89 research outputs found

    The benefits of vitamin D3 supplementation for menopausal women - literature review

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    Witamina D to potoczna nazwa cholekalcyferolu i ergokalcyferolu. Wyst─Öpuje w postaci nieaktywnej, ale w wyniku hydroksylacji w pozycji 1 lub 25 staje si─Ö witamin─ů aktywn─ů. Cholekalcyferol paszy z nieaktywnej formy pod wydanie UV w cia┼éo cia┼éo, natomiast ergosterol jest dostarczany do organizmu z po┼╝ywienia ro┼Ťlinnego. Witamina D ma znacz─ůcy wp┼éyw na zdrowie kobiet po menopauzie. Poziom estrogenu spada u kobiety w okresie menopauzy. Ma to konsekwencje m.in. ubytki wapnia. To jest pow├│d, dla kt├│rego kobiety w tym wieku znajduje si─Ö w grupie ryzyka zachorowania na osteoporoz─Ö. Witamina D pomaga w przyswajaniu wapnia i fosforu. Te minera┼éy pe┼éni─ů wol─Ö wol─Ö w okresie menopauzy.Kobiety w tej grupie wiekowej przyjmowa─ç od 1000 do 1500 mg dziennie. Nie zaleca si─Ö nadmiernego spo┼╝ycia, przekroczenie normy nie przynosi lepszych efekt├│w. Mimo to wykrycie niedoboru witaminy D u kobiet po menopauzie i rozpocz─Öcie leczenia pozytywnie wp┼éyw na ich stan zdrowia. [1

    Osborn wave in ECG in elderly patient with so-called urban hypothermia

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    Kici┼äski Pawe┼é, Szyma┼äska Monika, Niedzia┼éek Jaros┼éaw,┬áLis Beata,┬áPrystupa Andrzej. Osborn wave in ECG in elderly patient with so-called urban hypothermia. Journal of Education, Health and Sport. 2016;6(8):206-209. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.60084http://ojs.ukw.edu.pl/index.php/johs/article/view/3748┬á┬á┬áThe 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┬ę 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: 15.07.2016. Revised 25.07.2016. Accepted: 12.08.2016.┬á┬áOsborn wave in ECG in elderly patient with so-called urban hypothermia┬áPawe┼é Kici┼äski1, Monika Szyma┼äska2, Jaros┼éaw Niedzia┼éek2, Beata┬áLis3,┬áAndrzej┬áPrystupa3┬á1Department of Family Medicine, Medical University of Lublin, Poland2Individual Medical Practice, Lublin, Poland3Department of Internal Diseases, Medical University of Lublin, Poland┬á┬áAbstractThe Osborn wave is a characteristic twisting at the termination of the QRS complex visible at the J point. Its presence is most commonly associated with hypothermia, electrolyte imbalance, primary cardiac disorders or CNS pathologies. A case of a 78-yearÔÇôold male with Osborne wave caused by deep hypothermia is presented.┬áKey words: electrocardiography, hypothermia, Osborn wave

    The philosoher of the one question

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    TOT and TVT as surgical methods of treatment of stress urinary incontinence in women - meta-analysis

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    Introduction: Urinary incontinence can affect up to 50% of women in the world. The most common is stress incontinence, which consists in involuntary, uncontrolled urination when the pressure in the abdominal cavity increases. Among the most commonly used methods of treating stress urinary incontinence there are treatments using a synthetic tape - TOT and TVT. In this work, both methods were compared in terms of e.g. their effectiveness, the presence of complications, the safety of both procedures and the method of performing both procedures. Material and methods: The work was based on the articles published in PubMed, medical books and websites. Results: Both TOT and TVT in the treatment of stress urinary incontinence are highly effective. Both short-term and long-term treatment results of both methods are very good and very similar. In the case of TOT, the subjective cure <1 year is 62-98%, where with TVT - 71-97%. Subjective long-term cure (>5 years) was 43-92% with TOT and 51-88% with TVT. The incidence of complications after TOT is significantly lower, but there is a higher probability of having to perform a repeat procedure to treat stress urinary incontinence. TVT has a lower risk of reoperation in >5 years (1.1%) but has a higher risk of chronic perineal pain. Conclusions: The placement of a tension-free TVT or TOT tape should be the surgery of choice for women with simple stress urinary incontinence. However, there is a higher risk of chronic perineal pain 12 months after having a tape placed behind the symphysis. The technique of passing the tapes through the obturator holes is associated with a lower risk of bladder injury and less discomfort during bladder emptying compared to the TVT technique. After TOT surgery both pain in the inner thighs and inguinal area and vaginal damage are more common than after TVT

    Transbronchial lung cryobiopsy guided by radial "mini-probe" endobronchial ultrasound in interstitial lung diseases - a multicenter prospective study

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    Introduction: Transbronchial lung cryobiopsy (TBLC) is commonly used in diagnosing interstitial lung diseases (ILDs). Ageneral anesthesia with endotracheal intubation, balloon blockers and fluoroscopy control is the most common modality. Simplifying the procedure without decreasing itÔÇÖs safety could result in wider use. Prospective, observational study was conducted in three Polish pulmonology centers to evaluate safety and diagnostic yield of TBLC under conscious sedation, without intubation and bronchial blockers and with radial-EBUS guidance instead of fluoroscopy. Material and methods: In patients suspected of ILD, in accordance with high resolution computer tomography (HRCT) selected lung segments were examined with radial-EBUS mini probe without aguide sheath. If the lung infiltrations were visible this locations were preferred. If not, specimens were taken from two different segments of the same lobe. Two to five biopsies with freezing time 5ÔÇô8 seconds were performed. Moreover ultrasound examination was used to avoid injury of lung vessels. Results: From March 2017 to September 2019 ÔÇö 114 patients (M: 59, F: 55) of mean (SD) age 54 (14) years were included to the study on the basis of medical history and HRCT. Histopathology was conclusive in 90 (79%) patients and included 16 different diagnoses (sarcoidosis, EAA, COP predominantly). 24 inconclusive biopsies of unclassifiable pulmonary fibrosis were followed up. Complications included five cases (4.4%) of pneumothorax requiring achest tube drainage and aminor and moderate bleeding in few cases. There was no need for use of balloon bronchial blockers. Conclusions: TBLC under conscious sedation guided by radial EBUS mini-probe is novel, reasonable and safe technique for histological diagnosis of ILDs

    Transbronchial lung cryobiopsy guided by radial mini-probe endobronchial ultrasound in interstitial lung diseases ÔÇö a multicenter prospective study

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    Introduction: Transbronchial lung cryobiopsy (TBLC) is commonly used in diagnosing interstitial lung diseases (ILDs). A┬ágeneral anesthesia with endotracheal intubation, balloon blockers and fluoroscopy control is the most common modality. Simplifying the procedure without decreasing itÔÇÖs safety could result in wider use.Prospective, observational study was conducted in three Polish pulmonology centers to evaluate safety and diagnostic yield of TBLC under conscious sedation, without intubation and bronchial blockers and with radial-EBUS guidance instead of fluoroscopy. Material and methods: In patients suspected of ILD, in accordance with high resolution computer tomography (HRCT) selected lung segments were examined with radial-EBUS mini probe without a┬águide sheath. If the lung infiltrations were visible this locations were preferred. If not, specimens were taken from two different segments of the same lobe. Two to five biopsies with freezing time 5ÔÇô8 seconds were performed. Moreover ultrasound examination was used to avoid injury of lung vessels.Results: From March 2017 to September 2019 ÔÇö 114 patients (M: 59, F: 55) of mean (SD) age 54 (14) years were included to the study on the basis of medical history and HRCT. Histopathology was conclusive in 90 (79%) patients and included 16 different diagnoses (sarcoidosis, EAA, COP predominantly). 24 inconclusive biopsies of unclassifiable pulmonary fibrosis were followed up. Complications included five cases (4.4%) of pneumothorax requiring a┬áchest tube drainage and a┬áminor and moderate bleeding in few cases. There was no need for use of balloon bronchial blockers.Conclusions: TBLC under conscious sedation guided by radial EBUS mini-probe is novel, reasonable and safe technique for histological diagnosis of ILDs

    Age and productivity. Human capital accumulation and depreciation

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    This NEUJOBS research report focuses on links between age, productivity and lifelong learning. Various data sources (EU-SILC, LFS, Structure of Earnings Survey, SHARE, ELSA, SHARELIFE) and methodological approaches were used in this report. Our analysis identifies clusters of countries with common characteristics of ageearnings profiles (for certain groups of employees) and allows for an explanation of those differences. Some differences can be attributed to the share of sectors, education types, and occupations in country-specific employment. Others are due to labour market institutions and the (dis)incentives to work at older ages provided by social security systems. Additionally, the dynamics of earnings after age 50 differ less between educational and occupational groups than at earlier ages. We show that the dynamics of average wages are strongly influenced by the timing of entering and leaving labour market. An estimation of the impact of LLL on productivity (measured by earnings) at older ages shows that for employees aged 50+, participation in training increases wages in the short-term

    Initial Polish experience of Flexible 19 gauge Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration

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    ┬á INTRODUCTION: EBUS is a well established minimally invasive diagnostic tool for mediastinal and hilar lymphadenopathy. The novel ViziShot Flex 19G needle (Olympus Respiratory America, Redmond, WA, USA) was introduced in 2015 in order to improve loaded scope flexion and to obtain larger tissue samples for analysis. The aims of this study were to assess diagnostic yield of Flex 19G needles and to present endoscopistÔÇÖs feedback about the endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA). MATERIAL AND METHODS: The Flex 19G needles were used in patients with hilar and/or mediastinal adenopathy in two Polish pulmonology centers. Cytology smears and cell blocks (CB) were prepared. The prospective analysis was performed due to collected data. RESULTS: Twenty two selected patients with confirmed adenopathy on chest-CT (mean age 58 ┬▒ 12) underwent EBUS-TBNA with use of Flex 19G needles. All procedures occurred to be diagnostic for smears (yield 100%). The malignancy was found in 15 cases (68.2%), and benign adenopathy in 7 (31.8%). In 12 of 14 cases of lung cancer (yield 85.7%) CB were diagnostic for immunohistochemical and molecular staining. After puncturing nodes, especially in hilar position not extensive bleeding was observed. Comparing to standard 21/22G EBUS-TBNA endoscopists underlined better flexion of loaded scope and sample adequacy and found non-significant differences in another biopsy details. CONCLUSIONS: The first Polish experience with use of Flex 19G EBUS-TBNA needle occurs to be similar in performance with standard technique with use of 22/21G needles and presents high diagnostic yield for lung cancer diagnostics, especially when preparing CB. A safety profile of the biopsy is acceptable.

    Initial Polish experience of flexible 19 gauge endobronchial ultrasound-guided transbronchial needle aspiration

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    Introduction: EBUS is a well established minimally invasive diagnostic tool for mediastinal and hilar lymphadenopathy. The novel ViziShot Flex 19G needle (Olympus Respiratory America, Redmond, WA, USA) was introduced in 2015 in order to improve loaded scope flexion and to obtain larger tissue samples for analysis. The aims of this study were to assess diagnostic yield of Flex 19G needles and to present endoscopistÔÇÖs feedback about the endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA). Material and methods: The Flex 19G needles were used in patients with hilar and/or mediastinal adenopathy in two Polish pulmonology centers. Cytology smears and cell blocks (CB) were prepared. The prospective analysis was performed due to collected data. Results: Twenty two selected patients with confirmed adenopathy on chest-CT (mean age 58 ┬▒ 12) underwent EBUS-TBNA with use of Flex 19G needles. All procedures occurred to be diagnostic for smears (yield 100%). The malignancy was found in 15 cases (68.2%), and benign adenopathy in 7 (31.8%). In 12 of 14 cases of lung cancer (yield 85.7%) CB were diagnostic for immunohistochemical and molecular staining. After puncturing nodes, especially in hilar position not extensive bleeding was observed. Comparing to standard 21/22G EBUS-TBNA endoscopists underlined better flexion of loaded scope and sample adequacy and found non-significant differences in another biopsy details. Conclusions: The first Polish experience with use of Flex 19G EBUS-TBNA needle occurs to be similar in performance with standard technique with use of 22/21G needles and presents high diagnostic yield for lung cancer diagnostics, especially when preparing CB. A safety profile of the biopsy is acceptable
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