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Łukasz Pietrzykowski,1,* Agata Kosobucka-Ozdoba,1,* Piotr Michalski,1 Michał Kasprzak,2 Jakub Ratajczak,1 Alicja Rzepka-Cholasińska,1 Joanna Siódmiak,3 Klaudyna Grzelakowska,2 Aldona Kubica1 1Department of Cardiac Rehabilitation and Health Promotion, Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, Poland; 2Department of Cardiology and Internal Medicine, Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, Poland; 3Department of Laboratory Medicine, Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, Poland*These authors contributed equally to this workCorrespondence: Łukasz Pietrzykowski, Department of Cardiac Rehabilitation and Health Promotion, Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, Ul. M. Skłodowskiej Curie 9, Bydgoszcz, 85-094, Poland, Tel +48525855835, Email lukasz.pietrzykowski@cm.umk.plBackground: Anxiety and depression by affecting lifestyle interfere with preventive actions aimed at eliminating or reducing modifiable risk factors for cardiovascular diseases (CVD).Purpose: The objective of the study was to assess the impact of anxiety and depression on the achievement of therapeutic goals regarding CVD risk factors in patients without a history of atherosclerotic CVD.Patients and Methods: The study included 200 patients (median age 52.0 [IQR 43.0– 60.5] years). Control of the basic risk factors was assessed: blood pressure, BMI, waist circumference, physical activity, smoking status, LDL cholesterol, triglycerides, and blood glucose. The data analysis included a comparison of the number of controlled risk factors and the percentage of subjects who achieved the therapeutic goal for each of the cardiovascular risk factors. The risk of CVD was assessed with SCORE2 and SCORE2-OP. Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale (HADS). On both subscales (HADS Anxiety and HADS Depression), subjects could achieve normal, borderline, and abnormal scores.Results: The median number of controlled CVD risk factors was 4.0 (IQR 3.0– 5.0), and the median CVD risk assessed with SCORE2 and SCORE2-OP was 3.0% (IQR 1.5– 7.0%). Median scores for HADS Anxiety were 3.0 (IQR 2.0– 6.0) and for HADS Depression 3.0 (1.0– 5.0). Patients with symptoms of anxiety and depression had significantly fewer controlled risk factors (HADS Anxiety p=0.0014; HADS Depression p=0.0304). Among subjects with anxiety and depression, there was a significantly lower percentage of those with a normal waist circumference (HADS Anxiety p=0.0464; HADS Depression p=0.0200) and regular physical activity (HADS Anxiety p=0.0431; HADS Depression p=0.0055). Among subjects with anxiety, there was a significantly lower percentage of those with a normal BMI (p=0.0218) and normal triglyceride concentrations (p=0.0278).Conclusion: The presence of anxiety and depression may affect the control of CVD risk factors in individuals without a history of atherosclerotic CVD. Assessment of anxiety and depression symptoms should be part of a comprehensive examination of patients with high CVD risk.Keywords: anxiety, depression, cardiovascular diseases, risk factors

Taras Hladun,1 Jakub Ratajczak,1 Maciej Salagierski2 1Urology Department, Regional Specialized Hospital in Nowa Sól, Nowa Sól, 67-100, Poland; 2Department of Urology, Collegium Medicum, University of Zielona Góra, Zielona Góra, 65-046, PolandCorrespondence: Maciej SalagierskiDepartment of Urology, Collegium Medicum, University of Zielona Góra, Zyty 26, Zielona Góra, 65-046, PolandTel +48 504 174 253Email m.salagierski@cm.uz.zgora.plAbstract: This report presents the case of a rare and aggressive cancer originating from the urachus in a 73-year-old female. After 12 years of observation due to a cystic lesion in the bladder dome, the patient rapidly developed haematuria and mucinuria. The use of multiple diagnostic measures suggested urachal malignancy. Partial cystectomy and urachal excision along with pelvic lymphadenectomy were performed. Urachal adenocarcinoma with negative surgical margins and lymph nodes was reported in pathology. Follow-up after 12 months did not reveal any cancer relapse. Epidemiological, clinical and therapeutic features of this disease are also discussed.Keywords: urachus, adenocarcinoma, haematuria, mucinuria, cystectomy

The paper is based on the activities of the Maritime Search and Rescue Service units in Poland. The information and data contained in the article were obtained through an interview with the rescuers of the Maritime Rescue Coordination Centre in Gdynia. The analysis aims to illustrate the impact of the activities of SAR units in the structures of maritime transport security systems in the Polish SAR zone of responsibility. In addition, the organizational structures and equipment of the rescue units were neatly described. The results of the analysed accidents at sea in terms of presenting similar events in the future are also included in this paper. [ABSTRACT FROM AUTHOR]