2015, Volume 9, Issue 3
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RekordPhysical activity level of the youth in selected countries of the world(Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2016-01-13)Physical activity is one of the most important elements of a healthy lifestyle, and its lack or insufficient amounts can lead to serious health disorders. There are many adult diseases which are associated with the behaviour, lifestyle during puberty, including physical inactivity. It was therefore decided in this study to present the physical activity of young people from six countries in the world in the context of different variables. The following countries: Brazil, Spain, Poland, Czech Republic, Norway and Nepal were selected for comparison. Although all studies used the same standardized research tool, ie. The International Physical Activity Questionnaire IPAQ, in the course of analysis, the authors encountered difficulties with comparability, associated with the usage of various methods and data processing, which could result in different or reduced comparability. Consequently, it was decided not to make a detailed comparative analysis of individual research results and the presentation of the key conclusions brought about selected studies worldwide. Analyses of studies which have been conducted in different cultural contexts, confirm once again the thesis of the decline in physical activity levels with age for both girls and boys. Gender quite substantially differentiated physical efforts in adolescents. Girls at the age of adolescence are less physically active than boys. It was also noted that the increase of sedentary behaviour among children and adolescents and their disastrous consequences have an impact on the health and life in this age group, the studies of sedentary lifestyle have become a very important subject of many studies. Girls are still “more sedentary” than boys. Many authors, in order to ensure the reliability and relevance of their research, complied with the objective instrument eg. accelerometer or metabolic analyzer.
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RekordAcceptance of illness and satisfaction with life among patients with arterial hypertension(Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2016-01-13)The aim of this study was to determine and compare the degree of acceptance of the disease and the level of satisfaction with life among people with diagnosed hypertension. The research was carried out by means of a diagnostic survey. The study used the scale of AIS - Approval Illness Scale (Acceptance of Illness Scale). For measuring life satisfaction ladder Cantrill was used. It assessed satisfaction with life on a scale from 0 to 10. The study was conducted in June 2014 among the residents of Lubelskie and Świętokrzyskie voivodships. The study was anonymous. The approval of the Bioethics Committee at the Medical University of Lublin (KE-0254/176/2014) was received for carrying out the tests. The study included patients diagnosed with hypertension – total of 154 people. The study has shown the average degree of acceptance of the disease. Illness and healing therapy did not impact negatively the functioning of most respondents. The respondents described their adaptation to the limitations imposed by the disease in different degrees. The vast majority of respondents did not have any problems arising from the disease and did not abandon their favorite activities. Every third respondent with hypertension felt as being a defective person and dependent on other people. The relation between satisfaction with their own lives, and the level of acceptance of the disease was concluded in that study. The higher the degree of satisfaction with patients’ lives, the higher the acceptance of illness. Studies have shown positive correlations between gender, age, place of residence, duration of illness and education, and acceptance of the disease. In contrast, there was no statistically significant association between marital status and the test subject.
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RekordNon-surgical and surgical treatment of lumbar degenerative disc disease in the course of peripheral neuropathy(Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2016-01-13)The aim of this article is to review current reports pertaining the effects of treating patients with diagnosed degenerative disc disease in the lumbosacral section of the spine. Materials and methods: the method of descriptive analysis was used. The research was conducted on the basis of materials from MEDLINE and EMBASE databases from the last ten years. The cases of patients with sciatic neuritis caused by degenerative disc disease undergoing conservative treatment, and similar group of patients treated surgically, were analysed. Conclusions: Conservative treatment lowers the intensity of pain, but does not improve the functional abilities of the spine. Surgical treatment gives good and quick therapeutic results, but its long-term effects do not seem better than in the case of conservative treatment. Moreover, surgical treatment may result in serious complications. In rare cases the condition results in a severe impairment of motor functions in legs and sphincter paralysis. Such patients should undergo immediate surgical treatment.
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RekordMorphologic changes in the nodular goitre induced by the LigaSure high frequency current generator(Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2016-01-13)Summary: Today, surgical dissection and tissue coagulation with both monopolar and bipolar coagulation as well as LigaSure high frequency current generator (HFCG) are the surgical modalities of choice in the treatment of thyroid pathology. However, the question of the high frequency current effect on the morphofunctional condition of the post hemithyroidectomic parenchyma is still disputable. The goal of the research is a thorough histological analysis of the surgically removed thyroid tissue specimen.The nodular goitre of 50 patients was subject to the histological study. The surgery was performed with the LigaSure HFCG. The 1.0x0.5 thyroid tissue specimens were excised from three areas. Hemithyroidectomy lasted for 40-50 min and thyroidectomy – 120 ± 4.2 min. In both procedures, the blood loss was within 70-150 ml, no haemorrhage being observed in both intra-and postoperative period.The zonal effect of high frequency current on the thyroid structure was determined morphologically, namely coagulation necrosis in the site of direct action, intensified secretory response of the thyroid tissue to the extremal factor in the perifocal area, and typical structure was determined morphologically, namely coagulation necrosis in the site of direct action, intensified secretory response of the thyroid tissue to the extremal factor in the perifocal area, and typical structure of the nodular goitre with the signs of impaired microcirculation in the remote area. Morphologic changes of the thyroid gland, with high frequency current used as a dissector, are distance-dependent.
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RekordNew aspects in the treatment of hypertension(Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2016-01-13)Hypertension is currently the leading cause of cardiovascular complications (heart attack, stroke) and the resulting deaths of patients. Reduced morbidity and mortality from cardiovascular complications is the main goal of treating patients suffering from high blood pressure (BP). To achieve target BP levels in the arsenal of physicians are five major classes of antihypertensive drugs: angiotensin-converting enzyme inhibitors, angiotensin II receptor blockers, calcium channel blockers, β-blockers, diuretics. The choice of antihypertensive drug in concrete clinical situation often complicated and determined by complex factors. Among these presence of risk factors; target organ damage; associated clinical conditions, metabolic syndrome, diabetes, comorbidities; possible individual patient response to antihypertensive drugs of different classes in history; the likelihood of drug interactions; socio-economic factors, including the cost of treatment of hypertension. Promising is the use of angiotensin II receptor blockers ‑ drugs with pleiotropic pharmacological properties that have a multicomponent antihypertensive efficacy, good tolerability, diverse organoprotection that are safe, able to enhance remote prognosis for patients with hypertension. Azilsartan medoxomil is a competitive reversible angiotensin II type 1 receptor antagonist. Azilsartan developing hypotensive effect faster, prolonged and pronounced compared to other sartans (valsartan, candesartan and olmesartan). In addition to antihypertensive action azilsartan medoxomil shows a number of additional pleiotropic effects. These include antithrombotic, antiproliferative and antyfibrotic action. It demonstrates the improvement in glucose tolerance and tissue insulin sensitivity, improves endothelial function, reduces the progression of albuminuria, proteinuria.