Psoriasis is a chronic inflammatory skin disease. Immunological, genetic, and environmental factors, including diet, play a part in the pathogenesis of psoriasis. Metabolic syndrome or its components are frequent co-morbidities in persons with psoriasis. A change of eating habits can improve the quality of life of patients by relieving skin lesions and by reducing the risk of other diseases. A low-energy diet is recommended for patients with excess body weight. Persons suffering from psoriasis should limit the intake of saturated fatty acids and replace them with polyunsaturated fatty acids from the omega-3 family, which have an anti-inflammatory effect. In diet therapy for persons with psoriasis, the introduction of antioxidants such as vitamin A, vitamin C, vitamin E, carotenoids, flavonoids, and selenium is extremely important. Vitamin D supplementation is also recommended. Some authors suggest that alternative diets have a positive effect on the course of psoriasis. These diets include: a gluten-free diet, a vegetarian diet, and a Mediterranean diet. Diet therapy for patients with psoriasis should also be tailored to pharmacological treatment. For instance, folic acid supplementation is introduced in persons taking methotrexate. The purpose of this paper is to discuss in detail the nutritional recommendations for persons with psoriasis.

Endometriosis is a chronic, painful, estrogen-related inflammatory disease that affects approximately 10% of the female population. Endometriosis has a significant negative impact on quality of life. Nutrition may be involved in the development and severity of endometriosis. The purpose of this paper is to discuss in detail the nutritional recommendations for patients with endometriosis. This article discusses the importance of nutrients such as polyphenols, vitamins C, D and E, PUFAs, and iron in the development of endometriosis. Alternative diets, such as the Mediterranean, anti-inflammatory, vegetarian, low-nickel and low-FODMAP diets, have also been presented in the context of their potential beneficial effects on the course of endometriosis.

Cel pracy: Głównym celem pracy była ocena wpływu izolacji społecznej i rodzinnej z powodu COVID19 na samopoczucie psychiczne pacjentów przebywających w zakładzie opiekuńczo-leczniczym oraz ocena skuteczności podjętych działań terapeutycznych.Metoda: Badanie przeprowadzono wśród chorych przebywających w zakładzie opiekuńczo-leczniczym (58 chorych). Do oceny stopnia nasilenia zaburzeń depresyjnych zastosowano krótką formę Geriatrycznej Skali Oceny Depresji. Porównano również liczbę interwencji medycznych i psychologicznych w poszczególnych miesiącach izolacji.Wyniki: W lutym 2020 roku, kiedy nie było żadnej izolacji, 87,9% badanej grupy nie cierpiało na depresję w porównaniu z 72,4% w okresie pełnej izolacji. Po wprowadzeniu metod kontrolowanego kontaktu z najbliższymi, liczba osób bez objawów depresyjnych ponownie wzrosła. W okresie pełnej izolacji wykonano średnio 1,76 interwencji medycznych i 0,23 interwencji psychologicznych na jednego pacjenta.Wnioski: Liczba interwencji medycznych i psychologicznych była większa w okresie pełnej izolacji w porównaniu z miesiącami, w których nie wprowadzono ograniczeń związanych z pandemią COVID19. Po wprowadzeniu pełnej izolacji wyniki w GDS były istotnie wyższe, co oznacza, że pacjenci byli w większym stopniu narażeni na zaburzenia depresyjne niż w miesiącach bez izolacji.

Low spot urinary creatinine concentration (SUCR) is a marker of muscle wasting and clinical outcome. The risk factors for low SUCR in heart failure (HF) remain poorly understood. We explored the risk factors for low SUCR related to poor outcomes. In 721 HF patients (age: 52.3 ± 11 years, female: 14%, NYHA: 2.7 ± 0.7) SUCR and Dexa body composition scans were performed. BMI prior HF-onset, weight loss, and appendicular muscle mass were obtained. Each patient was classified as malnutrition or normal by GLIM criteria and three other biochemical indices (CONUT, PNI, and GRNI). Sarcopenia index (SI) as creatinine to cystatin C ratio was also calculated. Within 1 year, 80 (11.1%) patients died. In ROC curve we identified a SUCR value of 0.628 g/L as optimally discriminating surviving from dead. In low SUCR group more advanced HF, higher weight loss and catabolic components of weight trajectory (CCWT), more frequent under-nutrition by GLIM, and lower SI were observed. In multivariate analysis the independent predictors of low SUCR were SI, CCWT, and GNRI score. In conclusion: the risk of low SUCR was associated with a worse outcome. Low SUCR was associated with greater catabolism and sarcopenia but not with biochemical indices of malnutrition.

Background/Objectives: Body surface area is one of the most important anthropometric parameters in medicine. The study’s primary objective is to compare the consistency of the BSA estimation results through applying available formulas. Other objectives include determining the ability of these formulas to discriminate between death and survival in patients, comparing the formulas’ diagnostic features, and investigating whether the risk associated with a low BSA is independent of BMI. Methods: This study included 1029 patients (median age, 54 years; female, 13.7%; NYHA I/II/III/IV, 6.3%/36.5%/47.7%/9.5%) diagnosed with heart failure. For each patient, BSA was calculated using 25 formulas. Over the 3-year observation period, 31.2% of the patients died. Results: The average BSA value of the optimal discrimination thresholds was 1.79 m² ± 0.084 m² and the BSA difference between the estimators with the lowest (BSA_Meeh1879) and the highest (BSA_Nwoye1989) optimal discrimination thresholds was 0.42 m². The lowest mortality rate was 35.2% and occurred in the subgroup of individuals with BSA values below the optimal discrimination threshold using the BSA_Schlich2010 estimator. The highest mortality was predicted when the estimator BSA_Meeh1879 or BSA_{Livingston&Lee2001} was used. Conclusions: Our study showed a relatively good concordance of 25 BSA estimators in BSA assessment in patients, without extremes of weight or height being known to disrupt it. All BSA estimators presented a significant, although weak, ability to discriminate death from survival at 3-year follow-up; however, BSA is not a very good predictor of HF mortality at 3 years. The higher risk of death in smaller patients, as shown by BSA, was independent of BMI in all but two BSA estimators.

Introduction and objective: Food irradiation is a preservation technique, the main purpose of which is to extend shelf life of food products by using ionizing radiation. Today, food irradiation technology is used worldwide. The aim of this study is to discuss the process of food irradiation,...