The paper presents the method of assessment of learning outcomes acquirement by students. The analysis is based on the results of the final matriculation exam in mathematics. For crisp and both types of fuzzy relations, cut scores (passing scores) can be defined along with the method of preparing rankings of students. The advantage of applying type 2 fuzzy relations is the lack of the necessity for experts to agree to one level (one number) of verification of learning outcomes by items created for the examination. Based on the results of the exam and experts’ knowledge, the decision support system for calculating the levels of learning outcomes acquirement, making decisions about passing the examination and preparing rankings of students, can be developed. Additionally, the rank reversal phenomenon does not burden the proposed method.

Melanoma is a highly malignant neoplasm with the most typical primary locations in the skin and eyeball and rarely reported in the other organs, including the gallbladder. More commonly metastases of melanoma of various primary sites to the gallbladder are observed. However, generally melanoma of the gallbladder is a rare entity with only 217 cases reported in the literature up to date. The paper summarizes knowledge on epidemiology, symptoms, laboratory and imaging findings, morphology, treatment options, and outcome of patients with both primary and metastatic melanoma to the gallbladder.

The effects of climate change are much more rapid and visible in the Arctic than in the rest of the globe. The Arctic is extremely attractive scientifically and cognitively. Therefore, polar regions may serve as some of the most captivating natural settings capable of engage society in discussions on environmental changes. The primary objective of this paper is to present selected initiatives implemented by the Institute of Geophysics, Polish Academy of Sciences that aimed to connect polar research with schools and society, and show evidence on their effectiveness, with special focus on pupils from primary and secondary schools. In this paper, an overview of the educational and science communication initiatives undertaken by the Institute of Geophysics PAS for schools and whole society is presented, with the focus on polar research. Next, some results of the evaluation studies for those projects, that conducted detailed impact assessment, are discussed. Based on the evaluation studies and on general not-structured feedback received from diverse audiences of Institute’s activities, positive impact of bringing polar research closer to the society was observed. Using the Arctic and polar research as a vehicle to inspire interest in science and to raise societal awareness of the environmental challenges in various groups of non-specialists may be a very effective mean of science communication.

Psychotherapy as an evidence-based clinical practice is a relatively young field. In defining psychotherapy, we will outline a continuum – from the use of psychological methods to improve well-being to psychotherapy as an evidence-based method of treating mental disorders. We discuss the types of outcome research, metaanalyses and recommendations for practice. Based on the example of research program TRAKT on psychotherapy and pharmacotherapy PTSD conducted in Poland, we will point out important questions of modern psychotherapy regarding the interpretation of research results, patient safety, personalization of treatment and ways of development and its place in the mental healthcare.

Aim: The aim of this study was to assess long-term outcomes and complications associated with conservative and operative treatment of distal radius fractures and to determine if restoration of radio-graphic parameters influences functional outcomes.
Introduction: Distal radius fractures (DRFs) are common injuries associated with many complica-tions. Numerous studies suggest that operative treatment with anatomic reduction and restoration of radiographic parameters leads to better functional outcomes than nonsurgical treatment.
Materials and Methods: We enrolled 207 patients with isolated DRF (mean age 64 ± 17.9 years, women 150 (72.5%)) to our retrospective, single-center study (101 treated operatively, 106 treated non-operatively). There were no significant differences in sex, age, AO type fracture between study groups. After 3.9 ± 1.6 years (mean ± SD) clinical, functional and radiological assessment was conducted using Disabilities of the Arm, Shoulder and Hand (DASH), Patient Rated Wrist Evaluation (PRWE), 9-Hole Peg Test (9-HPT), grip and pinch strength tools.
Results: We found higher rates of malunion in nonoperative group (p <0.0001) and worse radiologic parameters such as volar tilt (p <0.0001), teardrop angle (p <0.0001) versus operative cohort. Nevertheless radiological parameters were not correlated with DASH and PRWE results. Moreover, patients aged 50 years and above treated operatively had similar functional outcomes (DASH, PRWE) to those treated nonoperatively.
Conclusions: Restoration of anatomic and thus radiologic parameters of radius may not be obligatory to achieve satisfactory functional outcome in patients with DRF aged 50 years or above. Patient is the most important ‘factor’ in determining appropriate and successful treatment method of distal radius fractures.

Intensive hypoglycemic treatment is the strongest preventive strategy against the development of microvascular complications of type 2 diabetes (T2DM), including diabetic nephropathy. However, some antidiabetic drugs, i.e. sodium-glucose cotransporter-2 inhibitors (SGLT-2i) and glucagon-like peptide-1 receptor agonists (GLP1-RA) have an additional renoprotective effect beyond glucose control by itself. Similar, both SGLT-2i and GLP1-RA have been demonstrated to decrease the risk of adverse cardiovascular (CV) events in CV outcome trials. Nevertheless, there are relevant differences in CV and renal effects of SGLT-2i and GLP1-RA. First, SGLT2i reduced the incidence and progression of albuminuria and prevented loss of kidney function, while predominant renal benefits of GLP1-RA were driven by albuminuria outcomes. Second, the risk of heart failure (HF) hospitalizations decreased on SGLT2i but not on GLP1-RA, which gives priority to SGLT2i in T2DM and HF, especially with depressed EF. Third, either GLP1-RA (reducing predominantly atherosclerosis-dependent events) or SGLT-2i, should be used in T2DM and established atherosclerotic CV disease (ASCVD) or other indicators of high CV risk. In this review, we have briefly compared clinical practice guidelines of the American Diabetes Association (2020 and 2021 versions), Polish Diabetes Association (2020) and the European Society of Cardiology/European Association for the Study of Diabetes (2019), with a focus on the choice between SGLT-2i and GLP1-RA in patients with diabetic kidney disease.