Abstract:
:Childhood and adolescent gynecology is an emerging specialty at the intersection of pediatrics, pediatric endocrinology gynecology pediatric surgery dermatology psychiatry, public health medicine and genetics, and in fact addresses many legal issues. Poland lacks a uniform standing of medical and legal environments on how to deal with a juvenile patient who has become sexually active and seeks the advice of a gynecologist, gynecologic examination and requests to be prescribed contraceptives. It needs to be taken into account that in Poland a parent or a legal guardian has legal guardianship, custody and control of a child until 18 years of age but once a juvenile reaches the chronological age of 16 years, and is given full rights of a patient, both parties need to consent to medical care. According to the Act on Health Care Institutions, a patient has the right to self-determination, respect for physical and mental integrity as well as privacy whereas, after the patient reaches the age of 16 years, the legal representative becomes in practice a mere co-decision maker to have medical services performed. Therefore, information obtained from a juvenile patient during physical test and medical interview does not have to be revealed to a legal representative, if the patient requests confidentiality and on condition it does not affect patient health and/or the planned medical procedures (e.g. the need to perform an operation). Knowledge about procedures for juvenile patients shall enable doctors to make conscious choices about conduct and care or in most cases, only advice, without the risk of breaching the Polish law.
journal_name
Ginekol Poljournal_title
Ginekologia polskaauthors
Sowińska-Przepiera E,Jarzabek-Bielecka G,Andrysiak-Mamos E,Syrenicz A,Friebe Z,Kedzia W,Pawlaczyk Mdoi
10.17772/gp/1553subject
Has Abstractpub_date
2013-02-01 00:00:00pages
131-6issue
2eissn
0017-0011issn
2543-6767journal_volume
84pub_type
杂志文章,评审abstract:UNLABELLED:The aim of the study was to compare frequency of four gynecological operations: myomectomy, tubal surgery, cystectomy and operative management of ectopic pregnancy, performed by laparotomy or laparoscopy, by the same team of surgeons. In the years 1994-1997 in Division of Reproduction Poznań University Medic...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2001-04-01 00:00:00
abstract::Worldwide screening for early detection of ovarian cancer in both, the general population and the group of women at high risk for ovarian cancer including BRCA genes mutations carriers, has proven to be ineffective. The recommended screening methods, including a pelvic examination, transvaginal ultrasound, and CA125 p...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:10.17772/gp/1735
更新日期:2014-05-01 00:00:00
abstract:OBJECTIVES:To examine the effect of lymphadenectomy on survival in patients with squamous cell vulvar carcinoma. MATERIAL AND METHODS:Patients with squamous cell vulvar cancer who underwent surgery were retrospectively analyzed. All procedures were performed according to current recommendations/standard of treatment. ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.2020.0018
更新日期:2020-01-01 00:00:00
abstract::The knowledge of ovarian physiopathology and the employing of modern diagnostic methods (ultrasonography, laparoscopy) allow to avoid to operate patients with functional cysts. Girls and young women should be evaluated individually for ovarian surgical procedures. The operative treatment should be so conservative as p...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1993-06-01 00:00:00
abstract::Obesity-related metabolic and functional disorders may disturb adaptation process taking place in pregnant women body. Insufficient adaptation may lead to development of several medical complications during pregnancy, labor, delivery, and puerperium. Maternal obesity is associated with increased frequencies of hyperte...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:1999-06-01 00:00:00
abstract::The aim of the work were changes of serum ferritin and iron concentrations in women with leiomyoma of the uterus treated surgically. We took the growth of the leiomyomatous uterus under concern. We observed the lower serum ferritin and iron concentrations before the surgical treatment, and the correlation with the gro...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1992-06-01 00:00:00
abstract::Renal cell carcinoma accounts for 75% of renal neoplasms. Clear cell carcinoma is diagnosed in about 80% of the cases. Renal cell carcinoma most frequently metastasizes to the lungs (50-60%), lymph nodes (36%), bones (30-40%), liver (30-40%), and brain (5%). In other organs the metastasis changes are observed very rar...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.17772/gp/1620
更新日期:2013-07-01 00:00:00
abstract:OBJECTIVES:To assess the incidence of cervical intraepithelial neoplasia - SIL and cervical cancer in a population of pregnant women with an abnormal cytology. MATERIAL AND METHODS:In pregnant women with abnormal cytology results according to The Bethesda System, a verifying diagnostics was carried out, including colp...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.a2017.0004
更新日期:2017-01-01 00:00:00
abstract:UNLABELLED:Infertility has been recognized by WHO a disease concerning males and females. It is a serious social problem, therefore the evaluation of its reasons, its prevention and treatment is a subject of clinical studies. OBJECTIVE:To define the reasons of infertility and factors affecting fertility. MATERIAL AND...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2005-12-01 00:00:00
abstract::SARS is a highly contagious infection, caused by new coronavirus SARS-CoV. Immunopathological mechanisms responsible for the reaction to SARS-CoV infection have not yet been fully elucidated. Cytokine profile of SARS patients showed marked elevation of Th1 cytokine, interferon gamma, inflammatory cytokines for at leas...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2008-01-01 00:00:00
abstract::Accurate diagnosis and proper monitoring of cancer patients remain important obstacles for successful cancer treatment. The search for cancer biomarkers is carried out in order to quickly identify tumor cells and predict treatment response, ultimately leading to a favorable therapeutic outcome. One such prognostic mar...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2012-07-01 00:00:00
abstract:INTRODUCTION:The paper discusses the reliability of the Apgar score for evaluating newborns, particularly its usefulness in assessing the state of preterm or full term newborns born with hypoxia. AIM:The paper provides a sum-up of the opinions on usefulness and reliability of the Apgar score given by doctors from 255 ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2011-01-01 00:00:00
abstract::Authors of this research present 3 cases of struma ovarii diagnosed in postoperative histopathological examination in years 1994-1997. The first one was accidentally discovered during examination of a woman in menopausal period, the second was a case of 39-years old woman with hyperthyroidism and struma parenchymatoso...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1998-05-01 00:00:00
abstract:UNLABELLED:Cervical incompetence is one of the causes of preterm delivery. Ultrasound examination of the cervix has given the evidence that cervical shortening, dilatation of internal cervical os and funneling observed long before term are the warning signs of preterm delivery. Early diagnosis and treatment may serve b...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2003-10-01 00:00:00
abstract:INTRODUCTION:Endometrial carcinoma is a common malignancy of the female genital tract. There is a strong correlation between myometrial invasion and clinical prognosis. Increasing myometrial penetration is associated with an increasing risk of pelvic and para-aortic lymph node metastasis, adnexal metastasis, positive p...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVES:To analyze the prognosis and related risk factors of patients with scarred uterus complicated with central placenta previa. MATERIAL AND METHODS:A total of 272 parturient women admitted to our hospital between June 2013 and December 2016 were selected, of whom 142 cases with central placenta previa were des...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.2019.0033
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVES:The aims of the study were as follows: 1) to determine the applicability of vacuum-assisted core needle biopsy in the diagnosis and management of intraductal papillomas of the breast; 2) to define factors which increase the risk for underestimation of breast cancer. MATERIAL AND METHODS:Between 2002-2017, a...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.2019.0022
更新日期:2019-01-01 00:00:00
abstract::Three thousand and twelve (3012) diagnostic laparoscopies in children, girls and women were carried out during the period 1970--1992. The age of the patients was between 6--49 years. The present studies show that laparoscopy fills up the space between the clinical investigation and laparotomy probatoria. It helps to s...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1992-11-01 00:00:00
abstract::Maldevelopment of the müllerian ducts occurs in a variety of forms, and each anomaly is distinctive. Nevertheless, some generalizations can be made. A comprehensive preoperative evaluation of patients with suspected uterovaginal malformations is essential, but a clear understanding of the particular anomaly may not be...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2005-11-01 00:00:00
abstract:OBJECTIVES:The aim of the study was to evaluate hormonal contraception use in women with epilepsy and to assess the risk of potential interactions between contraceptives and antiepileptic drugs (AEDs). MATERIAL AND METHODS:Data on hormonal contraception were obtained prospectively in women of childbearing age treated ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.2019.0010
更新日期:2019-01-01 00:00:00
abstract::Osteoporosis is a great problem in postmenopausal women. It begins 4--5 years after a last period and appears in clinical form in about 25-44% women. Basic irregularity is osteopenia as a result of bone resorption superiority. Many observations lead to conclusion that postmenopausal osteoporosis follows estrogens defi...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1995-01-01 00:00:00
abstract::We report two cases of pregnancy in patients with multiple sclerosis. Both of women were primigravidas. In both cases pregnancy were ended by cesarean section: in first case due to obstetric indications, in second due to neurological indications. Our experience and a review of current literature are presented. ...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:1998-12-01 00:00:00
abstract::Among 94 women with diagnosed "primary" gestosis during pregnancy, 67 patients demonstrated (3-6 months after delivery) chronic glomerulonephritis (25 women) or chronic pyelonephritis (28 women) or hypertension caused by others than nephrologic reasons. "Primary" gestosis was diagnosed correctly only in 29% cases. The...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1995-11-01 00:00:00
abstract::The terminology quoted in the leaflet "Ultrasonometry of foetus in evaluation of gestational age" could change the diagnostic and therapeutic procedures in obstetrics from the point of view of only one out of many methods of imaging. The object of the study was to complement the "standards for eleven measurements pert...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2001-02-01 00:00:00
abstract:OBJECTIVES:The aim was to present pregnancy complications and outcome in the group of women with subchorionic hematoma (SCH) diagnosed in the first or second trimester of pregnancy METHODS:A retrospective study was performed to compare the perinatal outcome of 41 patients with SCH (study group) with 59 women treated o...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2010-12-01 00:00:00
abstract:AIM OF THE PAPER:Comparison of conventional cytodiagnostics with molecular identification of DNA and mRNA HPV HR, immunocytochemical test for suppressor protein P16 and nuclear Ki 67 to detect cervical pathology screening of the division to LG SIL and HG SIL. MATERIAL:630 Pap smears were taken from women with suspecte...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2012-12-01 00:00:00
abstract:OBJECTIVES:The success rate of methotrexate (MTX) therapy varies among tubal ectopic pregnancies. Common methylenetetrahydrofolate reductase (MTHFR) polymorphisms (C677T&A1298C) have been suggested to alter MTX effect. This study aimed to assess and compare MTX treatment failure rates with respect to MTHFR polymorphism...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.a2018.0091
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVES:There is no standardized treatment modality or a generally accepted guideline in cesarean scar pregnancy (CSP) treatment. The aim of this study is to retrospectively evaluate the outcomes of the different treatment modalities used in CSP treatment. MATERIAL AND METHODS:31 CSP patients retrospectively evalua...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.2019.0053
更新日期:2019-01-01 00:00:00
abstract:INTRODUCTION:The aim of the paper was to evaluate the usability of nucleated blood cells count in newborn infants in the first 12 hours after their birth as an early marker of intraventricular haemorrhage. MATERIAL AND METHODS:The retrospective research included 210 newborns (both born at term??? and prematurely), del...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2007-12-01 00:00:00
abstract:OBJECTIVES:The differences exist in concerning the estimation of number and histopathological type of ovarian tumors in pregnancy. MATERIAL AND METHODS:From all 41,661 labours which took place in our Institute between 1990-2000 retrospective analysis of medical documentation of 11,050 caesarean sections (CS) as well a...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2002-04-01 00:00:00