Coal in Poland is an available conventional fuel providing energy security and independence of the country. Therefore, conventional energy generation should be based on coal with the optimal development of renewable energy sources. Such a solution secures the energy supply based on coal and the independence of political and economic turmoil of global markets. Polish coal reserves can secure the energy supply for decades. Coal will surely be important for energy security in the future despite the growing share of oil and gas in energy mix. The development of renewable power generation will be possible with the conventional energy generation offsetting volatile renewable power generation as Poland’s climate doesn’t allow for the stable and effective use of renewable energy sources. Considering the policy of the European Union with respect to emission reductions of greenhouse gasses and general trends as reflected in the Paris agreement in 2016, as a country we will be forced to increase renewable energy production in our energy mix. However, this process cannot impact the energy security of the country and stability and the uninterrupted supply of energy to consumers. Therefore seeking the compromise with the current energy mix in Poland is the best way to its gradual change with the simultaneous conservation of each of the sources of energy. It’s obvious that Poland can not be lonely energy island in Europe and in the world, which increasingly develops distributed energy and/ renewable technologies as well as energy storage ones. One can notice that without renewable generation and the reduction of coal’s share in country’s energy mix we will become the importer of electricity with raising energy dependence.
Pigmented villonodular synovitis (PVNS) is a benign disease that rarely undergoes malignant transformation. Th ere are two types of disease: localized (nodular tenosynovitis) and diff used (pigmented villonodular synovitis/tenosynovitis) with intra- or extra-articular locations. Th e second one is limited to synovium of the burse (PVNB) or tendon sheath (PVNTS). Th e intraarticular lesions are usually located in the knee, hip, ankle and elbow joints. Histologically, PVNS is a tenosynovial giant cell tumor, characterized by proliferation of two types of mononuclear cells — predominantly small, histiocyte-like cells and larger cells with dense cytoplasm, reniform or lobulated nucleus, with accompanying multinucleated giant cells and macrophages overloaded with hemosiderin that give typical image on MRI — currently selected as a gold standard for its diagnosis. Th e classic X-ray and CT are non-specifi c but similar to ultrasound should be used to evaluate disease progression and treatment response if radiotherapeutic and pharmacological methods were selected for treatment. An open arthroscopic surgery could also be applied in selected cases.