Polski Merkuriusz Lekarski最新文献

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Psychosocial risks and musculoskeletal disorders (MSD's) nurses face in the hospital working environment. 护士在医院工作环境中面临的社会心理风险和肌肉骨骼疾病(MSD)
Polski Merkuriusz Lekarski Pub Date : 2025-01-01 DOI: 10.36740/Merkur202501102
Despoina Iordanidou, Ioannis Kouroutzis, Aristomenis Kotsakis, Vasileios Tzenetidis, Pavlos Sarafis, Maria Malliarou
{"title":"Psychosocial risks and musculoskeletal disorders (MSD's) nurses face in the hospital working environment.","authors":"Despoina Iordanidou, Ioannis Kouroutzis, Aristomenis Kotsakis, Vasileios Tzenetidis, Pavlos Sarafis, Maria Malliarou","doi":"10.36740/Merkur202501102","DOIUrl":"10.36740/Merkur202501102","url":null,"abstract":"<p><strong>Objective: </strong>Aim: The aim of this study was to investigate and correlate psychosocial risks and musculoskeletal disorders (MSDs) faced by nurses in the hospital work environment..</p><p><strong>Patients and methods: </strong>Materials and Methods: A cross-sectional study was conducted among 90 nurses (response rate: 56%) working in a General Hospital of Central Greece, from January to March 2023. A self-administered questionnaire was used for data collection, which included demographic information, characteristics of the nursing unit, the Copenhagen Psychosocial Questionnaire Version III (COPSOQ III), and the Nordic Musculoskeletal Questionnaire.</p><p><strong>Results: </strong>Results: No statistically significant differences were found between individual factors and the COPSOQ scales under examination, except for gender. Professional characteristics, however, were associated with psychosocial risks. For example, an increase in the number of nurses was positively associated with work demands. Conversely, night shifts were negatively associated with freedom of movement, as was the length of employment with opportunities for career development and the assessment of leadership quality. No statistically significant differences were found between MSDs and individual factors. Regarding the correlation between psychosocial risks and MSDs, the study revealed several associations among COPSOQ scales, such as work demands, work-life balance, freedom of movement, social support from colleagues and supervisors, job insecurity and satisfaction, interactions with others, health assessment, and mental exhaustion, with the occurrence of MSDs in body areas such as the neck, shoulders, elbows, wrists, hips, upper back, and ankles.</p><p><strong>Conclusion: </strong>Conclusions: The hospital work environment entails numerous psychosocial risk factors, and ensuring its safety requires their identification and evaluation. Interventions such as ergonomics training, acquiring ergonomic equipment, avoiding manual lifting, and training on the use of patient handling devices can increase risk awareness, reducing the frequency and intensity of musculoskeletal pain.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 1","pages":"12-19"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597738","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}
引用次数: 0
Schistosomiasis in urology. Outline of the problem. 泌尿外科中的血吸虫病。问题的轮廓。
Polski Merkuriusz Lekarski Pub Date : 2025-01-01 DOI: 10.36740/Merkur202502115
Piotr Kuzaka, Sharma Sumit, Bolesław Kuzaka, Piotr Radziszewski
{"title":"Schistosomiasis in urology. Outline of the problem.","authors":"Piotr Kuzaka, Sharma Sumit, Bolesław Kuzaka, Piotr Radziszewski","doi":"10.36740/Merkur202502115","DOIUrl":"https://doi.org/10.36740/Merkur202502115","url":null,"abstract":"<p><p>Schistosomiasis very often illness in endemic countries caused by schistosoma haematobium and very rare disease, in Poland caused especially by birds flukes, and in travellers and refugees from endemic countries. It is important for urologist to keep in mind in differential diagnosis also this disease. Symptoms of the disease are primarily due to the body's reaction to the parasite's eggs and dead flukes forms, which cause inflammatory infiltrates. In the early stages, these are reversible and curable, but in later stages, they lead to recidivans haematurie, fibrosis and calcification of the affected organ, resulting in subsequent changes, bladder neck strictures, ureteral strictures, vesico-ureteral reflux, calculi in the urinary tract, squamous cell carcinoma of the urinary bladder, renal failure, and others. In neglected cases, bilharziasis manifestations are fistulas on the scrotum with pseudo-elephantiasis changes.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 2","pages":"256-266"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001834","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}
引用次数: 0
Special pedagogy of people with intellectual disability and contemporary psychiatry in poland - mutual complementarity or lack of understanding? 波兰智障人士的特殊教育与当代精神病学——相互补充还是缺乏理解?
Polski Merkuriusz Lekarski Pub Date : 2025-01-01 DOI: 10.36740/Merkur202502118
Tadeusz Pietras, Kasper Sipowicz, Andrzej Witusik, Anna Mosiołek, Karol Batko, Aleksander Stefanik
{"title":"Special pedagogy of people with intellectual disability and contemporary psychiatry in poland - mutual complementarity or lack of understanding?","authors":"Tadeusz Pietras, Kasper Sipowicz, Andrzej Witusik, Anna Mosiołek, Karol Batko, Aleksander Stefanik","doi":"10.36740/Merkur202502118","DOIUrl":"https://doi.org/10.36740/Merkur202502118","url":null,"abstract":"<p><p>Intellectual disability is the subject of interest of psychiatry and special education. Both sciences in Poland adopt an inclusive model of care for people with disabilities. The path of each of them from a directive model to an inclusive model has been different. The aim of the study is to compare the attitude towards people with intellectual disabilities and the evolution of changes that have taken place in Polish special education and in Polish psychiatry in the last few decades. The comparison was carried out using the narrative method through a review of key publications on the understanding of the intellectual disability phenomenon by special education in Poland and by psychiatry. In 1989, Polish special education departed from dialectical materialism as a binding doctrine in the social sciences. A postmodern understanding of the phenomenon of disability, culminating in the formulation of a humanistic paradigm of special education consisting of four microparadigms, developed instead. Special education moved away from quantitative research in favor of qualitative research, negating the biomedical aspects of disability. Qualitative and conceptual research studies carried out in Poland have not entered the global circulation of scientific information and are known locally in Poland. Polish psychiatry has undergone a less revolutionary path of change than special education. The development of community psychiatry in Western Europe slowly began to be implemented in Poland. It has been implemented in recent years in the form of mental health centers. Since the beginning of the political transformation, Polish psychiatry has been present in international journals in published English with the Impact Factor. Despite the postmodern, inclusive understanding of mental disorders, but in contrast to Polish special education, Polish psychiatry is based on quantitative research studies. Their results are published in international journals. Polish special pedagogy of people with intellectual disabilities, as well as Polish psychiatry, have undergone a significant paradigmatic reconstruction in the last few decades. Both sciences adopted an inclusive model of understanding intellectual disability. The different ways of development of the two sciences are reflected in publications and scientific research, as well as in certain terminological differences.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 2","pages":"277-283"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000810","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}
引用次数: 0
Painful swelling of the skull as the first symptom of multiple myeloma - a case report. 以多发性骨髓瘤为首发症状的颅骨疼痛肿胀1例报告。
Polski Merkuriusz Lekarski Pub Date : 2025-01-01 DOI: 10.36740/Merkur202502119
Jakub Sadowski, Mateusz Roszak, Lech Kipiński, Krzysztof Kandziora, Aleksandra Szczerbaniewicz, Ina Żabicka, Beata Łabuz-Roszak
{"title":"Painful swelling of the skull as the first symptom of multiple myeloma - a case report.","authors":"Jakub Sadowski, Mateusz Roszak, Lech Kipiński, Krzysztof Kandziora, Aleksandra Szczerbaniewicz, Ina Żabicka, Beata Łabuz-Roszak","doi":"10.36740/Merkur202502119","DOIUrl":"10.36740/Merkur202502119","url":null,"abstract":"<p><p>This article presents the case of a 53-year-old patient who reported to the neurology emergency room because of painful swelling of the left side of the forehead, temple and parietal region that had been persisting for 4 days. In the interview, the patient is under constant cardiology care due to pharmacologically treated hypertension, additionally diagnosed with nephrolithiasis and left intercostal neuralgia as a result of chronic cough that had been persisting for 2 months. Neurological physical examination revealed slight facial asymmetry, with the left eyeball set deeper and the zygomatic bone less prominent on the left side. Noteworthy was the swelling of the soft tissues of the left side of the head, covering half of the forehead, temple and parietal region, without involvement of the back of the head or the right side. The patient underwent an imaging examination of the head using computed tomography (CT). Due to ambiguous changes in the bones of the skull cap, an extension of the diagnostics was ordered with magnetic resonance imaging (MRI). Very numerous osteolytic foci were found, which enhanced after contrast administration, scattered throughout the skull bone, and at least one foci in the spine - in the apex of the dentary tooth. The most probable origin of the changes was indicated as multiple myeloma, for differential diagnosis with other metastatic changes. The patient underwent a hematological consultation, during which a bone marrow aspirate and protein tests were taken. The histopathological result revealed numerous plasma cells and a monoclonal protein peak (M). A date was set for the patient to be admitted to the Hematology Department for further treatment.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 2","pages":"284-288"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048975","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}
引用次数: 0
The influence of the mastoid air cell system buffer function on the appearance of a spontaneous perilymphatic fistula development. 乳突空气细胞系统缓冲功能对自发性淋巴周围瘘管形成的影响。
Polski Merkuriusz Lekarski Pub Date : 2025-01-01 DOI: 10.36740/Merkur202502109
Olga V Sherbul-Trokhymenko, Ilona A Srebniak
{"title":"The influence of the mastoid air cell system buffer function on the appearance of a spontaneous perilymphatic fistula development.","authors":"Olga V Sherbul-Trokhymenko, Ilona A Srebniak","doi":"10.36740/Merkur202502109","DOIUrl":"https://doi.org/10.36740/Merkur202502109","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To examine mastoid pneumatisation in patients with perilymphatic fistula (PLF) and determine the influence of its buffering function on the onset and prognosis of the disease.</p><p><strong>Patients and methods: </strong>Materials and Methods: The study included 37 patients with PLF and labyrinthine window ruptures, experiencing unilateral hearing loss on the affected side. Mastoid process length, the volume of the mastoid, the planimetric size of the mastoid, and the area of the mastoid air-containing cells were measured. The assessment was made by temporal bone computed tomography.</p><p><strong>Results: </strong>Results: Thirty-two patients had signs of impaired ventilation of the middle ear and mastoid due to Eustachian tube (ET) dysfunction. The length of the mastoid process and its planimetric size in patients with hypopneumatized mastoids were significantly lower than in patients with non-hypopneumatized mastoids (which included 4 cases of normal pneumatisation and 1 case of hyperpneumatised mastoid process). The area of air-containing cells of the mastoid, its volume, and the average length were significantly lower when compared to the corresponding indicators on the conditionally healthy ear side. The obtained data may indicate a disruption of the protective buffering function on the affected ear side and can be considered as one of the possible causes of PLF with labyrinthine window ruptures.</p><p><strong>Conclusion: </strong>Conclusions: Thus, when mastoid pneumatisation decreases, its buffering function is compromised, posing a risk of damage to the middle and inner ear with the potential occurrence of PLF and labyrinthine window ruptures. The effectiveness of treatment for these patients depends on a comprehensive approach.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 2","pages":"212-217"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050385","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}
引用次数: 0
Dynamics of the size ratio between the cerebellar vermis and the fourth ventricle of the human brain during the fetal period of ontogenesis. 胎儿个体发育时期人脑小脑蚓部与第四脑室大小比例的动态变化。
Polski Merkuriusz Lekarski Pub Date : 2025-01-01 DOI: 10.36740/Merkur202502106
Olexandr V Tsyhykalo, Nataliia B Kuzniak, Larysa Ya Fedoniuk, Roman R Dmytrenko, Halyna M Chernikova, Haliia B Kulynych
{"title":"Dynamics of the size ratio between the cerebellar vermis and the fourth ventricle of the human brain during the fetal period of ontogenesis.","authors":"Olexandr V Tsyhykalo, Nataliia B Kuzniak, Larysa Ya Fedoniuk, Roman R Dmytrenko, Halyna M Chernikova, Haliia B Kulynych","doi":"10.36740/Merkur202502106","DOIUrl":"https://doi.org/10.36740/Merkur202502106","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To determine the patterns of change in the cross-sectional area of the cerebellar vermis and the fourth ventricle during the fetal period of human ontogenesis and to analyze the dynamics of their interrelationship.</p><p><strong>Patients and methods: </strong>Materials and Methods: The study was conducted using magnetic resonance imaging (MRI) scans of the human fetal brain obtained from open-access databases. Generalized images from the \"Fetal Brain Atlas\" (21-38 weeks of gestation) and MRI scans from the \"Fetal Brain MRI from Stanford Lucile Packard Children's Hospital\" database (20-39 weeks of gestation, n=20) were used. Morphometric analysis of mid-sagittal sections was performed using the Image Tool software. The cross-sectional areas of the cerebellar vermis and the fourth ventricle were measured, along with their relative values and ratios.</p><p><strong>Results: </strong>Results: Between 21 and 38 weeks of gestation, the cross-sectional area of the cerebellar vermis increased steadily, whereas the fourth ventricle exhibited a biphasic growth pattern: relatively slow expansion until 30 weeks, followed by accelerated growth. The analysis of relative areas revealed that the growth rate of the cerebellum exceeded that of the fourth ventricle until 30-32 weeks, after which the fourth ventricle underwent rapid expansion, leading to an alignment of their relative values. The ratio of the fourth ventricle's area to that of the cerebellum ranged from 4.8% to 9.8%, showing minimal values at 25-28 weeks and rapid growth between 28 and 34 weeks of gestation.</p><p><strong>Conclusion: </strong>Conclusions: The obtained data indicate changes in the proportional relationship between the cerebellum and the fourth ventricle throughout the fetal period of ontogenesis, reflecting the specific features of their morphogenesis. The proposed approach for assessing the interrelationship between these structures may be useful for analyzing both normal and abnormal hindbrain development during the prenatal period.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 2","pages":"184-190"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051374","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}
引用次数: 0
Forensic medical and legal analysis of cases of improper performance of professional duties by medical employees, including incorrect prescription of medical products Anzhela B. Berzina, Alina O. Pletenetska BOGOMOLETS NATIONAL MEDICAL UNIVERSITY, KYIV, UKRAINE KEY WO RDS. 对医务人员不当履行专业职责,包括不正确开具医疗产品处方的案件进行法医和法律分析Anzhela B. Berzina, Alina O. Pletenetska BOGOMOLETS国立医科大学,乌克兰基辅。
Polski Merkuriusz Lekarski Pub Date : 2025-01-01 DOI: 10.36740/Merkur202501113
{"title":"Forensic medical and legal analysis of cases of improper performance of professional duties by medical employees, including incorrect prescription of medical products Anzhela B. Berzina, Alina O. Pletenetska BOGOMOLETS NATIONAL MEDICAL UNIVERSITY, KYIV, UKRAINE KEY WO RDS.","authors":"","doi":"10.36740/Merkur202501113","DOIUrl":"10.36740/Merkur202501113","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To conduct a forensic medical and legal analysis of cases of improper performance of professional duties by medical employees, including incorrect prescription of medical products..</p><p><strong>Patients and methods: </strong>Materials and Methods: The article is based on the analysis of defects in the performance of professional duties by medical employees, particularly according to data from commission forensic medical examinations, as well as an analysis of international and national legal acts and national judicial practices of Ukraine. Dialectical, hermeneutic, comparative, analytical, synthetic, and system analysis research methods were used.</p><p><strong>Results: </strong>Results: Although the total number of forensic medical examinations tends to decrease, these examinations remain the focus of attention in cases of improper performance of professional duties by medical employees. A more detailed analysis of cases involving violations of treatment strategies revealed instances of incorrect treatment method selection (whether conservative or surgical), along with cases of improper or unjustified prescription of medicinal products. Incorrect prescription of medical products is one significant way medical employees fail in their professional duties.</p><p><strong>Conclusion: </strong>Conclusions: Understanding the general dynamics of forensic medical examinations is important, as it helps establish practical cause-and-effect relationships between the performance of professional duties by medical employees and adverse consequences for patients (including cases involving incorrect prescription of medical products).</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 1","pages":"94-99"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597726","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}
引用次数: 0
The role of oxidative disorders in the pathogenesis of kidney damage in type 1 diabetes mellitus and diabetic nephropathy in children: xanthine oxidase as a trigger. 氧化障碍在1型糖尿病和儿童糖尿病肾病肾损害发病机制中的作用:黄嘌呤氧化酶作为触发器
Polski Merkuriusz Lekarski Pub Date : 2025-01-01 DOI: 10.36740/Merkur202501115
Ievgeniia A Burlaka, Ihor V Kovalchuk, Inga O Mityuryayeva-Kornijko
{"title":"The role of oxidative disorders in the pathogenesis of kidney damage in type 1 diabetes mellitus and diabetic nephropathy in children: xanthine oxidase as a trigger.","authors":"Ievgeniia A Burlaka, Ihor V Kovalchuk, Inga O Mityuryayeva-Kornijko","doi":"10.36740/Merkur202501115","DOIUrl":"10.36740/Merkur202501115","url":null,"abstract":"<p><strong>Objective: </strong>. Aim: This review aims to analyze scientific articles and publications on the role of oxidative stress and xanthine oxidase in the pathogenesis of type 1 diabetes mellitus and diabetic nephropathy in order to update the theories underlying its development and progression.</p><p><strong>Patients and methods: </strong>Materials and Methods: The literature analysis used peer-reviewed articles, reviews, and descriptions of experimental studies from 2021-2024. The study describes the role of oxidative damage in the pathogenesis of diabetic nephropathy and the function of xanthine oxidase as a trigger.</p><p><strong>Conclusion: </strong>Conclusions: The study of the molecular mechanisms of the cytoprotective and renoprotective effects of xanthine oxidase inhibition confirms its leading role in the pathogenesis of diabetic nephropathy and opens up new prospects for the development of biomarkers, and therefore new approaches in the diagnosis, treatment, and prevention of diabetes and its dangerous complications.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 1","pages":"108-114"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597916","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}
引用次数: 0
Feasibility of implementing and collecting data on somatic methods during wartime Donbas, Ukraine. 在乌克兰顿巴斯战时实施和收集体细胞方法数据的可行性。
Polski Merkuriusz Lekarski Pub Date : 2025-01-01 DOI: 10.36740/Merkur202501108
Katja Kolcio, Marta Pyvovarenko, Jennifer Rose, Vitaliy Kharechko, Volodymyr Shevchyk
{"title":"Feasibility of implementing and collecting data on somatic methods during wartime Donbas, Ukraine.","authors":"Katja Kolcio, Marta Pyvovarenko, Jennifer Rose, Vitaliy Kharechko, Volodymyr Shevchyk","doi":"10.36740/Merkur202501108","DOIUrl":"10.36740/Merkur202501108","url":null,"abstract":"<p><strong>Objective: </strong>Aim: This study explores the feasibility and psychosocial outcomes of using somatic methods as a mental and psychosocial health intervention in the context of active violent conflict..</p><p><strong>Patients and methods: </strong>Materials and Methods: Project leaders taught an 8-day program in somatic methods to local mental health care providers in the Donbas region of Ukraine. In the following seven months, 20 mental health care providers applied the somatic methods in their work with clients. The progress of clients participating in the study was tracked utilizing a software designed for the project. Longitudinal data was collected from 460 clients between December 2020 and May 2021 and was analyzed using mixed linear models to estimate changes in outcomes of depression, functionality, anxiety and alcohol problems.</p><p><strong>Results: </strong>Results: The program was successfully implemented despite the challenges posed by the ongoing conflict. Demographic data on participants and survey results were successfully collected and analyzed. Data demonstrated significant declines over time for depression and anxiety as well as a significant increase in daily functioning.</p><p><strong>Conclusion: </strong>Conclusions: The results of this pilot study support the feasibility of developing a subsequent randomized controlled trial study to further assess the impact of somatic methods on psycho-social wellness in Ukraine.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 1","pages":"56-68"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597553","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}
引用次数: 0
Morphological effectiveness of platelet-rich plasma application in the experimental treatment of post immobilization extra-articular contractures of the mandible. 富血小板血浆应用于下颌骨固定后关节外挛缩实验治疗的形态学效果。
Polski Merkuriusz Lekarski Pub Date : 2025-01-01 DOI: 10.36740/Merkur202502102
Sergiy M Grigorov, Arsenii V Tretiakov, Mykhailo S Myroshnychenko, Yevheniia A Hromko, Alina O Grygorova, Alina S Poliashenko, Nataliia V Kapustnyk, Oleksandr V Arseniev, Maryna O Kucheriavchenko
{"title":"Morphological effectiveness of platelet-rich plasma application in the experimental treatment of post immobilization extra-articular contractures of the mandible.","authors":"Sergiy M Grigorov, Arsenii V Tretiakov, Mykhailo S Myroshnychenko, Yevheniia A Hromko, Alina O Grygorova, Alina S Poliashenko, Nataliia V Kapustnyk, Oleksandr V Arseniev, Maryna O Kucheriavchenko","doi":"10.36740/Merkur202502102","DOIUrl":"https://doi.org/10.36740/Merkur202502102","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;Aim: The purpose of the study was to prove the effectiveness of platelet-rich plasma (PRP) application in the treatment of post-immobilization extra-articular contractures of the mandible by modeling the specified pathology and conducting morphological analysis of experimental material.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Patients and methods: &lt;/strong&gt;Materials and Methods: The study involved an experiment conducted on 60 male WAG rats aged 9-11 months. Four groups were formed. Group 1 included 6 intact rats that were not subjected to any interventions and were withdrawn from the experiment one month after its initiation. Group 2 included 18 rats with a mandibular fracture in the angle region which was treated over the course of one month using an immobilizing muzzle. After removal of the muzzle, extra-articular mandibular contracture was diagnosed. All rats were withdrawn from the experiment one month after its initiation. Group 3 included 18 rats with mandibular fractures that were treated over the course of one month using an immobilizing muzzle. After removal of the muzzle, post-immobilization extra-articular mandibular contracture was diagnosed. Following this diagnosis, 6 rats were withdrawn from the experiment. The other rats received PRP injections into the contracture area every three days for 15 days. After completion of the treatment, these rats were also withdrawn from the experiment. Group 4 included 18 rats with a mandibular fracture. After modeling a mandibular fracture, PRP was injected into the soft tissues surrounding the fracture through the available holes in the immobilizing muzzle every five days for one month. After a month, the immobilizing muzzle was removed from the rats, among which 6 rats were randomly selected and withdrawn from the experiment. The other rats continued to be injected with PRP every three days for 15 days, after which the animals were withdrawn from the experiment. The material for morphological examination consisted of masseter muscle samples. Histological, histochemical, immunohistochemical, morphometric and statistical methods were used.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Results: The comprehensive morphological study showed that PRP in the masseter muscle had antifibrotic and anti-inflammatory effects, reduced the severity of alterative changes in muscle fibers and increased their regenerative potential, reduced the severity of hemodynamic disorders, and increased the number of vessels. The therapeutic effect of PRP was more pronounced in cases where it was applied both during the treatment of mandibular fracture using an immobilizing muzzle for one month and for an additional 15 days after its removal, compared to animals in which PRP was applied only during the 15 days following muzzle removal.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Conclusions: The comprehensive morphological study of experimental material conducted by the authors confirmed the effectiveness of platelet-rich plasma in the tre","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"53 2","pages":"157-165"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020025","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}
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