Guzy ośrodkowego układu nerwowego u dzieci - trudności diagnostyczne

Nowotwory ośrodkowego układu nerwowego (OUN) są najczęstszymi guzami litymi u dzieci. Dzieli się je na guzy mózgu i guzy rdzenia kręgowego. Symptomatologia kliniczna zależy od lokalizacji guza i jego budowy histologicznej. Czas trwania objawów wiąże się też z wiekiem dziecka i umiejętnością postrzegania przez rodziców i lekarza pierwszego kontaktu wczesnych sygnałów guza OUN. Rokowanie u dzieci z rozpoznaniem guzów OUN jest gorsze niż w przypadku większości pozostałych nowotworów dziecięcych. Wczesna diagnoza i doszczętny lub subtotalny zabieg neurochirurgiczny poprawiają rokowanie. Forum Medycyny Rodzinnej 2011, tom 5, nr 1, 69-7

Analysis of factors affecting the quality of life of those suffering from Crohn's disease

Introduction. Crohn’s disease is an inflammatory bowel disease of unknown etiology. Its chronic nature, as well as symptoms of intestinal and overall significantly impedes the daily functioning of patients. Alternately occurring periods of exacerbation and remission are the cause of reduced quality of life of patients. Understanding the factors that caused the decrease in the quality of life, it allows us to understand the behavior and the situation of the patient and the ability to cope with stress caused by the disease. Aim of the study. The aim of the study was to analyze the factors affecting the quality of life of people with Crohn’s disease. Material and methods. The study group consisted of 50 people diagnosed with Crohn’s disease. Respondents were treated at the Department of General Surgery and Colorectal Medical University of Lodz and Gastroenterological Clinic at the University Clinical Hospital No. 1 in Lodz. Quality of Life Survey was carried out by a diagnostic survey using a research tool SF-36v2 and surveys of its own design. Results. Analysis of the results demonstrated that the quality of life of patients with Crohn’s disease was reduced, especially during exacerbations. Evaluation of the quality of life of respondents in physical terms was slightly higher than in the mental aspect. Higher education subjects and the lack of need for surgical treatment significantly improves the quality of life. Conclusions. The occurrence of chronic disease reduces the quality of life of respondents. Elderly patients are better able to adapt to the difficult situation caused by the disease. The quality of life of women and men is at a similar level and patients in remission of the disease have a better quality of life of patients during exacerbations

The influence of socio-demographic and clinical factors on the process of acceptance of the disease among patients with ulcerative colitis

Ulcerative colitis (UC) is a kind of inflammatory bowel disease involving rectal mucosa, or the rectum with colon, resulting in ulcerations in some cases. It is incurable and varies with periods of exacerbation and remission. The disease affects mainly population of highly-developed European or North American nations. It can relatively rarely be observed in South America, Asia and Africa. It is estimated that morbidity and incidence in those regions is about 10 times lower than in Europe and North America [1,2]. The incidence of UC in Europe is approximately 10 new cases per 100,000 people annually [3]. In Poland, epidemiology assessment is difficult due to a lack of reliable statistics. In Lower Silesia, 840 hospitalizations for UC on average are registered annually [4,5]. In UC pathogenesis, genetic, environmental and immunologic factors play an important role. UC can occur at any age, however, the peak incidence is observed between ages 20 and 40 and over 65 [6]. UC is incurable and accompanies the patient through the rest of his/her life. It varies with periods of exacerbation and remission, which impair everyday activities and lower patient’s quality of life. As a consequence, the patient generally feels bad, which is not only caused by gastrointestinal symptoms but also by emotional and psychological issues [7]. Nowadays, a clear tendency can be observed in medicine to include health and disease-related issues in biopsychosocial context, including social and psychological factors affecting the course of the disease. The assessment of such factors brings up a broader perspective on patient’s health problems [8]. Adjustment to the disease is important in many chronic diseases, which demand a change of the patient’s attitude and taking aspects such as acceptance of one’s disease into consideration [9]. The term ‘acceptance’ denotes adopting an opinion, judgment, belief, behavior, favorable attitude or to give a consent [10]. Accepting one’s disease means adjusting to limitations posed by it and accepting the associated disability. The consequences include accepting the limitations, not being self-sufficient, dependence on others and low self-esteem [11]. In a chronic and difficult therapeutic process, medical staff play the key role, in addition to other patient’s support. Bonding with other patients is an important regulating factor in the emotional sphere, while psychological counseling can turn out beneficial in accepting one’s new difficult life situation. The aim of the study was to evaluate the acceptance of the disease in patients with ulcerative colitis with respect to selected socio-demographic and clinical variables

Zaburzenia odżywiania – problem wciąż aktualny = Eating disorders – an ongoing problem

Rzońca Ewa, Bień Agnieszka, Iwanowicz-Palus Grażyna. Zaburzenia odżywiania – problem wciąż aktualny = Eating disorders – an ongoing problem. Journal of Education, Health and Sport. 2016;6(12):267-273. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.198734 http://ojs.ukw.edu.pl/index.php/johs/article/view/4053 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015). 755 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2016; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 01.12.2016. Revised 09.12.2016. Accepted: 09.12.2016. Zaburzenia odżywiania – problem wciąż aktualny Eating disorders – an ongoing problem Ewa Rzońca, Agnieszka Bień, Grażyna Iwanowicz-Palus Zakład Podstaw Położnictwa, Wydział Nauk o Zdrowiu, Uniwersytet Medyczny w Lublinie Department of the Basics of Midwifery, Faculty of Health Sciences, Medical University of Lublin Słowa kluczowe: zaburzenia odżywiania, ortoreksja, anoreksja, pregoreksja, bulimia, otyłość Key words: nutritional disorder, orthorexia nervosa, anorexia, pregorexia, bulimia nervosa, obesity STRESZCZENIE Na przestrzeni ostatnich lat w krajach zachodnich nastąpił wzrost zachorowań na zaburzenia odżywiania, u podłoża, których podkreślane są zmiany społeczno-kulturowe. Zaburzenia odżywiania, takie jak ortoreksja, anoreksja, pregorekscja, bulimia czy otyłość to nieprawidłowe zachowania w obszarze nawyków żywieniowych, które prowadzą do znacznych zakłóceń masy ciała. Stanowią istotny problem zdrowotny, który dotyka głównie dziewczęta oraz młode kobiety, powodujący wiele negatywnych konsekwencji zarówno zdrowotnych, psychologicznych, jak i społecznych dla osoby chorej. Złożona etiologia zaburzeń odżywiania wymaga interdyscyplinarnego podejścia, uwzględniającego m. in. modyfikację stylu życia, w szczególności zachowań żywieniowych, wsparcie psychologiczne czy postępowanie farmakologiczne. ABSTRACT Recent years have seen an increase in the occurrence of eating disorders in Western countries, with sociocultural changes being one of the main reasons for this trend. Eating disorders, such as anorexia, pregorexia, bulimia or obesity, are abnormal behaviours related to eating habits, which lead to serious disturbances in body weight. They are a major health problem mostly in girls and young women, negatively affecting their physical health, mental condition and social life in many different ways. The complex etiology of eating disorders requires an interdisciplinary approach, including methods such as change of lifestyle, in particular eating habits, psychological support and pharmacological treatment

Odległe następstwa leczenia nowotworów złośliwych u dzieci

W ostatnich latach dzięki intensywnej skojarzonej terapii przeciwnowotworowej zwiększa się liczba dzieci wyleczonych z choroby nowotworowej. W związku z powyższym wzrasta liczebność populacji, u której obserwuje się późne następstwa samej choroby nowotworowej oraz jej terapii

Opinions and attitudes of women towards breastfeeding

Introduction. Breast milk constitutes the integral part of feeding schedule of infants for the first year of their lives or even longer. According to recommendations of American, The ESPHAGAN Committee on Nutrition and The World Health Organization breastfeeding ought to be an exclusive way of infant feeding for the first six months of their lives. The aim of the study was to assess the attitudes of women towards breastfeeding and sociodemographic factors influencing these attitudes. Material and method. The research has been conducted among 262 women found in the following hospital wards: the pathology of pregnancy and the obstetrics and neonatal wards. The instrument of our research was our own survey questionnaire and the Iowa Infant Feeding Attitude Scale.Results. The average result of The Iowa in the studied group is 66,72 (±8,75).The highest results refer to the following statements: ‘breastfeeding strengthens the bond between an infant and its mother’ (4,70±0,78), ‘breast milk is ideal nourishment for infants’ (4,67±0,74) and ‘breast milk is cheaper than artificial milk’ (4,54±0,92). Married women showed more positive attitude towards the issue of breastfeeding (p=0,004). Two other groups with the above inclination make the women who had one child (p=0,044) and those who breastfed their children for two years (p=0,000).Conclusions. The most positive beliefs related to breastfeeding refer to the special relation between an infant and its mother, the belief that breastfeeding is an ideal solution for a baby and the appreciation of its economical aspect. Women are aware of the fact that breastfeeding is a challenge for them. Two main factors influence their opinion: the age of women and the number of births

Midwife in the prevention of preterm birth

Grzesik Gąsior Joanna, Granisz Ewelina, Bień Agnieszka, Rzońca Ewa. Midwife in the prevention of preterm birth. Journal of Education, Health and Sport. 2017;7(8):1461-1476. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1064797 http://ojs.ukw.edu.pl/index.php/johs/article/view/5057 https://pbn.nauka.gov.pl/sedno-webapp/works/838492 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2017; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 05.08.2017. Revised: 12.08.2017. Accepted: 31.08.2017. Położna w profilaktyce porodów przedwczesnych Midwife in the prevention of preterm birth Joanna Grzesik-Gąsior1, Ewelina Granisz1, Agnieszka Bień2, Ewa Rzońca2 1 Studenckie Koło Naukowe przy Zakładzie Podstaw Położnictwa, Wydział Nauk o Zdrowiu, Uniwersytet Medyczny w Lublinie Student Research Group of the Department of the Basics of Midwifery, Faculty of Health Sciences, Medical University of Lublin, Poland 2 Zakład Podstaw Położnictwa, Wydział Nauk o Zdrowiu, Uniwersytet Medyczny w Lublinie Department of the Basics of Midwifery, Faculty of Health Sciences, Medical University of Lublin STRESZCZENIE Występowanie porodu przedwczesnego stanowi ogromne wyzwanie dla współczesnego położnictwa. Pomimo ciągłego rozwoju opieki prenatalnej częstość występowania porodu przedwczesnego pozostaje na stałym poziomie od wielu lat. Opracowywanie metod jego profilaktyki jest przedmiotem zainteresowań wielu badaczy zarówno w Polsce, jak i na świecie. Wskutek wieloczynnikowej etiologii postępowanie w przypadku tej patologii jest bardzo trudne i nie ma jednej drogi, która skutecznie wyeliminuje zagrożenie. Najbardziej skuteczna wydaje się być promocja zdrowia i wdrażanie postępowania profilaktycznego nie tylko w ciąży, ale także w okresie przedkoncepcyjnym, głównie poprzez edukację w zakresie prozdrowotnego stylu życia. Pracownicy ochrony zdrowia, w tym położne powinni dokładać wszelkich starań mających na celu zminimalizowanie skutków, jakie niesie ze sobą zagrożenie przedwczesnym porodem, między innymi poprzez wdrażanie działań profilaktycznych. Celem pracy jest ukazanie zadań położnej w profilaktyce porodu przedwczesnego, na wszystkich poziomach prewencji. Słowa kluczowe: profilaktyka, położna, poród przedwczesny ABSTRACT Preterm birth is an enormous challenge for the modern obstetrics. Despite the fact that there is a continuous development of prenatal care, the frequency of preterm birth occurrence remains constant. The development of its prophylaxis methods is of utmost interest for many researchers and scholars in Poland and in the world. As a result of multifactorial etiology, the procedure in case of this pathology is vastly difficult and there is no one way, which could effectively eliminate the risk of preterm birth. The most effective way to prevent this kind of pathology, seems to be health promotion and the implementation of prophylaxis methods, not only during the period of pregnancy but also in the pre-pregnancy period. This can be achieved through the education in the field of healthy lifestyle. Health care workers, including midwives, should make every effort to reduce the effects of the preterm birth occurrence. This should be executed by the implementation of the prophylactic methods. The aim of this article is to show the midwife’s responsibilities in the prevention of preterm birth at all levels of its prophylaxis. Key words: prophylaxis, midwife, preterm birt

A survey on sexuality of male university students in Wrocław

Wstęp. W przedstawionym badaniu, analogicznie do jego pierwszej części dotyczącej kobiet, oceniano seksualność oraz ogólną wiedzę na temat seksualności i antykoncepcji studentów dwóch wybranych uczelni wrocławskich. Materiał i metody. W badaniu wzięło udział 96 studentów Akademii Medycznej (AM) i 271 studentów Politechniki Wrocławskiej (PWr). Podobnie jak poprzednio, ankiety były rozdawane wśród studentów mieszkających w akademikach. Wyniki badań poddano analizie statystycznej przy użyciu programu Statistica 6.0. Wyniki i wnioski. Wykazano, że znacząca część badanych mężczyzn ma podstawową wiedzę na temat seksualności i często jest przekonana o prawdziwości mitów i stereotypów dotyczących seksu. Nie wykazano znaczących różnic między poziomem wiedzy studentów obu uczelni. Wydaje się, że stałe kształcenie i promowanie rzetelnej wiedzy na tematy związane z seksualnością jest konieczne także w czasie studiów.Introduction. The survey evaluated an overall sexuality and a general knowledge concerning sexuality and contraception in male students of two selected universities in Wrocław. Materials and methods. 96 students of Wrocław Medical University (AM) and 271 students of Wrocław University of Technology (PWr) took part in the survey. The questionnaires were distributed among male students living in dormitories. Results and conclusions. It was proved that a significant part of examined men has basic knowledge of sexuality and is often convinced that the myths and stereotypes concerning sex are true. No statistically significant differences between the levels of knowledge in both groups were proved. It seems that a constant education and promotion of reliable knowledge of sexuality topics is necessary also during studies

Health-related behaviors among pregnant women with hypertension

Introduction. The healthy and unhealthy behaviors of a pregnant woman influence both her own health and that of her unborn child, affecting its future development. The purpose of the study was to evaluate the health-related behaviors of pregnant women with hypertension. Material i method. The study was performed between November 2011 and February 2012 and included 80 hypertensive pregnant women hospitalized in a high risk pregnancy ward. The study used a diagnostic survey with questionnaires. Results. Statistical analyses showed a correlation between the respondents’ health-related behaviors and their socio-demographic characteristics: exercise was correlated with age (p=0.01), and rest during the day was correlated with support in everyday responsibilities (p<0.00001), and with the respondents’ socio-economic standing (p=0.03). Correlations were also found between healthy eating habits and residence (0.006), education (p=0.05), and sodium intake (p=0.0003), as well as between education and substance use (p=0.0003). Conclusion. Health-related behaviors of pregnant women with hypertension are influenced by their education, support they receive in daily responsibilities, and their socio-economic standing. The diagnosis of hypertension in pregnant women does not necessarily prompt them to discontinue all unhealthy behaviors

Tumor expression of survivin, p53, cyclin D1, osteopontin and fibronectin in predicting the response to neo-adjuvant chemotherapy in children with advanced malignant peripheral nerve sheath tumor

Purpose Selected cell-cycle regulators and extracellular matrix proteins were found to play roles in malignant peripheral nerve sheath tumor (MPNST) biology. We aimed to analyze whether initial tumor tissue expressions of survivin, p53, cyclin D1, osteopontin (OPN) and fibronectin (FN) correlate with the response to neo-adjuvant CHT (naCHT) in children with advanced inoperable MPNST. Methods The study included 26 children with MPNST (M/F 14/12, median age 130 months) treated in Polish centers of pediatric oncology between 1992 and 2013. Tissue expression of markers was studied immunohistochemically in the manually performed tissue microarrays and assessed semi-quantitatively as low and high, based on the rate of positive cells and staining intensity. Results Good response to naCHT was noted in 47.6%, while poor-in 52.4% of patients. The response to naCHT was influenced negatively by the presence of neurofibromatosis NF1 and high initial tumor tissue expression of OPN, survivin, p53 and cyclin D1. Patients with high tumor expression of either OPN, survivin or p53 and those with simultaneous high expression of ≥ 3 of the markers, responded significantly worse to naCHT, than patients, in whom expression of ≤ 2 markers were detected at diagnosis. Nearly, 85% of patients expressing ≥ 3 markers, responded poor to CHT; while 87.5% of children, expressing ≤ 2 markers, were good responders. Conclusion The initial tumor tissue expression of OPN, survivin, p53 and cyclin D1 may serve as markers to predict response to naCHT in pediatric advanced MPNST. Future studies in more numerous group of patients are needed to confirm these preliminary results