Search Results (1,632)

The emission of greenhouse gases associated with the combustion of hydrocarbons is a key factor in climate change, and in this context, increasing emphasis is being placed on the development of clean energy sources. The novel contribution of the article lies in identifying the energy potential of surface waters within energy systems transitioning away from fossil fuels. In the case of Poland, whose energy system has been based on coal for many decades, there are still many opportunities to expand energy production from renewable sources. One such source is the heat contained in surface waters. The research presented in this article focuses on the thermal structure of nine stratified lakes in Poland, examining changes over time and across different spatial profiles. Considering all temperature profiles, values ranged from 8.3 °C in May to 10.1 °C in September. In general, water warming occurs from May to the July–August transition, reaching a maximum of over 6 °C, while cooling takes place in the later phase of the analyzed season at a lower level, not exceeding 6 °C. It was found that the most thermally stable part of the water body was the layer between 15 m in depth and the bottom of the lakes, for which the heat resources were calculated. Using the basic physical properties of water, the amount of heat for this layer was determined. Assuming that technological processes do not reduce the water temperature below 4 °C (maximum water density), the hypothetical amount of available energy ranges from 630 to 101,000 MWh. The results indicate the high energy potential of lakes, which could be utilized in the future, provided further legal and economic analyses are conducted for specific cases. The study highlights the need to expand the long-term thermal monitoring of lakes, covering their entire vertical structure. Priority for such measurements should be given to lakes located near human settlements, as these have the highest potential for practical use. Full article

Objectives: Clostridioides difficile infection (CDI) remains a major healthcare challenge, particularly in resource-limited settings. Methods: This retrospective, single-center study analyzed CDI epidemiology and treatment outcomes among 528,887 hospitalized patients at the University Hospital in Kraków, Poland, between 2016 and 2022. Results: A total of 2341 CDI cases were confirmed, with an overall incidence of 4.32 per 1000 admissions. The highest rates were observed in geriatric and infectious diseases units. During the COVID-19 pandemic, healthcare-associated CDI cases surged, accounting for up to 89.2% of infections in 2020 with an incidence rate of 3.8 per 1000 admissions, compared with 2.5 per 1000 admissions in 2016. Vancomycin-based therapy was associated with significantly lower mortality (OR 0.73, 95% CI 0.56–0.95) compared to metronidazole, while combination therapy (vancomycin, metronidazole) showed the highest recurrence rate (17%). Fidaxomicin use was minimal (0.4%) due to limited availability. Recurrent CDI occurred in 14.2% of cases, with a relapse-free survival advantage observed in vancomycin-treated patients. The overall in-hospital case fatality rate associated with CDI was 22.5%. Conclusions: Despite stable overall CDI incidence, the study highlights the impact of increased antibiotic consumption during the pandemic on HA-CDI dynamics. The findings underscore the need for improved antimicrobial stewardship, broader access to advanced therapies such as fidaxomicin and bezlotoxumab, and enhanced diagnostic protocols. In settings with restricted therapeutic options, vancomycin remains a valuable treatment, particularly for reducing mortality. Full article

Methane is a potent greenhouse gas with strong climate and health impacts, largely originating from coal mining, agriculture, and waste management. This article aims to assess methane emissions at the global, regional, and national levels, with a particular focus on coal mining and its mitigation potential in Poland and Spain. The analysis integrates data from authoritative international and national databases, including time-series evaluation, spatial visualization, and comparative case studies. Results indicate that agriculture, energy, and waste remain the dominant global methane sources, while coal mining continues to play a significant role in Europe, especially in Poland. Case studies from Polish coal mines demonstrate that substantial emission reductions can be achieved through methane drainage, ventilation air methane oxidation, and energy recovery systems, often at low or negative net cost. In contrast, Spain’s coal-related methane emissions are now primarily associated with abandoned mines, highlighting the importance of long-term monitoring and post-mining management. The findings confirm that targeted technological measures combined with robust monitoring, reporting, and verification frameworks and supportive regulation can significantly reduce methane emissions and transform coal mine methane from a climate liability into a valuable energy resource. Full article

Many countries have introduced HPV screening and vaccination programs to reduce the burden of cervical cancer. In Poland, before 2023, HPV vaccination was available only on an individual, non-universal basis, using all types of vaccines, while in 2023, a nationwide vaccination program for boys and girls aged 12–13 years was introduced alongside updated screening guidelines. This retrospective study analyzed 2296 HPV-positive test results obtained from adult patients in Poland, including demographic data, HPV genotypes distribution, infection intensity, and cytological findings. HPV genotyping was performed using the Anyplex™ II HPV28 assay. HR-HPV genotypes accounted for 64.53% of all detected infections, with the highest prevalence observed in individuals aged 26–35 years of both sexes. HPV-18 was significantly more frequently in women (p = 0.0430), whereas HPV-53 predominated in men (p = 0.0030). Men more often presented low-intensity infections, while women showed higher viral load. Multigenotypic infections occurred in 46.5% of cases, particularly among younger patients (p < 0.001), and were significantly associated with LSIL changes in cytology. The HSIL type correlated most strongly with HPV-16 (p < 0.001). These findings confirm the high burden of HR-HPV infections in the Polish adult population and provide an essential epidemiological baseline for evaluating the impact of universal HPV vaccination and updated screening strategies. Full article

Underground coal mining leads to surface subsidence and ground deformation, which may affect the accuracy of cadastral data. This study evaluates mining-induced displacement caused by longwall VIII-E-E1 extraction in seam 703/1 and examines its potential impact on the Polish EGiB cadastral register. In 2018–2021, precise GNSS observations were collected on a specially designed geodetic monitoring polygon located in the affected area. These measurements enabled a detailed assessment of surface deformation during and after exploitation. The maximum subsidence was recorded above the extracted longwall and decreased outward, forming a typical post-mining deformation basin. Although boundary-point displacements remained generally within acceptable limits, the cumulative reduction of parcel areas reached about 43 m² in total. Five parcels (0.8% of the dataset) showed area changes exceeding 1 m². The results indicate that a single longwall has a limited effect on cadastral data integrity; however, continued multi-panel mining may lead to progressive boundary shifts, compromising the spatial and legal reliability of cadastral resources. The study confirms the effectiveness of integrated geospatial monitoring in detecting mining-related deformation and highlights the need for continuous control of cadastral datasets, especially in the Upper Silesian Coal Basin, where large-scale mining remains active. Full article

Background: Monozygotic twin pregnancies are at increased risk of congenital abnormalities compared to singletons. In 20% of cases, both fetuses are affected (concordance), while in 80% of cases, only one fetus is affected (discordance). This study examines the prevalence of discordance for structural defects in monochorionic (MC) twins, with normal aCGH comparative genomic hybridization (aCGH), reporting the types of detected abnormalities and their possible impact on perinatal outcomes, including the rate of single and double fetal loss before 24 weeks’ gestation and the rate of preterm birth (PB) before 32 weeks’ gestation. Methods: This was a retrospective study of discordant structural fetal anomalies in MC twin pregnancies detected at first-trimester scanning in three fetal medicine centers in Poland. Results: In the study population of 381 monochorionic twin pregnancies examined at 11–13 weeks’ gestation, 21 (5.5%) pregnancies showed discordant structural defects with normal aCGH result. The most common were cardiac defects (n = 8), followed by central nervous system (CNS) (n = 6) defects and facial anomalies (n = 3). Single or double fetal loss before 28 weeks occurred in four (19%) and two (9%) cases, respectively, and was associated with intertwin crown–rump length (CRL) discordance greater than 20% (p = 0.046). PB before 32 weeks’ gestation occurred in nine cases (47%) and was strongly associated with polyhydramnios (p = 0.001), which occurred mainly in CNS and facial defects. Conclusions: The prevalence of discordant structural defects with normal aCGH results among monochorionic twins is approximately 5%. In pregnancies with discordant defects, cardiac defects are the most common. Intertwin discordance greater than than 20% is associated with an increased risk of fetal demise. Full article

Background: Lung cancer is the leading cause of cancer-related death worldwide. Screening with low-dose computed tomography (LDCT) enables early detection of low-stage non-small cell lung cancer (NSCLC), increasing the chances of curative surgery. The aim of the present study was to analyze selected surgical aspects of treatment among patients diagnosed with NSCLC through LDCT-based screening in Szczecin, the first program of this kind in Poland. Methods: A group of 52 patients who were screened and operated on was compared with patients diagnosed and operated on outside the screening program during the same time period and a group of patients diagnosed and operated on prior to the screening program being implemented. Results: The screened population demonstrated a significantly higher frequency of stage IA cancer diagnosis, smaller tumor volume, more lobectomies, and fewer pneumonectomies compared with the other two groups. In addition, the waiting time for surgery was shorter, the duration of the procedure longer, and the length of hospitalization was reduced among the screened patients. No significant differences were observed in postoperative mortality or perioperative complications. Adenocarcinoma occurred significantly more often in the screened population than in the other groups, and tumors were more frequently classified as grade G2. A significant correlation was found between the need for blood transfusion and the occurrence of perioperative complications. Conclusions: The implementation of an LDCT-based screening program for lung cancer has a significant impact on the workload and case profile of thoracic surgery departments. Several aspects of surgical treatment differ significantly between patients diagnosed through screening and patients diagnosed outside of the program. Full article

This study examines reservoir-triggered seismicity (RTS) in Poland and Vietnam. The current state of individual RTS seismic networks necessitates detecting earthquakes from only a few stations. The number of P waves is often inadequate for phase association and event location, which underscores the importance of identifying S waves. Given that individual RTS cases may consist of only hundreds of events, it is crucial for algorithms to be trained on small datasets or to detect effectively using external, global training data. To evaluate this, we compared the efficiency of a deep learning global detection model, transfer learning to the RTS database, a specialized neural network designed for RTS, and manual detection of seismic signals. Transfer learning efficiency was database dependent. Additional interpretation and parametrization of detection results are assumed. Therefore, the emphasis is on phase detection, rather than phase picking accuracy, and detection sensitivity is more important than its specificity. Phase association plays a vital role in detecting seismic signals, facilitating the elimination of most false picks. As a result, the comparisons of detections were based on parameters related to the location of seismic events. The findings indicate that neither the automatic signal detection methods nor the manual methods alone are sufficient. However, their combination significantly enhances detectability. The final catalogs cover up to 30% more events compared to the previous manual. It fulfills the main aim of applying a neural network detector, which is to increase the number of seismic events in the catalog. It may also be further utilized in the research of the triggering process, such as identifying fluid paths and determining fault geometry. Full article

Background/Objectives: Pre-hospital delivery is an unpredictable event posing significant challenges for Emergency Medical Services (EMS) teams. Despite advances in perinatal care, emergency deliveries outside the hospital environment remain associated with increased maternal and neonatal risks. This study aimed to identify predictors of out-of-hospital delivery in EMS-attended labor cases and determinants of neonatal condition immediately after delivery. Methods: We conducted a retrospective analysis of 5097 EMS records of laboring women in Poland from August 2021 to January 2022, of which 2927 were included in the final study sample. Multivariate logistic regression models with multiple imputation for missing data were used to identify predictors of pre-hospital delivery and adverse neonatal condition (Apgar ≤ 7) in EMS-managed childbirths. Results: Pre-hospital delivery was strongly associated with second-stage labor (OR ≈ 535; p < 0.0001), ruptured membranes (OR ≈ 8.7; p < 0.0001), and fewer previous pregnancies (OR = 0.86; p = 0.018), and showed a trend with higher maternal heart rate (OR = 1.015; p = 0.083). Neonatal status classified as Apgar ≤ 7 was significantly associated with preterm birth (p < 0.0001), absence of fetal movements (OR ≈ 26.4; p = 0.025), and complications during pregnancy (p = 0.036). Complications during labor and lack of prenatal care were not significantly associated with increased risk of pre-hospital delivery in the model. Conclusions: Rupture of membranes, second-stage labor, and fewer previous pregnancies are significant predictors of pre-hospital delivery in EMS-managed cases. Absence of fetal movements and preterm gestation predict worse neonatal outcomes (Apgar ≤ 7). Early identification of these factors may enhance prehospital perinatal care and improve maternal and neonatal prognosis. Full article

Civil defence shelters constitute an essential component of safety systems in emergency situations. The aim of this article is to assess the modernization potential of existing civil defence shelters in Poland, using a representative facility located in Olsztyn (Poland) as a case study. The analysis is based on a review of the current legal framework and identification of legislative gaps that affect the implementation of effective protective solutions. Within the case study, a detailed technical assessment of the protective structure was carried out, focusing on construction, protection against radiation and contamination, fire safety, and user ergonomics. Based on this assessment, a comparative analysis was performed between the surveyed facility and current as well as proposed technical requirements. The results revealed partial compliance with regulations while identifying significant deficiencies. To address these issues, measures such as replacing ventilation units with modern systems featuring automatic control, installing EI120-certified doors, improving emergency exit dimensions, and adding emergency lighting were proposed. Subsequently, risks associated with modernization were identified in accordance with ISO 31000. The findings highlight the need for systematic modernization of existing protective structures, clarification of legal regulations, and increased investment, which are key conditions for improving civilian safety. Full article

Sour cherry is one of the most popular stone fruits in Poland. In the organic production system of sour cherries, no artificial pesticides and fertilizers are allowed, which is one of the organic production requirements increasingly appreciated by producers and consumers. The taste of fruits is created by the sugar and organic acid content and their ratio. Vitamin C is known for its health-promoting properties. The aim of the present study was to analyze and compare the concentrations of vitamin C, sugars, and organic acids and their profiles in organic vs. conventional sour cherry fruits representing different cultivars, in a three-year experiment. In the presented experiment, four sour cherry cultivars, ‘Kelleris’ 16, ‘Oblacińska’, ‘Pandy 103’, and ‘Debreceni Bötermö’, were cultivated in two horticultural systems, organic and conventional, and the content of sugars and organic acids was analyzed in the fruit with HPLC methods. Organically cultivated sour cherry fruits were characterized by significantly higher concentrations of sugars and vitamin C only in the first year of the experiment, when the mean concentrations of fructose, glucose, and sucrose in these fruits reached 4.15 g/100 g F.W., 0.37 g/100 g F.W., and 0.27 g/100 g F.W., respectively, and the concentration of vitamin C reached 17.28 mg/100 g F.W. In the two subsequent years, conventional cherries were more abundant in these compounds. Among the tested sour cherry cultivars, ‘Oblačińska’ performed the best in terms of sugar content. The mean value for total sugars for ‘Oblačińska’ cv. was 5.53 g/100 g F.W. In the case of vitamin C, the highest levels (av. 28.13 mg/100 g F.W.) were noted in the fruits of ‘Pandy 103’ cv. The strong year-to-year variability underscores the need for multi-year experiments and, where possible, multi-site trials, to disentangle cultivar × system × environment interactions. Because the quality of sour cherry for fresh consumption and for processing depends mostly on sugar content, for organic production, ‘Oblačińska’ cv. is strongly recommended. Full article

According to the degrowth concept, it is necessary to reduce material consumption and the use of natural resources in order to achieve a more sustainable and equitable economy. Consumers in wealthy countries should consider reducing their consumption levels, which can be hard to accept in these societies. The objective of the current study is to examine the role of environmental self-efficacy in building intention to reduce consumption voluntarily. The analysis was based on data collected from 705 respondents across Poland and Spain. To test the hypotheses, we used the PLS-SEM algorithm and IPMA. The current research results showed that both environmental concern and social norms lead to the intention to reduce consumption through environmental self-efficacy. The mediating effect of self-efficacy in the case of environmental concern’s influence on intention to reduce consumption is stronger in Poland than in Spain, whereas the same effect in the case of social norms’ impact on intention to reduce consumption is similar in both countries. We also observed that the direct effect of social norms on intention to reduce consumption was noticeable in both countries separately but not found after combining both countries’ samples. Full article

The aim of this article is to present the social–ecological system (SES) as a unit of analysis for sustainable water management under conditions of anthropogenic pressure in Poland. In the face of accelerating climate change and growing human impacts, Polish water systems are exposed to increasing ecological stress and to material and immaterial losses affecting local communities. The SES approach provides an integrative analytical framework that links ecological and social components, enabling a holistic view of adaptive and governance processes at multiple spatial scales, from municipalities to areas that transcend administrative boundaries. Methodologically, this study triangulates three complementary approaches to strengthen explanatory inference. This conceptual SES review defines the analytical categories used in the paper, the bibliometric mapping (Scopus database with VOSviewer) identifies dominant research streams and underexplored themes, and the qualitative Polish case studies operationalize these categories to diagnose mechanisms, feedbacks, and governance vulnerabilities under anthropogenic pressure. The bibliometric analysis identifies the main research streams at the intersection of SES, water management and sustainable development, revealing thematic clusters related to climate change adaptation, environmental governance, ecosystem services and hydrological extremes. The case studies - the 2024 flood, the 2022 ecological disaster in the Odra River, and water deficits associated with lignite opencast mining in Eastern Wielkopolska - illustrate how anthropogenic pressure and climate-related hazards interact within local SES and expose governance gaps. Particular attention is paid to attitudes and social participation, understood as configurations of behaviors, knowledge and emotions that shape decision-making in local self-government, especially at the municipal level. This study argues that an SES-based perspective can contribute to building the resilience of water systems, improving the integration of ecological and social dimensions and supporting more sustainable water management in Poland. Full article

Sunshine duration (SD) is an essential meteorological variable. It represents the sum of time for which direct solar radiation with an intensity above 120 W∙m⁻² reaches the Earth’s surface. In the contemporary observational routine, automatic electronic devices are in use. The pyranometric method based on global solar radiation measurements (K_glob) is also proposed by the WMO to assess SD. The aim of the paper is to study the accuracy of the Slob–Monna method (SD-WMO), recommended by the WMO to calculate sunshine duration. Alternatively, the author’s method, which is based on the Ångström clearness index (SD-ACI), was used to approximate SD. For this purpose, a two-year series of SD and K_glob observations at four locations in Poland (well representing the Central European transitional climate zone) was analyzed. The result shows that, for SD-WMO, sunshine duration values are on average 16% higher than observed ones. For the SD-ACI method, they are only 5% higher. When verifying the accuracy of SD-WMO and SD-ACI approximations, we have found that, both for daily and monthly periods, the calculated SD sums are closer to the observed ones in the case of SD-ACI than for the SD-WMO method. The correlation coefficients are, respectively, 0.98 and 0.82 for daily sums and 0.99 and 0.88 for monthly sums. Full article

This study aims to evaluate the potential of circular economy principles in earth-based construction using an experimental rammed earth building located in Pasłęk, Poland as a case study. The research focuses on end-of-life scenarios for earth materials, with particular emphasis on rammed earth, adobe, and compressed earth blocks stabilized with Portland cement. A scenario-based life-cycle assessment (LCA) was conducted to compare alternative demolition and reuse strategies, including manual and mechanical deconstruction, as well as on-site and off-site material reuse. Greenhouse gas emissions associated with demolition (Module C1) and transport (Module C2) were estimated for each scenario. The results indicate that manual deconstruction combined with local, on-site reuse leads to the lowest carbon footprint, whereas off-site reuse involving long-distance transport significantly increases greenhouse gas emissions. In addition, qualitative reuse pathways were identified for wood, glass, ceramics, and insulation materials. The study reveals a lack of standardized technical procedures for the recovery and reuse of stabilized earthen materials after demolition and highlights the importance of integrating end-of-life planning into the early design phase using digital tools such as material passports and BIM. The findings demonstrate that properly designed rammed earth systems can provide a viable low-tech solution for reducing construction waste and supporting circular material flows in the built environment. Full article