Search results - PSJD

1

How Informative are the Vertical Buoyancy and the Prone Gliding Tests to Assess Young Swimmers' Hydrostatic and Hydrodynamic Profiles?

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Barbosa T., Costa M., Morais J., Moreira M., Silva A., Marinho D.

Journal of Human Kinetics

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2012

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vol. 32

21-32

EN

The aim of this research was to develop a path-flow analysis model to highlight the relationships between buoyancy and prone gliding tests and some selected anthropometrical and biomechanical variables. Thirty-eight young male swimmers (12.97 ± 1.05 years old) with several competitive levels were evaluated. It were assessed the body mass, height, fat mass, body surface area, vertical buoyancy, prone gliding after wall push-off, stroke length, stroke frequency and velocity after a maximal 25 [m] swim. The confirmatory model included the body mass, height, fat mass, prone gliding test, stroke length, stroke frequency and velocity. All theoretical paths were verified except for the vertical buoyancy test that did not present any relationship with anthropometrical and biomechanical variables nor with the prone gliding test. The good-of-fit from the confirmatory path-flow model, assessed with the standardized root mean square residuals (SRMR), is considered as being close to the cut-off value, but even so not suitable of the theory (SRMR = 0.11). As a conclusion, vertical buoyancy and prone gliding tests are not the best techniques to assess the swimmer's hydrostatic and hydrodynamic profile, respectively.

2

Evaluation of Gingival Conditions and Saliva TNF-α Concentration in Children with Acute Lymphoblastic Leukemia

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Pels E.

Polish Journal of Public Health

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2015

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vol. 124

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issue 2

81-85

EN

Introduction. Patients with the history of neoplastic disease in childhood and adolescence, successfully treated, are at higher risk in terms of their susceptibility to develop other diseases later in their lives. Aim. The purpose of study was to evaluate saliva TNF-α concentration in the children with acute lymphoblastic leukemia with reference to gingival inflammations. Material and methods. The investigation was carried out in the group of 78 children with ALL aged 2-18yrs and analogical in terms of age and gender group of healthy controls. Results. Gingival conditions were expressed as gingival index (GI). In the group of children with ALL mean GI determined in examination 1 was 0.084±0.34, in examination 2 GI=0.007±0.04 and in examination 3 mean GI=0.017±0.13. In the group of healthy controls GI=0.003±0.03. Saliva concentration of TNF-α determined in the group of children with ALL in examination 1 ranged 4.16-135.01pg/ml. In that group in examination 1, mean saliva TNF-α concentration was 36.9±32.6pg/ml. In the group of healthy children mean saliva TNF-α concentration was 52.1±107.64pg/ml. Conclusions. The authors, who observed various increases in the concentrations of TNF-α, IL-1α, IL-6, and IL-8 in the saliva and oral tissues in the patients consider that the proinflammatory cytokines in the saliva present in significantly higher concentrations in the future may have diagnostic and predicative value as replace indices of neoplastic transformations. Monitoring of prognostic factors affecting inflammations of the oral mucosa in children with ALL is likely to prevent complications to standard treatment and prolonged time of anticancer therapy. Early evaluation of those parameters can quicken recovery and strengthen patient's health. Close cooperation between dentists and pediatricians-hematologists is important in maintaining oral health and improve the quality of life of children suffering from neoplastic diseases.

3

Immune response against HtrA proteases in children with cutaneous mastocytosis

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Renke J., Kędzierska-Mieszkowska S., Lange M., Nedoszytko B., Liberek A., Plata-Nazar K., Renke M., Wenta T., Żurawa-Janicka D., Skórko-Glonek J., Lipińska B.

Acta Biochimica Polonica

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2018

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vol. 65

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issue 3

471-478

EN

Mast cells play an important role in both, the innate and adaptive immunity, however, clonal proliferation of abnormal mast cells in various organs leads to mastocytosis. A skin variant of the disease, cutaneous mastocytosis (CM) is the most frequent form of mastocytosis in children. HtrA proteases are modulators of important cellular processes, including cell signaling and apoptosis, and are related to development of several pathologies. The above and the observation that mast cells constitutively release the HtrA1 protein, prompted us to investigate a possible involvement of the HtrA proteins in pediatric CM. Levels of the serum autoantibodies (IgG) against the recombinant HtrA proteins (HtrA1-4) in children with CM (n=36) and in healthy controls (n=62) were assayed. Anti-HtrA IgGs were detected using enzyme linked immunosorbent assay (ELISA) and Western-blotting. In the CM sera, levels of the anti-HtrA1 and anti-HtrA3 autoantibodies were significantly increased when compared to the control group, while the HtrA protein levels were comparable. No significant differences in the anti-HtrA2 IgG level were found; for the anti-HtrA4 IgGs lower levels in CM group were revealed. In healthy children, the IgG levels against the HtrA1, -3 and -4 increased significantly with the age of children; no significant changes were observed for the anti-HtrA2 IgG. Our results suggest involvement of the HtrA1 and HtrA3 proteins in pediatric CM; involvement of the HtrA4 protein is possible but needs to be investigated further. In healthy children, the autoantibody levels against HtrA1, -3 and -4, but not against HtrA2, increase with age.

4

Emocjonalność rodziców a natężenie zachowań agresywnych u dzieci

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Grzankowska I., Sołtys M.

Polskie Forum Psychologiczne

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2015

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vol. XX

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issue 2

201-215

EN

The presented study is a part of project aimed at finding the sources of aggression among children in early school age. Exploratory research included 48 children, their parents (41 mothers, 19 fathers) and 2 teachers. To examine the relationship between the intensity of aggressive behaviour among pupils and emotionality of their parents, the following methods have been applied: Emotional Control Questionnaire by J. Brzeziński, Type D Scale by N. Ogińska-Bulik, Z. Juczyński and J. Denollet and the Student Behaviour Rating Scale by I. Grzankowska. The analyses have shown that mothers’ motivation to behave rationally is positively correlated with indirect aggression among children whereas fathers’ cognitive control of emotogeneous situations correlates negatively with the number of acts of physical aggression acts taken by children at school. The results indicate that parents emotional control could predict children aggressive behaviour. Due to a limited sample size, replication of the research is recommended.

5

Grayscale ultrasound characteristics of autosomal dominant polycystic kidney disease severity – an adult and pediatric cohort study

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Strzelczyk M., Podgórski M., Afshari S., Tkaczyk M., Pawlak-Bratkowska M., Grzelak P.

Journal of Ultrasonography

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2017

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vol. 17

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issue 69

85-90

EN

Introduction: The most common hereditary kidney condition is autosomal dominant polycystic kidney disease. It is the cause of 5–10% of end-stage renal disease. Its symptoms are generally late-onset, typically leading to development of hypertension and chronic kidney disease. Ultrasonography is the imaging modality of choice in its diagnosis and management. The aim of this study is to determine the diagnostic value of grayscale ultrasound imaging in evaluating disease severity. Materials and methods: The study group consisted of 81 patients diagnosed with autosomal dominant polycystic kidney disease, 35 adults and 46 children. Inclusion criterion for adults was the presence of at least 10 large cysts in each kidney; children included into the study had developed at least 1 large renal cyst in each kidney. The number of large cysts, echogenicity of kidney parenchyma, cortical thickness and presentation of cortex/medulla boundary were assessed with the use of Logiq E9 apparatus (GE Healthcare, Netherlands). Patients were divided into groups, based on these morphological parameters. Kidney function was assessed according to serum creatinine concentration and creatinine clearance. Statistical analysis was performed, with p-value lower than 0.05 considered as significant. Results: The number of cysts and the degree of parenchymal dysfunction were the determinants of creatinine level and creatinine clearance, with the second predictor proving stronger. Conclusions: We recommend that an ultrasound kidney examination in patients with polycystic kidney disease should include evaluating renal parenchyma and the number of cysts for better assessment of disease severity.

PL

Autosomalne dominujące wielotorbielowate zwyrodnienie nerek to najczęstsza dziedziczna choroba tego narządu. Stanowi ono przyczynę 5–10% przypadków schyłkowej niewydolności nerek. Jej objawy pojawiają się późno – z reguły prowadzi do rozwoju nadciśnienia tętniczego oraz przewlekłej choroby nerek. Ultrasonografia jest metodą z wyboru w obrazowaniu tego schorzenia, zarówno w diagnostyce, jak i leczeniu. Celem pracy była ocena wartości diagnostycznej badania ultradźwiękowego w określaniu stopnia zaawansowania choroby. Materiał i metoda: Grupa badana składała się z 81 chorych, u których zdiagnozowano autosomalne dominujące zwyrodnienie wielotorbielowate nerek, w tym 35 dorosłych i 46 dzieci. Kryteria włączenia u dorosłych obejmowały obecność co najmniej 10 dużych torbieli w każdej nerce, a u dzieci – co najmniej 1 dużej torbieli w każdej nerce. Liczba dużych torbieli, echogeniczność miąższu nerek, grubość warstwy korowej i obecność zróżnicowania korowo-rdzeniowego były oceniane przy użyciu aparatu Logiq E9 (GE Healthcare, Holandia). Pacjentów podzielono na grupy zgodnie z ich wskaźnikami morfologicznymi. Funkcję nerek oceniono zgodnie z osoczowym stężeniem kreatyniny i klirensem kreatyniny. W analizie za istotną statystycznie przyjęto wartość p < 0,05. Wyniki: Liczba torbieli i stopień upośledzenia funkcji miąższu były determinantami stężenia kreatyniny i klirensu kreatyniny; stopień upośledzenia funkcji miąższu okazał się bardziej istotny. Wnioski: W celu dokonania lepszej oceny aktywności choroby u pacjentów z torbielowatym zwyrodnieniem nerek rekomendujemy ultradźwiękową ocenę miąższu nerek oraz liczby torbieli. Artykuł w wersji polskojęzycznej jest dostępny na stronie http://jultrason.pl/index.php/wydawnictwa/volume-17-no-69

6

Vaccinations of Children Against Chickenpox and Pneumococcal Infection on the Example of Several Family Practice Physicians' Settings

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Bednarek A., Mianowana V.

Polish Journal of Public Health

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2015

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vol. 124

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issue 4

199-202

EN

Introduction. Vaccinations against varicella and pneumococcal infection are an important form of prevention of infectious diseases and their possible complications. Aim. Assessment of the vaccination control of children against varicella, and pneumococcal infection based on selected institutions of family practice physician. Material and methods. There were verified 807 immunization cards of children from three vaccination offices, selected at random from the area of the southeastern Poland, i.e. the provinces of Lubelskie, Podkarpackie and Świêtokrzyskie. Based on the results of quantitative analysis of medical records of vaccination carried out in these institutions through 2007-2012, the number of children vaccinated against varicella, and pneumococcal infection was assessed. Results. The largest number of vaccinated children (against pneumococcal infection - 148 children and 84 against varicella among 335 subjects reporting in the facility) was confirmed in health care unit in Lublin. In health care unit in Podkarpackie the number of vaccinated children against pneumococcal infection was 84 and against chicken pox - 52 among 256 children using the medical services. In health care unit in Świêtokrzyskie, 65 children were vaccinated against pneumococcal infection and 34 against varicella among 216 subjects reporting at the institution. The vast majority of these vaccines (431 - including three centers) was paid by parents. Conclusions. 1. In all of the centers, a higher proportion of children was vaccinated against pneumococcal infection than chickenpox. 2. There was not a marked increase in the number of children vaccinated against varicella and pneumococcal infection during the analyzed period.

7

Examining the image of nursing among the children hospitalized in the oncology ward

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Wańkowicz A., Wańkowicz P., Golubka P., Golubka W., Dłuski D., Mierzyński R., Darmochwał-Kolarz D., Emeryk A.

Polish Journal of Public Health

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2015

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vol. 125

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issue 2

90-93

EN

Introduction. Patients, as subjects of medical care, are becoming increasingly more demanding toward medical professionals which poses a challenge both for doctors and nurses. A variety of factors influences the professional image of a nurse. Different features are involved, including the nurse’s professional or interpersonal skills their personal beliefs, attitude, as well as social stereotypes about nurses. Aim. Looking at the image of nursing among the children hospitalized in the oncology ward. Material and methods. The authors used both literature review and a questionnaire of their own making. The literature review was done using data from the databases of Polish Central Medical Library. The research group comprised 32 children (aged from 8 to 17), all undergoing hospitalization in Hematology/Oncology and Child Transplantology in Lublin. The statistical calculations are made using Chi2 tests. The test results of p<0.05 were held as statistically significant. Results. The group was mostly composed of children aged 14 to 17 (56.25%). There were more boys (62.5%) than girls. The majority of children came from rural areas (71.87%) and most of them read through the documentation concerning the rules of the ward. Both nurses’ work and relations with patients were graded as “good” by the patients. Children pointed to “nice appearance” as the most important feature of every nurse. Discussion. A pediatric nurse should be patient, have lots of understanding, be sympathetic, caring and able to hold their nerve. Unfortunately, according to authors of earlier studies, not all nurses have these traits. This is due to the fact that the staff rarely involve in communication with the patients and they lack interpersonal skills. Conclusions. Children have a very high opinion on the work of nurses at the Hematology/Oncology and Child Transplantology Clinics. The children emphasized that the following features have the highest impact on their picture of the nurse: nice looks, being protective and caring. A research study conducted at the Hematology/Oncology and Child Transplantology Clinics shows the right features that a nurse should have

8

Acute mastoiditis in children population

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Zonenberg M., Hassmann-Poznańska E., Skotnicka B., Trzpis K.

Polski Przegląd Otorynolaryngologiczny

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2019

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vol. 8(1)

27-32

EN

Aim: Aim of the study was retrospective analysis of the patients documentation treated for acute mastoiditis (AM) in Department of Pediatric Otolaryngology in Bialystok and available literature on this subject to determine the optimal rules of treatment in AM. Material and methods: A retrospective analysis of 40 patients treated for AM in 2001-2017. We have adopted Anthonsen et al. [15] AM diagnosis criteria to include patients to this study. Results: The mean age of the respondents was 46 months, 37% of children were less than 2 years old. 2/3 of the cases were not preceded by previous acute otitis media(AOM) episodes. 69% of patients received antibiotics before admission to the hospital. In laboratory studies, 95% of patients had elevated indices of inflammation (CRP, leukocytosis), and their value was higher among patients qualified for surgery. The indications for computed tomography (CT) were the lack of improvement after conservative treatment for 48 hours or symptoms of the presence of subperiosteal abscess. CT was performed in 35% of patients. 24 patients (60%) were treated only conservatively: myringotomy without / with the insertion of a ventilation tubes and intravenous antibiotic therapy. The most commonly used antibiotic was ceftriaxone - 75% of patients. 16 patients required mastoidectomy. The most common indication (30%) for mastoidectomy was the presence of subperiosteal abscess. Conclusion: In uncomplicated AM cases CT does not have to be routinely performed, a myringotomy should be performed with or without drains insertion and an empiric intravenous antibiotic therapy should be started. In presence of a subperiosteal abscess, it is recommended to perform CT with contrast and mastoidectomy. Deterioration of the patient's condition or lack of improvement after 48 hours of conservative treatment obliges us to make a CT and on the basis of the decision on mastoidectomy.

9

The relationship between alkaline phosphatase and bone alkaline phosphatase activity and the growth hormone/insulin-like growth factor-1 axis and vitamin D status in children with growth hormone deficiency

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Witkowska-Sędek E., Stelmaszczyk-Emmel A., Majcher A., Demkow U., Pyrżak B.

Acta Biochimica Polonica

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2018

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vol. 65

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issue 2

269-275

EN

The relationships between bone turnover, the growth hormone/insulin-like growth factor-1 (GH/IGF-1) axis and vitamin D are complex, but still not fully explained. The GH/IGF-1 axis and vitamin D can mutually modulate each other's metabolism and influence the activation of cell proliferation, maturation, and mineralization as well as bone resorption. The aim of this study was to evaluate the reciprocal associations between bone formation markers [alkaline phosphatase (ALP), bone alkaline phosphatase (BALP)], the GH/IGF-1 axis and 25-hydroxyvitamin D [25(OH)D] in children with growth hormone deficiency at baseline and during recombinant human growth hormone (rhGH) therapy. ALP, BALP, 25(OH)D and IGF-1 levels were evaluated in 53 patients included in this prospective three-year study. ALP, BALP and IGF-1 increased during rhGH therapy. Baseline ALP activity correlated positively with baseline height velocity (HV). ALP and BALP activity at 12 months correlated positively with HV in the first year of therapy. We found positive correlations between ALP and IGF-1 at baseline and during the first year of therapy, between BALP activity at 12 months and rhGH dose in the first year of therapy, and between doses of cholecalciferol in the first year of rhGH therapy and early changes in BALP activity during rhGH therapy. Our results indicate that vitamin D supplementation enhances the effect of rhGH on bone formation process, which could improve the effects of rhGH therapy. ALP and BALP activity are useful in the early prediction of the effects of rhGH therapy, but their utility as long-term predictors seemed insufficient.

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Skotnicka B., Hassmann-Poznańska E.

Otolaryngologia Polska

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2007

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vol. 61(3)

301-306

EN

Eustachian tube (ET) dysfunction play an important role in the development, persistence and recurrence of otitis media with effusion (OME) and chronic otitis. Evaluation of the type of obstruction in the cartilaginous portion of ET is important for decision concerning methods of treatment and prognosis of surgical outcome. The aim of this study was to identify characteristics of dynamic function of the pharyngeal orifice of ET in children with OME and chronic otitis by video endoscopy. Transnasal endoscopic examination of the nasopharyngeal opening of ET during swallowing was performed on 21 children – 13 with OME, 8 with chronic otitis. Video recording were made for dynamic slow-motion analysis of ET dilation and closing processes. Most cases of ET dysfunction in children were obstrucive (81%), associated with mucosal oedema and hyperplasia. Dynamic type of dysfunction is caused by the reduced movement of the tensor veli palatini. Dynamic video analysis is useful in the identify type of ET dysfunction in children. Obstructive dysfuntion need diagnostic procedures for chronic infection, nasopharyngeal reflux and alergic diseases.

16

Chronic rhinosinusitis in children

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Zielnik-Jurkiewicz B.

Polski Przegląd Otorynolaryngologiczny

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2017

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vol. 6(1)

26-34

EN

CRS symptoms in children can be mild and uncharacteristic. The disease is multifactorial, and therefore requires a multifaceted, multidisciplinary approach. Treatment of CRS in children is difficult, infections often recur, and treatment methods are often ineffective. In children, surgery is performed infrequently, only when other therapies have failed. The first stage of surgery is adenoidectomy. Functional endoscopic surgery of the paranasal sinuses may be considered if no improvement of the patient after exhausting all possibilities of conservative treatment.

17

Impact of adenoid hypertrophy on the open bite in children

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Poddębniak J., Zielnik-Jurkiewicz B.

Otolaryngologia Polska

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2019

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vol. 73(4)

8-13

EN

Nasal obstruction caused by adenoid hypertrophy can lead to malocclusion. The research material consisted of children aged 7–12 years with adenoid hypertrophy qualified for adenoidectomy. On the basis of the conducted tests (laryngological, orthodontic, pediatric), the occurrence of open frontal bite in children with pharyngeal tonsil hypertrophy, in particular in boys, was confirmed in comparison to children without hypertrophy correctly breathing through the nose.

18

Coexistence of type 1 diabetes mellitus and spinal muscular atrophy in an 8-year-old girl: a case report

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Borkowska A., Jankowska A., Szlagatys-Sidorkiewicz A., Sztangierska B., Liberek A., Plata-Nazar K., Kamińska B.

Acta Biochimica Polonica

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2015

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vol. 62

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issue 1

167-168

EN

The spinal muscular atrophy is a rare autosomal recessive genetic disease characterized by the progressive loss of muscular strength. In its natural course the disease leads to death. Diabetes mellitus type 1 is an autoimmune metabolic disorder characterized by the disturbed insulin synthesis. This is a case report of an 8-year-old girl suffering from Werdnig Hoffman disease in whom DM1 was diagnosed. The unspecific clinical manifestation and diagnostic difficulties are presented in this paper. To the authors' knowledge, this is the first publication concerning the co-existence of these two medical conditions.

19

Plunging ranula in children

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Skotnicka B., Trzpis K., Gościk E., Reszeć J., Hassmann-Poznańska E.

Polski Przegląd Otorynolaryngologiczny

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2015

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vol. 4(3)

29-33

EN

Objective: Plunging ranula represents mucous extravasation from the sublingual salivary gland extending to the submandibular space. Although the majority of patients present in the second or third decade of life, it rarely occurs in children. Methods: Three cases of plunging ranula in children, including one in a neonate, are described. The review of the relevant literature is also presented with a special notice to the differential diagnosis and treatment options. Results: Ranulas presented as a slow-growing, soft mass located in the submandibular area. Two patients had also oral presentation. The diagnosis was established basing on clinical signs and computed tomography findings. All cases were treated surgically using various methods. In all cases the histopathological examination confirmed the diagnosis of pseudocyst. Conclusion: Plunging ranula may be misdiagnosed especially in young children and in cases presenting only the symptoms of submandibular swelling

20

Sytuacja materialna rodziny a jakość życia oraz odczuwane emocje u dzieci w wieku szkolnym

100%

Koralewska-Samko J., Sadowska K.

Polskie Forum Psychologiczne

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2014

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vol. XIX

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issue 3

387-400

EN

Previous studies indicated that poverty was linked to lower quality of life. The aim of this study is to answer on the following question: do children from families with low financial status differ in quality of life, emotions and mood from children living in families with average income? We also tested differences between children living in the city and in the countryside. 129 children aged 12-14 participated in the study. Children from families with low financial status evaluated their quality of life higher, and felt more happiness and love, as well as more positive in mood. Children from the city felt more fear than children living in the country. There were no statistically significant differences between children living in the city and country areas in quality of life and mood.

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