Krwotok poporodowy – przyczyny, objawy, postępowanie przedszpitalne = Postpartum hemorrhage – causes, symptoms, prehospital treatment

Sowa Magdalena, Tarkowski Michał, Wójcik Kamil, Winnicki Andrzej, Saletnik Łukasz. Krwotok poporodowy – przyczyny, objawy, postępowanie przedszpitalne = Postpartum hemorrhage – causes, symptoms, prehospital treatment. Journal of Education, Health and Sport. 2015;5(4):319-324. ISSN 2391-8306. DOI: 10.5281/zenodo.17155http://ojs.ukw.edu.pl/index.php/johs/article/view/2015%3B5%284%29%3A319-324https://pbn.nauka.gov.pl/works/555244http://dx.doi.org/10.5281/zenodo.17155Formerly Journal of Health Sciences. ISSN 1429-9623 / 2300-665X. Archives 2011 – 2014 http://journal.rsw.edu.pl/index.php/JHS/issue/archive Deklaracja.Specyfika i zawartość merytoryczna czasopisma nie ulega zmianie.Zgodnie z informacją MNiSW z dnia 2 czerwca 2014 r., że w roku 2014 nie będzie przeprowadzana ocena czasopism naukowych; czasopismo o zmienionym tytule otrzymuje tyle samo punktów co na wykazie czasopism naukowych z dnia 31 grudnia 2014 r.The journal has had 5 points in Ministry of Science and Higher Education of Poland parametric evaluation. Part B item 1089. (31.12.2014).© The Author (s) 2015;This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland and Radom University in Radom, 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/3.0/) 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/3.0/) 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: 15.02.2015. Revised 27.03.2015. Accepted: 10.04.2015. Krwotok poporodowy – przyczyny, objawy, postępowanie przedszpitalnePostpartum hemorrhage – causes, symptoms, prehospital treatment Magdalena Sowa1, Michał Tarkowski2, Kamil Wójcik2, Andrzej Winnicki3, Łukasz Saletnik1 1Katedra i Zakład Laseroterapii i Fizjoterapii,  Uniwersytet Mikołaja Kopernika w Toruniu2Wojewódzka Stacja Pogotowia Ratunkowego w Bydgoszczy3Katedra Technologii Postaci Leku, Uniwersytet Mikołaja Kopernika w Toruniu Adres do korespondencji:Magdalena SowaKatedra i Zakład Laseroterapii i FizjoterapiiUniwersytet Mikołaja Kopernika w ToruniuCollegium Medicum im. Ludwika Rydygiera w Bydgoszczyul. Marii Skłodowskiej – Curie 985 – 094 Bydgoszcze – mail [email protected] StreszczenieKrwotok poporodowy stanowi stan zagrożenia życia. Jest najczęstszą przyczyną zgonów wśród położnic w okresie okołoporodowym. Wczesna identyfikacja czynników ryzyka oraz znajomość algorytmów postępowania pozwala zredukować kliniczne następstwa hipowolemii oraz zachować funkcje rozrodcze pacjentki. W pierwszej kolejności wdraża się metody leczenia zachowawczego. Słowa kluczowe: krwotok poporodowy, objawy kliniczne, postępowanie ratunkowe.   AbstractPostpartum hemorrhage is a life-threatening condition. It’s the most common cause of death among parturient women in the perinatal period. Early identification of risk factors and the knowledge regarding the algorithms of conduct allow for reduction of the clinical consequences of hypovolemia and for preserving patient’s reproductive functions. In the first place, the methods of conservative treatment are implemented. Key words: postpartum hemorrhage, clinical symptoms, rescue procedure

Evaluating knowledge of young women regarding breast cancer prevention

Introduction: Regular screening for breast cancer allows to detect the disease at an early stage and to introduce breast-conserving surgical treatment more commonly in patients.Aim: The aim of this study was to evaluate knowledge of young women regarding risk factors of breast cancer as well as methods of early detection of pathological masses.Materials and methods: The study included 159 females aged 18 to 30 presenting to the gynecologist at the non-public healthcare center Endo-Medica in Bydgoszcz. The diagnostic survey was conducted using our own questionnaire. The study was conducted anonymously between November 2016 and February 2017.Results: It was stated by 68.6% of respondents that self-examination of the breasts should be initiated at the age of 20. Also, 66.7% correctly indicated the day of the menstrual cycle, when the examination should be performed. Although the majority of participants (62.9%) were familiar with the self-examination technique, less than a half reported regular checking. As the major factor of developing breast cancer, they pointed out genetic predisposition. Considering breast cancer symptoms, the respondents listed nodules, axillary masses and nipple discharge. Insufficient amount of knowledge was observed regarding the National Early Breast Cancer Detection Program.Conclusions: The results suggest the need of intensive oncologic education among young women in order to raise awareness about environmental factors promoting development of breast cancer as well as methods of its early detection

Segregacja medyczna poszkodowanych w obliczu zdarzeń masowych i katastrof = Medical segregation harmed in the face of mass events and disasters

Sowa Magdalena, Winnicki Andrzej, Tarkowski Michał, Saletnik Łukasz. Segregacja medyczna poszkodowanych w obliczu zdarzeń masowych i katastrof = Medical segregation harmed in the face of mass events and disasters. Journal of Education, Health and Sport. 2015;5(10):43-50. ISSN 2391-8306. DOIhttp://dx.doi.org/10.5281/zenodo.31922 http://ojs.ukw.edu.pl/index.php/johs/article/view/2015%3B5%2810%29%3A43-50 https://pbn.nauka.gov.pl/works/647898 Formerly Journal of Health Sciences. ISSN 1429-9623 / 2300-665X. Archives 2011–2014http://journal.rsw.edu.pl/index.php/JHS/issue/archive   Deklaracja. Specyfika i zawartość merytoryczna czasopisma nie ulega zmianie. Zgodnie z informacją MNiSW z dnia 2 czerwca 2014 r., że w roku 2014 nie będzie przeprowadzana ocena czasopism naukowych; czasopismo o zmienionym tytule otrzymuje tyle samo punktów co na wykazie czasopism naukowych z dnia 31 grudnia 2014 r. The journal has had 5 points in Ministry of Science and Higher Education of Poland parametric evaluation. Part B item 1089. (31.12.2014). © The Author (s) 2015; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland and Radom University in Radom, 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/3.0/) 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/3.0/) 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: 02.08.2015. Revised 05.09.2015. Accepted: 29.09.2015.   Segregacja medyczna poszkodowanych w obliczu zdarzeń masowych i katastrof Medical segregation harmed in the face of mass events and disasters   Magdalena Sowa1, Andrzej Winnicki2, Michał Tarkowski3, Łukasz Saletnik1   1Katedra i Zakład Laseroterapii i Fizjoterapii, Uniwersytet Mikołaja Kopernika w Toruniu, Collegium Medicum w Bydgoszczy 2Katedra Technologii Postaci Leku, Uniwersytet Mikołaja Kopernika w Toruniu, Collegium Medicum w Bydgoszczy 3Wojewódzka Stacja Pogotowia Ratunkowego w Bydgoszczy   mgr Magdalena Sowa Katedra i Zakład Laseroterapii i Fizjoterapii Uniwersytet Mikołaja Kopernika w Toruniu Collegium Medicum im. Ludwika Rydygiera w Bydgoszczy ul. Marii Skłodowskiej – Curie 9 85 – 094 Bydgoszcz e – mail: [email protected]   Streszczenie Częstotliwość zdarzeń masowych i katastrof bez wątpienia ma związek z rozwojem cywilizacji. Na współczesnym, zaawansowanym poziomie rozwoju medycyny, funkcjonalność Zintegrowanego Systemu Ratownictwa Medycznego w obliczu zdarzeń masowych i katastrof nadal stanowi ogromne wyzwanie. Duża ilość poszkodowanych oraz ograniczone zasoby sił i środków, zmuszają do zmiany sposobu postępowania ratowniczego. W zdarzeniach, których skutkiem jest duża liczba osób potrzebujących pomocy, jednym z najistotniejszych elementów jest segregacja medyczna, której celem jest zrobienie jak najwięcej, dla możliwie jak największej liczby poszkodowanych, w jak najkrótszym czasie.   Słowa kluczowe: zdarzenie masowe, katastrofa, segregacja medyczna.   Abstract The frequency of mass events and disasters undoubtedly has to do with the development of civilization. In today's advanced level of development of medicine, the functionality of the Integrated Medical Rescue System in the face of mass events and disasters remains a major challenge. A large number of victims and the limited resources of manpower and resources, forced to change its practice rescue. In events that result in a large number of people in need of help, one of the most important elements is Triage, whose aim is to do as much as possible for the greatest possible number of victims, as soon as possible.   Keywords: mass event, disaster, triage

On the Nature of Stationary and Time-Resolved Fluorescence Spectroscopy of Collagen Powder from Bovine Achilles Tendon

This paper presents a more systematic study of steady-state and time-resolved autofluorescence spectroscopy of collagen isolated from bovine Achilles tendon. In steady-state fluorescence measurements, the excitation and emission spectra of collagen powder, recorded at different fluorescence excitation and detection wavelengths, were compared with the fluorescence excitation and emission spectra of the amino acids phenylalanine, tyrosine, and tryptophan, as well as with similar spectra for 13 autofluorescent collagen cross-links, which have been identified and described in the literature so far. In time-resolved studies, fluorescence was excited by the pulsed light of different wavelengths, and for each excitation wavelength, fluorescence decay was recorded for several detection wavelengths. Data analysis allowed recovery of the fluorescence decay times for each experimental excitation detection event. The obtained information on the decay times of the measured fluorescent signals was discussed, taking into account the available literature data from similar studies of isolated collagen and collagen-rich tissues. Based on the obtained results, it was found that the shape and position of the measured fluorescence excitation and emission spectra of collagen strongly depend on the emission and excitation wavelengths selected in the measurements. From the recorded excitation and emission bands of collagen, it can be concluded with high probability that there are additional, so far unidentified, collagen cross-links, which can be excited at longer excitation wavelengths. In addition, the collagen excitation spectra were measured at longer emission wavelengths at which the collagen cross-links emit fluorescent light. In addition to the emission spectra obtained for excitation in the deep-UV region, the results of time-resolved fluorescence studies with excitation in the deep-UV region and detection at longer wavelengths suggest that fluorescence excitation energy transfer processes occur from the amino acids to the collagen cross-links, and also between the cross-links themselves

Changes in the fluorescence excitation and emissions spectra of heated and frying rapeseed oil and sunflower oil

Frying is a popular method of cooking (meals preparation). Heating and deep-fat frying cause a series of chemical reactions, such as oxidation of polyunsaturated fatty acids and vitamin E, as well as formation of trans isomers and products of peroxidation. These chemical reactions cause organoleptic and nutritional changes in the product, which may have a negative effect on health. For this reason, the usefulness of many methods for evaluation of refined oils quality is investigated. The fluorescence spectroscopy is increasingly used for this purpose. The aim of the study was to monitor the changes in emission and excitation spectra of refined rapeseed oil and sunflower oil after processes of heating and frying frozen French fries. The obtained results show the differences between the shapes of fluorescence excitation and emission spectra of both oils due to the two processes and these changes depend on duration of both processes. This study indicates that fluorescence spectroscopy is a promising method for evaluation of changes in oils during heating or frying

The Influence of Winter Swimming on Oxidative Stress Indicators in the Blood of Healthy Males

Baths in cold water are a popular physical activity performed to improve health. This study aimed to determine whether repeated cold-water exposure leads to the up-regulation of antioxidant defenses and whether or not this leads to a reduction in basal and/or acute pulses of oxidative distress in humans. The study group consisted of 28 healthy male members of the WS club (average age 39.3 ± 6.1 years). The study sessions occurred at the beginning and the end of the WS season. During the WS season, the participants took 3-min cold-water baths in a cold lake once a week. Blood samples were collected three times during each session: before the bath, 30 min after the bath, and 24 h after the bath. The activity of selected antioxidant enzymes, including superoxide dismutase (SOD), catalase, and glutathione peroxidase (GPx), as well as the concentration of lipid peroxidation (LPO) products, including thiobarbituric acid-reactive substances (TBARS) and conjugated dienes (CD), were determined in erythrocytes. The concentration of TBARS, CD, retinol, and α-tocopherol were determined in the blood plasma, whereas the level of other LPO products, including 4-hydroxynonenal and 8-iso-prostaglandin F2α, were determined in the blood serum. The repeated cold exposure up-regulated most antioxidant defenses, and this led to an attenuation of most indicators of oxidative stress at the baseline and acute pulses in response to cold exposure. In conclusion, due to regular cold exposure, the antioxidant barrier of winter swimmers was stimulated. Thus, short cold-bath sessions seem to be an effective intervention, inducing promoting positive adaptive changes such as the increased antioxidant capacity of the organism

The Influence of Winter Swimming on Oxidative Stress Indicators in the Blood of Healthy Males

Baths in cold water are a popular physical activity performed to improve health. This study aimed to determine whether repeated cold-water exposure leads to the up-regulation of antioxidant defenses and whether or not this leads to a reduction in basal and/or acute pulses of oxidative distress in humans. The study group consisted of 28 healthy male members of the WS club (average age 39.3 ± 6.1 years). The study sessions occurred at the beginning and the end of the WS season. During the WS season, the participants took 3-min cold-water baths in a cold lake once a week. Blood samples were collected three times during each session: before the bath, 30 min after the bath, and 24 h after the bath. The activity of selected antioxidant enzymes, including superoxide dismutase (SOD), catalase, and glutathione peroxidase (GPx), as well as the concentration of lipid peroxidation (LPO) products, including thiobarbituric acid-reactive substances (TBARS) and conjugated dienes (CD), were determined in erythrocytes. The concentration of TBARS, CD, retinol, and α-tocopherol were determined in the blood plasma, whereas the level of other LPO products, including 4-hydroxynonenal and 8-iso-prostaglandin F2α, were determined in the blood serum. The repeated cold exposure up-regulated most antioxidant defenses, and this led to an attenuation of most indicators of oxidative stress at the baseline and acute pulses in response to cold exposure. In conclusion, due to regular cold exposure, the antioxidant barrier of winter swimmers was stimulated. Thus, short cold-bath sessions seem to be an effective intervention, inducing promoting positive adaptive changes such as the increased antioxidant capacity of the organism