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EN
Rehabilitation of patients with a diagnosed cancer poses a major challenge for physiotherapists (PT) due to the limited number of methods which may be used on every stage of cancer treatment (including convalescence). Kinesiology Taping (KT) is one of the few available options that enable pain and oedema reduction. Limited number of studies with significantly varied study methods makes it difficult to draw clear conclusions on the legitimacy of KT use. Aim of the review was to analyse available studies on the KT use in pain management and associated discomfort reported by cancer patients. Six papers met the criteria for the review and were included in the detailed pooled analysis (2 clinical studies and 4 case studies). Analysis emphasized papers describing analgesic effect of KT. On the basis of available studies, it proved to be beneficial for oncology patients (breast cancer, lung cancer, multiple myeloma). Additionally, studies reported an increased ability to carry out daily activities, decreased ‘psychological suffering’ and lower fatigue which directly resulted in the improvement of the quality of life (QoL) – a main goal of palliative care. The number of studies that evaluate the effectiveness of KT in pain reduction in oncology patients is scarce. Since KT has minor adverse effects it is recommended to be used as an adjunct analgesic therapy. Review supports the effectiveness of KT for pain management in oncologic patients. In order to confirm the efficacy of KT use in cancer patients, a greater number of randomized clinical trials, covering larger study groups, is required with special emphasis on malignant neoplasms.
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Introduction: Chest pain is one of the symptoms of lung cancer. Chest pain disrupts patient’s functioning in somatic and psychic area. Purpose: Whether the existence of chest pain affects the level of perioperative anxiety in lung cancer patients. Is there a relationship between everyday functioning due to the chest pain and the level of perioperative anxiety? Is there a relation between anxiety associated with pain and gender? What is the cause of anxiety in this group of the patiens? Methodology: The study was conducted among 150 patients with lung cancer before the scheduled surgery. Data was collected with the use of questionnaire assessment of perioperative anxiety level in patients with lung cancer. Results: The chest pain before the surgery was confirmed by 63 (42%) patients, in case of 87 (58%) patients it was not identified. Chest pain was in case of 48% women and 36% men. 50 (33,3%) research participants who experienced chest pain and 35 patients (23,3%) without this symptom declared experiencing perioperative anxiety. In patients with lung cancer, the correlation: between chest pain and perioperative anxiety was (Z = -4.67; p< .001); between the difficult daily functioning of pain and perioperative anxiety was (Z = -4.72; p< .001); between gender and perioperative anxiety associated with pain was (Z = -3.24; p = 001). Patients afraid of: pain (37,3%), breathing problems (24,0%), physical disability (16,0%), eating problems (12,0%) sleep disorders (9,3%), nothing (1,3%). Conclusions: Patients with chest pain exhibited significantly higher of perioperative anxiety levels than non-symptomatic patients, as well as higher anxiety levels due to deteriorated daily functioning caused by the disorder. Women had a higher level of anxiety associated with pain than men before the surgery. Patients with lung cancer were most afraid of pain in the perioperative period.
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Content available EVALUATION OF PAIN IN ATHLETES – SELECTED METHODS
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It is generally believed that athletes experience pain in a different way than normally active individuals. Many scientists have confirmed the hypothesis that long-term physical activity can alter the perception of pain, i.e. athletes have a higher pain sensation and pain tolerance thresholds. The measurement of pain intensity is carried out using subjective methods based on verbal and non-verbal information, describing the clinical characteristics of pain. These psychological methods include the use of scales and questionnaires. Objective methods (thermal, mechanical and electrical) are used only to determine the pain sensation and pain tolerance thresholds. The specificity and prevalence of chronic pain syndromes have resulted in the increased number of studies on healthy and physically active individuals. It seems that determination of the effects of exercise on the perception of pain might help in the understanding of mechanisms of pain generation.
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Chronic pain syndrome (CPS), accompanying pancreatic diseases, especially chronic pancreatitis and pancreatic cancer requires the strongest analgesic agents and is considered difficult to manage. Conservative methods are unsatisfactory and their side effects lead to serious somatic and mental comorbidities.The aim of the study was to perform an initial evaluation of videothoracoscopic bilateral splanchnicectomy using the posterior approach, as the method of treatment in cases of advanced pancreatic cancer.Material and methods. During the period between May and July 2005 there were 10 simultaneous bilateral videothoracoscopic splanchnicectomies (BVSPL) performed in patients with chronic pain syndrome, due to advanced pancreatic cancer, at the Department of General, Endocrinological and Transplant Surgery, Medical University of Gdańsk.Results. All patients were discharged from the hospital on the second postoperative day. Subjective pain measured by the VAS scale changed from 84.3±7.6% before the operation to 25.3±5.3% during the first and second postoperative days. The median follow-up of patients was approximately 4 months (ranging between 2 and 6 months). The intensity of pain 2, 6, and 12 weeks after the procedure was 28.7±4.7%, 30.3±5.4% and 36.2±4.7%, respectively.Conclusions. This is the first description of this safe and feasible method in the Polish surgical literature. The surgical procedure can be safely performed in most surgical departments equipped with videoscopic instruments. Moreover, the short learning curve enables surgeons to perform this procedure well after a short training period. In combination with good results concerning subjective pain reduction, it can be concluded that BVSPL should be incorporated into the spectrum of surgical procedures in most surgical departments in Poland.
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The purpose of the investigation was to establish the relationship between beliefs about pain control and pain coping strategies and predictors of pain coping strategies. 103 patients with rheumatoid arthritis participated in the study – 59 were women, 43 men. The mean of age was 38.1. Beliefs about Pain Control (BPCQ) prepared by Skevington and Pain Coping Strategies Questionnaire developed by Rosenstiel and Keefe were used in the study. The results indicated on the differentiation in choice of pain coping strategies dependently from beliefs about pain control and revealed predictors for two pain coping strategies. Predictor of diverting attention appeared internal control and predictors of catastrophizing appeared all three kinds of pain control.
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Background. In general practice, dysfunctions within the locomotor system are a recurring health issue. Most frequently, diagnoses and treatments relate to pain syndromes of the backbone, the shoulder girdle or the pelvic girdle. The authors believe that physiotherapy, along with other clinical disciplines, should be regarded as an important factor which influences the effectiveness of the therapeutic process in this area. In primary care, treatment of musculoskeletal disorders – especially at the stage of early clinical symptoms – should incorporate basic physiotherapy methods, e.g., massage, physical procedures, kinesiotherapy and the underrated education of the patient. Restoring appropriate spatial arrangement of tissues provides the right conditions for the regeneration and repair of muscles, ligaments and tendons, although it is a process that requires a long time. Therefore, it can be very important to introduce self-therapy in the form of systematically repeated, easy-to-replicate procedures in the scope of self-massage and self-kinesiotherapy. Objectives. This paper presents the impact of physiotherapy in treating selected disorders and pain syndromes of the locomotor system with particular attention to the role of massage. Emphasis is placed on the meaning of self-massage in the process of restoring structural balance of tissues. The model of active inclusion of the patient in the treatment process as preparation for self-therapy is presented. This paper aims to justify the need to reorganize health services provided through general practicioners within the National Health Fund network by incorporating physiotherapy in primary care.
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Content available PHYSICAL ACTIVITY OF PRIMARY SCHOOL STUDENTS
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A significant decrease in physical activity and a growing incidence of obesity are becoming problems of contemporary times, the economic and social costs of which we are bound to face. The systemic actions undertaken are aimed at creating space for physical activity and shaping health-oriented attitudes among children and young people. Promotion of health-oriented attitudes among children is one of the ways of preventing illnesses associated with lifestyle, and are also a significant factor influencing the condition of society and future generations. This study forms a preliminary evaluation of attitudes among primary school students in Lublin towards physical activity – its preferred forms and frequency. Moreover, the study presents a preliminary and general analysis of pain within the locomotor system in children. A survey in the form of a questionnaire was conducted in a primary school in Lublin among children at various stages of education. The questionnaire contained data about the children’s age and gender. Other questions concerned preferred forms of physical activity, its frequency and attitudes of schoolchildren to physical activity. The results obtained indicate that the majority (99%) of the children definitely like to undertake physical activity in various forms and they regard it as fun and an interesting way of spending free time. A significant share (51%) of the respondents reply that they undertake physical activity every day (apart from activities organized at school). However, the number of affirmative answers to the question about pain is worrying. The results obtained demonstrate quite a high level of physical activity among schoolchildren. However, the alarming results concerning incidences of pain (47%) point to the need for further indepth research on this area.
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Most of the pathological changes in the spine begin with the physiological loss of intervertebral disc function. Discopathy of the lumbar spine leads to a significant deterioration in the quality of life, which is why the therapeutic team strives is to improve patients quality of life through actions aimed at reducing spinal dysfunction to an extent that allows for human functioning. The research aim was to determine the quality of life of patients who had been treat- ed as a result of discopathy of the lumbar spine and to establish the relationship between the experience of negative feelings and a subjective assessment of the quality of life with factors resulting frompatient socio-demographics. The study included 110 patients treated for lumbar discopathy. A diagnostic survey method was employed as a research technique, with the use of a proprietary survey questionnaire. Statistic analysis of the results was performedusing the statistical package PQStat v1.6.6. Subjective evaluation of patients quality of life in 66 persons (60%) was at an average level, only 6 (5.45%) respondents rated the quality of their lives as being higher. Those living in towns of up to 50,000 residents rated their quality of life higher (6.21), with the lowest level being reported by those living in the countryside (4.95). Age did not influence significantly the quality of life, but older people most often experienced pain (p=0.4). Analysis of variance did not show statistically significant differences between marital status and respondent quality of life (p = 0.53) but did show significant differences between education levels and the incidence of negative feelings such as fear, anxiety or depression. Socio-demographic variables: such as gender, age and marital status do not significantly differentiate the quality of life of the respondents. There is a relationship between experiencing negative feel ings and educational levels. The lower the education level obtained, the more often negative feelings are experienced. The experiencing of negative feelings and disease duration are variables that reduce the quality of life of respondents. ------------------------------------------------------------------------------------------------------------------------------------
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Purpose: Assessment of pain intensity in patients with chronic low back pain in correlation with the clinical picture and illness acceptance. Material and methods: The study group included 120 patients (67 males and 53 females) aged 43.07 ± 8.74 years (range: 18 – 62 years) diagnosed with lumbosacral spine discopathy. The study was conducted between 2008 - 2010. Assessment tools used for the study included: pain intensity scale and Acceptance of Illness Scale (AIS). Results: Most often the pain was reported in the L4-L5 level of the lumbar spine. The duration of the illness ranged between 1-31 years (6.90 ± 6.47). The majority of the patients in the studied group were physical workers. Nearly half of the patients, 59 (49.16%) described their pain as moderate on a 5-point pain scale. No acceptance of illness according to the AIS scale was noted in 33 (27.5%) patients, the remaining 67 (72.5%) patients declared quite good and average good illness acceptance. We found no significant dependencies of the frequency of pain occurrence, pain intensity, its duration and the type of work. Conclusions: Pain reported due to chronic low back pain by the majority of the patients was of moderate intensity. No correlation was found between the pain and illness acceptance.
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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.
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The emotional functioning of older people depends on many factors. Diverse and rich activity every day seems to be very important. Undertaking a large number of activities at an elderly age and fulfilling oneself in social roles (also ones newly started) is a condition for efficient functioning, life satisfaction, well-being and health. Older people are at risk of social exclusion, being unnecessary for others or even being a burden on one’s surroundings. Hence, support and inclusion programs for various tasks and activities become extremely important. The aim of the presented research was to present proposals and evaluate the effects of a program dedicated to seniors, which was to improve their quality of life, psychophysical and social health. The program involved 50 seniors from 2 different support centers, including 43 women and 7 men, average age 77.51 ± 9.51. The assessment used the SUPIN questionnaire (Positive and Negative Feelings Scale), MMSE (Mini-Mental State Examination) and the VAS pain scale. The obtained results confirmed the beneficial effect of the proposed activation program on the psychophysical health of the respondents. All subjects increased their level of positive emotions, while the level of negative ones decreased (p <0.05), hand functionality and general well-being improved, back and pain significantly decreased.
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The purpose of this study was to compare the effect of quadriceps isometric exercises along with hip abductors isometric exercises as integrated exercise with quadriceps exercises in reducing pain, disability in medial knee osteoarthritis. The Total of 54 patients (both male and female) were recruited in this study but on the basis of inclusion and exclusion criteria, only 32 were included in this study. Womac index was opted as outcome measures to collect the data of pain, disability and functional limitation. Participants were randomly assigned to integrated exercise group; (n = 16) (mean age 52) who performed exercises [Quadriceps isometric along with hip abductor isometric exercises] and quadriceps isometric exercises group (n = 16) (mean age 49) performed for 3 weeks. 32 patients were analyzed and the effect of integrated exercises [Quadriceps isometric along with hip abductor isometric exercises] showed a statistically significant difference in pain, disability and functional limitation (p < 0.000). Total duration to collect the pre and post data of pain, disability and functional limitation was 3 weeks. 3 weeks of exercise protocol was effective in both groups in terms of reducing pain and disability but integrated exercises were found to be more effective than quadriceps exercise in improving the pain, disability and functional limitation over the time at the level of significance.
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Purpose: To assess pain levels of hemodialysis (HD) patients and to report pain management techniques. Materials and methods: A quantitative descriptive study design with a summative approach to qualitative analysis was held, with a personal interview of the HD patients in a Southern European city hospital (n=70), using the Visual Analog Scales (VAS), the Wong-Baker Pain Scales (WBPS) and McGill Pain Questionnaire. People confused or in a coma, with hearing or reading problems and inability to communicate in the spoken language were excluded. Results: Renal patients under investigation were 69.72 ±12.45 years old, male (58.5%) and on HD for 35.5 ± 27.4 months. In the Wong Baker Scale, pain was rated as “hurts little more” 30.8%, (n=20) and in the VAS 30.8% (n=20) reported 6/10 the amount of pain experienced. Forty-six percent pinpointed internal pain in the legs. Pain experienced was characterized as sickening (70.8%), tiring (67.7%), burning (66.2%), rhythmic (86.2%), periodic (66.2%) and continuous (61.5%). The patients studied mainly manage pain either with warm towel/cloth (85.2% females and all male patients), with massage (84.2% and 88.9%, respectively) or painkillers (47.4% and 52.6%, respectively). In a correlation of gender and pain management techniques, statistical significance was found only with warm towel (p=0.038). Conclusions: As renal patients are an increasing group of healthcare service users, and pain is affecting their everyday life, it is essential to individualize pain evaluation and to provide further education to clinical nurses so that they can effectively manage pain.
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INTRODUCTION: A pain response is an inevitable symptom in trauma patients and requires to undertake a medical intervention in pre-hospital conditions. In the Polish system of medical rescue, there are teams including a doctor or without one where a paramedic is the main person to make decisions. Due to lack of standard procedures and a pain rating scale attached to the documents of medical rescue teams, the authors of the research attempted to analyse the administration of analgesics in trauma patients. MATERIAL AND METHODS: The research was conducted on 266 trauma patients selected from 2307 interventions of Emergency Medical Service in Łęczyca in 2016. ANOVA, one-way analysis of variance, and T-tests for unpaired samples were applied. All the results were found significant at p < 0,05. RESULTS: The study was carried out on 150 males and 100 females. The average age of the the trauma patients was 77 (SD ± 38). Rescue teams were sent to trauma patients at 71-80 and 51-60 age groups. In 64,7 % (n=172) of the cases, help was provided in rural areas, whereas in 35,3 % (n=94) cases - urban areas. Most frequently, the patients were injured as a result of traffic accidents, activities while carrying out farm work as well as cut wounds and self-mutilation. Anaesthesia was applied in 120 cases (45,11%), mostly in patients between the age of 81 and 90 and most rarely in children. A total number of painkiller administration was higher in basic Emergency Medical Services (BEMS) than in specialized ones (S-EMS) (84 vs. 55). No statistically significant relation between the choice of the medicine and the injury type was discovered (Kruskal-Wallis; p=0,82). The drug used most often was Ketoprofenum (n=87) and Fentanylum (n=35). There was significant difference in the administration of analgesic drugs between BEMS and S-EMS teams (χ2; p=0,042). CONCLUSIONS: Over half of the trauma patients was not secured by administering analgesic drugs in pre-hospital conditions. The number of analgesic drugs used in B-EMS and S-EMS teams was diverse. Patients were given nonsteroidal anti-inflammatory drugs (NSAIDs) more often than opioids.
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WSTĘP: Reakacja bólowa jest nieodłącznym objawem u pacjentów urazowych i wymaga podjęcia interwencji medycznej już w warunkach przedszpitalnych. W polskim systemie ratownictwa medycznego funkcjonują zarówno zespoły z lekarzem, jak i bez lekarza, gdzie kierownikiem jest najczęściej ratownik medyczny. W obliczu braku standardów postępowania, ani skal oceny bólu dołączonych do dokumentacji pogotowia ratunkowego, autorzy badania podjęli próbę analizy zastosowań leków analgetycznych u pacjentów urazowych. MATERIAŁ I METODY: Badaniem objęto 2307 interwencji pogotowia ratunkowego w Łęczycy w roku 2016, z czego wyselekcjonowano 266 wezwań do pacjentów urazowych. Zastosowano jednoczynnikową analizę wariancji ANOVA oraz T-testy dla zmiennych niepowiązanych. Wszystkie wyniki uznano za istotne przy wartości p < 0,05. WYNIKI: Badaniem objęło 150 mężczyzn i 110 kobiet. Średnia wieku poszkodowanych urazowych wyniosła 77 lat (SD ± 38). Zespoły najczęściej były dysponowane do pacjentów urazowych w przedziale wiekowym 71-80 lat oraz 51-60 lat. W 64,7 % (n=172) przypadków udzielano pomocy na terenach wiejskich, zaś w 35,3 % (n=94) były to tereny miejskie. Pacjenci ulegali najczęściej urazom w wyniku wypadku komunikacyjnego, czynności wykonywanych podczas prac rolniczych, a także ran i samookaleczeń. Znieczulenie zastosowano w 120 przypadkach (45,11%), najczęściej u pecjentów w wieku 81-90 lat (n=18), a najrzadziej u dzieci. Łączna liczba zastosowań leków przeciwbólowych jest wyższa w zespołach podstawowych niż specjalistycznych (84 vs. 55). Nie wykazano istotnej statystycznie zależności doboru leku w stosunku do rodzaju urazu (Kruskal-Wallis; p=0,82). Najczęściej stosowanym lekiem był Ketonal (n=87) oraz Fentanyl (n=35). Wykazano istotną statystycznie zależność w liczbie zastosowań anelgetyków pomiędzy grupami "B-EMS" i "S-EMS" (χ2; p=0,042). WNIOSKI: Ponad połowa pacjentów urazowych nie jest zabezpieczana przez podanie środków anelgetycznych w warunkach przedszpitalnych. Ilość stosowanych analgetyków w zespołach podstawowych i specjalistycznych jest zróżnicowana. Najczęściej podawano leki z grupy NLPZ.
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Content available remote Zjawisko bólu i sposoby jego leczenia
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Pain is one of the main problems of contemporary medicine. It has a significant meaning for the recognition of the disease process but it also indicates a threat to the organism. Pain is a complex phenomenon. The beginning of the route of pain information is a damaged tissue or organ, then afferent nerve fibers and the spinal cord, and the brain at the end. With the development of knowledge of pain, reasearches tend to elaborate new, effective methods of pain treatment. Contemporary medicine, apart from the pharmacological agents, offers different drug-free methods: ranging from blocking of individual nerves to the neurosurgical treatment.
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Background: The aim of this research is to evaluate analgesic effectiveness of infrared radiation and interference currents in degenerative diseases of joints. On the grounds of current practical and theoretical experience, the following hypothesis was formed: Application of interference currents and infrared radiation constitutes effective analgesic therapy in degenerative diseases, and in the case of the applied treatment, its effectiveness is long-term. Material/Methods: Tests were conducted on a group consisting of 32 women and men in the age range of 65-87 years of age suffering from a degenerative disease of the knee joint. The patients were applied a series of 10 treatments with application of the Sollux lamp for 15 minutes and interference currents of 50-100 HZ frequency for 5 minutes and 90- 100 Hz for 10 minutes during treatment. Evaluation of the efficiency of therapy was checked by means of the VAS scale and the Laitinen scale. Results: The results indicate an efficient analgesic effect according to the VAS scale immediately after treatment p = 0.002 and a month after treatment p = 0.000 as well as according to the Laitinen scale immediately after treatment p = 0.004 and a month after treatment p = 0.004. Conclusions: Application of infrared radiation and interference currents indicates an analgesic effect. These treatments may be alternative or supportive to pharmacological treatment in the case of degenerative changes in people who are over 65 years of age. Results of the research suggest continuation of further research on the effectiveness of the above-mentioned therapy and the length of preserving analgesic results in people with degenerative diseases of joints
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Chronic low back pain affects 50-80% of the population, while its consequences may impair the functioning of patients suffering from it, in many spheres of life . Hope is a factor which may influence coping with pain as well as cognitive reflection of pain experience. The aim of the study has been to check: 1) whether dependencies exist between hope-trait and hope-state and the perception of pain; 2) whether experiencing pain at the time of filling questionnaires matters for the assessment of the level of hope; 3) whether there is interaction between hope, the pain experienced at the moment of investigation, and memory of the intensity of previously experienced pain. 150 patients participated in the study, they all reported aggravation of the chronic low back pain syndrome. The study was a cross-sectional study, based on questionnaires. On the third day of treatment the subjects were given the following questionnaires: Trait Hope Scale, State Hope Scale, and Numerical Rating Scale of Pain to fill. Poor correlation was demonstrated to exist between hope-state and hope-pathways on the one hand, and the intensity of minimum pain level experienced during the first three days of treatment. It has been noted that the presence of pain at the time of filling questionnaires results in reducing the hope-state, but only in those persons, who had experienced severe pain previously. On the other hand, in case of patients who had experienced slight pain previously, the pain present when filling in the questionnaires is conducive to enhanced hope-state. The results of the study confirm the complex character of relations between hope and pain.
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One of our study direction is research in the group of compounds affecting the TRPA1 ion channel which can perform an important function in pain (including neuropathic pain) and inflammation for example in asthma and other chronic respiratory diseases. The aim of this study was to evaluate the analgesic and anti-inflammatory activity of two analogues of HC-030031 analogues belonging to nitrogen derivatives of heterocyclic system: xanthine (cmpd 1) and benzimidazole (cmpd 2) with hydrazide and amide moieties respectively In this paper, for two derivatives (cmpd 1 and cmpd 2) potential analgesic and anti-inflammatory/anti-edematous activities were evaluated in animal models of pain in mice (writhing response test, formalin test) and inflammation in rats (carrageenan-induced paw edema test). Both the tested compounds 1 and 2 showed a significant analgesic and anti-inflammatory activity.
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Chronic nicotinism has negative effects, both local and systemic. Its local effects are related to both the immediate thermal influence, as well as the toxic action of the substances contained in the smoke. In addition, the microflora colonizing dental plague is changed. The damage and the inflammatory processes that are incurred, affect the bone tissue of the alveolar processes, the mucosa, gums, and the tooth enamel. In this study, the tobacco smoking-related profile of patients being treated by way of implants was determined. Moreover, the relationship between cigarette smoking and pain sensation was assessed in patients undergoing surgical and prosthetic procedures in the oral cavity. The questionnaire survey covered 464 patients receiving prosthetic treatment at the “Dental” Non-Public Health Care Centre in Tomaszow Mazowiecki. The patients answered questions concerning their sex, age, the period of smoking, number of cigarettes smoked per day and the sensation of pain during bone reconstruction, implant placement and prosthetic procedures. The most numerous group of patients treated with implants were women: either non-smoking or smoking for less than 20 years at a level of less than 20 cigarettes a day, and men aged 40-60 years who have been smoking for over 20 years, at more than 20 cigarettes a day. The results of the survey reveal that non-smoking patients felt pain during bone reconstruction, implant placement and prosthetic procedures more frequently.
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