RESUMEN
The aim of the investigations carried out by the National Institute of Mother and Child in school-aged children and adolescents including a group of obese pupils, was to assess the health behaviour concerning eating habits and food consumption. A part of these investigations was carried out in framework of international collaborative studies. In a representative group of pupils in Poland, we found that vegetable, dark bread and milk consumption remained on low level, while the use of soft drinks increased. The number of children who ate breakfast at home and lunch at school decreased especially in girls. We found a statistically evident difference in eating habits between obese adolescents and these with normal body mass, especially concerning regularity of meal consumption. We find, that it is very difficult to change incorrect eating habits in obese adolescents. We observe in our outpatient clinic, that obese adolescents have changed the quantity of food, but they haven't changed their habits. The recommended by dietitions increase of fruits, vegetables and low fat milk consumption in their diet was not generally accepted.
Asunto(s)
Conducta del Adolescente , Protección a la Infancia/estadística & datos numéricos , Conducta Alimentaria , Estado Nutricional/fisiología , Adolescente , Estatura , Índice de Masa Corporal , Peso Corporal , Niño , Conducta Alimentaria/psicología , Femenino , Análisis de los Alimentos , Preferencias Alimentarias , Humanos , Masculino , Evaluación Nutricional , Obesidad/epidemiología , Polonia/epidemiología , Factores de Riesgo , Encuestas y CuestionariosRESUMEN
School children and adolescents needs particularly good medical health care because of the specific character of this developmental period and the danger due to risky behaviours among pupils. The aim of this study was to assess the quality prophylactic health care for pupils in the early stage of initiating health care reforms. The initiation of the health reform on January 1st 1999 caused a deterioration of prophylactic medical health care in pupils. It may also produce more health problems among school children and adolescents in the future.
Asunto(s)
Conducta del Adolescente , Reforma de la Atención de Salud/organización & administración , Servicios Preventivos de Salud/organización & administración , Servicios de Salud Escolar/organización & administración , Adolescente , Niño , Predicción , Conductas Relacionadas con la Salud , Humanos , Polonia , Servicios Preventivos de Salud/tendencias , Asunción de RiesgosRESUMEN
We present clinical problems and the therapy of a 52 year old patient with Wolf-Parkinson-White syndrome and numerous episodes of Morgagni-Adams-Stokes syndrome. In that patient atrio-ventricular tachycardia caused atrial fibrillation. Short refractory period of the accessory pathway and the ventricular muscle allowed for extremely fast ventricular rate with haemodynamic collapse and syncope. Long-term treatment with propafenone or amiodarone did not prevent the arrhythmias. Electrophysiological study pre- and intraoperation including the epicardial mapping were performed several weeks after discontinuation of therapy with amiodarone. The studies revealed left free wall accessory pathway. Dr. A. Biederman and al. performed dissection of the accessory pathway. There were no evidence of conduction through the accessory pathway during the post operation electrophysiologic study. The patient has neither reentrant tachycardias nor atrial fibrillation episodes.