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Early complete surgical treatment of a patient after multiple trauma using intramedullary nail and LCP system from Medgal company Medgal公司髓内钉与LCP系统的早期完整手术治疗一例多发外伤患者
Pub Date : 2016-05-06 DOI: 10.12775/MBS.2016.005
M. Weiss, Tomasz Dolata, W. Weiss
The study presents a case of a 44-year old patient admitted to the Department of Orthopaedics as an emergency to treat a multiple fractures of lower limbs. Successful, several-stages surgical treatment and rehabilitation was performed providing very satisfactory result. A case shows how important is the individual approach to the patient after multiple trauma.
该研究提出了一例44岁的病人入院骨科作为一个紧急治疗下肢多处骨折。成功的,几个阶段的手术治疗和康复提供了非常满意的结果。一个病例显示了多重创伤后个体治疗的重要性。
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引用次数: 0
Thoracoscopic lung biopsy in diagnosis of malignancy in children 胸腔镜肺活检在儿童恶性肿瘤诊断中的价值
Pub Date : 2016-05-05 DOI: 10.12775/MBS.2016.006
Krzysztof Dymek, Estera Rodziewicz, Paulina Szymańska, Konrad Kamiński, Irena Daniluk-Matraś, P. Gałązka
W s t e p Torakoskopowa biopsja pluc jest wazną metodą w diagnostyce i leczeniu dzieci ze zmianami chorobowymi miązszu pluc w celu uzyskania wyniku histopatologicznego. Celem pracy jest ocena przydatności torakoskopowej biopsji pluc w procesie diagnostycznym wykrywania chorob pluc u dzieci, wplywu na modyfikacje procesu leczenia i wystepowanie ewentualnych powiklan. M a t e r i a l  i  m e t o d y . Klinową resekcje pluc wykonano 12-krotnie (w tym u 2 dzieci dwukrotnie) u 10 dzieci (5 chlopcow, 5 dziewczynek). W analizowanej grupie pacjentow mediana wieku wyniosla 9 lat (zakres 2-17 lat). Wy n i k i . W 11 na 12 wykonanych biopsji udalo sie potwierdzic rozpoznanie i uzyskac wynik histopatologiczny, co mialo wplyw na dalsze postepowanie terapeutyczne. W 5 przypadkach biopsja miala na celu pierwotne rozpoznanie choroby (potwierdzono Hodgkin lymphoma, non-Hodgkin lymphoma oraz soft tissue sarcoma), a w 7 rozpoznanie nawrotu choroby nowotworowej. W 3 przypadkach potwierdzono wznowe choroby nowotworowej (Ewing sarcoma lub neuroblastoma), a w 4 przypadkach wykluczono. U zadnego pacjenta u ktorego nie potwierdzono choroby nowotworowej, nie zdiagnozowano jej w okresie 2-letniej obserwacji. Po zabiegu operacyjnym tylko w jednym przypadku pacjent wymagal krotkotrwalej terapii w OIT z powodu niewydolności oddechowej, w 5 przypadkach wystąpily powiklania zaliczane do malych (w tym 4-krotnie do powstania niewielkiej odmy podskornej). Mediana czasu utrzymania drenazu jamy oplucnej wyniosla 2 dni (zakres 0-5 dni). Nie odnotowano zgonow w okresie środ- i pooperacyjnym. Wn i o s k i . Biopsja pluc odgrywa wazną role w diagnostyce chorob pluc u dzieci i jest metodą bezpieczną z niską ilością powiklan. W analizowanym materiale stwierdzono wysoki odsetek rozpoznan zgodnych ze stanem klinicznym.
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引用次数: 0
Social suport received by primiparae and multiparae in the perinatal period 初产和多产在围产期获得的社会支持
Pub Date : 2016-05-05 DOI: 10.12775/MBS.2016.003
Grażyna Gebuza, Marzena Kaźmierczak, Estera Mieczkowska, Małgorzata Gierszewska
O b j e c t i v e s . The aim of the study was to establish if the social support received by primiparae in the 3rd trimester of pregnancy and in the postpartum period differs significantly from the social support received by multiparae, and if there are any differences in the satisfaction with life among the women involved in the study. M e t h o d s . The Berlin Social Support Scales (BSSS) as well as the Satisfaction with Life Scale (SWLS) were used in the study. A total of 199 women in the third trimester of pregnancy and after physiological birth or caesarean section (only 188) took part in the study. R e s u l t s . In the 3rd trimester of pregnancy the primiparae received significantly more emotional and instrumental support than the multiparae. In the postpartum period no difference was found between the social support received by the primiparae and the one received by the multiparae. There is no difference in life satisfaction between primiparae and multiparae in the gestation and postpartum period. C o n c l u s i o n s . Study of received social support and life satisfaction is necessary in order to define what assistance programmes should be created for women and their families while they are in the perinatal period.
噢,我的天哪!我的天哪!本研究的目的是确定初产妇在妊娠晚期和产后获得的社会支持是否与多胞胎获得的社会支持有显著差异,以及参与研究的妇女对生活的满意度是否存在差异。我想我应该去找她。本研究采用柏林社会支持量表(BSSS)及生活满意度量表(SWLS)。共有199名处于妊娠晚期和生理分娩或剖腹产后的妇女(只有188名)参加了这项研究。这是我最喜欢的。在妊娠晚期,初产妇得到的情感和工具支持明显多于多胞胎。在产后阶段,初产妇和多产妇获得的社会支持没有差异。初产妇和多胞胎在妊娠期和产后的生活满意度没有差异。我想我的孩子们都是这样的。有必要研究所获得的社会支助和生活满意度,以便确定应为处于围产期的妇女及其家庭制定何种援助方案。
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引用次数: 3
Cardiopulmonary efficeincy evaluation in women between 50 and 80 years of age in Kujawsko-Pomorskie Voivodeship, Poland 波兰库贾维斯科-波莫尔斯基省50 ~ 80岁妇女心肺功能评价
Pub Date : 2016-05-05 DOI: 10.12775/MBS.2016.007
Andrzej Chęsy, G. Chęsy, W. Sikorski, A. Rakowski, Paweł Rakowski, Tomasz Zegarski, K. Dmitruk, M. Tafil-Klawe
One of major obstacles in social activity routines is aging and all impairments generated by this inevitable process. Thus, in order to facilitate the effective functioning of elderly people within a society, our attention should be drawn to the quickly advancing consequences of aging. The purpose of this study is to evaluate cardiopulmonary efficiency in a chosen group of women above 50 years of age in Kujawsko- Pomorskie Voivodeship. 3413 women, aged 50-80 years participated in the study. Subjects were divided into six age groups. The BMI was calculated for each participant. All women were subjected to a 2-minute step test. All participants completed the study. The results of the ‘2-minute Step’ tests showed a decrease of cardiopulmonary efficiency in women. The downslide was correlated with age. Test results indicate unmistakably that cardiopulmonary efficiency diminishes with age. Secondly, bigger cardiopulmonary efficiency will make it easier for women to cope with everyday work. Finally, cardiopulmonary efficiency is shown here to be a parameter worth improving while creating special health programs for seniors.
社会活动常规的主要障碍之一是衰老和这一不可避免的过程所产生的所有损害。因此,为了促进老年人在社会中的有效运作,我们应该注意到老龄化迅速发展的后果。本研究的目的是评估在Kujawsko- Pomorskie省选定的一组50岁以上的妇女的心肺效率,3413名年龄在50-80岁之间的妇女参加了这项研究。研究对象被分为六个年龄组。计算每个参与者的身体质量指数。所有女性都要进行两分钟的步幅测试。所有参与者都完成了研究。“2分钟步法”测试结果显示,女性的心肺效率有所下降。这种下降与年龄有关。测试结果清楚地表明,心肺效率随着年龄的增长而下降。其次,更大的心肺效率将使女性更容易应对日常工作。最后,心肺效率是一个值得改进的参数,同时为老年人创建特殊的健康计划。
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引用次数: 0
Assessment of health behaviour of school-age youth 对学龄青年健康行为的评估
Pub Date : 2016-05-05 DOI: 10.12775/MBS.2016.001
J. Siminska, K. Pietkun, Piotr Porzych, I. Głowacka, Krystyna Nowacka, Małgorzata Banaszkiewicz, W. Hagner
I n t r o d u c t i o n . Adolescence is a very important period for young people as it is the time when the patterns of health behaviour stabilize and in such form may be adopted for the rest of one’s life. This age group is also most prone to behaviour posing a risk to health and lacking behaviour good for health. The period of education is the most suitable to make teenagers aware of how much depends on themselves. Adolescence is often the time of rebellion and independent decision making which influence both the diet, way of spending fee time, personal and mental hygiene as well as abusing dangerous substance. The aim of the study was to assess the health behaviour of lower secondary school attendees in the scope of diet and physical activity by means of a questionnaire. The materials were based on research regarding health behaviour. The study group consisted of 90 students (60% male, 40% female). A questionnaire was chosen as the study method. The study was performed in 2012, from May until September. The results were comparable with HBSC results from 2006 in which 64.4% of the adolescents did not achieve the recommended physical activity minimum. The research has shown that adolescents prefer passive ways of spending their free time. Studies which monitor the state of behaviour linked with the health of the youth are carried out both internationally, nationally and locally. Poland achieves poor results in comparison to other countries when it comes to level of physical activity and amount of time spent on passive leisure.
我不知道该怎么做,但我知道该怎么做。青少年时期对年轻人来说是一个非常重要的时期,因为这是健康行为模式稳定下来的时期,这种形式可能会在一个人的余生中采用。这一年龄组也最容易出现危害健康的行为,缺乏有益健康的行为。教育时期是最适合让青少年意识到有多少要靠自己的。青少年时期往往是叛逆和独立决策的时期,这不仅影响到饮食、消费方式、个人和精神卫生,也影响到滥用危险物质。本研究的目的是通过问卷调查的方式评估初中学生在饮食和体育活动方面的健康行为。这些材料是基于对健康行为的研究。研究组由90名学生组成(60%男生,40%女生)。采用问卷调查的方法进行研究。这项研究于2012年5月至9月进行。结果与2006年的HBSC结果相当,其中64.4%的青少年没有达到推荐的最低体力活动。研究表明,青少年更喜欢以被动的方式度过空闲时间。在国际、国家和地方开展了监测与青年健康有关的行为状况的研究。在体力活动水平和被动休闲时间方面,波兰的成绩与其他国家相比很差。
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引用次数: 0
Anatomical Study of the Water Cells Area in the Dromedary Camels Rumen (Camelus dromedarius) 单峰骆驼瘤胃水细胞区解剖学研究
Pub Date : 2016-03-20 DOI: 10.20286/NOVA-JMBS-050285
N. Pirbonyeh, Mitra Zardosht, A. Emami, S. Rostampour, A. Moattari, Abdolkhalegh Keshavarzi
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引用次数: 0
Falls in the elderly – risk assessment and procedding 老年人跌倒-风险评估和处理
Pub Date : 2016-02-15 DOI: 10.12775/MBS.2015.037
Marta Podhorecka, K. Kędziora–Kornatowska, Jadwiga Główczewska, Dominika Gębka, Marta Sucharska-Szymkowiak, Natalia Ciesielska, Remigiusz Sokołowski, Magdalena Weber-Rajek
The aging of society was an incentive to the development of many fields of medicine including geriatric physiotherapy. Rehabilitation in geriatrics involves a range of issues connected with the involutional and/or disease related changes in the organism of an elderly person. To highlight the most important ones, so called ‘great geriatric problems’ were distinguished. One of them are falls. The risk of falls rises significantly after the age of 65. Among people older than 65 the chances of falls are 40% higher than among younger people. The article aims at showing the issues connected with the role of physiotherapy in falls prophylaxis in the elderly. The problem of falls in the elderly is mainly connected with the consequences of falls. Falls may lead to injuries, disability and even death. Falls prophylaxis should start with complex geriatric assessment. To assess the risk of falls a physiotherapist may use special scales: the stand up and go and the Tinetti test. After thorough analysis of the state of health of the elderly person appropriate prophylaxis measures may be chosen: removal of the environmental threats, appropriate selection of shoes as well as the assisting equipment, acute and chronic diseases treatment, pharmacotherapy modification, physiotherapy. Anti-fall rehabilitation usually focuses on balance training, expanding the range of motion, gait re-education and analgesic measures. In some medical centres special anti-fall programs are being developed, where physical activities and appropriate assisting equipment play the most important role. Modern physiotherapy methods enable individual anti-fall prophylaxis adjustment to the elderly person’s needs. The use of rehabilitation to diminish the risk of falls in the elderly is more and more common.
社会的老龄化促进了包括老年物理治疗在内的许多医学领域的发展。老年病学中的康复涉及一系列与老年人机体的无意识和/或疾病相关的变化有关的问题。为了突出最重要的问题,我们区分了所谓的“老年大问题”。其中之一是瀑布。65岁以后跌倒的风险显著上升。在65岁以上的人群中,跌倒的几率比年轻人高出40%。这篇文章的目的是显示与物理治疗在老年人跌倒预防中的作用有关的问题。老年人跌倒的问题主要与跌倒的后果有关。跌倒可能导致受伤、残疾甚至死亡。预防跌倒应从复杂的老年评估开始。为了评估跌倒的风险,物理治疗师可能会使用特殊的量表:站立和行走测试和蒂内蒂测试。在深入分析老年人的健康状况后,可以选择适当的预防措施:消除环境威胁、适当选择鞋子以及辅助设备、急慢性疾病治疗、药物治疗修改、物理治疗。防跌倒康复通常侧重于平衡训练、扩大活动范围、步态再教育和镇痛措施。一些医疗中心正在制定特别的防跌倒方案,其中体育活动和适当的辅助设备发挥着最重要的作用。现代物理治疗方法使个体抗跌倒预防调整到老年人的需要。利用康复来降低老年人跌倒风险的方法越来越普遍。
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引用次数: 0
Evaluation of the quality of life people infected with HCV – proposed research instruments 评估丙型肝炎病毒感染者的生活质量——建议的研究工具
Pub Date : 2016-02-15 DOI: 10.12775/MBS.2015.036
L. Sierpińska
I n t r o d u c t i o n. HCV is an important medical and social problem in Poland and worldwide. O b j e c t i ve. Presentation of the instruments for investigating quality of life of patients diagnosed with hepatitis C.  R e s u l t s: The World Health Organization Quality Life Assessment Questionnaire (WHOQOL) evaluates the dimensions of the quality of life: physical, psychological, spiritual, independence, social relations, and the patient’s environment. The WHOQOL-Bref questionnaire assesses the quality of a patient’s life within four spheres: physical, psychological, social and environmental. The following questionnaires may also be used: the Hepatitis Quality of Life Questionnaire (HQLQv2), the Chronic Liver Dise­ase Questionnaire (CLDQ), and the Chronic Liver Disease Questionnaire — Hepatitis C (CLDQ–HCV). For the assessment of coping with the disease, the KMORSZCH scale may be applied ( Brief Method of Assessment of Coping with Disease ). The Nottingham Health Profile ( NHP) allows the evaluation of patient’s functioning in daily life. The Health Behaviour Inventory (IZZ) may be an instrument for evaluation of the level of health behaviours. For assessment of health dimensions in the bio-psych-social sphere the List of Health Criteria (LKZ) may be used. Expectations of patients infected with HCV from a general practitioner may be assessed by the Patient Request Form (PRF). The Satisfaction With Life Scale (SWLS) allows the assessment of the level of satisfaction with life. The degree of acceptance of the disease may be evaluated by the Acceptance of Illness Scale (AIS), whereas the sense of health control may be evaluated by the Multidimensional Health Locus of Control (MHLC). C o n c l u s i o n s. The presented instruments for evaluation of the quality of life of patients with hepatitis C will enable researchers the recognition of specific aspects of functioning of these patients in the bio-psycho-social sphere.
在波兰和世界范围内,丙型肝炎病毒是一个重要的医疗和社会问题。噢,我的天哪!介绍调查丙型肝炎患者生活质量的工具:世界卫生组织生活质量评估问卷(WHOQOL)评估生活质量的各个方面:身体、心理、精神、独立性、社会关系和患者环境。whoqol - brief问卷从四个方面评估患者的生活质量:身体、心理、社会和环境。还可以使用以下问卷:肝炎生活质量问卷(HQLQv2)、慢性肝病问卷(CLDQ)和慢性肝病问卷-丙型肝炎(CLDQ - hcv)。对疾病应对能力的评估,可采用KMORSZCH量表(简略疾病应对评估法)。诺丁汉健康概况(NHP)允许评估患者在日常生活中的功能。健康行为清单(IZZ)可作为评估健康行为水平的工具。在评估生物、心理和社会领域的健康层面时,可使用《健康标准清单》。全科医生对HCV感染患者的期望可以通过患者申请表(PRF)进行评估。生活满意度量表(SWLS)允许对生活满意度水平进行评估。对疾病的接受程度可以通过疾病接受度量表(AIS)来评估,而健康控制感可以通过多维健康控制点(MHLC)来评估。本文提出的评估丙型肝炎患者生活质量的工具将使研究人员能够认识到这些患者在生物、心理和社会领域功能的具体方面。
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引用次数: 1
Outcome of surgical treatment of proximal humerał fracture 肱骨近端骨折的手术治疗效果
Pub Date : 2016-02-15 DOI: 10.12775/MBS.2015.035
Jakub Ohla, D. Mątewski, Marek Jedwabiński
Glenohumeral joint movement dysfunction, often caused by proximal humeral fracture, limits daily activity. Proximal fracture of the humerus is a common injury which constitutes 5.7% of all fractures in trauma patients. The aim of the study was the retrospective evaluation of results of surgical treatment of proximal humeral fracture in accordance to fracture type and applied treatment. The study group consisted of 70 patients who had undergone surgery due to proximal humeral fracture. The mean age in the study group was 55.2 years. The patients were classified according to the AO/ASIF system, based on the preoperative X-ray in comparison to the operative X-ray image. The patients were treated with five methods (ORIF – LCP-type plate, ORIF – AO-type plate, ORIF – AO screw(s), CRIF – intramedullary nailing, CRIF – „K” wires). The average time of follow-up amounted to 19.4 months. The function of the glenohumeral joint was assessed after surgery applying the Constant-Murley scale. The analysis of treatment outcomes showed that in patients operated on for proximal humeral fracture type A and B, the percentage of results described as very good and good was comparable and amounted to approximately 50%. In the smallest group of patients with the most complex type C fractures, a good and very good result was observed only in 14.29% of the subjects. The analysis did not show statistically significant differences in treatment results (p>0.05). Multiple comparisons showed that regardless of the fracture type, patients received a similar score on the Constant-Murley scale. Osteosynthesis using LCP plates and angular stabile screws does not improve the treatment outcome in any type of the proximal humeral fracture. However, LCP plates and angular stable screws are used as a standard management for the most severe cases of proximal humeral fracture. Because of a many available treatment techniques, qualification for a particular treatment method should be considered individually for every patient.
肱骨盂关节运动功能障碍通常由肱骨近端骨折引起,限制了日常活动。肱骨近端骨折是一种常见的损伤,占创伤患者骨折的5.7%。本研究的目的是根据骨折类型和应用治疗方法对肱骨近端骨折的手术治疗结果进行回顾性评价。研究组由70例因肱骨近端骨折而接受手术的患者组成。研究组的平均年龄为55.2岁。根据术前x线片与术中x线片的对比,根据AO/ASIF系统对患者进行分类。采用ORIF - lcp型钢板、ORIF - AO型钢板、ORIF - AO螺钉、CRIF -髓内钉、CRIF -“K”型丝钉5种方法治疗。平均随访时间19.4个月。术后应用Constant-Murley评分法评估盂肱关节功能。治疗结果分析显示,在A型和B型肱骨近端骨折手术的患者中,非常好和良好的结果百分比相当,约为50%。在最复杂的C型骨折的最小组患者中,只有14.29%的受试者观察到良好和非常好的结果。两组治疗结果差异无统计学意义(p < 0.05)。多重比较表明,无论骨折类型如何,患者在Constant-Murley量表上的得分相似。在任何类型的肱骨近端骨折中,使用LCP钢板和角稳定螺钉进行植骨并不能改善治疗效果。然而,LCP钢板和角度稳定螺钉是肱骨近端骨折最严重病例的标准治疗方法。由于有许多可用的治疗技术,应针对每个患者单独考虑特定治疗方法的资格。
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引用次数: 0
Influence of arsenic trioxide on the expression of cyclin A in the Jurkat cel line 三氧化二砷对Jurkat细胞系细胞周期蛋白A表达的影响
Pub Date : 2016-02-10 DOI: 10.12775/MBS.2015.034
A. Żuryń, Magdalena Czołpińska, Adrian Krajewski, A. Litwiniec, Anna Klimaszewska-Wiśniewska, A. Grzanka
Improper expression of cell cycle regulators is characteristic for most cancer cells. Cyclins are a group of proteins, with concentration changing in time, which control progression through each phase of the cell cycle. Maximum cyclin A expression falls inside S and at the beginning of M phase. In the S phase cyclin A is responsible for a proper run of the replication process, and together with cyclin B conditions transition into the M phase. Arsenic trioxide (ATO) is an efficient drug used in acute promyelocytic leukemia (AML). Numerous reports point that arsenic trioxide can be applied in therapy of other types of cancer as well. The purpose of these study was to evaluate influence of arsenic trioxide on the expression and localization of cyclin A in Jurkat cell line. Additionally, we determined the effect of ATO on morphology and ultrastructure of the Jurkat cells. In order to reach this aim we applied classic light, florescence and electron transmission microscopy. A dose-dependent decrease in the percentage of viable cells was observed. Morphological and ultrastructural alterations suggest that apoptosis and autophagy are induced by ATO. Image-based cytometry showed high extent of necrotic cells after ATO treatment. A decrease in cyclin A level was observed, but without a change in protein nuclear localization.
细胞周期调节因子的不正确表达是大多数癌细胞的特征。细胞周期蛋白是一组浓度随时间变化的蛋白质,它控制着细胞周期的每个阶段的进展。cyclin A在S期和M期开始时表达量最大。在S期,周期蛋白A负责复制过程的正常运行,并与周期蛋白B一起过渡到M期。三氧化二砷(ATO)是治疗急性早幼粒细胞白血病(AML)的有效药物。许多报告指出,三氧化二砷也可用于治疗其他类型的癌症。本研究旨在探讨三氧化二砷对Jurkat细胞株细胞周期蛋白A表达和定位的影响。此外,我们还测定了ATO对Jurkat细胞形态和超微结构的影响。为了达到这一目的,我们应用了经典光、荧光和电子透射显微镜。观察到活细胞百分比呈剂量依赖性下降。形态学和超微结构改变提示ATO可诱导细胞凋亡和自噬。图像细胞术显示ATO处理后细胞高度坏死。观察到细胞周期蛋白A水平下降,但蛋白核定位没有改变。
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引用次数: 0
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