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ABSTRACT: Full-text version is available on my website: http://www.lithics.eu/publications
The goal of this paper is to present the new records on chronology and settlement dynamics in the area situated north of the Carpathians and Sudeten between MIS-3 and GI-1. The focus is on records representing Middle Palaeolithic and so-called transitional industries (Early Upper Palaeolithic), as well late Upper Palaeolithic. Studies are based on longer series of numerical data obtained during recent field work and an examination of old museum collections. These attempts differ from the previous approaches in which the main attention was put on the comparison of stratigraphical and archaeological data, rarely relating to the chronometric records. In the beginning of MIS-3, no settlement hiatus took place in this area. It appears that the classic late Middle Palaeolithic industries had no direct influence on the appearance of the transitional industries and that in the same period different industries could co-exist. There are no convincing arguments indicating a connection between the youngest transitional units and the Upper Palaeolithic industries. Studies on settlement dynamics during the last glaciation maximum (ca. 19,000– 17,000 BP) have led to the acceptance of the previous concept emphasizing its unstable character. The sites with more numerous artefacts connected with the Magdalenian tradition and the Epigravettian come from the end of that period. The beginning of Magdalenian settlement on Polish territory took place at the turn of GS-2c and GS-2b, ca. 18,500–17,500 BP. More numerous Magdalenian camps started to appear in GS-2a, ca. 16,500-14,500 BP. The late dates of Magdalenian camps (GI-1c-1a) may be caused by the contamination of the samples, but it cannot be also excluded that the Magdalenian style of life survived in some southern regions of Poland until the Allerød.
Quaternary International 05/2013; 296:-. · 1.87 Impact Factor
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Acta Obstetricia Et Gynecologica Scandinavica 02/2011; 90(2):201-2. · 1.77 Impact Factor
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ABSTRACT: Aortic aneurysms occurs very rarely in young women. They usually accompany congenital heart diseases, Marfan's syndrome, bicuspid aortic valve and coarctation. What is more, they may be the consequence of syphilis and trauma, however less frequently. Despite their rare incidence, aortic aneurysms seem to be an important problem due to high maternal mortality during gestation. Hemodynamic changes which occur in pregnancy favour the appearance of this pathology, deteriorating the prognosis even further--half of the cases of aortic ruptures in women aged below 40 years are associated with pregnancy. Until recently only a few cases of aneurysm repairs during pregnancy have been reported. Also, only one pregnancy and one delivery in a patient after the repair of aortic aneurysm have been described in the literature. In our research we wish to report the successful management of a pregnancy, ended by vaginal route, 8 years after the replacement of descending thoracic aorta with a synthetic graft for aneurysm.
Ginekologia polska 11/2007; 78(10):812-4. · 0.41 Impact Factor
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European Journal of Obstetrics & Gynecology and Reproductive Biology 07/2007; 139(2):256-7. · 1.97 Impact Factor
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ABSTRACT: Increased fetal DNA in maternal plasma has been reported in pregnancies complicated by preeclampsia. Fetal DNA may by liberated from fetal or placental cells during apoptosis. The aim of the study is the estimation of the correlation between clinical and biochemical characteristics of preeclampsia and the concentration of fetal DNA in maternal circulation.
Peripherial blood samples were obtained from women suffering from preeclampsia and healthy pregnant women between 20 and 28 weeks of pregnancy. For analysis of DNA isolated from maternal plasma real time PCR were performed.
1. Significant increase of fetal DNA concentration in preeclamptic women plasma is associated with severe course of preeclampsia and especially with fetal distress symptoms. 2. The evaluation of number of fetal DNA copies in pregnant women plasma is characterized by high sensitivity but low specificity of this test in regards to preeclampsia with complications such as HELLP syndrome and intrauterine growth retardation (IUGR).
Annales Academiae Medicae Stetinensis 02/2007; 53(3):20-5.
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ABSTRACT: This work reviews the literature on the development of the tongue and its function during fetal life. Research on fetal behavior in general and functioning of structures of the skull, face and neck during fetal life in particular was very difficult, not to say impossible, until the present era of ultrasonography with flow (color Doppler and power Doppler), as well as 3D and 4D imaging. The results of measurements of the tongue, its perimeter, length, and area in normal fetuses and in fetuses with chromosomal aberrations are discussed. Abnormalities of the tongue appear as isolated defects or in association with other genetic abnormalities. Initial ultrasonographic detection of abnormalities of the fetal tongue demands further examination with more sophisticated sonographic methods. Some researchers also advocate karyotyping. Reports are discussed on the function of the tongue, such as protrusion, licking, grooving, sucking, yawning, and swallowing, and the time during pregnancy when these functions appear concurrently with growing complexity of movements of the fetus. These functions of the tongue have been studied in normal fetuses and in those with abnormalities during fetal life, such as Rh immunization and intrauterine growth retardation. Attention should focus on the presence of fetal tumors of the tongue or floor of the oral cavity. Prenatal diagnosis of tumors of the oral cavity and throat enables treatment to be undertaken immediately after birth and during the neonatal period.
Annales Academiae Medicae Stetinensis 02/2006; 52 Suppl 3:7-11.
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ABSTRACT: The aim of the study was the estimation of the condition of newborns delivered by caesarean section depending on antepartum umbilical Doppler flow velocity and CTG monitoring.
In 213 pregnant women delivered by caesarean section (from preventive and urgent indications before beginning the labor) fetal monitoring included antepartum CTG and Doppler flow velocity up to 7 days before delivery. The CTG recordings before labour were interpreted using a Fischer's method. Increases PI and S/D ratio above two standard deviations from average values for several pregnancy time intervals and the presence of AEDF and REDF are treated as pathological. The newborn's status was estimated using 5th min. Apgar score and base-acid balance in umbilical artery blood. Statistical analysis was performed by using chP test and logistic regression analysis. Significance levels were taken at p < 0.05.
The diagnostic effectiveness for abnormal antepartum CTG to predict bad condition of newborns is 81.7%. The parallel presence of an abnormal pattern of CTG and high PI and S/D ratios or the presence of AEDF/REDF in the umbilical artery also have a high diagnostic effectiveness (83.3%). There is a high risk of newborns delivered in bad condition connected with a low gestational age. The risk increases up to 16 times if the gestational age is less then 32 week. An abnormal CTG pattern increases the risk over 6 times. A presence of AEDF and REDF increases the risk 5 times.
(1) The highest diagnostic effectiveness for the delivery newborns in a bad condition is connected with an abnormal antepartum CTG pattern with a high Doppler flow velocity. (2) An abnormal Doppler flow velocity is connected with the delivery of newborns in a bad condition. (3) Low gestational age increases the risk of newborns in bad condition independent of results antepartum CTG and Doppler flow velocity.
Polski merkuriusz lekarski: organ Polskiego Towarzystwa Lekarskiego 02/2005; 18(104):200-4.
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ABSTRACT: The aim of this study was to evaluate retrospectively 10 women with the syndrome of hemolysis, elevated liver enzymes, low platelets (HELLP)--age of patients, quality of antepartum medical care, clinical, biochemical parameters, treatment, course and duration of pregnancies, way of delivery, and puerperium.
Women in the study group were divided in order of platelets (PLT) levels: 4 patients with PLT levels lower than 50 G/l and 6 patients with PLT levels higher than 50 G/l. The mean duration of pregnancies in both groups was similar.
In the first group just one women delivered by vaginal route when compared with the cesarean delivery. We noticed lower frequency of antepartum medical visits among the first group. Such signs as vomiting, nausea, abdominal pain, pruritus occurred more frequently in the second group. The most common complication observed in both groups of patients was severe preeclampsia. HELLP syndrome was also observed in the multiple pregnancies. In the study group high blood concentrations of urea, creatinine, total bilirubin, alanine transaminase and aspartate aminotransferase were present. Termination of pregnancy is still recognised to be the best way of HELLP treatment, however the efficacy of steroid drugs administration as conservative treatment were also demonstrated.
The disseminated intravascular coagulation as the HELLP complication in the puerperium period seems to be a serious problem, which can conduct to the need of hysterectomy.
Ginekologia polska 08/2004; 75(7):506-13. · 0.41 Impact Factor
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ABSTRACT: 1 H spektroskopia rezonansu magnetycznego moczu w ocenie zaburzeń czynności nerek u zdrowych kobiet będących w ciąży* Abstract Background. Pregnancy is associated with adaptive alterations affecting almost all organs and systems of the female body and is also a time when pathologies appear which would otherwise remain asymptomatic for many years. 1 H Magnetic Resonance Spectroscopy (1 H-MRS) of urine, a modern diagnostic method, can disclose discrete changes in organ function. It seemed interesting to search for pregnancy-dependent renal pathology in healthy women and thus prognosticate progression to overt disease after pregnancy. Objectives. To determine whether physiological pregnancy is accompanied by alterations in renal structures detectable by 1 H-MRS of urine and to assess the type and reversibility of alterations. Material and Methods. Eighty women were enrolled in two groups: a study group (B) consisting of 40 healthy pregnant women and a control group (K) of 40 healthy nulligravida women. Enrollment criteria included normal health status, unrevealing physical and gynecological examination, and normal results of laboratory tests (complete blood count, urea, creatinine, uric acid, urinalysis). MRS of urine and laboratory tests were done in group B during each trimester (B 1 , B 2 , and B 3 , i.e. the 1 st , 2 nd , and 3 rd trimesters, respectively) and six weeks after delivery (B P). In group K, the tests were done only once. The spectra were processed with MestReC software and then multidimen-sional statistical analysis using Unscrambler software was performed. The results were presented as the distribution of the variables in multidimensional space. Results. The patterns in multidimensional space revealed a clustering of points when comparing the first and third trimesters of pregnancy and comparing the third trimester and the healthy non-pregnant women. Also, a partial clustering of points comparing healthy non-pregnant and pregnant women after the puerperium was noticeable. Conclusions. Differences in 1 H-MRS profiles of urine between healthy pregnant and non-pregnant women reflect alterations of specific structures of the kidney accompanying pregnancy. In the majority of patients the effect of pregnancy on renal tubules is transient and (presumably) does not lead to permanent lesions (Adv Clin Exp Med 2010, 19, 2, 177–183).
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ABSTRACT: The aim of this study was to estimate complications of pregnancy, indications to caesarean section, complications after caesarean operation and perinatal mortality of newborns who were delivered before the 37th week of gestation by caesarean section. The retrospective analysis of the total of 2693 deliveries (years 1991-2000) by caesarean section in the Department of Pregnancy and Labour Pathology in Pomeranian Academy of Medicine has been carried out. 590 women whose delivered before the 37th week of pregnancy have been chosen for subsequent examination. The patients have been divided into three groups: group I--patients with pregnancy completed before the 28th week, group II--patients with pregnancy completed between 29th and 32nd week, and group III--patients with pregnancy completed between the 33rd and 36th week. Obstetrical anamnesis, complications of pregnancy, indications to caesarean section and postoperative complications as well as newborns perinatal mortality have been analysed. Among women who experienced abortions, premature deliveries caesarean section a higher rate of caesarean section during subsequent premature delivery was stated. The increase of caesarean sections rate in premature deliveries after the 29th week of gestation is associated with a considerable decrease in newborns, mortality.
Medycyna wieku rozwojowego 7(3 Suppl 1):291-9.
