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Secondary speech therapy prophylaxis aimed at children with low birth weight – a part of research

100%
Gacka E.
Interdyscyplinarne Konteksty Pedagogiki Specjalnej
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2020
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issue 30
PL
In the paper, the results of the study of secondary speech therapy prophylaxis aimed at children with low birth weight (preterm babies and babies born at term but with intrauterine growth retardation). The study group consisted of 187 children with a birth weight below 2500 g. Low birth weight is one of the risk factors for various developmental disorders, including disorders of the development of language communication. That is why early identification of the first symptoms of language acquisition (speech development) disorders is so important. The aim of the undertaken research was to analyse the activities in the field of secondary speech therapy prophylaxis, covering this risk group.
2
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Assessment of correlation between vitamin D level and prevalence of preterm births in the population of pregnant women in Poland

87%
Baczyńska-Strzecha M., Kalinka J.
International Journal of Occupational Medicine and Environmental Health
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2017
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vol. 30
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issue 6
933-941
EN
Objectives Aim of this project is determination of the correlation between the level of vitamin D in blood serum and duration of pregnancy in population in central Poland. Material and Methods 25-Hydroxyvitamin D (25(OH)D) level was determined in blood serum, using enzyme-linked immunosorbent assay (ELISA). Standardized history of each patient was recorded. The history included: general medical history, data regarding the course of pregnancy and information about health-related behavior that could influence vitamin D concentration. Two hundred-and-one Caucasian women at childbirth were qualified into the study. The study group was divided into 2 parts: 100 patients who had a spontaneous premature birth and 101 patients who had birth at full term. Results Vitamin D deficiency (< 30 ng/ml) was very common for both groups (69.6% of patients in the premature group and 72% – in the control group). Patients who had a premature birth had severe vitamin D deficiency (less than 10 ng/ml) more often than in the control group (34% vs. 14.2%, p = 0.001). Severe vitamin D deficiency increased the risk of premature birth but the association was not statistically significant in the multivariate regression model (odds ratio (OR) = 2.47, 95% confidence interval (CI): 0.86–7.15, p = 0.094). Conclusions Severe vitamin D deficiency (< 10 ng/ml) may be the factor increasing the risk of preterm birth. Int J Occup Med Environ Health 2017;30(6):933–941
3
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Czy sztuczne łożysko może zostać zastosowane jako eksperymentalna metoda ratowania wcześniaków?

73%
Uhlik M.
Warszawskie Studia Teologiczne
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2018
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vol. 31
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issue 4
26-39
EN
Ectogenesis means in vitro fertilization and embryo development outside mother’s womb. Nowadays there is no technology which allows to control complete human growth in an artificial environment. Futuristic insight into the society breeding in Hatchery and Conditioning Centres was described by Aldous Huxley in a dystopian fiction Brave New World and shown in a film Sexmission directed by Juliusz Machulski. Church’s Magisterium condemn hypothetic possibility of complete human ectogenesis, because it is in opposition to the dignity of a human being. Expression of this teaching is found in the Encyclical Evangelium vitae, Instructions of Congregation for the Doctrine of the Faith Iura et bona, Donum vitae and Dignitas personae. A partial ectogenesis is actually usedin neonatology. It enables to sustain a life of a child from 22 weeks of gestation. The Catholic Church teaching gives moral evaluation of actions which concernusing experimental therapy on preterm infants. This article presents a mechanical ventilation therapy of preterm infants, a current state of research on artificial placenta conducted on animals, and an answer to the question if it is morally permissible to use hypothetical artificial placenta technique on extremely pretermhuman children.
4
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Niewydolność cieśniowo-szyjkowa: diagnostyka i leczenie

58%
Katarzyna Milanowska-Koloch K.
Medical Review
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2014
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issue 4
374–380
PL
WHO podaje, że co roku przedwcześnie rodzi się ok. 15 mln dzieci, co stanowi 5–18% wszystkich porodów, w zależności od kraju. Przyczyną ok. 15% poronień nawykowych i porodów przedwczesnych jest niewydolność cieśniowo-szyjkowa. Definiujemy ją jako bezbolesne rozwieranie i skracanie się szyjki macicy w II trymestrze lub wczesnym III trymestrze, któremu nie towarzyszą skurcze, krwawienie z dróg rodnych czy pęknięcie pęcherza płodowego. W artykule przedstawiono przegląd metod diagnostyki i leczenia niewydolności cieśniowo-szyjkowej. Diagnostyka polega głównie na wywiadzie położniczym, badaniu ginekologicznym i badaniu ultrasonograficznym, leczenie natomiast na założeniu szwu szyjkowego, pessarium kołnierzowego lub stosowaniu progesteronu. Obecnie poszukuje się nowych markerów ryzyka wystąpienia porodu przedwczesnego.
EN
WHO reports that every year approximately 15 million children are born prematurely, which makes up 5-18% of all births, depending on a country. The reason for approx. 15% of recurrent miscarriages and premature births is the cervical insufficiency. We define it as painless dilation and effacement of the uterine cervix in the second trimester or early third trimester, which are not accompanied by cramps, vaginal bleeding or rupture of the amniotic sac. The article presents an overview of the methods of diagnostics and cervical insufficiency treatment. The diagnostics mainly involves a maternity interview, gynecological examination and ultrasonography, while the treatment relies on applying the cervical cerclage, pessary or progesterone. Currently, new markers of risk are being looked for a preterm delivery.
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