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Developmental Period Medicine

Katarzyna Jobs, Magda Rakowska, Aleksandra Paturej
Urolithiasis, a condition in which calculi are found in the urinary tract, has been known for centuries. Although the disease was considered casuistic in the pediatric population, its prevalence is rising among both children and infants. The occurrence of the disease is greater in developed countries, therefore urolithiasis should be considered a lifestyle disease. Its etiopathogenesis has not yet been well understood. Kidney stone formation is influenced by factors such as climate, eating habits, profession, fluid intake, genetic predisposition, urinary tract infections and malformations of the urinary tract...
2018: Developmental Period Medicine
Maria Ginalska-Malinowska
Congenital adrenal hyperplasia (CAH) is a group of autosomal recessive disorders characterized by impaired cortisol synthesis. The most common form of CAH is caused by mutations in CYP21A, the gene encoding the adrenal steroid 21-hydroxylase enzyme. Deficiency of the enzyme leads to life-threatening adrenocortical insufficiency, which is not demonstrable during the first days of life. Additionally, some of the affected neonates have varying degrees of pathology of the external genitalia, classified as disorders of sex development (DSD)...
2018: Developmental Period Medicine
Patryk Lipiński, Teresa Stradomska, Anna Tylki-Szymańska
Transaldolase deficiency is a rare inborn autosomal recessive error of the pentose phosphate pathway that, to date, has been diagnosed in 33 patients, including 4 from Poland. The aim of this manuscript was to present the clinical presentation, pathogenesis and diagnostic process of transaldolase deficiency. The authors also present a diagnostic algorithm of transaldolase deficiency.
2018: Developmental Period Medicine
Aleksandra Stasiak, Katarzyna Niewiadomska-Jarosik, Piotr Kędziora
Preexcitation syndromes are becoming a more often detected disease in the pediatric population. Their essential feature is the presence of additional paths / pathways in the heart, through which the impulse is conducted faster than physiologically. This leads to faster ventricular excitation and may lead to creating dangerous arrhythmias. The most common preexcitation syndrome is Wolff - Parkinson-White syndrome, which affects 2/ 1000 people. The presence of an accessory pathway could result in serious consequences, ranging from supraventricular tachycardia to sudden cardiac death...
2018: Developmental Period Medicine
Hanna Czajka
Vaccinations in Poland and other industrialized countries have been in the firing line for more than two decades. Members of the "anti-vaccine movement" and alternative medicine supporters are openly reluctant to this form of preventing infectious diseases, however their arguments are not based on reliable medical data. Contrary to false theories, the threat of infectious diseases is not lower than in the past. What is more, it has escalated in recent years as a result of the increasing number of parents who avoid vaccinations...
2018: Developmental Period Medicine
Agnieszka Magiera, Elżbieta Sochacka-Tatara, Agata Sowa, Ryszard Jacek, Agnieszka Pac
AIM: The aim of this study was to assess the relationship between body weight and the quality of life among adolescents in Krakow, Poland. MATERIAL AND METHODS: The study comprised 1291 pupils - 632 girls and 659 boys from 17 Krakow middle schools. Their quality of life (QoL) was assessed by means of the Polish version of the KIDSCREEN-27 questionnaire. Five dimensions of QoL were analyzed as low, average and high QoL according to Polish cut-off points. The body mass index (BMI) of the adolescents was classified as underweight, normal weight, or excessive weight according to Polish growth charts...
2018: Developmental Period Medicine
Adrianna Potocka, Aleksandra Jacukowicz
INTRODUCTION AND AIM: Proper nutritional status in early childhood makes it possible for children to achieve their genetically-determined growth potential and intelligence. A child's nutritional status is due to economic, cultural, psychosocial and geographic factors. The present study aims to check whether the nutritional status of preschoolers differs depending on their place of residence. MATERIALS AND METHODS: In order to achieve this goal we used 24-h dietary recalls to assess the children's diet based on interviews with 530 mothers of preschool children from five different regions of Poland...
2018: Developmental Period Medicine
Joanna Milart, Katarzyna Jobs, Małgorzata Tłustochowicz, Milena Pogonowska, Bolesław Kalicki
AIM: To study the impact of vitamin D supplementation on vitamin D concentration in plasma, calcium urinary excretion and bone density in patients with urolithiasis in the course of idiopathic hypercalciuria and with a low vitamin D level. MATERIALS AND METHOD: Prospective analysis concerning 28 patients (16 boys, 12 girls) aged 6-14 years (average 10.4) in terms of urinary calcium excretion (mg/kg/day and Ca/Creatinine ratio in morning urine sample), 25OHD blood level after 3, 6, 9 and 12 months of individually recommended doses of vitamin D supplementation (400 IU or 800 IU)...
2018: Developmental Period Medicine
Agnieszka Kowalczyk, Aneta Krogulska
Nitric oxide is produced by enzymes called nitric oxide synthases. It fulfills many important functions in the human body, but produced in excess amount has a proinflammatory activity. Fractional exhaled nitric oxide measurements are used in the diagnosis and monitoring of eosinophilic inflammation in the lower airways, but should not be used as an independent parameter to make a diagnosis of asthma or for the monitoring of asthma treatment. Evaluation of fractional exhaled nitric oxide concentrations is also used to determine the pathogenesis of symptoms in patients with rhinitis...
2018: Developmental Period Medicine
Dorota Martysiak-Żurowska, Bogumiła Kiełbratowska, Agnieszka Szlagatys-Sidorkiewicz
Fatty acids are some of the most important components of human milk. Polyunsaturated fatty acids (PUFAs) are essential nutrients required for the optimal growth and development of infants, especially the central nervous system, brain and retina. AIM: To determine the conjugated linolenic acid (CLA) and vaccenic acid (VA) content of human breast milk from mothers consuming different diets, and to compare the results with CLA and VA levels in infant formulas (IF) and follow-up formulas (FF)...
2018: Developmental Period Medicine
Mirosława Wieczorek-Filipiak, Sławomira Drzymała-Czyż, Mariusz Szczepanik, Anna Miśkiewicz-Chotnicka, Ewa Wenska-Chyży, Jerzy A Moczko, Jarosław Walkowiak
BACKGROUND: Fecal elastase-1 (E-1) levels in infants and young children may be expected to differ from those in adults and older children because of the immaturity of the gastrointestinal tract and the specificity of their diet. Despite the availability of data describing E-1 levels in the stools of preterm infants, older children, adults and subjects with malabsorption, there is still a lack of data regarding E-1 in healthy infants and toddlers. The aim of this cross-sectional study was to evaluate fecal E-1 concentrations in infants and children from 1 up to 24 months of age...
2018: Developmental Period Medicine
Aleksandra Stasiak, Katarzyna Niewiadomska-Jarosik, Piotr Kędziora
INTRODUCTION: Essentially, preexcitation syndrome is the presence of an accessory pathway in the heart, which can lead to serious consequences, ranging from atrioventricular reentrant tachycardia to sudden cardiac death. Wolff-Parkinson-White syndrome is the most common preexcitation syndrome. AIM OF THE STUDY: The aim of the study was to evaluate the clinical course of the disease, as well as the treatment of children and adolescents hospitalized in the Department of Pediatric Cardiology in the years 2008-2015...
2018: Developmental Period Medicine
Anna Szumilewicz
Extensive scientific evidence has shown that prenatal physical activity is a prerequisite for the proper course of pregnancy, fetal development, labour and delivery, and the postpartum period. In 2015, the American College of Obstetricians and Gynecologists published a breakthrough statement that inactivity in pregnancy is risky behaviour. The aim of this paper is to provide answers to the questions concerning who and how should prescribe and conduct exercise programs for pregnant women. Close cooperation between the woman, her obstetric care provider and exercise specialists is necessary to promote exercise in pregnancy...
2018: Developmental Period Medicine
Joanna Samotyjek, Beata Jurkiewicz, Andrzej Krupa
Urolithiasis in the pediatric population represents a major challenge associated with both the diagnosis and therapy of the condition. Over the past 25 years, the incidence has increased. The average age of pediatric patients with stones is about 7-8 years and the recurrence rate is 24%-50%. More than 80% of the stones are eliminated spontaneously. The remaining ones require conservative or surgical treatment. Choosing the most appropriate treatment depends on many factors. Surgical procedures in children are the same as in adults...
2018: Developmental Period Medicine
Artur Maliborski, Arkadiusz Zegadło, Małgorzata Placzyńska, Małgorzata Sopińska, Marianna Lichosik, Katarzyna Jobs
Urinary tract diseases are in the group of the most commonly diagnosed medical conditions in pediatric patients. Many diseases with different etiologies are accompanied by pain, fever, hematuria, or urinary tract dysfunction. Those most common ones in children are urinary tract infections and congenital malformation. They can also represent tumors or changes caused by systemic diseases. Clinical tests and even more often additional imaging studies are required to make a proper diagnosis of urinary tract diseases...
2018: Developmental Period Medicine
Mateusz Jagła, Olga Krzeczek, Aleksandra Buczyńska, Zuzanna Zakrzewska, Przemko Kwinta
OBJECTIVE: Introduction: Due to specific anatomy of children are more vulnerable to the carcinogenic effects of ionizing radiation from chest X-rays. Lung ultrasound (LUS) is a validated procedure which can easily be used in diagnosing pathologies of the neonatal lung. However, experimental studies have shown that low frequency ultrasound may induce pulmonary capillary hemorrhage (PCH). Aim of the study: To evaluate the potential relationship between lung ultrasound and pulmonary hemorrhage in very low birth weight infants...
2018: Developmental Period Medicine
Deepa Makhija, Hemanshi Shah, Charu Tiwari, Pankaj Dwiwedi, Suraj Gandhi
True phimosis is overdiagnosed due to the failure to distinguish it from physiological phimosis, which is a normal developmental non retractability of the foreskin. The non-retractile prepuce in children is a cause of parental anxiety and concern. This leads to the majority of the children undergoing surgical procedures. Pathological phimosis needs to be differentiated from physiologic phimosis to avoid unnecessary circumcision. In recent years, topical steroid application use in cases of non-retractile prepuce has shown a good success rate and is well accepted by the parents...
2018: Developmental Period Medicine
Teresa Dudek-Warchoł, Wojciech Gług, Aleksandra Kurek, Przemysław Bombiński, Stanisław Warchoł
One of the possible consequences of incarcerated inguinal hernia in boys is testicular ischemia because of the prolonged compression of spermatic cord structures by the sac contents, resulting in ipsilateral testicular atrophy. This complication is well described in the literature and occurs in 5-34% of patients. The incidence of testicular atrophy secondary to incarcerated hernia is estimated to be 2-3%. Testicular necrosis as the result of hernia incarceration is, however, an extremely rare clinical setting...
2018: Developmental Period Medicine
Magdalena Rychłowska-Pruszyńska, Joanna Gajewska, Jadwiga Ambroszkiewicz, Marek Karwacki, Katarzyna Szamotulska
OBJECTIVE: Aim: The aim of this study was to assess the usefulness of bone-specific alkaline phosphatase (BALP) and the extracelluar domain of human epidermal growth factor receptor 2 (ECD/HER-2) measurements in pediatric patients with osteosarcoma as prospective prognostic and predictive markers for monitoring the treatment and early detection of disease recurrence. PATIENTS AND METHODS: Material and methods: We studied 22 patients (5 girls, 17 boys) aged 7-20 years with osteosarcoma (OS) treated at the Institute of Mother and Child in Warsaw...
2018: Developmental Period Medicine
Dorota Lisowska-Mikołajków, Agata Mikołajków, Jędrzej Reczuch, Barbara Królak-Olejnik
As far as infectious factors are concerned, Cytomegalovirus is considered one of the most common causes of progressive hearing impairment and neurological disorders among children. The increasing number of CMV infections creates the necessity of quick diagnosis and treatment that may reduce the consequences or even completely resolve the condition. It is essential that the diagnostic team consists of not only neonatologists but also obstetricians/perinatologists. In many countries, including Poland, screening is not being carried out among pregnant women, which delays the diagnosis and the begining of antiviral treatment or might even indispose the therapy...
2018: Developmental Period Medicine
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