Medical Studies-Studia Medyczne最新文献

{"title":"Cognitive behavioural therapy (CBT) – case studies","authors":"Martyna Gluszek-Osuch","doi":"10.5114/MS.2016.58806","DOIUrl":"https://doi.org/10.5114/MS.2016.58806","url":null,"abstract":"","PeriodicalId":44061,"journal":{"name":"Medical Studies-Studia Medyczne","volume":"4 1","pages":"49-55"},"PeriodicalIF":0.4,"publicationDate":"2016-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87447992","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 causes of hospitalization and functional fitness of patients in a rehabilitation department","authors":"Beata Szczepanowska-Wołowiec, Katarzyna Rurarz, M. Adamczyk, Paulina Sztandera, Grażyna Ściegienna-Zdeb, I. Kotela","doi":"10.5114/MS.2016.58799","DOIUrl":"https://doi.org/10.5114/MS.2016.58799","url":null,"abstract":"Introduction: The increase observed in the size of the elderly population is related to an increase in the average life span. Involutional changes in the human body concern all organs and systems. Multiple morbidities, to a considerable extent, contribute to the limitation of motor fitness. Recently, a change has been noted in the age of patients hospitalized in rehabilitation departments. The majority of these patients are aged over 60, and are admitted due to aggravation of polyarticular pain, arterial hypertension, problems with knee or hip joints (degeneration, pain), ischemic heart disease, or degenerative polyarthritis. Hospitalization in the rehabilitation department contributes to the improvement in their state of health. Aim of the research: The objective of the study was to analyse the causes of hospitalization and functional fitness of patients hospitalized in the Rehabilitation Department at the Regional Polyclinical Hospital in Kielce. Material and methods: The study included 102 patients of the Rehabilitation Department at the Regional Polyclinical Hospital in Kielce, 79 female and 23 male, mean age 72.6. Results: The majority of patients (74%) were admitted to the department with the diagnosis of aggravation of polyarticular pain, followed by arterial hypertension (as many as 64%), problems concerning knee and hip joints (degeneration, pain), ischemic heart disease, and polyarticular changes. Conclusions: Patients aged over 60 comprised the largest group in the study, and the dominant causes of hospitalization were aggravation of pain and arterial hypertension.","PeriodicalId":44061,"journal":{"name":"Medical Studies-Studia Medyczne","volume":"6 32 1","pages":"4-9"},"PeriodicalIF":0.4,"publicationDate":"2016-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89746939","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 importance of physical activity and diet in the life of female students","authors":"R. Pawlowski, R. Dutkiewicz, Tomasz Winiarczyk","doi":"10.5114/MS.2015.54759","DOIUrl":"https://doi.org/10.5114/MS.2015.54759","url":null,"abstract":"Introduction: The lifestyle is known to be the most influential factor for maintaining a good health condition. Lack of physical activity and poor nutrition are two factors that suport each other in a negative way and result in an increasing number of obese people. Irregular nutrition is often closely related to irregular academic life. Aim of the research: The objective of this research is to find out how female students perceive health – how they understand and define it. Another objective is to determine whether nurses-to-be and psychiatrists-to-be perceive health differently than other students and whether their health-esteem is backed with their free-time physical activity and regular nutrition. It is crucial to find out what factors, according to the research, have the biggest influence on people’s health. Material and methods: The research involved 180 female students of full-time courses at the Jan Kochanowski University in Kielce: 98 female students of the Health Sciences Faculty and 82 female students of other faculties. The method of a diagnostic survey and a questionnaire were used in the research. Results: The female students perceived health as a quality, well-being, an absence of disease; and for female nursing students health was not only the absence of disease or disability but also biopsychosocial well-being. The most important factors that influence the health condition are physical activity and nutrition. A high evaluation does not correspond to taking care of one’s health. Fewer than 8% of the female students practised sport in their free time and ate regularly. More than a half neither did sport nor ate regularly (Pearson’s contingency coefficient C reaches a value of 0.1). Conclusions: The female nursing students, contrary to the female students of other faculties, perceive health in the same way as the World Health Organisation. Regardless of faculty, physical activity and regular nutrition are considered to be the most important factors influencing our well-being. A high health-esteem among the researched students is not backed with their healthy lifestyles.","PeriodicalId":44061,"journal":{"name":"Medical Studies-Studia Medyczne","volume":"1 1","pages":"194-199"},"PeriodicalIF":0.4,"publicationDate":"2015-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84256521","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":"Health behaviours of pregnant women and gestational weight gains – a pilot study","authors":"E. Suliga, O. Adamczyk-Gruszka","doi":"10.5114/MS.2015.54753","DOIUrl":"https://doi.org/10.5114/MS.2015.54753","url":null,"abstract":"Introduction: Abnormal weight gain during pregnancy may exert a negative effect on the development of the foetus, the course of pregnancy, and later the state of health of the mother and her baby. Due to the unfavourable health consequences of abnormal body weight gains in expectant mothers studies of the factors that determine the amount of these gains are important. Aim of the research: Evaluation of the relationship between health behaviours in pregnancy, nutritional status before pregnancy, selected socio-demographic factors, and gestational weight gain. Material and methods: The investigation included 274 women. Using a questionnaire, information was collected pertaining to the place of residence, age, body height and weight, cigarette smoking, and eating habits during pregnancy. The total weight gain during pregnancy was calculated as the difference between perinatal weight and pre-pregnancy body weight. Gestational weight gains were classified as low, recommended, or high. Results: Increased risk of high weight gain was associated with the consumption of alcoholic beverages (odds ratio (OR) = 2.82), especially beer (OR = 2.72), high consumption of products supplying proteins of animal origin (OR = 2.87), and overweight before pregnancy (OR = 3.37), as well as the delivery being the mother’s first, compared to the third and subsequent childbirth (OR = 4.17). Conclusions: This study indicates that there is a need for health education among females at reproductive age in order to reduce excess weight before conception, and promotion of adequate health behaviours in pregnancy, which would allow the maintenance of normal weight gain during this period.","PeriodicalId":44061,"journal":{"name":"Medical Studies-Studia Medyczne","volume":"1 1","pages":"161-167"},"PeriodicalIF":0.4,"publicationDate":"2015-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85328181","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 influence of isometric exercises of the quadriceps muscle on young female patients with anterior knee pain","authors":"J. Wilczyński, Przemysław Karolak, Joanna Karolak","doi":"10.5114/MS.2015.54757","DOIUrl":"https://doi.org/10.5114/MS.2015.54757","url":null,"abstract":"Introduction: Anterior knee pain is a disease associated with abnormalities in the patellofemoral joint. It is a common reason for seeking advice from an orthopaedist. This problem is characterised by chronic pain in the anterior part of one or both knees. This issue often affects women, especially at a young age. The effect of this ailment is deterioration of the quality of life. This dysfunction significantly reduces abilities, and often prevents the performance of daily activities. Pain usually occurs during physical activity, but may also be accompanied by prolonged immobilisation of the knee joint. In defining the type of patellofemoral instability, orthopaedists use magnetic resonance imaging, arthroscopy, ultrasonography, and X-ray examination. A relatively effective method of treatment of pain in the patellofemoral joint is through isometric exercises of the quadriceps. They increase the strength of the quadriceps femoris muscle and reduce instability in the patellofemoral joint. Aim of the research: To evaluate the effectiveness of isometric exercises of the quadriceps muscle on young female patients with anterior knee pain. Material and methods: The study involved 30 women aged 13–44 years (mean age: 26.8 years), who had been diagnosed with pain in the front of the knee. Results and conclusions: Isometric exercises of the quadriceps muscle are an effective method of reducing anterior knee pain. Isometric exercises have a beneficial influence on improving physical activity, including performing basic activities of daily living. Student’s t distribution showed, that isometric exercises of the quadriceps muscle reduce pain at the front of the knee. Kruskal-Wallis test confirmed a significant reduction of anterior knee pain.","PeriodicalId":44061,"journal":{"name":"Medical Studies-Studia Medyczne","volume":"26 1","pages":"183-186"},"PeriodicalIF":0.4,"publicationDate":"2015-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89165150","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":"Physiotherapy in multiple sclerosis","authors":"Anna Łuszczyńska, W. Kuliński","doi":"10.5114/ms.2015.54755","DOIUrl":"https://doi.org/10.5114/ms.2015.54755","url":null,"abstract":"Introduction: Multiple sclerosis (MS) is a chronic, progressive, demyelinating disease of the central nervous system. 2.5 million people are affected by MS worldwide; in Poland, the number of patients is approximately 40,000. Patients with multiple sclerosis suffer from a number of symptoms associated with this disease. Aim of the research: To assess the effectiveness of physiotherapy in MS. Material and methods: The study enrolled 25 MS patients aged 27–72 years (including 16 females and 9 males), undergoing 6-week rehabilitation. They were examined twice: before and after rehabilitation. The study used two questionnaires created by the author. Evaluation of the clinical status and disease severity was based on the Kurtzke Expanded Disability Status Scales (EDSS), the Lawton Instrumental Activities of Daily Living (IADL) Scale, and the Multiple Sclerosis Impact Scale (MSIS-29). The results were analysed with Student’s t-test and the chi-square (χ2) test. Results: Statistical analysis showed significant (the level of significance was 0.05) progress in the functional status of the patients after physiotherapy, as evidenced by improved results with respect to the motor efficiency in the Kurtzke Expanded Disability Status Scale (EDSS), the functional assessment in the Lawton Instrumental Activities of Daily Living (IADL) Scale, and the influence of MS on patients’ daily life in the Multiple Sclerosis Impact Scale (MSIS-29) seen in the majority of the patients, which confirms a positive impact of the therapy. Conclusions: In the study group, comprehensive rehabilitation had a beneficial influence on the improvement of functional status and the level of motor ability. Physiotherapy turned out to be an extremely effective form of symptomatic treatment of MS patients.","PeriodicalId":44061,"journal":{"name":"Medical Studies-Studia Medyczne","volume":"40 1","pages":"168-177"},"PeriodicalIF":0.4,"publicationDate":"2015-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88361479","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 influence of adverse events on the quality of nursing care and patients’ safety","authors":"M. Mika, G. Nowak-Starz, I. Kotela","doi":"10.5114/MS.2015.52908","DOIUrl":"https://doi.org/10.5114/MS.2015.52908","url":null,"abstract":"Introduction: High quality of medical services is essential to proper healthcare functioning and to achieve aims. High quality of nursing care should have the same characteristics as the whole healthcare system. Although current healthcare systems focus on best quality medical services, the number of adverse events is increasing. It sometimes happens that a patient suffers injuries not due to his/her illness, but because of poorly organised healthcare. Aim of the research: To assess the influence of adverse events and their identification on nursing care quality and to analyse the correlation between patient safety and adverse events identification and reporting. Material and methods: The research was conducted in hospital wards that have and do not have a Certificate of Quality Management System. In the research, the Hospital Survey on Patient Culture prepared by the Agency for Healthcare Research and Quality was used as well as the author’s own survey. Results: In the survey, nurses’ activities were evaluated in the context of adverse events identification. As the most common undesirable events, the following were considered: discrepancy connected with organisation and administration (35%), medical equipment (24%), hospital infections (23%), medication administration (22%), doctor’s (20%) and nurse’s (19%) activity, and blood and blood related specimen transfusion (10%). However, these areas were not disastrous. Conclusions: It has been stated that nurses, for fear of disciplinary consequences, are more unwilling to report such events. Therefore, it is essential to introduce legal regulations.","PeriodicalId":44061,"journal":{"name":"Medical Studies-Studia Medyczne","volume":"21 1","pages":"106-114"},"PeriodicalIF":0.4,"publicationDate":"2015-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86321222","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":"Eclectic/mixed approach to physiotherapy in post-stroke patients – case study","authors":"E. Mikołajewska","doi":"10.5114/MS.2015.52910","DOIUrl":"https://doi.org/10.5114/MS.2015.52910","url":null,"abstract":"Chair of Physiotherapy, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland Head of the Chair: Prof. Aleksander Goch PhD Rehabilitation Clinic, 10 Military Clinical Hospital with Polyclinic, Bydgoszcz, Poland Head of the Clinic: Krzysztof Radziszewski MD Neurocognitive Laboratory, Interdiscipinary Centre for Modern Technologies, Nicolaus Copernicus University in Torun, Poland Head of the Laboratory: Prof. Wlodzislaw Duch PhD","PeriodicalId":44061,"journal":{"name":"Medical Studies-Studia Medyczne","volume":"65 1","pages":"122-128"},"PeriodicalIF":0.4,"publicationDate":"2015-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74598846","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 evaluation of sheltered workshops by employed personnel with disabilities","authors":"Grażyna Czerwiak, Roman Trela","doi":"10.5114/MS.2015.49948","DOIUrl":"https://doi.org/10.5114/MS.2015.49948","url":null,"abstract":"Introduction: Disability is a complex concept with different dimensions associated with functional limitations of an in dividual and/or environment. From one point of view, scientific and technological progress increases the chances of being active in professional life, yet it requires high professional qualifications. Aim of the research: The aim of the study was to investigate the employment character in those workshops. The theme of the research was the assumption that the process of rehabilitation of disabled persons is achieved in a complex social system. Material and methods: A diagnostic survey with the use of a customised questionnaire was carried out in November/December 2013 among 108 persons with disabilities employed in sheltered workshops in the Świetokrzyskie Province. Results: The most common causes of disability among the respondents were the locomotor system, neurological, respiratory, and circulatory diseases. The obstacles in establishing interpersonal contacts would include the fear of negative feedback in their close environment, the lack of knowledge in society about disability, architectural barriers, and appearance. The disabled expected both economic and informative support. Conclusions: The activity of persons with disabilities depends on employment opportunities in the labour market, but also on the candidate’s education, age, and their degree of disability. The sheltered workshops reinforce the sense of economic security and social ties, whereas employment itself brings a particularly appreciated value for this population. Streszczenie Wprowadzenie: Niepelnosprawnośc jest pojeciem o zroznicowanym wymiarze, związanym z ograniczeniami funkcjonalnymi jednostki i/lub środowiska. Z jednej strony postep naukowo-techniczny zwieksza szanse aktywizacji zawodowej osob niepelnosprawnych ruchowo, zmienia sie charakter zatrudnienia – z pracy fizycznej na intelektualną, a z drugiej praca umyslowa wymaga wysokich kwalifikacji zawodowych. Cel pracy: Celem badan bylo poznanie specyfiki zatrudnienia w zakladach pracy chronionej. Motywem badawczym bylo zalozenie, ze proces rehabilitacji osoby niepelnosprawnej dokonuje sie w zlozonym systemie spolecznym. Material i metody: Sondaz diagnostyczny z wykorzystaniem ankiety wlasnej przeprowadzono w listopadzie i grudniu 2013 r. wśrod 108 osob niepelnosprawnych zatrudnionych w zakladach pracy chronionej wojewodztwa świetokrzyskiego. Wyniki: Najczestszą przyczyną niepelnosprawności wśrod badanych byly choroby narządu ruchu, nastepnie choroby neurologiczne, ukladu oddechowego i krązenia. Przeszkodą w nawiązywaniu kontaktow interpersonalnych byl lek przed negatywną postawą otoczenia, deficyt wiedzy o niepelnosprawności, bariery architektoniczne, wygląd zewnetrzny. Niepel nosprawni oczekiwali wsparcia ekonomicznego i informacyjnego. Wnioski: Aktywnośc zawodowa osob niepelnosprawnych zalezy nie tylko od oferty zatrudnienia na rynku pracy, lecz takze od wyksztalcenia, wieku kandydata i stopnia jego ni","PeriodicalId":44061,"journal":{"name":"Medical Studies-Studia Medyczne","volume":"13 1","pages":"18-25"},"PeriodicalIF":0.4,"publicationDate":"2015-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73087759","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":"Eating habits and nutritional status of pregnant women and the course and outcomes of pregnancy","authors":"E. Suliga","doi":"10.5114/MS.2015.49955","DOIUrl":"https://doi.org/10.5114/MS.2015.49955","url":null,"abstract":"The eating habits and nutritional status of future mothers have an important effect, not only on the course of pregnancy and the development of the foetus, but also on the health of the children during subsequent years of life. The objective of the study was the analysis of the relationship between eating habits and nutritional status of pregnant women on the course of pregnancy and pregnancy outcomes, based on a literature review. In the presented study the following are discussed: nutritional risk factors of pre-term birth, gestational diabetes, preeclampsia, low birth weight, infants born small for gestational age, as well as macrosomia and babies born large for gestational age. In the analysis, data was used concerning the consumption of individual products, groups of products, and dietary patterns, without consideration of dietary supplementation.","PeriodicalId":44061,"journal":{"name":"Medical Studies-Studia Medyczne","volume":"37 5","pages":"60-65"},"PeriodicalIF":0.4,"publicationDate":"2015-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5114/MS.2015.49955","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72484667","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}