This page has only limited features, please log in for full access.
Substantial progress has been made in the diagnosis, management, and treatment of breast cancer over the last decades. This has affected mortality rates but has also led to inequality in epidemiological trends between different regions of the world. We extracted death certification data for breast cancer from the World Health Organization database. We analyzed trends in breast cancer mortality in selected countries from America, Asia, and Oceania over the 1980–2017 period and predicted numbers of deaths and rates for 2025. In North America, we observed decreased breast cancer mortality, reaching a rate of about 13/100,000 women in 2017. In Latin American countries, breast cancer mortality rates did not consistently decrease. The highest decreases in mortality were observed in Australia. Mortality trends in Asian countries remained among the lowest globally. We have predicted decreased mortality from breast cancer in 2025 for most of the analyzed countries. The epidemiological situation regarding breast cancer mortality is expected to change in the coming years. Advancements in diagnosis and treatment of breast cancer must be extended in various areas of the world to obtain global control of breast cancer mortality.
Cezary Wojtyla; Paola Bertuccio; Michal Ciebiera; Carlo La Vecchia. Breast Cancer Mortality in the Americas and Australasia over the Period 1980–2017 with Predictions for 2025. Biology 2021, 10, 814 .
AMA StyleCezary Wojtyla, Paola Bertuccio, Michal Ciebiera, Carlo La Vecchia. Breast Cancer Mortality in the Americas and Australasia over the Period 1980–2017 with Predictions for 2025. Biology. 2021; 10 (8):814.
Chicago/Turabian StyleCezary Wojtyla; Paola Bertuccio; Michal Ciebiera; Carlo La Vecchia. 2021. "Breast Cancer Mortality in the Americas and Australasia over the Period 1980–2017 with Predictions for 2025." Biology 10, no. 8: 814.
Background Breast cancer mortality in European women has been falling for three decades. We analysed trends in mortality from breast cancer in Europe over the period 1980–2017 and predicted number of deaths and rates to 2025. Methods We extracted death certification data for breast cancer in women for 35 European countries, between 1980 and 2017, from the World Health Organisation database. We computed the age-standardised (world standard population) mortality rates per 100,000 person-years, by country and calendar year. We obtained also predictions for 2025 using a joinpoint regression model and calculated the number of avoided deaths over the period 1994–2025. Results The mortality rate declined from 15.0 in 2012 to 14.4 in 2017 per 100,000 women (−3.9%) for the European Union (EU)-27. This fall was greater in the EU-14 (−5.2%), whereas rates rose in the transitional countries during this period by 1.9%. Mortality rate predictions across Europe are expected to reach relatively uniform levels in 2025. During the studied period, favourable trends in mortality emerged in most countries, with the greatest decrease in Denmark, whereas Poland and Romania showed an upward trend. The largest predicted decrease in breast cancer mortality was estimated for the United Kingdom (12.2/100,000 women in 2025), leading to the estimated avoidance of 150,000 breast cancer deaths over the period 1994–2025 and 470,000 in the EU-27. Conclusions Favourable trends in breast cancer mortality were observed in most European countries, and they will continue to fall in the coming years. Less favourable patterns were still observed among the transitional countries than other European areas.
Cezary Wojtyla; Paola Bertuccio; Andrzej Wojtyla; Carlo La Vecchia. European trends in breast cancer mortality, 1980–2017 and predictions to 2025. European Journal of Cancer 2021, 152, 4 -17.
AMA StyleCezary Wojtyla, Paola Bertuccio, Andrzej Wojtyla, Carlo La Vecchia. European trends in breast cancer mortality, 1980–2017 and predictions to 2025. European Journal of Cancer. 2021; 152 ():4-17.
Chicago/Turabian StyleCezary Wojtyla; Paola Bertuccio; Andrzej Wojtyla; Carlo La Vecchia. 2021. "European trends in breast cancer mortality, 1980–2017 and predictions to 2025." European Journal of Cancer 152, no. : 4-17.
Diet and nutrition are fundamental in maintaining the general health of populations, including women’s health. Health status can be affected by nutrient deficiency and vice versa. Gene–nutrient interactions are important contributors to health management and disease prevention. Nutrition can alter gene expression, as well as the susceptibility to diseases, including cancer, through several mechanisms. Gynecological diseases in general are diseases involving the female reproductive system and include benign and malignant tumors, infections, and endocrine diseases. Benign diseases such as uterine fibroids and endometriosis are common, with a negative impact on women’s quality of life, while malignant tumors are among the most common cause of death in the recent years. In this comprehensive review article, a bibliographic search was performed for retrieving information about nutrients and how their deficiencies can be associated with gynecological diseases, namely polycystic ovary syndrome, infertility, uterine fibroids, endometriosis, dysmenorrhea, and infections, as well as cervical, endometrial, and ovarian cancers. Moreover, we discussed the potential beneficial impact of promising natural compounds and dietary supplements on alleviating these significant diseases.
Michał Ciebiera; Sahar Esfandyari; Hiba Siblini; Lillian Prince; Hoda Elkafas; Cezary Wojtyła; Ayman Al-Hendy; Mohamed Ali. Nutrition in Gynecological Diseases: Current Perspectives. Nutrients 2021, 13, 1178 .
AMA StyleMichał Ciebiera, Sahar Esfandyari, Hiba Siblini, Lillian Prince, Hoda Elkafas, Cezary Wojtyła, Ayman Al-Hendy, Mohamed Ali. Nutrition in Gynecological Diseases: Current Perspectives. Nutrients. 2021; 13 (4):1178.
Chicago/Turabian StyleMichał Ciebiera; Sahar Esfandyari; Hiba Siblini; Lillian Prince; Hoda Elkafas; Cezary Wojtyła; Ayman Al-Hendy; Mohamed Ali. 2021. "Nutrition in Gynecological Diseases: Current Perspectives." Nutrients 13, no. 4: 1178.
Obesity and diabetes increase the risk of complications during gestation and at delivery. The aim of this study was to compare the perinatal outcomes in the populations of diabetic and obese Polish women, based on the results of a national survey performed in years 2012 and 2017, as well as to determine the risk factors of the gestational diabetes mellitus (GDM). Questionnaires from 6276 women were collected. Obese women constituted 5.5% and 7.5% of study population in years 2012 and 2017, respectively. Among women whose pregnancies were complicated by diabetes mellitus, GDM constituted the most common type of glucose intolerance during both time periods (2012: 89% vs. 2017: 85.6%). In the group of obese women an insignificant increase in the rate of induced deliveries was noted (2012: 9.9% vs. 2017: 11.7%), whereas the fetal birth-weight decreased significantly (2012: 3565g vs. 2017: 3405g, p < 0.05). In the group of diabetic pregnant women the percentage of cesarean sections, labour inductions and fetal birth defects was characterized by an insignificant upward trend. Risk of GDM was significantly increased in women aged over 35 years—(2012: OR 1.9 (95% CI: 1.1–2.9) and 2017: OR = 2.1 (95% CI: 1.5–2.9), p < 0.05—, as well as in overweight women—2012: OR 1.8 (95% CI: 1.2–2.7) and 2017: OR 2.6 (95% CI: 1.9–3.4), p < 0.05—during both analysed time periods. Based on the study results, it is necessary to develop population-based programmes to prevent obesity and to introduce and enforce the rules of appropriate screening for glucose tolerance disorders during pregnancy.
Cezary Wojtyla; Pawel Stanirowski; Pawel Gutaj; Michal Ciebiera; Andrzej Wojtyla. Perinatal Outcomes in a Population of Diabetic and Obese Pregnant Women—The Results of the Polish National Survey. International Journal of Environmental Research and Public Health 2021, 18, 560 .
AMA StyleCezary Wojtyla, Pawel Stanirowski, Pawel Gutaj, Michal Ciebiera, Andrzej Wojtyla. Perinatal Outcomes in a Population of Diabetic and Obese Pregnant Women—The Results of the Polish National Survey. International Journal of Environmental Research and Public Health. 2021; 18 (2):560.
Chicago/Turabian StyleCezary Wojtyla; Pawel Stanirowski; Pawel Gutaj; Michal Ciebiera; Andrzej Wojtyla. 2021. "Perinatal Outcomes in a Population of Diabetic and Obese Pregnant Women—The Results of the Polish National Survey." International Journal of Environmental Research and Public Health 18, no. 2: 560.
Introduction: Adverse pregnancy outcomes are less common among physically active women, and children born to such mothers are less likely to be at risk for macrosomia, obesity and metabolic diseases in the future. Objectives: The aims of the study were to establish physical activity (PA)...
Cezary Wojtyła; Michał Ciebiera; Paulina Wojtyła-Buciora; Anna Janaszczyk; Paulina Brzęcka; Andrzej Wojtyła. Physical activity patterns in third trimester of pregnancy – use of pregnancy physical activity questionnaire in Poland. Annals of Agricultural and Environmental Medicine 2020, 27, 388 -393.
AMA StyleCezary Wojtyła, Michał Ciebiera, Paulina Wojtyła-Buciora, Anna Janaszczyk, Paulina Brzęcka, Andrzej Wojtyła. Physical activity patterns in third trimester of pregnancy – use of pregnancy physical activity questionnaire in Poland. Annals of Agricultural and Environmental Medicine. 2020; 27 (3):388-393.
Chicago/Turabian StyleCezary Wojtyła; Michał Ciebiera; Paulina Wojtyła-Buciora; Anna Janaszczyk; Paulina Brzęcka; Andrzej Wojtyła. 2020. "Physical activity patterns in third trimester of pregnancy – use of pregnancy physical activity questionnaire in Poland." Annals of Agricultural and Environmental Medicine 27, no. 3: 388-393.
Air pollution is currently one of the greatest threats to global health. Polish cities are among the most heavily polluted in Europe. Due to air pollution 43,100 people die prematurely in Poland every year. However, these data do not take into account the health consequences of air pollution for unborn children. Thus, the aim of this study was to evaluate the effects of the fine particulate matter air pollution (less than 2.5 μm in diameter) on pregnancy outcomes. An analysis of pregnant women and their children was made using a questionnaire survey from a nationwide study conducted in 2017. Questionnaires from 1095 pregnant women and data from their medical records were collected. An analysis of air pollution in Poland was conducted using the air quality database maintained by the Chief Inspectorate for Environmental Protection in Poland. A higher concentration of PM2.5 was associated with a decrease in birth weight and a higher risk of low birthweight (i.e., <2500 g). We also observed lower APGAR scores. Thus, all possible efforts to reduce air pollution are critically needed.
Cezary Wojtyla; Karolina Zielinska; Paulina Wojtyla-Buciora; Grzegorz Panek. Prenatal Fine Particulate Matter (PM2.5) Exposure and Pregnancy Outcomes—Analysis of Term Pregnancies in Poland. International Journal of Environmental Research and Public Health 2020, 17, 5820 .
AMA StyleCezary Wojtyla, Karolina Zielinska, Paulina Wojtyla-Buciora, Grzegorz Panek. Prenatal Fine Particulate Matter (PM2.5) Exposure and Pregnancy Outcomes—Analysis of Term Pregnancies in Poland. International Journal of Environmental Research and Public Health. 2020; 17 (16):5820.
Chicago/Turabian StyleCezary Wojtyla; Karolina Zielinska; Paulina Wojtyla-Buciora; Grzegorz Panek. 2020. "Prenatal Fine Particulate Matter (PM2.5) Exposure and Pregnancy Outcomes—Analysis of Term Pregnancies in Poland." International Journal of Environmental Research and Public Health 17, no. 16: 5820.
The aim of this study was to evaluate knowledge of umbilical cord blood (UBC) banking and prenatal genetic diagnosis among pregnant women from rural and urban areas, and how this knowledge changed within a five-year period. A survey by questionnaire was conducted between 2010 and 2012, and in 2017 in public hospitals; the study population comprised 6128 women, with 2797 patients from the years 2010–2012 and 3331 from the year 2017. 41% of the studied population declared that they were living in rural areas. In the 2010–2012 period, fewer women from rural areas knew about UBC banking. In 2017 that same relative difference in knowledge persisted, but the percentage of women who now knew about this procedure rose significantly in both studied groups. Prenatal diagnosis was more familiar for urban inhabitants both in 2010 and 2017 but as with the UBC data, a trend of growing awareness was also seen in pregnant women from rural areas. Knowledge of new techniques such as UBC banking and genetic tests has grown among pregnant women during the time frame of our study, but there is still a need to emphasize the benefits of these two possibilities to pregnant women, especially among rural inhabitants.
Maria Szubert; Malwina Ilowiecka; Jacek Wilczynski; Monika Szpotanska-Sikorska; Cezary Wojtyla. Changes in Knowledge about Umbilical Cord Blood Banking and Genetic Tests among Pregnant Women from Polish Urban and Rural Areas between 2010–2012 and 2017. International Journal of Environmental Research and Public Health 2020, 17, 5744 .
AMA StyleMaria Szubert, Malwina Ilowiecka, Jacek Wilczynski, Monika Szpotanska-Sikorska, Cezary Wojtyla. Changes in Knowledge about Umbilical Cord Blood Banking and Genetic Tests among Pregnant Women from Polish Urban and Rural Areas between 2010–2012 and 2017. International Journal of Environmental Research and Public Health. 2020; 17 (16):5744.
Chicago/Turabian StyleMaria Szubert; Malwina Ilowiecka; Jacek Wilczynski; Monika Szpotanska-Sikorska; Cezary Wojtyla. 2020. "Changes in Knowledge about Umbilical Cord Blood Banking and Genetic Tests among Pregnant Women from Polish Urban and Rural Areas between 2010–2012 and 2017." International Journal of Environmental Research and Public Health 17, no. 16: 5744.
Background: Depression and osteoporosis are severe public health problems. There are conflicting findings regarding the influence of depression on bone metabolism. The aim of the presented study was to compare bone turnover markers and vitamin D levels between patients treated for depression and healthy controls. Patients and Methods: We determined a concentration of osteocalcin, carboxy-terminal telopeptide of type I collagen (β-CTX), 25-hydroxyvitamin D (25OHD) and 1,25(OH)2D3 in 99 patients, aged 46.9 ± 11 years, treated for depression, as well as in 45 healthy subjects. Depressive status was determined with the Hamilton Depression Scale (HDRS). Results: In patients treated for depression, we demonstrated significantly lower osteocalcin concentrations (p < 0.03) and higher concentration of β-CTX (result on the border of significance; p = 0.08). Those relationship were stronger in women. The level of 25OHD and 1,25(OH)2D3 did not differ significantly between the examined groups. We observed a negative correlation between the 25OHD and HDRS score after treatment in all patients treated for depression and in subgroups of women and subjects with recurrent depression. Conclusions: Our results indicate that depression is related to disturbances in bone metabolism, especially in women and patients with recurrent depression, suggesting its role in context of osteoporosis development.
Elżbieta Skowrońska-Jóźwiak; Piotr Gałecki; Ewa Głowacka; Cezary Wojtyła; Przemysław Biliński; Andrzej Lewiński. Bone Metabolism in Patients Treated for Depression. International Journal of Environmental Research and Public Health 2020, 17, 4756 .
AMA StyleElżbieta Skowrońska-Jóźwiak, Piotr Gałecki, Ewa Głowacka, Cezary Wojtyła, Przemysław Biliński, Andrzej Lewiński. Bone Metabolism in Patients Treated for Depression. International Journal of Environmental Research and Public Health. 2020; 17 (13):4756.
Chicago/Turabian StyleElżbieta Skowrońska-Jóźwiak; Piotr Gałecki; Ewa Głowacka; Cezary Wojtyła; Przemysław Biliński; Andrzej Lewiński. 2020. "Bone Metabolism in Patients Treated for Depression." International Journal of Environmental Research and Public Health 17, no. 13: 4756.
Changes that took place in Europe in the early 1990s had an impact on health-associated issues. They were an impulse for the changes in healthcare systems and, consequently, also for the changes in cancer control programmes. Those changes also had an effect on mortality rates due to cervical cancer (CC). Therefore, the aim of this study is to analyse CC mortality trends in east-central Europe after 1990. Data on deaths due to CC were retrieved from the WHO Mortality Database. Trends in east-central European countries between 1990 and 2017 were assessed using Joinpoint Regression Program software. CC mortality decreased in the majority of analysed countries. However, an increase was observed in Latvia and Bulgaria. Despite decreasing mortality in the majority of the analysed countries, significant differences were observed. In order to improve the epidemiological situation, effective early detection programmes for cervical cancer ought to be rearranged and based not only on pap smears but also on molecular methods, as well as on introducing widespread programmes of vaccination against HPV.
Cezary Wojtyla; Michal Ciebiera; Dariusz Kowalczyk; Grzegorz Panek. Cervical Cancer Mortality in East-Central European Countries. International Journal of Environmental Research and Public Health 2020, 17, 4639 .
AMA StyleCezary Wojtyla, Michal Ciebiera, Dariusz Kowalczyk, Grzegorz Panek. Cervical Cancer Mortality in East-Central European Countries. International Journal of Environmental Research and Public Health. 2020; 17 (13):4639.
Chicago/Turabian StyleCezary Wojtyla; Michal Ciebiera; Dariusz Kowalczyk; Grzegorz Panek. 2020. "Cervical Cancer Mortality in East-Central European Countries." International Journal of Environmental Research and Public Health 17, no. 13: 4639.
Background: Many studies show the occurrence of several multiple endocrine neoplasia syndromes caused by different mutations, for example, in MEN1 and RET genes. Nevertheless, there are less common mutations causing multiple endocrine glands tumors. Examples of such mutations are CHEK2 gene mutations, causing breast, kidney, gastric, colorectal, prostate, lung, ovarian, and thyroid cancers. Case description: In 2005, a 30-year-old woman was admitted to the hospital due to uncontrolled hypertension and obesity. Performed tests have shown ACTH (adrenocorticotropic hormone)—independent micronodular adrenal hyperplasia (AIMAH) as a cause. In 2010, the further diagnostic analysis revealed Cushing’s disease caused by ACTH-secreting pituitary microadenoma. Additionally, in 2011, the patient underwent the strumectomy of multinodular struma. Papillary thyroid carcinoma was found in the excised tissue. In 2018, transvaginal ultrasonography revealed a tumor of the right ovary. After a performed hysterectomy with bilateral salpingo-oophorectomy, the histopathology result has shown female adnexal tumors of probable Wolffian origin (FATWO) located in the broad ligament of the uterus. Due to the history of multiglandular diseases, the patient was referred to genetic testing. We found a positive pathogenic mutation in CHEK2-suppressor gene involved in DNA repair, cell cycle arrest, and apoptosis in response to DNA damage. Conclusion: CHEK2 variants may predispose to a range of endocrine glands tumors, including those identified in our patient. Multiple endocrine glands tumors, as in the presented patient, are a serious problem of public health, due to numerous hospitalizations and necessary repeated surgical treatments. Moreover, the association between CHEK2 and ovarian cancer can be a serious problem with reproductive health.
Anna Szeliga; Aleksandra Pralat; Wiktoria Witczak; Agnieszka Podfigurna; Cezary Wojtyla; Anna Kostrzak; Blazej Meczekalski. CHEK2 Mutation in Patient with Multiple Endocrine Glands Tumors. Case Report. International Journal of Environmental Research and Public Health 2020, 17, 1 .
AMA StyleAnna Szeliga, Aleksandra Pralat, Wiktoria Witczak, Agnieszka Podfigurna, Cezary Wojtyla, Anna Kostrzak, Blazej Meczekalski. CHEK2 Mutation in Patient with Multiple Endocrine Glands Tumors. Case Report. International Journal of Environmental Research and Public Health. 2020; 17 (12):1.
Chicago/Turabian StyleAnna Szeliga; Aleksandra Pralat; Wiktoria Witczak; Agnieszka Podfigurna; Cezary Wojtyla; Anna Kostrzak; Blazej Meczekalski. 2020. "CHEK2 Mutation in Patient with Multiple Endocrine Glands Tumors. Case Report." International Journal of Environmental Research and Public Health 17, no. 12: 1.
The aim of this study was to evaluate the knowledge regarding a healthy lifestyle and prophylaxis during pregnancy among women from rural and urban areas and how this changed within a 5-year period. Analyses of the population of pregnant women in Poland were made using a questionnaire survey. The survey was conducted in the years 2010–2012 and 2017. Questionnaires from 6128 pregnant women were collected. The statistical analyses were conducted using IBM SPSS. The examined population was comprised of 41% women from rural areas and 59% women from urban areas. Alcohol consumption was lower among women from rural areas than among urban inhabitants in 2010–2012; in 2017 a trend of even lower consumption was observed. Folic acid supplementation was more broadly developed in the urban population; however, in 2017, higher percentage rates of both populations admitted taking folates before pregnancy. More women in urban than in rural areas performed physical activity during pregnancy, but the differences decreased in 2017. Knowledge of a healthy lifestyle and prophylaxis during pregnancy increased regardless of place of residence; however, the most evident change could be observed among women from rural areas.
Maria Szubert; Malwina Ilowiecka; Jacek Wilczynski; Przemyslaw Bilinski; Cezary Wojtyla. Health-Related Behaviors of Pregnant Women Residing in Urban and Rural Areas in Poland. International Journal of Environmental Research and Public Health 2020, 17, 4395 .
AMA StyleMaria Szubert, Malwina Ilowiecka, Jacek Wilczynski, Przemyslaw Bilinski, Cezary Wojtyla. Health-Related Behaviors of Pregnant Women Residing in Urban and Rural Areas in Poland. International Journal of Environmental Research and Public Health. 2020; 17 (12):4395.
Chicago/Turabian StyleMaria Szubert; Malwina Ilowiecka; Jacek Wilczynski; Przemyslaw Bilinski; Cezary Wojtyla. 2020. "Health-Related Behaviors of Pregnant Women Residing in Urban and Rural Areas in Poland." International Journal of Environmental Research and Public Health 17, no. 12: 4395.
The process of social, political and economic transformation, which took place in Central and Eastern Europe in the early 90's, has affected many spheres of Europeans' lives, including health-associated issues. These changes also had an impact on mortality rates due to cervical cancer (CC). Therefore, the aim of this study was to analyse CC mortality trends in Europe after 1990. Data on death due to CC, uterine cancers and unspecified uterine cancers, in women aged 20-44, were taken from the WHO Mortality Database. Trends in European countries between 1990 and 2017 were assessed using the Joinpoint Regression Program. Most of the countries experienced a decrease in CC mortality. Although the lowest rates were observed in EU15 Member States, the highest decreases were observed in Central and Eastern Europe. However, there are still differences in mortality in these countries. There are also a few countries like Belarus, Latvia and Ukraine, which experienced an increase in mortality. The range of mortality across Europe in 2017 was between 0.6 and 5.2/100,000 women. It is essential to introduce well-organised screening programmes for early detection of CC with coverage of a correspondingly high percentage of the population, particularly in East-Central Europe, as well as to introduce high-coverage HPV vaccination in all European countries.
Cezary Wojtyla; Kinga Janik-Koncewicz; Carlo La Vecchia. Cervical cancer mortality in young adult European women. European Journal of Cancer 2020, 126, 56 -64.
AMA StyleCezary Wojtyla, Kinga Janik-Koncewicz, Carlo La Vecchia. Cervical cancer mortality in young adult European women. European Journal of Cancer. 2020; 126 ():56-64.
Chicago/Turabian StyleCezary Wojtyla; Kinga Janik-Koncewicz; Carlo La Vecchia. 2020. "Cervical cancer mortality in young adult European women." European Journal of Cancer 126, no. : 56-64.
Uterine fibroids (UFs) are common benign tumors of the female genital tract, diagnosed in almost one-quarter of women of reproductive age. UFs may cause numerous clinical symptoms, including prolonged or heavy menstrual bleeding, pelvic pressure symptoms, pain, infertility and others. Submucous fibroids arise from the muscular part of the uterus and penetrate into the uterine cavity. They are mostly managed with the use of hysteroscopic myomectomy (HM), which provides direct visualization from the transcervical approach. The sheer number of HM standards and techniques is reason enough to review the available literature about HM-related complications. HM is a safe and effective treatment in patients with the normal size of the uterus and with no more than a few UFs. The procedure should not be initiated without adequate preparation and diagnosis, using the best methods available.
Michał Ciebiera; Tomasz Łoziński; Cezary Wojtyła; Wojciech Rawski; Grzegorz Jakiel. Complications in modern hysteroscopic myomectomy. Ginekologia Polska 2018, 89, 398 -404.
AMA StyleMichał Ciebiera, Tomasz Łoziński, Cezary Wojtyła, Wojciech Rawski, Grzegorz Jakiel. Complications in modern hysteroscopic myomectomy. Ginekologia Polska. 2018; 89 (7):398-404.
Chicago/Turabian StyleMichał Ciebiera; Tomasz Łoziński; Cezary Wojtyła; Wojciech Rawski; Grzegorz Jakiel. 2018. "Complications in modern hysteroscopic myomectomy." Ginekologia Polska 89, no. 7: 398-404.
Michał Ciebiera; Cezary Wojtyła; Grzegorz Jakiel; Tomasz Roszkowski. Molar pregnancy with a coexisting live fetus as a challenge for perinatology. A mini-review with two case reports. Journal of Health Inequalities 2018, 4, 39 -45.
AMA StyleMichał Ciebiera, Cezary Wojtyła, Grzegorz Jakiel, Tomasz Roszkowski. Molar pregnancy with a coexisting live fetus as a challenge for perinatology. A mini-review with two case reports. Journal of Health Inequalities. 2018; 4 (1):39-45.
Chicago/Turabian StyleMichał Ciebiera; Cezary Wojtyła; Grzegorz Jakiel; Tomasz Roszkowski. 2018. "Molar pregnancy with a coexisting live fetus as a challenge for perinatology. A mini-review with two case reports." Journal of Health Inequalities 4, no. 1: 39-45.
Uterine fibroids (UFs) are the most common tumors of the female genital tract. The effect of UFs on the quality of life and the overall cost of treatment are significant issues worldwide. Tumor size and location are the two specific factors which influence the occurrence of symptoms, the need for, and method of, treatment (some tumors require surgery while some can be treated with selected drugs). Primary prevention and treatment of early UF disease are worthy goals that might have a great impact on health care systems. Several treatments and prophylactic methods can be used in this endeavor. This publication presents current data about lesser-known substances which may have a beneficial effect on the treatment or prophylaxis of UFs and can be administered orally, serving as an alternative to (or complement of) surgery or selective progesterone receptor modulators (SPRMs). Early prevention and treatment of UFs in women from high-risk groups should be our priority. Innovative forms of UF management are under intensive investigation and may be promising options in the near future. Many of them evaluated vitamin D, paricalcitol, epigallocatechin gallate (EGCG), elagolix, aromatase inhibitors (AIs), and cabergoline and deemed them to be safe and effective. The next step in such projects should be properly constructed randomized control trials (RCTs), carried out by successive phases.
Michał Ciebiera; Krzysztof Łukaszuk; Błażej Męczekalski; Magdalena Ciebiera; Cezary Wojtyła; Aneta Słabuszewska-Jóźwiak; Grzegorz Jakiel. Alternative Oral Agents in Prophylaxis and Therapy of Uterine Fibroids—An Up-to-Date Review. International Journal of Molecular Sciences 2017, 18, 2586 .
AMA StyleMichał Ciebiera, Krzysztof Łukaszuk, Błażej Męczekalski, Magdalena Ciebiera, Cezary Wojtyła, Aneta Słabuszewska-Jóźwiak, Grzegorz Jakiel. Alternative Oral Agents in Prophylaxis and Therapy of Uterine Fibroids—An Up-to-Date Review. International Journal of Molecular Sciences. 2017; 18 (12):2586.
Chicago/Turabian StyleMichał Ciebiera; Krzysztof Łukaszuk; Błażej Męczekalski; Magdalena Ciebiera; Cezary Wojtyła; Aneta Słabuszewska-Jóźwiak; Grzegorz Jakiel. 2017. "Alternative Oral Agents in Prophylaxis and Therapy of Uterine Fibroids—An Up-to-Date Review." International Journal of Molecular Sciences 18, no. 12: 2586.
To determine the age and the most common circumstances for smoking initiation along with smoking rates and to evaluate smoking trends for secondary and high school students in Poland during 2009 and 2011. In 2009, a pilot study was conducted in districts of Poland on high school students and their parents. For statistical analysis, correctly completed questionnaires from 999 students and 667 parents were qualified for use. After the pilot study, a nationwide study of secondary school students and their parents was also conducted in 2009. For statistical analysis, correctly completed questionnaires were used from 9360 students and 6951 from their parents. The research tool was a questionnaire developed by the Chief Sanitary Inspectorate. These studies were then compared to the nationwide research study from 2011. Questionnaires were obtained from a survey of 3548 students from secondary schools and 4423 of those from high schools. Smoking initiation usually begins at ages 12-15 years. Rates of secondary school student smoking at least once in their lifetime were about the same level in the surveyed years (2009 - 9%, 2011 - 11%), whereas rates of high school student smoking increased (2009 - 15%, 2011 - 24%). Moreover, 34% of secondary school student smoked less than once a week, whereas in 2009, only 8% of students had done so. For high school students, a 1/2 smoked every day; similar to 2009. Students usually smoked in parks, on streets or any other open space areas. From analyzing the smoking trends over the survey period it can be concluded that the problem of smoking increases with respondent age. Int J Occup Med Environ Health 2017;30(5):763-773.
Paulina Wojtyła-Buciora; Barbara Stawińska -Witoszyńska; Wiola Żukiewicz-Sobczak; Cezary Wojtyła; Piotr Bilinski; Monika Urbaniak; Andrzej Wojtyła; Jerzy T Marcinkowski; Małgorzata Wojciechowska. Trends in smoking among secondary school and high school students in Poland, 2009 and 2011. International Journal of Occupational Medicine and Environmental Health 2017, 30, 763 -773.
AMA StylePaulina Wojtyła-Buciora, Barbara Stawińska -Witoszyńska, Wiola Żukiewicz-Sobczak, Cezary Wojtyła, Piotr Bilinski, Monika Urbaniak, Andrzej Wojtyła, Jerzy T Marcinkowski, Małgorzata Wojciechowska. Trends in smoking among secondary school and high school students in Poland, 2009 and 2011. International Journal of Occupational Medicine and Environmental Health. 2017; 30 (5):763-773.
Chicago/Turabian StylePaulina Wojtyła-Buciora; Barbara Stawińska -Witoszyńska; Wiola Żukiewicz-Sobczak; Cezary Wojtyła; Piotr Bilinski; Monika Urbaniak; Andrzej Wojtyła; Jerzy T Marcinkowski; Małgorzata Wojciechowska. 2017. "Trends in smoking among secondary school and high school students in Poland, 2009 and 2011." International Journal of Occupational Medicine and Environmental Health 30, no. 5: 763-773.
Cezary Wojtyła; Aneta Słabuszewska-Jóźwiak; Kinga Janik-Koncewicz; Witold A. Zatoński. New challenges for cervical cancer. Journal of Health Inequalities 2016, 1, 77 -88.
AMA StyleCezary Wojtyła, Aneta Słabuszewska-Jóźwiak, Kinga Janik-Koncewicz, Witold A. Zatoński. New challenges for cervical cancer. Journal of Health Inequalities. 2016; 1 ():77-88.
Chicago/Turabian StyleCezary Wojtyła; Aneta Słabuszewska-Jóźwiak; Kinga Janik-Koncewicz; Witold A. Zatoński. 2016. "New challenges for cervical cancer." Journal of Health Inequalities 1, no. : 77-88.
Cezary Wojtyła; Łukasz Głuszek; Przemysław Biliński; Piotr Paprzycki; Krzysztof Warzocha. Smoking during pregnancy--hematological observations in pregnant women and their newborns after delivery. Annals of Agricultural and Environmental Medicine 2012, 19, 1 .
AMA StyleCezary Wojtyła, Łukasz Głuszek, Przemysław Biliński, Piotr Paprzycki, Krzysztof Warzocha. Smoking during pregnancy--hematological observations in pregnant women and their newborns after delivery. Annals of Agricultural and Environmental Medicine. 2012; 19 (4):1.
Chicago/Turabian StyleCezary Wojtyła; Łukasz Głuszek; Przemysław Biliński; Piotr Paprzycki; Krzysztof Warzocha. 2012. "Smoking during pregnancy--hematological observations in pregnant women and their newborns after delivery." Annals of Agricultural and Environmental Medicine 19, no. 4: 1.
Przemysław Biliński; Piotr Hołownia; Cezary Wojtyła; Katarzyna Parafińska; Witold Tomaszewski; Lucyna Kapka-Skrzypczak. Managing water safety in healthcare. Part 2--practical measures and considerations taken for waterborne pathogen control. Annals of Agricultural and Environmental Medicine 2012, 19, 1 .
AMA StylePrzemysław Biliński, Piotr Hołownia, Cezary Wojtyła, Katarzyna Parafińska, Witold Tomaszewski, Lucyna Kapka-Skrzypczak. Managing water safety in healthcare. Part 2--practical measures and considerations taken for waterborne pathogen control. Annals of Agricultural and Environmental Medicine. 2012; 19 (4):1.
Chicago/Turabian StylePrzemysław Biliński; Piotr Hołownia; Cezary Wojtyła; Katarzyna Parafińska; Witold Tomaszewski; Lucyna Kapka-Skrzypczak. 2012. "Managing water safety in healthcare. Part 2--practical measures and considerations taken for waterborne pathogen control." Annals of Agricultural and Environmental Medicine 19, no. 4: 1.
Cezary Wojtyła; Przemysław Biliński; Piotr Paprzycki; Krzysztof Warzocha. Haematological parameters in postpartum women and their babies in Poland - comparison of urban and rural areas. Annals of Agricultural and Environmental Medicine 2011, 18, 1 .
AMA StyleCezary Wojtyła, Przemysław Biliński, Piotr Paprzycki, Krzysztof Warzocha. Haematological parameters in postpartum women and their babies in Poland - comparison of urban and rural areas. Annals of Agricultural and Environmental Medicine. 2011; 18 (2):1.
Chicago/Turabian StyleCezary Wojtyła; Przemysław Biliński; Piotr Paprzycki; Krzysztof Warzocha. 2011. "Haematological parameters in postpartum women and their babies in Poland - comparison of urban and rural areas." Annals of Agricultural and Environmental Medicine 18, no. 2: 1.