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EN
Aim The specifics of progressive course of the disease leads to the development of functional dependence which contributes to later disability, significantly influences quality of life. The goal of the research described here was to determine the relationship between the functioning of patients treated with hemodialysis and selected socio-demographic factors and quality of life. Material and methods The research included 100 patients in the range 20-90 years of age who were being treated with hemodialysis in a renal replacement facility in the area of western Poland. The average age for the entire group was 59.5±14.4 years of age. The average time spent on dialysis for the group was 44.7 ± 48.6 months. In order to evaluate patients’ functional status the Barthel Index, Lawton’s IADL and the Karnofsky Performance Status Scale were used. In order to evaluate QOL, the multidimensional instrument – the Health Questionnaire Specific for ESRD was used. Results Using the Spearman coefficient correlation moderate and strong correlations were found between particular sub-scales Health Questionnaire Specific for ESRD and functional capacity. There was no statistically significant dependence between the length of renal-replacement therapy and particular scales on the Parfrey et al Health Questionnaire as well as the functional capacity of patients. Conclusions Demographic variables, especially sex and age, and to a lesser degree educational level and marital status have an influence on the results of the Health Questionnaire Specific for ESRD. Activity levels had a signficant influence on the results in the area of QOL
EN
Objectives Carpal tunnel syndrome (CTS) is common among office workers and limits functional hand ability and the ability to work. Carpal tunnel syndrome prevention programs implementation are still insufficient among office workers. In view of the fact that physical activity is the best method of preventing musculoskeletal complaints the aim of the study was to evaluate the effectiveness of prevention exercises protocol for hand and wrist pain among office workers. Material and Methods Study group consists form 62 office workers, reporting complaints of hand and wrist pain. Exercise group it was 49 subjects who performed the exercise protocol and the non-exercise group consisted of 13 subjects. An exercises program, consisting of 7 exercises. The program was planned for daily routine during 8 weeks. The effectiveness of the exercise program was assessed by physical parameters (hand grip and pinch grip strength, force of forearm muscles) and questionnaires (Visual Analog Scale pain scale, Carpal Tunnel Syndrome Symptom Severity Scale, and Carpal Tunnel Syndrome Functional Status Scale functional hand assessment questionnaires) were performed. Assessment was performed before and after the intervention. Results Statistical analysis of the data showed significant changes in the value of measured hand grip of the right hand (Z = –2.85, p < 0.01). For pinch grip, changes were significant for both the right (Z = –2.12, p < 0.05) and the left hands (Z = –2.35, p < 0.05). Functional performance improved significantly in bought groups. There was no statistically significant change in the intensity of experienced pain. Conclusions The results of the study indicate that performing a preventive exercise program regularly has an effect on increasing forearm muscle strength in a group of office workers. Office workers with symptoms of CTS who exercised regularly had higher results in hand grip and pincer grip strength. Exercises do not affect the level of pain complaints, which may indicate a more complex etiology of pain perception in this study group.
4
Content available remote Sterowanie rozmyte parametrami pulsatora
63%
PL
Przedstawiono podstawowe problemy pozyskiwania mleka od krów, wynikające z sterowania tym procesem. Problemy te wynikają ze sztywnych parametrów nieuwzględniąjących naturalnego procesu pozyskiwania mleka. Zaprezentowano analizę dostępnych rozwiązań pulsatorów. Możliwości pulsatorów elektronicznych można poszerzyć o programowanie nieliniowych charakterystyk sterowania. Wykorzystano technikę sterowania rozmytego do opracowania takiego systemu sterowania. Wskazano na dalsze kierunki prac rozwojowych nad poprawieniem warunków doju z uwzględnieniem zdrowia krów.
EN
Basic problems dealing with the machine milking of cows and automatic control of this process, were discussed. Stiff control parameters disregard the natural character of milk secretion process. Technical solutions of available pulsators for milking machines were characterized. Functional abilities of electronic pulsators may be extended by programming of non-linear steering characteristics. A technique of fuzzy control was applied to develop such a system of steering. Further research and development activities were suggested to improve the conditions of machine milking, with regard to the cows' health.
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