Introduction. Air pollution is one of the most important issues of our times. Air quality assessment is based on the measurement of the concentration of substances formed during the combustion process and micro-particles suspended in the air in the form of an aerosol. Microscopic atmospheric particulate matters (PM) 2.5 and 10 are mixtures of organic and inorganic pollutants smaller than 2.5 and 10 µm, respectively. They are the main cause of negative phenomena in the earth's atmosphere of Earth and human health, especially on the respiratory and cardiovascular systems. Particulates have the ability to cause permanent mutations of tissue, leading to neoplasms and even premature deaths. Nitrogen dioxide (NO2) is one of the main pollutants which arises mainly during the burning of fossil fuels. Based on numerous scientific researches, it has been proved that long-term exposure to NO2 could increase morbidity of cancer due to inflammatory processes increasing abnormal mutations. Materials and method. Data available in the Polish National Cancer Registry, Chief Inspectorate for Environmental Protection and Map of Health Needs in the Field of Oncology for Poland, WHO Air Quality Guidelines 2005 were analyzed. Air pollution was also evaluated: PM2.5, PM10, NO2, and compared with lung cancer morbidity. Results and conclusions. Based on the available data and literature, it can be concluded that in 2009-2017, on average, each Pole smoked ten cigarettes a day +/-2. Therefore, it can be estimated that after 60 years everyone had 30 package-years of smoking, leading to a high risk of lung cancer and other smoking related diseases. Additionally air quality in Poland is not satisfactory, exceeding the standards presented in the WHO Guidelines 2005. It can be assumed that this may translate into an additional, independent continuous increase in morbidity and mortality dependent on smoking.
Introduction. Alcohol, together with drug use such as marijuana, is a major health concern that may influence the life of both doctors and medicine students. It is therefore important to investigate their habits associated with those hazardous behaviors.Material and methods. A voluntary survey containing 12 questions regarding their drinking habits and marijuana use was sent to law and medicine students from two cities in Poland, Poznan and Lublin. 814 responses were collected and the results were compiled using STATISTICA 10 program.Results. Mean age of alcohol initiation was revealed to be very similar in all groups at below 16 years of age. Although majority of students drink less than once a week (41% male and 65.7% female), men were found to use alcohol much more frequently and in higher quantities than female students. Half of future doctors would stop at the lowest stage on a proposed alcohol intoxication scale, while 11.6% would venture to the highest, third one. Those values for law students were 36.2% and 26%, respectively. 70% of men and 52.9% of women have tried marijuana. Majority of them smoke less than once a month, but almost a quarter of law students and 15% of medicine students do it at least once a month.Conclusions. More emphasis should be put on educating future doctors and general public about dangers associated with hazardous drinking and cannabis use. Prevention of such behaviors should be conducted at an age as young as possible.
A flail chest is one of the possible medical conditions suffered by individuals who were injured in traffic accidents, caused by multiple fractures of the ribs and sternum. Which often results in paradoxical chest movements. The consequence may be respiratory failure and need for long-term mechanical ventilation. Such treatment require Intensive Care Unit and may be associated with the possibility of numerous complications.Modified Nuss procedure was performed in 79-year-old man, a victim of a car crash to obtain stabilization of the flail chest. After compensation of paradoxical movements on the third day it was possible to end mechanical ventilation. A quick procedure dedicated to the congenital deformation of the chest made it possible to avoid long, expensive intensive therapy with possible respiratory complications.The NUSS procedure enables the effective and safe treatment of a flail chest in a selected group of patients.
Air purity is one of the factors affecting human health. Over the years, numerous scientific reports have provided us with evidence of the effects of air pollution on health. Along with the increase in pollution, the risk of respiratory and circulatory diseases in particular increases. The main pollutants are Airborne particulate matters (PM) which, depending on the size, vary between 2.5 and 10. Their presence is mainly related to the burning of fossil fuels. Another significant air pollutant is NO2, mainly related to road transport. It is believed that the long term exposure to NO2 could increase inflammation. The negative effect of air pollution is also associated with an increased frequency of strokes, exacerbations of mental illnesses and also with diseases of the digestive system. We analyzed the data available in the Polish National Cancer Registry (PNCR), Chief Inspectorate for Environmental Protection and Air Quality Guidelines, We checked air pollution by the means of PM2.5 , PM10 and NO2 and thanks to mathematical equation delivered by Saskia C. van der Zee converted them into number of passively smoked cigarettes. Above data we compared to lung cancer morbidity in Świętokrzyskie Region. Based on the latest published data, we can infer that in 2010-2018 each citizen of Świętokrzyskie Region smoked average 9,8 cigarettes a day +/- 2,3. The incidence of lung cancer is more or less the same number with a slight upward trend. After 61 years everyone in the exanimated region had 30 package-years of passive smoking and high risk of lung cancer. Air quality in Poland is not rewarding, exceeding WHO Guidelines 2005 recommendations translates into an increased risk of respiratory and cardiovascular diseases.
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