Urinary incontinence (UI) in women can cause a number of sexual dysfunctions and reduce their quality of life. Sexual health is essential to the self-esteem, emotional state, and overall quality of life. We aimed to assess the quality of sexual life of women with UI. The study included a group of 145 sexually active women diagnosed with UI. The research was conducted using the diagnostic survey method with authorial and validated questionnaires. As many as 49.1% of the respondents reported a deterioration of sexual relations in comparison with the time before the onset of UI symptoms. According to the FSDS-R results, 83.45% of respondents were dissatisfied with their sex life. The higher the result obtained by respondents in the FSDS-R scale, the lower was their quality of life in the IIQ-7 scale (p ≤ 0.002, R = 0.53). The greatest impact was observed in the domains of emotional health and physical activity. The more incontinence symptoms reported by the respondent in the UDI-6 scale, the worse was her sexual satisfaction in the FSDS-R (p = 0.003, R = 0.39). UI in women contributes to the development of sexual dysfunctions, including decreased interest in sexual life, limited intercourse, and dissatisfaction with sexual life.

Introduction: In the light of recent studies, the usefulness of the metabolic syndrome diagnosis in obese pediatric patients seems to be controversial. It leads to the pressing questions, if the metabolic syndrome diagnosis is reflecting risk of the cardiovascular complications in obese children. Aim of the study: To evaluate the incidence of metabolic syndrome in obese children, asses the role of insulin resistance in the metabolic complications and investigate if the diagnosis of MS has a clinical value in that group of patients. Material and methods: After the retrospective analysis of 588 records of obese children treated in metabolic outpatient clinic, 289 children (145 boys) in the mean age of 11 years, was qualified to the study. Diagnosis of metabolic syndrome was based on IDF 2009 criteria and HOMA-IR was used in the assessment of insulin resistance. Results: Metabolic syndrome was diagnosed in 69 children (24%) including 42 girls (61%, p < 0.05). Mean age was higher (12.4 vs. 10.9, p < 0.05) in patients with metabolic syndrome. Initial BMI Z-score was similar in the both groups (2.93 SD vs. 2.92 SD). However, further follow-up showed significantly (p < 0.001) less effective BMI z-score reduction in patients with metabolic syndrome. Insulin resistance was observed significantly more often in children with metabolic syndrome (77% vs. 35%, p < 0.0001). Moreover, aminotransferases were significantly higher in boys with metabolic syndrome (AST = 35 vs. 28 U/l, ALT = 38 vs. 23 U/l, p < 0.0001). Conclusions: The diagnosis of metabolic syndrome in obese children seems to have a predictive value for the clinical practice. Affected children are older and their criteria are present more often in girls. Insulin resistance seems to be an important factor associated with metabolic syndrome in obese children. The outcomes of behavioral therapy are less effective in children with metabolic syndrome. Affected boys are at higher risk of non-alcoholic fatty liver disease (NAFLD) in the future.

This article has been peer reviewed and published immediately upon acceptance.It is an open access article, which means that it can be downloaded, printed, and distributed freely, provided the work is properly cited.Articles in "Ginekologia Polska" are listed in PubMed.

WstępProblem nietrzymania moczu jest częstą przypadłością wśród kobiet. Uważa się, iż uskarża się na nie aż 10% populacji. Jest chorobą przewlekłą, ma znaczący wpływ na jakość życia kobiet, przy czym wczesna interwencja pozwala na całkowite wyleczenie. Najczęstszą postacią nietrzymania moczu (NTM) jest wysiłkowe nietrzymanie moczu (WNM). Niepokojący jest fakt, iż coraz częściej dotyka on także kobiet młodych.Materiał i metodyW badaniu wzięły udział 152 kobiety w przedziale wiekowym 17–89 lat. Narzędzie badawcze stanowił kwestionariusz ankiety własnego autorstwa. Wyniki zostały poddane analizie statystycznej.WynikiWśród 13,2% badanych występuje WNM. Najwięcej respondentek uznało swój poziom wiedzy za średni (27%), wystarczający (23,7%) oraz słaby (15,1%). Natomiast 24,3% ankietowanych uważa posiadany zakres informacji za dobry oraz bardzo dobry (7,9%). Zdecydowana większość kobiet (92,1%) jest zdania, iż propagowanie wiedzy dotyczącej profilaktyki nietrzymania moczu jest niezbędne.WnioskiStan wiedzy kobiet w zakresie WNM wciąż jest niewystarczający. Kobiety wiedzą do kogo mogą się zwrócić z pierwszymi symptomami choroby oraz znają metody leczenia. Temat wysiłkowego nietrzymania moczu wciąż dla większości badanych jest tematem wstydliwym oraz ma znaczny wpływ na pogorszenie jakości życia. Istnieje ciągła potrzeba edukacji oraz propagowania informacji na temat inkontynencji.

The system of adverse drug reaction (ADR) monitoring in the Slovak Republic is greatly influenced by changes taking place in the current health care delivery system. Under-reporting and reporting biases due to selective ADR reporting provide very serious problems in pharmacovigilance. In the year 2001, the number of reported ADRs increased due to reports of angiotensin converting enzyme (ACE) inhibitor-induced cough; this coincided with limits being imposed on the use of angiotensin-II receptor antagonists. These factors provide an example of selective ADR reporting, deforming the quality of drug safety monitoring. They also indicate that administrative strategies can significantly affect spontaneous reporting activities.