Throug the looking-glass. The Ukrainian reverse side of the Polish kresy myth

Recenzja omawia książkę Katarzyny Glinianowicz pt. Z cienia polskości. Ukraińska proza galicyjska przełomu XIX i XX wieku, będącej próbą postkolonialnej interpretacji historii narodzin nowoczesnej literatury ukraińskiej. Glinianowicz analizuje obecność polskiej tradycji w ukraińskiej prozie z Galicji i Bukowiny i stwierdza, że polski ślad w ukraińskiej kulturze tamtego okresu związany jest z symbolicznym gestem narodowej emancypacji. Tytuł - "Z cienia polskości" - staje się metaforyczną formułą określającą narodziny współczesnej ukraińskiej tożsamości. Recenzowana rozprawa jest interesującym studium z zakresu współczesnej literatury ukraińskiej, ale także ciekawym zapisem rewersu polskiego autostereotypu.The review discusses the book by Katarzyna Glinianowicz, Z cienia polskości. Ukraińska proza galicyjska przełomu XIX i XX wieku, which is a postcolonial attempt at a history of Ukrainian literature. Glinianowicz analyses the representation of Polish tradition and Polish vaules in Ukrainian prose from Galicia and Bukovina and finds that the Polish trace in the Ukrainian culture of that period is connected with symbolic emancipation gesture. The title - "From the Shadow of Polishness" - is a birth matphor of contemporary Ukrainian identity. The reviewer appreciates the original idea of the book and finds it very interesting not only as a study on Ukrainian literature, but also as a record of the reverse side of Polish stereotype

Prenatal exposure to antiandrogen flutamide affects androgen receptor (AR) expression in postnatal ovarian development in pig

The following study was undertaken to localize androgen receptors (ARs) in various structures of the porcine ovary after prenatal exposure to antiandrogen flutamide. In wet. treatment by antiandrogens may have adverse effects on reproductive function in immature and adult animals. Flutamide was injected into pregnant swines between days 20 and 28 (GD20) or 80 to 88 (GD80) of gestation. The ovaries were collected from treated animals and from control ones (non-treated) at two different points of development: from immature and adult pigs. Immunoexpression of AR was determined for preantral and antral follicles and for stroma cells. Immunostaining showed that AR expression in immature animals was unaffected in the primary follicles, while in the preantral and antral follicles the AR level fluctuated depending on day of treatment as well as on analyzed tissue. In adult animals, the immunoexpression of AR slightly decreased in antral follicles independently on the day of flutamide treatment. Therefore. AR expression in postnatal life may be affected by in utero exposure to antiandrogen flutamide

Bright light therapy as a method of supportive treatment of depression in pregnancy, puerperium and other selected psychiatric diseases

Gdańska Paulina, Kiersnowska Iwona, Baranowska Joanna, Kotomska Marta, Węgrzyn Piotr. Bright light therapy as a method of supportive treatment of depression in pregnancy, puerperium and other selected psychiatric diseases. Journal of Education, Health and Sport. 2019;9(5):304-309. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.3157429 http://ojs.ukw.edu.pl/index.php/johs/article/view/6928 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 2019; 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: 28.04.2019. Revised: 28.04.2019. Accepted: 22.05.2019. Bright light therapy as a method of supportive treatment of depression in pregnancy, puerperium and other selected psychiatric diseases Paulina Gdańska1, Iwona Kiersnowska1, Joanna Baranowska2, Marta Kotomska3, Piotr Węgrzyn1 1 Department of Obstetrics and Perinatology, Medical University of Warsaw, Warsaw, Poland 2 Midwifery student, Faculty of Health Sciences, Medical University Of Warsaw, Poland 3 Department of Basics of Nursing, Medical University of Warsaw, Warsaw, Poland Abstract: The paper presents the role of phototherapy in treatment of depression in pregnancy, puerperium and other selected psychiatric diseases. Bright light therapy can be used as an independent form of treatment or as a method supplementing pharmacotherapy. The treatment is based on the use of light that mimics natural sunlight during light therapy sessions. Phototherapy is an optimal solution when treating depressive moods, especially seasonal depression associated with deficiency of sunlight. In the autumn-winter season the production of serotonin responsible for the proper functioning of the nervous system and general well-being, is physiologically reduced. Therefore, the use of light seems to be a reasonable treatment for depressive moods. Light therapy was also adopted in the treatment of schizophrenia, post-stroke depression and eating disorders. This method is characterized by high safety profile, a small number of mild side effects and a simple treatment scheme. In view of the above, it is a convenient method to be used in clinical conditions. Keywords: Light therapy , Phototherapy, Depression, Perinatal depressio

Niewydolność szyjki macicy u pacjentki w ciąży bliźniaczej jednokosmówkowej jednoowodniowej skutecznie leczona szwem szyjkowym ratunkowym i pessarium – opis przypadku i przegląd piśmiennictwa

A monochorionic monoamniotic (MCMA) twin pregnancy is the rarest form of twin gestation, accounting for around 1:10000 to 1:20000 of all deliveries regardless of the region of the world. All multiple gestations have a higher risk of preterm delivery due to either preterm uterine contractions or asymptomatic cervical shortening (cervical incompetence). A case of a 28-year-old primigravida in MCMA twin pregnancy with cervical incompetence diagnosed at 22 weeks of gestation is presented. After obtaining cervical swabs, negative laboratory infection parameters and confirming concordant gestational age on ultrasound scan with no structural abnormalities of both fetuses, the patient was qualified for an emergency cervical cerclage according to Wurm-Hefner method. Five days after the procedure, a cervical pessary was additionally inserted. She was administered antibiotics and steroids. The wellbeing of both fetuses was strictly monitored by means of cardiotocography tracing and ultrasound examinations, on which they were both eutrophic, with no abnormalities in Doppler blood flow patterns. Spontaneous premature rupture of membranes took place at 32 weeks of gestation, a cesarean section was performed and two female fetuses of 1740g and 1760g were delivered. They both required antibiotics because of congenital pneumonia, but no respiratory support was necessary. The twins were discharged from the hospital 22 days after birth in good general condition. This case of a rescue cervical cerclage and pessary used simultaneously can be an example of an effective method of cervical incompetence treatment in twin pregnancies.Ciąża bliźniacza jednokosmówkowa jednoowodniowa (JKJO) jest najrzadszym wariantem ciąży bliźniaczej. Porody ciąż jednoowodniowych stanowią około 1:10000 do 1:20000 wszystkich porodów niezależnie od regionu świata. Ciąże mnogie obarczone są wyższym ryzykiem porodu przedwczesnego w mechanizmie przedwczesnej czynności skurczowej macicy lub bezobjawowego skracania i niewydolności cieśniowo-szyjkowej. Przedstawiono przypadek 28-letniej pierwiastki w ciąży bliźniaczej JKJO, u której zdiagnozowano niewydolność cieśniowo-szyjkową w 22. tygodniu ciąży. Po pobraniu posiewów z kanału szyjki macicy oraz uzyskaniu negatywnych wykładnikow stanu zapalnego, pacjentkę zakwalifikowano do założenia ratunkowego szwu szyjkowego metodą Wurm-Hefnera. Pięć dni po operacji dodatkowo założono pessar szyjkowy. Zastosowano antybiotykoterapię oraz sterydoterapię. Dobrostan obu płodów ściśle monitorowano przy użyciu kardiotokografii oraz badań ultrasonograficznych, w których potwierdzono prawidłowy rozwój płodów oraz brak odchyleń w badaniach dopplerowskich. W 32. tygodniu ciąży samoistnie odpłynął płyn owodniowy. Pacjentkę rozwiązano cięciem cesarskim. Urodzono dwa noworodki płci żeńskiej o masie 1740g oraz 1760g, które wymagały antybiotykoterapii z powodu wrodzonego zapalenia płuc. Niemniej jednak nie wymagały żadnego wsparcia oddechowego. Bliźnięta wypisano do domu 22 dni po porodzie w stanie ogólnym dobrym. Prezentowany przypadek zastosowania szwu szyjkowego ratunkowego oraz pessarium może stanowić przykład skutecznej metody leczenia niewydolności cieśniowoszyjkowej w ciąży bliźniaczej

Iatrogenic and spontaneous late preterm twins – which are at higher risk of neonatal complications?

Objectives: To evaluate data regarding neonatal mortality and short term morbidity among iatrogenic late preterm (ILP) and spontaneous late preterm (SLP) twin births, and to estimate whether medical interventions – induction of labor in this particular context, are associated with better or poorer outcomes. Material and methods: Retrospective analysis of 110 late preterm dichorionic twin pregnancies was performer basing on medical charts data. All twins were delivered in years 2005-2011 at the 1st Department of Obstetrics and Gynecology, Medical University of Warsaw. Late preterm twins, defined as those delivered between 34+0-36+6 weeks of gestation, were divided into spontaneous and iatrogenic preterm births. The primary outcomes of the study were various neonatal adverse events, including one of the following per pregnancy: admission to Neonatal Intensive Care Unit (NICU), respiratory disorders (RD) and pneumonia, intraventricular hemorrhage (IVH), sepsis, NEC and jaundice requiring phototherapy. Mann-Whitney U-test and chi-squared test were used and logistic regression performed to calculate odds ratio, with p valu

Successful complex management of a congenital diaphragmatic hernia – a case report

Abstract Congenital diaphragmatic hernia is a very serious congenital defect associated with high mortality rate. The syndrome is characterized by migration of abdominal viscera to thoracic cavity, a variable degree of pulmonary hypoplasia associated with pulmonary hypertension caused by alteration of pulmonary vessels diameter, increased muscularisation of pulmonary arteries and decreased compliance of the lungs resulting in increased afterload of the right ventricle, decreased cardiac output and impaired oxygenation. We describe a case of congenital diaphragmatic hernia with migration of the stomach, the small and the large bowels and the left hepatic lobe into the left pleural space, diagnosed by ultrasound in utero at 24 weeks of gestation. The child was initially placed on high-frequency oscillation and nitric oxide and required vigorous inotropic support. The defect was repaired after stabilization of the cardiac output and gas exchange. The patient made successful recovery

Technika iniekcji naczyniowej w poporodowej ocenie kosmówkowości w trojaczej ciąży dwukosmówkowej

Ciąże trojacze występują z częstością 1 na 7000 urodzeń. W związku z tym, że każdy typ ciąży mnogiej, w tym trojaczej, koreluje z wysoką śmiertelnością i odsetkiem porodów przedwczesnych, kosmówkowość i owodniowość pozostają ważnymi czynnikami prognostycznymi determinującymi postępowanie w trakcie ciąży. Ultrasonograficzna ocena kosmówkowości w ciążach trojaczych jest bardziej złożona niż w bliźniaczych i wielu przypadkach pozostaje nieznana. Prezentujemy przypadek dwukosmówkowej ciąży trojaczej u 24- letniej pierworódki rozwiązanej drogą cięcia cesarskiego w 33 tygodniu ciąży wraz z oceną kosmówkowości na podstawie poporodowego badania łożysk z wykorzystaniem techniki iniekcji naczyniowych.The incidence of spontaneous triplet pregnancy is approximately 1 in 7000 deliveries. Due to the fact that every presentation of a triplet and higher order pregnancy is associated with high rate of morbidity and preterm delivery, chorionicity and amnionicity remain significant predictive factors which determine specific management throughout the pregnancy. Ultrasound chorionicity assessment in triplet pregnancies is more complex than in twins, and in many cases it remains unknown. We present a case report of a 24-year-old primipara in a spontaneous dichorionic triplet pregnancy, qualified for a cesarean section at 33 weeks of gestation, with subsequent placental examination with dye injections and post-delivery chorionicity assessment