2019, Volume 13, Issue 4
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RekordPre-nosological monitoring of the health statuses of female obstetrician-gynecologists(Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2019-10-17)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.
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RekordDetection 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)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.
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RekordSuperior mesenteric artery syndrome - diagnostic difficulties(Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2019-02-27)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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RekordPhysioprophylaxis of type 1 diabetes in children using physical exercise(Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2019-12-20)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.
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RekordFunctional 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)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.