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Anna Majchrzak and Wojciech Nowak

Abstract

Adsorption is considered as one of the most promising technologies for CCS. Gas adsorption involves the separation of gaseous components from flue gas using solid adsorbents. The gaseous component, adsorbate, is adsorbed from the gas phase on a solid material. Regarding CO2adsorption, it is important to consider the parameters, that is the high sorption capacity, CO2selectivity, regeneration and stability in multiple cycles. New directions for the development of adsorbents are focused on increasing their capacity - for this purpose, amine impregnation is carried out. This paper presents a new approach to obtaining mesoporous material from fly ash and, based on this, a new physico-chemical adsorbent obtained by impregnation. The effectiveness of the process was confirmed by thermogravimetric analysis and FTIR infrared spectroscopy.

Open access

Anna Witt-Majchrzak, Piotr Żelazny and Jadwiga Snarska

Abstract

Hospital infections, and in particular infections of the surgical site are a common problem of the procedural departments. Due to continuous progress of surgical techniques and patient population getting older with multiple co-morbidities, multidirectional actions need to be taken to avoid these infections or, if they do occur, achieve optimal treatment outcomes. Vacuum wound therapy is one of the directions that has been developed over the recent years.

The aim of the study evaluate wound healing in patients after an off-pump coronary artery bypass grafting procedure, using the internal mammary artery, treated with negative pressure wound therapy system.

Material and methods. This prospective, open label study evaluated healing of postoperative sternotomy wounds after their primary closure with negative pressure wound therapy, using continuous negative pressure of -80 mmHg in 40 patients and 40 patients in a control group in whom conventional dressings were applied in the postoperative period.

Results. The number of patients in whom primary wound healing occurred without complications was significantly higher in the negative pressure wound therapy group versus the control group (x2 test =4.50, p=0.0339) and the number of total superficial infections was significantly smaller versus the control group (x2 test =5; p=0.0254). Antibiotic therapy was also initiated significantly less often as compared to the group treated with conventional dressings (x2 test = 4.11; p=0.0425).

Conclusions. Negative pressure wound therapy after primary wound closure reduces the risk of superficial infections in the population with multiple risk factors of complications in the sternotomy wound healing.

Open access

Ewa Majchrzak, Bartosz Szybiak, Anna Wegner, Piotr Pienkowski, Jakub Pazdrowski, Lukasz Luczewski, Marcin Sowka, Pawel Golusinski, Julian Malicki and Wojciech Golusinski

Abstract

Background. Head and neck squamous cell carcinoma (HNSCC) is a disease of middle-aged to elderly adults. However, an increased incidence of HNSCC in young people under 45 years of age has been reported recently. In the present review, we focused on the epidemiology and aetiology of HNSCC in adults under 45 years of age.

Methods. We reviewed literature related to HNSCC in adult patients less than 45 years of age and discussed current treatment options and prognosis.

Results. HNSCC in young adults is associated with a higher incidence rate in nonsmokers, lower female-to-male ratio, a higher percentage of oral cavity and oropharynx tumours, and fewer second primary tumours. However, aside from traditional risk factors of tobacco and alcohol exposure, the causes of these cancers in young adults remain unclear. Agents that might contribute to risk include infection with high-risk human papillomavirus subtypes as well as genetic factors or immunodeficiency status. The expected increase in incidence and mortality of the young with HNSCC may become a major public health concern if current trends persist, particularly lifestyle habits that may contribute to this disease.

Conclusions. Given the younger age and potential long-term adverse sequelae of traditional HNSCC treatments, young adults should be treated on a case-by-case basis and post-therapy quality of life must be considered in any treatment-decision making process.