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Introduction and purpose: Hirschsprung's disease, also known as congenital aganglionic megacolon, is a rare congenital disorder that affects the large intestine. Due to the absence of ganglion cells, the affected segment of the colon becomes narrow and unable to relax. The disease is present from birth but may not always be immediately apparent. In this paper, we will attempt to present the current state of knowledge regarding the diagnosis and treatment of Hirschsprung's disease, based on the analysis of literature available on the PubMed platform. Description of the state of knowledge: Hirschsprung's disease (HSCR), also known as congenital aganglionosis of the colon, involves abnormal migration, proliferation, and differentiation of neural crest cells, leading to the absence of autonomic nerve ganglia within the colon. HSCR is associated with mutations in several genes, with RET, GDNF, EDNRB and SOX10 being identified as the main causes of the disease. Mutations in the RET gene are associated with the hereditary form of Hirschsprung's disease. Symptoms of HSCR appear in newborns and may include bilious vomiting, diarrhea associated with enterocolitis, failure to pass meconium within the first 24 hours of life, impaired peristalsis, jaundice, feeding difficulties, and progressive abdominal distension. Summary: Diagnosis is typically made based on clinical presentation, imaging studies, and biopsy. Treatment usually involves surgery to remove the affected segment of the colon and reconnect the healthy portions. Although postoperative complications are relatively common, long-term studies suggest that the majority of children with Hirschsprung's disease function well in society.

Introduction and purpose: Baclofen is a derivative of γ-aminobutyric acid (GABA). It is a spasmolytic drug that reduces skeletal muscle tension and is used in spasticity. Despite its many positive functions, its use is associated with a risk of side effects. The aim of this work is to gain a better understanding of baclofen and to highlight the toxicity and dangers of its misuse. Material and methods: The study was retrospective in nature. It used an analysis of the records of 11648 intoxications in patients hospitalised from 01.04.2013 to 01.04.2023 in the Clinical Toxicology and Cardiology Department of the Stefan Cardinal Wyszyński Provincial Hospital in Lublin, from which a group of baclofen intoxicated patients (T55), consisting of 19 cases, was distinguished. Results: The study population consisted of 10 women (52.63%) and 9 men (47.37%), aged between 16 and 83 years. The largest group consisted of patients aged up to 30 years - 9 patients (47.37%). The majority of patients - 11 patients (59.89%) were in a severe condition. An overwhelming number reported intentional poisoning - 16 cases (84.21%), including five suicide attempts (31.25%). Patients took other drugs and medicines in addition to baclofen. The most common was ethanol - 8 people (42.11%), followed by NSAIDs - 5 people (26.32%). Conclusions: In order to prevent complications following the use of baclofen, it is very important to educate patients, their family members and the general public about the mechanism of action of the drug itself, its function on the body and the risks of taking it. Prophylactic measures and education on how to deal with poisoning situations are necessary, as they are entirely preventable with immediate diagnosis and treatment.

Introduction and purpose: Detergents are compounds that constitute the main component of cleaning products. Due to their varied chemical structure, they have different functions and a wide range of applications. The aim of this study is to draw attention to the problem of toxic effects of detergents on the basis of analysis of cases of detergent poisoning by patients of the Toxicology and Cardiology Ward of the Stefan Cardinal Wyszyński Provincial Hospital in Lublin. Material and methods: The study was retrospective in nature. It used an analysis of the medical records of 11707 intoxications in patients between 01.01.2013 and 31.12.2022, from which a group of individuals with a diagnosis of T55 according to the ICD 10 classification "Toxic effects of soaps and detergents" consisting of 36 cases was selected. Results: The study population consisted of 18 (50%) women and 18 (50%) men. The majority- 19 patients (52.78%) were exposed to the toxic effects of detergents accidentally. 10 patients (27.78%) were suicide attempts. Accompanying medical conditions were mostly psychiatric disorders, with alcohol dependence syndrome predominating - 9 cases (25%). The majority - 33 patients (91.67%) intoxified themselves with detergents in the form of liquids and solids by the oral route . Conclusions: Despite their usefulness in households and industry, detergents contribute to adverse health effects in situations of accidental exposure or intentional intake. In order to reduce the number of complications, preventive measures should be implemented - such as storing detergents in less accessible areas, in original boxes with retained labels, and increasing funding for psychological-psychiatric care in a crisis situation.

Introduction and purpose: Poisoning among children and adolescents is occurring on an ever-increasing scale. Women are particularly susceptible to intentional poisoning, and they predominate in the statistics of self-poisoning. The aim of the study is to analyze cases of poisoning in girls under 18 years of age hospitalized in the Clinical Toxicology and Cardiology Department of the Stefan Cardinal Wyszynski Regional Hospital in Lublin in 2022, taking into account the type of substance ingested, the place of residence of the patients and comorbidities. Material and methods: The study was retrospective in nature. It used the analysis of medical records of 84 cases of intoxication in girls under 18 years of age. Results: During the time period studied, 84 girls aged 13-18 were hospitalized for poisoning. Most of the cases were urban residents (64.3%). The toxic substances causing poisoning were mainly drugs (63.1%), narcotics (17.9%) and ethanol (17.8%). Poisoning of an intentional nature involved 80 (95.2%) cases, 37 (44%) cases were suicide attempts. In 54 (64.3%) cases, the patient was burdened with a mental illness, the most common being depressive disorders. There were no deaths in the study group. Conclusions: Due to the increasing phenomenon of mental disorders, as well as intentional poisoning among adolescent girls, special emphasis should be placed on psychological care, pedagogical care, of girls in adolescence. This is the time when girls have problems with acceptance of their bodies, with acceptance among peers. Parents and teachers should be made aware of this.

Introduction and purpose: Alcohol has been known for centuries. In recent years, awareness of the effects of its consumption has been growing and acceptance of the drink has been declining. Despite this, there is an increase in young alcohol consumption and a decrease in the age of alcohol initiation. In this work, the problem of alcohol consumption by minors will be reviewed based on the evaluation of hospitalizations in the Clinical Department of Toxicology and Cardiology of the Stefan Cardinal Wyszynski Regional Hospital in Lublin in 2022. The aim of the study is to draw attention to this important, although often downplayed, problem. Material and method: The study was retrospective in nature. It used an analysis of the records of 120 intoxications in people under the age of 18, from which a group of alcohol-poisoned people was distinguished, consisting of 37 cases. Results: Hospitalization of 7 patients aged 13 to 18 years was reported due to alcohol intoxication. Of these, 22 (59.5%) female and 15 (40.5%) male patients were singled out. Most were urban residents 29 (78.4%). Isolated alcohol intoxication was the cause of 18 hospitalizations(48.6%). The remaining cases were accompanied by drug intoxication 11 hospitalizations (29.7%) and drug intoxication 8 hospitalizations (21.6%). All analyzed intoxications were intentional, of which 9 (24.3%) were suicide attempts. In 14 cases (37.9%), patients were burdened with mental illness, the most common of which was depressive disorders. There were no deaths in the study group. Conclusions: Alcohol should be forbidden and unacceptable in the family and young people's environment. Parents and young people should be made aware of the harmful effects, psychological, social and health consequences of its consumption.

Introduction and aim: Paracetamol (acetaminophen) is a commonly used analgesics and antipyretics and it is a nonprescription medicine. Improper use of it may lead to accidental or intentional poisoning. The aim of the study was to analyse paracetamol poisonings in children and adolescents admitted to the Clinical Department of Toxicology and Cardiology in Stefan Wyszyński Regional Specialist Hospital in Lublin in 2022. Material and methods: The research was retrospective. Medical records of poisoning cases in patients up to the age of 18 were analysed specifically emphasizing acetaminophen poisonings. Results: In the studied period 120 adolescents were hospitalized due to intoxication, 65 of them due to medications intake, the most commonly used medicine was acetaminophen. There were 20 cases of hospitalization because of acetaminophen intake, 17 (85%) patients were female and 3 (15%) of them were male. Patients were from 15 to 17 years old. In 12 cases (60%) patients came from urban areas. The intentional intoxications were found in 18 (90%) cases, 13 of them were suicide attempt. Majority of cases of attempted suicide were female (92%). The other intoxications were accidental, where patients took acetaminophen as a painkiller. In the researched group there were no deaths. Conclusions: Paracetamol overdosing is always associated with the risk of liver damage.This medicament as a potentially hepatotoxic drug should not be sold over the counter. The availability of paracetamol is too widespread, which poses a risk especially to children and adolescents. The ubiquitous advertising of acetaminophen products as well as their popular use, for example, in menstrual pain, favor their presence in almost every Polish home. Parents and guardians should be educated about the dangers of uncontrolled use of so-called OTC drugs - incorrectly commonly considered safe.

Introduction and purpose: Poisoning in children and adolescents remain a serious medical, psychological and social problem. The aim of the study was to analyse poisonings in patients up to 18 years old admitted to the Clinical Department of Toxicology and Cardiology in Stefan Wyszyński Regional Specialist Hospital in Lublin in 2022. Material and method: The research was retrospective. Medical records of 120 cases of poisoning in patients up to the age of 18 were analysed. Results: In the studied period 120 patients from 13 to 18 years old were hospitalized due to intoxication, 84 (70%) of them were female and 36 (30%) of them were male. Majority of cases came from urban areas (69,2%). The most frequent causes of poisonings were medicaments (55%), drugs (29,2%) and alcohol (28,3%). The intentional intoxications were found in 113 (94,2%) cases, 45 (39,8%) of them were suicide attempt. Mental diseases were found in 71 (59,1%) cases, the most common one was depressive disorder. There were no deaths in the researched group. Conclusions: Because of the relevance of child patients poisoning young people should be provided with psychological care. Female teenagers must get special kind of support. The availability of child psychiatrists and psychologists is still too poor. Prohibition of selling alcohol to minors should be enforced stricly. It seems that acces to OTC drugs is way much too easy for people. There is a necessity of parents’education about children poisoning.

Premenstrual syndrome (PMS- Premenstrual Syndrome) is a group of cyclic somatic or psychological symptoms occurring during the luteal phase of the cycle and disappearing with the onset of menstruation. The purpose of this work is to draw attention to this important but often underestimated problem, trace its pathomechanism and identify treatment methods. The interaction of many factors and predispositions is responsible for the occurrence of PMS/PMDD (PMDD- premenstrual dysphoric disorder). One of the most important is ovulatory cycles and cyclically repeated changes in ovarian hormone secretion- fluctuations in progesterone, estradiol and prolactin levels during the various phases of the cycle. The association of emotional disturbances, severe stress and disturbances in the neurotransmitter system of the central nervous system, as well as many other factors, mentioned in the article below, is described. Various methods are used to treat PMS/PMSS, ranging from less to more invasive, including lifestyle changes, cognitive-behavioral therapy, and pharmacotherapy and surgical treatment. Currently, SSRIs-serotonin reuptake inhibitors-are considered the main therapy, as well as hormonal treatment-the two-pill. A review of the literature shows that PMS/PMDD is a real problem that reduces quality of life and has a negative impact on family and social relationships. Increased public awareness and interest by physicians of many specialties in this problem will enable faster diagnosis and implementation of effective therapy, thereby minimizing the negative social impact.