2019, Volume 13, Issue 3

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https://hdl.handle.net/20.500.13044/391

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Przeglądanie 2019, Volume 13, Issue 3 według Data wydania

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  • Rekord
    The effect of high-heeled footwear on the induction of selected musculoskeletal conditions and potential beneficial uses in prophylaxis and management
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2019-01-14) Wójcik, Gustaw
    Footwear is, first and foremost, an essential wardrobe component, without which it is difficult to imagine an ordinary working day. High-heeled shoes are mainly worn for aesthetic reasons, and to enhance the slenderness of the female body. Badly fitting footwear can lead to the development of several medical conditions affecting function of the foot as well as the wider musculoskeletal system. Foot deformations correlate highly with the type of footwear being worn. The most commonly occurring foot disorders caused by wearing high heels are: bunions, hammer toe, mallet toe, claw toe, and flat feet. These types of shoes can also cause injuries such as sprains, dislocations and fractures around the ankle joint and in the foot itself. Highheeled footwear may have an effect not only on the foot, but also on the whole limb, including the spine and pelvis, as destructive changes around the foot affect the entire biokinematic chain, and being the first component of this chain they impede movement and negatively impact the function of other joints. Over time, inappropriate function of the foot joints results in dysfunction of other joints located higher, disrupting correct body posture. The aim of this work is to draw the readers’ attention to the effects of wearing high-heeled footwear, both the negative and positive, though the latter are extremely rare.
  • Rekord
    Personalized rehabilitation therapy in obese and elderly patients undergoing hip replacement surgery
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2019-02-13) Skalski, Michał ; Socha-Kania, Milena ; Kozioł-Montewka, Maria ; Pańczuk, Anna
    Due to aging of the population and the desire of people to maintain the best possible mobility, the demand for hip replacement is increasing. As a result, personalization of physical therapy after surgery is needed to achieve the best possible outcomes. However, patients undergoing hip replacement surgery often have additional factors, such as advanced age and obesity, which may hinder the process of rehabilitation. The aim of this study was to review the need and recommendations for personalized physical therapy before and after hip replacement surgery in patients with co-morbid factors such as advanced age and obesity. The research literature emphasizes the importance of effective recovery following hip replacement surgery. Older patients may require prolonged postoperative rehabilitation due to the type of surgery, muscle weakness or cognitive dysfunction. Proprioception and balance disorders may benefit from training on an unstable surface aimed at learning safe falling and getting up after a fall. Weakened gluteal muscles which may be present in the elderly and obese may benefit from strength training in the preoperative period. Excessive exposure of the elderly and obese to thromboembolic complications necessitate the inclusion in rehabilitation programs of exercises based on active ankle movement.
  • Rekord
    Knowledge and use of ergonomic principles in physicians and nurses with low back pain
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2019-03-04) Dąbek, Józef ; Piotrkowicz, Joanna ; Korzeń, Dariusz ; Gąsior, Zbigniew
    Background. Medical professionals frequently experience low back pain as a result of mechanical overload caused by prolonged standing, performing activities in a position of trunk flexion, extended work hours and physically stressful duties. The above-mentioned stresses, when they exceed the adaptive capacity of the tissues, can lead to pain, degenerative changes and even disability. Material and methods. 114 employees, including 48 (42%) physicians and 66 (58%) nurses, were examined. Their average age was 42.08±9.43 years, and the average years of work experience was 17.16±10.36 years. To assess the occurrence of low back pain, a standardized Oswestry Questionnaire was used, while for assessments of ergonomics an original questionnaire was used. Results. 95 respondents (83.33%), including 31 physicians (64.58%) and 64 nurses (96.96%), did not apply the principles of ergonomics in the work environment. The most common reasons were that working conditions were not conducive to ergonomic approaches to their duties and that there were not enough medical personnel to make ergonomic choices possible. All subjects experienced back pain. The Oswestry Questionnaire was used to determine the degree of disability caused by back pain. Among the physicians, the majority of respondents (n=35, 73%) experienced a small degree of disability, while the nurses experienced a moderate amount of disability (n= 35, 53%). Conclusions. Most of the examined personnel did not apply principles of ergonomics and had incomplete knowledge in this area. All subjects were burdened with low back pain, one of every ten of them were seriously affected. The results indicate the need to provide ergonomics education to medical personnel.
  • Rekord
    Dementia in the aging population of Poland: challenges for medical and social care
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2019-03-12) Karczewska, Bogusława ; Bień, Barbara
    With a projected rise in the percentage of elderly people in the population of Poland, the incidence of neurodegenerative diseases, including dementia, will increase. The aim of this paper is to present dementia as an increasing health and social problem in the aging Polish population. In 2015, the number of people with dementia of the Alzheimer’s type in Poland was estimated to be between 360,000 and 470,000, which indicates a growth of almost 20% compared to 2005. The onset of dementia symptoms causes a relatively rapid impairment of patients’ daily functioning, creating the need for assistance by others. In Poland, caring for an elderly person with dementia is primarily non-institutional and provided by the closest family members in a home setting. Due to the shrinking care potential of Polish families, one should expect a growing need for formal forms of support to ensure proper care for elderly individuals with dementia. At present, Poland has a poorly developed system of formal assistance for dependent elderly people and the existing infrastructure of formal care services includes only a small proportion of potential beneficiaries. The prospect of further aging of the Polish population along with the growing risk of dementia and the shrinking family care potential justify the development and implementation of a comprehensive Alzheimer’s Plan at the central and local level of our country.
  • Rekord
    Are the 100 best spa hotels in Poland really spa centers?
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2019-04-11) Biernat, Elżbieta ; Sempolska, Katarzyna ; Shmakova, Nadia
    Background. In the face of unrelenting civilization threats and social challenges, the dynamic development of wellness & spa centers is observed. The aim of this work is an analysis to determine whether the 100 best Polish spa hotels satisfy the requirements of this type of company in light of terminology put forward by the International Spa Association (ISPA) and the European Spas Association (ESPA). Material and methods. Definitions put forward by ISPA and ESPA form the basis of assessment in this study. A method of diagnostic survey was applied. Results. According to the ESPA, only 41% of spas can actually be classified as such, compared to 61% according to ISPA. As many as 22% of the hotels surveyed do not meet the requirements of such enterprises for either ESPA or ISPA. Inconsistent definitions of ESPA and ISPA lead to chaos in the wellness & spa market. Conclusions. It is necessary to develop a Polish definition which clearly defines the criteria for the classification of spa facilities and the possibility of their verification from the point of view of quality and compliance with planned standards.
  • Rekord
    Impact of the second stage of cardiac rehabilitation on BMI in patients after cardiac incidents
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2019-04-13) Mroczkowski, Bartosz ; Kurzaj, Monika ; Jacyno, Karolina ; Rożek-Piechura, Krystyna
    Background. Cardiovascular disease is currently one of the leading causes of death in the world, and a major contributing factor is the increasing incidence of excessive body mass. On the other hand, reduction of body mass in patients who have experienced a myocardial infarction significantly reduces the risk of a second episode of cardiovascular disease. This in turn increases lifespan, improves quality of life, and reduces the number of premature deaths. Material and methods. The study included 41 people (14 women with an average age of 62.5 years and 27 men with an average age of 61.2 years) who experienced a cardiac incident between January 2015 and February 2016 and who were qualified for the second stage of cardiac rehabilitation conducted in accordance with applicable standards. Results. BMI did not correlate with the results of exercise tests. The training improved the fitness and endurance of the subjects and allowed reduction of body mass. Conclusions. After 8 weeks of the second stage of cardiac rehabilitation, there were significant changes in the BMI in patients undergoing the study. Exercise tolerance and physical capacity in all the groups was improved.
  • Rekord
    The influence of shift work on the occurrence of hypertension, ischemic heart disease and dyslipidemia from the perspective of mine shift workers
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2019-04-26) Strzemecka, Joanna ; Skrodziuk, Jerzy
    Background. Shift work may affect the occurrence and severity of hypertension, ischemic heart disease and dyslipidemia. The aim of the study was to assess the prevalence of ischemic heart disease, hypertension and dyslipidemia in shift workers. Material and methods. The study was carried out in the Bogdanka mine in Łęczna, Poland. The questionnaire, which was designed by the author of this work, was conducted among 700 shift workers who worked underground in the mine. Statistical analysis was performed using STATISTICA v. 7.1 (StatSoft, Poland) software. Results. Participants who believed that shift work may lead to deterioration of their health also believed that it may affect the occurrence of ischemic heart disease and hypertension. Almost one in four respondents had blood pressure values of > 139/89 mmHg. Almost one in ten respondents was receiving treatment for hypertension. A small number of respondents reported abnormal total cholesterol, HDL cholesterol and triglyceride levels. Conclusions. In the opinion of respondents, shift work can exacerbate hypertension and ischemic heart disease. Abnormal values of total cholesterol and its LDL and HDL fractions increased with age and length of work, while abnormal triglyceride values were reported most frequently by supervisors. It seems necessary to introduce training for shift workers, aimed at presenting them with the principles of prevention of cardiovascular diseases; for example, how to deal with stress, change eating habits, stop smoking and reduce coffee intake, and how to encourage physical activity and good sleep hygiene.
  • Rekord
    Attitudes of diabetic patients toward their disease
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2019-07-11) Majerníková, Ľudmila ; Derňárová, Lubica ; Cinová, Jana ; Šuličová, Andrea ; Novotná, Zuzana ; Šantova, Tatiana
    Background. Education of diabetic patients is integral to effective treatment. Material and methods. In the presented work, we studied Eastern Slovakian patients with diabetes type 2 with or without insulin treatment. We focused on their diabetic self-care and compared their attitudes, education on their disease, and treatment provided by professionals. There were 411 patients in the insulin-treated group. We used the standardized Diabetes Care Profile questionnaire (DCP). Results. T he g roups h ad v ery d ifferent a ttitudes t oward d iabetic s elf-care. P atients w ith provided professional self-care education scored higher in all areas of diabetic care. Appropriate education influenced knowledge and consequently the management and attitudes of diabetic patients toward their disease. Educated patients scored higher in the categories ‘Self-care ability’, ‘Importance of care’, ‘Self-care adherence’, ‘Diet adherence’, ‘Medical barriers’, ‘Exercise barriers’, ‘Monitoring barriers’ and ‘Understanding practice’ (p < 0.01). Patients who had not received diabetes education presented higher scores in emotional areas, i.e., negative and positive attitudes toward diabetes mellitus (p < 0.01). Conclusions. We concluded that it is beneficial for a structurede ducational process to be integrated in diabetes treatment.
  • Rekord
    Estimation of functional reserves of the body and risk of cardiovascular events in patients with myocardial infarction with comorbid pathology undergoing rehabilitation
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2019-07-11) Levytska, Larysa ; Shved, Mykola ; Korda, Mykhaylo
    Background. Cardiovascular diseases are the leading cause of death worldwide. In Ukraine, cardiovascular mortality is 66.7%. Material and methods. W e e xamined 3 71 p atients w ith m yocardial i nfarction ( MI) w ith comorbid pathology who had undergone 90 days of rehabilitation. We studied the possibility of quantitative estimation of comorbid pathology, the condition of functional reserves in patients with MI, their connection with clinical markers of reduced exercise tolerance and comorbidity index. Results. We established close correlations between the six-minute walk tests conducted on the 10th, 30th and 90th days of rehabilitation (6MWT10, 6MWT30 and 6MWT90) with age of patients (r6MWT10 = -0.199; r6MWT30 = -0.287; r6MWT90 = -0.410 P < 0.05), SpO2 (r6MWT10 = -0.399; r6MWT30 = -0.265; r6MWT90 = -0.248; P < 0.05), left ventricular ejection fraction (r6MWT10 = 0.706; r6MWT30 = -0.670; r6MWT90 = -0.583; P < 0.0001), troponin levels (r6MWT10 = -0.210; r6MWT30 = -0.312; P < 0.05); creatinine (r6MWT10 = -0.148; P < 0,05) and Charlson comorbidity index (r6MWT10 = -0.323; r6MWT30 = -0.398; r6MWT90 = -0.427; P < 0.0001). Conclusions. Markers of reduced exercise tolerance in patients with MI were age, SpO2, ejection fraction, levels of troponin, creatinine, lymphocytes, Charlson comorbidity index.
  • Rekord
    Bioaerosol and smog as determinants of human population health
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2019-07-11) Leszczyński, Bartłomiej Krzysztof ; Żukiewicz-Sobczak, Wioletta Agnieszka ; Sobczak, Paweł ; Santoro, Francesco
    When asked to describe air pollution, the average person will invariably mention the word “smog”. Although the term is often poorly understood, social awareness of it is much higher than just a few years ago. In the era of globalization, it has become clear that smog goes beyond dust and gas pollution and encompasses the microbiological purity of the air. This is due, among other things, to the fact that the human body may not only be a reservoir but also an emitter of microbiological particles dangerous to health and life. According to Górny, SCMB (Harmful Microbiological Factors) are easier to aerosolize compared to other air pollutants [1]. It highlights the risk of infectious diseases from abroad, including allergic disease entities. It also emphasizes the close relationship between various types of air pollution.