Search

Breast cancer is the most common malignancy and the leading cause of death due to cancer in European women. Mammography screening programs aimed to increase the detection of early cancer stages were implemented in numerous European countries. Recent data show a decrease in mortality due to breast cancer in many countries, particularly among young women. At the same time, the number of sentinel node biopsy procedures and breast-conserving surgeries has increased. Intraoperative sentinel lymph node biopsy preceded by lymphoscintigraphy is used in breast cancer patients with no clinical signs of lymph node metastasis. Due to the limited sensitivity and specificity of physical examination in detecting metastatic lesions, developing an appropriate diagnostic algorithm for the preoperative assessment of axillary lymph nodes seems to be a challenge. The importance of ultrasound in patient qualification for sentinel lymph-node biopsy has been discussed in a number of works. Furthermore, different lymphoscintigraphy protocols have been compared in the literature. The usefulness of novel radiopharmaceuticals as well as the methods of image acquisition in sentinel lymph node diagnostics have also been assessed. The aim of this article is to present, basing on current guidelines, literature data as well as our own experience, the diagnostic possibilities of axillary lymph node ultrasound in patient qualification for an appropriate treatment as well as the role of lymphoscintigraphy in sentinel lymph node biopsy.

Shear wave elastography (SWE) is a modern method for the assessment of tissue stiffness. There has been a growing interest in the use of this technique for characterizing thyroid focal lesions, including preoperative diagnostics.

In modern architecture, one of the leading trends are striving to obtain the most economical energy-efficient building. Eco-development focuses on contemporary use, inter alia, the technological and material solutions that meet the conditions in most of the existing laws by using renewable energy sources. These findings apply primarily to new objects. Old, historical already existing superstructure is treated in a manner less demanding adaptation to environmental conditions, mainly on the behaviour of the aesthetic. This can be disadvantageous for these properties due to increased operating costs, and thus the loss of attractiveness. At work, an attempt was made on the basis of the analysis of the literature and documentation shoot made "in situ" possible use of latest technological developments to both the renewal of the historical buildings of the central areas of European cities through the renovation of an existing building or the emergence of subsidiary buildings while preserving the cultural values, aesthetic or symbolic objects, the environment. Analyzed examples show possibilities of adapting new and upgraded properties both to your power requirements, green and to the context of the existing built environment and cultural heritage.

The aim of the study was to analyze the links between climate change and the way modern cities are structured and responded to climate change. How do these changes affect building materials and technologies, or does climate change affect the type of technology and materials used? The most important results are the effects of analysing selected examples of a modern European building, the use of materials and technology, the adaptation of buildings to the changing climate. Selected examples of contemporary architecture from Germany, Italy and Denmark, Norway and Sweden. There are also examples in photographic documentation. The most important criteria affecting the objects are elements that shape the changing climate, as well as existing legal and technical requirements. The main conclusion was that modern urban space is adapted to the changing climate. Unprecedented climatic phenomena in this area: intense and sudden rain, snow, floods, strong winds, abundant sunshine, high temperature changes, greenhouse effect of the city - "island heat", atmospheric pollution. Building materials and technologies contribute to the optimal conservation of natural resources, buildings are shaped in such a way as to ensure safety, resilience and environmental protection. However, there is still a need for continuous monitoring of climate change, criteria affecting the design and construction of urban and central facilities. Key words: energy efficiency, renewable energy, climate change, contemporary architecture.