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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.


Sioma-Markowska U.,Medical University of Silesia, Katowice | Poreba R.,Specialist Teaching Hospital in Tychy | Machura M.,Medical University of Silesia, Katowice | Skrzypulec-Plinta V.,Medical University of Silesia, Katowice
Ginekologia Polska | Year: 2016

Objectives: The analysis of the forms of paternal activity depending on the manner of their preparation, including stages of labor. Material and methods: A prospective survey-based study involved 250 fathers who participated in their child's birth. The fathers included in the study were present during all stages of family-assisted natural labor. The study was conducted one day after childbirth with the use of a survey prepared by the authors. Statistical calculations were conducted using the Statistica PL software. The frequency of individual qualitative features (non-measurable) was assessed by means of a non-parametric Χ2 (chi-squared) test. The statistical significance level was p < 0.05. Results: A half of the fathers included in the study (52.4%) participated in childbirth with no prior preparation. The dominant form of preparation involved self-education from books, magazines and the Internet (24%). 23.6% of fathers participated in ante-natal classes. The study demonstrated that fathers prepared for childbirth in ante-natal classes more often engaged in the supportive role, provided nursing care and carried out instrumental monitoring during each stage of childbirth. Conclusions: The fathers prepared for childbirth in ante-natal classes more often engage in the supportive role, provide nursing care and carry out instrumental control during each stage of childbirth. Ante-natal classes should be promoted as an optimal form of preparation for active participation in childbirth. Moreover, other forms of paternal ante-natal education as well as continued education in a delivery room should be developed. © 2016 Via Medica.


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 | And 2 more authors.
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.


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.


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.


PubMed | Medical University of Silesia, Katowice and Specialist Teaching Hospital in Tychy
Type: Journal Article | Journal: Neuro endocrinology letters | Year: 2016

The model of family-assisted birth is an element of obstetric care that met with large interest, with the development of perinatology in numerous countries. The modern father is expected to more actively participate both during pregnancy and birth, and also in the childcare.The comparative analysis of the parturient Polish women and the forms of activity of the fathers participating in family-assisted births in order to know which forms of fathers activity correlate with the expectations of women in labor and define the range of tasks for the father (model of action for family-assisted birth) that would correspond to the preferences of parturient women.250 parturient women and 250 fathers who participated in the delivery were included in the survey. Couples after physiological delivery with the participation of father in all stages of childbirth were qualified. The surveys were conducted in the first day after the childbirth. The survey tool was an author-developed survey questionnaire in two versions: (A) for the mother and (B) for the childs father who participated in the birth. The statistical calculations were performed with use of the Statistical PL software. The frequency of occurrence of respective quality (non-measurable) features was evaluated with (chi-square) nonparametric test. The level of statistical significance adopted for tests was p<0.05.The largest coherence between the form of fathers activity and the expectations of the parturient woman was found in case of psychical support in every stage of the delivery. Another form of activity of fathers, that in 85% of cases was concurrent with the expectations of women in labor was the act of cutting the umbilical cord and the participation of father in the child measurements and tests (78.5% coherence) and the need of stay of father with the woman and the newborn in the post-delivery period (70% coherence).Obstetric care should take the preferences, connected with family-assisted birth, of both parents into account. The model of active participation of father in family-assisted birth forms a practical guideline for fathers willing to actively participate in the childbirth.


PubMed | Specialist Teaching Hospital in Tychy
Type: Journal Article | Journal: The journal of sexual medicine | Year: 2012

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.The aim of the study was to evaluate sexual behaviors among young adults with body modifications (BMs)--tattoos and piercings.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.To assess and describe the correlation between having BM--tattoos and piercing--and sexual behaviors in the population of young adults by using the logistic regression model.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.Having BM is associated with early sexual initiation and more liberal attitudes toward sexual behaviors but not with engaging in risky sexual behaviors.


PubMed | Medical University of Silesia, Katowice and Specialist Teaching Hospital in Tychy
Type: Journal Article | Journal: Neuro endocrinology letters | Year: 2016

The participation of the father in the birth manifests itself in action, that depends on the attitude towards family-assisted birth and the preferences of the parturient woman.Evaluation of expectations of parturient women in the aspect of the active participation of the father, that would enable the use of the most commonly reported preferences in the clinical praxis and the establishment of factors influencing the presented preferences.250 married couples who participated in natural childbirth were subjected to prospective survey. Couples after physiological delivery with the participation of father in all stages of childbirth were qualified. The surveys were conducted in the first day after the childbirth. The survey tool was an author-developed survey questionnaire in two versions: (A) for the mother and (B) for the childs father who participated in the birth. The statistical calculations were performed with use of the Statistica PL software. The frequency of occurrence of respective quality (non-measurable) features was evaluated with (chi-square) nonparametric test. The level of statistical significance adopted for tests was p<0.05.The preferences of parturient women, regardless of their age, education, duration of marriage, number of family-assisted births and the form of preparation mostly concerned the adaptation of a supportive role by the fathers, on every stage of the birth. During the second stage of birth 74.4% of parturient women expected the father to cut the umbilical cord. After the birth the majority of mothers (76%) preferred the presence of the father in post-delivery period.The pre-birth education of couples of parents should include the expectations of the parturient woman, regarding the forms of fathers activity during a family-assisted birth. High expectations of parturient women regarding the emotional support indicate the need for educating future fathers, as there is large demand for such element of mid-delivery care.


PubMed | University of Bielsko Biala and Specialist Teaching Hospital in Tychy
Type: Journal Article | Journal: The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians | Year: 2016

To evaluate physical efficiency and activity energy expenditure (AEE) in term pregnancy females during cardiopulmonary exercise tests with a supine cycle ergometer.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.In the studied population, VO2max was established at the level of 2.190.33L/min in ergospirometry and 2.04025L/min in pulsometry. Physical efficiency calculated for sub-maximal exercise by use of the Davis equation was 30.520.12%. AEE, based on VO2 in various phases of the CPET, was 0.47, 0.71 and 0.88L/min for phases 25, 50 and 75 W. Based on ergospirometer readouts, AEE was 10.60, 16.11 and 20.94kJ/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.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.


PubMed | University of Arts and Specialist Teaching Hospital in Tychy
Type: Journal Article | Journal: Archives of sexual behavior | Year: 2016

Few studies have investigated endorsement of female sexual response models, and no single model has been accepted as a normative description of womens sexual response. The aim of the study was to establish how women from a population-based sample endorse current theoretical models of the female sexual response--the linear models and circular model (partial and composite Basson models)--as well as predictors of endorsement. Accordingly, 174 heterosexual women aged 18-55 years were included in a cross-sectional study: 74 women diagnosed with female sexual dysfunction (FSD) based on DSM-5 criteria and 100 non-dysfunctional women. The description of sexual response models was used to divide subjects into four subgroups: linear (Masters-Johnson and Kaplan models), circular (partial Basson model), mixed (linear and circular models in similar proportions, reflective of the composite Basson model), and a different model. Women were asked to choose which of the models best described their pattern of sexual response and how frequently they engaged in each model. Results showed that 28.7% of women endorsed the linear models, 19.5% the partial Basson model, 40.8% the composite Basson model, and 10.9% a different model. Women with FSD endorsed the partial Basson model and a different model more frequently than did non-dysfunctional controls. Individuals who were dissatisfied with a partner as a lover were more likely to endorse a different model. Based on the results, we concluded that the majority of women endorsed a mixed model combining the circular response with the possibility of an innate desire triggering a linear response. Further, relationship difficulties, not FSD, predicted model endorsement.

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