2020, Volume 14, Issue 4

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https://hdl.handle.net/20.500.13044/177

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Przeglądanie 2020, Volume 14, Issue 4 według Data wydania

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  • Rekord
    Functional diagnostics and physiotherapeutic treatment in de Quervain syndrome
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2020-06-04) Zaworski, Kamil
    De Quervain syndrome involves the inflammation of the common tendon sheath of the abductor pollicis longus (APL) and the extensor pollicis brevis (EPB) in the region of the radial styloid process. This condition can be caused by microtraumas that occur in the course of repetitive mechanical activities and systemic diseases of the connective tissue, such as rheumatoid arthritis. The symptom of de Quervain syndrome is pain in the forearm at the height of the radial styloid process. The pain intensifies during the extension of the thumb. Other symptoms include redness and swelling in the region. The physical examination most often involves two tests: Finkelstein’s test and Eichhoff’s test. Physiotherapeutic treatment is an important element of conservative treatment of de Quervain syndrome. The article aims to present functional diagnostics and physiotherapeutic methods that are used in the treatment of de Quervain syndrome based on the available literature. The review used the division of therapeutic methods into three basic sections: kinesitherapy, physical therapy and therapeutic massage, and was expanded to include physioprophylaxis and education, kinesiotaping and acupuncture. The discussed publications noted a significant improvement in terms of reducing pain and functionality in patients with de Quervain syndrome using various physiotherapeutic methods and their combinations. Unfortunately, there is a small number of randomized clinical trials. Hence, it is difficult to draw clear conclusions about the most effective forms of treatment. Further research is required in order to achieve the integration of the most effective physiotherapeutic methods in the treatment of de Quervain syndrome and the assessment of its short and long-term effects.
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    Hydrogen sulfide metabolism and its role in kidney function in a rat model of chronic kidney disease
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2020-06-19) Koniukh, Serhii ; Voloshchuk, Natalia ; Melnyk, Andrii ; Domin, Ievgenii
    Background. Chronic kidney disease (CKD) is an ongoing global problem. It is correlated with a substantial increase in mortality and morbidity. Although, hydrogen sulfide (H2S) plays an important role in the physiological and pathological processes in the kidney, the influence of CKD on the enzymatic synthesis and utilization of H2S in the kidney is unclear. The aim of this study was to evaluate the activity of H2S-producing enzymes (сystathionine gamma-lyase, cystathionine beta-synthase and cysteine aminotransferase) and the content of H2S in rats with CKD, and to establish the relationship between these parameters and markers of the functional state of the kidneys. Material and methods. CKD in rats was induced by 5/6 nephrectomy of the contralateral kidney. H2S regulation was examined in post-nuclear kidney homogenates by measuring H2S levels and cystathionine gamma-lyase, cystathionine beta-synthase, and cysteine aminotransferase activity using spectrophotometric methods. Functional and biochemical measurements were monitored after water load (5% of body mass). Results. CKD in rats was associated with defects in H2S metabolism in rat kidneys. The activity of H2S-producing enzymes decreased by 28.3-34.2% (p<0.05), the rate of utilization of exogenous H2S in the kidneys increased by 34.3% (p<0.05), and the content of H2S was reduced by 35.8% (p<0.05) in comparison with a control group. A progressive loss of kidney function (tubular and glomerular disorders) is closely correlated with the content of H2S in the kidneys. Conclusions. The H2S system in kidneys may be an important metabolic target, which can influence the efficacy of treatments to improve the functional state of kidneys in CKD.
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    The use of hyperbaric oxygenation in postoperative treatment of obliterating arterial disease of the lower extremities undergoing vascular reconstructive surgery
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2020-06-19) Oliynyk, Oleksandr
    Background. Hyperbaric oxygenation is successfully used in the treatment of many diseases accompanied by hypoxia. The purpose of this work was to study the oxygen balance in patients with obliterating arterial disease of the lower extremities who received hyperbaric oxygen along with usual therapy following reconstructive vascular surgery. Material and methods. 18 patients with obliterating arterial disease of the lower extremities were studied. Measurements were taken using gasometry and tetrapolar rheography. On the basis of arterial blood oximetry data and cardiac output indicators, determined reographically, volumetric indexes of delivery and consumption of the oxygen by the body and the volume of intrapulmonary bypass of blood were calculated. Results. Inclusion of hyperbaric oxygenation as five 45-minute sessions at a pressure of 1.5 atm in the postoperative intensive care of patients with obliterating arterial disease of the lower extremities, undergoing reconstructive vascular surgery, was found to lead to significant improvements in the oxygen balance of the body, increasing the oxygen transport capacity of the blood, increasing the physiological reserve of organs and systems of the body and aligning of the metabolic processes of the tissues. Conclusions. Hyperbaric oxygenation can be successfully used in the postoperative treatment of patients with obliterating arterial diseases of the lower extremities undergoing vascular reconstructive surgery.
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    Healthy behavior of physical education university students
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2020-07-02) Rogowska, Aleksandra Maria ; Kuśnierz, Cezary ; Pavlova, Iuliia
    The purpose of this study is to examine the healthy behaviors in undergraduate students of physical education (PE) with a comparison between gender and majors. A content analysis of Polish and foreign authors’ publications was performed by searching the following database: EBSCO, Proquest, Science Direct (Elsevier), Springer, Sage, and Wiley. Research indicates that undergraduates demonstrate, in general, low levels of healthy lifestyle behaviors, especially regarding diet, psychoactive substance use, coping with stress, physical activity and preventive behavior. PE students present with a high level of health-risk behavior. On the other hand, some research showed that PE students scored better than their peers of other areas of study in selected dimensions of health-related behavior. The majority of studies indicate that female students scored significantly better than male students in health-related behavior. Health promotion programs should be implemented at campuses and universities for the maintenance and improvement of a healthy lifestyle among students of all areas of study.
  • Rekord
    Salivary biomarkers for monitoring the course of cancer development – real perspectives
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2020-07-27) Potempa-Jeziorowska, Magdalena Karolina
    Recently, the diagnostic use of saliva in medicine has become a major goal for many researchers. There are many advantages of using saliva diagnostics. Its drawing is non-invasive, painless, quickly repeated, and straightforward. Its diagnostic potential has been demonstrated, in particular for infectious diseases and diseases of the oral cavity. Because of the unabated frequency of occurrence of malignant neoplastic diseases, especially in seniors, this paper aims at presenting an overview of chosen studies that have used saliva in the diagnostic and monitoring of selected malignant diseases. The potential use of saliva in the diagnosis of early-stage lung cancer, by detecting genetic material in saliva and analysis of characteristic mutations of the EGFR gene, has been described. Additionally, prostate cancer can be detected by positive identification of microRNA markers in saliva. Evaluation of PSA concentrations in saliva has also been carried out and obtained results were correlated with blood concentrations. There are also reports concerning the Ca15-3 marker in the saliva in women with breast cancer. The evaluation of lung cancer resistance protein in the saliva of these patients has also been investigated. The results of the cited studies are promising and give hope for the potential use for salivary diagnosis of these cancers.
  • Rekord
    Ebola, measles, Covid-19 and insurgency – the multiple fronts of war in the Democratic Republic of the Congo
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2020-08-03) Sasidharan, Shibu ; Datta, Rashmi
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    Self-reported eating behavior and nutrition knowledge in women starting dietary treatment compared to women who achieve treatment goals for simple obesity
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2020-08-13) Skrzypek, Michał ; Szczygieł, Karolina ; Fedurek, Joanna ; Marzec, Agnieszka
    Background. The goal of the study was to compare self-reported eating behavior and knowledge of nutrition in cohorts of women with simple obesity, who begin nutritional intervention to treat obesity, and in women who achieved the goal of obesity treatment, i.e. reduction of initial body mass by a minimum of 10%.Material and methods. The study was conducted in a group of 38 women with simple obesity who were starting dietary treatment (aged 18-72, mean 41, SD 14.95) and 49 women with simple obesity, who, as a result of dietary treatment for obesity, achieved a body mass reduction by at least 10% (aged 18-67, mean 41, SD 13.44). The survey also included a control group of 100 women with normal body mass (aged 19-59, mean 33, SD 13.29). The study used the Questionnaire of Eating Behavior. Results. Women with simple obesity starting dietary treatment were characterized by a paradoxically higher intensity of characteristics of a pro-health diet as well as a higher intensity of unhealthy diet characteristics, compared to women with normal body mass. Women starting treatment compared to women who achieved successfully completed treatment, exhibited a significantly lower intensity of pro-health diet characteristics and higher intensity of unhealthy diet characteristics. The level of nutrition knowledge among healthy women was significantly higher compared to obese women starting treatment. The women who achieved the goal of treatment were characterized by a higher level of nutrition knowledge compared to those starting treatment. Conclusions. There are significant differences between the studied cohorts of women in terms of level of nutrition knowledge and eating behaviors associated with dietary treatment for obesity.
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    Body composition in older persons residing in rural and urban areas in northeastern Poland: a comparative analysis
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2020-08-13) Omelan, Aneta Anna ; Bielinis, Ernest ; Rutkowski, Andrzej ; Podstawski, Robert
    Background. Older people differ in their physical, mental and social functioning. As we age, changes in the body are reflected in body composition. These changes allow for the assessment of the risk of many diseases. The aim of this study was to analyze the body composition of older rural and urban residents in view of health problems associated with aging. Material and methods. The study involved a total of 627 people aged 60 to 90 years. A questionnaire study and body composition analysis performed with the InBody 270 analyzer were used to assess the parameters in the study. Differences were assessed with two-tailed chi-square tests and the Mann-Whitney U test. Results. A significant (p<0.001) difference was noted between the body weight of urban (73.39 kg) and rural dwellers (79.06 kg). Older women residing in cities were significantly (p<0.001) less heavy than female rural dwellers. Rural residents were characterized by significantly higher (p=0.001) values of Body Fat Mass (BFM), Fat-Free Mass (FFM) (p<0.001), Skeletal Muscle Mass (SMM) (p<0.001) and Body Mass Index (BMI) (p<0.001). Conclusions. Older rural residents have less optimal body composition parameters than their urban peers. Women residing in rural areas are characterized by the highest BMI, PBF, VFL and degree of obesity, and they can be regarded as the highest risk group of age-related diseases and lower quality of life. Body composition parameters are most favorable in aging males residing in urban areas, who belong to the lowest risk group for disease. The participants’ BMI was correlated with the place of residence, membership in senior organizations and marital status.
  • Rekord
    Strategies for the primary prevention of Lyme disease
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2020-09-01) Kaczoruk, Monika ; Pacian, Anna Beata ; Kawiak-Jawor, Ewa ; Kaczor-Szkodny, Paulina
    This study aimed to analyze the severity of risks associated specific tick-borne diseases and to identify directions for the development of preventive measures, particularly for Lyme disease. Thus, a detailed literature review was performed to analyze epidemiological data and the latest scientific research in the field of prevention and health education for Lyme disease. The World Health Organization (WHO) indicated that it is necessary to increase the level of knowledge and health awareness of individuals living in the highest-risk areas and who travel to countries with endemic vectors. Additional activities of the WHO in the area of vector-borne disease prevention resulted from the adoption of the global vector control response 2017-2030 (GVCR 2017-2030), which focused on diseases transmitted by vectors. At the EU level, activities include the European Emerging and Vector-borne Diseases (EVD) program. At the national level, the basic legal act related to the issue of infectious diseases is the Act of 5 December 2008 on preventing and combating infections and infectious diseases in humans. The main body implementing activities in the field of prevention and health education in Poland is the Chief Sanitary Inspectorate (GIS). Creating new ways to implement preventive actions, including those regarding the problem of tick-borne diseases in humans, should take into account a number of factors that determine their effectiveness. The creation of effective educational strategies translates into the effectiveness of prevention efforts and negative social effects.
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    The quality and importance of groundwater in the escarpment zone of the Bug River Valley
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2020-09-01) Wołyńczuk, Klaudia ; Rogóż-Matyszczak, Anna ; Zarębska, Marta ; Zbucki, Łukasz
    Background. The use of groundwater from private wells in households is increasing significantly. However, this water is usually untreated, making it a carrier of diseases. Chemical composition plays a key role in assessing groundwater quality. Due to rapid urbanization and industrialization of the environment, pollutants (especially toxic elements) are constantly being released into the aquatic environment and pose a threat to human and animal health. There is a large variety of microorganisms in aquifers. The use of groundwater from aquifers as sources of drinking water without water treatment or disinfection is a public health problem. Material and methods. The material for the study consisted of water samples taken from used and unused domestic wells in villages located in Lubelskie Province, Biała Podlaska County, Janów Podlaski municipality, Poland. ICP-OES was used to determine the composition of elements. The total number of mesophilic and psychrophilic bacteria was determined for 5 wells using the pour-plate method according to the Polish Standard PN-EN ISO 6222:2004. Results. The water from the wells is unfit for consumption due to high microbiological contamination. A study would have to be carried out on the content of specific pathogenic microorganisms. In most of the samples analyzed, the heavy metal content of the water is below admissible limits. Conclusions. Water resources of the highest quality should be increasingly protected and retained as drinking water reserves. This is extremely important in view of the progressing climate change and the slow process of groundwater renewal.
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    The first steps in artificial intelligence development in medicine in Uzbekistan
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2020-09-07) Azimova, Noiba Djamalitdinovna ; Ashirbaev, Sherzod Pardaevich ; Vikhrov, Igor Petrovich
    Artificial intelligence (AI) as a field is based on such disciplines as computer science, biology, psychology, linguistics, mathematics, and mechanical engineering. AI uses algorithms, heuristics, pattern matching, rules, deep learning, and cognitive computing to approximate conclusions. With its ability to analyze complex medical data it can be used in the diagnosis, treatment, and predicting the outcome of many diseases. This paper presents the importance of AI in the healthcare system and by extension in our everyday lives. AI techniques have the potential to be applied in almost every field of medicine and every sphere of our life. AI has the possibility to help in areas with less hands-on healthcare. It is believed that geographically isolated areas can benefit from AIs which could replace physicians. Uzbekistan is one of the first countries in Central Asia which is enthusiastically moving towards digitalization. A group of scientists from Tashkent Pediatric Medical Institute (TPMI) created an AI system for diagnosing electrocardiogram (ECG) waveform outputted from the portable biometric sensor “Bitalino” in order to find out problems for introducing AI in the medical field in Uzbekistan. From this experience and the general literature, we conclude that the main barrier to mass use of AI in healthcare including in Uzbekistan may be two things: a huge amount of data for training, and personnel problem.