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Tests were performed on example tools applied in hot die forging processes. After withdrawal from service due to excessive wear, these tools can be regenerated for re-use through machining and hardfacing. First, analysis of worn tools was carried out for the purpose of identifying tool working conditions and wear mechanisms occurring in the surface layer of tools during forging. Testing of worn tools included observations under a microscope, surface scanning and microhardness measurement in the surface layer. The results indicate very diverse work conditions, which suggest the application of different materials and hardfacing tool regeneration technology in individual die forging processes. [ABSTRACT FROM AUTHOR]

Background: Peripheral artery disease (PAD) and chronic obstructive pulmonary disease (COPD) are inflammatory diseases. These two entities often co-exist, but little is known about the prevalence of this phenomenon in patients with PAD. The objectives of this prospective cross-sectional study were to determine the prevalence of COPD in patients with PAD and to assess the frequency of COPD underdiagnosis in this group of patients. Patients and methods: Consecutive patients admitted to angiology department were evaluated. Measurements of ankle-brachial and toe-brachial index as well as peripheral arteriography were performed in all participants to confirm PAD. In tobacco smokers with PAD spirometry was performed to identified patients with COPD. Clinical information was obtained from the patients on the basis of questionnaires. Results: Eighty-eight out of 300 consecutive patients were included and assessed. COPD was diagnosed in 33 (37.5%) hospitalized smokers with PAD. COPD has not previously been diagnosed in 28 (84.8%) patients who met the criteria of the disease. Conclusions: There was high prevalence of COPD among tobacco smokers hospitalized in the angiology department. Most of them had never had spirometry performed before. The underdiagnosis rate is relatively high; therefore, all patients with PAD who smoke tobacco should have a spirometry performed, as a screening for COPD.

Background and Objectives : Obesity is associated with numerous co-morbidities, including dyslipidemia, insulin resistance and diabetes mellitus. Bariatric surgery is the mainstay of treatment for obesity as the only method with confirmed long-term effects in weight reduction and the remission of comorbidities. Postoperative recommendations leading to changes in dietary habits and changes in digestion and absorption in the gastrointestinal tract after bariatric surgery may additionally influence the levels of laboratory parameters that reflect the metabolic and nutritional status. The purpose of the study was to analyze the possible influence of changes in dietary habits after bariatric surgery on those laboratory results that reflect the metabolic and nutritional status. Materials and Methods: This was a retrospective study of 88 patients with a history of bariatric surgery. Data were gathered from before the surgery and at 6 months after the surgery and included diet structure and selected laboratory parameters reflecting the metabolic and nutritional status, i.e., levels of fasting glucose, glycated hemoglobin, cholesterol, low- and high-density lipoproteins, triglycerides, alanine and aspartate aminotransferases, proteins, ferrum, ferritin, vitamin B12, folic acid, vitamin D and calcium, the red blood cell count and the hematocrit. Results : Postoperative festive glucose levels were reduced by 14% and were more significant in patients after Roux-en-Y gastric bypass. There was an increase of 22% in concentrations of high-density lipoproteins. Triglyceride concentrations were reduced by 32%. Aminotransferase levels decreased by 43% for alanine aminotransferase and by 14% for aspartate aminotransferase. Among the changes in dietary habits, post-bariatric patients had a reduced consumption of red meat and an increased consumption of fish, milk and dairy products and wholegrain products. Vitamin D and ferrum levels were higher after the surgery, whereas vitamin B12 and folic acid levels remained unchanged. Conclusions : Improved dietary habits of patients after bariatric surgery may lead to changes in laboratory parameters that reflect the ameliorated metabolic and nutritional status of patients after bariatric surgery.

Insulinoma is the most common functional neuroendocrine tumor of the pancreas, with the main clinical symptom being hypoglycemia. The standard treatment is surgery, but some patients are not eligible for surgery, while in those operated on, the risk of perioperative complications is up to 30%. Diazoxide treatment to prevent hypoglycemia is effective only in 50% of patients. To prevent tumor growth and hormonal excess, stereotactic radiotherapy may be an alternative to surgical treatment. In our paper, we present two cases of patients with insulinoma treated successfully with stereotactic body radiation therapy (SBRT).

Background: Research on the longer-term sequelae of COVID-19 in patients with asthma is limited., Objective: To assess the frequency and severity of long-term symptoms of COVID-19 in the population of asthma patients., Methods: A systematic review of the published literature was conducted in accordance with the recommendations of the PRISMA statement. EMBASE, MEDLINE/PubMed, Web of Science, CINAHL, and Scopus Scholar were searched for terms related to asthma and post or long COVID-19, and for systematic reviews related to specific questions within our review, up to June 2022., Results: Data from 9 references publications included in the review were extracted. A total of 1466 adult asthmatic patients with COVID-19 infection were described in all the publications mentioned above. Of the long-term symptoms reported after COVID-19, patients indicated: lower respiratory symptoms, fatigue, cognitive symptoms, psychological problems, and other such as skin rashes, gastrointestinal disorders, tachycardia, palpitations, ocular disorders, ageusia/hypogeusia, anosmia/hyposmia, and poor sleep quality. These symptoms in similar intensity were observed in the comparison groups without a diagnosis of asthma., Conclusions: The published data neither confirm nor deny that long-term COVID-19 symptoms in patients with asthma diagnosis are different in strength and frequency from patients without asthma diagnosis. To indicate associations between asthma and COVID-19 infection and severity, as well as the frequency of long-term symptoms of COVID-19, more longitudinal research is needed in chronic asthma patients with different phenotypes, intensity of treatment, and degree of asthma control.

Introduction: The treatment of Hymenoptera venom allergy (HVA) is based among others on the proper identification of the culprit insect., Aim: To assess the accuracy in identifying stinging insects by children with HVA and their parents., Material and Methods: Participants were recruited from a paediatric medical centre. The data on their demographics, sting history and ability of insect identification (based on pictures) were obtained using a questionnaire. The study sample consisted of 102 children with HVA and their parents as well as 98 children without HVA and their parents., Results: The rates of subjects correctly identifying insects in the groups were 91.2%, 92.5%, 78.8%, 82.4%, respectively. When compared to children with HVA, those without HVA were less likely to correctly identify the bee, bumblebee and hoverfly. In this group, the correct identification of the wasp was more common among children living in the countryside. The correct identification of the bee and bumblebee by children without HVA was more common among children living in the city., Conclusions: Some children with HVA and their parents cannot correctly identify stinging insects despite previous life-threatening allergic reactions. The ability to identify stinging insects may depend on the HVA diagnosis and place of residence., Competing Interests: The authors declare no conflict of interest., (Copyright: © 2023 Termedia Sp. z o. o.)

No previous study analyzed the effect of caffeinated chewing gum on volleyball-specific skills and physical performance in volleyball players. Twelve volleyball players participated ina randomized, crossover, and double-blind experiment after ingestion of (a) ~3.2 ± 0.4 mg/kg of body mass (BM) of caffeine via chewing gum or (b) non-caffeinated chewing gum (placebo) and performed: (a) a countermovement jump, (b) a squat jump, (c), an attack jump, (d) a block jump, (e) 5 and 10 m sprints, (f) a modified agility t -test, (g) an attack and service speed test, and (h) a spike and serve accuracy test. Compared to the placebo, the caffeine chewing gum supplementation significantly improved the accuracy of the attack (15 ± 4 vs. 18 ± 3 points, p = 0.02). However, the ingestion of caffeinated chewing gum had no effect on the remaining other performance tests ( p from 0.12 to 1.00). A caffeine-containing chewing gum with a dose of ~3 mg/kg BM effectively improved the attack's accuracy in volleyball players. However, this effect was not observed in better results in jumping, running, and other skill-based volleyball tests.

To date, no investigation has studied the effect of acute intake of caffeinated chewing gum on volleyball performance. Therefore, the aim of this investigation was to establish the impact of caffeinated chewing gum ingestion on physical performance in female volleyball players. Twelve high-performance volleyball female athletes participated in a randomized, crossover, placebo-controlled, and double-blind experiment. Each athlete performed two identical experimental sessions after a) ingestion of ~6.4 mg/kg of caffeine via caffeinated chewing gum, b) ingestion of non-caffeinated chewing gum as a placebo. After the ingestion of gum, athletes performed a volleyball game, and performance was assessed by a notational analysis. Just before and after the game, jump performance during block and attack actions was evaluated. The number of points obtained and the number of errors committed during serve, reception, attacking, and blocking actions were unaffected by the ingestion of caffeinated chewing gum (p from 0.066 to 0.890). However, caffeinated chewing gum increased jump attack height in comparison to the placebo (pre-game 46.0 ± 7.2 vs. 47.2 ± 6.7 cm, p = 0.032; post-game 46.3 ± 7.6 vs. 47.5 ± 6.9 cm, p = 0.022, respectively). Caffeinated chewing gum did not modify block jump height (pre-game 32.7 ± 5.5 and 33.0 ± 4.3 cm, p = 0.829; post-game: 34.8 ± 6.1, 35.4 ± 6.1 cm, p = 0.993, respectively). The ingestion of ~6.4 mg/kg of caffeine via caffeinated chewing gum was effective for improving jump attack performance in women volleyball athletes. However, this effect was not translated into better volleyball performance during a game., (© 2022 Aleksandra Filip-Stachnik, Magdalena Kaszuba, Bartlomiej Dorozynski, Zuzanna Komarek, Dawid Gawel, Juan Del Coso, Tomasz Klocek, Michal Spieszny, Michal Krzysztofik, published by Sciendo.)