Microcirculation is an element of the circulatory system between the arterial and vascular system. It consists of, among proper capillary vessels, arterioles, venules, lympha- Wpływ terapii energotonowej na mikrokrążenie obwodowe kończyn dolnychThe infl uence of high tone power therapy on the peripheral microcirculation in the lower limbs numer DOI 10.2478/v10109-010-0038-3 Streszczenie:Jedną z najnowszych metod wspomagania leczenia wielu schorzeń jest terapia energotonowa. Jest ona nowoczesnym sposobem terapii, powstałym na bazie badań naukowych na polu różnych dziedzin: medycyny, fi zyki, matematyki, fi zjologii, biochemii i innych. Dzięki tak rozległej płaszczyźnie badań nad High Tone Power Therapy (HiToP) można mówić o niej jako o zjawisku interdyscyplinarnym. Celem pracy była ocena wpływu terapii energotonowej na mikrokrążenie obwodowe kończyn dolnych. Materiał i metoda: badaniami objęto grupę 30 osób w wieku od 20 do 60 lat. W pierwszej podgrupie znalazły się osoby leczone z powodu chorób naczyń obwodowych w zakresie tętniczym i żylnym kończyn dolnych, odpowiednio 4 i 12 osób, a w drugiej osoby zdrowe (14 osób). Wszystkim badanym wykonano serię 10 zabiegów terapii energotonowej w okolicy kończyn dolnych stosując metodę SimulFAMx. Bezpośrednio przed, jak i po serii zabiegów dokonano pomiaru przepływu krwi metodą Laser-Doppler. Wyniki: u wszystkich badanych po wykonanych zabiegach zaobserwowano zwiększenie dynamiki przepływu w mikrokrążeniu obwodowym kończyn dolnych. Wyniki te wykazały pewne zróżnicowanie, aczkolwiek nie całkiem jednoznacznie. Pod wpływem zabiegów stwierdzono wyraźny wzrost przepływu u osób leczonych z powodu zaburzeń naczyniowych, w porównaniu do osób zdrowych, u których zanotowano znaczny wzrost tylko wartości minimalnych. Wnioski: wstępne wyniki wskazują, że terapia energotonowa może być cenną pomocą w leczeniu zaburzeń obwodowego krążenia krwi.Słowa kluczowe: zaburzenia krążenia obwodowego, terapia energotonowa, przepływ krwi. Abstract:One of the basic diagnostic methods of evaluating the microcirculation vessels is the Laser-Doppler examination which makes it possible to determine the dynamics of the fl ow and to evaluate the level of blood supply. Among the newest methods of adjunct treatment for various diseases is energotonic therapy which is a modern therapy based on researches carried out in various fi elds of science: medicine, physics, mathematics, physiology, biochemistry and other. Due to such a wide range of research fi elds the high tone power therapy may be said to be an interdisciplinary phenomenon. The aim of the research was to evaluate the effects of the high tone power therapy on peripheral microcirculation in the lower limbs. Material and Methods: the research group consisted of 30 people aged from 20 to 60 which was divided into two subgroups. The fi rst subgroup included 16 people treated for peripheral vascular disease in the area of arteries and veins of the lower limbs -4 and 12 people respectively -and the second subgroup included 14 healthy people. All the exam...
Introduction Insufficient knowledge about endometriosis among women is one of the causes of its delayed diagnoses. Due to the elusiveness of symptoms, the most important component of early detection is proper and exhaustive knowledge. The objective of the study was to assess Polish women's awareness of endometriosis. Methods The pilot studies were performed with the participation of 200 women, in an average age of 33.65 years (SD = 11.45), who completed the authors’ questionnaire related to self-assessment of the level of knowledge about the disease, its symptoms, late effects and directions of a remediation procedure. The statistical analysis was performed using the IBM SPSS Statistics 25 suite. It included a frequency analysis, a one-way analysis of variance ANOVA, a single variable regression analysis and Student’s t-test for independent samples. Results Almost 84% of women had heard about endometriosis, while only 1/3 of them considered their knowledge sufficient or good. Very good knowledge was declared by 4.5% of women, while 16.1% of participants had never heard about it. The level of knowledge was significantly higher (p = 0.001) among women with medical education. Polish women acquired their knowledge mainly from the Internet and the experience of other women. The reasons identified by women were the still existing ‘taboo’ related to menstruation, the absence of information in the media and education in schools, which is critical according to 92.4% of women. Conclusions Polish women’s level of knowledge about endometriosis is insufficient, which we should strive to improve. Higher awareness is presented by women with medical education, and the higher the level of knowledge, the larger a woman’s interest in healthy behaviour.
Reliable vascular access is necessary for effective hemodialysis. Guidelines recommend chronic hemodialysis via an arteriovenous fistula (AVF), however, in a significant number of patients, permanent central venous catheters (CVCs) are used. The use of a tunneled catheter is acceptable if the estimated dialysis time is less than a year or it is not possible to create an AVF. The main complications associated with CVC include thrombosis and catheter-related bloodstream infections (CRBSIs), which may result in loss of vascular access. The common practice is to use locking solutions to maintain catheter patency and minimize the risk of CRBSI. This paperwork summarizes information on currently available locking solutions for dialysis catheters along with their effectiveness in preventing thrombotic and infectious complications and describes methods of dealing with catheter dysfunction. The PubMed database was systematically searched for articles about locking solutions used in permanent CVCs in hemodialysis patients. Additional studies were identified by searching bibliographies and international guidelines. Articles on end-stage kidney disease patients dialyzed through a permanent CVC were included. Information from each primary study was extracted using pre-determined criteria including thrombotic and infectious complications of CVC use, focusing on permanent CVC if sufficient data were available. Of the currently available substances, it seems that citrate at a concentration of 4% has the best cost-effectiveness and safety profile, which is reflected in the international guidelines. Recent studies suggest the advantage of 2+1 protocols, i.e., taurolidine-based solutions with addition of urokinase once a week, although it needs to be confirmed by further research. Regardless of the type of locking solution, if prophylaxis with a thrombolytic agent is chosen, it should be started from the very beginning to reduce the risk of thrombotic complications. In case of CVC dysfunction, irrespective of the thrombolysis attempt, catheter replacement should be planned as soon as possible.
StreszczenieWstęp: Ból kręgosłupa często występuje u osób pracujących w pozycji siedzącej. Na jakość tej pozycji ma wpływ m.in. rodzaj stanowiska roboczego. Dla stomatologów stanowiskami roboczymi są unity stomatologiczne, konstruowane na podstawie współcze-snych ergonomicznych koncepcji pracy, natomiast asystenci medyczni pracują na typowych komputerowych stanowiskach biurowych. Celem badania było określenie zależności między dolegliwościami bólowymi a ustawieniem kręgosłupa podczas pracy w pozycji siedzącej na stanowiskach o różnym potencjale ergonomicznym. Materiał i metody: Grupę badaną stanowiło 80 kobiet pracujących w pozycji siedzącej, u których występowały różnie zlokalizowane i nasilone dolegliwości bólowe -40 stomatologów pracujących na unitach stomatologicznych (wyższy potencjał ergonomiczny) oraz 40 asystentek medycznych wykonujących typową pracę biurową (niższy potencjał ergonomiczny). Badania obejmowały wywiad, ocenę bólu oraz szczegółową analizę pozycji roboczych przy użyciu ultrasonograficznego systemu pomiarowego. Wyniki: U wszystkich badanych stwierdzono przekroczenia norm wskaźników pracy poszczególnych odcinków kręgosłupa. U stomatologów zaobserwowano zależność między stopniem nasilenia bólu a wartościami ocenianych parametrów w płaszczyźnie czołowej w odcinku lędźwiowym oraz poprzecznej w odcinkach szyjnym i lędźwiowym. U asystentek medycznych stwierdzono związek między nasileniem dolegliwości bólowych a wartościami wskaźnika pracy w płaszczyźnie strzałkowej w odcinkach szyjnym i lędźwiowym. Określono też inne uwarunkowania bólu. Wnioski: Przekroczenia norm wskaźników pracy występują u osób pracujących zarówno na stanowisku o wyższym, jak i o niższym potencjale ergonomicznym. Siedzące pozycje robocze są podobne tylko zewnętrznie. Istnieje związek między pozycjami roboczymi a bólem. Na stopień nasilenia bólu mają także wpływ: staż pracy, okres występowania bólu, liczba godzin pracy w tygodniu i wskaźnik masy ciała (body mass index -BMI). Med. Pr. 2018;69(5):509-522 Słowa kluczowe: ergonomia, pozycja robocza, ból kręgosłupa, praca siedząca, stomatolog, asystent medyczny Abstract Background: Back pain is common among people working in the sitting position. Quality of the sitting position depends among others on the standard of work station. Dental units are built on the basis of contemporary ergonomic workplace concepts, while medical assistant workstations are typically computer office workstations. The purpose of the study was pain estimation in association with the identification of the spine arrangements during sitting work with better and worse ergonomic adjustment. Material and Methods: The study involved 80 women working in the sitting position suffering from pain -40 dentists working on dental units with a higher ergonomic potential and 40 medical assistants working on stations with lower ergonomic potential. The study included interviews, pain assessment and working spine arrangements analysis using the ultrasonographic measurement system. Results: There were exceeds of work parameters...
One of the problems of the elderly is to reduce the efficiency of regulation of the balance of the body, often resulting in deterioration of their stability and falls. Whole physical activity is one of the elements which in a measurable way are affecting the ability to function independently in society. Efforts are, therefore, studies aimed at understanding the impact of physical activity on the level of balance control in the elderly and attempts to develop the best strategy for prevention and promotion physical activity The aim of this study was to determine the efficiency of the regulation of body balance and stability in the elderly in terms of their daily physical activity Material and methods: The study included 66 people aged over 65 years of age. Based on questionnaire it was identified the level of health and current level of physical activity. Basic stabilometric parameters were evaluated using AccuGait platform while maintaining a standing upright posture with and without visual control and while the platform was set horizontally and tiltable in four basic directions. Also performed attempts to tilt the body to the limit of stability in four basic directions. The results: Based on analysis of the path length, speed and size swingings fields, it was found that in people who are less active physically disabling visual control did not start a sufficient mechanisms of the body balance control, especially when the base of support is not positioned horizontally. These patients also showed a significant the lack of skills of narrowing the margin of safety when the body was leaned to the back Conclusions:Seniors with lower levels of physical activity are generally characterized by lower sensitivity of proprioception. Older people who are less physically active showed deterioration of stability of the body especially in the direction to the back. Physical activity associated only with functioning independently in the home environment may not be a sufficient stimulus of maintenance the efficiency of elderly.
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