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Introduction: Pacients with Down’s syndrome present an increase revalence of autoimune endocrine disorders. We communicate the case of 14 years and 6 months old pacient known with Down syndrome admitted in Endocrinology department with suspicion of hyperthyroidism, the diagnosis being confirmed by hormonal dosage. The particularity of the case consists in: symptomatology onset during puberty, clinical evolution with mild symptoms, without ocular involvement, morphological and functional remission obtained relatively soon after the initiation of antithyroid therapy, lack of posttherapy side effects, favorabile evolution under the “block and replace” therapy
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In this elaboration four important existential issues were outlined: self-respect, subjectivism identity and puberty in the context of education and upbringing.
From the philosophical side subjectivism and self-respect are ontologically ascribed to every human being, whereas the sense of self-respect and subjectivism develop and affect human being’s identity. That is why the sense of self-respect and subjectivism are very important spheres of educational and pedagogical influence. In this elaboration the sense of subjectivism and self-respect as well as the development of identity refer to the period of puberty especially to its first years, time which has special significance for every human being’s life. Young person makes an attempt to function in the grown-ups world but without any individual experience. He seeks his way of life. In this period the pupil is controversial, critical, with his behavior opposes to social rules. His attempt to create his outlook on life, own ideas, reception of the truths of faith often opposes to the grown up world. Pupil, who becomes grown up, distances from parents, teachers and form-masters – he learns how to be independent. Features named above are normal during the growth and development. All of us went through this. Familiarity with human being’s development and his very important part namely puberty helps teachers and parents – its significance is unquestionable. Thanks to this knowledge they can plan precisely their educational and pedagogical actions. In this way teachers and parents can influence proper development of every pupil’s personality and because of this achieve their own pedagogical success.
Józef Tatarczuk, Artur Wandycz and Andrzej Malinowski
It is widely known from the literature that the rate of physical development and sexual maturation is not only determined by genetics but is also modified by physical workload factors. Given the above, this paper aimed at comparing menarcheal age of school-aged athletes engaged in different types of sport (and their respective workloads) after controlling for physical traits such as body height and mass and slenderness ratio. The survey was conducted in 2017 in 6 sports schools in Poland’s Lubuskie Voivodeship. Body height and mass were measured and the slenderness index (body height divided by the cubic root of body weight) was used to establish body build. The age of menarche was self-reported by the study participants. In total, 232 girls aged 9–18 were included in the research, of whom 125 reported their age of menarche. The age-adjusted arithmetic means and standard deviations were calculated for the study participants’ estimates. The raw data were then transformed into standardized z-score values. The significance of differences was assessed by Mann-Whitney U test as an alternative to the t-test when a given variable was not normally distributed. Pearson’s correlation coefficient was used to evaluate linear relations between the workload and age at menarche. It was found that dancers, acrobats and swimmers reported the youngest menarcheal ages. Girls practising most demanding sport disciplines (in terms of strength and endurance) reported the oldest age at menarche. Girls practising more than 3 times per week had menarche later than those practising 3 times a week or less, and the difference was statistically significant. In conclusion it might be stated that the type of sport discipline has a significant effect on age of menarche. Sport disciplines involving heavier physical exertion usually delay the onset of menstruation.