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Should mitral valve prolapse be considered as one of the risk factors for open angle glaucoma? A preliminary observation

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International Journal of Ophthalmology(English edition) 2022年第2期15卷 346-351页

作者： Ewa Grudzińska Malgorzata Peregud-Pogorzelska Daniel Zaborski Monika modrzejewska Second Department of Ophthalmology Pomeranian Medical UniversitySzczecin 70-111Poland Department of Cardiology Pomeranian Medical UniversitySzczecin 70-111Poland Laboratory of Biostatistics West Pomeranian University of TechnologySzczecin 71-270Poland

AIM:To assess the incidence of mitral valve prolapse in patients with newly diagnosed primary open angle ***:The study included 12 patients without any other comorbidities or taking any general or local *** patient underwent a full ophthalmological examination with visual field assessment and optical computed tomography of the macula and optic nerve *** Doppler ultrasound was performed to exclude impaired blood flow in this region and transthoracic echocardiography with assessment of the function and morphology of the heart ***:In the study group,mitral valve prolapse was found in seven patients(58.3%),while mitral valve regurgitation in 11 patients(91.7%).One case of normal pressure glaucoma and four cases of juvenile glaucoma were *** were also other risk factors for glaucoma:myopia(58.3%),migraine headaches(41.7%),a positive family history of glaucoma(16.7%).CONCLUSION:Mitral valve prolapse could be indicated as a new risk factor for *** seems reasonable to conduct screening tests for glaucoma in patients with mitral valve prolapse in the course of echocardiography.

关键词： ultrasonography Doppler echocardiography heart valves mitral valve insufficiency

Impact of systemic steroids combined with immunosuppressive treatment on glaucomatous features in patients with systemic lupus erythematosus

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International Journal of Ophthalmology(English edition) 2022年第1期15卷 71-76页

作者： Marta P.Wiącek Danuta Bobrowska–Snarska Marek Brzosko Wojciech Lubiński Monika modrzejewska First Department of Ophthalmology Pomeranian Medical UniversitySzczecin 70-111Poland Institute of Physics University of SzczecinSzczecin 70-451Poland Department of Rheumatology Internal Medicine and GeriatricsPomeranian Medical UniversitySzczecin 71-252Poland Second Department of Ophthalmology Pomeranian Medical UniversitySzczecin 70-111Poland

AIM:To evaluate the incidence of increased intraocular pressure(IOP)and glaucomatous changes in systemic lupus erythematosus(SLE)patients in comparison with systemic steroids and immunosuppressive ***:Sixty-two women with SLE were divided into two groups:treated(n=47,94 eyes)and not treated(n=15,30 eyes)with systemic glucocorticosteroids(GC;GC-free).Twenty-one individuals in GC group were treated with immunosuppressive agents(immunomodulating and biologic).The visual acuity and IOP with ocular pulsatile amplitude(OPA)measurements,as well as scanning laser polarimetry(GDx)with nerve fiber index(NFI)measurement,spectral domain optical coherence tomography(SD-OCT)of the optic disk with retinal nerve fiber layer(RNFL)analysis and the macular region with ganglion cell analysis(GCA)were ***:Mean IOP values in group with combined GC and immunosuppressive therapy was 15.8±2.56 mm Hg and was significantly lower than in individuals with exclusive GC treatment(17.63±4.38 mm Hg,P=0.043).Contrary,no dif ferences in mean IOP values between GC-free group and individuals treated with combined GC and immunosuppressive therapy were detected(P=0.563).Similarly,mean IOP in GC was 17.14±3.94 mm Hg and in GC-free patients was equal to 16.67±3.45 mm Hg(P=0.671).According to treatment regimen no statistical differences in optic disk SD-OCT for RNFL thickness,RNFL symmetry,cupping volume and the C/D ratio were ***,no statistical differences for the mean and minimal ganglion cell layer(GCL)thickness measured in macular SD-OCT or NFI in GDx were ***:Combined immunosuppressive and systemic GC therapy in SLE patients may lower the risk of iatrogenic ocular *** relationship between treatment regimen and glaucomatous damage of optic nerve fibers in analyzed groups with SLE is detected.

关键词： immunosuppression ocular hypertension steroid induced glaucoma steroid therapy systemic lupus erythematosus

Patent foramen ovale as a cause of acute vision loss

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International Journal of Ophthalmology(English edition) 2021年第7期14卷 1125-1126页

作者： Ewa Grudzinska Barbara Nowacka Beata Bania Wojciech Lubinski Daniel Zaborski Monika modrzejewska Second Department of Ophthalmology Pomeranian Medical University in SzczecinPowstancow Wielkopolskich 72Szczecin 70-111Poland Department of Cardiology Pomeranian Medical University in SzczecinPowstancow Wielkopolskich 72Szczecin 70-111Poland Laboratory of Biostatistics West Pomeranian University of TechnologyKlemensa Janickiego 29Szczecin 71-270Poland

Dear Editor,I am Ewa Grudzińska from the Second Department of Ophthalmology, Pomeranian Medical University, Szczecin, Poland. We write to present a case of a young patient with branch retinal artery occlusion(BRAO) caused by paradoxical embolization. Written informed consent for publication of photographs was obtained from the patient.

关键词： branch Patent write

Children＇s Problem Behaviors During Free Time as an Incentive for the Increase in Social Risks and Health Risks

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Sociology Study 2015年第7期5卷 553-561页

作者： Justyna modrzejewska Jolanta Walaszek-Latacz University of Bielsko-Biala Poland Academyof Human and Economics in Lodz Poland

Since children, as a rule, have more free time than adults, it is adults＇ responsibility to provide children with a chance to spend the time of relaxation, play, and fun in a beneficial way. Unfortunately, children＇s spare time is nowadays very frequently organized for the sake of brushing up children＇s knowledge, skills, and competences, which is accomplished by means of escalating extra-curriculum activities. When expressed by teacher and parents, these ambition-related attitudes pave the way for the disappearance of children＇s personal interests and motivations to perform complicated tasks which are perceived as unwanted or obscure by the affected children themselves. This form of adults＇ behavior may lead to the feelings of frustration, stress, demotivation, or rebellion on behalf of their children. The said emotional states, especially in relation to the lack of spontaneous play, give rise to serious psychic dysfunctions, and the instability of children＇s psychic balance. It may also pave the way for various forms of destructive behavior that mostly characterize children of younger school age who are about to start schooling.

关键词： Problem behaviors stimulants of behavioral disorders destructive behaviors health risks and social risks free time