Paracetamol jako alternatywna metoda leczenia hemodynamicznie istotnego PDA u noworodków urodzonych przedwcześnie – wstępne wyniki badań

Introduction

Persistent ductus arteriosus (PDA) constitutes 5–10% of all inborn heart defects. In preterms born with body weight <1000 g is present even in 80%.Fast diagnosis and treatment of hemodynamically significant PDA (hsPDA) allows avoiding many complications. In pharmacological treatment of hsPDA conventionally inhibitors of cyclooxygenase (COX) are used but they may cause many side effects. That is why alternative methods are investigated. One of them is the use of paracetamol.

Ostre łagodne dziecięce zapalenie mięśni. Okiem lekarza i okiem rodzica

Introduction

Benign acute childhood myositis (BACM) is a rare syndrome occurring in children during the convalescent phase after influenza B. It is characterized by the sudden onset of calf pain, which causes difficulty to walk. Symptoms were relieved in one week. In epidemic season 2015/2016, influenza type B predominated in Poland. It could cause a high incidence of BACM in the whole country.

Postępowanie ze stulejką u chłopców

Phimosis is a common problem in paediatric practice. The diagnosis of phimosis usually does not cause difficulties, but the treatment options are controversial, moreover than the improper management may contribute to the exacerbation of the problem. The aim of this study is to review current recommendations for phimosis management, in particular addressed to community paediatricians who are responsible for its diagnosis and treatment or patient's referral to paediatric surgeon/urologist.     

Hyponatremic coma as a manifestation of Addisońs disease

OBJECTIVE: To show the importance of severe hydroelectrolytic disorder as a consequence of previously undiagnosed chronic disease. DESCRIPTION: Case report of hyponatremic coma caused by adrenal crisis in a child with previously undiagnosed Addisońs disease despite suggestive clinical findings of this disease in the last four years. After correction of severe hyponatremia, mild hypovolemia, hypernatriuria and hyperkalemia, the differential diagnosis of this hydroelectrolytic disorder revealed an adrenal crisis resulting from a primary chronic adrenal insufficiency. Oral treatment with hydrocortisone was efficient in correcting the metabolic disorder and the patient was then discharged. COMMENTS: It is very important to highly suspect of Addisońs disease in order to avoid the dangerous consequences of late diagnosis such as severe hydroelectrolytic disorders and retarded growth and development.     

Wybrane zagadnienia prawne dotyczące wypisania małoletniego pacjenta ze szpitala

The article addresses the problem of the legal basis of the underage patient's discharge from the hospital. The authors discuss discharge from the hospital after completion of diagnostic and therapeutic procedures as well as on-demand discharge of a legal representative. The issue of the so-called disciplinary discharge is also discussed.     

Kinderärzte 1933 – 1945entrechtet – geflohen – ermordet

Ohne Zusammenfassung     

Przepuklina pępowinowa i wytrzewienie wrodzone – różnice i podobieństwa w etiologii,diagnostyce oraz postępowaniu z noworodkiem

Omphalocele and gastroschisis are the most common congenital abdominal wall defects. This article presents etiology and strategies in diagnostics and in prenatal and postnatal management in these disorders. There are similarities and differences between gastroschisis and omphalocele which are essential for correct patient management. Most abdominal wall defects are detected antenatally. Prenatal diagnosis may influence timing, route and location of delivery and it facilitates postnatal multidisciplinary approach.     

Udział małoletniego pacjenta,który ukończył 16. rok życia,w procesie diagnostyczno-terapeutycznym – wybrane aspekty prawne

The article presents chosen legal aspects linked with the participation of a juvenile, who is over 16-years-old, in diagnostic and therapeutic process. Furthermore, an issue of juvenile's consent to have a health benefit has been raised. In this range, legal basis has been shown allowing the doctor to take a medical intervention when the juvenile does not give consent to it. What is more, the article discusses doctor's responsibilities while handing over the information about health condition to the juvenile. A problem of the patient's right to intimacy has been also taken up.     

Sonnenschutz – Update 2010

Prim. Doz. Dr. Robert Strohal, Leiter der Dermatologischen Abteilung des LKH Feldkirch im Gespr?ch mit Dr. Renate H?hl. R.     

Fluoridprophylaxe – ein Review

Pädiatrie & Pädologie - Alles spricht für die Kariesprophylaxe durch die richtige Verwendung fluoridhaltiger Zahnpasten: Sie ist effektiv, sicher und dringend anzuraten....     

Profesor Lucas Kulczycki – pionier badań nad mukowiscydozą – 100-lecie urodzin

In 1946 Lucas Kulczycki received his medical degree from the University of Edinburgh – Scotland, then after completing his military duties practiced in London. In 1950 emigrated to Canada to continue his medical studies and subsequently went to Boston where he started to specialize in treating children with a severe respiratory disease known as cystic fibrosis. In Boston he worked with dr Harry Shwachman to devise the Shwachman-Kulczycki scoring System (SKS) for determining the severity of the disease in cystic fibrosis patients. The Shwachman-Kulczycki Score is a tool still used by medical professionals today.Dr Kulczycki was very active in disseminating cystic fibrosis knowledge by participating in several national and international medical meetings.