Search Results (4)

Background: Amniocentesis is a widely used invasive prenatal diagnostic procedure, recognized for its high sensitivity and low risk of complications. This study aims to evaluate the association between amniocentesis and pregnancy outcomes, such as miscarriage, preterm rupture of membranes (PROM), and preterm birth, as well as perinatal outcomes. Methods: A case-control study was conducted at the Regional Hospital in Kielce, Poland, from 2016 to 2022, involving 1834 patients, 225 of whom underwent amniocentesis, while 1609 did not receive any invasive diagnostics. Data were collected from medical records and included maternal factors such as age, BMI, delivery mode, complications, and newborn condition. Results: The study found no statistically significant differences between the study and the control groups regarding pregnancy or perinatal characteristics. Miscarriage occurred in 1.9% of the patients in the amniocentesis group, with no cases in the control group. Rates of preterm delivery were similar between groups (8.33% in the study group vs. 5.74% in the control group, p > 0.05). Postnatal outcomes, such as birth term, birth weight, and Apgar scores, were comparable across both groups. Fetal growth restriction was slightly more frequent in the study group (2.8% vs. 0.8%). One neonatal death was observed in each group. The relative risk of complications following amniocentesis was 1.69 (CI 0.38–7.24). Conclusions: Amniocentesis is a safe invasive prenatal procedure. It should be offered to every pregnant woman when necessary. Before the procedure, the patient should be clearly informed of the risk related to amniocentesis but at the same time reassured that the complication rate is very low. Full article

The article presents findings from the multidimensional comparative study focusing on the implementation of the Smart City concept in selected cities of the Visegrad Group (V4). V4 has been established by its member states (Poland, Slovakia, Czech Republic and Hungary) in a joint effort to break from the communist past and develop the common democratic values of the European Community. Aforementioned efforts involved meeting other important goals, such as socio-economic convergence processes including reaching better living conditions for V4 citizens. At present, strategies that aim to improve the wellbeing of citizens are manifested by Smart City concepts and are being implemented in V4 cities. The main research task in this article is to answer the question regarding regional (state) divergence in Smart City implementation in selected cities. The results of the study show that the best Smart City implementation scores are shared by Czech Republic towns. Polish cities (Kielce, Rzeszów, Lublin) located in the eastern regions of the country (which are also eastern border regions of the European Union) have the worst Smart City implementation scores, according to the value of the synthetic measure. Full article

In this study, we compared the operative time for unilateral inguinal hernia repair in children performed with either an open approach (OA) or the Percutaneous Internal Ring Suturing (PIRS) method. It was a retrospective chart review of all patients ages 0 to 18 who underwent unilateral inguinal hernia repair in the Department of Pediatric Surgery, Urology and Traumatology of the Regional Hospital in Kielce between January 2011 and December 2018. Patients with bilateral hernias or additional problems were excluded. Of 878 patients qualified for the study, 701 were in the OA group and 177 in the PIRS group. Overall, the time needed to complete the procedure was significantly longer for the OA method. The operative time was longer if the hernia was left-sided (p = 0.024). Analysis by gender showed that operative time was generally longer in males. For both genders, surgery was shorter if the PIRS method was used. For males in the PIRS group the operative time was affected by the location of the hernia, and it was longer for a left-sided hernia. The take-home message is that the PIRS procedure is faster than the OA for inguinal hernia repair in children and it might be considered as a preferred method, especially in females. Full article

The Rock Garden, established in 2019, is a geological showcase of both the Institute of Geography and Environmental Sciences of Jan Kochanowski University in Kielce and the entire Kielce region in central Poland. The collection includes specimens of about 50 rocks: those whose outcrops are located in the Holy Cross Mountains region and those brought here from Scandinavia by the ice sheet around 180 to 130 thousand years ago. The Rock Garden is of scientific importance and plays a didactic, conservational, educational, cultural, aesthetic, recreational, and geotouristic role. This article highlights its importance in the development of urban geotourism. Full article