2021, Volume 15, Issue 1
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RekordMedical cups and their therapeutic use(Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2020-09-07)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).
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RekordCystitis cystica – chronic urinary bladder inflammation in children(Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2021-02-20)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.
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RekordCorrelation 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)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.
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RekordPhysical activity of physiotherapy students at the Medical University of Warsaw(Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2020-08-03)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.
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RekordThe 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)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.