Dzieje współpracy Bydgoszczy z miastami partnerskimi po 1989 roku

Partner cities are a special and very popular type of international co-operation of the local authorities. The specificity of this co-operation results first of all from its informal character and direct involvement of so-called ordinary people - residents of cities. This article presents co-operation based on partnership conducted by self-government of Bydgoszcz after the year 1989. After the initiation of political transformation, especially the reinstatement of territorial self-governments in Poland, foreign contacts of cities became more authentic. Besides already existing contacts with cities from the former socialist block (Cherkasky, Kragujevac), efforts were made to co-operate with many European, North American ans Asian cities: Wilhelmshaven and Mannheim (Germany), Perth (Scotland), Hartford (USA), Ningbo (China), Pavlodar (Kazakhstan), Pitesti (Romania), Patras (Greece), and Kremenchuck (Ukraine). Cultural exchange with Reggio Emilia (Italy) was continued. The most important areas of international twin co-operation of the city on the Brda River include first of all exchange of young people, organization of different types of cultural and sports events, leveraging EU funds for joint undertakings, sharing experiences in the scope of self-government activity, and economic co-operation. The author shows the genesis, circumstances of establishment and development of contacts between Bydgoszcz and its foreign partners, as well as examples of real benefits resulting from them. Owing to both the number of established contacts, their broad geography, and the diversity of forms and ways of conducted co-operation, one can say that the self-government of Bydgoszcz has gained adequate experience and applies properly the idea of twin cities

O lepszą jakość życia seniorów. Bydgoskie Uniwersytety Trzeciego Wieku (1996-2019)

The population of Poland ages at a fast pace. Rapid progress in this process is reported especially in the biggest cities of the region. In 1998-2018, participation of 60-and-older people in Bydgoszcz almost doubled, from 16.5 percent to about 29 percent. In the end of 2018, there were more than 101,000 people over 60 years of age, as well as nearly 20,000 people in the so-called “fourth age,” i.e. seniors aged 80 and older. The fast pace of population ageing is one of the biggest challenges for the growth of the city. Demographic changes contribute to an increasing role of various organizations - both public and nongovernment - involved in activities focused on older people. In the context of implementation of projects addressed to seniors, we need to mention in particular the Universities of the Third Age. These institutions, which initially were focused mainly on education of the elderly, nowadays more frequently play the role of multifunctional senior centres. The article describes the genesis and development, starting from the first U3A founded in 1996, followed by the profile of these specific senior institutions in Bydgoszcz. It also presents a wide range of their activities, highlighting the most interesting and original forms of undertakings. The Universities of the Third Age play an increasingly important role in shaping active lifestyle among seniors in Bydgoszcz; they have better organization and management, contributing to building a positive image of the elderly in our society

Defekografia i wlew doodbytniczy w ocenie przyczyn zaparć przewlekłych i nietrzymania stolca u dzieci

Background: The aim of the study was to assess the role of radiographic examinations, i.e. barium enema and defecography, in the diagnosis of chronic disturbances in defecation in children. Materials/Methods: The study group of 117 children was divided into 2 groups: children with constipation (subgroup A: children with constipation only, subgroup B: children with constipation and fecal incontinence) and children with fecal incontinence. Defecography was performed in 62 patients, barium enema in 70 patients, and defecography with barium enema in 32 patients. Retrospectively, a group of 20 children with barium enema, but without constipation or incontinence, was analyzed. Results: We assessed the length and width of the colon, features of non-specific inflammatory processes, and competence of the ileocecal valve. No statistically significant differences in the occurrence of the above-mentioned symptoms were observed between these study groups. Anorectal angle, pelvic floor excursion (descent), paste evacuation, width of the anal canal, and morphology of the rectum were assessed in the defecographic examination. Statistically significant differences concerning pelvic floor excursion, paste evacuation, and anal canal width as well as the coexistence of an abnormal anorectal angle and paste evacuation were observed between children with obstruction and children with fecal incontinence. Conclusions: 1. Barium enema has little diagnostic value in chronic constipation in children. 2. The advantages of defecography are a) precise definition of the kind and severity of disturbances in pelvic floor function; this is essential for effective treatment, b) the simplicity of the investigation, and c) its cost effectiveness. 3. The disadvantages of defecography are a) equivocal interpretation of single abnormal parameters, b) patient age should be above 6 years due to the necessity of close cooperation during examination, and c) the use of ionizing radiation, making the examination one of the last in the chain of diagnostic methods

Wybrane aspekty komunikacji terapeutycznej w kontekście kontaktu z pacjentem chorym psychicznie = Selected aspects of communication in the context of therapeutic contact with the patient mentally ill

Biegański Piotr, Tudorowska Malwina. Wybrane aspekty komunikacji terapeutycznej w kontekście kontaktu z pacjentem chorym psychicznie = Selected aspects of communication in the context of therapeutic contact with the patient mentally ill. Journal of Education, Health and Sport. 2016;6(9):442-450. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.153864http://ojs.ukw.edu.pl/index.php/johs/article/view/3855   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, PolandOpen 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 commercialuse, 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: 05.08.2016. Revised 25.08.2016. Accepted: 06.09.2016.  Wybrane aspekty komunikacji terapeutycznej w kontekście kontaktu z pacjentem chorym psychicznieSelected aspects of communication in the context of therapeutic contact with the patient mentally ill mgr Piotr BiegańskiKatedra Higieny, Epidemiologii i Ergonomii Zakład Ergonomii i Fizjologii Wysiłku Fizycznego Collegium Medicum w Bydgoszczy im. Ludwika Rydygiera w Bydgoszczy UMK w Toruniu 85-094 Bydgoszcz, Curie Skłodowskiej 9 tel. (52) 585-36-15 e-mail: [email protected] mgr Malwina TudorowskaKatedra Pielęgniarstwa ZachowawczegoZakład Pielęgniarstwa PsychiatrycznegoCollegium Medicum w Bydgoszczy im. Ludwika Rydygiera w Bydgoszczy UMK w Toruniu85-821 Bydgoszcz, ul. Łukasiewicza 1tel.: (52) 585-58-22/fax.: (52) 585-58-49e-mail: [email protected]    Streszczenie: Komunikacja terapeutyczna jako część procesu porozumiewania się pomiędzy pacjentem a personelem medycznym jest istotnym elementem leczenia począwszy od diagnozy. Celem całego procesu jest wzmocnienie sfery psychicznej ze względu na różnorodność przebiegu choroby. Wsparcie terapeuty poprzez odpowiednie komunikowanie się nie jest procesem psychoterapeutycznym a reakcją na stan chorobowy pacjenta i jego sytuację życiową. Czynnikami wzmacniającymi tego typu komunikację są nawiązanie dobrych relacji oraz wprowadzenie interwencji terapeutycznych. Porozumiewanie się z pacjentem chorym psychicznie wymaga szczególnego zaangażowania poprzez otwartość, zrozumienie, akceptację. Należy minimalizować bariery wynikające z uwarunkowań fizycznych, społecznych tak aby budować zaufanie pacjenta tak aby proces komunikacji był jak najbardziej efektywny. Słowa kluczowe: komunikacja, komunikacja terapeutyczna, choroba psychicznaAbstrakt: Therapeutic communication as part of the process of communication between the patient and the medical staff is an important element of treatment from diagnosis. The aim of the whole process is to strengthen the psychiatric due to the variety of the disease. Support therapist through appropriate communication is not a psychotherapeutic method but a reaction to the condition of the patient and his life situation. Factors reinforcing this type of communication is to establish good relations and the introduction of therapeutic interventions. Communication with the patient mentally ill requires special commitment through openness, understanding, acceptance. We should minimize the barriers stemming from the conditions of physical, social, in order to build the confidence of the patient so that the process of communication as effective as possible. Key words: communication, therapeutic communication, mental illnes

Diagnostyka obrazowa choroby Coatsa

Background: Coats' disease is a rare congenital vascular abnormality of the retina consisting of multiple teleangiectases, breakdown of the retina-blood barrier, and formation of subretinal lipoproteinaceous exudate, leading to retinal detachment. Material/Methods: Globe imaging using US, CT, and MR was performed in five patients with decreased visual acuity (4 boys and 1 girl), aged 1-16 years, with a diagnosis or suspicion of Coats' disease. Results: Retinal thickening in the temporal quadrant was observed in one child. In the other four children, V-shaped retinal detachments with exudate accumulated beneath the detached retina were observed. All affected globes showed decreased anterior-posterior diameters compared with the contralateral eye. Calcifications of the retinal regions were not present. Conclusions: Globe imaging in Coats' disease precisely shows retinal abnormalities and typical subretinal exudates. These lesions are nonspecific and differentiation from other causes of exudative retinal detachment should be performed

Disseminated lesions of the central nervous system in course of pediatric brain tumors

Background: Neoplasms of the central nervous system (CNS) are, apart from leukemia, the most frequent malignant disorders in the childhood. Among the brain tumors, those of poorly differentiated cells - give metastatic lesions to the CNS. The aim of the paper was to evaluate the features of CT and MR images detecting dissemination of the primary brain tumors. Material/Methods: From 1993 to 2005 in the Department of Radiology of the Polish Mother’s Memorial Hospital - Research Institute, the disseminations to CNS were observed in 35 children who were previously operated for primary brain tumors. CT and MR examinations of the brain were performed in all patients (22 males and 13 females; age: 5 mo - 18 y) and MR imaging of the spinal cord was done in 18 children. Results: Multiple metastases to the cerebral structures were detected more often (in 23 patients - 66%) as compared to single lesions. The most frequent disseminations were observed in patients with diagnosis of medulloblastoma - 13 children, PNET - 4 and pineoblastoma - 3 patients. Twelve children had single metastatic tumors (out of the primary neoplasm location): in the course of medulloblastoma - 6, and PNET - 2 patients. Eighteen MR examinations of the spinal canal showed disseminations of the brain tumors in 9 children; concomitant metastatic nodules in the brain were detected in 4 patients. Conclusions: CT and MR imaging of the CNS enables evaluating the dissemination of primary brain tumors in children. Any asymptomatic progression of the primary neoplastic disease may be detected by means of control diagnostic imaging, which reveals the tumor spread. Especially in patients with medulloblastoma and pineoblastoma, the spine MR imaging with gadolinium is mandatory