European Journal of Clinical and Experimental Medicine T.15, z. 4 (2017)

URI dla tej Kolekcjihttp://repozytorium.ur.edu.pl/handle/item/3509

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Non-specific low back pain – what does it exactly mean? A proposed redefinition and classification of the problem
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Małecki, Jacek
Introduction. Analysis of the medical literature shows that non-specific low back pain is a multifaceted affliction. Determining the unequivocal definition and classification of the ailment could be somewhat difficult. The following review presents a multiplicity of common low back pain nuances. The paper also shows necessity of unification of the definition and clarification, for placing non-specific low back pain among other musculoskeletal disorders. Aim. The author will attempt to provide the answers to basic questions about non-specific low back pain. In its form, the paper will have similarities to the prospect study with narrative review features. Although the reader should remember that the article is neither a result of expert team efforts nor non-specific low back pain leading authority opinion. Therefore the suggestions should be interpreted with necessary distance and scientific scepticism. Material and methods. Proper publications were searched in PubMed and EBSCO scientific articles databases, using terms: ‘nonspecific low back pain’ or ‘non-specific low back pain’, ‘definition’, ‘diagnostic triage’, and ‘classification’ in different combinations. Results. As a result of the review, subtle correction of the current non-specific low back pain definition has been proposed. Acknowledgments. The author of this review wishes to show his appreciation to Prof. Edward Saulicz, the promotor and mentor for didactic support, methodologic and merythoric advice, and for manuscript correction. Thanks also extended to colleague Łukasz Sejboth, master of physiotherapy, for help with appropriate references and motivation to scientific exploration with his unassailable attitude and professionalism. Furthermore, author would like to acknowledge Keith Littlewood for his kind and valid amendments in the English version of the manuscript.
Macro and micronutrient deficiency in inflammatory bowel diseases
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Jarmakiewicz, Sara; Piątek, Dominika; Filip, Rafał
Introduction. Inflammatory bowel disease (IBD) is group of global range inflammatory conditions. There has been a regular increase in the number of IBD cases. Patients exclude whole food groups from their diet fearing the emergence of disease symptoms or due to learning from unreliable sources. Doing so, they might deepen the already existing vitamin deficiencies which occur along with the shortage of many minerals. These deficiencies might intensify the disease process or cause a new one. The most common deficits pointed out by numerous researchers concern vitamin D, calcium, cobalamin, folic acid and iron. It is well worth introducing selenium, zinc and ascorbic acid into a diet because of their immunomodulating effect. Important aspect of the healing process is a personalized diet which is designed to compensate for, or prevent vitamin and mineral deficiencies. Aim. The purpose of the study was to review the literature about vitamin and mineral deficiency in Inflammatory Bowel Diseases. Materials and method. Analysis of literature.
Surgical voice rehabilitation performed by means of voice prosthesis post laryngectomy
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Kamiński, Bartłomiej
Introduction. In 1972, in Poland, Professor Erwin Mozolewski presented a pioneering thesis concerning the creation of intubated voice fistula in a group of 24 patients. It was undoubtedly the prototype of today’s voice prosthesis. Materials and method. The study involved 33 men after total laryngectomy due to advanced squamous cell carcinoma, treated in the Otolaryngology Ward of the District Hospital in Skarżysko-Kamienna between the years 2012–2017, who were implanted with a voice prosthesis Provox II and Provox Vega. Results. During the analyzed period, 127 voice prosthesis were replaced in 33 patients. This paper focuses on complications connected with the implantation of voice prosthesis. The most common reason for replacement of a voice prosthesis was fluid leakage through the voice prosthesis channel – 95 cases. Spontaneous prolapse of the voice prosthesis occurred in 11 patients, and after re-insertion of the prosthesis, the correct fistula voice was obtained. The voice prosthesis was replaced due to difficulty in creating the prosthetic speech in 8 patients. A much more serious complication is the occurrence of leakage around the voice prosthesis. In the examined group, leakage around the prosthesis occurred in 5 patients. An inflammatory plaque was formed around the prosthesis, which was removed in case of significant prosthetic cover or at the request of an alarmed patient – in 4 patients. The prosthesis protruded and rotated in the trachea and hung on a fragment of mucous membrane of the trachea in 1 patient.
Assessment of disability and quality of life in elderly people in institutional care
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Kilian, Justyna; Pęcak, Joanna; Ćwirlej-Sozańska, Agnieszka; Wiśniowska-Szurlej, Agnieszka; Sozański, Bernard; Wilmowska-Pietruszyńska, Anna
Introduction. Increasing incidence of disability among elderly people results in a growing need for long-term care. Aim. The aim of the study was to assess the disability and quality of life in people over 60 living in institutional care. Material and methods. The study group included a group of 100 people residing in social welfare homes in south-eastern Poland. The WHODAS 2.0 questionnaire was used to assess disability and the WHOQOL-Bref questionnaire was used to assess the quality of life. Results. The majority of the respondents had difficulties in getting around (47.94), participation in society (34.29) and self-care (32.40). The lowest level of disability was found in the domain of getting along with other people (6.67). The highest level of quality of life was observed in the environmental domain (63.62), and the lowest in the social domain (37.10). A relationship was found between disability and the quality of life in the study group. Difficulties in terms of getting around and self-care, as well as participation in society had a negative impact on the quality of life. Conclusion. The residents of social welfare homes were characterized by moderate disability and a good quality of life. The results obtained indicate the domains of functioning that require the greatest support for the residents of social welfare homes. The implementation of programs to improve the performance of basic and complex activities of daily living (ADL) may improve the functional status and quality of life in these people.
Nutritional behavior of pregnant women from the Podkarpacie province
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Dereń, Katarzyna; Gaweł, Magdalena; Łuszczki, Edyta; Jarmakiewicz, Sara; Sokal, Aneta; Polak, Ewelina; Wyszyńska, Justyna
Introduction. Healthy nutrition is very important during pregnancy for both a baby and a mother. Modification of metabolic and hormonal processes i.e. metabolic programming occurs already at the prenatal stage. This process significantly affects the baby’s health and eating habits at a later age. The diet of a pregnant woman should supplement the demand for energy, nutrients, vitamins and minerals. An expecting woman needs to also avoid products that are contraindicated during this period, such as raw milk, eggs or meat. Aim. Assessment of nutritional behavior of pregnant women from the Podkarpacie province. Materials and method. 228 women living in the Podkarpackie province were enrolled in the study. Surveys were collected via the Internet. An anonymous questionnaire developed by the authors was used. Results. Women’s eating habits are primarily influenced by education. Most women had knowledge about proper nutrition and awareness of its impact on the health of the baby. A worrying fact was a very low intake of dairy products. 44% of women consumed dairy products only once a day. Fruit and vegetables consumption was also low (40% of the respondents ate only from 100 to 200 g during the day). Conclusions. Although part of the eating habits of pregnant women is correct, nutritional education should be introduced in this group, especially related to the adequate supply of dairy products, fruit and vegetables to supplement the necessary vitamins, minerals and protein.
Most frequent injuries and their causes in Ultimate Frisbee players
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Kołodziej, Gabriela; Jandziś, Sławomir; Kołodziej, Krzysztof; Skubal, Anna; Cyran-Grzebyk, Barbara
Introduction. Media publicity of sports and increased training have pushed the limits of the human body and have correspondingly led to an increase in the number of sports injuries. Incorrect play techniques, inadequate warm-up and other factors often lead to an increase in the number of injuries in Ultimate Frisbee. Aim. Assessment of the impact of gender, age and training experience on the incidence of injuries in Ultimate Frisbee. Material and methods. 110 people aged 16 to 35, regularly practising Ultimate Frisbee were included in the study. Of the 110 participants, 36 were women and 74 were men. The results were obtained by means of a questionnaire prepared by the authors which concerned sociodemographic data and questions about sports injuries. The incidence of injuries was analyzed in terms of the training experience, gender and age of the respondents. Statistical analysis was performed using STATISTICA 13.1. Results. Our research showed a relationship between sex and the site and type of injury. Age affects the main cause of the injury, and training experience influences the site and type of injury (p <0.05). The largest group of respondents were people training Ultimate Frisbee at least 3-4 times a week (62.73%). Conclusion. Sex and the training experience have a significant impact on the site and type of injury. The main cause of the injury depends on age; in the study group the most common cause of injury occurred when respondents were not complying with the rules and technique of the game.
Health behaviors of patients after breast cancer surgery in the Podkarpackie voivodeship
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Pusz-Sapa, Aleksandra; Gaweł, Greta; Sobczyk, Joanna; Wojtasik, Aneta; Król, Małgorzata; Misiewicz, Emilia; Lidwin, Barbara
Aim. An evaluation of lifestyle changes (physical activity, diet) in patients after breast cancer surgery. Materials and method. 200 women after breast cancer surgery were surveyed. The respondents were asked whether the surgery caused a change in their diet and physical activity. An analysis was performed concerning the education, place of residence and age of the respondents. Results. Prior to being diagnosed with breast cancer, about one third of the respondents were concerned about their diet and physical activity. After the surgery more than a half of the respondents were concerned about a healthy lifestyle. Women below 50 years old with higher education, who live in a city, were concerned about their diet and physical activity both before and after surgery. Conclusions. As a result of the breast cancer surgery, lifestyle changes were most often found in women aged 50-69 years old with higher education who lived in a city. Statistical relevance of the results was noted.
Additive interaction for three-drug combination of carbamazepine, lacosamide and lamotrigine against maximal electroshock-induced seizures – a type I isobolographic analysis
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Kondrat-Wróbel, Maria; Łuszczki, Jarogniew J.
Introduction. Treatment of epilepsy patients with one antiepileptic drug often fails and then the insufficiently medicated patients need two or three antiepileptic drugs combined together to stop their seizures. However, polytherapy is always associated with drug-drug interactions whose nature may or may not be favorable for epilepsy patients. Preclinical studies on animals can help to select beneficial combinations of antiepileptic drugs that could be used in further clinical settings. Aim. To isobolographically characterize anticonvulsant effects of a combination of three antiepileptic drugs (carbamazepine, lacosamide and lamotrigine) at the fixed drug dose ratio of 1:1:1 in the mouse maximal electroshock-induced seizure test. Material and methods. Maximal electroconvulsions were evoked in male Swiss mice by a current (25 mA, 500 V, 0.2 s stimulus duration) delivered via auricular electrodes. Type I isobolographic analysis was applied to assess the interaction among carbamazepine, lacosamide and lamotrigine. Results. Isobolographic analysis revealed that the combination of carbamazepine, lacosamide and lamotrigine produced additive interaction in the mouse maximal electroshock-induced seizure test. Conclusions. Additivity among carbamazepine, lacosamide and lamotrigine in this preclinical study can be translated to clinical settings and this three-drug combination can be recommended as a treatment option for epilepsy patients who are resistant to standard treatment regimens.

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