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Bobinski R.,University of Bielsko Biala | Mikulska M.,University of Bielsko Biala | Mojska I.,National Food and Nutrition Institute | Ulman-Wlodarz I.,University of Bielsko Biala | Sodowska P.,Specialist Teaching Hospital in Tychy
Ginekologia Polska | Year: 2015

Introduction: The variation in the nutrients contained in the milk is the result of changes to the breast metabolism, placenta metabolism and the diet of pregnant women. Various factors influence fatty acid composition which are one of the major components of woman's breast milk. In our research, we wanted to determine the relationship between the components of the diet of and the transitional milk fatty acid composition mothers who delivered healthy full-term babies, preterm and small for gestational age neonates. Materials and methods: The study group comprised of 95 healthy women who were divided into three subgroups: mothers of appropriate for gestational age (AGA) neonates (group A); mothers of preterm neonates (group B); and mothers who gave birth to small for gestational age (SGA) babies (Group C). The women's elements diet and the content of biochemical components were estimated based on the dietary questionnaire. The FAs in the mother's milk were analyzed using GCMS chromatography. The results of the studies of the dietary components and fatty acids of the milk underwent factor analysis. Results: In group A, 10 correlations (5 positive and 5 negative) were found between the components of the mother's diet and the FAs in the milk (correlation varying from 0.285 - 0.366). In group B, only negative correlations were observed and these had higher absolute correlation values (0.354-0.500). The most correlations between dietary components and FAs in the milk were found in group C (0.537 - 0.800). Conclusion: Nature of the correlations between the variables examined in groups A, B and C are different. © Polskie Towarzyslwo Ginekologiczne. Source

Nowosielski K.,Specialist Teaching Hospital in Tychy | Nowosielski K.,Medical College in Sosnowiec | Sipinski A.,Medical College in Sosnowiec | Kuczerawy I.,District Hospital in Pyskowice | And 2 more authors.
Journal of Sexual Medicine | Year: 2012

Introduction. Body piercing and tattooing are accepted by a growing number of teenagers and young adults as a way of self-expressing. Some authors suggest association between body piercings/tattoos and early sexual initiation, higher number of sexual partners, or risky sexual behaviors. Aim. The aim of the study was to evaluate sexual behaviors among young adults with body modifications (BMs)-tattoos and piercings. Methods. One hundred twenty young healthy adults, ages between 20 and 35, were included in the population study. The study group was divided into three subgroups: controls (N=60), adults with tattoos (N=28), and adults with piercings (N=32). The research instrument was a self-prepared questionnaire containing 59 questions assessing socioepidemiological parameters, sexual behaviors, incidents of sexual harassment in the past, and self-attractiveness evaluation, as well as questions concerning tattoos and piercings. Socioepidemiological variables and sexual behaviors were compared between subgroups. Main Outcome Measures. To assess and describe the correlation between having BM-tattoos and piercings-and sexual behaviors in the population of young adults by using the logistic regression model. Results. Adults with BMs have had their first intercourse statistically earlier and were more sexually active compared with controls. There were no statically significant differences in sexual orientation, sexual preferences, engaging in risky sexual behaviors, frequency of masturbation, and history of sexual abuse between the groups. In contrast, the frequency of sexual intercourses was statistically higher and oral sex was more likely to be a dominant sexual activity in adults with BM compared with controls. The multivariate logistic model revealed that adults with BM were four times less likely to participate in religious practices and twice more likely to have early sexual initiation. Conclusions. Having BM is associated with early sexual initiation and more liberal attitudes toward sexual behaviors but not with engaging in risky sexual behaviors. © 2012 International Society for Sexual Medicine. Source

Nowosielski K.,Specialist Teaching Hospital in Tychy | Nowosielski K.,Medical College in Sosnowiec | Wrobel B.,Center for Sexual Medicine | Sioma-Markowska U.,Medical University of Silesia, Katowice | And 2 more authors.
Journal of Sexual Medicine | Year: 2013

Introduction. Unlike male sexual function, which is relatively easy to assess, female sexual function is still a diagnostic challenge. Although numerous new measurements for female sexual dysfunction (FSD) have recently been developed, the Female Sexual Function Index (FSFI) remains the gold standard for screening. It has been validated in more than 30 countries. The FSFI has been used in several studies conducted in Poland, but it has never been standardized for Polish women. Aim. The aim of this study was to develop a Polish version of the FSFI (PL-FSFI). Materials and Methods. In total, 189 women aged 18-55years were included in the study. Eighty-five were diagnosed with FSD as per the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM IV-TR) criteria; 104 women did not have FSD. All subjects completed the PL-FSFI at baseline (day 0), day 7, and day 28. Main Outcome Measures. Test-retest reliability was determined by Pearson's product-moment correlations. Reliability was tested using Cronbach's α coefficient. Construct validity was evaluated by principal component analysis using varimax rotation and factor analysis. Discriminant validity was assessed with between-groups analysis of variance. Results. All domains of the PL-FSFI demonstrated satisfactory internal consistencies, with Cronbach's α value of >0.70 for the entire sample. The test-retest reliability demonstrated good-to-excellent agreement between the assessment points. Based on principal component analysis, a 5-factor model was established that explained 83.62% of the total variance. Domain intercorrelations of the PL-FSFI ranged from 0.37-0.77. The optimal PL-FSFI cutoff score was 27.50, with 87.1% sensitivity and 83.1% specificity. Conclusion. The PL-FSFI is a reliable questionnaire with good psychometric and discriminative validity. Therefore, it can be used as a tool for preliminary screening for FSD among Polish women. Nowosielski K, Wróbel B, Sioma-Markowska U, and Poreba R. Development and validation of the Polish version of the Female Sexual Function Index in the Polish Population of Females. © 2012 International Society for Sexual Medicine. Source

Romanik M.,Medical University of Silesia, Katowice | Nowosielski K.,Specialist Teaching Hospital in Tychy | Poreba R.,Specialist Teaching Hospital in Tychy | Sioma-Markowska U.,Medical University of Silesia, Katowice | And 2 more authors.
Neuroendocrinology Letters | Year: 2014

BACKGROUND: To evaluate Streptococcus group B (GBS) serotype distribution in anovaginal isolates of women in term pregnancy and to assess the correlation of the distribution with socio-epidemiological variables and neonatal outcomes. DESIGN: An observational study. SETTINGS: Department of Gynecology and Obstetrics, Specialist Teaching Hospital in Tychy, Poland. POPULATION: 80 women between 37 and 40 gestation weeks with preserved fetal membranes and who had not been treated with antibiotics for at least two weeks before the study. MATERIAL AND METHODS: The specimens from the vagina and the rectum of pregnant women were collected. GBS colonization tests were conducted in compliance with Centers for Disease Control and Prevention recommendations. Serotyping of the isolates was performed using the Essum GBS Serotyping Kit (Umea, Sweden) according to manufacturer's instruction. Mein outcome measures. GBS serotype distribution in the population of Polish women in term pregnancy. RESULTS: In the studied group of 80 pregnant women GBS colonization rate was 28.7%. Four GBS serotypes were observed (Ia, V, III and II). Serotype Ia was the most predominant - 43.47%. For GBS Ia, V and III serotypes, no significant difference in the prevalence of diabetes mellitus and neonatal outcomes was observed. Only in one case early-onset sepsis was diagnosed in the neonate and serotype Ia was determined. CONCLUSIONS: 1) From among four identified GBS serotypes in the population of Polish pregnant women, serotype Ia was the most dominant. 2) For GBS serotypes, no significant difference in the prevalence of diabetes mellitus and neonatal outcomes was observed. 3) Active immunization aimed for preventing GBS colonization in mothers should include not only serotypes V, II and III but also Ia in order to be an effective and safe in preventing life threatening neonatal infections. © 2014 Neuroendocrinology Letters. Source

Jedrzejko M.,Specialist Teaching Hospital in Tychy | Nowosielski K.,Specialist Teaching Hospital in Tychy | Poreba R.,Specialist Teaching Hospital in Tychy | Ulman-Wlodarz I.,Specialist Teaching Hospital in Tychy | And 2 more authors.
Journal of Maternal-Fetal and Neonatal Medicine | Year: 2016

Objectives: To evaluate physical efficiency and activity energy expenditure (AEE) in term pregnancy females during cardiopulmonary exercise tests with a supine cycle ergometer. Material and methods: The study comprised 22 healthy full-term pregnancy women with uncomplicated pregnancies hospitalized in the Department of Gynecology and Obstetrics, Specialist Teaching Hospital in Tychy, Poland. All subjects underwent cardiopulmonary exercise tests (CPET) on a supine cycle ergometer. The 12-min, three-stage, progressive, symptom-limited submaximal test protocol (up to 80% HRmax) was used. Pulsometry was used to record HR on a beat-to-beat analysis and to calculate AEE. Respiratory responses were measured by ergospirometer and a computer system on a breath-by-breath basis at rest, during exercise and at restitution. Results: In the studied population, VO2max was established at the level of 2.19 ± 0.33 L/min in ergospirometry and 2.04 ± 025 L/min in pulsometry. Physical efficiency calculated for sub-maximal exercise by use of the Davis equation was 30.52 ± 0.12%. AEE, based on VO2 in various phases of the CPET, was 0.47, 0.71 and 0.88 L/min for phases 25, 50 and 75 W. Based on ergospirometer readouts, AEE was 10.60, 16.11 and 20.94 kJ/min for phases 25, 50 and 75 W. Overall mean AEE (determined by pulsometry) was 10.59  kJ/min. CPET testing did not have any negative effect upon the health or life of the neonates involved in the study. Conclusions: Submaximal CPET up to 80% HRmax with a supine cycle ergometer is a safe and precise method for assessing work efficiency in term pregnancy women. © 2016 Taylor & Francis. Source

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