Objectives: Telemedicine is no longer in the realm of the future. It has already become an aspect of modern medicine. A number of countries across the world have successfully introduced telemedicine systems, which allows patients access to general healthcare and specialist consultations regardless of the distance separating patients from physicians. We aimed to evaluate the use of a telemedicine system by Polish-speaking women for the purpose of gynecological and obstetric consultations. Material and methods: Our study used a telemedicine system operated by a healthcare entity offering healthcare services. We prospectively obtained data from Polish-speaking patients (residing all over the world) who underwent teleconsultations in gynecology or obstetrics in the period between Dec. 1, 2016, and Mar. 31, 2018. Results: A total of 244 telemedicine consultations in 185 female patients were evaluated. These consultations were overwhelmingly for gynecological cases (76%). Obstetric consultations, which constituted only 24% of the total number of consultations, involved predominantly pathologies of pregnancy. The mean age of patients who used the telemedicine system was 27 years. Ten percent of the study subjects resided in a country other than Poland at the time of their consultation. Only one patient required an urgent referral for an in-person consultation at an emergency department. Conclusions: Telemedicine consultations not only offer an easier access to the relatively difficult to obtain consultations with a specialist in the field of gynecology and obstetrics but may also be an alternative to conventional doctors' appointments, chiefly for those women who currently reside abroad or for those who seek an immediate gynecological consultation.
Introduction: Helicobacter pylori infection can induce disorders of myoelectric stomach functions and can have an influence on the frequency and grade of intensification of acid pathological gastroesophageal reflux (GER). The GER pathomechanism is also closely connected with stomach motor activity by affecting the tension in the lower oesophageal sphincter. Aim: The aim of the study was to try to answer whether there are significant disorders in myoelectric stomach functions in children and teenagers with gastritis and/or duodenitis coexisting with H. pylori infection and GERD (gastroesophageal reflux disease). Material and methods: One hundred and one patients over the age of 3 with dyspeptic symptoms who underwent endoscopic examination of the upper part of the digestive tract, pH-metric oesophagus test, and electrogastrographic test (EGG) were qualified for the examination. Helicobacter pylori infection was confirmed in the histopathological test and/or in the urease test and urea breathing test. Results: Among the examined patients in 50 cases the result of the pH-metric test was abnormal (group A [n = 50]), and in 51 patients the reflux index was below 4% (group B [n = 51]). In the analysis of the difference in percentage of normogastria, bradygastria, tachygastria and arrhythmia appearance before and after a meal in the EGG record in patients with confirmed H. pylori infection in group A (incorrect result of pH-metric test) and in the group of children with the correct result of the pH-metric test (group B) a statistically significantly higher percentage of bradygastria was verified in
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