Powikłania ostre cukrzycy u dzieci

Nierecenzowany artykuł poglądowyPraca, którą opracowałam dotyczy powikłań ostrych cukrzycy u dzieci. W badaniach epidemiologicznych z ostatnich lat ukazano, że jest coraz więcej przypadków zachorowań na cukrzycę w grupie najmłodszych dzieci . Najczęściej rozpoznawana jest cukrzyca typu 1, lecz z rozwojem badań immunologicznych i genetycznych pojawia się oraz więcej przypadków cukrzycy typu 2. Bardzo ważna jest prawidłowa diagnostyka tej choroby, ponieważ wpływa ona na sposób dalszego leczenia, a także na jakość życia pacjenta. Do najczęstszych objawów choroby zaliczamy: wzmożone pragnienie, częste oddawanie moczu, utrata wagi, senność, osłabienie. Rodzaj prowadzonego leczenia, zależy od typu cukrzycy, wieku pacjenta, jak również jego możliwości i potrzeb. Najczęstszą metodą leczenie jest, stosowanie substancji insuliny, bądź doustnych leków przeciwcukrzycowych . Ważne jest również monitorowanie glikemii, dieta oraz prowadzenie aktywnego tryby życia. Do częsty powikłań cukrzycy zaliczamy hipoglikemie oraz hiperglikemie. Dziecko chore na cukrzycę wraz z rodzicami powinno być objęte zespołem specjalistów, którzy mają doświadczenie i rozumieją jego potrzeby.The paper I have developed concerns the complications of acute diabetes in children. In epidemiological studies from recent years it has been shown that there are more and more cases of diabetes in the group of the youngest children. Typically, diagnosed is type 1 diabetes, but with the development of immunological and genetic tests, there are more and more cases of type 2 diabetes. Very important is correct diagnostics of this disease because it affects the procedure of further treatment as well as the quality of life of the patient concerned. The most common symptoms of the disease include: polydipsia, frequent urination, weight loss, drowsiness, weakness. The type of treatment depends on the type of diabetes, the age of the patient as well as his or her abilities and needs. The most common treatment method is the use of insulin substances or oral antidiabetic drugs. It is also important to monitor glycemia, diet and active lifestyle. Frequent complications of diabetes include hypoglycemia and hyperglycemia. A child with diabetes and their parents should be covered by a team of experienced specialists who understand their needs

Theory-based digital intervention to promote weight loss and weight loss maintenance (Choosing Health): protocol for a randomised controlled trial

INTRODUCTION: Digital behavioural weight loss interventions have the potential to improve public health; however, these interventions are often not adequately tailored to the needs of the participants. This is the protocol for a trial that aims to determine the effectiveness and cost-effectiveness of the Choosing Health programme as a means to promote weight loss and weight loss maintenance among overweight/obese adults. METHODS AND ANALYSIS: The proposed study is a two-group randomised controlled trial with a nested interrupted time series (ITS) within-person design. Participants (n=285) will be randomly assigned to either the Choosing Health digital intervention or a control group. For intervention participants, ecological momentary assessment will be used to identify behavioural determinants for each individual in order to tailor evidence-based behaviour change techniques and intervention content.Control group participants will receive non-tailored weight loss advice via e-book and generic emails. The primary outcome is the mean difference in weight loss between groups at 6 months controlled for baseline. Secondary outcomes include blood pressure and percentage of body fat; self-reported measures of physical activity, sitting time, quality of life, cost and theory-derived correlates of weight loss. Secondary outcomes will be measured at baseline, 3, 6 and 12 months. The primary outcome for ITS will be daily weight loss plan adherence. Data will be analysed using regression and time series analyses. ETHICS AND DISSEMINATION: Ethics approval was granted by Faculty of Psychology, SWPS University of Social Sciences and Humanities, Wroclaw, Poland, approval number 03/P/12/2019. The project results will be disseminated through structured strategy implemented in collaboration with the Ministry of Health. TRIAL REGISTRATION DETAILS: This trial was registered with www.clinicaltrials.gov; registration number NCT04291482

Mechanical thrombectomy in acute stroke – Five years of experience in Poland

Objectives Mechanical thrombectomy (MT) is not reimbursed by the Polish public health system. We present a description of 5 years of experience with MT in acute stroke in Comprehensive Stroke Centers (CSCs) in Poland. Methods and results We retrospectively analyzed the results of a structured questionnaire from 23 out of 25 identified CSCs and 22 data sets that include 61 clinical, radiological and outcome measures. Results Most of the CSCs (74%) were founded at University Hospitals and most (65.2%) work round the clock. In 78.3% of them, the working teams are composed of neurologists and neuro-radiologists. All CSCs perform CT and angio-CT before MT. In total 586 patients were subjected to MT and data from 531 of them were analyzed. Mean time laps from stroke onset to groin puncture was 250±99min. 90.3% of the studied patients had MT within 6h from stroke onset; 59.3% of them were treated with IV rt-PA prior to MT; 15.1% had IA rt-PA during MT and 4.7% – emergent stenting of a large vessel. M1 of MCA was occluded in 47.8% of cases. The Solitaire device was used in 53% of cases. Successful recanalization (TICI2b–TICI3) was achieved in 64.6% of cases and 53.4% of patients did not experience hemorrhagic transformation. Clinical improvement on discharge was noticed in 53.7% of cases, futile recanalization – in 30.7%, mRS of 0–2 – in 31.4% and mRS of 6 in 22% of cases. Conclusion Our results can help harmonize standards for MT in Poland according to international guidelines

Geoenvironmental databases : the scope of data and sharing collected information

The Geoenvironmental Map of Poland is dedicated to the most important issues related to the effective management of mineral resources, in the context of both already documented deposits and the perspective base for individual minerals. The information collected on the map is presented in the context of environmental conditions that may significantly affect the possibility of exploitation minerals. The three editions of the Geoenvironmental Map of Poland cover a total of 3,255 sheets A and 2,170 sheets B, available in analogue and digital form, usingweb services and tools. Free and easy access, aswellasawidecross-section of data, makes the Geoenvironmental Map of Poland can realistically support the activities ofgeological administration atthe poviat and voivodship levels

A survey of different graph structures used in modeling design, engineering and computer science problems

The paper presents several types of graphs used to model engineering, design, and computer science problems. In the described approach, graphs are used as the representation of the knowledge related to the considered problem, while so-called graph transformations are used to model the process of solving the problem. In the paper, different types of graphs and corresponding graph transformations, as well as their application to model design, engineering, and computer science problems, are presented. The labelled, attributed, directed and undirected variants of standard graphs, composition graphs, hierarchical composition graphs, hypergraphs, hierarchical hypergraphs, layout, and hierarchical layout graphs, as well as multi-hierarchical graphs are considered. The paper presents several applications of the described graph-based approach in architectural and engineering design, computational grids, Finite Element Method computations as well as in computer games

Decision making in building maintenance using a graph-based knowledge representation

This paper is an attempt to support effective decision making in building management by assisting maintenance processes. Knowledge about buildings is stored in a graph with many hierarchies. This representation allows us to express different types of hierarchical dependencies between building parts, like geometrical and functional ones, in one structure. Moreover, such a structure is useful to extract subgraphs containing information necessary for a given computational task, such as locating a desired place and the shortest path leading to it. As maintanance processes often require dynamic path target selection, modified indoor navigation methods are proposed. The paper presents the capability of the described knowledge model to cope with complex queries referring to different types of information. The considered examples show that the proposed approach can be used for various facility maintenance management applications