Emotional functions in transsexuals after the first step in physical transformation.

Transsexuals have to face multiple medical, social and bureaucratic problems. These problems are not only encountered before the transformation, but also during and after medical procedures. In the search for improvement of transsexual individuals' quality of life during therapy, it seems desirable to supplement hormonal treatments with psychological explorations.

Radioiodine therapy in patients with type II amiodarone-induced thyrotoxicosis.

Introduction: The treatment of amiodarone-induced thyrotoxicosis (AIT) still remains a clinical challenge, requiring the cooperation of both endocrinologists and cardiologists. Unfortunately, even today AIT is related to significantly increased mortality.

Objectives: The aim of this study was to compare the efficacy of radioidine therapy for type II AIT in 2 groups of patients: with high or normal radioiodine uptake and treated by amiodarone (AM) in the past (AM- group) and with low radioiodine uptake and currently treated with AM (AM+ group).

Differences in the psychological and hormonal presentation of lean and obese patients with polycystic ovary syndrome.

Background: Polycystic ovary syndrome (PCOS) is one of the most common endocrine disorders found in women of reproductive age. Differences in hormonal and metabolic profiles are observed in groups of patients with normal and elevated BMI. Cause of disturbances observed in the two groups of patients with PCOS is analyzed.

Smoking and endocrine disorders.

Patients suffering from endocrine disorders, which affect the function of central nervous system, need a special care and approach in the process of smoking cessation. The process of informing about negative effects of smoking addiction, including potential aggravation of the disease, has to be specially tailored to the need of the patient and the type of the disease. The informing physician should also serve as a model by not smoking and try to confirm the patient about positive benefits of quitting smoking.

[The problem of cigarette smoking in the workplace].

European countries take various actions to reduce smoking, including an introduction of appropriate legislation. In Poland, the main piece of legislation is the Act of 9 November 1995 on protection of health against the consequences of tobacco use and their products. Among the places where smoking is prohibited, the document mentions all indoor areas of workplaces, among others.

[Effect of amiodarone on the thyroid function and safety of the therapy--what's new].

This paper presents the current state of knowledge on the effects of amiodarone (AM) on the thyroid gland function, including the question of epidemiology, pathogenesis and prognostic factors. Of all the antiarrhythmic drugs hitherto used, AM has the most adverse effects on the thyroid gland. In patients receiving AM, it may lead to a development of a full- symptomatic hyperthyroidism (AIT-Amiodarone-induced thyrotoxicosis) and hypothyroidism (AIH - Amiodarone-induced hypothyroidism).

[The etiology of Graves' disease--current state of knowledge].

Graves' disease (GD) is an autoimmune thyroid disease of unknown etiology. Recently, it is assumed that the occurrence of GD co-existence with endogenous factors (genetic and interthyroid) and exogenous (environmental). Autoantibodies against the TSHR are a key element leading to the occurrence of autoimmune thyroid disease.

Medical errors - not only patients' problem.

Introduction: Medical error is often a traumatic experience not only for patients but also for doctors. However, patients as victims get much more publicity than those responsible for actual errors. The authors of the study conducted research to learn about Polish doctors' opinions on and reactions to medical errors and how they affect their further professional activity and psychological status.

Subclinical hyperthyroid patients' knowledge about radioiodine therapy--the key role of medical information.

Objectives: Many patients with a chronic disease are dissatisfied with the information they are given. A brief questionnaire completed by patients would assist health professionals to identify areas of information needed to be provided, tailored to the patient's mental condition.

Aim: The aim of our study was to assess how often thyroid patients report being adequately informed about iodine treatment in connection with their real need thereof, emotional state and acceptance of the disease.

Emotions and features of temperament in patients with Addison's disease.

Introduction: Patients with Addison's disease experience many somatic and psychic changes, which decrease their quality of life. The aim of the study was to evaluate the "psychological equipment" of these patients to cope with stress connected with this chronic disease and the challenge of constant treatment.

Material And Methods: Fifteen patients (13 female, 2 male) were included in the study.

Psychological and legal aspects of quitting smoking in thyroid patients.

Finally, our study describes observations related to psychological and legal aspects of smoking quitting in Poland. It has been noticed that quitting of smoking needs individual therapeutic approach. The intensity and period of addict has to be consider the same as coexistence of somatic illness.

Smoking and thyroid diseases--what is new?

Cigarette smoking has multiple effects on the thyroid gland, which is associated with important clinical implications such as increased risk and severity of autoimmune thyroid disorders, especially Graves' ophthalmopathy. The influence of cigarette smoking is mainly associated with the pharmacological action of nicotine and also with toxins such as thiocyanate. The present review of relevant literature concentrates on the effect of smoking on the Graves' ophthalmopathy and other autoimmune thyroid disorders (such as Hashimoto's disease).

Smoking and thyroid disease--review of literature.

Smoking has multiple effects on the thyroid gland, which is associated with important clinical implications such as the increased risk and severity of autoimmune thyroid disorders especially Graves disease. The influence of tobacco smoking is mainly associated with pharmacological action of nicotine and also with toxins such as thiocyanate. The present review of the relevant literature concentrates on the effect of smoking on the Graves ophthalmopathy and autoimmune thyroid disorders such as Hashimoto disease.

[Psychological view of thyroid cancer and in hyperthyroid Graves' patients - comparative exploration].

Introduction: The aim of study was the evaluation of association between psychometric factors in patients with thyroid cancer and in Graves' hyperthyroid patients.

Material And Methods: We examined 50 patients with differentiated thyroid cancer, 42 females (84.75%), 8 males aged from 32 to 64 yr.

[The level of cotinine - marker of tobacco smoking, in patients with hyperthyroidism].

Introduction: Orbitopathy associated with Graves' disease TAO (thyroid associated orbitopathy) is likewise connected with environmental factors including tobacco smoking. Tobacco smoking increases the risk of ophthalmologic pathology and leads to the orbital tissue damage due to the hypoxia. The aim of the study was to correlate the concentration of urinecotinine (marker of tobacco smoking) in Graves' disease patients with TAO with points received on the Fagerström questionnaire.

[Urinary cotinine in patients with hyperthyroidism].

The aim of our study was an analysis of cotynine, the main nicotine metabolite in the urine among hyperthyroid patients. The study group included 39 females and 4 males. The mean age was 35.

[Tobacco smoking in patients with hyperthyroidism].

The objective of this study was to determine the impact of cigarette smoking in hyperthyroidism patients. The study group included patients with Graves-Basedow disease (GB): n = 317 (32.9%), patients with Graves' ophthalmopathy (GO): n = 108 (11.

[Depression and anxiety in patients with adrenal tumor incidentally found on abdominal imaging performed for other indications].

Objective: The aim of this study was to assess the level of anxiety and depression in patients with non-secreting adrenal incidentaloma.

Material And Methods: The study group comprised 26 patients (16 women, 10 men, mean age 45, SD 11 yrs). The Polish version of the State-Trait Anxiety Inventory was used to assess anxiety level, and the Beck Depression Inventory was used to measure depression symptoms.

[High level of hsCRP in patients with Graves' ophthalmopathy--preliminary study].

Unlabelled: C-Reactive Protein (CRP) levels are used to indicate the presence of an inflammatory process that may be caused by bacterial infection or pathological processes. The objective of this study was to compare the levels of CRP and hsCRP (high sensitivity CRP) in smoking and non smoking patients with Graves' Ophthalmopathy (GO). Study included 59 hyperthyroid patients (age > 18 years, 50 females, 9 males, mean +/- SD: age 34 +/- 16) with varying degrees of severity of GO (classification according to NOSPECS) with hyperthyroidism prepared to radioiodine therapy.

[Smoking among thyroid patients].

Unlabelled: The effects of cigarette smoking on the thyroid disease (Graves disease, toxic nodular goiter, toxic adenoma) have been studied for years. However, the effect of smoking on thyroid function is still controversial.

Objectives: To determine the impact of cigarette smoking on the development of above-mentioned thyroid disease.

[Quality of life in Graves' ophthalmopathy (continuation of research)].

The previous research concerning "quality of life" in Graves patients with ophthalmopathy appeared to be a very important direction in health promotion. This drives us to continue enhancement of the quality of life in this group. The biggest deficiency we found to be in the life sphere activity and professional activity, interpersonal relations and positive self-estimation.