operated on for SGNs in the Department of Otolaryngology and Laryngological Surgery, University of Medical Sciences, Poznań, Poland, over a 5-year period. Patient age, sex, occupation, place of residence, tumor location, size, histology, recurrence, facial nerve function after surgery, wound healing, surgery procedure, availability of pre-operative imaging examinations, fine-needle aspiration cytology (FNAC) results were analyzed. Results: 338 females and 247 males with a mean age of 53 years were operated on. In total, 96.2% of tumors originated from the parotid and 3.8% from the submandibular gland. The most frequent primary tumor diameter was 2–4 cm (59.5%) followed by <2 cm (29.2%) and >4 cm (8.4%). Tumors of over 4 cm were frequently removed by partial superficial parotidectomy, while those under 2 cm – by extracapsullar dissection (ECD). Pleomorphic adenomas (PA) were predominant (58.8%), followed by Warthin’s tumor (WT) – 37.1%. Patients with WT were on average 13.3 years older than patients with PA. Discussion: This research can be helpful to better understand the clinico-pathological features of SGNs. Long-termin hospital-based analysis is important for subsequent metaanalyses and comparisons with other centers. The reasons why not all patients’ data are reported to the national SGR should be further precisely analyzed.
EN
Introduction: A Polish National Major Salivary Gland Benign Tumors Registry (SGR) is a report of benign salivary gland neoplasms (SGNs) from 26 different centres in Poland, introduced in 2014. The aim of this study is to analyze demographic characteristics and clinico-pathological factors of benign SGNs treated in large tertiary institutions and to determine possible correlations between selected variables. Material and method: Analysis of 585 patients recorded in SGR and operated on for SGNs in the Department of Otolaryngology and Laryngological Surgery, University of Medical Sciences, Poznań, Poland, over a 5-year period. Patient age, sex, occupation, place of residence, tumor location, size, histology, recurrence, facial nerve function after surgery, wound healing, surgery procedure, availability of pre-operative imaging examinations, fine-needle aspiration cytology (FNAC) results were analyzed. Results: 338 females and 247 males with a mean age of 53 years were operated on. In total, 96.2% of tumors originated from the parotid and 3.8% from the submandibular gland. The most frequent primary tumor diameter was 2–4 cm (59.5%) followed by <2 cm (29.2%) and >4 cm (8.4%). Tumors of over 4 cm were frequently removed by partial superficial parotidectomy, while those under 2 cm – by extracapsullar dissection (ECD). Pleomorphic adenomas (PA) were predominant (58.8%), followed by Warthin’s tumor (WT) – 37.1%. Patients with WT were on average 13.3 years older than patients with PA. Discussion: This research can be helpful to better understand the clinico-pathological features of SGNs. Long-termin hospital-based analysis is important for subsequent metaanalyses and comparisons with other centers. The reasons why not all patients’ data are reported to the national SGR should be further precisely analyzed.
EN
Introduction: The aim of the following study was a comparison of the types of the implanted cardiac pacemakers (PM) and the changes which took place in the guidelines for the implantation of the PM being used in 2004 and 2009. Methods: The study was performed based on the data from the Łódzki Rejestr Elektrostymulacji (LRE). Comparison of epidemiological data, PM types and modes and types of the performed procedures in 2004 and 2009 was assessed. Results: The final study included 711 patients (pts): 281pts in 2004 and 430pts in 2009. In 2004 234 new implantations were performed wheras in 2009 – 280. In 2009 the number of reimplantations increased and constituted 34.9% of all the procedures (in 2004 – 16.7%). Atrioventricular blocks (2nd and 3rd degree) were the main indication for the implantation of PM both in 2004 and 2009 (exceeding 40%). In 2009, more than 90% of pts with the BTS were being applied the physiological type of the DDDR stimulation. In chronic Atrial Fibration (AF), both in 2004 and 2009, PM VVI were implanted – in the 2009 group only the PM “rate adaptive” were used. In the 2009 in 6% of pts cardiac resynchronization PM were implanted as the heart failure indication.
PL
Wstęp: Celem pracy było porównanie typu i rodzaju implantowanych stymulatorów serca (PM) oraz zmian jakie dokonały się we wskazaniach do implantacji obowiązujących w roku 2004 i w 2009 roku. Metodyka: Badanie przeprowadzono w oparciu o dane Łódzkiego Rejestru Elektrostymulacji (LRE). Porównywano: dane epidemiologiczne, ilość i rodzaj wykonanych zabiegów, wskazania do implantacji, rodzaj implantowanego PM w roku 2004 (grupa 04) i 2009 (grupa 09). Wyniki: Do analizy włączono 711 pacjentów (pts): 281 pts w grupie 04 i 430 pts w grupie 09. W roku 2004 wykonano 234 implantacji, w roku 2009 - 280. W grupie 09 zwiększyła się ilość reimplantacji - 34,9% wszystkich zabiegów (2004 r. - 16,7%). Blok przedsionkowo-komorowy (p-k) II i III stopnia zarówno w 2004 r. i w 2009 r. był głównym wskazaniem do implantacji PM (ponad 40%). W 2009 r. ponad 90% pts w przebiegu zespołu bradykardia-tachykardia (BTS) miało zastosowany fizjologiczny tryb stymulacji DDDR. W utrwalonym migotaniu przedsionków w roku 2004 jak i 2009 implantowano PM VVI, ale w 2009 roku były to wyłącznie stymulatory „rate adaptive”. W 2009 roku 6% pts miało implantowany stymulator jako metodę leczenia niewydolności serca.
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