Background: After the invasion of Ukraine, neighbouring countries were forced to find systemic solutions to provide medical care to those fleeing the war, including children, as soon as possible. In order to do this, it is necessary to know the communication problems with refugee minors and find proposals for their solutions. Methods: A systematic review of the literature from 2016 to 2022 was conducted according to PRISMA criteria. Results: Linguistic diversity and lack of professional readiness of teachers are the main constraints hindering the assistance of refugee children in schools. Problems during hospitalization include lack of continuity of medical care and lack of retained medical records. Solutions include the use of the 3C model (Communication, Continuity of care, Confidence) and the concept of a group psychological support program. Conclusions: In order to provide effective assistance to refugee minors, it is necessary to create a multidisciplinary system of care. It is hoped that the lessons learned from previous experiences will provide a resource to help refugee host countries prepare for a situation in which they are forced to provide emergency assistance to children fleeing war.
Background: Lung cancer is the second most common and fatal cancer worldwide. The first-line treatment for early-stage primary lung cancer is surgical resection, but surgery is contraindicated in 60% of cases. Alternatives then include local treatments such as radiofrequency ablation (RFA), microwave ablation (MWA) and cryoablation. With the current scientific knowledge of these treatments, the fundamental question of their therapeutic efficacy must be answered. Aim and methods: To present recent scientific findings on the efficacy of the three main methods of thermoablation for lung cancer. A systematic review of scientific papers on the indicated topics from the last 5 years was performed. Several dozen publications were selected for the purpose of this study. Results: As shown in the studies, the therapeutic effect of MWA controls tumour progression with few side effects and high safety, especially in patients with tumours <3.5 cm in diameter. Cryotherapy, on the other hand, not only improves quality of life, but can also prolong patients' survival. The relatively low risk of this procedure goes hand in hand with its minimal invasiveness, leading to a low complication rate. RFA, on the other hand, shows no greater treatment efficacy than surgical resection, stereotactic radiotherapy. Conclusions: MWA and cryoablation techniques are interesting alternatives to surgical resection for non-small cell lung cancer, improving the quality of life of patients regardless of the stage of their disease. The question of increasing the availability of this type of treatment in the health care system therefore remains crucial.
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