Joanna Mazur, Anna Dzielska, Anna Kowalewska, Anna Fijałkowska
{"title":"Current trends in tobacco smoking among 15-year-old adolescents in Poland in the background of 30 countries.","authors":"Joanna Mazur, Anna Dzielska, Anna Kowalewska, Anna Fijałkowska","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The international HBSC (Health\u0000Behaviour in School-aged Children)\u0000survey has enabled the comparison\u0000of the patterns of changes with respect\u0000to a number of health indicators\u0000in adolescence.\u0000The aim of the study was to show\u0000international trends and how the\u0000position of Poland in international\u0000rankings of smoking prevalence has\u0000changed since 2002.</p><p><strong>Material and methods: </strong>The study comprised 30 countries for which\u0000data was available from four rounds\u0000of HBSC survey (2002-2014). In total,\u0000218 759 15-year-olds were surveyed,\u0000including 7289 in Poland. For each\u0000country a linear trend was estimated,\u0000separately for boys and girls, to describe\u0000changes in regular smoking\u0000(daily or at least once a week).</p><p><strong>Results: </strong>In the investigated period,\u0000the percentage of 15-year-old boys\u0000who smoke every week fell in Poland\u0000from 26.2% to 15.5%, and the respective\u0000percentage in girls decreased\u0000from 17.2% to 14.7%. This means annual\u0000decrease of 0.88% in boys and\u00000.24% in girls. In a combined international\u0000sample, exactly the same as in\u0000Poland rate of change was noted in\u0000boys; however, a definitely faster in\u0000girls (0.95% a year). The highest rate\u0000of change was observed in Ukraine,\u0000Germany and Norway, while the lowest\u0000in Greece, Croatia and Israel. Poland’s\u0000position in the international\u0000ranking moved from 8th to 24th, providing\u0000that the countries are listed\u0000according to the growing percentage\u0000of 15-year-olds of both genders who\u0000smoke regularly.</p><p><strong>Conclusions: </strong>Decrease in the\u0000prevalence of smoking among Polish\u0000adolescents, observed from the\u0000beginning of this century, has been\u0000undoubtedly a success related to the\u0000implemented preventive measures.\u0000However, attention should be drawn\u0000to the strategies launched in countries\u0000which achieved better results\u0000than Poland, as well as to the reasons\u0000of less positive trends among Polish girls.</p>","PeriodicalId":21148,"journal":{"name":"Przeglad lekarski","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36038892","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":"[Assessment of knowledge in the field of cancer and selected health-promoting behaviors among patients with advanced colorectal cancer during chemotherapy].","authors":"Krzysztof Adamowicz","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Neoplastic diseases\u0000are the second leading cause of death\u0000in developed countries. Colorectal\u0000cancer is the third most common\u0000malignancy and the second cause of\u0000cancer deaths worldwide. Lifestyle and\u0000related health behaviors have impact\u0000on health condition and course of\u0000treatment.</p><p><strong>Aim: </strong>Evaluation of oncological\u0000knowledge and health behaviors of\u0000patients with colorectal cancer in relation\u0000to social and demographic factors.</p><p><strong>Material and methods: </strong>The study group consisted of 165 patients with\u0000colorectal cancer treated in the period\u0000from May 2010 to December 2014 in\u0000two centers. The mean age of patients\u0000was 61 ± 8.7 years. We rated knowledge\u0000of respondents in the field of cancer\u0000and health lifestyle with method of diagnostic\u0000survey, using the Behavioral\u0000Health Inventory by prof. Juczyński.</p><p><strong>Results: </strong>The general level of knowledge\u0000on cancer was low, and the level\u0000of severity of health behaviors was\u0000average. It has been proven the association\u0000between the state of knowledge\u0000concerning cancer and readiness to\u0000adopt attitudes and healthy behaviors\u0000by CRC patients. The level of health\u0000practices was significantly higher\u0000in people with higher education, in\u0000women and in people with a higher\u0000knowledge of oncology. Patients had\u0000lower levels of mental attitude and eating\u0000habits than the standardized value.</p><p><strong>Conclusions: </strong>The level of knowledge\u0000of patients with CRC, which\u0000was observed in clinical practice is\u0000associated with the severity of health\u0000behavior.</p>","PeriodicalId":21148,"journal":{"name":"Przeglad lekarski","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36041453","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}
Małgorzata Bulanda, Wojciech Dyga, Barbara Rusinek, Ewa Czarnobilska
{"title":"[The role of the basophil activation test (BAT) in qualification for specific immunotherapy with inhalant allergens].","authors":"Małgorzata Bulanda, Wojciech Dyga, Barbara Rusinek, Ewa Czarnobilska","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Qualification for specific immunotherapy\u0000(SIT) according to the\u0000guidelines of the European Academy\u0000of Allergy and Clinical Immunology\u0000(EAACI) includes medical history,\u0000skin prik tests (SPT) and/or measuring\u0000the concentration of sIgE. It\u0000is necessary to perform additional\u0000diagnostic tests in case of discrepancies\u0000between the history and the\u0000results of SPT/sIgE or differences\u0000between SPT and sIgE. Basophil\u0000activation test (BAT) assesses the\u0000expression of activation markers of\u0000these cells, eg. CD63 and CD203c after\u0000stimulation. The aim of our study\u0000was to evaluate the usefulness of\u0000BAT in the qualification for the SIT in\u0000comparison to the SPT and sIgE and\u0000in case of discrepancies between the\u0000results of SPT and sIgE.\u0000The study included 30 patients\u0000with allergic rhinitis (AR) caused\u0000by allergy to house dust mite (Dermatophagoides\u0000pteronyssinus, Dp)\u0000or birch pollen qualified for SIT. All\u0000patients had SPT, sIgE and BAT determination.\u0000The group of patients\u0000with allergy to birch was a control\u0000group for Dp allergic and vice versa.\u0000BAT with CD63 antigen expression\u0000was performed using a Flow2CAST\u0000test. Basophils were stimulated with\u0000allergen preparation (50, 500, and\u00005000 SBU/ml concentrations). BAT\u0000results were expressed as a stimulation\u0000index (SI). For optimal concentrations\u0000of 50 and 500 SBU/ml\u0000parameters comparing BAT to SPT\u0000and sIgE as the gold standards were\u0000consecutively: sensitivity 82-100%\u0000and 93-100%, specificity 50-94% and\u000047-89%, positive predictive value 65-\u000094% and 61-87%, negative predictive\u0000value 86-100% and 93-100%. Correlation\u0000BAT - SPT and BAT - sIgE ranged\u0000within 0.59 to 0.84 and 0.51 to 0.72.\u0000BAT was helpful in 2 of 30 patients\u0000with incompatible results of SPT and\u0000sIgE.\u0000Optimal concentrations for basophil\u0000stimulation are 50 and 500 SBU/\u0000ml. BAT may be useful diagnostic tool in the qualification\u0000for the SIT in case of discrepancies between the results\u0000of SPT and sIgE.</p>","PeriodicalId":21148,"journal":{"name":"Przeglad lekarski","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36041937","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}
Aleksander Kusiak, Agnieszka Bednarek, Paweł Moskal, Tomasz Drożdż, Piotr Jankowski, Danuta Czarnecka
{"title":"Should abdominal CT scan be performed routinely prior to CRT insertion?","authors":"Aleksander Kusiak, Agnieszka Bednarek, Paweł Moskal, Tomasz Drożdż, Piotr Jankowski, Danuta Czarnecka","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Cancer appears to\u0000be a major noncardiovascular factor\u0000affecting morbidity and mortality of\u0000heart failure (HF) patients. Risk of\u0000developing cancer seems to increase\u0000over time. It is well documented that\u0000patients with cancer treated with chemiotherapy\u0000are at risk of developing HF\u0000and therefore they should be screened\u0000for HF on regular basis. There is limited\u0000data whether the opposite should be\u0000done, namely routinely screen each\u0000HF patient for cancer.</p><p><strong>Purpose: </strong>We hypothesized that in\u0000HF patients cancer might be responsible\u0000for some symptoms that are incorrectly\u0000diagnose as HF related.</p><p><strong>Material and methods: </strong>The data\u0000from “Renal Denervation in Patients\u0000With Chronic Heart Failure and\u0000Resynchronization Therapy” study\u0000of 18 patients (22% women) aged\u000073.2 (±9.1 years) with HF in NYHA\u0000Class II-IV and resynchronization\u0000pacemaker implanted according to\u0000current ESC guideliness at least 6\u0000months earlier were analyzed. Patients\u0000had symptoms of heart failure\u0000despite optimal HF therapy including\u0000pharmacotherapy and CRT. Medical\u0000history including current symptoms\u0000of HF was taken, patients’ demographics\u0000and vital signs were assessed.\u0000Diagnostic tests in the study group\u0000included echocardiography, abdominal\u0000CT scan and laboratory tests.</p><p><strong>Results: </strong>Only in 5 patients CT\u0000scan did not show any abnormalities.\u0000Renal cysts were present in 5\u0000patients, adrenal glands adenomas\u0000were observed in 3 patients and both\u0000changes were present in 1 patient.\u0000Tumors suspected of malignancy\u0000were diagnosed in 4 patients - 2 had a\u0000tumor in adrenal glands, 1 had kidney\u0000tumor and 1 had tumors both in kidney\u0000and adrenal gland. All patients with\u0000malignancy were directed for further\u0000oncological evaluation.</p><p><strong>Conclusion: </strong>Considering the complex\u0000physiology of HF, there is possibility\u0000that some HF related mechanisms\u0000might trigger cancer development and\u0000presence of cancer may aggrevate the\u0000symptoms of HF. One should consider\u0000evaluation of HF patients on optimal medical therapy, yet\u0000still symptomatic to identify some common forms of cancer.</p>","PeriodicalId":21148,"journal":{"name":"Przeglad lekarski","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36042621","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}
Dorota Studzińska, Barbara Gryglewska, Maria Wojnarowska, Joanna Paleń, Bogusław Rudel, Tomasz Grodzicki
{"title":"[Cardio-vascular risk factors control in elderly patients with peripheral artery disease].","authors":"Dorota Studzińska, Barbara Gryglewska, Maria Wojnarowska, Joanna Paleń, Bogusław Rudel, Tomasz Grodzicki","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>The assessment of control of modifiable risk factors among elderly patients with peripheral artery disease (PAD) admitted to the hospital angiology ward.</p><p><strong>Methods: </strong>The results of treatment of dyslipidemia (DL), hypertension (HT), diabetes mellitus (DM) and prevalence of cigarette smoking were assessed among older (>65 years old, group I) and younger patients (group II) with PAD in a admission day to hospital.</p><p><strong>Results: </strong>The study population included 154 patients (I--92 and II--65 subjects) aged 67.4 ± 9.4 years, 69.5% men. The study groups presented similar grades of PAD classification by Rutherford. Group I was older (73.5 ± 6.4 vs 58.3 ± 4.7 yrs, p < 0.001), had lower frequency of current smokers (21.7 vs 48.4%, P < 0.001) than group II. Diagnosis of DL, HT and DM were equally frequent in both groups. However, coronary heart disease was diagnosed more frequently in group I than II (52.2 vs 29.0%, p = 0.004). Both groups were similar according to systolic blood pressure (BP) values and levels of glucose and HDL cholesterol. Group I had lower diastolic BP than group II (69.5 ± 11.1 vs 74.0 ± 9.9 mmHg, p = 0.02), but control of HT was similar in both groups (71.7 vs 67.7%). LDL cholesterol levels were lower in a group I than II (2.2 ± 1.0 vs 2.5 ± 1.1 mmol/l, p = 0.04), but LDL cholesterol values < 1.8 mmol/l were observed with similar frequency in both groups (40.2 vs 27.4%).</p><p><strong>Conclusions: </strong>Patient's age seems to have no important impact on the control of atherosclerosis risk factors in patients with PAD.</p>","PeriodicalId":21148,"journal":{"name":"Przeglad lekarski","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34309045","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}
Robert Krysiak, Karolina Kowalcze, Bogusław Okopień
{"title":"[Rarer causes of thyrotoxicosis].","authors":"Robert Krysiak, Karolina Kowalcze, Bogusław Okopień","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Thyrotoxicosis is a pathological syndrome in which tissue is exposed to excessive amounts of circulating thyroid hormones. Including its subclinical form, it is considered as one of the most frequent endocrine disorders in the general population. If not detected in a timely fashion, thyrotoxicosis can have serious health consequences. The most common forms of thyrotoxicosis include diffuse toxic goiter (Graves' disease), toxic multinodular goiter (Plummer's disease), and toxic adenoma (Goetsch's disease). The significant progress in the fields of hormonal assessment, imaging procedures and molecular biology made in recent years has brought about great improvement in the identification, differentiation and treatment of many other disorders associated with thyrotoxicosis. Therefore, this paper discusses the etiopathogenesis, clinical manifestation, biochemical abnormalities and management of thyrotropinoma, resistance to thyroid hormone, de Quervain's, silent, acute, posttraumatic and radiation-induced thyroiditis, Riedel's goiter, differentiated thyroid cancer, struma ovarii, thyrotoxicosis factitia, other forms of iatrogenic thyrotoxicosis, gestational trophoblastic disease, neonatal Graves's disease, familial nonautoimmune hyperthyroidism and McCune-Albright syndrome. On the basis of available studies, some of whom were carried out in the recent years, we provide practical guidelines for clinical endocrinologists dealing with the diagnosis and treatment of thyrotoxicosis.</p>","PeriodicalId":21148,"journal":{"name":"Przeglad lekarski","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34309051","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":"[Characteristics of ischemic stroke in children in the years 1968-1998 and 2010-2015].","authors":"Izabela Witek, Sławomir Kroczka, Marek Kaciński","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Ischemic strokes in children are rare. The etiology and risk factors for ischemic stroke in children and adolescence differ from those typical in adults. Clinical symptoms depend on the location, extent of damage of the central nervous system and age. The aim of the study was to compare the clinical picture of ischemic stroke in children at two periods.</p><p><strong>Material and methods: </strong>The study included children who had a stroke: 32 children (group I) in the years 1968-1998 and 27 children (group II) in 2010-2015. In each case medical history, physical and neurological examination, laboratory tests and neuroimaging were taken. To determine the location of ischemia in children The Oxford Community Stroke Project classification was used. To determine the score of hemiparesis the Ashworth scale was used.</p><p><strong>Results: </strong>Pregnancy, delivery, neonatal period and neurological history in the majority of children enrolled to the study, was unbounded. Etiology of stroke in first group was found in 20 children. Diagnosis of ischemic stroke was made on the basis of angiography in 13 children, while the remaining 19 based on head CT. TACI were found in 11 children, while PACI had 21 children. In the Ashworth scale I score of paralysis was observed in 14 children; 2 score in 5 children. 3 score had 11 children and 2 children 4 score of paralysis. In the second group, the etiology of stroke was found in 6 children. Ischemic stroke in all children was diagnosed based on CT scans. Additionaly, 24 children had MRI, 4 children had CT angiography and in 5 children MRA. TACI was diagnosed in 3 children, in the next 21 children PACI and POCI in other 3 children. The Ashworth Scale score 1 paralysis were observed in 8 children and score 2 at 16. 2 children had paresis score 3, in 1 paralysis had score 4. No child in group I and II, had hemorrhagic stroke. In the pharmacological treatment of the acute phase of stroke steroidotherapy and diuretics were used, in children with infection antibiotic therapy was introduced. Antithrombotic therapy was administered in 2 children. Neuroprotective treatment (piracetam) and rehabilitation therapy was used. Children with ischemic stroke in group I were hospitalized an average of 80 days. Hospitalization time in group II was an average of 23 days.</p><p><strong>Conclusions: </strong>1. In spite of dynamic development of laboratory diagnosis detection of the etiology of ischemic stroke in children has not improved. 2. Computed tomography is still a primary diagnostic tool in the diagnosis of stroke in children. 3. In both groups of children hospitalization in the years 1968-1998 and 2010-2015 clinical consequences after ischemic were observed. 4. Majority of children after ischemic stroke has a small degree of paralysis. 5. Better availability of outpatient multidisciplinary rehabilitation treatment enabled significantly shortened hospitalization of children in 2010-2015.<","PeriodicalId":21148,"journal":{"name":"Przeglad lekarski","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34615360","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":"[Research of Odo Bujwid (1857-1942) concerning the vaccine against rabies-historical characterisation].","authors":"Barbara Wasiewicz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The present article refers to the historical characterisation of Odo Bujwid's (1857-1942) research concerning the vaccine against rabies. The introduction refers to the treatment methods applied before Ludwik Pasteur's discovery. The following part refers to Odo Bujwid's own research including diagnostics, characterisation of the symptoms of disease, modification of the original Ludwik Pasteur's method and statistical information. The resume emphasizes that Odo Bujwid's scientific research was the introduction and generalisation the worldwide microbiology knowledge at the polish lands.</p>","PeriodicalId":21148,"journal":{"name":"Przeglad lekarski","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34652781","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}
Agnieszka Skrzypek, Marta Szeliga, Agata Stalmach-Przygoda, Bogumila Kowalska, Konrad Jabłoński, Michal Nowakowski
{"title":"[Analysis of lifestyle and risk factors of atherosclerosis in students of selected universities in Krakow].","authors":"Agnieszka Skrzypek, Marta Szeliga, Agata Stalmach-Przygoda, Bogumila Kowalska, Konrad Jabłoński, Michal Nowakowski","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Reduction of risk\u0000factors of atherosclerosis, lifestyle\u0000modification significantly cause the reduction\u0000in the incidence, morbidity and\u0000mortality of cardiovascular diseases\u0000(CVDs). Objective: To evaluate cardiovascular\u0000risk factors and analyze the\u0000lifestyle of students finishing the first\u0000year of studies at selected universities\u0000in Krakow.</p><p><strong>Material and methods: </strong>The study\u0000was performed in 2015roku. 566 students\u0000finishing the first year of study,\u0000including 319 (56.4%) men and 247\u0000(43.6%) women were examined. The\u0000students were in age from 18 to 27\u0000years, an average of 20.11± 1.15 years.\u0000They represented 6 different universities\u0000in Cracow. In order to assess\u0000eating habits, lifestyle and analysis of\u0000risk factors of cardiovascular disease\u0000was used method of diagnostic survey\u0000using the survey technique. BMI\u0000was calculated from anthropometric\u0000measurements. The program Statistica\u000012.0 were used in statistical analysis.</p><p><strong>Results: </strong>The analysis showed that\u0000most fruits and vegetables consume\u0000UR students and AWF, least of AGH.\u0000Only 34.8% of students regularly consume\u0000fish of the sea, there were no\u0000significant differences between universities.\u0000Sports frequently cultivate the\u0000students of AWF (93% of the students\u0000of this university). Academy of Fine\u0000Arts students drink the most coffee.\u0000Students of AGH frequently consume\u0000alcohol. 60% of all students never\u0000tried drugs, but only 25.7% of student\u0000of Fine Arts never tried drugs. Overweight\u0000occurs in 12.6% of students,\u0000and obesity in 1.1%.</p><p><strong>Conclusions: </strong>The most risk factors of atherosclerosis\u0000occur in students of AGH and ASP.\u0000The results of the study clearly indicate\u0000on the necessity of implementation of\u0000prevention and improvement of health\u0000behaviors in students of AGH and ASP\u0000universities.</p>","PeriodicalId":21148,"journal":{"name":"Przeglad lekarski","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35987119","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}