Wyniki wyszukiwania - Biblioteka Nauki

1

Long-Term Results of Partial Nasal Reconstructions with Indian Flap

100%

Iljin A. , Lewandowicz E. , Starska K. , Antoszewski B.

|

nr 12

626-633

EN

The aim of the study was clinical evaluation of the results following reconstruction with the Indian flap in patients with partial nasal defects, and estimation of their postoperative life quality in functional and aesthetic aspects. Material and methods. We analyzed results in 38 patients who underwent reconstructions with the Indian flap in the Department of Plastic, Reconstructive and Aesthetic Surgery between years 2000‑2013. The patients were followed-up for at least 2 years. We estimated their life quality in aesthetic and functional aspects after surgery. Results. Observed complications of nasal reconstruction were alar asymmetry in 6 patients (15.8%), nasal obstruction in 6 persons (15.8%), wide postoperative scar in 4 (10.5%), and non-aesthetic appearance of the donor site in two cases (5.3%). Estimation of life quality post surgery in the examined group of patients revealed significant postoperative improvement in both functional and aesthetic aspects. Conclusions. 1. Reconstructions of nasal defects with the Indian flap resulted in satisfactory longterm postoperative results, which confirms the efficiency of the applied technique. 2. Reconstructive surgery with Indian flap of individuals with partial nasal defects contributed to significant postoperative improvement in both functional and aesthetic aspects and their life quality.

2

Long-term results of partial nasal reconstructions with indian fl

100%

Iljin A. , Lewandowicz E. , Starska K. , Antoszewski B.

Polish Journal of Surgery

|

2015

|

tom 87(12)

626-633

EN

The aim of the study was clinical evaluation of the results following reconstruction with the Indian flap in patients with partial nasal defects, and estimation of their postoperative life quality in functional and aesthetic aspects. Material and methods. We analyzed results in 38 patients who underwent reconstructions with the Indian flap in the Department of Plastic, Reconstructive and Aesthetic Surgery between years 2000‑2013. The patients were followed-up for at least 2 years. We estimated their life quality in aesthetic and functional aspects after surgery. Results. Observed complications of nasal reconstruction were alar asymmetry in 6 patients (15.8%), nasal obstruction in 6 persons (15.8%), wide postoperative scar in 4 (10.5%), and non-aesthetic appearance of the donor site in two cases (5.3%). Estimation of life quality post surgery in the examined group of patients revealed significant postoperative improvement in both functional and aesthetic aspects. Conclusions. 1. Reconstructions of nasal defects with the Indian flap resulted in satisfactory longterm postoperative results, which confirms the efficiency of the applied technique. 2. Reconstructive surgery with Indian flap of individuals with partial nasal defects contributed to significant postoperative improvement in both functional and aesthetic aspects and their life quality.

3

Wykorzystanie nowych mediów w kontekście poprawy jakości życia polskich seniorów

80%

Zychowicz M.

Rocznik Pedagogiczny

|

2018

|

tom 41

105-113

EN

Subject of the report is media exclusion of elderly people in Poland, especially in area of Internet-connected activities as well as changes in social interaction model which are connected with development of the Internet. Nowadays we face with Internet revolution witch whom technological progress and web tools development allowed to partly virtualize interpersonal contacts and change the way people interact with others. Even in area of everyday life the Internet revolution allowed to modify our behaviors which were immutable from ages. The aim of this report is to assess the level of inclusion of the elderly people from Poland into area od virtual contacts and other activities as well as presenting their methods to use different media.

4

Long-term results of incisional hernia repair with concomitant abdominoplasty in postbariatric patients

80%

Iljin A. , Antoszewski B. , Durczyński A. , Lewandowicz E. , Strzelczyk J.

Polish Journal of Surgery

|

2016

|

tom 88(3)

147-154

EN

The aim of the study was evaluation of long-term results after simultaneous incisional hernia repair and abdominoplasty in patients following RYGB (Roux-en-Y Gastric By-pass) and estimation of quality of life before and after this complex operation. Material and methods. We analyzed long-term results in 18 patients who underwent complex anterior abdominal wall surgery after massive weight loss, following previous RYGB. The patients were followed-up for at least 8 years. We compared the quality of life before and after hernia repair combined with abdominoplasty. Results. Observed wide postoperative scar in 4 persons, permanent dysesthesia in one, and flaccidity of the anterior abdominal wall in three cases. Estimation of the quality of life revealed significant improvement in functional, aesthetic and psychological aspects after complex surgery. Conclusions. 1. Simultaneous incisional hernia repair and abdominoplasty resulted in satisfactory long-term postoperative results, which confirms the efficiency of complex anterior abdominal wall surgery in patients following RYGB after massive weight loss. 2. Surgery in patients afflicted with disfigurements of the anterior abdominal wall contributed to significant improvement in their life quality in functional, aesthetic and psychological aspects, as compared with preoperative estimations. 3. All persons confirmed positive influence of abdominal wall surgery on their possibility to take challenges in life, and fulfill plans. 4. Surgery of the anterior abdominal wall deformities, if needed after massive weight loss, should become an integral part of complex multidisciplinary treatment in postbariatric individuals.

5

One stage onlay hernia repair with abdominoplasty in patients following gastric bypass surgery

80%

Iljin A. , Antoszewski B. , Zieliński T. , Skulimowski A. , Szymański D. , Strzelczyk J.

Polish Journal of Surgery

|

2018

|

tom 90(6)

32-36

EN

Purpose: 1. Evaluation of results after one-time incisional hernia repair (IHR) modo on-lay and abdominoplasty (Ab-pl) in patients after loss of weight following previous Roux-en-Y Gastric Bypass – RYGB. 2. Analysis of differences in quality of life (QL) changes in bariatric patients before RYGB, as well as before and after abdominal contouring operation. Material and Methods: Clinical analysis involved 20 patients with abdominal disfigurement (following RYGB, and massive weight loss) who underwent one-time IHR using on-lay method together with abdominoplasty. We estimated postoperative results, as well as changes in QL, before RYGB and before and after abdominal contouring procedure (based on DAS 24 and SF-36 scales) in comparison with stage before surgeries. Results: Complications - abnormal wound healing (infection, local necrosis) and pneumonia were found in two persons, seroma in two cases, whereas dysesthesia in four patients. We confirmed QL improvement in all aspects after each stage of treatment. Conclusions: 1. One-stage on-lay hernia repair and abdominoplasty is a safe method improving the functioning of patients.  2. All stages of bariatric treatment resulted in gradual improvement of the quality of life. 3. High BMI in patients before onlay incisional hernia repair with abdominoplasty increases the risk of complications, which is connected with longer hospital stay.

6

Mass Media Usage as the Quality of Life Index in Poland

80%

Oniszczuk Z.

Political Preferences

|

2018

|

nr 21

41-53

EN

The quality of life is an interdisciplinary issue. Hence, in Polish social sciences there are many different definitions for this term, which has its consequences in research. Nowadays, the topic of life quality is being analyzed through its objective and subjective indexes. The article presents results of various research on mass media usage in the context of spending free time and using modern information and communication technologies (ICT), since both these trends have dominated the field of analyzing objective and subjective dimension of life quality of Poles when it comes to using media. Unfortunately, using mass media is not regarded in research as one of the main indexes for life quality and its full utilization requires a correction of meaning and methodology.

7

Relation of Health Condition and Quality of Life: Examination of the Quality of Life of the Disadvantaged Population in Nyíregyháza by the FT Quality of Life Index

80%

Jávorné-Erdei R. , Takács P. , Fábián G.

|

tom 10

|

nr 2

157-164

EN

Improving the health of the population, stopping and changing the disadvantage trends have long been one of the health policy objectives in the regions. Unfortunately in spite of the declared goals Hungary is far away from giving priority to health issues as they are not given proper attention either on individual or societal level. In modern societies local communities play an increasingly important role in the development of quality of life. Their activity, their influence over the power structures become dominant. Quality of life is made up of objective and subjective components. Their important sub-areas are health, financial situation, income situations, housing and social relationship. Quality of life studies are the most frequent health-related research studies, the most remarkable results have been achieved here. Healthrelated quality of life is one of the most important and maybe the most frequently researched dimension of quality of life showing how much health status contributes to the welfare of the individuals. The primary objective of the research studies the improvement of the health status of the population and within it the health status of the individual as well as the reduction of health inequalities can be designated. The improvement of the quality of life can be rationalized as health benefit for the society. Its two main components are the extension of the life expectancy and the increase in numbers of the resulting years. The health of the Hungarian population is said to be unfavourable in international comparison and it can also be stated that it is significantly poorer than it could be expected according to the socio-economic development level

8

Środowiskowe oczekiwania dotyczące budynków

80%

Paprzyca K.

Czasopismo Techniczne. Architektura

|

2010

|

tom R. 107, z. 6-A/2

45-50

PL

Większość priorytetów stawianych przez Unię Europejską związanych z budownictwem mieszkaniowym dotyczy jakości życia i nowych materiałów budowlanych. Istotne znaczenie w tych priorytetach odgrywa środowisko zurbanizowane z warunkami, jakie niesie dla mieszkańców. Coraz większa uwaga kosztów utrzymania budynku rozpatrywana jest w kontekście cyklu życia budynku. Zasadnicza jest rola architekta, który już na etapie fazy projektowej budynku powinien przeanalizować obszary zagadnień związanych z kosztami i korzyściami a dotyczących między innymi cyklu życia budynku w sensie technicznym jak i ekonomicznym. Zagadnienia cyklu życia budynku powiązane są w znacznej mierze z aspektami funkcjonalnymi, estetycznymi, ekologicznymi, ekonomicznymi i środowiskowymi. Brak ich uwzględnienia znacznie wpływa na wzrost kosztów: obniża standard środowiska zurbanizowanego, stanowiąc zagrożenie dla życia i zdrowia człowieka, wpływa nie tylko na cenę produktu, jakim jest inwestycja budowlana, ale również na koszty użytkowania inwestycji. Zyski, zalety i straty i brzydota projektu będą funkcjonowały dla właściciela jak i użytkowników obiektu oraz dla środowiska przez lata.

EN

Life quality and new technologies of building industry are main priorities for UE which connected with housing. Comfortable conditions for inhabitants of urban environment have essential meaning in these priorities. Increasing amount of attention is paid to operating costs in the context of the cycle of building life. A part of the architect is crucial for successful results then already on design level should be analysed domain of dependence between costs and profits in context of building life in technical as well as economical aspects. The cycle of building life and its problems are strictly connected with functional, aesthetic, ecological, economical and environmental aspects. Lack of these connections influences considerably the increase of costs as well as lowers the standards of urban surrounding what can make serious menance for health and human life. Moreover, it increases not only the price of the product but also badly influences the costs of investment utilization. Problems of profits and losses in context of advantages and attractiveness or ugliness of projects will be impacting on building owners and users and environment for years.

9

The quality of life, general health, and pain sensations after treatment in the assessment of breast cancer patients

80%

Nowicki A. , Trybulska J. , Rhone P.

OncoReview

|

2018

|

tom 8

|

nr 2

54-59

EN

Introduction: General quality of life, health, and sensation of pain caused by cancer are connected with the physical, mental and social state of a human being. Aim of the study: The aim of the study is self-assessment of life quality, general health, and pain sensations in breast cancer patients after adjuvant therapy with chemo- and radiotherapy. Material and methods: The study was carried out in 2016 at the Professor Franciszek Łukaszczyk Oncology Clinic in Bydgoszcz. 56 women with breast cancer were qualified for the study, upon completion of treatment. Socio-demographic and clinical data was used, questions 29 and 30 from the QLQ C30 questionnaire, and the Memorial Pain Assessment Card. Results: Generally, the average self-assessment of health and life quality was 4.98 and 5.18 points, respectively. Age, education, marital status and the place of residence did not have any influence on the self-assessment of health and life quality (p > 0.05). 46 women (82.1%) did not take analgesics. Those patients who did not take analgesics assessed their health and life quality better, with the average scores of 5.3 and 5.63 points, respectively. The average for pain intensity was 2.05 on a 0–11 scale. Most women – 14 (25%) – assessed their mood as very good. The mood average was 2.91 points. Only the administration of analgesics influenced the mood score (p = 0.001). Conclusions: Women with breast cancer after radical treatment assess their health and life quality as good. Those not taking analgesics assess their health and life quality better and are decidedly in a better mood than those taking such medications. Socio-demographic factors do not influence self-assessment of health, life quality, or pain intensity.

10

Jakość życia jednostki

80%

Nieścior A.

Problemy Jakości

|

2000

|

tom R. 32, nr 12

8-11

PL

25 listopada br. obradowała w siedzibie Krajowej Izby Gospodarczej Konferencja pn. "Wpływ jakości życia na zarządzanie organizacjami". Organizatorami byli: Ministerstwo Gospodarki, KIG oraz Wyższa Szkoła Morska w Gdyni.

EN

The article is dedicated to analysis of life quality applied for individuals. It is an effect of comparisons realized by people in different periods of their proper life. Practically it leads to certain balance of various incidents appearing during the life of each person. They can be positive and negative including many hopes or anxieties (even fears). Any man is an active element of the surrounding world. She interacts with this world using communicative ways which influence mutually on the changes. The modelling of these aspects is very useful. The utilization of the SWOT method makes easier the uderstanding of these interactions. The explanation of life quality by an equation forming PLON-model is the proposal of author. And the description of that idea is presented in the publication.

11

Efficiency of the elderly physical recreation programme aimed at improving functional efficiency and quality of life

80%

Les A. , Kozdron E. , Niedzielska E. , Kozdron M.

|

nr 2

EN

Background. The study aimed to evaluate the effectiveness of the Physical Recreation Programme for the Elderly designed by Ewa Kozdroń intended to improve the functional efficiency and quality of life of women over 60 who participated in the programme. Material and methods. The research involved 73 females aged 60-74 who participated in the Physical Recreation Programme for the Elderly. The research used the author’s questionnaire, i.e. EQ-5D questionnaire and Functional Fitness Tests (FFT). Results. The results of our research confirmed a positive relationship between participation in a regular physical activity, the declared level of functional fitness and the perceived quality of life. Conclusions. A positive relationship was found in the study group between participation in regular physical activity, the declared level of functional fitness and the perceived quality of life.

PL

Wprowadzenie. Za cel badań postawiono próbę oceny efektywności Programu Rekreacji Ruchowej Osób Starszych (autorstwa Ewy Kozdroń) w zakresie sprawności funkcjonalnej i jakości życia kobiet po 60. roku życia, biorących udział w programie. Materiał i metody. Badaniami objęto 73 kobiety w wieku 60-74 lata, biorące udział w Programie Rekreacji Ruchowej Osób Starszych. W badaniach wykorzystano autorski kwestionariusz ankiety, kwestionariusz EQ-5D oraz próby sprawnościowe FFFT. Wyniki. Wyniki badań otwierdziły dodatnią zależność pomiędzy uczestnictwem w regularnej aktywności fizycznej, deklarowanym poziomem sprawności funkcjonalnej, a odczuwaną jakością życia Wnioski. W badanej grupie stwierdzono dodatnią zależność pomiędzy uczestnictwem w regularnej aktywności fizycznej, deklarowanym poziomem sprawności funkcjonalnej, a odczuwaną jakością życia.

12

The interaction of physical activity and the lif e quality of students in mid and late adolescence

70%

Broďáni J. , Lipárová S. , Kráľ M.

Physical Activity Review

|

2016

|

tom 4

124-131

EN

The report presents the internship analysis results between the p hysical activity during the week and life quality fields in mid and late adolescence of students in different sport level. In the research took part students from secondary schools and universities from Slovakia (n=308). The life quality was observed via m odificated questionnaire SQUALA and the level of the physical activity during the week in hours (PA). The results are presented by descriptive characteristics (n, M, SD) and the statistic importance of differences, relations is rated by non – parametric me thods (W, U, r s ) at the levels of importance (p< 0. 05, p< 0. 20; p = level of significant = p - value = 1%, 5%, 10%, 20%).Positive interactions PA with life quality fields were found in mid adolescence. In the group of active athletes in mid adolescence were pr oved positive interactions with the f ield of physical well - being (p<0. 10), field of appearance and possession of things (p<,01), by occasional athletes with the spiritual field (p< 0. 01) and the field of education (p< 0. 20). In the group of students in late adolescence was proved a positive interaction PA only with the field of material safety (p<0.01).It was repeatedly proved that mid and late adolescence is a very stormy and unstable period of lifetime, mainly when talking about satisfaction with life qual ity. The importance of life quality plays a great role in the lives of adolescents. It was also pointed out that there are possibilities to influence the fields of life quality via physical activities, but especially the importance of creating sufficient c ircumstances to enhance the life quality in social environment of adolescents. The contribution was published via the grant resource MŠ SR KEGA 003UKF - 4/2016.

13

Quality of life of institutionalised elderly people [nursing homes' residents]

70%

Grzegorczyk J. , Kwolek A.

|

nr Suppl.2, Part 1

EN

The aim of this research is to identify and analyse the situation of residents of selected nursing homes. The study covers residents of two nursing homes in the Podkarpackie region. Nottingham Health Profile measure was used to assess their quality of life. Nursing homes' residents rate their energy and physical efficiency as the lowest. Motor system diseases and impaired vision as well as co-occurring chronic diseases significantly affect the QoL. Out of all areas physical efficiency and emotional condition have the greatest impact on the QoL. Women and widowed persons report a clearly worse QoL. Persons who have lived in a nursing home for less than a year have the worst perception of their QoL.

14

Efficacy evaluation of case-specific approach for surgical treatment of incisional ventral hernia

70%

Sokolova S. , Sherbatykh A. , Tolkachev K. , Beloborodov V. , Dulskiy V. , Kozlova N.

Polish Journal of Surgery

|

2021

|

tom 93

|

nr 5

1-5

EN

The Aim of research is to improve the results of surgical treatment of incisional ventral hernia by applying a case-specific approach and a new method of plastic repair of anterior abdominal wall. The prospective controlled dynamic study is based on incisional ventral hernia treatment results with the use of meshed endoprostheses among 219 patients. On-lay alloplasty was used in patients younger than 60 years of age, without severe concomitant pathology, with small and medium hernias and anterior abdominal wall defect of up to 10 cm (W1 - W2). The article shows a selection algorithm for anterior abdominal wall plastic repair method. It goes through advantages of the author’s proprietary technique. The article displays frequency and patterns of complications, life quality of the patients after various prosthetic plastic repairs. In the main group, positive treatment results were observed in 65.0%, long-term results of the operation were observed in 88.4%, complications occurred in 13.6%, relapse in 4.5%. «On lay» treatment tactics showed positive results in 59.4%, long-term results of the operation were observed in 74.7%, complications occurred in 40%, relapse in 3.1%. After «sub lay» intervention, excellent results were observed in 40.0% of patients, long-term results of the operation were observed in 81.9%, complications occurred in 12%, and relapse in 1.4%.

15

Economic aspects of kitchen with assistive technology equipment

60%

Sydor M. , Wiaderek K. , Fabisiak B. , Klos R.

Intercathedra

|

2014

|

tom 30

|

nr 1

EN

In Poland the percentage of disabled individuals aged 0-14 years is 3.1%, while in the age group over 70 years it is as high as 45%. The article presents an attempt of a variant estimation of purchase costs of kitchen equipment for the disabled. Three hypothetical types of kitchen designs were investigated: low-budget, medium-budget and high-budget, respectively. Based on literature guidelines and a review of market prices it was established that the costs of the three kitchen design variants are approx. 6000 PLN (1240 €), 42 500 PLN (9870 €) and over 225 000 PLN (52 530 €). A high percentage of the total cost of kitchen equipment may be connected with specialised mechatronic equipment (up to 40% total kitchen cost). In the case of the cheapest kitchen variant a lack of expensive specialised equipment may be compensated by an appropriate layout of typical kitchen components.

16

Training device for SCI persons for exercises in a wheelchair

60%

Opara J. , Janota J. , Janota B.

Ergonomia

|

2003

|

tom Spec.

17

Ocena jakości życia pacjentów po udarze niedokrwiennym mózgu

60%

Bolach E. , Bolach B. , Ptak J.

Rozprawy Naukowe Akademii Wychowania Fizycznego we Wrocławiu

|

2018

|

tom 63

92-104

PL

Cel badań. Celem pracy była ocena wpływu płci, czasu od wystąpienia udaru oraz strony dotkniętej niedowładem na jakość życia pacjentów po udarze niedokrwiennym mózgu. Materiał i metody. Badaniem objęto 34 pacjentów (18 kobiet i 16 mężczyzn) po udarze mózgu w wieku 51–78 lat. Czas, jaki upłynął od udaru w chwili badania mieścił się w przedziale od 0,3 roku do 4 lat. Wśród badanych przeważali pacjenci z niedowładem połowiczym po prawej stronie. Badanie zostało wykonane w celu oceny odległych wyników leczenia. Pierwszą grupę stanowili pacjenci, których udar miał miejsce nie wcześniej niż 3 miesiące i nie później niż rok od badania, do drugiej grupy należeli pacjenci, którzy przebyli udar kilka lat temu. Do oceny subiektywnych wskaźników jakości życia wykorzystano 30-punktową wersję skali SIP zaadaptowaną dla udarów mózgu (Stoke-Adapted 30-Item Version of the Sickness Impact Profile). Wyniki i wnioski. Chorzy, u których czas po przebytym udarze był krótszy od roku, znaczne niżej oceniali swą jakość życia w porównaniu z pacjentami, którzy przebyli udar kilka lat wcześniej. Badani najbardziej odczuwali obniżenie jakości życia w zakresie mobilności i poruszania się, natomiast najmniej w odniesieniu do swego stanu emocjonalnego. Płeć nie odgrywała znaczącej roli w ocenie jakości życia pacjentów.

EN

Background. The aim of the study was to evaluate the influence of sex, time from the onset of a stroke, and the body side affected by the paresis on life quality among patients who underwent an ischaemic brain stroke. Material and methods. The research involved 34 patients (18 women, 16 men) aged 51–78 years who had suffered from a stroke. The time from the stroke onset ranged from 0,3 to 4 years. Most patients presented with right side hemiplegia. The research was performed to evaluate long-term treatment effects. In the first group included patients who were affected by the stroke between 1 year and 3 months before the study. The second group consisted of those who underwent stroke several years earlier. The subjective factors of life quality were assessed with the stroke-adapted 30-item version of the Sickness Impact Profile. Results and conclusions. The patients with the time from stroke onset shorter than 1 year evaluated their life quality significantly lower than those who had been affected by the stroke several years earlier. The lowering of life quality was reported mainly in the mobility and movement dimensions; it referred to the emotional condition the least. The patients’ sex did not significantly impact on the life quality assessment.

18

Bioelements and eating disorders - aspects of the quality of life

60%

Makara-Studzinska M. , Morylowska-Topolska J. , Koslak A. , Urbanska A.

Journal of Elementology

|

2010

|

tom 15

|

nr 2

405-412

EN

Anorexia nervosa and bulimia are emotional disorders which are a serious hazard to the physical health or life. They most often affect girls and young women and disorganize their mental and social life. In this paper, complications caused by eating disorders as a result of deficiency or excessive loss of bioelements by an organism are reviewed along their influence on the quality of life. The symptoms of anorexia nervosa are the following: weight loss over 15% of the standard body mass for the age and height, severe fear of body weight gain despite clear evidence of weight deficiency. The main symptoms of bulimia involve uncontrolled overeating and counteracting weight gain which could occur after overeating episodes by self-induced vomitting or overuse of laxatives and diuretics. Medical complications of bulimia are related to the method and frequency of purgation, while in anorexia they are caused by starvation and weight loss. The following deviations are observed in both restrictive and bulimic forms on anorexia: hypokalemia, hypocalcemia, hypophosphatemia and sometimes also hyponatremia, hypomegnesemia and hypochloremic alkalosis. Many electrolytic and acid abnormalities are found in bulimia depending on the method for laxation (self-induced vomitting, misuse of laxatives or diuretics). Most patients adapt well for a relatively long time to low levels of potassium in plasma but sometimes the situation may cause life threatening consequences, like dysrhythmia, paralytic ileus, neuropathy, muscle weakness and paresis. Physicians and patients should understand that anorexia nervosa is a systemic disease and can affect all body organs. Full knowledge about possible complications of anorexia nervosa allows physicians to achieve precise assessment and conduct appropriate treatment of patients when the diagnosis has already been made.

PL

Jadłowstręt psychiczny i bulimia to zaburzenia emocjonalne, które poważnie zagrażają zdrowiu fizycznemu, a nawet życiu. Przeważnie występują u dziewcząt i młodych kobiet, dezorganizując ich funkcjonowanie psychospołeczne. W pracy omówiono powikłania zaburzeń odżywiania wynikające z niedoborów lub nadmiernej utraty biopierwiastków przez organizm oraz wpływ tych powikłań na jakość życia. Do objawów jadłowstrętu psychicznego należy: utrata masy ciała powyżej 15% w stosunku do masy należnej dla wieku i wzrostu, nasilony lęk przed zwiększeniem masy ciała, mimo znacznych rzeczywistych niedoborów wagi. Główne objawy bulimii to niekontrolowane objadanie się i przeciwdziałanie przytyciu, które wynikałoby z napadów objadania, czyli prowokowanie wymiotów, nadużywanie środków przeczyszczających, moczopędnych. Komplikacje medyczne bulimii wiążą się ze sposobem i częstością przeczyszczania się, podczas gdy w anoreksji powstają na skutek głodzenia się i utraty wagi. Zarówno w postaci restrykcyjnej, jak i bulimicznej jadłowstrętu wykrywa się następujące odchylenia: hipokaliemię, hipokalcemię, hipofosfatemię, rzadziej hiponatremię, hipomagnezemię i zasadowicę hipochloremiczną, Wiele nieprawidłowości elektrolitowych i kwasowych może pojawić się w bulimii w zależności od tego, czy stosowaną metodą przeczyszczającą jest prowokowanie wymiotów, stosowanie środków moczopędnych lub środków przeczyszczających. Większość pacjentów przez stosunkowo długi czas dobrze przystosowuje do niskich stężeń potasu w surowicy krwi, lecz niekiedy mogą one powodować groźne następstwa: zaburzenia rytmu serca, niedrożność porażenną jelit, neuropatię, osłabienie siły mięśni i ich niedowłady. Lekarze i pacjenci powinni zrozumieć, że jadłowstręt jest chorobą układową, która może dotknąć właściwie wszystkie narządy ciała. Pełna wiedza na temat potencjalnych komplikacji jadłowstrętu pozwala lekarzom na dokładną ocenę i prowadzenie odpowiedniego leczenia pacjentów, kiedy już postawi się diagnozę.

19

Dyspnea and quality of life in patients with pulmonary fibrosis after six weeks of respiratory rehabilitation

60%

Jastrzebski D. , Gumola A. , Gawlik R. , Kozielski J.

Journal of Physiology and Pharmacology. Supplement

|

2006

|

tom 57

|

nr 4

139-148

EN

The aim of the study was to estimate the level of dyspnea and quality of life in patients with pulmonary fibrosis after 6 weeks' respiratory rehabilitation. The study comprised of 31 patients (F/M-12/19) with interstitial lung diseases (21 with idiopathic interstitial pneumonia, 4 with lung fibrosis due to allergic alveolitis, 4 with lung fibrosis due to collagenosis, 2 with lung fibrosis due to silicosis) who successfully finished the rehabilitation program. Each patient underwent an intensive (every day for 30 min) inpatient pulmonary rehabilitation program of an average length of 4 wk, continued later at home for up to 12 wk. The program consisted of respiratory muscle training and bicycle riding to the limits of the patient's tolerance. Dyspnea (MRC, OCD, BDI and Borg scale) and the quality of live (SF-36, St. George's Respiratory Questionnaire) were assessed at the time of admission and discharge. Rehabilitation caused dyspnea sensation to diminish (Borg scale: 2.97 before vs. 2.19 after). Some domains of the quality of life in SF-36 questionnaire (Role-Physical 40.6 vs. 60.2) and St. George's Respiratory Questionnaire (activity: 52 vs. 45, impact 47 vs. 40 and total 47 vs. 42) also were improved compared with the pre-rehabilitation results. We conclude that 12 weeks of combined inpatient and home-based rehabilitation programme improves the quality of live and sensation of dyspnea in patients with interstitial lung disease, despite changes in pulmonary function tests.

20

Burned Out Or Just Frustrated? Reasons Why Physical Education Teachers Leave Their Profession

60%

Cieśliński R. , Szum E.

|

EN

This work focuses on the reasons why physical education (PE) teachers leave their profession. The study included 80 individuals who decided to leave a teaching profession in 2013. A diagnostic poll method with the use of the QWL (Quality of Work Life) index was employed in the study. It was observed that there are usually a number of reasons why they give up their job, the most important being financial reasons. Their decision is influenced by the accumulation of professional and personal problems as well as their inability to solve them. The findings showed that teachers‘ departure from the profession is generally associated with the issue of burnout; however, financial reasons are most frequently ones that directly affect this decision.