Women’s knowledge about pregnancy complicated by breast cancer and the attitude towards the implementation of anti-cancer therapy

Introduction and purpose: Breast cancer is the most commonly diagnosed cancer during pregnancy. Women can treat it, but pregnancy has a significant impact on the types and duration of using treatment. Purpose is to present the opinions of women about pregnancy complicated by breast cancer. Material and methods: 206 women participated in the study. We used a survey on the Internet. The average age of the respondents was 31.2. To establish whether an observed frequency distribution differs from a theoretical distribution the chi2 test of goodness-of-fit was used, to estimate relation we use the chi2 test of independence. Results: There were statistically significant differences between the number of women who believe that breast cancer is benign vs. malignant. Most often indicated as a safe method of diagnosis in pregnant women were: biopsy, mammography with lead shield, ultrasound, there was also a relationship between the place of residence and the choice of biopsy and ultrasound. A significant difference was noted between the number of women declaring an attitude forward delay vs starting treatment in pregnancy. There was a significant relationship between the pregnancy experience and the declared decision on the time of beginning of the therapy. Conclusions: The results suggest that women are aware of the malignancy of breast cancer. Many of them incorrectly differentiate the effects of this cancer in pregnant women and not pregnant. Biopsy, mammography with lead shield, ultrasound are perceived as the safest methods of diagnosis. Significantly more respondents claim that they would postpone the therapy until the end of pregnancy. Women who have never been pregnant more often declare that they would decide to postpone treatment. Key words: breast cancer; pregnancy; attitude; knowledge

Long - term concequences of subdural hematoma on quality of life

Czyżewski Wojciech, Litak Jakub, Kulesza Bartłomiej, Rolińska Agnieszka, Staniewicz Dominik, Grochowski Cezary, Kruk Rafał, Tyzo Bartłomiej. Long - term concequences of subdural hematoma on quality of life. Journal of Education, Health and Sport. 2018;8(9):961-965. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1419662 http://ojs.ukw.edu.pl/index.php/johs/article/view/5990 https://pbn.nauka.gov.pl/sedno-webapp/works/877650 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 2018; 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 Share alike. (http://creativecommons.org/licenses/by-nc-sa/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: 02.09.2018. Revised: 12.09.2018. Accepted: 15.09.2018. Long - term concequences of subdural hematoma on quality of life Wojciech Czyżewski1, Jakub Litak2, Bartłomiej Kulesza2, Agnieszka Rolińska3, Dominik Staniewicz4, Cezary Grochowski2, Rafał Kruk2, Bartłomiej Tyzo2 1 Department of Didactics and Medical Simulation Medical University of Lublin. 2 Department of Neurosurgery and Pediatric Neurosurgery SPSK-4 in Lublin. 3 Department of Clinical Psychology, 4 Medical University of Lublin. \ Krwiak podtwardówkowy i jego długoterminowy wpływ na jakość życia 1 Zakład Dydaktyki i Symulacji Medycznej Uniwersytetu Medycznego w Lublinie. 2 Klinika Neurochirurgii i Neurochirurgii Dziecięcej SPSK4 w Lublinie. 3 Zakład Psychologii Stosowanej Uniwersytet Medyczny w Lublinie. 4 Uniwersytet Medyczny w Lublinie. Abstract Subdural hematoma (SDH) could be an acute state required rapid neurosurgical decompression, could also represent chronic form; both develop after head trauma as well. Long term influence on a quality of life depend on many factors. Researchers put a lot of effort to find those which play most predictive role. Abstrakt Krwiak podtwardówkowy jako stan nagły może wymagać szybkiej dekompresji neurochirurgicznej, może również mieć formę przewlekłą - oba mogą być związane z urazem głowy. Długoterminowy wpływ na jakość życia zależy od wielu czynników. Badacze poszukuję tych ,które maja największa wartość predykcyjną. Key words: Subdural hematoma, bleeding. Słowa kluczowe: Krwiak podtwardówkowy, krwawienie

Long - term concequences of subdural hematoma on quality of life

Subdural hematoma (SDH) could be an acute state required rapid neurosurgical decompression , could also represent chronic form ; both develope after head trauma as well. Long term influence on a quality of life depend on many factors. Reaserchers put a lot of effort to find those wchich play most predictive role

Coping with Stress in Complicated Pregnancy and Gestational Weight Gain

Maternal obesity is one of the leading health problems in the world. Excessive gestational weight gain (GWG) can lead to many complications during pregnancy, especially when it is accompanied by diabetes. Moreover, the risk of excessive GWG in pregnant women is significant, irrespective of prenatal counseling. Studies on this subject concerning coping with stress are lacking in the literature. The present work is aimed at evaluating the styles of coping with stress and their relation to GWG in pregnant women with gestational diabetes (GDM) for whom sudden adaptation to dietary management during this period can be challenging. It was indicated that women with GDM reported high stress related to potential maternal-fetal complications and worries about compliance with dietary management. The overall weight gain of participants in pregnancy was determined in connection to their prepregnancy body mass index (BMI) and classified based on the Institute of Medicine guidelines. A standardized psychological scale was used to assess coping styles. The results showed that almost half of the participants did not meet the Institute of Medicine recommendations for weight gain during pregnancy. There were significant correlations between the styles of coping with stress and the GWG. Additionally, low correlations were indicated between emotional, avoidant, task-oriented coping styles and the age of pregnant women with GDM. Regression analysis showed that the stress-coping style that focused on emotions was the most predictive of overall weight gain. There is a need for a better understanding of psychological barriers in achieving the recommended GWG and potential limitations in providers’ interventions, particularly for GDM

Effect of use of an obstetric gel during labour on parturients’ satisfaction

Cel. Celem badania było określenie, czy zastosowanie podczas porodu bezpiecznego dla organizmu matki i dziecka żelu położniczego wpływa na satysfakcję porodową rodzących. Materiał i metoda. Badaniami objęto 45 pierworódek. Do grupy badanej zakwalifikowano 22 kobiety, u których podczas porodu zastosowano żel położniczy. Grupę kontrolną stanowiły 23 rodzące, u których poród przebiegał bez użycia żelu. Do oceny satysfakcji z przebiegu porodu zastosowano następujące narzędzia badawcze: Wizualną Skalę Analogową (Visual Analogue Scale- VAS) oraz ankietę własnej konstrukcji. Wyniki. Nie wykazano pomiędzy grupą badaną a kontrolną istotnych statystycznie różnic w ocenie zadowolenia z przebiegu porodu, wyczerpania po porodzie oraz natężenia bólu w II okresie porodu. Wniosek. Zastosowanie żelu położniczego podczas drugiego okresu porodu nie wpływało w istotny sposób na satysfakcję z przebiegu porodu u badanych kobiet.Objective. The objective of the presented study was to discover whether the use of an obstetric gel safe for mother and child during labour exerts an effect on woman›s satisfaction with childbirth. Material and method. The study included 45 primaparous women – 22 in whom obstetric gel was applied were qualified into the study group, and a control group covering 23 women whose delivery proceeded without the use of a gel. Satisfaction with the course of childbirth was evaluated using the following research instruments: the Visual Analogue Scale-VAS, and a questionnaire designed by the author. Results. No statistically significant differences in evaluations concerning satisfaction with the course of delivery, exhaustion after delivery and pain intensity during the second stage of labour were observed between the study and control groups. Conclusion. Application of an obstetric gel during the second stage of delivery did not significantly affect the womens’ satisfaction with childbirth