Emphasis on future environmental changes grows due to climate change,with simulations predicting rising river temperatures globally.For Poland,which has a long history of thermal studies of rivers,such an approach has...Emphasis on future environmental changes grows due to climate change,with simulations predicting rising river temperatures globally.For Poland,which has a long history of thermal studies of rivers,such an approach has not been implemented to date.This study used 9 Global Climate Models and tested three machine-learning techniques to predict river temperature changes.Random Forest performed best,with R^(2)=0.88 and lowest error(RMSE:2.25,MAE:1.72).The range of future water temperature changes by the end of the 21st century was based on the Shared Socioeconomic Pathway scenarios SSP2-4.5 and SSP5-8.5.It was determined that by the end of the 21st century,the average temperature will increase by 2.1°C(SSP2-4.5)and 3.7°C(SSP5-8.5).A more detailed analysis,divided by two major basins Vistula and Odra,covered about 90%of Poland's territory.The average temperature increase,according to scenarios SSP2-4.5 and SSP5-8.5 for the Odra basin rivers,is 1.6°C and 3.2°C and for the Vistula basin rivers 2.3°C and 3.8°C,respectively.The Vistula basin's higher warming is due to less groundwater input and continental climate influence.These findings provide a crucial basis for water management to mitigate warming effects in Poland.展开更多
Poland syndrome(PS)is a rare congenital condition characterized by unilateral absence or underdevelopment of the pectoralis major muscle,frequently accompanied by breast and chest wall anomalies.We report the case of ...Poland syndrome(PS)is a rare congenital condition characterized by unilateral absence or underdevelopment of the pectoralis major muscle,frequently accompanied by breast and chest wall anomalies.We report the case of an 18-year-old Chinese female diagnosed with PS complicated by contralateral macromastia who presented with significant breast asymmetry.Magnetic resonance imaging revealed a left breast volume of 618.90 mL and a right breast volume of 1137.04 mL.The patient underwent a staged reconstruction that included a right breast reduction mammaplasty and three sessions of autologous fat grafting to the left breast.Postoperative imaging 3 months after the final procedure confirmed near symmetry,with volumes measuring 831.37 mL(left)and 841.07 mL(right).The clinical follow-up demonstrated stable results and no complications.This case underscores the importance of individualized surgical planning,precise volumetric assessment,and the role of fat grafting in achieving satisfactory aesthetic outcomes in patients with PS and complex breast deformities.展开更多
One reference in the original manuscript contained incorrect bibliographic information and cited a non-existent publication:Traczyk A(1999)Pleistocene debris cover beds and block-debris tongues in the north-western pa...One reference in the original manuscript contained incorrect bibliographic information and cited a non-existent publication:Traczyk A(1999)Pleistocene debris cover beds and block-debris tongues in the north-western part of theŚlęża Massif(Poland)and their formation under permafrost conditions.Geographia Polonica 81(1).This erroneous reference has now been removed from the references list.展开更多
Summary: Poland syndrome is a rare congenital anomaly characterized by the partial or complete absence of the pectoralis major muscle and a wide spectrum of thoracic anomalies, predominantly on the ipsilateral side. T...Summary: Poland syndrome is a rare congenital anomaly characterized by the partial or complete absence of the pectoralis major muscle and a wide spectrum of thoracic anomalies, predominantly on the ipsilateral side. These anomalies include hypoplasia or aplasia of the breast and its components, hypotrophy of subcutaneous fat, and absence of axillary hair, as well as hand deformities that can range from syndactyly to ectrodactyly. The aim of this study was to gather information about patients diagnosed with Poland syndrome at the Central South High Specialty Hospital of Petróleos Mexicanos over a period of 10 years and to identify their reconstructive algorithm. Materials and Methods: A retrospective, observational, and descriptive study was conducted to identify the population diagnosed with Poland syndrome at the “Central South High Specialty Hospital of Petróleos Mexicanos” during the period from 2013 to 2023. Results: The database of patients with Poland syndrome from 2013 to 2023 was analyzed, identifying a total of 8 patients with this diagnosis. Of these, 7 were women (90%) and 1 was a man (10%). The left side was more frequently affected (80%) compared to the right side (20%). The average reconstructive process required two surgical stages, mainly consisting of breast expander reconstruction (first stage) and replacement of the expander with an implant (second stage). Conclusions: Despite being a rare congenital condition, the volume of patients treated at the Central South High Specialty Hospital allows for improved diagnosis and contributes to their reconstructive process. The lack of diagnosis in the male population is notable, likely due to the absence of adequate screening.展开更多
文摘Emphasis on future environmental changes grows due to climate change,with simulations predicting rising river temperatures globally.For Poland,which has a long history of thermal studies of rivers,such an approach has not been implemented to date.This study used 9 Global Climate Models and tested three machine-learning techniques to predict river temperature changes.Random Forest performed best,with R^(2)=0.88 and lowest error(RMSE:2.25,MAE:1.72).The range of future water temperature changes by the end of the 21st century was based on the Shared Socioeconomic Pathway scenarios SSP2-4.5 and SSP5-8.5.It was determined that by the end of the 21st century,the average temperature will increase by 2.1°C(SSP2-4.5)and 3.7°C(SSP5-8.5).A more detailed analysis,divided by two major basins Vistula and Odra,covered about 90%of Poland's territory.The average temperature increase,according to scenarios SSP2-4.5 and SSP5-8.5 for the Odra basin rivers,is 1.6°C and 3.2°C and for the Vistula basin rivers 2.3°C and 3.8°C,respectively.The Vistula basin's higher warming is due to less groundwater input and continental climate influence.These findings provide a crucial basis for water management to mitigate warming effects in Poland.
文摘Poland syndrome(PS)is a rare congenital condition characterized by unilateral absence or underdevelopment of the pectoralis major muscle,frequently accompanied by breast and chest wall anomalies.We report the case of an 18-year-old Chinese female diagnosed with PS complicated by contralateral macromastia who presented with significant breast asymmetry.Magnetic resonance imaging revealed a left breast volume of 618.90 mL and a right breast volume of 1137.04 mL.The patient underwent a staged reconstruction that included a right breast reduction mammaplasty and three sessions of autologous fat grafting to the left breast.Postoperative imaging 3 months after the final procedure confirmed near symmetry,with volumes measuring 831.37 mL(left)and 841.07 mL(right).The clinical follow-up demonstrated stable results and no complications.This case underscores the importance of individualized surgical planning,precise volumetric assessment,and the role of fat grafting in achieving satisfactory aesthetic outcomes in patients with PS and complex breast deformities.
文摘One reference in the original manuscript contained incorrect bibliographic information and cited a non-existent publication:Traczyk A(1999)Pleistocene debris cover beds and block-debris tongues in the north-western part of theŚlęża Massif(Poland)and their formation under permafrost conditions.Geographia Polonica 81(1).This erroneous reference has now been removed from the references list.
文摘Summary: Poland syndrome is a rare congenital anomaly characterized by the partial or complete absence of the pectoralis major muscle and a wide spectrum of thoracic anomalies, predominantly on the ipsilateral side. These anomalies include hypoplasia or aplasia of the breast and its components, hypotrophy of subcutaneous fat, and absence of axillary hair, as well as hand deformities that can range from syndactyly to ectrodactyly. The aim of this study was to gather information about patients diagnosed with Poland syndrome at the Central South High Specialty Hospital of Petróleos Mexicanos over a period of 10 years and to identify their reconstructive algorithm. Materials and Methods: A retrospective, observational, and descriptive study was conducted to identify the population diagnosed with Poland syndrome at the “Central South High Specialty Hospital of Petróleos Mexicanos” during the period from 2013 to 2023. Results: The database of patients with Poland syndrome from 2013 to 2023 was analyzed, identifying a total of 8 patients with this diagnosis. Of these, 7 were women (90%) and 1 was a man (10%). The left side was more frequently affected (80%) compared to the right side (20%). The average reconstructive process required two surgical stages, mainly consisting of breast expander reconstruction (first stage) and replacement of the expander with an implant (second stage). Conclusions: Despite being a rare congenital condition, the volume of patients treated at the Central South High Specialty Hospital allows for improved diagnosis and contributes to their reconstructive process. The lack of diagnosis in the male population is notable, likely due to the absence of adequate screening.