Medical Science Pulse最新文献

{"title":"Musculoskeletal pain in professional symphony orchestra musicians","authors":"A. Kaczorowska, A. Mroczek, Ewelina Lepsy, Magdalena Kornek, Agnieszka Kaczorowska, Monika Kaczorowska, Karolina Lepsy","doi":"10.5604/01.3001.0015.0633","DOIUrl":"https://doi.org/10.5604/01.3001.0015.0633","url":null,"abstract":"Background: A musician’s many years of professional experience may contribute to the development of pain\u0000and musculoskeletal disorders. There are a few studies in Poland on gender differences in musculoskeletal\u0000pain among adult professional musicians.\u0000Aim of the study: This study aimed to assess and compare pain in Polish women and men who are professional\u0000musicians, as well as to analyze the relationships between the intensity and frequency of pain and the\u0000time spent playing each week and the experience of playing the instrument in years.\u0000Material and methods: Sixty professional musicians were examined (26 men and 34 women). Pain intensity\u0000was assessed using the visual analog scale (VAS). Participants reported the frequency of musculoskeletal\u0000system ailments, the location of the pain, the number of hours of playing the instrument per week, and the\u0000playing experience in years. In addition, body weight and height were measured and body mass index (BMI)\u0000was calculated.\u0000Results: Most of the participants (94% of women and 69% of men) reported pain in the musculoskeletal system\u0000(p=0.010). Women experienced significantly greater pain in the musculoskeletal system assessed using\u0000the VAS (p=0.036), and also declared pain significantly more often compared to men (p=0.002). Significant\u0000positive correlations were found between frequency of symptoms per week with the number of hours of playing\u0000per week (r=0.28), year of playing the instrument (r=0.38), and pain assessment on the VAS (r=0.57).\u0000Moreover, negative correlations were found between frequency of symptoms per week with body height\u0000(r=–0.45) and body mass (r=–0.36).\u0000Conclusions: Musculoskeletal disorders are very common among professional musicians, especially among\u0000women. In general, the greater the number of hours playing per week and the longer the history of playing,\u0000the greater the pain intensity. Future research should aim to evaluate the prevalence and risk factors of musculoskeletal\u0000disorders associated with playing an instrument in different groups of musicians.\u0000\u0000","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47921075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differentiating stroke, transient ischemic attack, or hemiplegic migraine in a teenager: a case report","authors":"Monika Ciechanowska, Jan Stachurski","doi":"10.5604/01.3001.0015.0631","DOIUrl":"https://doi.org/10.5604/01.3001.0015.0631","url":null,"abstract":"Background: The symptoms of stroke in the pediatric population are less evaluated than in adults. Although\u0000certain indicators are characteristic of stroke – acute drooping of the mouth corners, hemiparesis, and headache\u0000– they are not pathognomonic. Other diseases may manifest with similar symptoms, such as the first\u0000episode of hemiplegic migraine, and should be differentiated from stroke at an emergency department.\u0000Aim of the study: We present the differential diagnosis between stroke, transient ischemic attack, and first\u0000episode of hemiplegic migraine in a teenager with alarming focal symptoms.\u0000Case report: We present a case of 15-year-old patient with acute headache, drooping of the right mouth\u0000corners, and hemiparesis of the right upper and lower limb. He was brought by ambulance to the emergency\u0000department under suspicion of a stroke. A series of diagnostic tests performed at the Emergency Department\u0000did not reveal any vascular incident. Further diagnosis was performed at the Neurology Department. The\u0000patient was discharged from the hospital with a suspicion of first attack of hemiplegic migraine or transient\u0000ischemic attack.\u0000Conclusions: Differentiating stroke from other conditions in young patients is a significant challenge. The\u0000stroke diagnostic process in children requires further research to support accurate diagnosis and, if necessary,\u0000treatment as rapidly as possible.\u0000\u0000","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42444020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Therapeutic massage in women with stress urinary incontinence: a pilot study.","authors":"I. Wilk, Elżbieta Rajkowska-Rabon, Marta Sobiech, Gabriela Kołodyńska, B. Nowak, W. Doroszkiewicz, W. Andrzejewski, K. Kassolik","doi":"10.5604/01.3001.0015.0630","DOIUrl":"https://doi.org/10.5604/01.3001.0015.0630","url":null,"abstract":"Background: Stress incontinence affects 25–60% of women of all ages and causes constant discomfort, significantly\u0000lowering quality of life. The most common causes of urinary incontinence are weakened sphincter\u0000muscles or bladder failure.\u0000Aim of the study: The aim of this study was to assess the effectiveness of therapeutic massage therapy for\u0000stress urinary incontinence and to determine whether therapeutic massage can restore the normal function\u0000of the bladder sphincters.\u0000Material and methods: The study involved eleven women with a diagnosis of primary stress urinary incontinence,\u0000aged 50–79 years. The women attended therapeutic massage sessions twice a week for four weeks.\u0000A sanitary pad test was performed before starting and immediately after ending the therapy to verify its effectiveness.\u0000Results: In eight women, the amount of urine that leaked decreased after therapy. This result was statistically\u0000significant (p = 0.02). In three cases, urine leakage was reduced to zero.\u0000Conclusions: Therapeutic massage, acting locally, improves the function of the bladder sphincters, their\u0000flexibility and the ability to contract and relax. Massage eliminates or significantly reduces the symptoms of\u0000stress urinary incontinence.\u0000\u0000","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47938749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Course of pregnancy, labor, and women’s satisfaction with life in the early postpartum period.","authors":"Magdalena Dziurka, Marzena Bucholtz, A. Pilewska-Kozak, B. Dobrowolska","doi":"10.5604/01.3001.0015.0615","DOIUrl":"https://doi.org/10.5604/01.3001.0015.0615","url":null,"abstract":"Background: The postpartum period, including hospitalization after a birth, requires the woman in puerperium\u0000to adjust to her new social role. The subject of satisfaction with life (SWL) in women in the early\u0000postpartum period has been rarely addressed in the literature and requires up-to-date, thorough research.\u0000Aim of the study: The present study aimed to evaluate the level of SWL among women after delivery according\u0000to selected characteristics concerning the course of pregnancy and labor.\u0000Material and methods: The study included 128 females who after delivery were hospitalized at maternity\u0000units in Lublin, Poland. The participants were administered the Satisfaction With Life Scale (SWLS) and\u0000a questionnaire to collect data on the course of pregnancy and labor.\u0000Results: It was found that 88 (68.75%) women had a high level of life satisfaction after childbirth, 27 (21.09%)\u0000had an average level, and 13 (10.16%) had a low level. Among the analyzed variables, a marginally significant\u0000increase in SWL was found for women in the early postpartum period that experienced skin-to-skin contact\u0000with the newborn immediately after delivery (p=0.054). The strength of the observed effect, as measured by\u0000Cohen’s d coefficient, was low (0.37).\u0000Conclusion: The current research contributes to the identification of factors occurring during pregnancy\u0000and labor that determine postpartum SWL. These results may enable the early elimination of variables that\u0000negatively affect postpartum SWL and place a focus on factors with a positive impact. The use of preventive\u0000measures designed to improve SWL are likely to aid in reducing the risk of mood disorders in the later postpartum\u0000period.\u0000\u0000","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43734025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food allergies among children as a social and medical problem","authors":"A. Zyska, A. Pawlak, M. Szerszeń, D. Soszyński","doi":"10.5604/01.3001.0015.0545","DOIUrl":"https://doi.org/10.5604/01.3001.0015.0545","url":null,"abstract":"Background: In recent years, food allergy has been diagnosed more frequently in children and adolescents. The environment is more toxic and chemical substances that are additives to food dominate the diet. Also, a changing lifestyle, exposure to stress, and a poorly balanced diet may have an impact on the occurrence of allergies. In society, more children suffer from food allergies than adults, and food allergies are becoming an increasingly serious social and medical problem.\u0000Aim of the study: The aim of this study is to review the subject of food allergies in children, with a focus on the social and medical problems associated with this condition.\u0000Material and methods: 31 studies, published in the last 10 years, were found in databases such as the Polish Medical Bibliography, PubMed Medline, and Google Scholar, using the following keywords: “food allergy”, “risk factors”, “diet”, “psychology”, “social aspects”.\u0000Conclusions: Given the potentially serious medical and social consequences resulting from allergic diseases, the increasing incidence of allergies among children and young people should motivate medical personnel and educators to receive additional training and to conduct further research in this area.\u0000\u0000","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47039760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of massage for treating acne lesions: a case study","authors":"Szymon Suwiczak, I. Wilk, K. Kassolik","doi":"10.5604/01.3001.0015.0543","DOIUrl":"https://doi.org/10.5604/01.3001.0015.0543","url":null,"abstract":"Background: Acne vulgaris is a chronic disease affecting almost 100% of the population. The treatment of this condition is not limited to the disease itself, but also involves eliminating the resultant scars. The most common treatments for acne and the associated scars are pharmacotherapy, cosmetic and physical therapy, and aesthetic medicine therapies. An alternative method for treating this condition may be massage, which, as a mechanical stimulus, may be effective at increasing scar mobility and reducing the pain experienced during movement.\u0000\u0000Aim of the study: The aim of this case study was to examine the effectiveness of massage for treating the scars resulting from keloid acne.\u0000\u0000Material and methods: Massage treatments were performed on a young man (32 years old) who, as a result of acne, had scars on the chest and back areas. Massage was performed twice a week for 3 weeks (6 treatments), and each session lasted 40 minutes. Before the therapy, the VAS scale was used to assess the perceived pain, and palpation was used to assess the consistency (hardness) of the post-acne lesions. Skin displacement was measured with the use of an innovative device allowing for determination of the angle of displacement of the superficial skin layer within the scar. A questionnaire was also used to assess well-being and quality of life. The measurements were repeated after each session and immediately after the end of the massage cycle.\u0000\u0000Results: After a series of massages, the experienced pain, as assessed by the VAS scale, was reduced from level 5 before therapy to level 1 after therapy. Skin mobility was also increased by the massage treatments, and the patient’s well-being and quality of life improved after each session. \u0000\u0000Conclusions: The presented case shows that massage can be used in the treatment of post-acne lesions. This therapy can support the conventional treatment process by contributing to a reduction in pain, increasing the limited mobility and displacement of the scarred skin, and improving overall well-being and quality of life.\u0000\u0000","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48261648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of parents’ satisfaction with caring for children hospitalized in a pediatric ward – part 1","authors":"A. Kremska","doi":"10.5604/01.3001.0014.6575","DOIUrl":"https://doi.org/10.5604/01.3001.0014.6575","url":null,"abstract":"Background: The quality of medical services offered is a factor that strongly determines patient satisfaction.\u0000Aim of the study: The aim of the study was to evaluate parent’s satisfaction with the care and conditions experienced\u0000during their child’s stay in a Pediatric Ward.\u0000Material and methods: The study involved 293 parents from two pediatric wards of the Clinical Provincial\u0000Hospital No. 2 in Rzeszow. The PASAT PEDIATRIA package was used as a research tool.\u0000Results: The functioning of the admission room was good. Parents of children on the Pediatric Ward ranked\u0000medical and nursing friendliness the highest (mean = 4.34 and 4.37, respectively), followed by the availability\u0000of doctors (mean = 3.97) and the amount of time they devoted to the patient’s family (mean = 3.97). Respondents\u0000assessed the ward best in terms of the cleanliness of the room (mean = 4.12) and the possibility of spending\u0000free time in an interesting way (mean = 4.07).\u0000Conclusions: Parents of children hospitalized in the Pediatric Ward were slightly more satisfied with nursing\u0000than medical care. Doctors should make every effort to improve the availability and amount of time devoted to\u0000the child’s family. The overall assessment of the conditions in the ward was “fairly good”, indicating the need\u0000for monitoring and improvement.\u0000\u0000","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48002540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing of patients’ knowledge of anaphylactic shock and allergies.","authors":"A. Kotowska","doi":"10.5604/01.3001.0014.6894","DOIUrl":"https://doi.org/10.5604/01.3001.0014.6894","url":null,"abstract":"Background: The World Health Organization (WHO) identified allergy as one of the major problems of the 21st\u0000century. It was also stated to be a key issue for health protection and public health care activity in the White Book\u0000on Allergy published in 2011. An allergy or atopy is called type I hypersensitivity. It may take the form of immediate\u0000(anaphylaxis) or late symptoms including allergic rhinitis and eye diseases, atopic dermatitis, food allergies,\u0000anaphylactic shock, allergic asthma and hives. Anaphylaxis and anaphylactic shock can occur at any age.\u0000Aim of the study: The goal of the study was to assess patient knowledge about allergies and appropriate actions\u0000to take in situations of severe allergic symptoms including anaphylactic shock.\u0000Material and methods: The study was conducted in 2018 among 150 adult patients in a clinic of Allergy at\u0000Optima Medycyna SA in Opole. The author’s survey questionnaire contained 27 closed single or multiple-choice\u0000questions.\u0000Results: A satisfactory level of knowledge of the most life-threatening allergy exacerbations was found in 79.3%\u0000(119) of the examinees. 53.3% (80) had correct knowledge of how to act in the case of a severe allergic shortness\u0000of breath and symptoms that do not subside despite administering medications. In such instances, 46.7%\u0000did not know what to do. Only 84.7% (127) of respondents knew the definition of anaphylactic shock while 10%\u0000(15) did not know the concept at all.\u0000Conclusions: Patients showed a significantly higher level of knowledge about allergy complications than about\u0000their causes and prevention. Knowledge about the diagnosis of allergy exacerbations, as well as steps to take in\u0000life-threatening situations associated with acute allergic disease and anaphylactic shock in home situations was\u0000insufficient. In addition, it was found that nursing staff insufficiently educate patients on allergies and associated\u0000complications.\u0000\u0000","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42108836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pregnant woman with circumvallate placenta and suspected fetal hypotrophy caused by placental insufficiency: a case report","authors":"J. Surówka, Dorota Matuszczyk","doi":"10.5604/01.3001.0014.6735","DOIUrl":"https://doi.org/10.5604/01.3001.0014.6735","url":null,"abstract":"Background: The circumvallate placenta is a rare pathology of the human placenta that occurs in 1–2% of pregnancies. It is characterized by extrachorial placental development, resulting in a ring formation along the edges of the placenta, which leads to efficiency impairment. As a consequence, it causes an intrauterine fetal hypotrophy. The fetal hypotrophic pregnancies are classified as high-risk pregnancies, requiring not only intensive monitoring of fetal development but also maternal and fetal care by the highest reference clinical center. Aim of the study: The aim of this study was to analyze the case of a patient with circumvallate placenta and fetal hypotrophy suspicion. Material and methods: The study was based on the case study method. The data was obtained by analyzing medical documentation collected during hospitalization. The patient was interviewed and observed. All of the selected parameters were measured and scaled. Case study: A 30-year-old primiparous woman at 38+1 weeks gestation, with diagnosed circumvallate placenta and suspected fetal hypotrophy. The pregnancy had several complications, including gestational hypothyroidism. There was spotting and imminent abortion in the first trimester and in the second and third trimester, the patient was treated for vaginal mycosis. There was a risk of preterm labor in the third trimester. The patient was admitted to the delivery room in the first stage of labor. The course of first stage of labor was normal however the second stage of labor was complicated. Obstructed labor with ace presentation, mentoposterior position. A lower uterine segment cesarean section (LUSCS) was performed and a live full-term female infant was delivered, which was found to be small for gestational age (SGA). The course of the early puerperium was uncomplicated with an expected duration of stay in the neonatology department. Both mother and baby were discharged from hospital on postpartum day 3. Conclusions: Circumvallate placenta is not a contraindication to natural delivery however is associated with an increased risk of many perinatal complications. Holistic care during delivery and the early puerperium requires specialized knowledge and skills of medical staff in taking care of both of the mother and the child.","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46392153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tele-healthcare and the use of virtual communication technologies in medical research and application: the future of telemedicine is now!","authors":"W. Hills, Karen T. Hills","doi":"10.5604/01.3001.0014.4767","DOIUrl":"https://doi.org/10.5604/01.3001.0014.4767","url":null,"abstract":"Contemporary world events are demonstrating the need to embrace and further develop tele-health options for assessment and delivery of biopsychosocial healthcare services. This is now possible, given advances in communication technologies allowing virtual connections of medical personnel with constituents, as well as necessary, in light of recent challenges posed by infectious conditions and growing needs for travel restrictions, social distancing, and isolation of large portions of populations. Moreover, the opportunity to virtually connect with persons through ubiquitous computer-based and handheld communication devices allows comprehensive care provision to include underserved areas, where restricted, walk-in access to brick-and-mortar establishments has long been recognized as a limiting factor in healthcare. This review examines evolving approaches of tele-healthcare, with a specific focus on telemedicine as a bridge between traditional, in-person approaches to diagnose and treat medical conditions and new healthcare opportunities developing to meet changing societal needs. The three purposes of the review are: discuss background information, with a brief look at policy and procedure guiding applications of tele-techniques in healthcare practices; identify relevant scientific studies to show the breadth of new evidence-based research for telemedicine practices; and, discuss challenges for the further development of telemedicine as healthcare systems in the United States evolve to meet current and projected healthcare needs.\u0000\u0000","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46384146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}