L. Dimunová, Jana Michalkova, M. Zamboriová, J. Bučková, I. Nagyova
Authors’ contribution Wkład autorów: A. Study design/planning zaplanowanie badań B. Data collection/entry zebranie danych C. Data analysis/statistics dane – analiza i statystyki D. Data interpretation interpretacja danych E. Preparation of manuscript przygotowanie artykułu F. Literature analysis/search wyszukiwanie i analiza literatury G. Funds collection zebranie funduszy Summary Background. Adherence is an important parameter of any effective treatment. This study aimed to evaluate adherence/non-adherence in patients with cardiovascular diseases and to determine whether sociodemographic characteristics affected treatment adherence. Material and methods. The study sample consisted of 878 patients with coronary heart disease. A non-standardized questionnaire was used to obtain the data. The data was statistically evaluated using SPSS.25.0. Results. Adherence was demonstrated in 501 (57.4%) patients. A statistically significant relationship was confirmed between adherence to treatment and gender (p=0.000) and employment (p=0.001). Patients ≥58 years of age with basic education and who earn an average income have a higher adherence rate to treatment. Conclusions. Knowledge of how a patient’s sociodemographic characteristics affect adherence can help healthcare professionals to effectively educate patients and improve their quality of life.
作者贡献Wkład autorów: A.研究设计/规划zaplanowanie badazy B.数据收集/输入zebranie danych C.数据分析/统计dane - analizi statystyki D.数据解释interpretacja danych E.手稿准备przygotowanie artykułu F.文献分析/检索wyszukiwanie i analyizliterature G.资金募集zebranie funduszy摘要背景。坚持是任何有效治疗的重要参数。本研究旨在评估心血管疾病患者的依从性/不依从性，并确定社会人口统计学特征是否影响治疗依从性。材料和方法。研究样本包括878名冠心病患者。采用非标准化调查问卷获取数据。采用SPSS.25.0对数据进行统计学评价。结果。501例(57.4%)患者的依从性得到证实。治疗依从性与性别(p=0.000)和就业(p=0.001)之间存在统计学上显著的关系。年龄≥58岁、受过基础教育且收入平均的患者对治疗的依从率较高。结论。了解患者的社会人口学特征如何影响依从性可以帮助医疗保健专业人员有效地教育患者并改善他们的生活质量。
{"title":"ADHERENCE TO TREATMENT REGIMENS IN PATIENTS WITH CARDIOVASCULAR DISEASE","authors":"L. Dimunová, Jana Michalkova, M. Zamboriová, J. Bučková, I. Nagyova","doi":"10.5114/hpc.2021.110110","DOIUrl":"https://doi.org/10.5114/hpc.2021.110110","url":null,"abstract":"Authors’ contribution Wkład autorów: A. Study design/planning zaplanowanie badań B. Data collection/entry zebranie danych C. Data analysis/statistics dane – analiza i statystyki D. Data interpretation interpretacja danych E. Preparation of manuscript przygotowanie artykułu F. Literature analysis/search wyszukiwanie i analiza literatury G. Funds collection zebranie funduszy Summary Background. Adherence is an important parameter of any effective treatment. This study aimed to evaluate adherence/non-adherence in patients with cardiovascular diseases and to determine whether sociodemographic characteristics affected treatment adherence. Material and methods. The study sample consisted of 878 patients with coronary heart disease. A non-standardized questionnaire was used to obtain the data. The data was statistically evaluated using SPSS.25.0. Results. Adherence was demonstrated in 501 (57.4%) patients. A statistically significant relationship was confirmed between adherence to treatment and gender (p=0.000) and employment (p=0.001). Patients ≥58 years of age with basic education and who earn an average income have a higher adherence rate to treatment. Conclusions. Knowledge of how a patient’s sociodemographic characteristics affect adherence can help healthcare professionals to effectively educate patients and improve their quality of life.","PeriodicalId":41946,"journal":{"name":"Health Problems of Civilization","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71118887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In the population, is as one the too late diagnosed Cervical and mortality are The aim of the is the assessment of women’s knowledge cervical cancer based on the study of the feminine in study covered a group of 172 women living in the county of Biała Lubelskie The research tool was an original questionnaire. The statistical analysis was performed using the STATISTICA v 10. program and the Pearson Chi- square test. Results. More than half of respondents (55.8%) indicated the following risk factors of cervical cancer: early onset of sexual life, many partners in a partner, infection of the cervix with HPV and herpes viruses, many deliveries, and smoking. The majority of respondents (62.2%) believe that cytology and gynecological examination are part of the preventive examination. Conclusions. 2. Respondents above 26 years of age possess knowledge about human papillomavirus (HPV) vaccination as a means of preventing cervical cancer. 3. Young women’s knowledge about HPV vaccination is insufficient.
在人群中，太晚诊断的宫颈癌和死亡率是其中之一。该研究的目的是评估妇女对宫颈癌的认识，基于对女性的研究，研究涵盖了居住在Biała Lubelskie县的172名妇女，研究工具是一份原始问卷。使用STATISTICA v 10进行统计分析。程序和皮尔逊卡方检验。结果。超过一半的应答者(55.8%)指出宫颈癌的以下危险因素:性生活开始早、伴侣多、宫颈感染人乳头瘤病毒和疱疹病毒、多次分娩和吸烟。大多数受访者(62.2%)认为细胞学和妇科检查是预防性检查的一部分。结论。2。年龄在26岁以上的受访者对接种人乳头瘤病毒疫苗以预防子宫颈癌有所了解。3.年轻女性对HPV疫苗接种的了解不足。
{"title":"ASSESSING THE KNOWLEDGE OF CERVICAL CANCER BY WOMEN\u0000FROM BIAŁA PODLASKA, LUBELSKIE VOIVODESHIP","authors":"I. Gładysz","doi":"10.5114/HPC.2020.102232","DOIUrl":"https://doi.org/10.5114/HPC.2020.102232","url":null,"abstract":"In the population, is as one the too late diagnosed Cervical and mortality are The aim of the is the assessment of women’s knowledge cervical cancer based on the study of the feminine in study covered a group of 172 women living in the county of Biała Lubelskie The research tool was an original questionnaire. The statistical analysis was performed using the STATISTICA v 10. program and the Pearson Chi- square test. Results. More than half of respondents (55.8%) indicated the following risk factors of cervical cancer: early onset of sexual life, many partners in a partner, infection of the cervix with HPV and herpes viruses, many deliveries, and smoking. The majority of respondents (62.2%) believe that cytology and gynecological examination are part of the preventive examination. Conclusions. 2. Respondents above 26 years of age possess knowledge about human papillomavirus (HPV) vaccination as a means of preventing cervical cancer. 3. Young women’s knowledge about HPV vaccination is insufficient.","PeriodicalId":41946,"journal":{"name":"Health Problems of Civilization","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71115166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
greatest number of respondents reported disability, physical weakness, kinesiophobia, and multiple diseases (34.6%) as the main barrier, followed by lack of skills to organize physical exercises (27.7%). Concerning threats of hypokinesia, respondents most often indicated obesity, diseases of the musculoskeletal system, and arterial hypertension. Conclusions. The level of PA of the surveyed elderly people, limitations preventing PA, and low level of knowledge about the delayed consequences of hypokinesia suggests a need for seniors’ health education in physioprophylaxis.
{"title":"PHYSICAL ACTIVITY OF THE ELDERLY: LIMITATIONS AND KNOWLEDGE ABOUT THE DANGERS OF HYPOKINESIA","authors":"Zofia Kubińska, A. Pańczuk","doi":"10.5114/HPC.2021.104790","DOIUrl":"https://doi.org/10.5114/HPC.2021.104790","url":null,"abstract":"greatest number of respondents reported disability, physical weakness, kinesiophobia, and multiple diseases (34.6%) as the main barrier, followed by lack of skills to organize physical exercises (27.7%). Concerning threats of hypokinesia, respondents most often indicated obesity, diseases of the musculoskeletal system, and arterial hypertension. Conclusions. The level of PA of the surveyed elderly people, limitations preventing PA, and low level of knowledge about the delayed consequences of hypokinesia suggests a need for seniors’ health education in physioprophylaxis.","PeriodicalId":41946,"journal":{"name":"Health Problems of Civilization","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71117114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The number of Alzheimer’s disease (AD) patients is rapidly increasing. To date, there may be half a million Alzheimer’s patients in Poland. World Health Organization forecasts that the total number of patients with dementia will amount to 75.6 million in 2030 and increase to 135.5 million by 2050. Modern care includes health strengthening activities, disease prevention, shaping the ability to live with the disease or disability, and assisting in dignified and peaceful death. This paper aims to present a model method for nursing of an Alzheimer’s patient, taking into account external and internal factors. Problems with everyday activities arise in each stage of the disease. Yet, their largest number is observed in the third and final stage. A nurse providing professional help and support to caregivers of patients with AD formulates nursing and caring instructions accommodated to the disease stage. According to the authors, the adjustment of individual care to the specific stage of the disease improves the patient’s quality of life. The synthesis of nursing activities performed for Alzheimer’s patients should be focused on the cooperation between the nurse and the patient’s caregiver. The patient’s family and caregivers’ education should be emphasized as their awareness and knowledge of the disease will result in better care. Caregivers’ insufficiency of expertise concerning the appropriate care may deepen the patient’s illness and intensify its consequences. Patients with advanced AD need constant, day-and-night care. Creating such conditions is often connected with sacrificing one’s personal life. Therefore, apart from imparting the knowledge concerning the right care, a nurse provides mental support to Alzheimer’s patients’ caregivers.
{"title":"THE NURSE’S ROLE IN CARING FOR ALZHEIMER'S PATIENTS","authors":"Anna Ławnik, Diana Sakowicz","doi":"10.5114/hpc.2020.99251","DOIUrl":"https://doi.org/10.5114/hpc.2020.99251","url":null,"abstract":"The number of Alzheimer’s disease (AD) patients is rapidly increasing. To date, there may be half a million Alzheimer’s patients in Poland. World Health Organization forecasts that the total number of patients with dementia will amount to 75.6 million in 2030 and increase to 135.5 million by 2050. Modern care includes health strengthening activities, disease prevention, shaping the ability to live with the disease or disability, and assisting in dignified and peaceful death. This paper aims to present a model method for nursing of an Alzheimer’s patient, taking into account external and internal factors. Problems with everyday activities arise in each stage of the disease. Yet, their largest number is observed in the third and final stage. A nurse providing professional help and support to caregivers of patients with AD formulates nursing and caring instructions accommodated to the disease stage. According to the authors, the adjustment of individual care to the specific stage of the disease improves the patient’s quality of life. The synthesis of nursing activities performed for Alzheimer’s patients should be focused on the cooperation between the nurse and the patient’s caregiver. The patient’s family and caregivers’ education should be emphasized as their awareness and knowledge of the disease will result in better care. Caregivers’ insufficiency of expertise concerning the appropriate care may deepen the patient’s illness and intensify its consequences. Patients with advanced AD need constant, day-and-night care. Creating such conditions is often connected with sacrificing one’s personal life. Therefore, apart from imparting the knowledge concerning the right care, a nurse provides mental support to Alzheimer’s patients’ caregivers.","PeriodicalId":41946,"journal":{"name":"Health Problems of Civilization","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71117272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Igor P. Vikhrov, Z. Abdurakhimov, Sherzod P. Ashirbaev
{"title":"THE USE OF BIG DATA IN HEALTHCARE: LESSONS FOR DEVELOPING COUNTRIES FROM UZBEKISTAN","authors":"Igor P. Vikhrov, Z. Abdurakhimov, Sherzod P. Ashirbaev","doi":"10.5114/HPC.2021.106173","DOIUrl":"https://doi.org/10.5114/HPC.2021.106173","url":null,"abstract":"","PeriodicalId":41946,"journal":{"name":"Health Problems of Civilization","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71118032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"EFFECT OF HEALTH BEHAVIORS ON METABOLIC CONTROL IN PATIENTS WITH TYPE 2 DIABETES","authors":"A. Grochowska, Barbara Kubik, Łucja Turska","doi":"10.5114/hpc.2021.109905","DOIUrl":"https://doi.org/10.5114/hpc.2021.109905","url":null,"abstract":"","PeriodicalId":41946,"journal":{"name":"Health Problems of Civilization","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71118439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Can behavioral interventions increase physical activity in youth with cerebral palsy? A scoping review","authors":"T. Petrosyan, H. Mkrtchyan, Naira Martirosyan","doi":"10.5114/hpc.2021.110112","DOIUrl":"https://doi.org/10.5114/hpc.2021.110112","url":null,"abstract":"","PeriodicalId":41946,"journal":{"name":"Health Problems of Civilization","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71118745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The present study reviews existing evidence regarding the role of nursing in responses to climate change and wildfires caused by climate change, with the aim of enhancing nurses’ awareness about these issues. A total of 21 studies published between 2014 to 2021 and written in English or Turkish were included in the review. Analysis focused on the role of nursing in lessening negative impacts from climate change and wildfires. There is evidence to suggest that nurses can significantly assist with the prevention and alleviation of the effects of climate change and wildfires. Based on these findings, it is recommended that nurses take an active role in reducing likely risks and responding effectively when needed. The importance of flexible and proactive health systems that can predict needs during emergencies is also highlighted. Nurses should lead the way in designing national and international policies on emergencies and disasters, making suggestions, and contributing to national emergency response plans, management of human resources, and the continuity of basic care services.
{"title":"THE ROLE OF NURSES IN ADDRESSING HEALTH EFFECTS OF CLIMATE CHANGE AND WILDFIRES","authors":"Seda Baykara Mat","doi":"10.5114/hpc.2021.111213","DOIUrl":"https://doi.org/10.5114/hpc.2021.111213","url":null,"abstract":"The present study reviews existing evidence regarding the role of nursing in responses to climate change and wildfires caused by climate change, with the aim of enhancing nurses’ awareness about these issues. A total of 21 studies published between 2014 to 2021 and written in English or Turkish were included in the review. Analysis focused on the role of nursing in lessening negative impacts from climate change and wildfires. There is evidence to suggest that nurses can significantly assist with the prevention and alleviation of the effects of climate change and wildfires. Based on these findings, it is recommended that nurses take an active role in reducing likely risks and responding effectively when needed. The importance of flexible and proactive health systems that can predict needs during emergencies is also highlighted. Nurses should lead the way in designing national and international policies on emergencies and disasters, making suggestions, and contributing to national emergency response plans, management of human resources, and the continuity of basic care services.","PeriodicalId":41946,"journal":{"name":"Health Problems of Civilization","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71119179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Shpakou, L. Klimatckaia, J. Bocharova, A. Dyachuk, O. Shik, Aleh Kuzniatsou
Background. The present study examined factors influencing the choice of coping strategies in response to stress caused by the pandemic. The aim of the study was the analysis of the selection of coping strategies chosen by university students stratified based on whether they had previously contracted coronavirus disease (COVID-19). Material and methods. A variant of the COPE questionnaire was used to examine the choice of coping strategies among 876 students of Krasnoyarsk (Russia) during the lockdown. Fifteen coping strategies were assessed in 27.9% students who had COVID-19 and 72.1% who did not have COVID-19, taking into account sex differences. Results. Problem-oriented and active coping strategies were common in both groups. The most common scenarios are active handling strategies (median 6.0). In both groups, respondents rarely singled out (median ≤4.0) the use of psychoactive substances, denial of the situation, and conversion to religion. Females more often than young males used concentration on emotions as a coping strategy. Females who experienced COVID-19 refuse to believe what happened, and choose to seek social support for emotional reasons. Conclusions. The risk of infection and the transmitted illness engendered coping strategies associated with active actions. Passive coping strategies were used less frequently. The tactics used to select appropriate coping strategies for those who have not been ill and who have recovered are similar, irrespective of sex.
{"title":"The selection of coping strategies by university students stratified based on prior covid-19 exposure","authors":"A. Shpakou, L. Klimatckaia, J. Bocharova, A. Dyachuk, O. Shik, Aleh Kuzniatsou","doi":"10.5114/hpc.2021.112364","DOIUrl":"https://doi.org/10.5114/hpc.2021.112364","url":null,"abstract":"Background. The present study examined factors influencing the choice of coping strategies in response to stress caused by the pandemic. The aim of the study was the analysis of the selection of coping strategies chosen by university students stratified based on whether they had previously contracted coronavirus disease (COVID-19). Material and methods. A variant of the COPE questionnaire was used to examine the choice of coping strategies among 876 students of Krasnoyarsk (Russia) during the lockdown. Fifteen coping strategies were assessed in 27.9% students who had COVID-19 and 72.1% who did not have COVID-19, taking into account sex differences. Results. Problem-oriented and active coping strategies were common in both groups. The most common scenarios are active handling strategies (median 6.0). In both groups, respondents rarely singled out (median ≤4.0) the use of psychoactive substances, denial of the situation, and conversion to religion. Females more often than young males used concentration on emotions as a coping strategy. Females who experienced COVID-19 refuse to believe what happened, and choose to seek social support for emotional reasons. Conclusions. The risk of infection and the transmitted illness engendered coping strategies associated with active actions. Passive coping strategies were used less frequently. The tactics used to select appropriate coping strategies for those who have not been ill and who have recovered are similar, irrespective of sex.","PeriodicalId":41946,"journal":{"name":"Health Problems of Civilization","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71119301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Szymanek-Szwed, Beata Jurkiewicz, J. Samotyjek, K. Załęska-Oracka
Authors’ contribution Wkład autorów: A. Study design/planning zaplanowanie badań B. Data collection/entry zebranie danych C. Data analysis/statistics dane – analiza i statystyki D. Data interpretation interpretacja danych E. Preparation of manuscript przygotowanie artykułu F. Literature analysis/search wyszukiwanie i analiza literatury G. Funds collection zebranie funduszy Summary Background. Infections of the urinary tract are the second most common bacterial infections occurring among the pediatric population. Cystitis cystica is the prevalent form of chronic inflammation which occurs in children. The pathogenesis of the disease is unclear, however recurrent urinary tract infections are considered to be the most common cause. Inflammation may be asymptomatic or present with symptoms of active infection. Chronic inflammation can lead to micturition disorders. Treatment of cystitis cystica is difficult and long-lasting. Here, the authors present their experience on the diagnosis and treatment of patients with cystitis cystica. Material and methods. In the period 2016-2019, 871 cystoscopies were performed at the Department of Pediatric Surgery and Pediatric Urology of the Centre of Postgraduate Medical Education, Warsaw, Poland. Depending on the severity of macroscopic changes, the severity of symptoms, and the occurrence of recurrent urinary tract infections, different treatment protocols were used: oral administration of furazidine and trimethoprim with sulfamethoxazole, intravesical instillation of gentamicin and immunomodulating treatment in chosen cases. Results. Improvement in the clinical condition of sick children was achieved in 79% of patients (84/106). Changes in endoscopic findings did not always correlate with clinical symptoms. Conclusions. The authors recommend extended diagnostics to include endoscopic examination in children with recurrent bladder infections and/or voiding disorders that are difficult to treat. This will allow exclusion or diagnosis of cystitis cystica and enable appropriate treatment at the initial stage of the disease, making regression of the changes in the bladder mucosa possible with oral pharmacotherapy only.
作者贡献Wkład autorów: A.研究设计/规划zaplanowanie badazy B.数据收集/输入zebranie danych C.数据分析/统计dane - analizi statystyki D.数据解释interpretacja danych E.手稿准备przygotowanie artykułu F.文献分析/检索wyszukiwanie i analyizliterature G.资金募集zebranie funduszy摘要背景。尿路感染是儿科人群中第二常见的细菌感染。膀胱炎是一种常见于儿童的慢性炎症。该病的发病机制尚不清楚，但复发性尿路感染被认为是最常见的原因。炎症可无症状或表现为活动性感染的症状。慢性炎症可导致排尿障碍。治疗囊性膀胱炎是困难和持久的。在此，笔者就其诊断和治疗囊性膀胱炎的经验作一介绍。材料和方法。在2016-2019年期间，在波兰华沙研究生医学教育中心的儿科外科和儿科泌尿外科进行了871例膀胱镜检查。根据宏观变化的严重程度、症状的严重程度和反复尿路感染的发生情况，采用不同的治疗方案:口服呋喃嗪和甲氧苄啶联合磺胺甲恶唑，膀胱内滴注庆大霉素，并在选定的病例中进行免疫调节治疗。结果。79%的患者(84/106)患儿的临床状况得到改善。内镜检查结果的改变并不总是与临床症状相关。结论。作者建议扩大诊断范围，包括对复发性膀胱感染和/或难以治疗的排尿障碍的儿童进行内窥镜检查。这将允许排除或诊断囊性膀胱炎，并在疾病的初始阶段进行适当的治疗，使膀胱粘膜变化的消退仅通过口服药物治疗成为可能。
{"title":"CYSTITIS CYSTICA – CHRONIC URINARY BLADDER INFLAMMATION IN CHILDREN","authors":"M. Szymanek-Szwed, Beata Jurkiewicz, J. Samotyjek, K. Załęska-Oracka","doi":"10.5114/HPC.2021.103356","DOIUrl":"https://doi.org/10.5114/HPC.2021.103356","url":null,"abstract":"Authors’ contribution Wkład autorów: A. Study design/planning zaplanowanie badań B. Data collection/entry zebranie danych C. Data analysis/statistics dane – analiza i statystyki D. Data interpretation interpretacja danych E. Preparation of manuscript przygotowanie artykułu F. Literature analysis/search wyszukiwanie i analiza literatury G. Funds collection zebranie funduszy Summary Background. Infections of the urinary tract are the second most common bacterial infections occurring among the pediatric population. Cystitis cystica is the prevalent form of chronic inflammation which occurs in children. The pathogenesis of the disease is unclear, however recurrent urinary tract infections are considered to be the most common cause. Inflammation may be asymptomatic or present with symptoms of active infection. Chronic inflammation can lead to micturition disorders. Treatment of cystitis cystica is difficult and long-lasting. Here, the authors present their experience on the diagnosis and treatment of patients with cystitis cystica. Material and methods. In the period 2016-2019, 871 cystoscopies were performed at the Department of Pediatric Surgery and Pediatric Urology of the Centre of Postgraduate Medical Education, Warsaw, Poland. Depending on the severity of macroscopic changes, the severity of symptoms, and the occurrence of recurrent urinary tract infections, different treatment protocols were used: oral administration of furazidine and trimethoprim with sulfamethoxazole, intravesical instillation of gentamicin and immunomodulating treatment in chosen cases. Results. Improvement in the clinical condition of sick children was achieved in 79% of patients (84/106). Changes in endoscopic findings did not always correlate with clinical symptoms. Conclusions. The authors recommend extended diagnostics to include endoscopic examination in children with recurrent bladder infections and/or voiding disorders that are difficult to treat. This will allow exclusion or diagnosis of cystitis cystica and enable appropriate treatment at the initial stage of the disease, making regression of the changes in the bladder mucosa possible with oral pharmacotherapy only.","PeriodicalId":41946,"journal":{"name":"Health Problems of Civilization","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71117123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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