Introduction. The professional image of a nurse which is influenced by a whole variety of factors is the main subject of this work. The social attitudes toward nurses are related to people’s own beliefs, opinions, stereotypes, as well as the nurses’ professional, personal and interpersonal skills. The proper image of a nurse is very important. Patients are becoming increasingly demanding toward nurses which poses new challenges for nurses attempting at creating a positive image of this profession. Aim. The aim of this work was to elicit the opinions about nurses’ work from parents of children hospitalized on the oncologic ward. Material and methods. The authors used a questionnaire of their own making and conducted a literature analysis. The literature review was made using the data taken from Main Medical Library. The research group consisted of 50 parents of children hospitalized in Oncology, Hematology and Child Transplantology Department in Lublin. All the parents were advised about the aim of the study and informed that the questionnaire is anonymous and voluntary. The obtained results have then undergone a statistical analysis, using a Chi2 test. Statistical significance was reached at the level of p<0.05. Results. The most important factors affecting the professional image of a nurse are as follows: the parent’s sex, their place of residence, nurse’s appearance, as well as the following traits: being nice, protective and friendly. Discussion. The image of a nurse as someone who is smiling, friendly and calm appears to be the closest to an ideal picture of such a professional. This pertains not only to parents but to the society as a whole. The nurse should pay attention to patients’ physical needs and expectations, as well as their spiritual side. Conclusions. The researched group provided a positive opinion about the work of nurses at the Department. They paid special attention to their being nice, protective and friendly. It is the nurses’ physical appearance that sheds a positive light on them, as competent and friendly professionals. Even though most people perceive nursing as a rather unattractive profession, there is a huge deal of respect for nurses.
Introduction. Uterine fibroids are the most frequent benign tumors affecting sexual organs in women. It is estimated that they affect 20% of the female population, with the frequency in pregnant women ranging between 0.1-5%. In spite of the progress in the field of medicine, the actual cause of uterine fibroids has yet to be discovered. Aim. Analysis of the recent methods of dealing with uterine fibroids during pregnancy. Material and methods. A review of literature about dealing with pregnant, lying-in and parturient women suffering from uterine fibroids. Results. The research studies by Aydeniz, Vergani, Rice showed that cesarean sections are much more frequent in pregnant women with uterine fibroids than in control group (52.9% vs 27.9%; 23% vs 12%; 35.1% vs 21.5%). However, it was shown that the rate of cesarean sections was much higher in women with uterine fibroids located in the lower part of the uterus than in the fundus uteri (respectively 39% and 18%). Also, the rate increased when the diameter of the fibroid exceeded 5 cm, unlike in case of those smaller than 5 cm (respectively 35% and 17%). Conclusions. 1. The number of cesarean sections in women with uterine fibroids is higher than in control group. 2. The frequency of cesarean sections in pregnancies with uterine fibroids depends on their position and size. 3. There is no relationship between the number of complications and the amount of fibroids in pregnant women. 4. There is no agreement concerning the recommendations for removing the fibroid during cesarean section.
Wstęp. Guzy graniczne jajnika najczęściej występują u kobiet poniżej 40 roku życia, mają utajony początek oraz brak objawów specyficznych. Ze względu na konsekwencje jakie niosą za sobą z punktu widzenia klinicznego są patologią wymagającą znacznej uwagi, ze szczególnym uwzględnieniem kobiet ciężarnych. Wpływ patologicznych zmian w obrębie jajnika na przebieg ciąży i wyniki perinatalne wciąż pozostaje tematem szerokim i aktualnym. Przed zespołem medycznym stoi wyzwanie w zakresie adekwatnej diagnostyki i terapii oraz dylematy odnośnie oceny zalet i wad postępowania medycznego, dostępu do nowoczesnych metod diagnostycznych tak, by podjęte działania były możliwe jak najlepsze na obecną chwilę. Cel pracy. Celem niniejszego przeglądu jest analiza porównawcza aspektów związanych z występowaniem guzów granicznych jajnika u kobiet ciężarnych i niebędących w ciąży w oparciu o aktualną literaturę. Materiał i metody. Dokonano przeglądu literatury opublikowanej w bazie PubMed. Strategia poszukiwań bazowała na wyszukaniu haseł oraz następujących kombinacji słów kluczowych: "borderline ovarian tumor", "borderline ovarian tumor in pregnancy", "adnexal masses", "ovarian tumor in pregnancy". Rozważyliśmy wszystkie artykuły w języku angielskim od 1995 roku do kwietnia 2021 roku. Po zastosowaniu kryteriów wykluczających do przeglądu wybrano 71 artykułów. Podsumowanie. Diagnostyka guzów granicznych jajnika jest bardzo trudna a leczenie wymaga szerokiej wiedzy i współdziałania różnych grup specjalistów. Zasady postępowania opierają się na aktualnym stanie klinicznym ciężarnej pacjentki, dostępnych metodach leczenia, wieku ciąży, wywiadzie w kierunku chorób przewlekłych i dziedzicznych obciążeniach. Terapia powinna być dobrana indywidualnie dla każdego przypadku.
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Introduction. Patients, as subjects of medical care, are becoming increasingly more demanding toward medical professionals which poses a challenge both for doctors and nurses. A variety of factors influences the professional image of a nurse. Different features are involved, including the nurse’s professional or interpersonal skills their personal beliefs, attitude, as well as social stereotypes about nurses. Aim. Looking at the image of nursing among the children hospitalized in the oncology ward. Material and methods. The authors used both literature review and a questionnaire of their own making. The literature review was done using data from the databases of Polish Central Medical Library. The research group comprised 32 children (aged from 8 to 17), all undergoing hospitalization in Hematology/Oncology and Child Transplantology in Lublin. The statistical calculations are made using Chi2 tests. The test results of p<0.05 were held as statistically significant. Results. The group was mostly composed of children aged 14 to 17 (56.25%). There were more boys (62.5%) than girls. The majority of children came from rural areas (71.87%) and most of them read through the documentation concerning the rules of the ward. Both nurses’ work and relations with patients were graded as “good” by the patients. Children pointed to “nice appearance” as the most important feature of every nurse. Discussion. A pediatric nurse should be patient, have lots of understanding, be sympathetic, caring and able to hold their nerve. Unfortunately, according to authors of earlier studies, not all nurses have these traits. This is due to the fact that the staff rarely involve in communication with the patients and they lack interpersonal skills. Conclusions. Children have a very high opinion on the work of nurses at the Hematology/Oncology and Child Transplantology Clinics. The children emphasized that the following features have the highest impact on their picture of the nurse: nice looks, being protective and caring. A research study conducted at the Hematology/Oncology and Child Transplantology Clinics shows the right features that a nurse should have
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