European Journal of Clinical and Experimental Medicine T.15, z. 3 (2017)

URI dla tej Kolekcjihttp://repozytorium.ur.edu.pl/handle/item/3493

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Assessment of the effects of Proprioceptive Neuromuscular Facilitation therapy on the improvement of motor function in a patient after total hip replacement – a case study
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Guzik, Agnieszka; Szpitman, Anna; Drużbicki, Mariusz; Wyszyńska, Justyna; Wolan-Nieroda, Andżelina
Hip osteoarthritis is a serious clinical and social problem. The number of patients who suffer from degenerative changes in the hip joints and require endoprosthesis-plasty is constantly increasing. This paper presents physiotherapeutic activities based on Proprioceptive Neuromuscular Facilitation (PNF) which optimize a patient’s mobilization using the reserves in their body fully to make improvements in movement and to regain lost functions for achieving beneficial therapeutic effects. The aim of the study was to evaluate the influence of PNF therapy on changes in muscle strength, mobility, and gait pattern in patients after Total Hip Arthroplasty. The case described here regards a 63-year-old woman diagnosed with left hip osteoarthritis who had Total Hip Arthroplasty. The patient was examined twice before and after PNF therapy. The range of mobility of hip joints, level of pain, muscular strength and gait were assessed. Applied PNF therapy, including dynamic (eccentric, concentric) and static muscle training, post-isometric relaxation, stabilization and control in the stance phase, resulted in improved hip joint mobility, muscle strength, gait pattern and pain reduction in the patient. The case study demonstrates that a short (two-week) but intensive (over two hours per day) PNF therapy positively influenced selected motor functions after Total Hip Arthroplasty.
Care and nurture patient with Multiple Sclerosis, mechanically ventilated at home – a case report
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Krupa, Sabina
Mechanical ventilation at home is one of the methods of treatment of respiratory failure, but it is not yet widespread in Poland. Domestic ventilation can increase quality of life of patients who can remain at home under the care of a therapeutic team. Multiple sclerosis is one of the diseases that require mechanical ventilation. This disease, leds in many cases to respiratory failure. Here, we describe a case of the patient who has suffered from multiple sclerosis for 23 years and is now mechanically ventilated at home. The paper presents the current state of the patient, problems that affected her and her family, and what changes have occured since the time of her diagnosis with MS.
A renal abscess in the isthmus of horseshoe kidney
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Balawender, Krzysztof; Orkisz, Stanisław; Biela, Przemysław; Sęk-Mastej, Anna
Horseshoe kidney (HSK) is the renal fusion anomaly caused by disturbances in embryonic development when the kidneys are fused together in the lower or upper pole forming an isthmus. The most common disorders in urinary tract related to horseshoe kidney are ureteral pelvic junction obstruction, urinary tract infection and urolithiasis. In our study, we present a rare case of an abscess in the isthmus of horseshoe kidney after extracorporeal shockwave lithotripsy on the right kidney was performed. The patient has had recurrent urolithiasis and underwent 4 treatments on the left kidney in the past without complications.
Review of surgical techniques for the reconstruction of the maxillofacial region used in the Department of Maxillo-Facial Surgery in Rzeszów
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Frańczak, Jan; Pakla, Paweł; Brodowski, Robert; Stopyra, Wojciech; Burdzy, Danuta; Lewandowski, Bogumił
Postoperative reconstruction of tissue loss within the head and neck after extensive resections due to malignant neoplasms or traumas has always been a challenge for maxillo-facial surgeons or ENT physicians. Due to the complex anatomical structure of the head and neck region, every patient requires an individual approach and there is no standard method of management appropriate for all patients. The number of patients treated for malignancy is increasing year by year. The possibility of performing extensive resections in the head and neck region are conditioned by appropriate reconstruction. Aim. The aim of the paper is to present the reconstructive methods used in the Clinical Department of Maxillofacial Surgery, F. Chopin Hospital No. 1 in Rzeszow. A short review of the most commonly used flaps is presented, taking into account their advantages, disadvantages and surgical technique in terms of their usefulness in daily clinical practice.
Complex relationships between endocrinopathies and obstructive sleep apnea syndrome
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Szymańska, Monika; Mizerski, Grzegorz; Kiciński, Paweł
Sleep-related disordered breathing (SRDB) is a term covering a heterogeneous group of conditions with a similar clinical picture yet different pathogenesis. Nocturnal episodes of obstructive apnoea, leading to repeated periods of desaturation and re-oxygenation, activate chemoreceptors and increase the activity of the sympathetic as well as renin-angiotensin-aldosterone system. Moreover, the generation of free radicals and proinflammatory cytokines increases. All the above mentioned disturbances interfere with the function of endocrine glands. On the other hand, many endocrine disorders are associated with an increased risk of obstructive sleep apnoea syndrome (OSAS). In this paper, we discuss relationships between selected endocrinopathies and OSAS.
Clinical aspects of protein glycation
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Galiniak, Sabina; Krawczyk-Marć, Izabela; Sęk-Mastej, Anna; Leksa, Natalia; Biesiadecki, Marek; Orkisz, Stanisław
Introduction. Glycation is a post-translational modification of proteins that depends on the non-enzymatic linkage of a ketone or aldehyde group of sugar with a free amino group of protein. Pathological effects of this process are observed in many disease states under conditions of hyperglycemia, in diabetic complications, and neurodegenerative diseases such as multiple sclerosis. Aim. In this paper we present the characteristics of the glycation process, its consequences, as well as a review of current knowledge about the role of glycation in multiple sclerosis. Material and methods. The databases EBSCO, PubMed, ScienceDirect and SpringerLink were used to search the literature. Analysis of the literature. Intermediate glycation products form a number of derivatives that contribute to oxidative stress and structural changes in the proteins, including induction of aggregation or reduction of affinity for drug proteins. Glucose products may contribute to neurodegenerative changes in patients with multiple sclerosis. Determination of protein glycation products can be successfully used to evaluate the course of multiple sclerosis as a diagnostic marker.
Effects of an abdominal drawing-in manoeuvre on stabilometric and gait parameters in adults: a pilot study
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Linek, Paweł; Nowakowska, Katarzyna; Michnik, Robert; Myśliwiec, Andrzej; Mikołajowski, Grzegorz; Gzik, Marek
Introduction. To our knowledge, no studies have checked the effect of the abdominal drawing-in maneuver (ADIM) on gait and stabilometric parameters in lower back pain (LBP) and pain-free subjects Aim. To assess the effect of sustained ADIM on a) gait pattern and b) stabilometric parameters with opened eyes and closed eyes in an adult population. Material and Methods. A group of 20 adults were invited to participate in the study. The Oswestry Disability Index was used for assessing LBP. Gait analysis was performed on a treadmill ZEBRIS FDM-T. The static balance assessment was performed on a stabilometric platform ZEBRIS FDM-S. Results. There were no significant differences in all tests conducted on the stabilometric platform. Results of gait analysis showed between-group differences in the main effect of group (Non-LBP vs. LBP) for the difference in maximal vertical ground reaction force during the terminal stance (GRFts). The mean GRFts value in the Non-LBP group was greater by 14.8 N (95% CI 9.55–20.1) compared with the LBP group (Table 3). Conclusions. ADIM has no immediate effects on selected stabilometric and gait parameters in the study group. No effect was seen in subjects with and without pain during the examination.
Distribution of public funds on physiotherapy in the Podkarpacie province
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Jaźwa, Paweł; Trojan, Grzegorz; Jaźwa, Agnieszka
Introduction. The Constitution of 1997 of the Republic of Poland guarantees all citizens the equal right to healthcare benefits financed from public funds. The National Health Fund (NFZ), being the main payer in the system, is responsible for contracts with both public and private healthcare providers. Patients with healthcare insurance are entitled to guaranteed healthcare benefits in accordance with the current medical knowledge within the limits of NFZ funds available. The aim of the thesis is to analyze the availability of the guaranteed healthcare benefits in medical rehabilitation in the Podkarpacie province. Materials and methods. The research includes information and data on amounts of money for healthcare contracts related to medical rehabilitation in the Podkarpacie province from July 1, 2014 to June 30,2017. The information is posted on the website of the Rzeszow Podkarpacie Branch of The National Health Fund. Results. The analysis conducted indicates that in the Podkarpacie province there are significant statistical differences in the distribution of funds for ambulatory physiotherapy and medical rehabilitation care in individual districts. Conclusions. It is necessary to increase investment funds and a change in the distribution, increasing access to rehabilitation to those in need.
Sexual activity of Subcarpathia residents
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Kremska, Anna; Wróbel, Romana; Pieniążek, Anna; Cecuła, Monika; Żurawska, Justyna; Kołodziej, Bernadeta
Introduction. Sexuality is an inseparable attribute of humans that makes it possible to take new challenges connected with it at every stage of life and to enjoy its new aspects as well as to accept the resulting restrictions. Aim. The objective of this study was to compare how sexual activity changes in different age groups. An important step in achieving the main objective was to determine the age of sexual initiation, the number of sexual partners and the most commonly used methods of preventing pregnancy. Material and methods. The study was conducted between 2010 and 2013 among 924 persons. The respondents were the students of secondary schools, technical schools, post-secondary schools and the University of Rzeszów. Results. Two-thirds of a group aged 16-18 did not start sexual relations. Only 2% of the respondents at the age groups of 16-18,19-23 and only 1% of the respondents at the age group of 24-48 began having sexual relations under the age of 15. 67% of adolescents from big cities began sexual relations. 33% of the secondary schools/technical schools respondents, 51% of the post-secondary schools respondents, 35% of a higher education institution respondents most commonly use condoms as a method of contraception. Conclusions. The average age of sexual initiation is gradually decreasing in each age group. Most respondents declare having one sexual partner. The respondents from big cities more often begin sexual relations. Condoms are the most commonly used method of contraception among the respodents in all age groups.
Patient’s satisfaction with anesthesia based on the polish version of the of Iowa Satisfaction with Anesthesia Scale. Satisfaction with anesthesia in patients with craniofacial trauma
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Ozga, Dorota; Dyk, Danuta; Gutysz-Wojnicka, Aleksandra; Wojtaszek, Marek; Mędrzycka-Dąbrowska, Wioletta
Purpose. The article presents an assessment concerning patient satisfaction with anesthesia as based on the Polish version of the Iowa Satisfaction with Anesthesia Scale. Material and Methods. The study group consisted of 198 patients with maxillofacial injury admitted to the Clinical Ward of Maxillofacial Surgery. The quality of the anesthesiological care was evaluated with the Polish version of Iowa Satisfaction with Anesthesia Scale. Results. It was stated that the level of satisfaction with the anesthesia in patients operated on due to maxillofacial injury used was average. According to the Polish version of the Iowa Satisfaction with Anesthesia Scale, the average score in the studied population was 0.8 on a scale from -3 to +3, SD 2.41. There were differences observed depending on patient age (18-30 years old (p = 0.0001)) and clinical condition. Conclusion. The level of satisfaction with anesthesia in patients with craniofacial trauma is moderately positive, however, in patients with an injury of the upper face and in patients with ASA scale I and II, the same level of satisfaction is higher. Among the analyzed socio-demographical factors only the age determines the level of satisfaction with anesthesia. The level of satisfaction is higher in older patients.
Changeableness of selected characteristics of the head in the Rzeszów children and adolescents aged 4 to 18 in during a 35-year period
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Perenc, Lidia; Radochońska, Anna; Błajda, Joanna
Introduction. Over the past decades, anthropometric studies have focused more on secular changes in body height and weight, and less on changes in head features. Meanwhile, changing socio-economic conditions, especially the nutritional status of the human population, support the need to document some of the metric head features in children and adolescents. Aim. The aim of this study was to determine whether there has been changes over time in the morphological development of the head with respect to socio-economic conditions at the turn of the last century on sample population of children and adolescents from Rzeszów. Material and methods. In the years 1978/79, 1993/94, 2003/04 and 2013/14, a total of 9041 Rzeszów children aged 4 to 18 were examined. Anthropometric measurements were based on a technique developed by Martin and Saller. The following features were taken into account: head length and width, morphological face height, maximum face width, nose height and width, and head circumference. The relevant head, face and nose indices were calculated from the measured data. New indices for head circumference have also been proposed. Results. Such changes as head elongation, shortening of morphological face and nose height, and widening of the nose from hyperleptorrhinus to leptorrhinus were found in both sexes. Conclusions. 1. During the past 35 years there have been noticeable changes in the morphological characteristics of the head, face and nose. 2. Further follow-up to the development of head features is recommended.
The influence of oxalate decarboxylase on the urinary oxalate excretion in swine model of nephrocalcinosis induced by hydroxyproline
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Pierzynowska, Kateryna; Pierzynowski, Stefan Grzegorz ; Lozinska, Liudamyla; Jarmakiewicz, Sara; Świeboda, Paulina; Fedkiv, Olexandr; Szwiec, Katarzyna; Valverde Piedra, Jose Louis; Filip, Rafał
Introduction. Kidney stone formation may be a result of increased urinary oxalate supersaturation. Material and Methods. Eighteen pigs were randomly divided into: Control group, where standard cereal-based feed was supplemented with 4% HP only, Prevention group, where treatment with OxDc slurry started at the end of the adaptation period when pigs were switched to 4% HP diet, Reduction group, where the treatment with OxDc lyo powder started after pigs were already on a 4% HP diet for 6 days. Results. OxDc slurry prevented oxalate excretion in urine. The reduction effect of OxDc lyo feed addition was generally visible during the first two days of the therapy (p<0.05). Both dietary intake of 4% HP and OxDc preparations did not influence weight gain, water or feed intake, urine excretion and creatinine clearance. Conclusions. The capacity of OxDc in preventing induced hyperoxaluria was moderate. Most probably, this is due to the incoherent response of animals to the HP enriched diet dependent on their gut pH, since optimum pH for OxDc is around 5-6. A higher pH essentially reduces the activity of OxDc. The capacity of OxDc in reversing the hyperoxaluria induced by a HP enriched diet was significant during the first 2 days after introducing OxDc to the diet.
Association between body mass and physical activity with quality of life in patients with rheumatoid arthritis
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Świtała, Anna; Wyszyńska, Justyna; Czerwińska, Kinga; Dereń, Katarzyna; Podgórska-Bednarz, Justyna; Guzik, Agnieszka
Introduction. Rheumatoid arthritis (RA) is a progressive joint condition that leads to joints destruction and complications in the internal organs and significantly affects the a patient’s functional, physical, psychological and social condition. Over the last few years, research into the quality of life (QoL) in people with chronic disease has been conducted to assess the results of treatment. Aim. The aim of the study was to assess QoL in various areas of life in regards to physical and mental functioning, social relations, and environmental influences in people with RA. Material and methods. The study group (subjects with RA) and the control group (subjects without RA) consisted of 48 people each. Subject age ranged from 19 to 68. In order to assess QoL, the WHOQOL-BREF questionnaire was used, while socio-demographic data were assessed with a questionnaire developed by the authors. Results. QoL in people with RA was lower than that of healthy individuals. The worst QoL was observed in the physical domain. No statistically significant association was found between BMI and QoL. It was found, however, that subjects with RA and a higher level of physical activity had a better QoL than those with a lower level of physical activity. Conclusion. There was no association between the body mass of RA patients and QoL assessment. However, an association was found between the level of physical activity in people with RA and QoL in the physical and environmental domain.
Real world data supporting identification of the pharmacist’s role in obesity and overweight treatment in Poland – a preliminary report
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Drozd, Mariola; Bułaś, Lucyna; Szkultecka-Dębek, Monika; Skowron, Agnieszka
Introduction. Obesity is a significant health and economic problem, both for the patient and the health care system. An essential element in the prevention and treatment of each disease is the engagement of all groups of healthcare professionals. In our study, we performed an analysis of the real world data, obtained from a survey of the medical and socioeconomic problems associated with overweight and obesity. We aimed to identify the pharmacist’s role in the management of overweight and obese patients, including their individualized education in an outpatient setting. Material and methods. The study material consisted of responses obtained from a specially designed questionnaire. Our findings indicate that the study patients had easy access to a pharmacist’s professional knowledge, relevant to comprehensive treatment of obesity. In addition, our data indicates a lack of patient knowledge of a healthy lifestyle and an inability to implement such knowledge in practice. Results. The community pharmacist should actively provide support to patients with obesity (including the primary obesity and those who want to lose excessive body mass for health-related and also for aesthetic reasons) and the management of their weight. The results of our study should be considered as an introduction to further research to facilitate the understanding of problems and expectations of patients and to prepare pharmacists to perform pharmaceutical care (PC) in this regard. Conclusion. One of the potential options to protect society against the obesity epidemic is an education about the risks inherent to obesity and promotion of a healthy lifestyle.
Infuence of HbA1c, serum lipids, blood pressure and BMI on Auditory Brainstem Response in diabetic patients
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Dąbrowski, Mariusz; Mielnik-Niedzielska, Grażyna; Nowakowski, Andrzej
Introduction. Impaired hearing organ function including abnormalities in auditory brainstem response (ABR) are more frequent in diabetic subjects compared to the general population. The aim of our study was to assess the impact of selected modifiable factors on ABR latencies in diabetic subjects. Material and Methods. 58 patients with type 1 and type 2 diabetes, aged <45 years, with diabetes duration <10 years, and without clinically overt hearing impairment or diabetic neuropathy, were included. In all subjects vital signs and blood samples were obtained, and ABR audiometry was performed. Results. Significantly delayed latencies in ABR were found in patients with total cholesterol <192 mg/dL, with HDL-cholesterol <49.5 mg/dL, with triglycerides >89 mg/dL, with presence of hypertension, and with systolic and diastolic blood pressure >135 and >78 mm Hg respectively. A linear correlation between triglycerides and wave I and III latencies, and between systolic blood pressure and wave III latency were revealed. A relationship between ABR latencies and HbA1c, LDL-cholesterol or BMI was not found. Conclusions. Several modifiable factors affect functioning of the retrocochlear part of the auditory pathway. If these results were confirmed in further studies, a vast area of possible therapeutic interventions to preserve hearing function in diabetic patients would become available.

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