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Abdominal obesity is a common feature of women with polycystic ovary syndrome (PCOS), and it is known to exacerbate insulin resistance (IR). Improper dietary and physical activity patterns are crucial environmental factors involved in the development of obesity, and they can significantly influence the central deposition of adipose tissue. Therefore, in this cross-sectional study, we aimed to evaluate the relationship between abdominal adiposity (measured by VAT (visceral adipose tissue), SAT (subcutaneous adipose tissue), VAT/SAT ratio (visceral to subcutaneous fat ratio), and WHR (waist-to-hip ratio)) and the prevalence and odds ratios of IR (measured by the homeostatic model assessment of insulin resistance (HOMA-IR), the homeostatic model assessment-adiponectin (HOMA-AD) and leptin to adiponectin ratio (L/A ratio)) in 56 PCOS women. Furthermore, we investigated the relationship between these abdominal obesity indices and diet and physical activity. An original food frequency questionnaire and Actigraph GT3X-BT were used to assess adherence to the diet recommended in IR and the level of physical activity, respectively. We observed a higher prevalence of IR among women with higher VAT, VAT/SAT, and WHR values compared to women with normal values of those abdominal obesity indices. Moreover, VAT/SAT seemed to be the best predictor of IR measured by HOMA-IR and HOMA-AD. However, VAT appeared to be the best and strongest predictor of IR measured by the L/A ratio. We also observed that higher adherence to the diet recommended in IR and higher levels of vigorous physical activity were associated with lower values of central fat accumulation indices and a greater chance of their normal values. Our findings indicate that central obesity increases the odds of IR and supports the beneficial role of diet and physical activity in the management of abdominal obesity in PCOS women.

Insulin resistance (IR) is a prominent feature of polycystic ovary syndrome (PCOS). The importance of lifestyle interventions in the management of PCOS is strongly highlighted and it is suggested that diet and physical activity may significantly influence insulin sensitivity. Therefore, we evaluated the link between diet and physical activity and various indices of insulin resistance, including adipokines secreted by the adipose tissue in 56 PCOS and 33 healthy control women. The original food frequency questionnaire and Actigraph GT3X-BT were used to assess the adherence to the diet recommended in IR and the level of physical activity, respectively. We observed that higher levels of physical activity were associated with lower HOMA-IR and a greater chance of its normal value in PCOS group. No such relationship was observed for other IR indices and adipokines or for the diet. However, we noted a strong correlation between HOMA-IR (Homeostatic Model Assessment of Insulin Resistance) and HOMA-AD (Homeostatic Model Assessment-Adiponectin) in PCOS women. Additionally, when we used HOMA-AD we observed a higher prevalence of IR among PCOS women. Our study supports the beneficial role of physical activity in the management of insulin resistance in PCOS women. Moreover, our findings indicate that HOMA-AD may be a promising surrogate marker for insulin resistance assessment in women with PCOS.

Objective: The aim of this study was to explore the profiles of pregnant women on perceived social support with regard to sociodemographic variables, coronavirus disease 2019 (COVID-19)-related distress issues, and body image. We compared the aforementioned relationships within the study variables between pregnant women and a control group of non-pregnant women.Method: The study sample comprised 345 women, 157 pregnant women, and 188 women in the control group. Participants filled out paper-and-pencil or online psychometric questionnaires to assess the variables analyzed in our research.Results: Latent profile analysis revealed six profiles of pregnant women based on perceived social support, which varied in terms of body image evaluation. The high-support profile differed from the profiles with the lowest scores in all support domains. Significant differences in body image between the profiles of pregnant women and the control group were noted.Conclusion: Understanding the mechanisms through which women can attain more body satisfaction during pregnancy is an important research topic that can inspire planning for more effective psychological help, especially in the context of the COVID-19 pandemic and related psychological distress.

Ideą, która przyświecała nam przy napisaniu artykułu, było uwypuklenie roli motywów muzycznych w twórczości literackiej Virginii Woolf, jak również zwrócenie uwagi na związki, które łączyły ją z muzyką, jej twórcami oraz odbiorcami. Mimo że poetycka proza pisarki ma charakter interdyscyplinarny, bogato czerpiąc z obszaru sztuk siostrzanych, szczególnie malarstwa, zagadnienie jej związków z muzyką jest traktowane marginalnie. Choć sama Woolf nie posiadała teoretycznego przygotowania muzycznego i nie grała na żadnym instrumencie, muzyka odgrywała istotną rolę w jej życiu, albowiem dorastała ona w świecie dźwięków, głównie za sprawą przyrodniej siostry Stelli. Była też stałą bywalczynią imprez muzycznych. Najsilniej jednak na kształtowa- nie jej wrażliwości i preferencji muzycznych oddziaływali przyjaciele: Saxon Sydney-Turner i kompozytorka Ethel Smythe. Ślady konwergencji muzyki i literatury odnaleźć można nie tylko w eseistyce i powieściach pisarki, ale również w jej twórczości publicystycznej. Warsztat pisarski Woolf ulegał stałej ewolucji. Pisarka bardzo chętnie sięgała do idiomatyki języka muzycznego, wzbogacając tym samym repertuar środków leksykalnych i stylistycznych. Do jej ulubionych kom- pozytorów należeli J.S. Bach, W.A. Mozart i L. van Beethoven. Szczególnie wiele uwagi poświę- ciła jednak R. Wagnerowi, stosunek do muzyki którego w jej dojrzałym pisarstwie uległ poważnej redefinicji. Choć proza Woolf ma charakter wybitnie psychologiczny, o jej wartości decyduje rów- nież wymiar estetyczny, o czym w dużym stopniu decydują odniesienia do muzyki.

Serous ovarian cancer prevalence increases with age, and the highest morbidity is reached in women intheir seventies. However, this neoplasm is also diagnosed in women in reproductive age.Fertility sparing surgery is performed in women affected by early stage and low-grade ovarian cancer (IA accordingto FIGO). The patients’ desire to have children forces surgeons to attempt conservative surgery in moreadvanced stages of ovarian cancer. We present a case of a 19-year-old patient who underwent conservativesurgery because of IC epithelial ovarian cancer with borderline tumour on the contralateral ovary. The operationwas followed by 6 cycles of adjuvant chemotherapy. 43 months after treatment the patient gave birth and inthat time no evidence of recurrence was detected.