Perinatalna opieka paliatywna realizowana w oddziale położniczym i neonatologicznym we współpracy z hospicjum dla dzieci - doświadczenia własne.

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[Perinatal palliative care performed in obstetrics and neonatology wards and hospices for children - own experience].

Objective: Lethal defects lead to the intrauterine death of the fetus or the passing away of the child immediately after birth or in early infancy, regardless of the treatment used. In the case of lethal defects, it is not possible to effectively help the child, despite using the most modern equipment or medicines in the treatment or the progress made by medicine. Parents, who decide to continue the pregnancy, although the fetus has a lethal defect that cannot be cured, may be covered by perinatal hospice care, which is comprehensive and consists in supporting the pregnant woman during the prenatal time, during delivery and after delivery and support of her family, giving full information to the parents about their child's illness.

Bone mineralization and densitometric evaluation of vertebral fractures in women 6-21 years after the onset of anorexia nervosa symptoms.

Objectives: We attempted to assess bone mineralization and the frequency of fractures occurrence in women with a history of treatment of anorexia nervosa (AN) in adolescence.

Methods: 47 women (age 20-36.8 years) were re-examined 6.

Outcome, comorbidity and prognosis in anorexia nervosa.

Anorexia nervosa (AN) is a relatively common disorder, especially in adolescent and young adult women. The lifetime prevalence of AN in females ranges from 1.2 to 2.

Bone mineralization disorders as a complication of anorexia nervosa - etiology, prevalence, course and treatment.

Anorexia nervosa (AN) most often has its onset in adolescence, which is a crucial period to achieve peak bone mass. The hormonal abnormalities (hypoestrogenism, hypercortisolism, decreased secretion of dehydroepiandrosterone, testosterone, insulin-like growth factor) and malnutrition are associated with profound bone mineralization disorders. Densitomertic bone mineral density (BMD) values for osteopenia and osteoporosis were found respectively in 35-98% and 13-50% of women with AN.

Obsessive-compulsive symptoms and physical activity in patients with anorexia nervosa - possible relationships.

Objectives: The aim of the study was to find relationship between obsessive-compulsive symptoms and level and characteristic of physical activity among patients with anorexia nervosa (AN).

Methods: Material and methods. 76 female patients, aged 14.

Gastrointestinal motility disorders in patients with anorexia nervosa - a review of the literature.

Anorexia nervosa is a disease carrying havoc on many levels of the body functioning. The presence of numerous somatic complications as a consequence of starvation is an important part of the clinical picture of this disease. Symptoms of the gastrointestinal tract are one of the most common complaints reported by patients, especially in the initial period of realimentation.

Increase of nuclear expression of metallothionein I/II in neoplastic transformation of the endomnetrium.

Objectives: The aim of our study was to investigate the expression of epidermal growth factor receptor (EGFR), metallothionein (MT) 1/11, and Ki-67 antigen in endometrial cancer We analyzed cytoplasmic (cMT) and nuclear (nMT) metallothionein fractions separately Moreover we evaluated the relationships between expressions of the above mentioned proteins and compared them with clinicopathologic data.

Material And Methods: The study material included paraffin-embedded endometrial cancer samples from 84 patients. The control group consisted of 52 non-neoplastic endometrium samples.

Hexasomy 13q31.3q34 due to two marker chromosomes with inverted duplication in a fetus with increased nuchal translucency.

Background: Small supernumerary marker chromosomes are structurally rearranged chromosomes that can be formed from different chromosomal fragments and cannot be identified using chromosomal banding analysis. Their examination has to be complemented by additional analyses like fluorescent in situ hybridization or array comparative genomic hybridization.

Methods: We report on partial hexasomy of chromosome 13q in a fetus of a pregnant woman referred to genetic counseling because of increased fetal nuchal translucency and increased risk of trisomy 21 and trisomy 18 in first-trimester combined prenatal screening.

[The influence of obsessive compulsive symptoms on the course of anorexia nervosa].

Objective: to assess the prevalence of obsessive-compulsive disorder (OCD) or OC symptoms in patients with anorexia nervosa (AN) and to find a possible relationship between the presence of OC symptoms and the course of AN.

Method: 137 adolescent female patients with AN, aged 14.8 +/- 1.

[Assessment of neuropeptide Y, leptin and leptin-receptor concentrations in teenagers suffering from anorexia nervosa].

Introduction: Anorexia nervosa (AN) is the third most common chronic disorder affecting adolescents and is associated with high mortality risk. The predominant symptom of anorexia nervosa is persistent and intentional striving to achieve weight loss initiated and/or sustained by the patient, leading to cachexia. Until now the cause of the condition remains unknown, but seems to be multifactoral.

[Menstrual dysfunction in anorexia nervosa].

One of the symptoms of anorexia nervosa (a.n.) is cessation of pubescence or secondary amenorrhea.

[Eating disorders of infancy and early childhood].

Feeding problems are frequently observed among the population of infants and small children. This problems include food refusal, overeating, selective eating and bizarre food habits. That problems might be transient, but they may last for many years among some of children.

[Pediatric aspects of anorexia nervosa care].

The paper summarizes basic information concerning diagnostic criteria and clinical picture of anorexia nervosa (AN) and medical complications of this potentially fatal disease. The authors stressed out guidelines for hospitalization and recommended laboratory tests.

Pellagra: a rare complication of anorexia nervosa.

Pellagra is a potentially fatal, nutritional disease with cutaneous, gastrointestinal, and neuropsychiatric manifestations. Because of the diversity of pellagra's signs and symptoms, diagnosis is difficult without an appropriate index of suspicion. A case of pellagra in a 14-year-old girl with anorexia nervosa is presented.

[Bone metabolism disturbances in anorexia nervosa].

Osteoporosis is a frequent complications of anorexia nervosa (AN). The etiology of osteoporosis in AN is multifactorial. Multiaxial hormonal disturbances and chronic undernutrition cause decrease or the lack of increase of bone mineral density (BMD), expected in adolescence.

[Surgical complications occurring during hospitalization of patients with anorexia nervosa--literature review and a discussion of three cases].

Anorexia nervosa (a.n.) is a mental disorder connected with the high mortality coming up to 18%.

Bone mineral density in adolescent girls with anorexia nervosa--a cross-sectional study.

Unlabelled: The total body and lumbar spine bone mineral density (BMD) were measured in order to determine the prevalence and possible risk factors of decreased BMD in anorexia nervosa (AN).

Subjects: Sixty-one in-patient girls with DSM III-R AN: age 14.7+/-2.

Bone mineral content and bone mineral density in adolescent girls with anorexia nervosa--a longitudinal study.

Objective: Total body and lumbar spine bone mineral density (BMD-TB, BMD-L) and total body bone mineral content (BMC-TB) were measured to establish the course of bone demineralization in anorexia nervosa and the clinical factors influencing BMC-TB and BMD changes during treatment.

Method: Forty-two girls with DSM III-R anorexia nervosa, age 14.7+/-2.

[Features of autism, autistic traits, autism: retrospective analysis of clinical symptoms in children treated in the Pediatric Psychiatric Clinic].

All currently accepted definitions of autism include three main criteria which have to be met for a diagnosis to be made. These are: disturbance of reciprocal social interaction, disturbance of communication and restriction of normal variation in behaviour and interests. The criteria used in the ICD-10 include all these domains.

[Osteoporosis in anorexia nervosa: a literature review].

Osteoporosis is now established as one of common and early physical complications of anorexia nervosa (a.n.).

[Follow-up study of adolescents with anorexia nervosa].

Analysis of the results of treatment of 132 patients hospitalized because of anorexia nervosa is presented. Average time of observation after hospitalization was 7,9/12 years. Mean age when the disease started was 13,7/12 years, when the analysis was performed--22 years.

[Life threatening metabolic and pathophysiological complication in anorexia nervosa patients].

Medical records of 210 adolescents hospitalised because of anorexia nervosa (1978-1995) were analysed. 8 patients have demonstrated life threatening metabolic and pathophysiologic complications. These complications were seen in cachectic patients or when their body mass index decreased in a very short time.