Introduction: Caesarean section (CS) is one of the most common abdominal surgeries performed in the world. The 10-Group Classification System (TGCS, Robson classification) is a World Health Organization recommended classification assessing indications based on 5 variables (parity, previous caesarean section, labour onset, foetal presentation, gestational age, and number of fetuses). The TGCS provides the opportunity to compare indications between different countries, audit, and evaluate of the quality and impact of the recommendations. Aim of the research: Classification of CS data derived from 2 centres according to the TGCS. Material and methods: We used the above-mentioned tool to classify 2000 Caesarean sections from two centres -II and III degree of reference. Results: In both groups, group 5 (RG5 -Robson group 5) constituted the largest part of all Caesarean sections, at 39.9% and 35.17%, respectively. The sum of groups from 1 to 4 (RG 1-4) had a relative contribution to the total number of Caesarean sections in individual centres of 46.94% and 53.48%, respectively. The percentage of occurrence of particular classes was similar in both centres. Conclusions:The results of our study are an attempt to determine the trend in indications for Caesarean sections according to the TGCS in Poland and to popularize the tool used according to WHO recommendations. All activities aimed at effective reduction of the number of Caesarean sections in Poland should be aimed primarily at reducing the percentage of Caesarean sections in the RG5 group. StreszczenieWprowadzenie: Cięcie cesarskie (CC) to jedna z najczęściej wykonywanych operacji brzusznych na świecie. System Robsona oparty na 10 grupach (TGCS -The 10-Group) jest klasyfikacją CC zalecaną przez Światową Organizację Zdrowia. Pacjentki klasyfikowane są na podstawie 5 zmiennych (rodność, obecność blizny po CC na macicy, rozpoczęcie porodu, położenie i liczba płodów oraz wiek ciążowy). TGCS umożliwia porównanie wskazań między różnymi krajami, audyt ośrodków oraz ocenę wpływu zaleceń. Cel pracy: Klasyfikacja CC według TGCS. Materiał i metody: Przy użyciu TGCS sklasyfikowaliśmy 2000 CC z dwóch ośrodków -II i III stopnia referencyjności. Wyniki: W obu grupach grupa 5 (RG5 -Robson group 5) stanowiła największy odsetek wszystkich CC, odpowiednio 39,9% i 35,17%. Suma grup od 1 do 4 (RG 1-4) miała względny udział w ogólnej liczbie CC w poszczególnych ośrodkach, odpowiednio 46,94% i 53,48%. Odsetek występowania poszczególnych klas był podobny w obu ośrodkach. Wnioski: Wyniki naszego badania są próbą określenia trendu wskazań do CC według TGCS w Polsce oraz popularyzacji tego narzędzia. Wszystkie działania mające na celu efektywne zmniejszanie liczby CC w Polsce powinny być ukierunkowane na zmniejszanie liczby pacjentek klasyfikowanych do grupy 5.

The World Health Organization defines human health as physical, mental and social well-being. However, the contemporary challenges of health care systems in the world, dedicated to various health problems, are more and more often characterized by a holistic approach to health. Therefore, they require many definitions of health in various aspects of maintaining health and the pursuit of health. Health is the physiologically correct functioning of systems and organs, and the ability to maintain it is an active process involving distinct adaptive mechanisms that coordinate interactions between the body's systems and organs. Homeostasis is the body's ability to maintain health and the proper functioning of the body in the face of changing external or internal factors. One is the human microbiome, which is made up of microbes that make up a biocenosis, which can vary from person to person. Various types of microflora inhabit the human skin, mouth, nose and intestines, playing a role in the immune system and human metabolism. The literature review shows the relationship between the human microbiome and nutritional needs, metabolic rate and other measures of health. Research in this direction will contribute to the identification of ways to modify lifestyle elements in order to prevent civilization diseases.

the global covID-19 pandemic has resulted in restrictions in most countries. one of them was to replace traditional education in schools with online learning. Such a change could provoke a build-up of negative feelings due to insecurity and loneliness. in addition, reducing daily physical activity and closing sports venues can have a detrimental effect on health. the article presents the results of the study of the impact of distance learning on the daily physical activity and condition of physical education teachers in Poland, as well as the subjective perception of physical and mental health in this professional group. google forms were used to collect the data. the research tool was a questionnaire. the analysis showed that distance learning had a significant negative impact on the physical and mental health of the study group. the impact of distance learning on physical and mental health is gender independent. Teachers more often negatively assessed their physical and mental health compared to the studies in previous years. Daily physical activity of the subjects decreased, and most of them increased their body weight. Less than 3% of the surveyed teachers during the blockade felt happy and full of life.

The World Health Organization defines human health as physical, mental and social well-being. However, the contemporary challenges of health care systems in the world, dedicated to various health problems, are more and more often characterized by a holistic approach to health. Therefore, they require many definitions of health in various aspects of maintaining health and the pursuit of health. Health is the physiologically correct functioning of systems and organs, and the ability to maintain it is an active process involving distinct adaptive mechanisms that coordinate interactions between the body's systems and organs. Homeostasis is the body's ability to maintain health and the proper functioning of the body in the face of changing external or internal factors. One is the human microbiome, which is made up of microbes that make up a biocenosis, which can vary from person to person. Various types of microflora inhabit the human skin, mouth, nose and intestines, playing a role in the immune system and human metabolism. The literature review shows the relationship between the human microbiome and nutritional needs, metabolic rate and other measures of health. Research in this direction will contribute to the identification of ways to modify lifestyle elements in order to prevent civilization diseases.

Introduction. Due to the large role of vitamin D in the prevention of many diseases, a study on the conscious supplementation of this vitamin among adolescents was conducted. Aim. The aim of the study was to examine the knowledge of high school youth about dietary supplements, specifi cally vitamin D supplementation. Material and methods. To carry out the task, the diagnostic survey method was applied, using a survey developed by the authors. Results. Most interviewees do not know the differences between dietary supplements and medicines. The surveyed youth are characterized by low awareness of vitamin D supplementation guidelines. Conclusion.There is a need for health education among high school students of the Podkarpackie Voivodeship on vitamin D supplementation with special attention to the differences between supplements and drugs containing this substance.