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Introduction and Purpose: Dyspareunia is a sexual disorder associated with pain in women. It refers to pain related to sexual intercourse. Pain can occur during penetration attempts, during penetration, during intercourse, and shortly after penetration. Studies conducted in the United States indicate that the problem of pain during intercourse affects as much as 10-20% of women. [1] In Poland, this number is estimated to be around 13%.[1] The aim of this review is to delve into the existing literature on the diagnosis of dyspareunia in women and to raise awareness of its extensive nature, emphasizing an interdisciplinary approach to patient care. A Brief Description of the State of Knowledge: The etiology of dyspareunia is multifactorial and may arise from pathological changes in the vulva and vagina, inflammatory changes, contact irritations, as well as vulvar conditions such as lichen sclerosus and flat. [3] Additionally, hormonal changes, pelvic floor injuries, postpartum gynecological procedures also play a significant role. Psychological factors such as trauma, anxiety, and depression are also important [4]. Conclusions: Dyspareunia is a condition that significantly affects the quality of life of women in various ways, thus necessitating effective therapeutic approaches. Collaboration among diverse specialists such as gynecologists, sexologists, psychotherapists, psychiatrists, and physiotherapists is crucial. Further research focusing on multimodal strategies is needed to effectively tailor treatments and mitigate the systemic effects of chronic pain.

Blood pressure is a key indicator of cardiovascular health, playing a significant role in the diagnosis, prevention, and treatment of heart and vascular diseases. In recent years, interest in the influence of physical activity on blood pressure has increased among researchers and health-conscious individuals. Among the studies presented, researchers examined the effects of various types of physical activity on blood pressure in individuals with hypertension and the level of hypertension control, as well as other components affecting the overall health of patients, such as blood lipid levels, arterial pressure variability over 24 hours, and BMI. The conclusions of the presented studies seemed to be consistent regarding the positive impact of engaging in physical activity on blood pressure and thus the better well-being of patients.

Introduction:Acne is a chronic inflammatory disease of the pilosebaceous unit resulting from androgen-induced increased sebum production, altered keratinisation, inflammation, on the face, neck, chest and back.[1] During the COVID-19 pandemic, many patients with acne complained of worsening symptoms. This investigation was designed to survey the impact of COVID-19 regulations on acne and guide patients with acne on symptom management during the pandemic.[2] Aim of the study:The study aimed to investigate whether the problem of acne increased during the pandemic.Has the pandemic affected the level of people's awareness of acne and skin care?Did wearing masks affect the condition of the skin? Methods and Materials:Research was conducted on a group of 484 people (female – 97%, male – 3%).The study group included patients who suffered from acne before the pandemic and patients who developed it during the pandemic (from March 2020). Results:The conducted research confirms that the restrictions introduced during the COVID-19 pandemic (face masks) had a significant impact on the skin condition of patients with acne and their care habits. Patients' interest in the subject of acne and involvement in the treatment has increased significantly - that is a positive trend. Conclusion: The COVID-19 pandemic has given rise to the need to use personal protective equipment such as masks.[4]The use of face masks is associated with high rates of acne eruption.[5]Patients with acne vulgaris continue to present increasingly in dermatology outpatient clinics and seek treatment during the COVID-19 pandemic.[6] Patients during COVID-19 intensify their dermatology treatment.

Crigler-Najjar syndrome is an autosomal recessive genetic disorder characterized by a mutation in the UGT1A1 gene, resulting in a complete deficiency of uridine diphosphate glucuronosyltransferase enzyme in hepatocytes. This leads to jaundice due to elevated levels of indirect bilirubin in the blood. Two types of the syndrome are distinguished: type I and type II. Untreated disease can lead to serious complications, often necessitating liver transplantation. Therefore, there is a constant need for new treatment methods. This article provides an overview of the clinical symptoms, pathophysiological mechanisms, and current diagnostic and treatment methods for this condition. Although Crigler-Najjar syndrome is rare, its diagnosis and treatment pose clinical challenges due to potential complications associated with bilirubin accumulation. The article also discusses therapeutic perspectives, such as phototherapy and plasma exchange, and provides recommendations for patient care. Given the limited availability of information on Crigler-Najjar syndrome, this review aims to increase clinical awareness and improve the quality of care for patients with this rare disorder.

Wilson's disease, also known as hepatolenticular degeneration, is a rare genetic metabolic disorder that leads to excessive accumulation of copper in the body, particularly in the liver and brain. This results in the gradual damage of these organs and leads to a variety of clinical symptoms. The symptoms of Wilson's disease can be diverse, leading to a broad spectrum of clinical manifestations including fatigue, jaundice, hand tremors, mood disorders, difficulty walking, speech disturbances, as well as neurological and psychiatric issues.The treatment of Wilson's disease typically involves the oral administration of copper-chelating agents, which help the body to eliminate the excess copper. In some cases, symptomatic treatment related to liver or brain damage may also be necessary. The diagnosis of Wilson's disease is based on laboratory tests, imaging studies (such as MRI or CT scans), and the assessment of clinical symptoms. Due to the variety of symptoms, patients are often misdiagnosed, and untreated Wilson's disease inevitably leads to death. Genetic testing can also be useful in confirming the diagnosis. Although Wilson's disease is a chronic condition, with appropriate treatment and monitoring, its symptoms can be effectively managed, and further damage to the liver and brain can be prevented. Regular monitoring of copper levels in the blood, as well as liver and brain function, is crucial for the effective management of Wilson's disease.

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.

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.