Medical Review

URI dla tego Zbioruhttp://repozytorium.ur.edu.pl/handle/item/1599

Medical Review (poprzednio: Przegląd Medyczny Uniwersytetu Rzeszowskiego i Narodowego Instytutu Leków w Warszawie) to recenzowane czasopismo, wydawane przez Uniwersytet Rzeszowski. Ukazuje się w druku cztery razy w roku. Wersją pierwotną (referencyjną) czasopisma jest wydanie elektroniczne. Czasopismo jest indeksowane w bazach Index Copernicus i Ministerstwa Nauki i Szkolnictwa Wyższego, CEJSH oraz PBL. Wszystkie opublikowane artykuły dostępne są również pod adresem internetowym http://www.pmurz.rzeszow.pl/. Czasopismo Mediacl Review jest wydawane w wersji polsko-angielskiej. Tematyka prac publikowanych w czasopiśmie obejmuje zagadnienia związane z szeroko pojętą medycyną, medycyną kliniczną, rehabilitacją, fizjoterapią, farmakoterapią, zdrowiem publicznym również tematy dotyczące oceny jakości leków, bezpieczeństwa ich stosowania. Redakcja publikuje również przedruki (standardy, zalecenia, czy opinie Konsultantów Krajowych różnych dziedzin medycyny) po uprzednim uzyskaniu zgody wydawcy.

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Application of the log-linear analysis to choose determinants of disability among the elderly residents of south-eastern Poland
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2016) Ćwirlej-Sozańska, Agnieszka; Sozański, Bernard; Wilmowska-Pietruszyńska, Anna
Introduction: Many variables in research in the area of medical and health sciences are qualitative in nature. A common statistical tool used to analyze them is the χ2 test. However, it does not allow us to assess the relationship between a number of variables and distinguish the factors determining the investigated phenomenon. A more accurate tool is the log-linear analysis, which enable the researcher to evaluate the dependences and interactions between the studied variables. Purpose: Description of the use of log-linear analysis on the example of the cross-sectional study on disability of the elderly. Material and methods: The assessment of disability and the choice of the factors that determine it was carried out on the results of a survey of 800 randomly selected people aged 71-80 years from the area of south-eastern Poland. The research tool was a WHODAS 2.0 questionnaire and a respondent’s particulars. The log-linear model was used for the analysis. In order to evaluate the fitting of the model, the Pearson’s χ2 and the χ2 maximum likelihood statistics, R2 and A coefficients were used . Results: Education, adjustments of a house / flat, physical exercises have a significant impact on the prevalence of disability in the study group . Conclusions: The log-linear analysis allows us to determine the effect not only of individual variables on the formation of an independent variable, but also their interactions and the determination the odds occurrence of a dependent variable according to different qualitative categories of dependent variables. The information obtained in this way is a valuable clue to take practical action to decrease or increase the severity of the studied phenomenon.
Aqua gymnastics and functional efficiency of women after 60 – pilot study
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2016) Walicka-Cupryś, Katarzyna; Ćwirlej-Sozańska, Agnieszka; Brzozowska-Magoń, Agnieszka; Łyczko, Anna
Introduction and Aim: Aging of the society is a serious problem of the modern world. Elderly people often avoid physical activities which lead to sedentary lifestyle. One suitable forms of physical activity for elderly is aqua gymnastics. The aim of the study was to determine if a larger study, using the chosen methods is feasible. This study tested the hypothesis that performing a 16-week course of aqua gymnastic training would result in improved functional fitness in women aged over 60. Material and Methods: The trial included a sample of 20 women randomly selected from the 100 who responded to the application of research. The measurements such as height, weight, waistline and hip width were conducted before and after a series of exercises in water. Results: After four-month-period of exercises in water an improvement in index value was due to weight loss, a slight decrease in waistline, the basis of the Fullerton Functional Fitness and an improvement in functional efficiency of all tested women was observed. Conclusion: After 16 weeks of aqua aerobic in the group of women aged over 60 a significant functional fitness improvement was observed.
Assessment of functional capacity and the risk of falls in the elderly with mild and moderate stage dementia
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2016) Skubal, Anna; Sudoł, Izabela; Ciąpała, Gabriela; Ćwirlej-Sozańska, Agnieszka; Wiśniowska-Szurlej, Agnieszka; Wilmowska-Pietruszyńska, Anna
Introduction: Dementia is a common problem among the elderly. Cognitive impairments may cause difficulty in performing basic activities of daily living. The deterioration of physical and / or mental capacity can lead to the necessity of institutional care over patients. Aim: To assess functional capacity and the risk of falls in the elderly with mild and moderate dementia. Material and Methods: The study group included 146 people aged 60-90 residing in the Residential Home as well as Care and Treatment Centre in the south-eastern Poland. Cognitive and functional capacity, balance, and the risk of falls were assessed using the following scales and clinical tests: the Mini-Mental State Examination (MMSE), Geriatric Depression Scale (GDS), Activities of Daily Living (ADL), Time Up & Go test, Tinetti test, Berg Balance Scale. Results: It has been demonstrated that individuals with dementia were characterized by reduced capacity in performing basic activities of daily living. More than half of the patients with mild and moderate dementia presented 5-times higher risk of falls than those without dementia. Moderate risk of falls was observed in 76.1% of patients with moderate dementia. Conclusions: Cognitive impairments decrease the capacity to perform basic activities of daily living. The higher the stage of dementia, the worse the balance and the greater the risk of falling. It is necessary to develop simple rehabilitation programs allowing to maintain the highest possible level of functional capacity in the elderly patients with dementia under institutional care.
Assessment of mobility, body balance and risk of fractures in the elderly
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2016) Ćwirlej-Sozańska, Agnieszka; Wilmowska-Pietruszyńska, Anna; Wiśniowska, Agnieszka; Guzik, Agnieszka; Drużbicki, Mariusz; Sozański, Bernard
Introduction. In recent years, we have seen significant changes in the highly dynamic process of ageing amongst the population of Europe, leading to increasing life expectancy. Prolonging the life of the elderly, in which full independence and functional performance are maintained, is a challenge facing modern medicine. It is necessary to take actions to improve health and quality of life during old age. Purpose. The aim of this research is to assess the differences in mobility level and static/dynamic balance, as well as the risk of bone fractures between people aged 50 and 65 years and the elderly aged between 66 and 80 years. An analysis of the suitability of selected clinical tests is conducted to assess the above mentioned parameters. Material and methods. The study included a group of 200 randomly selected people living in Rzeszow, a city in southeastern Poland, who were aged between 50 and 80 years. All the results of the research, which ultimately involved 138 people – 103 women and 35 men – have been analysed. To assess the mobility and static/dynamic balance, the following clinical tests were used: Timed Up and Go, Functional Reach, Tandem Stance, Tandem Walk and Tandem 180° Pivot. For the assessment of fracture risk, the Fracture Risk Assessment Tool (FRAX) calculator was used, while the data were collected on the basis of direct interviews. Results. It was found that, with age, the frequency of dynamic balance, mobility disorders and the risk of bone fractures significantly increase. In a group of people aged 66 to 80 years, a decrease in the efficiency level of mobility and balance was observed in 30% of respondents on average, depending on the kind of functional test used (20-60%), in relation to people whose age did not exceed 65 years. Conclusions. It is necessary to take preventive actions, especially amongst a group of people aged over 65 years, in order to improve functional efficiency and balance, thereby reducing the risk of fractures.
Leisure Time Physical Activity of 11-year-old Children from the District of Rzeszow
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2016) Milewska, Natalia; Wiśniowska-Szurlej, Agnieszka; Rejman, Ewelina; Ćwirlej-Sozańska, Agnieszka; Wilmowska-Pietruszyńska, Anna
Introduction: Physical activity is an integral part of human life. Younger school age is a period in which child’s development is conditioned by their activity. Physical stimulation during this period is important from a medical and psychological perspective. The aim of the study was to evaluate the influence of sociodemographic factors on the level of physical activity and ways of spending leisure time by 11-year-old children from the district of Rzeszow. Material and methods: The study group consisted of 313 primary school children from the district of Rzeszow, 75 pupils from the city and 238 from rural areas, 164 girls and 149 boys aged 11. The study was conducted by means of a diagnostic survey in a form of a questionnaire prepared by the researchers. Results: In the study group, no significant statistical differences between a place of residence and a number of days devoted to physical activity by children were found. The most common form of activity in their leisure time were classes at the swimming pool and table tennis. The most popular passive form of leisure was watching TV. Statistically significant differences between gender and the amount of time spent at the computer were found. Boys spent more time at the computer than girls. Conclusions: There was no relationship between social environment and the level of physical activity and the way of spending leisure time in the tested children. Boys spent more time on passive forms of recreation. Statistically significant correlation between gender and time spent at the computer was found.

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Przeglądanie Medical Review według Autor "Ćwirlej-Sozańska, Agnieszka"