CFSPID – czyli pozytywny wynik przesiewu noworodkowego, ale niejednoznaczna diagnoza mukowiscydozy
Publication date: Available online 19 March 2016 Source:Pediatria Polska Author(s): Dorota Sands, Ewa Tramś, Katarzyna Zybert Chloride channel dysfunction caused by pathogenic mutations in the CFTR gene leads to clinical symptoms of cystic fibrosis. With the development of techniques of molecular diagnostics, the number of discovered mutations has increased. Not every change in the CFTR gene causes clinical symptoms. The course of disease is variable, and it may also present in adulthood. The introduction of neonatal screening has led to creation of a new group of potential patients – children without symptomat...
Source: Pediatria Polska - April 8, 2016 Category: Pediatrics Source Type: research

Karmienie piersią w teorii i praktyce w regionie Pomorza Zachodniego
Conclusions There is a significant difference between the infant feeding recommendations and their realization. In the region of Western Pomerania the prevalence of breastfeeding is still too low in the first six months of life. In the last few years in the studied region an increased prevalence of breastfeeding by mothers living in smaller towns and villages has been observed. There is a clear need for an information campaign on infant nutrition. It is highly important to increase the role of health care providers in sharing knowledge about infant feeding techniques and the multidimensional benefits of breastfeeding. (Sou...
Source: Pediatria Polska - March 31, 2016 Category: Pediatrics Source Type: research

The impact of lactose malabsorption and lactose intolerance on dairy consumption in children and adolescents with selected gastrointestinal diseases
Conclusions Lactose intolerance decreases milk consumption, but does not affect other dairy consumption. Dietary preferences play a key role in dairy consumption in lactose absorbers and lactose tolerant children. (Source: Pediatria Polska)
Source: Pediatria Polska - March 31, 2016 Category: Pediatrics Source Type: research

Zjawisko fotowrażliwości w populacji dzieci i młodzieży, jego objawy i sposoby zapobiegania – doświadczenia własne
Conclusion The use of Italian blue lenses allows to improve EEG recordings in a large percentage of pediatric patients with tension headaches. The use of Z1 lenses can be considered an effective alternative in the reduction adverse effects of the photosensitivity in children and adolescents. (Source: Pediatria Polska)
Source: Pediatria Polska - March 31, 2016 Category: Pediatrics Source Type: research

Analiza zawartości cukru oraz pH endogennego płynnych leków pediatrycznych
Conclusions Pediatric liquid medications and diet supplements contain saccharose and manifest low pH; therefore, prescribers and pharmacists should recommend mouthwash using neutral solution (water) after their ingestion. This recommendation should also be included in package leaflet. (Source: Pediatria Polska)
Source: Pediatria Polska - March 29, 2016 Category: Pediatrics Source Type: research

Niedodma płuca prawego jako ciężkie powikłanie astmy trudnej do leczenia
Conclusion Severe exacerebration of asthma may be a rare cause of lung atelectasis. (Source: Pediatria Polska)
Source: Pediatria Polska - March 28, 2016 Category: Pediatrics Source Type: research

Ogniskowy rozrost guzkowy wątroby – opis przypadków oraz przegląd literatury
We presented two different cases of focal nodular hyperplasia in children. The first child underwent chemotherapy and bone marrow allotransplantation due to non-Hodgkin lymphoma and focal nodular hyperplasia was diagnosed incidentally a few years later. In the second child, a diagnosis of focal nodular hyperplasia was established in the course of differential diagnosis of abdominal pain. Focal nodular hyperplasia might be difficult to diagnose on the basis of imaging procedures and sometimes liver biopsy is required. (Source: Pediatria Polska)
Source: Pediatria Polska - March 24, 2016 Category: Pediatrics Source Type: research

Genetyczne i autoimmunologiczne mikroangiopatie zakrzepowe u dzieci – współczesna strategia diagnostyki i leczenia
Publication date: Available online 22 March 2016 Source:Pediatria Polska Author(s): Ryszard Grenda Thrombotic microangiopathies (TMAs) in children are very complex family of acquired and hereditary defects of complement and coagulation systems with severe clinical pattern and potentially poor outcome, especially in case of genetic forms of these diseases. The substantial progress in genetic diagnostics of underlying mutations and evaluation of the relevant clinical patterns has been achieved recently. Two major types of TMAs are distinguished: thrombotic thrombocytopenic purpura (TTP) and atypical hemolytic-uremic syndr...
Source: Pediatria Polska - March 22, 2016 Category: Pediatrics Source Type: research

Nawracające zakażenie układu moczowego jako pierwszy objaw choroby Leśniowskiego i Crohna
Publication date: Available online 18 March 2016 Source:Pediatria Polska Author(s): Maria Augustyn, Magdalena Silska-Dittmar, Jolanta Sołtysiak, Janusz Rataj, Jarosław Walkowiak, Danuta Ostalska-Nowicka, Jacek Zachwieja Crohn's disease belongs to the group of autoimmune diseases, known as inflammatory bowel disease. The inflammation may span the entire depth of the intestinal wall. In effect the typical complications of Crohn's disease can be the formation of fistulas: external (perianal, between the bowel and skin) and internal (between two loops of bowel, between the bowel and bladder, between the bowel and va...
Source: Pediatria Polska - March 20, 2016 Category: Pediatrics Source Type: research

Posterior reversible encephalopathy syndrome (PRES) in a 9-year-old female patient with severe presentations of ulcerative colitis. A case study and the review of the literature
Publication date: Available online 19 March 2016 Source:Pediatria Polska Author(s): Sabina Wiecek, Urszula Grzybowska-Chlebowczyk, Ludwik Stoltny, Halina Wos Posterior reversible encephalopathy syndrome (PRES) is a clinical and radiological condition characterised by convulsions, loss of consciousness, headaches, blurred vision, nausea/vomiting, dysarthria and features of focal damage of the central nervous system. The mortality rate of the syndrome is 15%. Imaging examinations of the central nervous system, magnetic resonance imaging in particular, reveal lesions within the white matter in the form of vasogenic oede...
Source: Pediatria Polska - March 20, 2016 Category: Pediatrics Source Type: research

CFSPID – czyli pozytywny wynik przesiewu noworodkowego w kierunku mukowiscydozy, ale niejednoznaczna diagnoza
Publication date: Available online 19 March 2016 Source:Pediatria Polska Author(s): Dorota Sands, Ewa Tramś, Katarzyna Zybert Chloride channel dysfunction caused by pathogenic mutations in the CFTR gene leads to clinical symptoms of cystic fibrosis. With the development of techniques of molecular diagnostics, the number of discovered mutations has increased. Not every change in the CFTR gene causes clinical symptoms. The course of disease is variable, and it may also present in adulthood. The introduction of neonatal screening has led to creation of a new group of potential patients – children without symptomat...
Source: Pediatria Polska - March 20, 2016 Category: Pediatrics Source Type: research

Witamina K i jej rola w profilaktyce chorób dzieci w świetle nowych doniesień
Publication date: Available online 19 March 2016 Source:Pediatria Polska Author(s): Agnieszka Kozioł-Kozakowska, Anna Stochel-Gaudyn, Krzysztof Fyderek For many years vitamin K has been considered to be associated only with blood clotting processes. Thanks to the research of last thirty years its other equally important role has been discovered. Vitamin K acts as a cofactor for the posttranslatioinal γ-carboxylation of glutamate residues in proteins such as osteocalcin or matrix Gla protein (MGP). Thus the diet reach in vitamin K or supplementation of this vitamin on early stages of development may decrease ris...
Source: Pediatria Polska - March 20, 2016 Category: Pediatrics Source Type: research

Retropharyngeal abscess leading to fatal airway obstruction in a child – A case report
Publication date: Available online 19 March 2016 Source:Pediatria Polska Author(s): Santosh Kumar Swain, Mahesh Chandra Sahu Retropharyngeal abscess (RPA) with respiratory distress is an uncommon clinical situation in the current era of medicine, as patient come to the physician earlier in the disease process. RPA with airway compromise in children is a rare and life threatening situation which need emergency care not only to drain abscess but also important to secure the airway. RPA need prompt diagnosis and early management which often require surgical drainage to achieve optimum result. The diagnosis is based on cli...
Source: Pediatria Polska - March 20, 2016 Category: Pediatrics Source Type: research

Porównanie dwóch technik intubacji dziecka w warunkach symulowanego uszkodzenia kręgosłupa szyjnego. Badanie randomizowane, krzyżowe
Conclusions In this simulation trial, during pediatric normal airway scenario, paramedics performed intubation with comparable efficiency using a standard Macintosh laryngoscope and videolaryngoscope Intubrite. However, in the case of a trauma patient with immobilization of the cervical spine cervical intubation higher efficiency was obtained for videolaryngoscope Intubrite. Further clinical trials are needed to confirm these results. (Source: Pediatria Polska)
Source: Pediatria Polska - March 17, 2016 Category: Pediatrics Source Type: research

80-lecie fenyloketonurii. Część I: historia nazwy i nietuzinkowi pionierzy badań nad chorobą
Publication date: Available online 14 March 2016 Source:Pediatria Polska Author(s): Kamil K. Hozyasz Phenylketonuria is one of the best-known examples of inherited metabolic diseases. It is widely considered as a triumph of western medicine. Untreated phenylketonuria manifests as mental retardation, epilepsy, light complexion, eczema, and a „mousy” odour. This review gives some insight into history of the use of the disease's name, which was probably coined by the biochemist J.H. Quastel and focuses on the contributions of the first medical investigators in the area of abnormal phenylalanine metabolism &ndas...
Source: Pediatria Polska - March 15, 2016 Category: Pediatrics Source Type: research

Współczesne poglądy na patogenezę idiopatycznego zespołu nerczycowego u dzieci w odniesieniu do potencjalnych nowych możliwości terapeutycznych
Publication date: Available online 4 March 2016 Source:Pediatria Polska Author(s): Ryszard Grenda Nephrotic syndrome in children is represented by the complex family of disease variants, with variable clinical course and different underlying mechanisms. Those which are not related to genetic mutations (responsible for abnormal microstructure of podocytes) are currently regarded as the effect of different “protein permeability factors”, which after binding to specific targets (receptors) on podocytes, change their shape and function, causing clinically overt proteinuria. Different relevant cytokines are relea...
Source: Pediatria Polska - March 6, 2016 Category: Pediatrics Source Type: research

Ocena sposobu żywienia dzieci kierowanych do oddziału pediatrycznego oraz wiedzy żywieniowej ich opiekunów – wyniki badania pilotażowego
Conclusion Despite a good parent‘s knowledge about nutrition, both we and other authors found that nutrition habits of children in Poland are inadequate to the recommendations. Education of the parents about nutrition is needed. The aim of this education should be not only to provide the knowledge about food and nutrition but also to inform which sources of this knowledge are credible. (Source: Pediatria Polska)
Source: Pediatria Polska - March 3, 2016 Category: Pediatrics Source Type: research

Produkty imitujące śmietanę: badanie dostępności w sklepach sieciowych oraz przyczynek do dyskusji o właściwościach odżywczych i roli śmietany w żywieniu
Conclusions There is high availability of OCS in the investigated stores. Mapping of food available could be useful in providing baseline nutritional information for consumers. (Source: Pediatria Polska)
Source: Pediatria Polska - March 3, 2016 Category: Pediatrics Source Type: research

An unusual presentation of pleomorphic adenoma of the soft palate in a 13-year-old boy – A case report
Publication date: Available online 23 February 2016 Source:Pediatria Polska Author(s): Santosh Kumar Swain, Alok Das, Mahesh Chandra Sahu Pleomorphic adenoma (PA) is the commonest benign neoplasm of major and minor salivary glands. PA of the minor salivary gland in the palate is a common clinical entity. When the minor salivary glands are affected, commonly occurs at the junction of hard and soft palate. Due to its diverse clinical and morphological appearance of PA in the palate, the diagnosis is complex so histopathological examination is essential. Malignant degeneration of this lesion is a potential complication. ...
Source: Pediatria Polska - February 25, 2016 Category: Pediatrics Source Type: research

An unusual presentation of long standing foreign body at nasopharynx of a child – A case report
Publication date: Available online 10 February 2016 Source:Pediatria Polska Author(s): Santosh Kumar Swain, Mahesh Chandra Sahu The long-standing foreign body (FB) at the nasopharynx is an extremely rare clinical entity. It is always a challenging situation for an Otolaryngologist to diagnose and removal of a FB from nasopharyngeal airway. We are reporting an unique case of FB at nasopharynx of a child who presents with acute otitis media due to obstruction of nasopharyngeal opening of Eustachian tube. The FB was diagnosed by flexible nasopharyngolaryngoscope and documented by X-ray skull with lateral view and same was...
Source: Pediatria Polska - February 11, 2016 Category: Pediatrics Source Type: research

Choroby nowotworowe i autoimmunologiczne u dzieci jako istotne przyczyny gorączki o nieustalonej etiologii
Conclusions In a differential diagnosis of FUO should be concerned infectious, autoimmune and noeplastic diseases. Appropriate questions, physical examinations and basic laboratory tests often allow to make the correct diagnosis. The proposed diagnostic algorithm might be helpful to a successful diagnostic process. (Source: Pediatria Polska)
Source: Pediatria Polska - February 11, 2016 Category: Pediatrics Source Type: research

Problemy diagnostyczne i terapeutyczne u pacjenta z rakiem nosogardła i latentną gruźlicą – opis przypadku
Publication date: Available online 6 February 2016 Source:Pediatria Polska Author(s): Aleksandra Fatyga, Małgorzata Anna Krawczyk, Gabrielle Karpinsky, Andrzej Pustkowski, Dagmara Szmyd, Magdalena Markiewicz, Ewa Bień The coexistence of two rare conditions in the same patient is a challenge. This paper reports on a case of a 14.5-year-old boy diagnosed concurrently with latent tuberculosis infection (LTBI) and a nasopharyngeal carcinoma (NPC). The initial symptom was the enlargement of the right cervical lymph nodes. Ultrasound imaging was initially suggestive of LTBI. A positive skin tuberculin test and positiv...
Source: Pediatria Polska - February 7, 2016 Category: Pediatrics Source Type: research

Niektóre aktualne prawne i kliniczno-naukowe aspekty farmakoterapii w pediatrii i onkologii dziecięcej
Publication date: Available online 1 February 2016 Source:Pediatria Polska Author(s): Jacek Wachowiak, Marian Krawczyński Every physician's duty is management consistent with the actual medical knowledge. Legal aspects of therapy in Poland are defined by the Act on Physician and Dentist Professions and Pharmaceutical Law. This latter one introduces a term “therapeutic product characteristics” that is equivalent to its registration. The problem of the choice of the drugs, especially for pediatric therapies, is difficult, because many of the drugs were not an object of research in children. A special legal i...
Source: Pediatria Polska - February 3, 2016 Category: Pediatrics Source Type: research

World Kidney Day 2016. Averting the legacy of kidney disease – Focus on childhood
Publication date: Available online 1 February 2016 Source:Pediatria Polska Author(s): Julie R. Ingelfinger, Kamyar Kalantar-Zadeh, Franz Schaefer World Kidney Day 2016 focuses on kidney disease in childhood and the antecedents of adult kidney disease that can begin in earliest childhood. Chronic kidney disease (CKD) in childhood differs from that in adults, as the largest diagnostic group among children includes congenital anomalies and inherited disorders, with glomerulopathies and kidney disease in the setting of diabetes being relatively uncommon. In addition, many children with acute kidney injury will ultimately ...
Source: Pediatria Polska - February 1, 2016 Category: Pediatrics Source Type: research

Uprawnienia opiekuna faktycznego w procesie diagnostyczno-terapeutycznym podejmowanym wobec małoletniego pacjenta – wybrane zagadnienia prawne
Publication date: Available online 23 January 2016 Source:Pediatria Polska Author(s): Anna Augustynowicz, Iwona Wrześniewska-Wal, Grażyna Dykowska, Mariola Kowalska The article presents an analysis of the laws related to participation of the actual guardian in the diagnostics and therapeutics of a minor patient. The actual guardian is authorized to consent to testing if the patient does not have a legal representative, or no one can communicate with him. The extent to which it is authorized to consent is that he has the right to information needed to develop a position on this issue. To obtain information in other ...
Source: Pediatria Polska - January 25, 2016 Category: Pediatrics Source Type: research

Testy skórne punktowe i płatkowe w diagnostyce nadwrażliwości na pokarmy u niemowląt i małych dzieci – badanie pilotażowe
Conclusions The choice of the test type can be important to the diagnosis but differ for different types of food. Conducting diagnostic tests, which allow for combined assessment of IgE-mediated and non-IgE-mediated food allergy, including skin prick tests and patch tests, increases the chance of establishing an accurate diagnosis. (Source: Pediatria Polska)
Source: Pediatria Polska - January 23, 2016 Category: Pediatrics Source Type: research

Niefarmakologiczne metody obniżania ciepłoty ciała u dzieci gorączkujących – analiza postępowania rodziców na podstawie badania ankietowego
Conclusions The majority of parents use non-pharmacological methods of lowering the body temperature of the child, usually packs and baths. The method of using these methods is often incorrect. It is necessary to educate parents in this regard. (Source: Pediatria Polska)
Source: Pediatria Polska - January 15, 2016 Category: Pediatrics Source Type: research

Wrodzona torbielowatość gruczolakowata płuc 2-letniej dziewczynki – opis przypadku
Publication date: Available online 14 January 2016 Source:Pediatria Polska Author(s): Franciszek Halkiewicz, Tomasz Legaszewski, Bogna Drozdzowska, Kamila Gumprecht, Bogusława Sieroń-Rokicka, Edyta Machura The study presents a case report of the congenital cystic adenomatoid malformation, which has been diagnosed in 2-year-old child. The diagnosis is based on lung CT scan and confirmed by autopsy examination. Differential radiological diagnosis had been considered. The manifestation of advanced adenomatoid malformation in lungs with the lack of clinical symptoms and signs, until the time of mortal respiratory fai...
Source: Pediatria Polska - January 15, 2016 Category: Pediatrics Source Type: research

Zespół Noonan u noworodka z przeważającymi objawami niewydolności oddechowej oraz kardiomiopatii przerostowej i nadciśnienia płucnego
Publication date: Available online 14 January 2016 Source:Pediatria Polska Author(s): Karolina Jeleń, Robert Śmigiel, Monika Gos, Ewa Terpińska, Barbara Królak-Olejnik Noonan syndrome (NS) is a clinically heterogeneous and autosomal dominant disorder which occurs with a frequency of 1:1000–2500 live births regardless of gender. The most characteristic clinical features are: short stature, congenital heart defects, numerous and various dysmorphic features (eg.: hypertelorism, palpebral fissures slant down, low-set ears, short and broad neck with excess skin, webbed neck, low hair line on the neck), as...
Source: Pediatria Polska - January 15, 2016 Category: Pediatrics Source Type: research

Laparoscopic cholecystectomy in children: One centre experience
Publication date: Available online 5 January 2016 Source:Pediatria Polska Author(s): Paweł Nachulewicz, Andrzej Kasza, Paweł Osemlak, Magdalena Woźniak, Elżbieta Pac-Kożuchowska, Czesław Cielecki, Agnieszka Brodzisz, Grzegorz Jędrzejewski, Paweł Wieczorek The incidence of cholelithiasis in children is assessed to range from 0.13 to 1.9%. Symptomatic cholelithiasis in children requiring surgery has increased in tendency over the past ten years. Food habits, obesity and family history are the most common risk factors. Aim of the study was evaluation of the indications, methods and results of cholelithiasis...
Source: Pediatria Polska - January 12, 2016 Category: Pediatrics Source Type: research

Niefarmakologiczne metody obniżania ciepłoty ciała u dzieci z gorączką – analiza postępowania rodziców na podstawie badania ankietowego
Conclusions The majority of parents use non-pharmacological methods of lowering the body temperature of the child, usually packs and baths. The method of using these methods is often incorrect. It is necessary to educate parents in this regard. (Source: Pediatria Polska)
Source: Pediatria Polska - January 12, 2016 Category: Pediatrics Source Type: research

Laparoscopic excision of a type II choledochal cyst: A case report
Conclusions Reports of type II choledochal cysts are very rare and standards of treatment are not yet clearly established. A simple excision may be sufficient and is associated with a low rate of complication. However, there is a risk of malignancy especially when any sign of metaplasia or dysplasia are observed in histopathological specimens. (Source: Pediatria Polska)
Source: Pediatria Polska - January 12, 2016 Category: Pediatrics Source Type: research

Isolated subglottic stenosis by Wegner's granulomatosis in a pediatric patient – A case report
We present a 13-year-old boy who came with breathing difficulty. A nasopharyngolaryngoscopy revealed narrowing in the subglottic region. This was managed by planned microlaryngoscopy with cold steel instruments. Excision of granulomatous tissue from subglottis along with application of steroid and mitomycin-C. Biopsy from the subglottic area confirmed the diagnosis of WG. During managing subglottic stenosis (SGS), the etiology of WG should be in mind as it is essential to find out the cause for providing the appropriate treatment. An early diagnosis of WG leads to early initiation of treatment which helps in reduction of m...
Source: Pediatria Polska - January 12, 2016 Category: Pediatrics Source Type: research

Skuteczność trzech skoniugowanych szczepionek przeciwko pneumokokom w zapobieganiu inwazyjnej chorobie pneumokokowej w kanadyjskiej prowincji Quebec
Publication date: Available online 21 December 2015 Source:Pediatria Polska Author(s): Geneviève Deceuninck, Gaston De Serresa, Nicole Bouliannea, Brigitte Lefebvre, Philippe De Wals (Source: Pediatria Polska)
Source: Pediatria Polska - December 22, 2015 Category: Pediatrics Source Type: research

Witamina D a odporność u dzieci
Publication date: Available online 17 December 2015 Source:Pediatria Polska Author(s): Nel Dąbrowska-Leonik, Ewa Bernatowska Vitamin D influence on immune cells has been known for years. Vitamin D deficiency is associated with increased susceptibility to infection, lower antibody production after immunisation, higher incidence of autoimmune diseases and worse course of the autoinflammatory diseases as data show. Decrease of vitamin D level in patients with large spectrum of primary immune disorders correlates with severity and duration of clinical symptoms, including respiratory tract infections. These patients usuall...
Source: Pediatria Polska - December 18, 2015 Category: Pediatrics Source Type: research

“Talk and deteriorate” syndrome and the role of an immediate follow-up computed tomography of the head in children
We present the case of a patient with complicated brain injury, to illustrate potentially fatal consequences of a delay in a repeat CT scan. A 16-year-old patient after a road accident was admitted with a severe injury of the head. Massive cerebral contusions and depressed skull fracture of the right temporal, parietal and occipital bones were documented on an initial CT scan. The patient was subjected to craniectomy at the right parieto-occipital area. A repeated CT scan, obtained 12h post-surgery, revealed a previously undetected acute epidural hematoma in the right fronto-parietal region with mass effect moving contiguo...
Source: Pediatria Polska - December 15, 2015 Category: Pediatrics Source Type: research

Tłuszcz mleka kobiecego – skład, synteza i funkcja kwasów tłuszczowych oraz pochodnych lipidów
This article provides an overview on the composition, function and the source of variation of human milk lipids. (Source: Pediatria Polska)
Source: Pediatria Polska - December 5, 2015 Category: Pediatrics Source Type: research

Nowe podejście do leczenia alergii na pokarmy u niemowląt i dzieci
Publication date: Available online 2 December 2015 Source:Pediatria Polska Author(s): Ewa Łoś-Rycharska, Mieczysława Czerwionka-Szaflarska After the period of elimination diet in majority of children with food allergy the signs of oversensitivity recede and earlier sensitizing food tolerance appears. The time of tolerance development is different, and usually longer in IgE-dependent allergy, particularly with severe course. Last time many research devoted the question of development acceleration capability at children with food allergy. In this paper we present some results in that theme, concerning specific oral im...
Source: Pediatria Polska - December 4, 2015 Category: Pediatrics Source Type: research

Neuropathy in young diabetic patients
Publication date: Available online 2 December 2015 Source:Pediatria Polska Author(s): Ewa Otto-Buczkowska, Marek Dryżałowski Diabetic neuropathy is one of the most common and serious complications of both type 1 and type 2 diabetes. In type 1 diabetes mellitus, neuropathy usually takes form of distal symmetric polyneuropathy (DPN) and/or diabetic autonomic neuropathy (DAN). Other forms such as acute sensory neuropathy, cranial neuropathy, truncal radiculoneuropathy or proximal motor neuropathy are present sporadically in those patients. There are three hypotheses that explain the pathogenetic mechanism of polyneuropa...
Source: Pediatria Polska - December 4, 2015 Category: Pediatrics Source Type: research

Porównanie trzech typów laryngoskopów podczas intubacji dziecka w warunkach symulowanego uszkodzenia kręgosłupa szyjnego
Conclusions In this manikin study, paramedics performed with greater efficiency intubation using a videolaryngoscope TruView PCD, both in scenarios A and B. Videolaryngoscope TruView PCD may be an alternative to the standard direct laryngoscopy. (Source: Pediatria Polska)
Source: Pediatria Polska - November 28, 2015 Category: Pediatrics Source Type: research

Nowoczesne media w życiu dziecka. Wartość czy zagrożenie?
Publication date: Available online 28 November 2015 Source:Pediatria Polska Author(s): Magdalena Gruszczyńska In the course of technological development, modern media have become an inseparable part of life for children and youth. They carry benefits along with negative consequences for their development, health and safety. Lack of awareness among people engaged in care, development and raising of children, regarding the dangers and results of uncontrolled and extensive use of modern media, might be a significant factor that influences the functioning of the young generation. The study aims to present up-to-date knowle...
Source: Pediatria Polska - November 28, 2015 Category: Pediatrics Source Type: research

Występowanie i przyczyny kamicy pęcherzyka żółciowego u dzieci i młodzieży
Publication date: Available online 20 November 2015 Source:Pediatria Polska Author(s): Monika Parzęcka, Marta Drażniuk, Ola Sobieska, Katarzyna Soroka, Justyna Szczygieł, Mieczysława Czerwionka-Szaflarska Introduction Cholelithiasis is a relatively rare disease in children. It causes difficulty in identification because of non-specific symptoms or asymptomatic course. In the case of asymptomatic cholelithiasis, the treatment with an Ursodeoxycholic acid (UDCA) is the most commonly used pharmacological therapy, and symptomatic cholelithiasis is an indication for laparoscopic cholecystectomy. Aim The primary obj...
Source: Pediatria Polska - November 20, 2015 Category: Pediatrics Source Type: research

Obraz kliniczny i ultrasonograficzny oraz wyniki leczenia wrodzonego wodonercza u noworodków
Conclusions. 1) Congenital hydronephrosis is most often unilateral and noted in boys. 2) Urinary tract infections mainly due to Gram-negative bacteria are frequently complications of congenital hydronephrosis, even cause of urosepsis. 3) Conservative treatment (mainly urinary tract infection, ultrasound and laboratory markers of renal function monitoring) in most infants with this defect is sufficient treatment. 4) Neonates with antenatal and postnatal diagnosed hydronephrosis need long-term cooperation of specialists of neonatology, pediatric radiology, nephrology and urology. (Source: Pediatria Polska)
Source: Pediatria Polska - November 18, 2015 Category: Pediatrics Source Type: research

Zespół tylnej odwracalnej encefalopatii u chłopca leczonego z powodu ostrej białaczki limfoblastycznej
In this report, we present a 13-year-old boy with acute lymphoblastic leukaemia who developed acute neurological symptoms in the form of two episodes of generalized seizures. PRES was diagnosed based on clinical signs and characteristic lesions visible on MRI. Prompt diagnosis and administration of anti-hypertensive drugs resulted in a regression of the observed symptoms. The case seems to indicate the necessity of including posterior reversible encephalopathy in the differential diagnosis of neurological symptoms in children with leukaemia. (Source: Pediatria Polska)
Source: Pediatria Polska - November 17, 2015 Category: Pediatrics Source Type: research

Rola rodziców we wspieraniu nastoletnich dzieci w podejmowaniu aktywności fizycznej
Conclusions Parental behaviours have a significant impact on the level of physical activity of children (direct – modelling and indirect – support). It is crucial to encourage and to help them in planning activities. In order to increase the involvement of adolescents in physical activity, it is worth to encourage their parents to be active. (Source: Pediatria Polska)
Source: Pediatria Polska - November 13, 2015 Category: Pediatrics Source Type: research

Historia fenyloketonurii – pierwsze trzydzieści lat
Publication date: Available online 5 November 2015 Source:Pediatria Polska Author(s): Dariusz Walkowiak, Łukasz Kałużny, Anna Bukowska-Posadzy In 1934, a Norwegian biochemist and physician, Ivar Asbjörn Fölling, described a new, hitherto unknown disease, which was the cause of mental retardation in two young patients. Apart from the visible symptoms, such as the characteristic musty odour, eczema, microcephaly, pale skin, and fair hair, Fölling found that in their urine there was phenylpyruvic acid. Further research allowed to investigate better and to describe the mechanism behind the disease, and l...
Source: Pediatria Polska - November 5, 2015 Category: Pediatrics Source Type: research

Współistnienie eozynofilowego zapalenia jelit i choroby trzewnej u 2-letniej dziewczynki – opis przypadku
This study shows the coexistence of eosinophilic colitis and coeliac disease in a two-year-old girl. The diagnosis of eosinophilic inflammation was established quite fast after panendoscopy examination that is always technically difficult to perform in case of an infant. The delay in diagnosis occurred as a result of incorrect single specific serologic analysis, as well as the lack of connection of its result with the anamnesis involving the type of feeding. This case proves the necessity of simultaneous analysis of specific antibodies within two immunoglobulin classes (IgA and IgG) in children who are likely to suffer fro...
Source: Pediatria Polska - November 4, 2015 Category: Pediatrics Source Type: research

Zdrowie i zadowolenie z życia uczniów w wieku 13–17 lat jako determinanty subiektywnej witalności
Conclusions Higher level of vitality understood as the inner life energy occurred among boys and younger teenagers can be connected with the level of physical activeness. This construct should be included in research about health and quality of life, taking into consideration positive links between subjective vitality and life satisfaction as well as health and rare occurrence of subjective complaints. (Source: Pediatria Polska)
Source: Pediatria Polska - October 30, 2015 Category: Pediatrics Source Type: research

Skuteczna kontrola chirurgiczna ropni wątroby w trakcie terapii ostrej białaczki limfoblastycznej
In conclusion, presented combined therapy of LA of bacterial etiology has enabled to control infectious complications and further possible sequelae. The decision of such therapy in children with malignant disorders should be individualized with multidisciplinary approach. LA diagnosed in clinical examination, imaging and microbiological analysis require conservative antimicrobial treatment and/or combined with percutaneous or open drainage or even partial resection of the invaded liver parenchyma. (Source: Pediatria Polska)
Source: Pediatria Polska - October 30, 2015 Category: Pediatrics Source Type: research

Niedobór żelaza bez niedokrwistości u dzieci: aktualny stan wiedzy
Publication date: Available online 26 October 2015 Source:Pediatria Polska Author(s): Anna Chmielewska, Radosław Dryl Iron deficiency is the world's most prevalent single-nutrient deficiency, ranging from non-anemic iron deficiency (NAID) to iron deficiency anemia (IDA). Children are one of the high-risk groups for both conditions. While diagnosis and treatment of IDA is a well-established practice, there are no recommendations concerning NAID. In this article, the current knowledge on iron deficiency has been summarized, particularly its influence on child development. MEDLINE and Cochrane Library have been searched ...
Source: Pediatria Polska - October 27, 2015 Category: Pediatrics Source Type: research