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This paper aims to review current research on the ketogenic diet as a potential therapeutic approach for obesity and type 2 diabetes. This diet is characterized by high fat intake, moderate protein, and minimal carbohydrates, leading to a state of ketosis in which the body utilizes ketone bodies as its primary energy source. Studies indicate that the ketogenic diet may positively influence blood glucose control, enhance insulin sensitivity, and facilitate weight reduction, particularly relevant in the context of insulin resistance. The paper discusses the biological mechanisms underlying these effects, as well as potential risks associated with long-term adherence to the diet. It underscores that, despite promising results, further research is necessary to better understand the long-term effects of the ketogenic diet and its applicability across various patient populations. Conclusions highlight the need for patient monitoring during the dietary regimen and the potential for integrating the ketogenic diet into a broader strategy for managing metabolic diseases

Introduction and Objective. Inflammatory bowel disease (IBD), including ulcerative colitis (UC) and Crohn’s disease (CD), is a chronic gastrointestinal disorder marked by relapsing symptoms. Current treatments mainly involve immunosuppressive therapies, which are effective but may have significant side effects. Diet as an adjunctive treatment is appealing due to its accessibility, low cost, and minimal adverse effects. This review explores the role of diet in managing IBD, focusing on dietary strategies during both active disease and remission. Methods. A literature review was conducted using PubMed and Google Scholar with search terms like "inflammatory bowel disease", "Crohn’s disease", "ulcerative colitis", "diet", "IBD treatment", "anti-inflammatory food" and related variations. Articles published within the last five years were prioritized. Brief description of the state of Knowledge. Ulcerative colitis and Crohn’s disease cause gastrointestinal inflammation. Crohn’s disease symptoms include abdominal pain, fistulas and rectal lesions, while UC is characterized by diarrhea, severe discomfort, and blood in the stool. Certain foods often exacerbate IBD symptoms. Proper nutrition during disease stages can improve patients’ quality of life. Diets high in processed foods, sugar, and red meat may increase IBD risk, while fiber and vitamin D3 are associated with fewer flare-ups. Regular malnutrition screening is essential for all IBD patients. Conclusions. Understanding the dietary components that influence inflammation in IBD could lead to better treatment outcomes and longer-lasting symptom relief. Integrating nutrition into personalized treatment strategies should become standard practice for managing IBD.

Liposuction is one of the most commonly performed procedures in aesthetic surgery, with an increasing variety of available methods that enhance both the effectiveness and safety of this treatment. The aim of this paper is to analyze and compare three primary techniques: ultrasonic, laser, and traditional liposuction, as well as to highlight potential directions for the development of this procedure. Based on available literature and research findings, both the effectiveness and potential risks associated with each of these methods will be assessed, allowing for the identification of optimal solutions tailored to the individual needs of patients.

Acne vulgaris is a chronic skin condition affecting millions of people, especially adolescents. This study analyzes the effectiveness of various acne treatment methods, including pharmacological, procedural, and natural therapies. It compares their mechanisms of action, therapeutic effects, and potential side effects. The aim of this study is to identify the most effective therapeutic strategies to improve patients’ quality of life and mental health. The analysis results suggest that a comprehensive approach to acne treatment, combining different methods, may yield the best outcomes.

Migraine, a complex neurological disorder, affects a significant portion of the population and presents both medical and societal challenges. The aim of this paper is to provide a detailed review and analysis of available therapeutic methods for patients suffering from migraines, considering both pharmacological and non-pharmacological therapies. The approaches presented include acute treatment with triptans and nonsteroidal anti-inflammatory drugs (NSAIDs), as well as preventive therapies, such as beta-blockers and antiepileptic drugs. The section on non-pharmacological therapies focuses on cognitive-behavioral therapy (CBT), biofeedback, and lifestyle recommendations, including diet and sleep hygiene. A review of the literature indicates that integrating pharmacological and non-pharmacological approaches can significantly improve treatment effectiveness and the quality of life for patients with migraines.

Scars are a natural consequence of the wound healing process, but excessive scarring can lead to aesthetic and functional concerns. This paper aims to review current scar treatment methods, including modern techniques such as laser therapies, microneedling, corticosteroid injections, and silicone dressings. Special attention is given to the treatment of hypertrophic scars and keloids, which present significant challenges in contemporary medicine. An analysis of recent studies highlights the effectiveness of these methods in improving scar appearance and reducing discomfort associated with scars. Additionally, emerging experimental therapies, such as the use of stem cells and monoclonal antibody treatments, are discussed. The findings suggest that early intervention and individualized treatment approaches are crucial for achieving optimal aesthetic and functional outcomes.

Cervical cancer poses a global health challenge, being one of the most common cancers of the reproductive organs and a leading cause of morbidity and mortality worldwide. The disease, resulting from infection with the human papillomavirus (HPV), tends to develop in advanced stages, significantly complicating effective treatment. Despite advancements in medicine, diagnostics, and therapy, cervical cancer remains a serious public health threat. Periodic surveillance through screening has significantly reduced the incidence of cervical cancer; however, in Poland, there is a notable gap between potentially available preventive measures and their actual utilization by the population. It has been observed that only around 20% of Polish women participate in screening programs, contributing to Poland having one of the highest rates of incidence and mortality from this type of cancer in Europe. This leads to the conclusion that cervical cancer constitutes an unresolved oncological and epidemiological problem in Poland. In the context of these challenges, a crucial aspect is understanding the level of public knowledge about cervical cancer, its risk factors, and available preventive measures. This study focuses on evaluating the societal knowledge regarding the risk factors of cervical cancer, identifying existing gaps, and suggesting potential areas for educational interventions.

Bouveret's syndrome, a rare complication of gallstone disease, poses a significant diagnostic and therapeutic challenge, particularly in elderly individuals with multiple comorbidities. The mortality rate ranges from 12-30%, emphasizing the importance of prompt and accurate diagnosis. Nonspecific symptoms, such as nausea, vomiting, and abdominal pain, contribute to delayed diagnosis. Healthcare professionals, especially those involved in gastroenterology and surgery, require comprehensive education on Bouveret's syndrome. Training should emphasize the diverse diagnostic modalities, including the use of imaging techniques such as X-rays, ultrasound, and MRI. Awareness of the syndrome's rarity and collaboration among specialists from various fields are crucial for effective management. Additionally, educational programs should underscore the need for individualized treatment plans, considering patient parameters such as age, comorbidities, and the inflammatory state of surrounding tissues. While endoscopic procedures exhibit lower success rates, they are often preferred due to the high risk associated with open surgical procedures in elderly patients. Continuous medical education should also highlight the potential link between diabetes and Bouveret's syndrome, emphasizing the importance of recognizing risk factors and ensuring timely medical intervention. In conclusion, enhancing the knowledge base of healthcare professionals through targeted education is essential for improving the diagnosis and management of Bouveret's syndrome, ultimately contributing to better patient outcomes.

Introcudtion Myocarditis is one of the leading causes of sudden cardiac deaths among athletes. One of the factors increasing the risk of this disease is engaging in sports training during an infection. Many athletes, regardless of their level of advancement, are not aware of the risks associated with training during an infection, and those who are aware often ignore them and continue training. Purpose Assessment of behaviors and awareness among runners in Poland regarding the risk of developing myocarditis as a result of training during respiratory tract infections. Material and method In December 2023, a voluntary and anonymous online survey was conducted among a group of 399 adult runners from Poland. The survey included 13 questions, consisting of 11 single-choice questions and 2 multiple-choice questions. Results The percentage of individuals who do not associate training during an infection with an increased risk of myocarditis amounts to as much as 44.4% (n=177), while a staggering 86.7% (n=346) of respondents declare that they undertake training during respiratory infections. Conslusion After analyzing the survey, it's evident that while the Polish running community recognizes the risks of training during infections, many still exercise despite symptoms. Although most understand that intense training and early return to sports can harm health, awareness of myocarditis risks from exertion during infection is lacking. Despite protocols for post-illness return to sports, there's a need for campaigns to educate the running community on infection-related training risks.

This study examines the potential impact of hypoglycemia on mental comorbidity in anorexia, comparing it to similar changes in diabetes. Anorexia, characterized by low body weight, is linked to hypoglycemia, possibly affecting mental health. Recurrent hypoglycemia in diabetes leads to mood changes and cognitive impairment. Anorexic individuals may experience deficits in cognitive functioning and psychiatric comorbidities, including affective disorders and anxiety. Imaging studies show structural changes in the brains of both anorexia and diabetes patients, but the direct link between hypoglycemia and psychoorganic changes in anorexia remains inconclusive, warranting further investigation.

Introduction and purpose: The joyous occasion of childbirth is often overshadowed by the prevalence of postpartum depression (PPD), a complex mental health condition affecting mothers globally. This paper reviews the current state of knowledge on PPD, exploring its frequency, risk factors, pathogenesis, symptoms, and impact on maternal and child health. Description of the State of Knowledge: Recent studies indicate an alarming increase in PPD rates, with notable racial and socioeconomic disparities. Symptoms of PPD, ranging from mild to severe include mood disturbances, cognitive impairments, and self-harm ideation. The repercussions extend beyond the postpartum period, affecting long-term child development, breastfeeding practices, and the mother-infant bond. Advancements in screening tools, particularly the Edinburgh Postnatal Depression Scale (EPDS), have facilitated early detection. However, creating an environment conducive to open communication about mental health remains a significant challenge. Interventions for PPD include psychotherapeutic approaches, pharmacological interventions, and complementary therapies. Brexanolone, the first FDA-approved drug for PPD, represents a significant breakthrough. Community-based and peer support programs, alongside a multidisciplinary approach involving healthcare professionals and support networks, have shown promise in alleviating PPD symptoms. Summary: In conclusion, PPD remains a substantial public health concern. Increased awareness of its multifaceted nature has led to improved screening, diagnosis, and intervention strategies. Ongoing dialogue, supportive environments, and refined treatments are essential for enhancing the well-being of both mothers and their infants in the postpartum period.

Abstract: Ingrown toenails, clinically known as onychocryptosis, represent a prevalent nail pathology. The clinical manifestation involves symptoms typical for a foreign body reaction and in severe cases, tissue hypertrophy with complications may occur. Key risk factors include improper nail care, trauma, obesity, tight footwear, poor foot hygiene, and genetic predisposition. The condition predominantly affects individuals between the first and the third decades of life and older adults, with a predilection for the great toe, especially the lateral skin fold. The Heifetz and Scholz classifications delineate the stages of ingrown toenails based on severity. Therapeutic approaches range from conservative procedures, such as taping, dental floss, gutter treatment, cotton nail cast, braces and super elastic wire to surgical interventions like partial or total nail avulsion, matricectomy and advanced techniques like the Vandebos procedure or the Winograd procedure. Although many studies have analysed available treatment methods, there is no consensus among specialists regarding the best therapeutic strategy. Complications include paronychia, infection, and scarring. A comprehensive therapeutic approach should consider clinical severity, patient preferences, and both conservative and surgical interventions, emphasizing the importance of larger randomized clinical trials to establish definitive guidelines.

Podczas każdej pielgrzymki Jan Paweł II spotykał się z przedstawicielami innych religii lub kierował do nich przesłanie. W niniejszym artykule autor analizuje dwie wizyty papieża: w Togo (1985) i w Beninie (1993), podczas których papież spotkał się z przedstawicielami kultów vodun. Autor zwraca uwagę, że okoliczności, czas i miejsce zdeterminowały znaczenie tych spotkań w oczach wyznawców religii tradycyjnych. Dla wyznawców religii vodun była to pewna legitymizacja ich wierzeń na równi z chrześcijaństwem, zaś dla katolików był to wyraz cichej aprobacji ich powiązań z religią tradycyjną. Niemniej, otwarcie na drugą osobę, dostrzeżenie problemów egzystencjalnych i nierówności społecznych wypływające z postawy i orędzia Papieża, silnie odcisnęło się w pamięci mieszkańców. Wizyty Jana Pawła II na długo pozostaną wydarzeniem wyjątkowym i niezwykłym we współczesnej historii Togo i Beninu.

W artykule przedstawiono zagadnienie relacji międzykulturowych na wybranych przez autora przykładach spotkań w codziennych sytuacjach pomiędzy tubylcami żyjącymi w zasadniczo katolickim społeczeństwie, w którym model życia rodzinnego oparty jest o zasady ewangeliczne, a przybyszami, dla których chrześcijańskie wzorce kulturowe są zazwyczaj obce. Autor opracowania dochodzi do wniosku, że każda zachodząca relacja między tymi dwoma podmiotami jest nie tylko wyjątkowym doświadczeniem, ale także okazją do kulturowego wzbogacenia się katolika oraz zweryfikowania przez niego swych przekonań kulturowych. Autor zauważa, że zarówno postawy, które sprzyjają owocnemu kontaktowi (np. otwartość, pokora, duch dialogu), jak i czynniki go utrudniające (np. nietolerancja, podejrzliwość wobec obcych) wynosi się z rodzinnego domu. Stąd należy dołożyć wszelkich możliwych starań, aby młodzi ludzie uczeni byli w rodzinnym domu postaw pożądanych z punktu widzenia właściwie ukształtowanych relacji pomiędzy przedstawicielami różnych kultur. Jednocześnie autor wskazuje, że kierunek działań, jakie powinny zostać podjęte dla ukształtowania przez katolików własnych odniesień do przedstawicieli niekatolickich kultur, wyznacza wiele oficjalnych dokumentów Kościoła rzymskokatolickiego. Jednym z najważniejszych wśród nich jest dokument Papieskiej Rady ds. Dialogu Międzyreligijnego i Kongregacji ds. Ewangelizacji Narodów „Dialog i przepowiadanie” (1991). Sumując przeprowadzone analizy, autor podkreśla, że harmonijne życie w społeczności wielokulturowej nie jest sprawą kompetencji, ale jest uwarunkowane budowaniem - w szczególności już w rodzinnym domu - właściwych postaw, które gwarantują otwartość i empatię wobec innego, a zwłaszcza obcego kulturowo człowieka.

Bazując głównie na własnych doświadczeniach i badaniach terenowych w Togo w artykule przedstawiono sposób, w jaki tradycja wplata się w nowoczesność, a także ukazano, jak w dyskursie politycznym i społecznym wykorzystuje się światopogląd oparty na religii tradycyjnej. Czy odrzucenie tradycji przez młodych wiąże się z jej hamującą rozwój siłą? Analizie poddano: imperatyw solidarności rodzinnej, który utrudnia rozwój jednostki, rytualizm zmuszający do poświęcenia wszelkich oszczędności na organizację wydarzeń świątecznych oraz czarownictwo, które pozwala na wytłumaczenie nierówności w życiu publicznym. We wszystkich tych obszarach tradycja nie tylko jest obecna, ale odgrywa ważną rolę jako czynnik stabilizujący, wyjaśniający i ogarniający rzeczywistość społeczną.

Autor koncentruje się na pojęciu kultury w nauczaniu Kościoła oraz w projekcie międzykulturowości. Różnica tych dyskursów zasadza się głównie w pojmowaniu wartości. Przyjęcie prawdy absolutnej z perspektywy religijnej przeciwstawia się relatywizacji normy w projekcie międzykulturowości. Choć oba podejścia są zgodne co do potrzeby harmonijnego życia w społeczeństwie wielokulturowym, to proponowane sposoby realizacji tego zadania różnią się zasadniczo. Jan Paweł II wzywa do tworzenia opartej na ideałach „cywilizacji miłości”, projekt zaś międzykulturowy, do budowania społeczeństwa na zasadach konsekwencjalizmu.

Artykuł dotyczy kościołów i grup religijnych, które powstawały w Afryce na bazie chrześcijaństwa w XX w. Przykładem jest tu religijność ludności zamieszkującej rejon Basenu Dolnego Konga. Początkowo aktywność religijna była tu wyrazem protestu przeciw segregacji rasowej i wyzyskowi kolonialnemu. Powstające kościoły niezależne były często kuźnią rodzących się nacjonalizmów. Ożywiane duchem mesjańskim przy­rzekały lepszą przyszłość wraz z uzyskaniem niepodległości. Z czasem kościoły te się zinstytucjonalizowały, a państwa uzyskały niepodległość, ale nie oznaczało to obiecanej świetlanej rzeczywistości. Wręcz przeciwnie. Kryzys lat osiemdziesiątych i dziewięć­dziesiątych XX w. spowodował wzrost ubóstwa i zakwestionowanie dotychczasowego rozwoju. Na tym podatnym gruncie powstawały nowe ruchy religijne o charakterze neopentekostalnym, które głoszą teologię dobrobytu i praktyczne zbawienie, w ramach którego możliwe jest wyjście z biedy przez osobiste nawrócenie i zaangażowanie religij­ne. W związku z wielką popularnością tych ruchów, niezależne kościoły afrykańskie zmuszone są do znacznych adaptacji.

Based mainly on the author’s own experience and field research in Togo, the article outlines the way in which tradition is woven into modernity, as political and social discourse uses a worldview based on traditional religion. Is the rejection of tradition by young people related to its strength of inhibiting the development? The following were analyzed: the imperative of family solidarity, which hinders the development of the individual and ritualism forcing to sacrifice any savings for the organization of festive events and witchcraft, which provides the explanation of inequality in public life. In all these areas, the tradition is not only present, but it plays an important role as a stabilizing factor, explaining and encompassing social reality.

This article reports a study which gathered Polish learners’ opinions about the usefulness of L1-based techniques in learning L2 English and L3 Russian grammar. The results reveal a negative correlation between the length of study and the level of positive evaluations of the usefulness of L1-based clues. Although L1 was generally considered more useful in learning Russian, the evaluations differed considerably in relation to particular structures in both languages.