[The analysis of the incidence of meningitis in children]. / Analiza zachorowan na zapalenie opon mózgowo-rdzeniowych u dzieci do trzeciego roku zycia.

The aim of the study is to present the results of epidemiological investigation in 142 infants and young children who suffered from meningitidis in the years 1987-1995. The most frequent cause of the disease was bacterial infection. The bacterial factors have been identified in 49% of those cases. Neisseria meningitidis was found to be most common bacteria that was responsible for the disease.

[Congenital esophageal atresia with tracheo-esophageal lower fistula and infectious asthma complicated by severe status asthmaticus which required use of halogen ether inhalants--case report]. / Wrodzona atrezja przelyku z dolna przetoka przelykowo-tchawicza a astma infekcyjna z ciezkimi stanami astmatycznymi, wymagajacymi stosowania wziewnych eterów halogenowych--opis przypadku.

A five-year clinical study of a boy operated in the first day of his life due to esophageal atresia with tracheo-esophageal lower fistula has been presented, in whom severe endogenic asthma complicated by frequent status asthmaticus developed, which required application of inhalatory anaesthetics.

[Use of inhalation anesthetics in treatment of severe status asthmaticus and for anesthesia in children suffering from bronchial asthma. Preliminary report]. / Zastosowanie wziewnych srodków anestetycznych w leczeniu ciezkich stanów astmatycznych oraz w znieczuleniu u dzieci chorych na astme oskrzelowa. Doniesienie wstepne.

This paper presents preliminary estimation of clinical usefulness of isoflurane for treatment of severe cases of status asthmaticus in children and application of it as monoanesthesia in children with bronchial asthma, operated upon sudden indications. Action and metabolism of halogen ether group inhalatory anaesthetics in human organism was discussed, with special attention being paid to isoflurane and ketamine. In the cases studied (which is also confirmed by numerous clinical tests) potentialization of bronchodilatative effect of isoflurane by intravenous application of ketamine in status asthmaticus was observed. Where the results achieved was linked up with increased concentration of catecholamines and direct atonic effect on smooth muscular coat of bronchus.

[Lead poisoning in children from the industrial region of Silesia--markers of chronic intoxication]. / Intoksykacja olowiowa u dzieci w wielkoprzemyslowym rejonie slaska--markery przewleklego zatrucia.

In the paper the degree of lead micro-intoxication was assessed in school children from the region of emissions of the Mining-Ironworks Complex "Boleslaw" in Bukowno. The study included 323 children of either sex aged from 7 to 14 years. In these children the levels of selected lead intoxication markers were determined--concentration of zinc protoporphyrin (ZnPP) in the erythrocytes and concentration of delta-amino-laevulinic acid (ALA) in urine. The obtained results were compared with corresponding results in the control group which consisted of 163 children of the same age, living in a control area without exposure to heavy metals. In the studied group in all age subgroups, significantly higher ALA concentrations in urine were observed in comparison to the control group. At the same time, exceeding of upper acceptable range of ALA concentration in the organism was five times more frequent in this group. On the other hand, the concentration of ZnPP in the erythrocytes failed to show any significant differences between the compared groups in any of the analysed age subgroups. On the basis of the obtained results it was demonstrated that the school children living in the region of emissions of the MIC "Boleslaw" had biochemical features of long-term lead microintoxication. As it seems, the concentration of ALA in urine is of greater diagnostic value in comparison to the concentration of ZnPP in the erythrocytes in screening examinations in these children.

[Lead poisoning in children from the industrial region of Silesia--hematologic indices]. / Intoksykacja olowiowa u dzieci w wielkoprzemyslowym rejonie slaska--wskazniki hematologiczne.

In the paper, the basic parameters of blood morphologic pattern were assessed in school children exposed to toxic heavy metal emission. The studies included 323 children aged from 7 to 14 years, living in the region of emissions of the Mining-Ironworks Complex "Boleslaw" in Bukowno. In these children haemoglobin concentration, haematocrit and erythrocyte and leucocyte counts were determined using routine laboratory tests. The obtained results were compared with corresponding results in the control group which consisted of 163 children of either sex living in a control region without exposure to heavy metals. In the studied group in most age subgroups significant decreases of erythrocyte count haemoglobin concentration and increases of haematocrit value were observed in comparison to the control group. At the same time, in these children, ten times higher, in relation to the control group, incidence was found of haemoglobin concentrations below 120 g/l, characteristic of anaemia. As it seems, one of important factors causing the decrease of the value of the parameters of blood morphologic pattern in the studied children is chronic microintoxication with lead, manifesting itself as significantly increased concentration of delta-amino-laevulinic acid in urine which is a sensitive marker of this intoxication.

[Values of peak expiratory flow in children of school age with biochemical indices of lead intoxication]. / Wartosci szczytowego przeplywu wydechowego u dzieci w wieku szkolnym z biochemicznymi wyznacznikami intoksykacji olowiowej.

The study was carried out on 541 school children in region with heavy metals air pollution and on 530 children as a control group from free of pollution area. A special attention was layed upon lead intoxication influence on values of PEF. The decrease of PEF values in children in polluted region was documented and suggested close link with lead intoxication.

[Pneumocystis pneumonia in infants]. / Pneumocystozowe zapalenie pluc u niemowlat.

The acute and chronic forms are described of pneumocystis interstitial pneumonia in two infants which were observed during a hospital epidemic. The microscopic examination of bronchial secretion from the subglottic region made possible the use of guided treatment.

[Epidemic of Pneumocystis carinii infection in infants]. / Epidemiczne zakazenie Pneumocystis carinii u niemowlat.

Epidemic intra-ward infection caused by Pneumocystis carinii was described. 18 infants and small children were ill from among 21 treated in the infants ward. The diagnosis was given on the grounds of cytologic examination of bronchial excretion from subglottic region.

[Comparison of the degree of peak expiratory flow (PEF) in children measured with a "Vitalograph" meter and automatic spirometer SA-02]. / Porównanie wielkosci szczytowego przeplywu wydechowego (PEF) u dzieci mierzonego miernikiem firmy "Vitalograph" i spirometrem automatycznym SA-02.

PEF values in 475 healthy children (age 9-15 years, 138 females, 337 males) measured with a Vitalograph meter and an automatic spirometer SA-02 were compared. The results were comparable in all except in 9, 10, 11 year old boys, in whom the PEF values measured with a Vitalograph meter were statistically higher in comparison with the readings given by the automatic spirometer. The authors have demonstrated the high reliability of the Vitalograph meter in assessing PEF.

[Staphylococcal septicemia in a newborn infant with multiple organ involvement]. / Posocznica gronkowcowa u noworodka z wielonarzadowym umiejscowieniem zmian chorobowych.

The clinical course and therapeutic problems are presented in a case of staphylococcal septicaemia in a newborn. Generalized infection was associated with multiorgan location of pathological changes, among them, acute haematogenous osteitis and arthritis (of the temporomandibular joint, shoulder joint, hip, elbow joint, knee joint and wrist joint) and rarely occurring parotitis.

[Usefulness of forced expiratory flow rate measurements in diagnosis of selected lung diseases in children]. / Przydatnosc pomiaru szczytowego przeplywu wydechowego (PEF) w diagnostyce niektórych chorób pluc u dzieci.

The study group was composed of 2512 healthy children (age range 7-15 years) randomly selected from schools of the Upper Silesian Industrial District. In each child 5 PEF measurements were carried out using the Vitalograph meter. A statistical analysis of the results was carried out. The results seen in tables and centile charts can be used as normal values for children in given age groups and sex. PEF is useful in clinical diagnosis of different respiratory diseases.