2021, Volume 15, Issue 1

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https://hdl.handle.net/20.500.13044/141

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Przeglądanie 2021, Volume 15, Issue 1 według Data wydania

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  • Rekord
    Physical activity of physiotherapy students at the Medical University of Warsaw
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2020-08-03) Boguszewski, Dariusz ; Ochal, Andrzej ; Adamczyk, Jakub ; Jasiński, Paweł ; Szymańska, Agata ; Obszyńska-Litwiniec, Anna ; Białoszewski, Dariusz
    Background. Regular physical activity allows maintenance of physical fitness at an optimal level and also contributes to greater care for other elements of a healthy lifestyle. The promotion of physical activity should be one of the tasks of health professionals, including physiotherapists. The aim of this study was to assess physical activity levels of physiotherapy students. Material and methods. This study involved 853 students (634 women and 219 men) of the Faculty of Physiotherapy of the Medical University of Warsaw (444 first-year students and 409 second-year students). The research tools were the International Physical Activity Questionnaire – short version (IPAQ-SF) and the author’s own survey to obtain information on the type of physical activity and reasons for taking it up or not.Results. Men had significantly higher levels of physical activity than women (p<0.001). The physical activity levels of second-year female students were higher than those of first-year female students (p=0.026). Among men, there was no significant difference between first and second-year students. Conclusions. More than half of those surveyed do not engage in any physical activity outside of curriculum activities. The results obtained in this study may form the basis for continuing research with the participation of various groups of subjects and using more advanced technologies and research tools.
  • Rekord
    The influence of sucralose on thyroid gland function
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2020-09-01) Oliynyk, Oleksandr
    Background. Recently, an increasing number of scientific studies have reported on the adverse effects of sweeteners on the body. The aim of this work was to study the effect of sucralose on the production of thyroid hormones. Material and methods. The study involved 30 women (average age 24.5±5.2 years) who considered themselves to be healthy. Blood levels of free and total triiodothyronine, free and total thyroxine, as well as thyroid-stimulating hormone were determined. The women were then prescribed sucralose for a month, taken daily at a dose of 15 mg/kg. At the end of this period, levels of thyroid hormones were measured again. Results. After the sucralose regimen, free and total triiodothyronine and total thyroxine were found to be 2.0, 1.58 and 1.46 times lower, respectively, than before sucralose intake (P<0.001). Conclusions. Given that sucralose affects the production of thyroid hormones, it can be concluded that sucralose is not a biologically inert compound.
  • Rekord
    Medical cups and their therapeutic use
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2020-09-07) Kasperczyk, Tadeusz ; Marszałek, Anna ; Walaszek, Robert
    Cupping therapy belongs to methods of natural medicine. Cups have been used since ancient times, with the first mentions of cups coming from excavations in Mesopotamia dating to around 3300 BC. The primary mechanism of cup action is related to blood function, known as autohemotherapy. The aim of this work was to present the different types of medical cups used today, techniques for placing them on the skin and their mechanisms of action for various medical conditions as well as in regenerative sports medicine and cosmetology. Methods of placing cups on the skin depend on the type of cup used, the purpose for which they are being used for and the experience level of the therapist. Cupping is a safe form of therapy support, provided that the treatments are performed according to a strictly established procedure and take into account contraindications. This work is a review based on a query of the literature on the subject, as well as the experience and results of research studies conducted by the authors. An important component of the work involves the demonstration of the use of cups as part of physiotherapeutic procedures and regimens using manual therapy (mobilization) and acupuncture points. The discussion presents a review of publications that highlight the therapeutic effects of cup use for various pathological conditions. The therapeutic effects of medical cups largely depend on several factors, mainly vacuum pressure, but also skin temperature under the cup and other forms of energy/indicators, which depend on the specific elements or components involved in the cupping procedure (i.e. heat, acupuncture needles).
  • Rekord
    The nurse’s role in caring for Alzheimer’s patients
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2020-10-20) Ławnik, Anna ; Sakowicz, Diana
    The number of Alzheimer’s disease (AD) patients is rapidly increasing. To date, there may be half a million Alzheimer’s patients in Poland. World Health Organization forecasts that the total number of patients with dementia will amount to 75.6 million in 2030 and increase to 135.5 million by 2050. Modern care includes health strengthening activities, disease prevention, shaping the ability to live with the disease or disability, and assisting in dignified and peaceful death. This paper aims to present a model method for nursing of an Alzheimer’s patient, taking into account external and internal factors. Problems with everyday activities arise in each stage of the disease. Yet, their largest number is observed in the third and final stage. A nurse providing professional help and support to caregivers of patients with AD formulates nursing and caring instructions accommodated to the disease stage. According to the authors, the adjustment of individual care to the specific stage of the disease improves the patient’s quality of life. The synthesis of nursing activities performed for Alzheimer’s patients should be focused on the cooperation between the nurse and the patient’s caregiver. The patient’s family and caregivers’ education should be emphasized as their awareness and knowledge of the disease will result in better care. Caregivers’ insufficiency of expertise concerning the appropriate care may deepen the patient’s illness and intensify its consequences. Patients with advanced AD need constant, day-and-night care. Creating such conditions is often connected with sacrificing one’s personal life. Therefore, apart from imparting the knowledge concerning the right care, a nurse provides mental support to Alzheimer’s patients’ caregivers.
  • Rekord
    Is there a need for a weight management control program in hemodialysis patients? The implication of exercise programs
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2020-11-04) Bogataj, Špela ; Pajek, Jernej ; Buturović Ponikvar, Jadranka ; Pajek, Maja
    Background. In hemodialysis (HD) patients, age-related muscle loss and body composition changes are more intense than in those with normal renal function. This study aimed to determine the effects of functional training in addition to intradialytic cycling exercise, compared to intradialytic cycling alone on body composition in HD patients. Material and methods. Patients were randomized to an experimental group (n=20; functional training and intradialytic cycling) or control group (n=20; intradialytic cycling) over 16 weeks. In the first 8 weeks, the experimental group attended guided functional training before dialysis, and afterward performed functional training at home. Results. After 16 weeks, a significant intergroup difference was found only in total body water only (p=0.037) in favor of the experimental group. Significant intragroup changes were found for weight (after 8 weeks: p=0.009; after 16 weeks: p=0.012), waist circumference (after 8 weeks: p=0.026; after 16 weeks: p=0.044), and BMI (after 16 weeks: p=0.046) in the experimental group and for fat tissue index (after 16 weeks: p=0.038) in the control group. Overall exercise compliance was high, reaching more than two-thirds of prescribed exercise volumes. Conclusions. Our results showed increased weight and BMI following functional training in HD patients. This increase was not a result of an increase in body fat, which was illustrated by unchanged results in fat tissue index.
  • Rekord
    The effect of physical activity on pulmonary function in patients with pectus excavatum
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2020-11-24) Mikuľáková, Wioletta ; Kendrová, Lucia ; Kuželová, Stanislava ; Gajdoš, Miloslav ; Čuj, Jakub ; Mikuľák, Martin ; Peresta, Yuriy
    Background. The aim of this study was to determine the impact of the level of physical activity on pulmonary function in patients with pectus excavatum. Material and methods. This study included 47 patients diagnosed with pectus excavatum, with a median age of 19 years (min. 17 years, max. 26 years). The degree of deformity was evaluated clinically by anthropometric measurement. Spirometry was used for the evaluation of pulmonary function. The demographic, clinical data, and experience of patients with sporting activity were examined using a questionnaire. The self-reported International Physical Activity Questionnaire short form (IPAQ-SF) was used to determine physical activity levels. Results. With higher physical activity, there was statistically significant higher inspiratory vital capacity (IVC) (rho=0.628), forced vital capacity (FVCex) (rho=0.455), and forced expiratory volume in 1 second (FEV1) (rho=0.356). A statistically significant relationship was observed between deformity rate and spirometric parameters for FEV1 (p=0.011), maximal expiratory flow rate of 75% FVC (MEF75) (p<0.0001), and peak expiratory flow (PEF) (p<0.0001). Conclusions. Respiratory functions of patients with chest deformity are positively influenced by physical activity.
  • Rekord
    Assessing the knowledge of cervical cancer by women from Biała Podlaska, Lubelskie Voivodeship
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2021-01-18) Gładysz, Iwona
    Background. In the female population, cervical cancer is classified as one of the too late diagnosed cancers. Cervical cancer incidence and mortality rates in Poland are among the highest in the European Union. The aim of the paper is the assessment of women’s knowledge about cervical cancer based on the study of the feminine population in the county of Biała Podlaska. Material and methods. The study covered a group of 172 women living in the county of Biała Podlaska, Lubelskie Voivodeship, Poland. The research tool was an original questionnaire. The statistical analysis was performed using the STATISTICA v 10. program and the Pearson Chisquare test. Results. More than half of respondents (55.8%) indicated the following risk factors of cervical cancer: early onset of sexual life, many partners in a partner, infection of the cervix with HPV and herpes viruses, many deliveries, and smoking. The majority of respondents (62.2%) believe that cytology and gynecological examination are part of the preventive examination. Conclusions. 1. Respondents’ knowledge about the risk factors of cervical cancer is sufficient. 2. Respondents above 26 years of age possess knowledge about human papillomavirus (HPV) vaccination as a means of preventing cervical cancer. 3. Young women’s knowledge about HPV vaccination is insufficient.
  • Rekord
    COVID-19 and fertility – baby boom or bust?
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2021-01-25) Dhillon, Harpreet Singh ; Sasidharan, Shibu
  • Rekord
    Correlation between indicators of hypovolemia and response to infusion therapy in fluid resuscitation of patients with septic shock
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2021-01-25) Zuo, Tinglan ; Glumcher, Felix Semenovich ; Demin, Evgeny Yurievich
    Background. Infusion therapy is the primary stage of resuscitation in patients with septic shock. But excess fluids may cause adverse outcomes, so which indicators should doctors monitor to predict whether the infusion volume is sufficient?Material and methods. The prospective clinical study included 68 consecutive intensive care unit (ICU) adult patients with septic shock, who had an active surgical infection. Minimally invasive methods were used to continuously record cardiac output (CO). In this study, we compare the passive leg raise (PLR) test and initial central venous oxygen saturation (ScvO2) levels in terms of correlation with, and predictive accuracy for, infusion response. Results. The predictive accuracy of PLR testing and initial ScvO2 levels for infusion response was 55.9% vs. 67.6% in septic shock patients with abdominal infection. Results from the PLR test and reaction to infusion therapy revealed a slight positive correlation (R=0.239, P=0.018), initial ScvO2 and reaction to infusion therapy revealed a moderate negative correlation (R=-0.305, P=0.009). Conclusions. In intra-abdominal septic shock patients, the PLR test is not a reliable predictor of response to infusion, but low initial ScvO2 levels can be used for the prediction of response to infusion. Administering a fluid challenge with dynamic indicators (such as CO) is the most accurate method for clinicians to determine the need for further infusion therapy.
  • Rekord
    Features of behavior, diet, alcohol consumption, smoking, and psychological state and their relationships with the academic performance of junior medicine students
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2021-02-20) Korovina, Lidiia ; Zaporozhets, Tetiana ; Boyechko, Fiedor
    Background. Peculiarities of behavior and nutrition, living conditions, consumption of alcohol, smoking, and psychological state are factors that can influence students’ academic performance. Material and methods. 327 healthy 1-2-year students aged 18.8±0.1 years were interviewed about lifestyle, consumption of various types of foods and alcohol, intensity and duration of smoking, fasting experience, satisfaction with their degree of wealth and family relationships, sleep duration and sleep disorders, and the number of physical and psychological traumas. Anxiety, self-esteem, academic ability, and academic performance were determined. Results. Students’ nighttime sleep duration was 7.1±0.1 hours; sleep disorders were observed in 40.1% of students. Vegetables were consumed daily by 31.4% students. 70.8% of males and 57.8% of females were satisfied with wealth. The females’ academic performance was higher. Alcohol consumption was higher among females from wealthy families, but lower than among males. Conclusions. Academic performance was negatively related to the weekly dose of alcohol consumed. The academic ability level of abstainers was higher than that of alcohol users. Alcohol users showed an inverse relationship between alcohol consumption and anxiety. Differences were found in factors contributing to alcohol use by young men and women. Academic performance was lower in individuals who fasted for more than one day.
  • Rekord
    Cystitis cystica – chronic urinary bladder inflammation in children
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2021-02-20) Szymanek-Szwed, Magdalena ; Jurkiewicz, Beata ; Samotyjek, Joanna ; Załęska-Oracka, Katarzyna
    Background. Infections of the urinary tract are the second most common bacterial infections occurring among the pediatric population. Cystitis cystica is the prevalent form of chronic inflammation which occurs in children. The pathogenesis of the disease is unclear, however recurrent urinary tract infections are considered to be the most common cause. Inflammation may be asymptomatic or present with symptoms of active infection. Chronic inflammation can lead to micturition disorders. Treatment of cystitis cystica is difficult and long-lasting. Here, the authors present their experience on the diagnosis and treatment of patients with cystitis cystica.Material and methods. In the period 2016-2019, 871 cystoscopies were performed at the Department of Pediatric Surgery and Pediatric Urology of the Centre of Postgraduate Medical Education, Warsaw, Poland. Depending on the severity of macroscopic changes, the severity of symptoms, and the occurrence of recurrent urinary tract infections, different treatment protocols were used: oral administration of furazidine and trimethoprim with sulfamethoxazole, intravesical instillation of gentamicin and immunomodulating treatment in chosen cases.Results. Improvement in the clinical condition of sick children was achieved in 79% of patients (84/106). Changes in endoscopic findings did not always correlate with clinical symptoms.Conclusions. The authors recommend extended diagnostics to include endoscopic examination in children with recurrent bladder infections and/or voiding disorders that are difficult to treat. This will allow exclusion or diagnosis of cystitis cystica and enable appropriate treatment at the initial stage of the disease, making regression of the changes in the bladder mucosa possible with oral pharmacotherapy only.