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Impact of the comprehensive outpatient rehabilitation on reducing intensification of depressive symptoms in people over 60 years of age

Abstract

Introduction. As a result of involution processes and diseases, changes occur in the human body, as a result of which, psychophysical fitness declines with age. Comprehensive rehabilitation is the way of improving and maintaining health condition, including, among others, the appropriate level of physical activity and the quality of affective functioning. This type of program was carried out as part of the Outpatient Healthcare Home (DDOM) at the Witold Chodźko Institute of Rural Health in Lublin.

Aim. The objective of the present study was to assess the impact of comprehensive ambulatory rehabilitation, including tailored endurance training preceded by an ergospirometry test, on indicators demonstrating the level of involvement in daily physical activities and the severity of depressive symptoms of patients over 60 years of age receiving health services at DDOM.

Material and methods. The study involved 60 seniors participating in the rehabilitation cycle implemented as part of the services provided to patients at DDOM of the Witold Chodźko Institute of Rural Health in Lublin. The tests were carried out in the test-retest model on the first and last day of the kinesiotherapy cycle. The tests were performed with use of International Physical Activity Questionnaire IPAQ and Geriatric Depression Scale GDS. The patient rehabilitation program included adapted systemic kinesiotherapy (endurance training with a load determined according to individual exercise capacity, as determined on the basis of the ergospirometry test) and local kinesiotherapy and physical therapy adapted to the needs resulting from the condition of the musculoskeletal system.

Results. After the completion of the rehabilitation cycle we compared the tests carried out before it, and the patients received higher scores in the scales of IPAQ questionnaire for measuring weekly, intensive and mode-rate physical activity and time required for walking and were less likely to spend their time sitting or lying down. There were also lower scores of the respondents in GDS scale used to assess the severity of depressive symptoms.

Conclusions. As a result of the rehabilitation program applied, DDOM patients simultaneously obtained the desired changes in the level of involvement in physical activity and minimization of the intensity of depressive symptoms.

Open access
Evaluation of comprehensive ambulatory rehabilitation of people over 60 years of age

Abstract

Introduction. The provision of adequate health care for a successively growing group of geriatric patients requires taking into account many factors in order to preserve and/or improve their overall health and the related functional capacity. Its crucial aspects include the ability to safely change position and locomotion, as well as the severity of discomfort from the osteoarticular system.

Aim. The objective of the present study was to assess the impact of comprehensive ambulatory rehabilitation including tailored endurance training, preceded by an ergospirometry test, on indicators showing the risk of falls and the severity of pain symptoms of patients aged 60 and over, receiving health services at the Outpatient Healthcare Home (DDOM).

Material and methods. The study involved 60 seniors during their rehabilitation cycle implemented as part of the services provided to patients at DDOM of the W. Chodźko Institute of Rural Health in Lublin. The tests were carried out in the test-retest model on the first and last day of the kinesiotherapy cycle. The Tinetti scale of the risk of falls, balance and walk and Visual Analogue Scale of the severity of pain sensations (VAS) were utilized in the research. The patient rehabilitation program at the DDOM included adapted systemic kinesiotherapy (endurance training with a load determined according to individual exercise capacity, as determined on the basis of the ergospirometry test) and local kinesiotherapy as well as physical therapy adapted to the needs resulting from the condition of the musculoskeletal system.

Results. After completing the rehabilitation cycle, the patients obtained higher scores, compared to the tests carried out before the beginning of the rehabilitation cycle, in the scales of Tinetti Questionnaire. There were also lower results of the respondents in VAS scale used to assess the severity of pain sensations.

Conclusions. As a result of the rehabilitation program applied, DDOM patients simultaneously obtained the desired changes in minimizing the risk of falls, improving the ability to maintain balance and fitness while walking, as well as reducing the severity of pain sensation.

Open access
Assessment of Cardiovascular Risk in Hospitalized Patients with Hypertension Aged 40 and Over

ESH and SCORE strategies. J Hypertens. 2007;25(4):757-62. 4. Mancia G, Fagard R, Narkiewicz K, Redón J, Zanchetti A, Böhm M, et al. 2013 ESH/ESC Guidelines for the management of arterial hypertension: the Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J Hypertens. 2013;31(7):1281-357. 5. Stoianov M. [Assessment of cardiovascular risk by SCORE]. Science Cardiology. 2010;3:142-7. Bulgarian. 6. Erhardt L, Moller R, Puig JG. Comprehensive

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Measuring Fielding Performance in Cricket

Abstract

Introduction. In cricket, the evaluation of individual player performance has been based on measures such as batting and bowling averages. These statistics are used to quantify the batting and bowling performance of cricketers, but there are no statistics for measuring the performance of fielders. This paper introduces a measure that can be used to assess the fielding performance of cricketers. Method. Various factors that are considered important in fielding are quantified to scores based on the ball-by-ball information of a match for each cricketer. The fielding points of each ball are then combined to calculate the total fielding points of a cricketer in a given match. All the fielding points are then added in order to obtain total fielding points of a cricketer up to a given match. Average fielding points are obtained by dividing the total fielding score by the number of matches played. Data. To demonstrate these measures, the first ODI match of India against Zimbabwe played on 11th June, 2016, is examined. Conclusion. The recommended measures can be used to quantify the fielding performances of cricketers for a series of matches, whether it is ODI or Twenty20 cricket. They make it possible to assess the average fielding performance of each player. Individual fielding performance scores can then be aggregated to measure the overall fielding performance of a team.

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Acute radiation-induced oral mucositis in patients subjected to radiotherapy due to head and neck cancer

: novel insights and opportunities. J Support Oncol. 2004; 5:3-11. 21. Sonis ST. The pathobiology of mucositis. Nat Rev Cancer. 2004;4:277-84. 22. WCCNR. Assessing stomatitis: refinement of the Western Consortium for Cancer Nursing Research (WCCNR) stomatitis staging system. Can Oncol Nurs J. 1998;4:160-5. 23. Etiz D, Orhan B, Demirüstü C, et al. Comparison of radiation-induced oral mucositis scoring systems. Tumori. 2002;88(5):379-84. 24. Riesenbeck D, Dorr W. Documentation of radiation-induced oral mucositis. Scoring systems. Strahlenther Onkol

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Communication with superiors and colleagues and other occupational stressors. Correlations with work ability, self-efficacy and health in employees from primary and secondary education

International Symposium on Work Ability, Helsinki 2004 (pp. 1-25). 9. Tuomi K, Ilmarinen J, Jahkola A, Katajarinne L, Tulkki A. Work ability index. Helsinki: Institute of Occupational Health; 1994. 10. 36-Item Short Form Survey (SF-36). Avalaible at: https://www.rand.org/health/surveys_tools/mos/36-item-short-form.html (downloaded on 22.07.2019). 11. The SF-36 scoring. Avalaible at: http://www.alswh.org.au/images/content/pdf/InfoData/Data_Dictionary_Supplement/DDSSection2SF36.pdf (downloaded on 22.07.2019).

Open access
Burnout among students of medical universities in Poland

Abstract

Introduction. Burnout among medical students have been thoroughly studied in a number of countries worldwide. Little is known about medical students burnout in the Central European countries. Material and methods. The study is based on the Copenhagen Burnout Inventory, adapted for measurement of burnout among medical students. The questionnaire contained 6 numerical scale questions about respondents’ satisfaction with studies, university and educational achievements. Students of Polish medical universities were recruited via closed Facebook groups of their faculties. As a result, 778 questionnaires were gathered and analysed. A cluster analysis was performed with the special cluster analysis tool of the Statistica 12 - six questions with numerical scale were used as cluster analysis variables. Results. Almost 19% of the subjects reported a high or very high total burnout rate - it was almost 40% for both personal and work-related burnout, but less than 5% for patient-related burnout. The cluster analysis revealed three distinctive groups - dissatisfied, middling and satisfied with their studies and university. For both the total and partial scores, the highest burnout was observed among the dissatisfied, the lowest among the satisfied, while the middling group had the average score. Discussion. A significant level of burnout among Polish medical students, reported in the current study, is consistent with results of numerous investigations performed worldwide. As only 5% of the respondents scored high in patient-related burnout, a question emerges as to whether burnout is more related to clinical subjects or to high learning load. Conclusions. The current study reveals a significant level of burnout among Polish medical students. Both improved education quality and interesting and innovative teaching methods may possibly prevent high burnout among medical students.

Open access
Cardiac abnormalities in anorexia nervosa inpatients – a retrospective study

Abstract

Introduction. Anorexia nervosa (AN) is a life-threatening condition, with significant risk of death due to cardiac abnormalities.

Aim. The aim of this study was to investigate for QTc interval or heart rate (HR) abnormalities in AN patients and any correlation between BMI, HR and QTc interval at baseline and at completion of treatment.

Material and methods. 30 patients (29 females, 1 male) aged 16 to 45 years with a diagnosis of AN were retrospectively analyzed from January 2012 to September 2014. An ECG, biochemical tests, BMI and clinical assessment were performed on admission. ECG and BMI were also repeated at discharge.

Results. A paired t-test was used to compare two sets of scores that come from the same participants on both admission and discharge. The mean baseline BMI was 14.8 +/− 4 kg/m2, baseline HR was 53.4 +/− 16 bpm and QTc interval 416 +/− 40 ms. At discharge, mean BMI was 18.7 +/− 2 kg/m2, HR was 73 +/− 11 bpm and QTc interval 402 +/− 34. The mean QTc interval was decreased by 14 ms and the HR increased by 19 beats/min. A Wilcoxon test showed that the treatment course did not elicit a statistically significant change in HR score in individuals with AN (Z=−4, p=0.000). Pearson correlations showed that patients with a higher magnesium had lower heart rate on admission (r=−0.61; p=0.002).

Conclusion. Further exploration is needed in a larger population to investigate for etiology and medical management of cardiac abnormalities in AN.

Open access
Assessment of the Dentition in Children Aged 3-4 Years in the Mazowieckie Province

Abstract

Introduction. Caries of deciduous teeth in the population of Polish children is a significant health, social and organizational problem.

Aim. The aim of the study was to evaluate the dentition of 3- and 4-year-old children in the Mazowieckie Province.

Material and methods. The study comprised 393 kindergarten children aged 3 and 4 years in the Mazowieckie Province, 202 girls and 191 boys, including 159 children aged 3 years and 243 children aged 4 years. In all subjects the state of dentition was assessed. The prevalence of caries was calculated as the percentage of people affected by this disease, and the intensity of dental caries was determined using the dmft index. The results were compared with those that Polish researchers obtained in the 3 – and 4-year-olds after 2000.

Results. In the studied group of 3- and 4-year-olds the prevalence of caries was 62.85%, among girls – 61.88% and among boys – 63.87%. For all subjects the average scores for dmft index were 3.22 and its components dt – 2.72 (decayed teeth), mt – 0.1 (missing teeth), ft – 0.4 (filled teeth).

Conclusions. The prevalence and intensity of dental caries in 3- and 4-year-old children attending kindergartens in the Ma-zowieckie Province is high and close to the national average. It is advisable to increase the preventive and curative measures in this age group of children on dental caries.

Open access
Health-related behavior patterns of cancer patients determined by socio-demographic variables

Abstract

Introduction. Health practices have been a subject of theoretical and empirical discussions among experts from various fields of knowledge. They are analyzed more and more closely, regarding their connection with specific diseases. Because cancer is one of the main causes of death in Poland, it is very important to learn more about pro-health behaviors undertaken by cancer patients.

Aim. An attempt was made to establish if pro-health activities and their separate categories regarding cancer patients are preconditioned by socio-demographic variables.

Material and methods. The research was conducted on the group of 100 cancer patients. Diagnostic poll method, survey technique was used when conducting this study. Health Behavior Inventory (HBI) by Zygfryd Juczyński was the research tool. STATISTICA 12 and Microsoft Office Excel were used to analyze the gathered data. Statistical significance of p<0.05 was assumed which indicated statistically important differences or correlations.

Results. There was no association between sex, marital status, place of residence, education level, financial situation and prohealth activities undertaken by cancer patients. Average HBI score for the whole group amounted to 78.47±15.80 which is average. The highest level of pro-health behavior was observed in Proper Eating Habits subscale and the lowest level of pro-health behavior was observed in Health Practices category.

Conclusions. The knowledge gained on the basis of the conducted research will constitute a valuable hint regarding deficits in the observance of the principles of health culture in patients with cancer.

Open access