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EN
The aim of the study was an assessment of the early stage of felon - non exceeded 72 hours from the first symptoms - with 99mTc-MPD (metylendiphosphonien marked by Technetium) in relation to patient physical investigation and radiological hand investigation.Material and methods. 72 patients with the one finger felon were classified to the research. All patients were on the base of clinical investigations classified to the surgical intervention. Then they were divided on to two groups: one (A) where decision about final treatment method was based on 99mTc-MPD result. In the group X-ray was made also. The B group where the recognition verifying investigation was hand X-ray picture.Results. of investigations. In the A group on the basis of 99mTc-MPD to the surgical incision only 11 from 30 patients (36%) were classified. A pathological content was affirmed in 26% (at 8 patients). However in group B on the basis of X-ray examination only 5 patients (11%) from 42 were classify to surgical finger incision. Furthermore pathological content was affirmed in 14 patients (33%) after incision.Conclusion. In the early stage of finger felon the 99mTc-MPD investigation could be useful for verifying treatment method only.
EN
Appendicitis inflicts diagnostic difficulties, particularly in ambiguous morbid symptoms defined in the scale ALVARDO in the section 4-6 pt.The aim of the study was the comparison of the diagnostic values of the classic method of recognizing appendicitis and those improved by ultrasonographic examination.Material and methods. Patients were classified in this investigation according to symptoms from the section compartment 4-6 pt of the ALVARADO scale. Qualification for the treatment was determined according to the medical investigation and laboratory examinations. Ultrasonography (US) was executed in all patients with the aim of the evaluation of the appendix. The percentage of correct recognitions by means of the classic diagnostics was compared to the percentage determined with the aid of US.Results. It was affirmed that in ambiguous clinical cases of appendicitis, the addition of US to the traditional investigational diagnostics improoves the percentage of correct recognitions of appendicitis from 62.8% to 86.2% (p<0.01).Conclusion. With the US supplementing the classic diagnostics, the percentage of correct recognitions of appendicitis enlarges in adult patients with the suspicion of appendicitis with so-called "grey zone" symptoms comprised in the scoring 4-6 pt of the ALVARADO scale.
EN
INTRODUCTION:Nutritionists emphasize that a properly composed vegetarian diet can be followed by people at dif-ferent stages of their lives. Still, many people believe that such an action can lead to the appearance health disorders. Therefore, the aim of this study was to determine whether a vegetarian diet can be observed by pregnant women without the risk of health disorders in them or the fetuses. MATERIAL AND METHODS:Information relating to the suitability of a vegetarian diet during pregnancy was analyzed. The results of several studies that compared the occurrence of certain factors in pregnant women following a ve-getarian diet and pregnant women consuming meat was analyzed. RESULTS: At present, there are still few studies assessing the health status of pregnant women subsisting on a vegetarian diet and their children. These studies compared the bioavailability of nutrients, minerals and vitamins. The dietary habits of pregnant women living on a vegetarian diet are analyzed and the state of health of children born to vegetarians and women consuming meat meat is compared. CONCLUSIONS:The research results presented in the study lead to the conclusion that a properly designed vegetarian diet can be followed by pregnant women without bearing a risk of deficiencies or disorders in fetal development.
PL
WSTĘP: Dietetycy podkreślają, że właściwie skomponowana dieta wegetariańska może być stosowana przez ludzi na różnych etapach ich życia. Jednak wciąż wiele osób uważa, że takie działanie może prowadzić do ujawniana się zaburzeń zdrowotnych. Celem pracy było określenie, czy dieta wegetariańska może być stosowana przez kobiety w ciąży bez ryzyka wystąpienia zaburzeń zdrowotnych u nich lub u płodów. MATERIAŁ I METODY: Analizie poddano informacje odnoszące się do możliwości stosowania diety wegetariańskiej w czasie ciąży. Analizowano wyniki kilkunastu badań, w których porównywano występowanie określonych czynników u kobiet w ciąży stosujących dietę wegetariańską oraz u kobiet w ciąży spożywających mięso. WYNIKI: Obecnie wciąż niewiele jest badań oceniających stan zdrowia kobiet w ciąży stosujących dietę wegetariańską oraz ich dzieci. W badaniach tych porównywana jest biodostępność składników odżywczych, składników mineralnych oraz witamin. Analizowane są nawyki żywieniowe kobiet w ciąży stosujących dietę wegetariańską oraz porównywany jest stan zdrowia dzieci urodzonych przez wegetarianki oraz kobiety spożywające mięso. WNIOSKI: Przestawione w pracy wyniki badań pozwalają stwierdzić, że właściwie opracowana dieta wegetariańska może być stosowana przez kobiety w ciąży i niesie ze sobą ryzyka wystąpienia niedoborów czy zaburzeń w rozwoju płodu.
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