Wśród Krajów Północy
Piotr Urbański, Maciej Włodarski and Józef Wróbel
Anna Wróbel, Józef Mosiej and Martin Weih
Land availability analysis and social attitude aspects in relation to implementation and development of short' rotation forestry systems in Poland
After observations of European development of renewable sources, and according to protocols and directives, set by both European and Polish policy makers, there is a need to find methods to support the future development of Short Rotation Forestry (SRF) using fast-growing trees on agricultural land, and to overcome potential problems. In this paper society attitudes towards future developing options for SRF energy plantations in Poland were investigated. In the investigation, two kinds of questionnaires were presented to various representatives of branches that have a potential interest in the subject. Individual representatives for the groups of industrial and municipal representatives, farmers, researchers and academic teachers, etc. were pooled. The results showed that main difficulties may arise from farmer attitudes towards nontraditional crops. This group of people showed great suspiciousness towards new crops, an attitude, which might be explained in part by the fact that the average level of knowledge concerning SRF energy plantations was low. Another factor that may strongly influence the introduction of SRF plantation is the land availability and suitability. Concerning the relatively large arable lands in Poland in comparison to other European countries the land availability potential has been investigated. On the base of two factors projecting the mentioned aspects of land, the analysis has been performed to figure out regions in Poland with the highest short rotation forestry potential.
Bartłomiej Noszczyk, Joanna Jutkiewicz, Józef Jethon, Mirosław Wróbel and Piotr Szopiński
Results of Surgical and Postoperative Treatment of Syndactyly in Epidermolysis Bullosa
Use of small autologous skin grafts or leaving the defects and waiting for their spontaneous reepidermization are one of the methods of wound management after surgical treatment of hand contractures in Epidermolysis bullosa. This techniques are believed to allow quick wound healing, however this does not seem universally possible.
The aim of the study was to assess healing rate and incidence of early recurrence after using of both techniques.
Material and methods. Eleven operations of hand contracture were performed, including two recurrent cases after previous surgeries. Skin grafts were used in eight cases. Kirshner wires were not used and the fingers were stabilized in an extended position only with a supportive dressing. In the early postoperative period, dressings were made in the operation room and patients were admitted for 24-hour hospitalizations no more than once a week.
Results. Complete healing before day 35 was achieved only in five cases. In the remaining cases, dressings in the operating room were abandoned between day 35 and 40 and the patients were referred to further treatment in the outpatient setting. Outpatient dressings were done without anesthesia which in the event of unhealed spaces between the fingers, seemed to impair their separation and facilitate early recurrences of syndactyly. Two cases of early recurrence (18%), during the first year after the operation, were noted in one patient
Conclusions. Our results indicate that the postoperative wound healing does not depend on the use of skin grafts and can be much longer than some previous studies suggested. This shortens the period of full efficiency between the recurrences. Clinical observations also indicate that this affects the risk of early recurrences. Despite that, their number is similar to the value considered good in the literature.
Piotr Papaj, Sławomir Kozieł, Przemysław Śleziński, Katarzyna Dobija-Kubica and Józef Wróbel
We report a case of patient with stage IIIb gastric cancer qualified for laparoscopy - assisted gastrectomy and our first impressions about this procedure. Total gastrectomy with complete omentectomy and extended lymphadenectomy (D2) was performed laparoscopically. The intestinal continuity was restored in a Roux-en-Y mode extracorporeally through the abdominal access system. The orogastric tube with anvil of the circular stapler was transorally introduced into the esophagus. Subsequently, intracorporeal stapling esophagojejunostomy was performed. There were no complications after the operation and the patient was discharged in good shape. Oncological radicality was sufficient and patient has undergone chemotherapy treatment.
Sławomir Kozieł, Piotr Papaj, Katarzyna Dobija-Kubica, Przemysław Śleziński and Józef Wróbel
Cholelithiasis is diagnosed in 10% of the population of the USA and Western Europe. A rare but serious complication of cholelithiasis is the obstruction of the digestive tract caused by a gall-stone (Bernard syndrome). It can add up to 1-4% of the mechanical obstructions of a small intestine among the general population but it can result in nonstriangulational mechanical obstructions of a small intestine in 25% cases among the patients over the age of 65.
5 patients have undergone an operation due to a small intestine gall-stone ileus in years 2011-2013 (within 27 months) in the General Surgery Ward of the Beskid Oncology Center - Municipal Hospital. In 4 patients simple enterotomy with a gall-stone extraction was performed. In the fifth patient enterolitotomy was conducted together with cholecystectomy and fistulotomy.