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Zabrze, Poland

Klejewski A.,Wydzial Nauk O Zdrowiu
Przegla̧d lekarski | Year: 2012

Smoking is a significant factor which affects not only reproduction and the process of pregnancy but also the offspring. Endangering for tobacco smoke and nicotine either passive or active has an important influence for shortening the time of pregnancy, the weight of the newborn and the Placenta. The occurrence of complications connected with smoking is probably correlated with the amount of cigarettes smoked per day. The target of the paper was to analyse the influence of passive and active smoking on the course of pregnancy. The study involved a group of 113 women who gave birth in Gynaecological and Obstetrics Clinical Hospital of the Karol's Marcinkowski University of Medical Sciences in Poznan during the period from January to June 2011. Based on data gained from documentation and mothers three groups were separated: 22 women who were active smokers, 32 passive smokers and 59 women from control group who have never been smoking. There were analyzed selected obstetric data and term of pregnancy, condition and weight of newborn, blood pH and alkaline balance from umbilical vessels. in research there were no correlation between groups and/ or results of researches of blood Ph, alkaline balance from umbilical vessels and the assessment of the newborn in Apgar score at 1, 3, 5 minute. In fact passive smoking women were younger (the average 27,84) than actively smoking woman (30,23) and non-smokers (30,25) (p=0,03). The most of small as for their gestational age infants were in the group of active smoking women (14%). Non-smokers more often did have a miscarriage (84%) in the past than other groups (active smokers 60%, passive 33%) (p=0,04). smoking women usually come from countryside or small towns, they were not marriage and they had preterm delivery. In this group there was found the biggest percent of too small newborns for their gestational age - 14%. Source

Ozarek-Hanc A.,Oddzial Kliniczny Interny Dzieciecej i Alergologii III Katedry Pediatrii UM w Lodzi | Olczak S.,Wydzial Nauk O Zdrowiu | Majak P.,Oddzial Kliniczny Interny Dzieciecej i Alergologii III Katedry Pediatrii UM w Lodzi | Jerzynska J.,Oddzial Kliniczny Interny Dzieciecej i Alergologii III Katedry Pediatrii UM w Lodzi | And 2 more authors.
Alergia Astma Immunologia | Year: 2012

Introduction. Lung function tests and bronchial reversibility test (BRT) play an important role in the diagnosis of asthma in children and they should be considered together with clinical symptoms. Aim of the study. To determine the percentage of asthmatic children showing a significant increase in FEV1 or FVC value during BRT. To assess the relationship between BRT results and the demographic characteristics of the patients, asthma severity, atopy, and the results of additional tests, such as starting FEV1 value, NO concentration in exhaled air (FeNO), and eosinophilia. Materials and methods. Retrospective, cross-sectional study analyzing medical history of patients, taking into account the results of spirometric tests performed in random-selected 250 asthmatic patients in whom BRT was performed as part of the diagnostic procedure. Results. A significant increase in FEV1 or FVC in the BRT test was noted in (132-53%) of the patients; 120 patients (90.1%) had airway obstruction and 12 patients (9.9%) were without airway obstruction. BRT was positive in 25.5% of the children without airway obstruction. Children with positive BRT are characterized by lower FEV1 output value, higher fractional exhaled nitric oxide and higher total IgE serum concentration and require more intensive treatment for asthma. Conclusion. The bronchial reversibility test should be performed in all children with asthmatic symptoms, independent of baseline spirometry, to better characterize asthma phenotype and facilitate decision to start corticosteroid treatment. © Alergia Astma Immunologia 2012. Source

Ziolkowska M.,Swietokrzyskie Centrum Onkologii | Bien S.,Wydzial Nauk O Zdrowiu | Okla S.,Swietokrzyskie Centrum Onkologii | Zylka S.,Swietokrzyskie Centrum Onkologii
Otolaryngologia Polska | Year: 2013

The epidemiological data concerning the rare group of tumors derived from salivary glands recorded in the National Cancer Registry is insufficient because it records only malignant salivary glands tumors. Aims of the study: The epidemiological and clinical characteristics of 699 patients with salivary glands tumors (n = 705). Material: The data were retrieved from ENT Department District Hospital in Kielce (01.09.1989-28.02.2001) and from Department of Otolaryngology Head and Neck Surgery Holy Cross Cancer Centre in Kielce (01.03.2001-31.12.2008). Results and conclusions: In the analyzed group of 699 patients with 705 salivary glands tumors women predominated, consisting 54,2% of all group. The average age in group of malignant tumors was higher than in nonmalignant group. The risk of malignant neoplasms development increased with patient age. In the analyzed group of 705 salivary glands tumors the nonmalignant neoplasms dominated-78,3%. Out of all cases, 547 (77,6%) were localized in the parotid gland, 80 (11,3%) in submandibular gland and 78 (11,1%) in minor salivary glands. Nonmalignant tumors were more frequent in the parotid gland (82,8%) and submandibular gland (71,3%), whereas in minor salivary glands nonmalignant and malignant neoplasms the occurrence was nearly the same. In general-the smaller the salivary gland, the risk of development malignant tumors was higher. In group of nonmalignant salivary gland tumors two histopathological types dominated - pleomorphic adenoma and Warthin's tumor, which comprised 91,8% of the whole group. In the group of 153 malignant salivary gland tumors the most common histopathology were - adenoid cystic carcinoma, mucoepidermoid carcinoma and adenocarcinoma. In the analyzed period of 20 years' time, the incidence of salivary glands tumors increased with high siginificance, both for nonmalignant, as well malignant tumors. © 2013 Polish Otorhinolaryngology - Head and Neck Surgery Society. Published by Elsevier Urban & Partner Sp. z o.o. All rights reserved. Source

Mojs E.,Wydzial Nauk O Zdrowiu | Czarnecka-Iwanczuk M.,Wydzial Nauk O Zdrowiu | Glowacka M.D.,Wydzial Nauk O Zdrowiu
Psychiatria Polska | Year: 2013

Introduction. Childbirth is both joyful and stressful life event. This stressful life event results in different emotions occurring with different strength among new mothers, one of them is postpartum depression. However, postnatal depression received the predominance of research attention in recent years, and several authors have pointed attention to the importance of distinguishing between postpartum depression and postpartum anxiety. Aim. The primary purpose of the presented research was to assess the level of anxiety and depression among women who were hospitalised after delivery. The second purpose was to determine if some additional factors influence the level of anxiety and depression. Material. The study was conducted on the sample of 46 women who had delivered infants in the Gynecology - Obstetrics Clinical Hospital UM in Poznań, Poland in 2010. Method. Polish adaptations of standard questionnaires were used to measure variables such as anxiety (STAI), depression (BDI), styles of coping (CISS) and temperament (PTS). Additional data were collected using a questionnaire developed by the authors. Results. Statistical analysis assessed the level and frequency of anxiety (as a state and as a trait) and depression and associations between these factors as well as associations with additional variables (including: mode of delivery, styles of coping with stress and temperament). Conclusions. The score in BDI in mothers after delivery was associated positively with emotion - oriented style of coping and anxiety as a state and as a trait and negatively with strength of inhibition processes. Anxiety as a trait was positively related to c-section. Source

Introduction: This paper presents a description of changes in the functioning of two siblings diagnosed with mucopolysaccharidosis type III A. Both are under specialist care exercised by the Rehabilitation, Care and Education Centre in the city Kielce, including care of a oligophrenopedagogue, a psychologist, a speech therapist and a physiotherapist. Aim of the study: Evaluation of changes in functioning of two siblings diagnosed with mucopolysaccharidosis type IIIA. Material and methods: The longitudinal study covered two children with MPS type IIIA. During the 29 months of observation, there were six measurements on the basis of PPAC Gunzburg Inventory in the Polish adaptation by Tadeusz Witkowski. The results are shown in the form of PPAC diagrams and profiles of functioning. Results: Despite the differences in the presence and severity of somatic and neurocognitive symptoms, functioning both of the boy and the girl does not differ from functioning described in the literature. Therapeutic interventions have produced short-term improvements in its area of self-service, communication and activities. Conclusions: Despite the similar trend of changes in functioning, there is an inter-individual variability in the quality of patterns and dynamics of progress. The progressive decrease in the level of functioning in patients with MPS IIIA does not preclude the acquisition of new skills. They are not permanent, however. There is a need for functional assessment in order to learn more about the specificity of the disease and to assume an individualised therapeutic approach aimed at improving the quality of life of patients with MPS IIIA and, indirectly, the quality of life of their families. © 2015, Cornetis. All rights reserved. Source

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