Maciej Ornat

Evaluation of depression in patients with alzheimer's disease according to the location of medical care

&NA; The objective of the study was to assess the severity of depression and to assess the level of self‐sufficiency of patients with Alzheimers disease, with particular emphasis on the place of residence and level of education. The study covered 90 people diagnosed with Alzheimers disease. All respondents were persons over 65 years of age and residents of cities with a population over one‐hundred thousand. The research method based on this work is the authors own questionnaire, the Zung Self‐Rating Depression Scale (ZSDS) about depression and the Karnofsky Performance Scale Index (KPSI) for assessment of a patients self‐sufficiency. Regardless of residence, patients with Alzheimers disease displayed signs of mild or moderate depression (100% in social welfare homes and hospital patients and 60% in those with caregivers at home). Patients with Alzheimers disease have an unsatisfactory salary in social‐economic terms. In those with Alzheimers disease, quality of life is best for those in family homes under the care of their immediate family. People with a vocational education were the largest group of people diagnosed with Alzheimers. Patients at home and in the hospital had a higher level of physical activity, but most patients in the hospital needed regular medical care, as did patients in social welfare homes. HighlightsWe assessed the severity of depression in patients with Alzheimers disease (AD).A particular indicators were the place of residence and level of education.AD patients displayed signs of mild or moderate depression.AD patients who were under family care showed the best quality of life.People with a vocational education were the largest group of AD patients.

Metachronous Lung Cancer: Clinical Characteristics and Effects of Surgical Treatment

The occurrence of a second lung tumor after surgical removal of lung cancer usually indicates a lung cancer metastasis, but sometimes a new lesion proves to be a new primary lung cancer, i.e., metachronous lung cancer. The goal of the present study was to conduct a clinical evaluation of patients with metachronous lung cancer and lung cancer metastasis, and to compare the early and distant outcomes of surgical treatment in both cancer types. There were 26 age-matched patients with lung cancer metastases and 23 patients with metachronous lung cancers, who underwent a second lung cancer resection. We evaluated the histological type of a resected cancer, the extent of thoracosurgery, the frequency of early postoperative complications, and the probability of 5-year survival after the second operation. The findings were that metachronous lung cancer was adenocarcinoma in 52% of patients, with a different histopathological pattern from that of the primary lung cancer in 74% of patients. In both cancer groups, mechanical resections were the most common surgery type (76% of all cases), with anatomical resections such as segmentectomy, lobectomy, or pneumectomy being much rarer conducted. The incidence of early postoperative complications in metachronous lung cancer and lung cancer metastasis (30% vs. 31%, respectively) and the probability of 5-year survival after resection of either cancer tumor (60.7% vs. 50.9%, respectively) were comparable. In conclusion, patients undergoing primary lung cancer surgery require a long-term follow-up due to the risk of metastatic or metachronous lung cancer. The likelihood of metachronous lung cancer and pulmonary lung cancer metastases, the incidence of postoperative complications, and the probability of 5-year survival after resection of metachronous lung cancer or lung cancer metastasis are similar.