BackgroundThe diagnosis of type 2 diabetes mellitus (T2DM) carries with it a number of changes to the patient’s lifestyle. A healthy lifestyle, health and preventive behaviors, as well as healthy nutrition habits play a key role in treating T2DM as well as limiting its complications.Materials and methodsThe aim of this study was the analysis of the correlation of T2DM patients’ health behaviors and their influence on the patients’ quality of life. The study was performed on a group of 50 patients from the Kuyavian–Pomeranian Voivodeship. In this study, the Health Behavior Inventory and the Satisfaction with Life Scale were used. The results were statistically analyzed. The study was approved by the ethics committee.ResultsThe intensity of severity of health behavior and satisfaction with life of T2DM patients depends on the gender of the patient (P<0.05). The analysis of the patients’ behaviors in four categories, proper eating habits (consuming vegetables, fruit, whole meal bread), health practices (daily physical activity, recreation, sleeping habits), preventive behaviors (including keeping to health recommendations), and positive mental attitude, showed substantial correlation of the Health Behavior Inventory and the Satisfaction with Life Scale (P<0.05).ConclusionThe categorization of the prohealth behaviors shown by diabetics allowed us to measure the connection between the individual categories of satisfaction with life. Males with T2DM showed a higher satisfaction with life score than females with the same diagnosis. The analysis showed that patients with a higher intensity of health behaviors also had superior health behaviors. The resulting correlations prove a notable relationship.
Virtually created panic among health care workers about pandemic acquired immune deficiency syndrome prompted us to review the scientific literature to investigate the risk of human immunodeficiency virus (HIV) transmission in the daily works of health care workers, especially surgeons and anesthesiologists. In this review, we report worldwide valuations of the number of HIV infections that may occur from unsafe daily work in health care. We also present how to minimize the risk of infection by taking precautions and how to utilize postexposure prophylaxis in accordance with the latest reports of the Centers for Disease Control and Prevention. HIV-infected patients will be aging, and most of them will become the candidates for procedures such as major vascular reconstruction and artery bypass grafting, where the risks of blood contact and staff injury are high. For these reasons, all health care workers need to know how to prevent, and fight following the accidental exposure to HIV.
Hepatic artery aneurysms are rare, but potentially life-threatening vascular pathologies. They are usually discovered incidentally during imaging diagnostics of different pathologies. The study presented a rare case of hepatic artery pseudoaneurym with a fistula to the left branch of the portal vein.
The aim of a study: The aim of the study was to assess the efficiency of patients with pathological obesity after laparoscopy sleeve gastrectomy in a six-minute march test. Material and methods: The study was conducted on a group of 30 patients with giant obesity hospitalized in the Surgery Clinic of the 10th Military Research Hospital and Polyclinic in Bydgoszcz. The patient was evaluated on the day before the laparoscopic gastrectomy and one month after the surgery. In all patients a six-minute march test was performed and the author's questionnaire was used. Results: As a result of the operation, an average weight loss of 10 kg was observed in the patients, an improvement in efficiency, as well as the resignation or significant reduction in symptoms of coexisting diseases. Based on a 6-minute march test it was found that the distance covered by the patients increased by 30 m. Conclusions: 1. Bariatric surgeries are an effective method of weight reduction for patients with massive obesity. 2. As a result of the procedure, the number of ailments complained about by the patients has decreased. 3. The weight reduction in obese people as a result of a bariatric procedure, increases the functional ability to walk, assessed with a 6-minute march test. 4. The 6-minute march test provides useful information on the functional status of obese patients undergoing bariatric surgery. It is a simple, safe and efficient method for assessing the performance of patients with severe obesity.
Obesity is nowadays a disease of civilization contributing to the increase in mortality worldwide, especially in developing and developed countries. There is a need to take action to normalise the weight of as many people as possible, bearing in mind disadvantageous to the health and the life, effects of exaggerated increasing the amount of the fatty tissue. In this connection, the need to shape patterns of pro-healthy behaviour should be particularly emphasised. The implementation of appropriate physical activity should be one of the basic elements of a comprehensive obesity treatment. Taking into account a wide range of exercises, it is important to choose the right activity for a given person, taking into account their abilities and performance, as well as indications and contraindications to a specific form of training. A key role in the weight reduction process is played by the determination to continue the recommendations made in a long-term and systematic manner. If attempts of the non-invasive treatment turn out to be ineffective, sick persons with the obesity can be qualified for the bariatric surgery. Implementing the physical activity in the period before and post-operative is bringing the sequence of beneficial changes in the body of the patient. It often improves the well-being of patients as well as results in the faster convalescence and lowering the risk of complications. Both the non-invasive and surgical treatment of obesity should be complemented by the introduction of appropriate physical activity.
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