Background: a type D personality is a factor in a person’s susceptibility to general mental stress, especially during the COVID-19 pandemic. Although many studies were conducted on the relationships among stressful situations, an individual’s personality, depression, and the occurrence of various diseases, e.g., cardiovascular disease or cancer, there are no analogous data on people with temporomandibular disorders (TMDs). Aim: the assessment of TMDs and depression symptoms in students with type D personality. Material and Methods: the research was carried out with the participation of 240 physiotherapy students. The study group (G1) consisted of 120 participants with type D personalities, the control group (G2) consisted of the same number of participants, without “stress” personalities. All subjects were assessed for the occurrence of TMD symptoms, as well as for depression and anxiety symptoms, using the Beck Depression Inventory (BDI), based on the proprietary questionnaire. Results: in students with type D personality symptoms, TMDs occurred significantly more often and in greater number (p = 0.00) than in those without stress personalities. The exception was the symptom of increased muscle tension, which showed no statistical difference (p = 0.22). Among the 240 respondents, depression was found in 128 people (53.3%). In the group of students with type D personalities, depression was significantly more frequent than in the group without type D personalities (p = 0.00). In participants with depression, TMD symptoms were more common, i.e., headaches, neck, and shoulder girdle pain, TMJ acoustic symptoms, increased masticatory muscle tension, teeth clenching, and teeth grinding. There was no significant difference between the incidence of depression and TMJ pain and jaw locking. There was a significant interaction between the occurrence of headaches and acoustic symptoms and the occurrence of depression. For headache and depression interactions, the OR was >1; based on the results, we may assume that a headache depends more on the occurrence of depression rather than it being a symptom of a TMJ disorder in people with type D personalities. Conclusion: type D personality and depression may contribute to the development of TMD symptoms.

Background: This study is a quantitative analysis examining the impact of the COVID-19 pandemic on the occurrence of stress and stomatognathic system disorders (SSDs) among students of physiotherapy. Objective: To assess stress severity, strategies of coping with stress and the presence of type D personality among physiotherapy students including those with symptoms of stomatognathic system disorders. Material and Methods: The research was conducted from October to December 2020 on a sample of 188 students of physiotherapy. The data were collected using a survey form related to the occurrence of SS disorders symptoms and standardized psychological questionnaires, such as the Perceived Stress Scale (PSS)- 10, Mini-Cope, and the type-D Scale (DS14), developed for the purpose of this study. Results: Women experiencing at least one of the SS disorder-related symptoms were characterized by a significantly higher level of stress and a type D personality (p < 0.05). Among men, these differences were not statistically significant (p > 0.05). On the basis of the strategies of coping with stress, i.e., positive self-reevaluation, discharging and blaming oneself, and taking psychoactive substances, it is possible to predict the intensity of stress during the pandemic in the group of the examined students. Among the reported symptoms of SS, headache was a significant predictor of stress, which was accompanied by an increase in the intensity of stress by nearly 0.2 measurement points. Students with higher levels of stress showed more symptoms of type D personality, and those with more severe symptoms of SS showed higher levels of stress. Conclusions: People prone to stress and having type D personality traits should be assessed for the presence of SS disorders.

The COL1A1 and COL5A1 variants have been associated with the risk of musculoskeletal injuries. Therefore, the main aim of the study was to investigate the association between three polymorphisms within two genes (rs1800012 in COL1A1, as well as rs12722 and rs13946 in COL5A1) and the reported, yet rarely described in the literature, injuries of the joint and muscle area in a physically active Caucasian population. Polish students (n = 114) were recruited and divided into the following two groups: students with (n = 53) and without (n = 61) injures. Genotyping was carried out using real-time PCR. The results obtained revealed a statistically significant association between rs1800012 COL1A1 and injury under an overdominant model. Specifically, when adjusted for age and sex, the GT heterozygotes had a 2.2 times higher chance of being injured compared with both homozygotes (TT and GG, 95% CI 0.59–5.07, p = 0.040). However, no significant interaction between the COL5A1 variants, either individually or in haplotype combination, and susceptibility to injury were found. In addition, the gene–gene interaction analysis did not reveal important relationships with the musculoskeletal injury status. It was demonstrated that rs1800012 COL1A1 may be positively associated with physical activity-related injuries in a Caucasian population. Harboring the specific GT genotype may be linked to a higher risk of being injured.

Constant improvements in treatment options for end stage renal disease leads to increasing numbers of patients qualified for renal transplantation. The best results are obtained with pre-emptive transplantation allowing avoidance of dialysis. The most common cause of death in patients awaiting kidney transplantation is cardiovascular disease. Every second dialysis death is a consequence of cardiovascular disease. Hypertension, atherosclerosis, hyperlipidemia and obesity are commonly diagnosed. Numerous scientific studies confirm the positive effects of physical activity on reducing the risk of death from cardiovascular incident. The recommendation of moderate activity (adjusted to the ability of the patient) would improve the functioning of patients, and would have a substantial impact on the self-reported quality of life. Keywords: end stage renal disease; physical activity; rehabilitation; physiotherapy. ABSTRAKTCiągłe doskonalenie metod leczenia pacjentów ze schyłkową niewydolnością nerek powoduje, że stale powiększa się grupa chorych zakwalifikowanych do operacji przeszczepienia narządu. Najkorzystniejsze jest wykonanie zabiegu wyprzedzającego, pozwalającego uniknąć hemodializoterapii. Najczęstszą przyczyną zgonów w grupie pacjentów oczekujących na transplantację nerki są choroby układu sercowo-naczyniowego. Obecnie co drugi zgon dializowanego pacjenta jest następstwem choroby układu krążenia. Powszechnie diagnozowane są: nadciśnienie tętnicze, miażdżyca, hiperlipidemia czy otyłość. Liczne badania potwierdzają pozytywny wpływ aktywności fizycznej na zmniejszenie ryzyka zgonu z powodu incydentu kardiologicznego. Zalecenie umiarkowanej aktywności (dostosowanej do możliwości chorego) przyczyniłoby się do poprawy funkcjonowania chorych, przyspieszyłoby powrót do sprawności po zabiegu transplantacji oraz miałoby niebagatelny wpływ na subiektywną ocenę jakości życia. Pomimo istnienia doniesień naukowych ukazujących pozytywny wpływ rehabilitacji na stan zdrowia pacjentów z przewlekłą niewydolnością nerek, nie jest ona powszechnie wprowadzana do programów leczenia. Słowa kluczowe: przewlekła niewydolność nerek; aktywność fizyczna; rehabilitacja; fizjoterapia. WSTĘPDo głównych przyczyn wystąpienia schyłkowego stadium przewlekłej choroby nerek (PChN) zalicza się: cukrzycową chorobę nerek, nefropatię nadciśnieniową, glomerulopatie wtórne i pierwotne, torbielowatość nerek i sródmiąższowe zapalenie nerek [1,2]. Obecnie dostępne są dwa rodzaje leczenia PChN: dializoterapia oraz transplantacja narządu. Obie metody umożliwiają zastąpienie funkcji nerek u pacjentów w piątym stadium PChN.W 2010 r. na całym świecie było ponad 2,5 mln osób korzystających z leczenia nerkozastępczego, a w Polsce ok. 25 tys. Dializoterapia to najczęściej stosowana metoda leczenia PChN. Liczba osób korzystających z tego typu terapii stale rośnie, co związane jest z rozpowszechnieniem tej metody w krajach rozwijających się [3]. Pomimo postępu nauk medycznych wciąż nie udaje się uniknąć wielu działań niepożądanych występu-jących podczas przew...

Background: A person’s response to stressors is largely dependent on their personality traits that affect the way stress is controlled and relieved. This article is a quantitative analysis assessing the importance of the distressed personality in the development of stomatognathic system disorders (SSDs) in physiotherapy students during the COVID-19 pandemic. Objective: The goal of the research was to assess the presence of type D personality in students with symptoms of stomatognathic system disorders. Material and Method: The research was carried out among 300 physiotherapy students. The data were collected using the form of the occurrence of symptoms of SS disorders developed for the purpose of the study and the standardized psychological DS14 questionnaire. Results: In a group of 300 students, the presence of type D personality was found in 160 people (53.3%). People with type D personality had symptoms of SS disorders more often than the group without stressful personality traits. There was a significant difference between the groups regarding all the examined symptoms. In the group of people with type D personality, the most frequently reported symptoms of SS disorders included: headache (51.3%), pain in the neck and shoulder girdle (43.1%), and teeth clenching (35.6%). As many as 70% of the respondents in the group with symptoms of SS disorders (P1) had type D personality, whereas in the asymptomatic group (P2) this result was 23.3%. There was a significant difference between the groups (p = 0.00). Statistically significantly higher values of both D personality dimensions were observed in women than in men with symptoms of SS disorders. In people reporting symptoms of SS disorders, higher average values were observed in both dimensions of type D personality. There were significant differences between the groups. Conclusion: type D personality may contribute to the development of symptoms of stomatognathic disorders.