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EN
The purpose of this study is to investigate how the past experiences of mothers and their potentially traumatic events during pregnancy may have influenced the processes of psychobiological self-regulation and cognitive development in a child born preterm. Eighty children who had a gestational age of < 32 weeks were examined at the 9th month of the corrected age. The mothers and children were divided in two groups: multipara mothers and their children and the primipara mothers and their children. These children were examined on the basis of sleep disorders, nutritional problems and mental development. Perinatal data from clinical observations and data from standardized developmental tests (BSID, II ed.) were used to describe the differences. The children of primipara mothers who had unexpected preterm delivery presented major incidences of sleep disorders while the children of primipara mothers, who programmed preterm delivery, presented a major incidences of nutrition problems. The predictability of preterm delivery has a major influence on the capacity of newborns for self-regulation in the case of primipara mothers.
EN
Purpose: Evaluation the rate of bacterial colonization of the genital tract among a large group of Polish women and the relationship between the types of bacteria from the cervical canal of pregnant women and preterm delivery. Materials and methods: 1084 pregnant women were taken swab from the cervical canal, 127 born prematurely. Bacteriological studies were per-formed to identify aerobic and anaerobic bacteria, and fungi. Results: Colonization of birth canal with Enterobacteriacae was not associated with preterm delivery statistically. Among women giving birth prematurely high virulence bacteria were detected statistically often (p = 0.047). Enterococcus faecalis infections, which occurred significantly more frequently in pregnancies complicated preterm premature rupture of membranes (pPROM). Conclusions: The bacteria of low virulence, physiologically colonize the gastrointestinal tract is not an etiological factor of preterm labor and pPROM.
EN
Introduction. Vaccinations are one of the most effective medical interventions that protect people against infectious diseases. It should be noted that a new vaccine licensing is always preceded by clinical trials assessing its safety and efficacy. Anti-vaccine propaganda carried out by vaccination opponents has become an international problem with a global reach. Aim. To review the literature on vaccinations of patients from high-risk groups. Material and methods. A literature review of the following databases has been conducted: EBSCO, PubMed, Science Direct, and Springer Link. Results. High-risk groups in the paediatric population include pre-term born infants, patients after stem cell transplantations, children with allergies and other chronic diseases. Vaccinations in the examined groups are generally safe and are an effective method of preventing infections. Conclusion. At a time when the level of vaccine skepticism is high and the epidemiological situation of many diseases is unstable, patients who are more susceptible to infection are particularly endangered. High level of knowledge of health care professionals and their personal positive attitude towards vaccinations are important for improving the vaccination coverage rates. In the light of measles epidemic outbreaks and an almost geometric increase in the number of pertussis cases noted recently, actions are needed to achieve herd immunity.
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