2019, Volume 13, Issue 4

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https://hdl.handle.net/20.500.13044/346

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Przeglądanie 2019, Volume 13, Issue 4 według Data wydania

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  • Rekord
    Superior mesenteric artery syndrome - diagnostic difficulties
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2019-02-27) Adamczyk, Marcin ; Romanowski, Marek ; Mędrek-Socha, Marta ; Stec-Michalska, Krystyna
    Background. Superior mesenteric artery syndrome (SMAS) is a rare disease caused by the acute angle of branching of the superior mesenteric artery from the aorta. Material and methods. There were 63 patients (56 women and 7 men) with low body weight, who reported recurrent persistent abdominal pain, nausea, post-prandial vomiting, significant weight loss. All of them had abdominal ultrasonography performed with measurement of the angle of branching of SMA from the aorta. CBC, total bilirubin, AST, ALT, GT, ALP, amylase, lipase, albumins, iron, sodium, potassium, GFR, lipid profile, TSH, urinalysis were ordered. Additionally, esophagogastroduodenoscopy with Hp. test and esophageal impedance measurement in correlation with the reported ailments was performed. Results. Acid reflux impedance was diagnosed in 10 patients. There were >55 acid reflux episodes per day and a positive reflux sign (SI) for heartburn and nausea. Abnormal impedance recording of acid reflux was diagnosed in 17 patients. They had >21 episodes of non-acid reflux per day. Positive reflux sign (SI) was not confirmed for any non-acid reflux-related symptoms. Conclusions. It is justified to perform impedance pH monitoring in this group of patients as it allows to modify the therapy. The most important dietary recommendations are weight gain and understanding the cause of the disease.
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    Breast cancer risk factors - awareness and attitudes of women in perimenopausal and postmenopausal age (45+) in Poland
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2019-04-10) Koczkodaj, Paweł ; Mańczuk, Marta ; Gotlib, Joanna
    Background. Breast cancer (BC) is the most common malignant cancer among women in Poland. As we do not have sufficient knowledge about origin of this disease, women’s awareness and attitudes concerning the few well-known BC risk factors play a key role in the prevention and early detection of BC. Material and methods. The questionnaire was answered by 380 women, 45 years and older, in Poland between May and August 2017. This randomly selected research group included subjects with a prior history of BC, a current diagnosis of BC, and healthy women without any history of BC in the past. Women were asked about their knowledge and attitudes concerning BC risk factors. Collected data were analyzed using Microsoft Excel, taking into account place of residence and education level. Results. Among probable BC risk factors, the most commonly indicated by the women were gene mutations (60%), long-term use of hormonal contraception (49%) and overweight and obesity (38%). The most rarely indicated factors were late full-term pregnancy (12%), childlessness (21%) and alcohol consumption (26%). About 72% of the respondents assessed their knowledge about BC as good or very good, but only 41% of this group indicated overweight and obesity - one of the strongest risk factors – as contributing to BC. Moreover, only 26% of women who assessed themselves as having a high level of knowledge perceived alcohol consumption as a risk factor. Conclusions. Results suggest that education in this age group should b e more efficient and more focused on raising awareness about well-known BC risk factors.
  • Rekord
    Awareness among nursing students about care for children with type 1 diabetes
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2019-04-25) Ławnik, Anna ; Pańczuk, Anna ; Kubińska, Zofia
    Background. Diabetes, due to its prevalence and the rapid increase in the number of new incidences, has been recognized as an epidemic of the 21st century. It is estimated that over 3 million people in Poland currently suffer from this disease. According to the Ministry of Health, the knowledge of the society about diabetes is too little and insufficient. The aim of the study was to investigate and present general and expert knowledge of nursing students about type 1 diabetes, taking into account the needs of a child and the specialist skills required to care for diabetic children. Material and methods. T he study was conducted among t he students of nursing at Pope John Paul II State School of Higher Education in Biała Podlaska. A questionnaire designed by the author was used in this study. Results. T he r espondents r eported t hat t hey p ossess b asic k nowledge a bout t ype 1 diabetes and at the same time are willing to learn more. They recognize that a child with type 1 diabetes requires special support, therefore medical personnel, educators and physical education teachers should have relevant knowledge and skills about care for type 1 diabetic children. Conclusions. T he m ajority o f t he s tudents s urveyed h ad a basic k nowledge a nd s kills enabling them to provide assistance to children with type 1 diabetes and are familiar with their needs. The significance of physical activity in t he life of a child w ith t ype 1 diabetes was known to a lesser extent. The students surveyed are willing to broaden their knowledge about type 1 diabetes.
  • Rekord
    Detection of weak D antigen in the population of potential blood recipients
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2019-07-11) Mitrus, Joanna Małgorzata ; Adamiuk, Urszula
    Background. The strongest immunogen of the Rh system is the D antigen. It is found in several variants and categories, which makes it difficult to determine the correct RhD (Rh+) or RhD negative (Rh-) phenotype. Although only some of the varieties and types of this antigen are of clinical significance, it is important to determine the normal Rh phenotype in recipients and donors. The aim of this study was to determine the frequency of weak D antigen in a population of potential recipients. Material and methods. The study group consisted of selected blood recipients in whom weak expression of the D antigen or its antibody was detected. In order to estimate the expression of antigen D, the blood was analyzed in the laboratory of the Regional Center of Blood Donation and Blood Treatment in Lublin. Blood from 220 potential recipients (149 women and 71 men) were used in the conducted research. The clinical material from the Laboratory of Transfusion Serology at the Provincial Specialist Hospital in Biała Podlaska was also used. Results. The presence of a weak D was confirmed in 21 recipients. 4 cases of weak D were confirmed among recipients of blood transplant, while 17 cases among those who did not have blood transfusions. There were significant differences in the occurrence of the weak D in relation to the transfusion in both women (χ2 = 18.34 df = 2, p = 0.0001) and men (χ2 = 17.25). Conclusions. The correct determination of the RhD+ or RhD- phenotype is important for pregnant women who should be subjected to immunoprophylaxis of maternal-fetal conflict when a weak D is detected. In order to avoid post-transfusion complications among recipients, it is necessary to choose serologically and phenotypically crossed-matched blood components.
  • Rekord
    Pre-nosological monitoring of the health statuses of female obstetrician-gynecologists
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2019-10-17) Lisok, Alena ; Naumov, Igor ; Pavliukovets, Anastasia ; Makarov, Sergey ; Svistunovich, Larisa
    Background. Female obstetrician-gynecologists of reproductive age provide medical care in harmful working conditions creating health risks for themselves. Material and methods. Female obstetrician-gynecologists working in hospitals (n=32) and antenatal clinics (n=32), therapists of outpatient clinics (n=31) and women working in the positions of accountants, economists, lawyers and secretaries (n=31) in the healthcare organizations of the Grodno region participated in this research. Working conditions were assessed by studying the results of the workplaces’ certification. Pre-nosological monitoring was conducted using the following methods: cytomorphological testing of buccal epithelium, microbiological testing of the oral biocenosis and psychological testing. Results. We established that the studied female obstetrician-gynecologists work in harmful conditions (hazard classes 3.2-3.3). It was associated with functional changes in their bodies: 23.3% of them had deviations in cytomorphological parameters of buccal epithelium; 59.3% had excessive amounts of E. coli group bacteria in their oral cavity and already formed phases of the occupational burnout syndrome. Conclusions. The selected set of methods for pre-nosological monitoring permit analysis of the impact of different occupational factors and the formation of target risk groups for the implementation of measures improving adaptive reserves.
  • Rekord
    Functional status of the central nervous system in girls aged 16-18 years old
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2019-10-17) Bosenko, Anatolii ; Bobro, Olena ; Topchii, Mariia ; Kholodov, Serhii
    Background. The objective of the study was to explore the dynamics of the functional state of the central nervous system (CNS) and neurophysiological processes of girls 16-18 years old in the context of their transition to a new level of social organization. Material and methods. The functional state of the CNS was studied in girls 16-18 years old in a state of relative muscular rest through observation of visible motive reactions, Loskutova’s method, and in the fifth minute of renewal after the physical loading with variable power. Results. We found that 17 year-old girls had the best functional CNS capabilities. The reduced adaptive capacity of the CNS in 16 year-old girls is due to their necessity for adaptive reorganization of regulatory mechanisms to new social conditions: examinations and university entry. After physical activity, 16 and 18 year-old girls registered stress reactions, indicating decreased CNS adaptation. Conclusions. 17 year-old girls were observed at rest to have better CNS functionality compared to the other age groups. Analysis of the dynamics of the functional CNS states of 16–18 year-old girls after exercise resulted in the identification of two main reaction types: 1) reduction of the basic criteria at high initial values; 2) increase of criteria of a general functional state of a brain at low raw data.
  • Rekord
    Problems of mothers raising a child with intellectual disability
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2019-11-18) Tomczyszyn, Dorota
    Background. Children with intellectual disability need special help rom heir parents, proportional to the type and degree of their disability. They require individual treatment, and their development depends not only on their health status but also on environmental conditions, measures and actions taken by supporting institutions, and social attitudes. Most often, mothers engage in a child care by giving up their own professional career, interests and social interactions. While raising a child, they face many adversities, and they are often helpless to overcome them. The aim of this work is to analyze the most important problems of mothers raising a child with intellectual disability. Material and methods. The research was of a qualitative nature. Case studies were used based on the method of unstructured interview and structured interview. Each interview lasted about 2 hours. The participants of interviews were four mothers bringing up children with intellectual disabilities. Results. The mothers who participated in t he research pointed out negative social attitudes in the environment. They reported ambiguous situations in institutions supporting the family and the problems in the health care of their disabled children. Women’s dreams focused around a child, his or her health and future. Conclusions. There is a need to formulate procedures for dealing with an intellectually disabled patient in hospital wards, to attempt to regulate the institutional support for daily activities of adult, dependent people with intellectual disabilities.
  • Rekord
    Effects of animal-assisted therapy on parent-reported behaviour and motor activity of children with autism spectrum disorder
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2019-12-20) Kręgiel, Anna ; Zaworski, Kamil ; Kołodziej, Ewa
    Background. A utism s pectrum disorder ( ASD) is an eurobiological disorder characterised by abnormal development noted before three years of age. One of the forms of therapy suggested to children with ASD is animal-assisted therapy (AAT). AAT is a planned and organised therapeutic intervention that aims to improve physical, cognitive, behavioural, and socioemotional performance. The present study examined the effects of AAT on parent reports of their child’s behaviour and motor activity. Material and methods. The study group consisted of 50 parents (38 females and 12 males) of children diagnosed with ASD and who participated in AAT. All participants resided in the Lubelskie Voivodeship, Poland. A questionnaire was developed for parents for this study that included demographic information, and ten questions regarding the effects of AAT on their child with ASD. Results. The most commonly reported forms of AAT among parents of children with ASD included canine-assisted therapy and equine-assisted therapy. Parents reported that AAT was associated with more animated gestures (p = 0.01), an increased frequency of verbal reactions (p = 0.02), and an increased frequency of expression of emotions and feelings (p = 0.05) among their children. Conclusions. According to parents of children with ASD, AAT has positive effects on their child’s emotion-related functioning, motor endurance, balance, and motor skills. However, access to AAT in the Lubelskie Voivodeship is limited.
  • Rekord
    Back pain as a factor of disability in women over 50 from Biała Podlaska and the surrounding areas
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2019-12-20) Pocztarska-Głos, Agata ; Sidor, Mirosława ; Gawlik, Krystyna ; Begier, Barbara ; Stępień, Ewa ; Baj-Korpak, Joanna ; Szepeluk, Adam
    Background. Chronic back pain is one of the most common causes of disability. It is a civilisation disease and up to 75% of women over the age of 55 suffer from it. The aim of this study was to assess the degree of disability and limitations in the daily functioning of women with lumbar spine pain depending on socio-demographic factors. Material and methods. T he s tudy included a group of 274 professionally active women aged between 50 and 64 who come from Biała Podlaska, Poland, and the surrounding areas and who completed the Oswestry Disability Index. The responses showed functional limitations of the respondents during performing specific activities due to back pain. The respondents were characterised with regard to their age, place of residence, education and material status. The results were analysed statistically. Results. The most numerous group included women with moderate disability – 41.6%. Lower back pain intensifies when sitting, standing, walking, lifting objects and applies mainly to women from the oldest age group, women having secondary and lower education, women from the city and those whose financial situation is below the average. Conclusions. A sociodemographic factor that differentiates the degree of the women’s disability in a significant way is their material status – the better the financial situation, the less severe the disability. Sociodemographic factors – such as age, education and material status – are strong determinants of functional limitations caused by back pain: women from the oldest age group (60-64 years old) had the biggest problem with walking; women with secondary or lower education experienced difficulty sitting and walking; women whose financial situation is below the average suffered much more difficulties while lifting objects, sitting and socialising.
  • Rekord
    Physioprophylaxis of type 1 diabetes in children using physical exercise
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2019-12-20) Zaworski, Kamil ; Ławnik, Anna ; Kubińska, Zofia ; Shpakou, Andrei
    According to the Physiotherapist Act, physioprophylaxis is an important component of physiotherapy and of the physiotherapist’s professional activities. Physioprophylaxis can be oriented towards practicing healthy lifestyle behaviours, minimizing disease risk factors, or attenuating the consequences of the disease, surgery, and/or disability. Type 1 diabetes is a chronic metabolic disease characterized by hyperglycaemia, i.e. high blood glucose levels. It is caused by the dysfunction or destruction of β cells of pancreatic islets of Langerhans, which are responsible for the production and secretion of insulin. Type 1 diabetes is most common in children and adolescents. According to the 2018 report, 6,400 children aged 0-14 years and about 180,000 people over 14 years old suffer from type 1 diabetes in Poland alone. Physical activity is an important stimulus for optimal physiological development of children and adolescents, and is an important factor in reducing the risk of cardiovascular diseases, cancer, and mortality. Physical exercise reduces the need for insulin and increases the sensitivity of cells to insulin, so that the daily dose of insulin can be reduced. The Polish Diabetes Association recommends that children with type 1 diabetes should exercise for more than one hour a day in order to reduce the risk of vascular complications associated with the disease. The aim of this paper is to examine the effects of type 1 diabetes physioprophylaxis in children in the form of physical exercise, based on previous literature. The majority of research indicates physical activity has a positive effect on physiological function in children with type 1 diabetes, specifically reducing the risk of hypoglycaemia, high blood glucose level, insulin demand, and premature death.