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Rangowanie i porządkowanie liniowe w ocenie kondycji finansowej instytucji ubezpieczeniowych

100%
Jurkiewicz B., Wycinka E.
Wiadomości Statystyczne
|
2003
|
tom 48
|
nr 06
2
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Urolithiasis in children – a health problem of civilization

100%
Jurkiewicz B., Samotyjek J. K.
Health Problems of Civilization
|
2017
|
tom 11
|
nr 4
In the past 25 years, the incidence of urolithiasis in the paediatric population increased twofold. The reasons for the increased morbidity are not completely clear, but it is believed that many different factors impact this situation including bad eating habits, salty diets, inadequate fluid intake, obesity, hypertension, environmental pollution or uncontrolled multivitamin intake. At the same time, improving diagnostics quality and its availability contributed to an increase in the detection of urolithiasis. The paediatric population is subject to high risk of disease recurrence; therefore, it is essential to choose a method of treatment that provides a stone removal in a minimally invasive but effective way. Over 80% of bladder stones are evacuated spontaneously and do not require surgical intervention. The remaining ones need conservative or surgical treatment. A choice of the most appropriate method depends on many factors. The procedures of surgical treatment of urolithiasis in children include ESWL, URSL, RIRS, PCNL and pyelolithotomy using a laparoscopic or open technique. Urolithiasis in children is a severe interdisciplinary problem because of its more common prevalence. Its formation requires a thorough recognition, proper treatment by a nephrologist and the use of efficient, effective and minimally invasive surgical procedure.
3
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Cystitis cystica – chronic urinary bladder inflammation in children

80%
Szymanek-Szwed M., Jurkiewicz B., Samotyjek J., Zaleska-Oracka K.
Health Problems of Civilization
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2021
|
tom 15
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nr 1
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.
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