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EN
Introduction. Pott’s puffy tumor is a very rare clinical condition characterized by subperiosteal abscess, a complication of frontal sinusitis, or as a result of head trauma. Aim. Early diagnosis of this condition is significantly important to prevent sequelae and severe neurological complications. This phenomenon, which is generally seen in children, can rarely be encountered in adults. Description of the case. In this report, we share a rare case of Pott’s puffy tumor in an adult patient. Conclusion. Pott’s puffy tumor, a rare complication of frontal sinusitis, should be considered to prevent neurological and intracranial complications.
EN
Introduction Headaches are a common health issue. The second most common type of headache is the tension-type headache (migraine-type headache is the most common type). Tension-type headaches are often referred to as stress-related or psychogenic headaches. Tension-type headaches often correspond with feeling unwell, and with depression or anxiety. Often they are drug resistant. This means that the treatment process may require patients to consider lifestyle changes. Patients seek other treatment types than pharmacotherapy and consider more holistic approaches, for instance natural medicine, breathing exercises or traditional Chinese medicine. The literature presents relationships between craniosacral therapy and headaches of various etiology, yet relatively few studies have been conducted on this matter. This study provides an additional insight into this therapeutic method. The aim of this study was to establish whether craniosacral therapy can reduce pain. Material and methods the study involved 30 adult patients. There were 22 women (73.3%) and 8 male patients (26.7%). Their mean age was 30.13 ± 5.33 years. The treatment used the Upledger’s 10-step protocol and sessions were performed four times within a two-week period. Results Prior to the treatment, the mean HIT-6 scale pain intensity was 62.67 ± 4.65 points. After the treatment, pain intensity reduced to a statistically significant level of 48.43 ± 9.45 points. We found that pain reduction was greater in patients with higher BMI. The gender or age of patients did not affect the results. Conclusion Craniosacral therapy is an efficient pain reduction method in patients with tension-type headaches.
EN
Introduction: Migraine and allergies are common occurrences. The aim of this study was to investigate the relationship between respiratory allergy and cephalalgic migraine in childhood. Materials and Methods: We screened 800 children for headache and its characteristics. After that we investigated the presence of allergy performing prick tests, rhinoscopy, endoscopy, rhinomanometry, nasal cytology and mucociliary clearance tests. Results: Out of 800 children screened, 96 suffered from headache. Among these, 67 resulted to suffered from both headache and allergy. We found a significant correlation between allergy and headache onset in the morning and headache onset in the evening in non-allergic subjects. The average duration of the a headache attack was independent from the presence of allergy, as well as the frequency of the cephalalgy attacks, and the localization of the pain. Prodromal symptoms connected with headache were reported to be: dizziness, aurea, sparkling scotoma, nausea and vomiting, and they were associated with absence of allergy. We also found a relationship between female gender and headache onset, but in teen-agers only. Paracetamol or FANS were used in the majority of cases, but antihistaminic therapy and/or nasal topical sprays were also reported. Discussion: For an effective diagnostic and therapeutic approach to migraine, the pediatrician should take into account atopy and its related allergic manifestations requiring a consultation with an otolaryngologist or allergist, if necessary. Our findings also stress the potential role of medicines that are not usually utilized for migraine attacks, such as antihistamines or decongestionant nasal sprays.
EN
Introduction: Migraine and allergies are common occurrences. The aim of this study was to investigate the relationship between respiratory allergy and cephalalgic migraine in childhood. Materials and Methods: We screened 800 children for headache and its characteristics. After that we investigated the presence of allergy performing prick tests, rhinoscopy, endoscopy, rhinomanometry, nasal cytology and mucociliary clearance tests. Results: Out of 800 children screened, 96 suffered from headache. Among these, 67 resulted to suffered from both headache and allergy. We found a significant correlation between allergy and headache onset in the morning and headache onset in the evening in non-allergic subjects. The average duration of the a headache attack was independent from the presence of allergy, as well as the frequency of the cephalalgy attacks, and the localization of the pain. Prodromal symptoms connected with headache were reported to be: dizziness, aurea, sparkling scotoma, nausea and vomiting, and they were associated with absence of allergy. We also found a relationship between female gender and headache onset, but in teen-agers only. Paracetamol or FANS were used in the majority of cases, but antihistaminic therapy and/or nasal topical sprays were also reported. Discussion: For an effective diagnostic and therapeutic approach to migraine, the pediatrician should take into account atopy and its related allergic manifestations requiring a consultation with an otolaryngologist or allergist, if necessary. Our findings also stress the potential role of medicines that are not usually utilized for migraine attacks, such as antihistamines or decongestionant nasal sprays.
5
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PL
Wstęp: Przewlekłe dolegliwości bólowe uniemożliwiają aktywność zawodową, przyczyniają się do ograniczenia kontaktów towarzyskich, co u młodych ludzi w bardzo krótkim czasie wywołuje dyskomfort i znaczne obniża jakość życia. Istnieje wiele rodzajów terapii przeciwbólowych głowy, wybór właściwej, indywidualnie dobranej do stanu i potrzeb pacjenta wymaga wnikliwej medycznej i fizjoterapeutycznej diagnostyki. W wielu przypadkach skuteczność postępowania leczniczego i terapeutycznego zależy od trafnej diagnozy. Materiał i metody: U młodego mężczyzny z przewlekłymi i napadowymi bólami głowy wykonano masaż tensegracyjny. Terapia obejmowała 5 zabiegów po 50 minut. Opracowano 4 układy zgodnie z zasadami tensegracji. Wyniki: Po zastosowaniu masażu tensegracyjnego uzyskano normalizację napięcia mięśniowego i zniesienie dolegliwości bólowych głowy i odcinka szyjnego kręgosłupa. Efekt przeciwbólowy uzyskano po wykonaniu 3 zabiegów, kolejne dwa zabiegi masażu miały na celu utrwalenie uzyskanego efektu. Wnioski: Masaż tensegracyjny może stanowić skuteczną formę terapii w dolegliwościach bólowych głowy. Bardzo ważna jest edukacja pacjenta na temat właściwego postępowania profilaktycznego, która pozwoli na utrwalenie uzyskanego efektu terapeutycznego, przeciwbólowego.
EN
Introduction: Chronic pain reduces professional activity and social relations in people. This is principal cause feel discomfort and decrease quality of life. We have many possibility treatment headache, choice the best for the patient to need professional medical and physiotherapeutic diagnostics. In many case’s effectiveness treatment and therapy it depends to exact diagnosis. Material and methods: A joung men with chronic and acute headache was given a tensegrity massage. Fife sessions, of 50 minutes were performed. Four different configurations were worked out according to the principles of tensegrity. We had effects after three massage, but we were next interventions for the purpose consolidation effects. Results: After the tensegrity massage the stabilization of muscular tension was achieved and reductions headache and pain of the cervicis part of the spinal column. Conclusions: Tensegrity massage can by effective form therapy in chronic headache. The most important is education patient about correct preventive treatment, which to make possible consolidation effects analgesic.
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tom 7(1)
36-41
EN
Introduction. There is need for any healthcare setup to rapidly identify Sinus headache patients from other cases of Neurological and Primary headaches like Migraine and Chronic Tension type headache. Materials and Methods. 117 cases of confirmed sinusitis were evaluated and analysed for common traits which could help in rapid diagnosis of Sinusitis. Results. Unilateral, dull aching headache and facial pain, of changing intensity, lasting all day on an average of 4 to 6 hours with a previous short history of common cold in acute sinusitis is the most common pattern observed in this study. Discussion. Unilateral, dull aching headache and facial pain, of variable intensity, lasting all day on an average of 4 to 6 hours along with is highly sensitive criterion (91%) for diagnosis of acute sinusitis. This, along with a history of previous Upper Respiratory tract infection, is useful to rapidly screen patients for acute sinusitis (95% sensitive). Though a subset of other headache cases will also be included by the criteria, imaging or Endoscopy must be done in these positive cases to increase the specificity of the diagnostic criteria.
7
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EN
The First Bite Syndrome is a rare late (1-2 months) post operation complication of surgery in the infratemporal fossa, parapharyngeal space and especially involving the deep lobe of parotid gland. Sometimes it can significantly worsen the patient's quality of life. Acute, sudden, short time pain in the parotid gland region with irradiation to the ear during the first bite a meal is a characteristic for this syndrome. The correct diagnosis and individual approach in choosing a treatment method is the key to success in treating this complication. The purpose of our article is to supplement scanty data on this complication in Polish literature.
EN
The aim of this study was to investigate the influence of TMD on spinal pain and to check whether TMD therapy helps to cure spinal pain. The total number of 44 evaluated patients underwent physical examination of masticatory motor system, including an evaluation of TMJ function with a Zebris JMA device and an analysis of the cervical spine motion using a Zebris MCS device. Patients from the treated (tested) group, who were diagnosed with TMD, were treated with an occlusal splint. Subsequent examinations were planned 3 weeks and 3 months after the treatment. The results show that there is a close correlation between TMD and spinal pain. The results of the tests performed 3 months after the beginning of occlusal splint therapy show a significant improvement in TMJ function as well as a reduction in spinal pain, as general motor parameters of spinal movements improved.
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Content available Rola melatoniny w patofizjologii i terapii migreny
63%
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2012
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tom 12
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nr 1
50-56
EN
Migraine is one of the most common neurological disorders. In Poland, approximately 4 million individuals suffer from migraine headaches. A migraine headache may last 4-72 hours, is throbbing, moderate to severe in intensity, usually unilateral and is associated with nausea, vomiting, and hypersensitivity to light and sound. Lack of biological markers and inter-individual variations result in problems with correct diagnosis. Pathophysiological basis of migraine remains unclear, but recent research including neuroimaging and genetic studies, has significantly advanced our understanding of migraine pathophysiology. Since over 30 years, there is ongoing research on the role of melatonin – hormone enabling adaptation of the organism to cyclic changes in environmental conditions – in the pathophysiology of migraine. Experimental studies revealed manifold associations between secretion of melatonin and migraine, but this correlation has not been clearly determined. Several studies confirmed altered secretion of melatonin in patients with migraine. Available data assessing melatonin profile in persons with migraine depend on nature of headache (episodic or chronic) and temporal relationship of sampling to headache attack (ictal or interictal). Currently, there are only few reports concerning attempts at using melatonin in the treatment of migraine. Largescale, multicentre trials are necessary to define principles of use of melatonin in the treatment of migraine.
PL
Migrena jest jednym z najczęstszych schorzeń neurologicznych. W Polsce cierpi na nią około czterech milionów osób. Napad migreny zwykle trwa od 4 godzin do 72 godzin i charakteryzuje się wystąpieniem silnego, zazwyczaj połowiczego, pulsującego bólu głowy z towarzyszącymi nudnościami, wymiotami, nadwrażliwością na światło i dźwięki. Brak biologicznych markerów choroby oraz jej zmienny przebieg u różnych chorych powodują trudności w postawieniu właściwej diagnozy. Patofizjologia migreny pozostaje nadal niejasna, ale dzięki licznym badaniom, w tym neuroobrazowym i genetycznym, jesteśmy coraz bliżej pełnego jej poznania. Od ponad trzydziestu lat prowadzone są badania nad rolą melatoniny – hormonu umożliwiającego przystosowanie organizmu do cyklicznie zmieniających się warunków środowiska, w patofizjologii migreny. W badaniach doświadczalnych wykazano liczne powiązania pomiędzy sekrecją melatoniny a patofizjologią migreny, jednak zależność ta nie została jednoznacznie określona. Wiele innych badań dowodzi również zaburzeń sekrecji melatoniny u pacjentów z migreną. Wyniki dostępnych w piśmiennictwie badań oceniających profil melatoniny u pacjentów z migreną zależą od charakteru bólu głowy (epizodyczny czy przewlekły) oraz czasu wykonania pomiaru stężenia melatoniny (w trakcie napadu bólu głowy czy w okresie międzynapadowym). Aktualnie nieliczne są doniesienia dotyczące prób zastosowania melatoniny w terapii migreny. Przeprowadzenie zakrojonych na szeroką skalę, wieloośrodkowych badań jest niezbędne do ustalenia zasad stosowania melatoniny w leczeniu migreny.
10
63%
EN
In the paper a new algorithm for the automatic segmentation of characteristic areas of the human head in a thermovision image is presented. The analysed regions include: forehead, area of sinuses and back of the neck. The covered set of approaches, which are mainly algorithms employing morphological operations, neural networks and methods based on human head proportions, can provide satisfying completely results for a doctor's practice in a fully automatic way.
11
Content available remote Chemia znikającego alkoholu: Twoje ciało winowajcą czy ofiarą?
51%
PL
Alkohol, dzięki swoim właściwościom stosowany jest jako popularna wśród społeczeństwa używka, należy jednak brać pod uwagę fakt możliwości pojawienia się nieprzyjemnych skutków jego działania na organizm w postaci kaca kolejnego dnia. Odpowiedzialny za to jest między innymi jeden z metabolitów alkoholu, a mianowicie aldehyd octowy. Jego poziom po spożyciu alkoholu etylowego jest zależny od naszego poziomu dehydrogenazy aldehydowej, w większości przypadków jest on za niski by nie odczuwać objawów kaca. Do typowych objawów tej przypadłości należą: zmęczenie, pragnienie, ból głowy, problemy ze snem, podrażnienie przewodu pokarmowego, problemy sensoryczne, problemy z nastrojem, pocenie i drżenie. Na intensywność kaca ma wpływ kilka czynników i to zarówno przed spożywaniem jak i po. Ale jedynym w stu procentach skutecznym sposobem jest nie picie alkoholu lub ograniczenie spożycia do absolutnego minimum. Pomimo tego, że istnieje kilka mitów o cudownych sposobach na kaca takich jak mocna kawa, zimny prysznic, kolejność picia alkoholi lub klin, to żaden z nich nie jest tak naprawdę skuteczny i co najwyżej łagodzi część objawów.
EN
Alcohol in our culture allows us to make friends, but do not overdo it because we can experience a hangover the next day. One of the metabolites of alcohol, namely acetaldehyde, is responsible for this. Its level after consuming ethyl alcohol depends on our level of aldehyde dehydrogenase, in most cases it is too low not to feel the symptoms of a hangover. Typical symptoms of this condition include fatigue, thirst, headache, sleep problems, gastrointestinal irritation, sensory problems, mood problems, sweating and tremors. Several factors affect the intensity of a hangover, both before and after eating. But the only one hundred percent effective way is not to drink alcohol or to limit consumption to the absolute minimum. Although there are several myths about hangover miraculous remedies such as strong coffee, cold showers, the order of drinking alcohols or wedges, none of them are really effective and only relieve some of the symptoms.
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