Motherhood and attitudes towards motherhood in women with Mayer-Rokitansky-Küster-Hauser syndrome.

OBJECTIVES: The aim of the study was to find out what proportion of women with MRKHS have decided to become mothers and have children or would like to have children and consider various options for motherhood. Additionally, the survey aimed at identifying factors that might influence the women's decisions and opinions regarding adoption, gestational surrogacy (GS) and uterus transplantation (UTx). MATERIAL AND METHODS: The study group consisted of 100 adult women with MRKHS who filled out questionnaires consisting of 56 questions. The survey was self-administered and anonymous. RESULTS: Most of the study participants were under 30, lived in large cities (> 150 000 inhabitants) and declared to be heterosexuals in a steady relationship (p < 0.05). While 11 participants had children, 66 out of 89 childless women (74%) expressed a desire for motherhood, but as many as 80 surveyed women have felt pressured to have children. The number of participants for whom a biological relationship with offspring was significant and insignificant respectively equaled (p = 1.000). The majority of the study participants supported the process of legalizing GS in Poland (95 vs 4) yet would opt for commercial rather than altruistic GS (64 vs 31) (p < 0.05). Most respondents stated that UTx is consistent with their faith and conscience (91 vs 4) and found UTx ethical (88 vs 4) (p < 0.0001). CONCLUSIONS: The majority of Polish women with MRKHS express the need to become a mother, but only one in ten has a child. The women's interest in biological motherhood is significant.

Chromium content in the human hip joint tissues.

OBJECTIVE: Chromium has many important functions in the human body. For the osseous tissue, its role has not been clearly defined. This study was aimed at determining chromium content in hip joint tissues. METHODS: A total of 91 hip joint samples were taken in this study, including 66 from females and 25 from males. The sample tissues were separated according to their anatomical parts. The chromium content was determined by the AAS method. The statistical analysis was performed with U Mann-Whitney's non-parametric test, P≤0.05. RESULTS: The overall chromium content in tissues of the hip joint in the study subjects was as follows: 5.73 µg/g in the articular cartilage, 5.33 µg/g in the cortical bone, 17.86 µg/g in the cancellous bone, 5.95 µg/g in the fragment of the cancellous bone from the intertrochanteric region, and 1.28 µg/g in the joint capsule. The chromium contents were observed in 2 group patients, it was 7.04 µg/g in people with osteoarthritis and 12.59 µg/g in people with fractures. CONCLUSION: The observed chromium content was highest in the cancellous bone and the lowest in the joint capsule. Chromium content was significantly different between the people with hip joint osteoarthritis and the people with femoral neck fractures.

Analysis of the content of cadmium and zinc in parts of the human hip joint.

Cadmium is an element with proven direct and indirect toxic effects on bones. Zinc affects the content of cadmium in the human body. These elements show antagonistic interactions. The aim of the research was to determine the levels of cadmium and zinc in the hip joint tissues and interactions between these elements. The study group consisted of 91 subjects, 66 women and 25 men. The tissues were obtained intraoperatively during hip endoprosthetic surgery. The levels of cadmium and zinc were assayed by the atomic absorption spectrophotometry (AAS) method. The analysis of the content of cadmium and zinc in different parts of the hip joint, i.e., articular cartilage, cortical bone, and cancellous bone of the femoral head as well as the articular capsule and a fragment of the cancellous bone taken from the intertrochanteric region of the femoral bone showed significant differences. The cancellous bone was found to have the highest potential to accumulate the elements studied, whereas part of the articular capsule the lowest. Higher levels of cadmium and zinc were observed in samples obtained from men. Patients with bone fractures had higher cadmium content than those with osteoarthritis. The study on the content of cadmium and zinc in the tissues of the hip joint is one of the primary research biomonitoring.

Distribution of magnesium, calcium, sodium and potassium in tissues of the hip joint.

The aim of this study was to determine the distribution of magnesium, calcium, sodium and potassium in tissues of the hip joint and to look for any correlations between these minerals. The study was performed using hip joint samples taken from people living in the Upper Silesian Industrial Region in Poland. Ninety one subjects, 66 women and 25 men, were included in this study. The samples were obtained intra-operatively during hip joint replacement procedures. The concentrations of magnesium, calcium, sodium and potassium were measured by atomic absorption spectrophotometry (AAS). Our results showed that these minerals are most abundant in the cancellous bone of the hip joint. They were found next more abundantly in the cortical bone and the cancellous bone from the intertrochanteric area. Levels of magnesium, potassium and calcium were lower in articular cartilage compared with other parts of the hip joint; however, sodium levels were at their highest in this tissue. The lowest levels of these minerals were found in the articular capsule. Those patients with fractures of the femoral neck had lower levels of magnesium, potassium, and calcium, but higher levels of sodium compared with the group with degenerative changes. We can also confirm that in the population studied, calcium levels in cancellous bone of the head of the femur decreased with age.

The content of manganese and iron in hip joint tissue.

Manganese and iron are elements that constitute components of bone tissue. The aim of this study was to determine presence of manganese and iron in hip joint tissue and interdependencies between these elements. The objects of the research were hip joint elements from people residing in cities on the territory of the Upper Silesian Industrial District. The number of people in the study group was 91 samples, including 66 samples from women and 25 from a man. The examined tissues were obtained intraoperatively during hip replacement procedures. The content of manganese and iron was determined using the atomic absorption spectrophotometry (AAS) method. The lowest content of manganese and iron was found in the cortical bone, and the largest, in the case of manganese, in the articular cartilage, whereas in the case of iron in a fragment of the cancellous bone from the intertrochanteric area. The content of iron in selected elements of the hip joint decreased with age. Higher content of manganese in hip joint tissue of women compared to men was confirmed. What is more, higher content of iron in hip joint tissue of men was confirmed as well.

The occurrence of nickel and other elements in tissues of the hip joint.

Nickel is applied in the production of surgical instruments and compounds of nickel affect the osseous tissue. The objective of this study was to determine the contents of nickel and 11 elements in tissues of a hip joint obtained from inhabitants of the Upper-Silesian Industrial Area. The samples were collected intra-operatively during Total Hip Replacement procedures, in most cases the indication for the surgery was hip osteoarthritis. Concentrations of nickel and 11 trace elements were measured with a Pye Unicam SP-9 acetylene-oxygen flame atomic absorption spectrometer (AAS). Additional analyses were conducted to identify the correlations occurring between these elements. The average content of trace elements in the hip joint was as follows (mg kg(-1)): Cd 0.66, Cr 7.58, Cu 8.43, Mn 0.79, Pb 3.75, Ni 4.82, Fe 252.13, Zn 75.65, Mg 1306.19, K 3938.67, Na 7484.52, Ca 49485.44. The study demonstrated that the content of nickel and the other elements was diversified, depending on the element of the hip joint, gender and the type of affection the endoprosthesis-plasty was performed for.

Interactions between concentrations of chemical elements in human femoral heads.

Environmental and occupational exposure to various metals has been a major public health concern and the subject of many studies. With the development of industry and transportation, environmental pollution has markedly worsened. As a result, metals are now ubiquitous and are absorbed into the body with food, drinking water, and polluted air. Exposure to these elements leads to numerous health problems, affecting almost every system of the human body, including the skeletal system. Bone is a specific research material that is difficult to obtain, therefore chemical analyses of metal concentrations in this tissue are rarely found in the literature. Nevertheless, bone, due to its long regeneration period, can serve as a biomarker of a long-term metal accumulation resulting from environmental or occupational exposure. Our study was conducted on bone samples harvested from inhabitants of the Upper Silesia region during hip replacement surgery. Femoral heads removed during surgery were sectioned into slices and further subdivided into samples comprising articular cartilage, cortical bone, and trabecular bone. Concentrations of 12 trace elements were measured with an atomic absorption spectrophotometry method. We found significant correlation between concentrations of these metal elements in the samples of cortical bone. This is determined not only by the physiological functions of these metals in hydroxyapatite, but also by the specific mineral structure of the bone tissue.

Bilateral stress fracture of distal fibula and tibia--case report.

The article presents a very rare case of bilateral distal tibial and fibular stress fractures in a 58-year-old white male. Excessive work load was undoubtedly the direct cause of the fractures as the patient's job involved carrying heavy (about 7 kg) packs of newspapers up stairs for 4 hours every night, with the distance covered amounting to approximately 80 floors. The available literature does not contain descriptions of similar bilateral distal tibial and fibular fractures in an otherwise healthy professionally active male patient. Supplementing the case description is a review of the epidemiology, signs, symptoms, diagnosis and methods of treatment of tibial and fibular stress fractures.

[Aluminum in hydroxyapatites of gallstones from smoking and non smoking women]. / Glin w hydroksyapatytach zlogów pecherzyka zólciowego kobiet palacych i niepalacych.

The investigation on the aluminum changes in gallstones from 149 women, including 49 smokers and 79 non-smokers women was carried out. All patients were inhabitants of Southern Poland. Aluminum concentration was determined using Inductively Coupled Plasma - Atomic Emission Spectroscopy (ICP-AES) with the measurement precision of 1-3% and the detectability of 0.01 microg/g. Arithmetical mean was statistically significantly higher for non-smoking women (33.39 microgAI/g) in comparison to smoking women (20.30 microgAI/g). The changes of given elements were different for smoking women in comparison to non-smoking women.

[The changes of barium and strontium content in gallstones from smoking and non-smoking women]. / Zmiany zawartosci baru i strontu w zlogach kamieni zólciowych kobiet palacych i niepalacych tyton.

The problem of statistical characteristics of occurrence barium and strontium content in gallstones from smoking and non-smoking women living in southern Poland is presented in the work. The subjects of the research were gallstones, gained intraoperatively from 146 women (49 smoking, 97 non-smoking). The content of barium and strontium was determined using atomic emission spectroscopy with inductive coupled plasma (ICP-AES). The statistical characteristic of barium and strontium content in gallstones shows that smoking does not decide about content level of these elements in gallstones. Content of barium (2.32 microgBa/g) as well as strontium (3.23 microgSr/g) in gallstones from non smoking women are higher in comparison to content of these elements in gallstones from smoking women (1.91 microgBa/g and 2.76 microgSr/g).