Introduction and purpose: Small intestinal fungal overgrowth (SIFO) presents as an excessive presence of fungi in the small intestine, often associated with gastrointestinal (GI) symptoms like unexplained gas, bloating, pain, malabsorption, and irregular bowel movements, including constipation or diarrhea. The study aims to organize information regarding this condition, emphasizing the lack of specific guidelines regarding diagnosis and treatment and need for treatment that are not only based on systemic drugs but also additional ways such as physical activity. Materials and methods: We conducted a literature review utilizing the medical databases PubMed and Google Scholar, retrieving articles in English using keywords such as "small intestinal fungal overgrowth," "SIFO," "gastrointestinal symptoms," "enterocolitis," " exercising," and "brain-gut axis" in various combinations. Our analysis included data from 33 scientific references published between 1931 and 2023. Summary: Small intestinal fungal overgrowth (SIFO) is more often acknowledged as a potential factor for unexplained gastrointestinal symptoms. More and more clinicians attach importance to this issue, as it is a serious clinical burden which significantly reduces quality of life. Nevertheless, the precise clinical impact of SIFO within the community remains uncertain as the available literature primarily consists of isolated case reports or observations from autopsies of patients undergoing cancer treatment. There still are no specific guidelines for diagnosis and treatment. Clinicians use systemic antifungal drugs. There is a potential in physical activity as an additional way to treat this condition.
{"title":"SIFO - an insufficiently researched, but clinically significant issue. What do we know so far? Can physical activity help to relieve gastrointestinal symptoms?","authors":"Agata Magierska, Ksenia Kwaśniak, Angelika Foryś, Magdalena Miłek, Mariola Banach, Monika Ślusarczyk, Weronika Stawska, Anna Niemczyk, Weronika Kmiotek, Zuzanna Kotowicz","doi":"10.12775/qs.2024.19.51400","DOIUrl":"https://doi.org/10.12775/qs.2024.19.51400","url":null,"abstract":"Introduction and purpose: Small intestinal fungal overgrowth (SIFO) presents as an excessive presence of fungi in the small intestine, often associated with gastrointestinal (GI) symptoms like unexplained gas, bloating, pain, malabsorption, and irregular bowel movements, including constipation or diarrhea. The study aims to organize information regarding this condition, emphasizing the lack of specific guidelines regarding diagnosis and treatment and need for treatment that are not only based on systemic drugs but also additional ways such as physical activity.\u0000Materials and methods: We conducted a literature review utilizing the medical databases PubMed and Google Scholar, retrieving articles in English using keywords such as \"small intestinal fungal overgrowth,\" \"SIFO,\" \"gastrointestinal symptoms,\" \"enterocolitis,\" \" exercising,\" and \"brain-gut axis\" in various combinations. Our analysis included data from 33 scientific references published between 1931 and 2023.\u0000Summary: Small intestinal fungal overgrowth (SIFO) is more often acknowledged as a potential factor for unexplained gastrointestinal symptoms. More and more clinicians attach importance to this issue, as it is a serious clinical burden which significantly reduces quality of life. Nevertheless, the precise clinical impact of SIFO within the community remains uncertain as the available literature primarily consists of isolated case reports or observations from autopsies of patients undergoing cancer treatment. There still are no specific guidelines for diagnosis and treatment. Clinicians use systemic antifungal drugs. There is a potential in physical activity as an additional way to treat this condition.","PeriodicalId":431915,"journal":{"name":"Quality in Sport","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141382194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-05DOI: 10.12775/qs.2024.20.52137
E. Bąk, Julia Kostka
Stroke is a significant problem, both clinical and social, leading to disability of the patient. Its occurrence is mainly influenced by modifiable and non-modifiable factors. The golden mean in diagnosis, and then in functioning in everyday life, is the time from the onset of the first symptoms of a stroke and the related method of treatment. Proper care for the patient in the acute phase of stroke is essential for continued functioning at home.
{"title":"Nursing care for a 71-year-old patient suffering from the acute phase of ischemic stroke","authors":"E. Bąk, Julia Kostka","doi":"10.12775/qs.2024.20.52137","DOIUrl":"https://doi.org/10.12775/qs.2024.20.52137","url":null,"abstract":"Stroke is a significant problem, both clinical and social, leading to disability of the patient. Its occurrence is mainly influenced by modifiable and non-modifiable factors. The golden mean in diagnosis, and then in functioning in everyday life, is the time from the onset of the first symptoms of a stroke and the related method of treatment. Proper care for the patient in the acute phase of stroke is essential for continued functioning at home.","PeriodicalId":431915,"journal":{"name":"Quality in Sport","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141384536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-05DOI: 10.12775/qs.2024.21.51463
Joanna Wojtania, Kacper Płeska, Michał Łepik, Zofia Uszok, Krzysztof Rosiak, Kacper Reguła, Kamil Waloch, Szymon Piaszczyński, Andrzej Czajka, Bartłomiej Szymański
Introduction: Gout is the most common rheumatic disease in adults, with prevalence ranging from 0.1% to about 10%. It results from the accumulation of monosodium urate crystals (MUC) in the joints and tissues. A thorough understanding of the clinical presentation, diagnostic factors and available treatment options can significantly reduce the prevalence of gout attacks, minimize joint damage and improve patients' physical function. The aim of this article is to provide clinicians and patients with a summary of the most recent information regarding this condition in order to decrease risk of joint damage and ultimately enhance patient’s quality of life. Review methods: A review of the literature from PubMed (2010-2023) was conducted. The articles were selected based on specific keywords and then evaluated for their significance and suitability for inclusion in this review. Description the state of knowledge: Gout is an inflammatory arthritis associated with hyperuricemia, defined as elevated level of uric acid in the blood (> 7 mg/dl (420 µmol/l)). Initially, acute gouty arthritis is characterised by sudden onset of severe pain, erythema and swelling, significantly reducing range of movement. However, as disease progresses, chronic, tophaceous gout can develop potentially leading to bone deformities and other complications. Treatment of gout includes management of the attacks and chronic uric acid-lowering therapy. Summary: Gout is a complex disease with various factors contributing to its clinical presentation. Its management requires a multidisciplinary approach including medication management, dietary counselling and lifestyle modification. Early diagnosis as well as appropriate treatment are essential to optimise patient outcomes and maintain patients' physical function.
{"title":"Gout and its impact on physical activity","authors":"Joanna Wojtania, Kacper Płeska, Michał Łepik, Zofia Uszok, Krzysztof Rosiak, Kacper Reguła, Kamil Waloch, Szymon Piaszczyński, Andrzej Czajka, Bartłomiej Szymański","doi":"10.12775/qs.2024.21.51463","DOIUrl":"https://doi.org/10.12775/qs.2024.21.51463","url":null,"abstract":"Introduction: \u0000Gout is the most common rheumatic disease in adults, with prevalence ranging from 0.1% to about 10%. It results from the accumulation of monosodium urate crystals (MUC) in the joints and tissues. A thorough understanding of the clinical presentation, diagnostic factors and available treatment options can significantly reduce the prevalence of gout attacks, minimize joint damage and improve patients' physical function. The aim of this article is to provide clinicians and patients with a summary of the most recent information regarding this condition in order to decrease risk of joint damage and ultimately enhance patient’s quality of life. \u0000Review methods: \u0000A review of the literature from PubMed (2010-2023) was conducted. The articles were selected based on specific keywords and then evaluated for their significance and suitability for inclusion in this review. \u0000Description the state of knowledge: \u0000Gout is an inflammatory arthritis associated with hyperuricemia, defined as elevated level of uric acid in the blood (> 7 mg/dl (420 µmol/l)). Initially, acute gouty arthritis is characterised by sudden onset of severe pain, erythema and swelling, significantly reducing range of movement. However, as disease progresses, chronic, tophaceous gout can develop potentially leading to bone deformities and other complications. Treatment of gout includes management of the attacks and chronic uric acid-lowering therapy. \u0000Summary: \u0000Gout is a complex disease with various factors contributing to its clinical presentation. Its management requires a multidisciplinary approach including medication management, dietary counselling and lifestyle modification. Early diagnosis as well as appropriate treatment are essential to optimise patient outcomes and maintain patients' physical function.","PeriodicalId":431915,"journal":{"name":"Quality in Sport","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141384108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pelvic venous insufficiency (PVI) is a recognized contributor to chronic pelvic pain (CPP). Diagnosing PVI can be challenging due to its often subtle and non-specific presentation. While both men and women can be affected, PVI is more prevalent in women, potentially due to hormonal fluctuations and the physiological effects of pregnancy. Transabdominal ultrasound (US) remains the first-line non-invasive imaging modality for PVI evaluation. However, magnetic resonance imaging (MRI) and magnetic resonance venography (MRV) play an increasingly important role in confirming the diagnosis, particularly in select patient populations where US findings are inconclusive. This article will delve into the various diagnostic techniques employed for PVI, analyzing their efficacy and limitations to guide optimal diagnostic approach.
盆腔静脉功能不全（PVI）是慢性盆腔疼痛（CPP）的公认致病因素。盆腔静脉功能不全的表现往往很微妙，且无特异性，因此诊断该病很有难度。虽然男性和女性都可能受到影响，但 PVI 在女性中更为常见，这可能是由于荷尔蒙波动和妊娠的生理影响。经腹超声（US）仍是评估 PVI 的一线无创成像模式。然而，磁共振成像（MRI）和磁共振静脉成像（MRV）在确诊方面发挥着越来越重要的作用，尤其是在 US 检查结果不确定的特定患者群体中。本文将深入探讨 PVI 采用的各种诊断技术，分析其功效和局限性，以指导最佳诊断方法。
{"title":"Systematic Review of Diagnostic Methods for Pelvic Venous Insufficiency","authors":"Justyna Dobrzańska, Karolina Smykiewicz, Mariola Dziedzic, Alicja Partyka, Zuzanna Chmielowiec, Natalia Wierzejska, Agnieszka Fugas, Aneta Michalczewska, Agnieszka Nowak, Magdalena Pach","doi":"10.12775/qs.2024.21.51580","DOIUrl":"https://doi.org/10.12775/qs.2024.21.51580","url":null,"abstract":"Pelvic venous insufficiency (PVI) is a recognized contributor to chronic pelvic pain (CPP). Diagnosing PVI can be challenging due to its often subtle and non-specific presentation. While both men and women can be affected, PVI is more prevalent in women, potentially due to hormonal fluctuations and the physiological effects of pregnancy. Transabdominal ultrasound (US) remains the first-line non-invasive imaging modality for PVI evaluation. However, magnetic resonance imaging (MRI) and magnetic resonance venography (MRV) play an increasingly important role in confirming the diagnosis, particularly in select patient populations where US findings are inconclusive. This article will delve into the various diagnostic techniques employed for PVI, analyzing their efficacy and limitations to guide optimal diagnostic approach.","PeriodicalId":431915,"journal":{"name":"Quality in Sport","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141384249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-11DOI: 10.12775/qs.2024.18.50920
Michał Łepik, Zofia Uszok, Krzysztof Rosiak, Kacper Płeska, Kacper Reguła, Kamil Waloch, Joanna Wojtania, Szymon Piaszczyński, Andrzej Czajka, Bartłomiej Szymański
Difficult pediatric airways can present significant challenges in clinical practice and cause consequences for sport performance. Etiologies of difficult pediatric airways can range from congenital abnormalities, acquired conditions such as trauma or inflammation, systemic diseases such as neuromuscular disorders and craniofacial abnormalities to iatrogenic causes including complications of airway interventions and anesthetic complications. Proper assessment of difficult airways risk requires a thorough understanding of the anatomical and physiological differences in pediatric patients. Assessment of Management strategies may include adequate non-invasive techniques, advanced airway devices, pharmacological interventions, surgical interventions, continuous monitoring with extensive postoperative care provided by a multidisciplinary team, involving pediatric anesthesiologists, otolaryngologists, pediatricians, and critical care specialists. Difficult airway in anesthesia practice may lead to mild to life-threatening complications such as difficult mask ventilation, failed intubation, esophageal intubation, airway trauma, hypoxia, hypercarbia, aspiration, barotrauma, difficult extubation, unoptimal sedation or anesthesia, postoperative complications and other consequences. All of this can be a predictor of decreased respiratory efficiency, and thus a predictor of low future athletic performance in children and may have a negative impact on future career choices. This comprehensive overview aims to provide insights into the etiologies, assessment, and management strategies for difficult pediatric airways, with a focus on optimizing patient outcomes and safety and to help understand potential influence on future sport performance.
{"title":"Difficult pediatric airway in anesthesia practice and future sport performance","authors":"Michał Łepik, Zofia Uszok, Krzysztof Rosiak, Kacper Płeska, Kacper Reguła, Kamil Waloch, Joanna Wojtania, Szymon Piaszczyński, Andrzej Czajka, Bartłomiej Szymański","doi":"10.12775/qs.2024.18.50920","DOIUrl":"https://doi.org/10.12775/qs.2024.18.50920","url":null,"abstract":"Difficult pediatric airways can present significant challenges in clinical practice and cause consequences for sport performance. Etiologies of difficult pediatric airways can range from congenital abnormalities, acquired conditions such as trauma or inflammation, systemic diseases such as neuromuscular disorders and craniofacial abnormalities to iatrogenic causes including complications of airway interventions and anesthetic complications. Proper assessment of difficult airways risk requires a thorough understanding of the anatomical and physiological differences in pediatric patients. Assessment of Management strategies may include adequate non-invasive techniques, advanced airway devices, pharmacological interventions, surgical interventions, continuous monitoring with extensive postoperative care provided by a multidisciplinary team, involving pediatric anesthesiologists, otolaryngologists, pediatricians, and critical care specialists. Difficult airway in anesthesia practice may lead to mild to life-threatening complications such as difficult mask ventilation, failed intubation, esophageal intubation, airway trauma, hypoxia, hypercarbia, aspiration, barotrauma, difficult extubation, unoptimal sedation or anesthesia, postoperative complications and other consequences. All of this can be a predictor of decreased respiratory efficiency, and thus a predictor of low future athletic performance in children and may have a negative impact on future career choices. This comprehensive overview aims to provide insights into the etiologies, assessment, and management strategies for difficult pediatric airways, with a focus on optimizing patient outcomes and safety and to help understand potential influence on future sport performance.","PeriodicalId":431915,"journal":{"name":"Quality in Sport","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141128841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-11DOI: 10.12775/qs.2024.18.51010
Kinga Knop-Chodyła, Zuzanna Piasecka, Anna Kochanowska-Mazurek, Aneta Głaz, Ewelina Wesołek, Grzegorz Rudzki
Inflammatory bowel diseases (IBDs), such as Crohn's disease (CD), ulcerative colitis (UC) or type 1 diabetes (T1D) are autoimmune diseases that may have common susceptibility pathways. In the etiology of these diseases, scientists are seeking not only genetic, but also environmental factors, infections, nutritional deficiencies, and iatrogenic causes, especially in T1D. The relationship between T1D and steroid therapy, used in the treatment of the inflammatory bowel disease, has been well established for years. Steroids are most commonly known for causing drug-induced diabetes. We present a 35-year-old man, in whom a drug-induced diabetes was suggested due to a 4-week steroid therapy used as a treatment for his newly diagnosed ulcerative colitis and a literature review describing a similar problem. To confirm the association between diabetes and steroid therapy, it was necessary to rule out an autoimmune background of the disease. However, the presence of autoantibodies to GAD and anti-α tyrosine phosphatase (IA-2) confirmed the diagnosis of T1D. Aim of the study This review aims to present the issue of type 1 diabetes in patients treated with steroid therapy for inflammatory bowel disease, and to summarize the current state of knowledge, so that in the future it will result in an accurate diagnosis and implementation of appropriate treatment. Methods and materials A literature review was conducted based on the PubMed database, using keywords: ”diabetes mellitus”, ”inflammatory bowel diseases”, ”ulcerative colitis”, „steroids”, ”insulin”. Conclusion We should suspect T1D in patients, especially in the young population suffering from autoimmune diseases in order to prevent serious complications including dysfunction and failure of various organs, such as eyes, kidneys, nerves, heart and blood vessels.
{"title":"Steroid therapy in patients with inflammatory bowel disease complicating diabetes diagnosis","authors":"Kinga Knop-Chodyła, Zuzanna Piasecka, Anna Kochanowska-Mazurek, Aneta Głaz, Ewelina Wesołek, Grzegorz Rudzki","doi":"10.12775/qs.2024.18.51010","DOIUrl":"https://doi.org/10.12775/qs.2024.18.51010","url":null,"abstract":"Inflammatory bowel diseases (IBDs), such as Crohn's disease (CD), ulcerative colitis (UC) or type 1 diabetes (T1D) are autoimmune diseases that may have common susceptibility pathways. In the etiology of these diseases, scientists are seeking not only genetic, but also environmental factors, infections, nutritional deficiencies, and iatrogenic causes, especially in T1D. The relationship between T1D and steroid therapy, used in the treatment of the inflammatory bowel disease, has been well established for years. Steroids are most commonly known for causing drug-induced diabetes. We present a 35-year-old man, in whom a drug-induced diabetes was suggested due to a 4-week steroid therapy used as a treatment for his newly diagnosed ulcerative colitis and a literature review describing a similar problem. \u0000To confirm the association between diabetes and steroid therapy, it was necessary to rule out an autoimmune background of the disease. However, the presence of autoantibodies to GAD and anti-α tyrosine phosphatase (IA-2) confirmed the diagnosis of T1D. \u0000Aim of the study \u0000This review aims to present the issue of type 1 diabetes in patients treated with steroid therapy for inflammatory bowel disease, and to summarize the current state of knowledge, so that in the future it will result in an accurate diagnosis and implementation of appropriate treatment. \u0000Methods and materials \u0000A literature review was conducted based on the PubMed database, using keywords: ”diabetes mellitus”, ”inflammatory bowel diseases”, ”ulcerative colitis”, „steroids”, ”insulin”. \u0000Conclusion \u0000We should suspect T1D in patients, especially in the young population suffering from autoimmune diseases in order to prevent serious complications including dysfunction and failure of various organs, such as eyes, kidneys, nerves, heart and blood vessels.","PeriodicalId":431915,"journal":{"name":"Quality in Sport","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141128862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-11DOI: 10.12775/qs.2024.18.51011
Ewelina Wesołek, Kinga Knop-Chodyła, Anna Kochanowska-Mazurek, Zuzanna Piasecka, Aneta Głaz, Karolina Pawelec, Albert Bielaska, Grzegorz Jama
Introduction and objectiveInflammatory bowel disease (IBD), leading to inflammation in the gastrointestinal tract, causes a number of bothersome symptoms that contribute to the deterioration of patients' quality of life both physically and psychologically. Therapy methods based on pharmacotherapy in IBD often remain insufficient in the treatment of these disorders, so other factors affecting the course of IBD are being sought. The purpose of this review is to present risk and prevention factors for the development of inflammatory bowel disease based on diet and environmental factors. Abbreviated description of the state of knowledgeThe review has identified a number of factors that influence IBD. One of these is smoking, which shows a commonly detrimental effect on CD, while it has a protective effect in UC patients. Antibiotic therapy, by disrupting the composition of the endogenous intestinal microflora, contributes to an increased risk of IBD exacerbations. A review of the literature on surgical interventions does not allow a clear conclusion. Stress and psychiatric disorders increasing the production of pro-inflammatory cytokines, inhibiting the anti-inflammatory action of the vagus nerve increase the risk of IBD exacerbations. A healthy and balanced diet is an important aspect in the treatment of UC and CD. Scientific societies unanimously recognize breastfeeding and its effect on the development of the intestinal microflora as an important protective factor. On the other hand, introducing an elimination diet without a food intolerance confirmed by a blood test is unjustified and harmful. SummaryAwareness of the risk factors for development and exacerbations in IBD patients is crucial. Further research into the impact of diet and environmental factors may support pharmacological treatment in achieving therapeutic success in patients with inflammatory bowel disease.
{"title":"Influence of environmental factors and diet on inflammatory bowel diseases – a review of the literature","authors":"Ewelina Wesołek, Kinga Knop-Chodyła, Anna Kochanowska-Mazurek, Zuzanna Piasecka, Aneta Głaz, Karolina Pawelec, Albert Bielaska, Grzegorz Jama","doi":"10.12775/qs.2024.18.51011","DOIUrl":"https://doi.org/10.12775/qs.2024.18.51011","url":null,"abstract":"Introduction and objectiveInflammatory bowel disease (IBD), leading to inflammation in the gastrointestinal tract, causes a number of bothersome symptoms that contribute to the deterioration of patients' quality of life both physically and psychologically. Therapy methods based on pharmacotherapy in IBD often remain insufficient in the treatment of these disorders, so other factors affecting the course of IBD are being sought. The purpose of this review is to present risk and prevention factors for the development of inflammatory bowel disease based on diet and environmental factors. \u0000Abbreviated description of the state of knowledgeThe review has identified a number of factors that influence IBD. One of these is smoking, which shows a commonly detrimental effect on CD, while it has a protective effect in UC patients. Antibiotic therapy, by disrupting the composition of the endogenous intestinal microflora, contributes to an increased risk of IBD exacerbations. A review of the literature on surgical interventions does not allow a clear conclusion. Stress and psychiatric disorders increasing the production of pro-inflammatory cytokines, inhibiting the anti-inflammatory action of the vagus nerve increase the risk of IBD exacerbations. A healthy and balanced diet is an important aspect in the treatment of UC and CD. Scientific societies unanimously recognize breastfeeding and its effect on the development of the intestinal microflora as an important protective factor. On the other hand, introducing an elimination diet without a food intolerance confirmed by a blood test is unjustified and harmful. \u0000SummaryAwareness of the risk factors for development and exacerbations in IBD patients is crucial. Further research into the impact of diet and environmental factors may support pharmacological treatment in achieving therapeutic success in patients with inflammatory bowel disease.","PeriodicalId":431915,"journal":{"name":"Quality in Sport","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141128833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This review summarizes the most prevalent dermatologic conditions encountered by runners and provides evidence-based recommendations for prevention and management. Due to high levels of ultraviolet radiation exposure, friction forces, specific environment of the activity and used garment runners are at the risk of various dermatologic complications, including skin neoplasms. Sun protection measures, such as applying sunscreen with sufficient SPF, wearing photoprotective clothing, and avoiding peak sun hours, are crucial for mitigating this risk. Friction-related injuries like blisters, calluses, and jogger's nipples are common among runners and can be prevented through proper footwear, moisture management, and lubrication. Educational interventions promoting safety practices are necessary to raise awareness and encourage behavioural change among runners.
{"title":"Running the Risk - Examining Dermatologic Concerns and Skin Neoplasms in Runners","authors":"Alicja Partyka, Natalia Wierzejska, Agnieszka Nowak, Agnieszka Fugas, Karolina Smykiewicz, Justyna Dobrzańska, Magdalena Pach, Zuzanna Chmielowiec, Mariola Dziedzic, Aneta Michalczewska","doi":"10.12775/qs.2024.18.001","DOIUrl":"https://doi.org/10.12775/qs.2024.18.001","url":null,"abstract":"This review summarizes the most prevalent dermatologic conditions encountered by runners and provides evidence-based recommendations for prevention and management. Due to high levels of ultraviolet radiation exposure, friction forces, specific environment of the activity and used garment runners are at the risk of various dermatologic complications, including skin neoplasms. Sun protection measures, such as applying sunscreen with sufficient SPF, wearing photoprotective clothing, and avoiding peak sun hours, are crucial for mitigating this risk. Friction-related injuries like blisters, calluses, and jogger's nipples are common among runners and can be prevented through proper footwear, moisture management, and lubrication. Educational interventions promoting safety practices are necessary to raise awareness and encourage behavioural change among runners.","PeriodicalId":431915,"journal":{"name":"Quality in Sport","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141129393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background. With this article, we start the project "Functional relationships between the parameters of acupuncture points and the neuro-endocrine-immune network", thereby joining the construction of a bridge between the Western and Eastern paradigms of medicine. Materials and methods. The object of observation were 10 women (32-76 years) and 10 men (37-67 years) examined twice with a weekly interval. The volunteers were considered practically healthy, but the initial testing revealed deviations from the norm in a number of parameters of the neuro-endocrine-immune (NEI) network as a manifestation of maladaptation. We recorded electrical conductivity in acupuncture points (AP) Pg(ND), TR(X) and MC(AVL) as well as parameters of NEI network, gas discharge visualization (GDV) and metabolism. Results. The preliminary analysis of the parameters revealed in the female SO drastic deviations from both the reference and the average for the sample, the levels of electrical conductivity of three pairs of AP - that is, the so-called "falling values", which are usually removed from the subsequent analysis as artifacts. However, we found the same drastic or significant deviations of a number of other parameters of GDV, EEG, HRV, adaptation hormones, immunity and metabolism in this patient. Therefore, the registered drastic decrease in electrical conductivity of AP is by no means an artifact, but reflects the peculiarities of the NEI network, GDV and metabolism of the patient's body during the first examination. It is significant that upon re-examination, the deviations of the parameters significantly or completely approached the range of the average for the sample ± SD or the norm ± SD. Conclusion. The above gives us a reason to initiate a broad discussion of the problem of "falling variables" as carriers of unique information that is ignored and lost.
背景。通过这篇文章，我们启动了 "穴位参数与神经-内分泌-免疫网络之间的功能关系 "项目，从而加入到东西方医学范式之间的桥梁建设中。材料和方法观察对象为 10 名女性（32-76 岁）和 10 名男性（37-67 岁），每周检查两次。这些志愿者被认为身体基本健康，但初步检测发现，他们的神经-内分泌-免疫（NEI）网络的一些参数偏离了正常值，这是适应不良的表现。我们记录了穴位（AP）Pg（ND）、TR（X）和 MC（AVL）的电导率以及神经-内分泌-免疫（NEI）网络、气体放电显像（GDV）和新陈代谢的参数。结果。对参数的初步分析表明，在雌性 SO 中，三对 AP 的电导率水平--即所谓的 "下降值"--与参考值和样本平均值都有很大偏差，通常会被作为假象从后续分析中剔除。然而，我们发现该患者的其他一些 GDV、脑电图、心率变异、适应激素、免疫力和新陈代谢参数也出现了同样的急剧或显著偏差。因此，所记录的 AP 电导率急剧下降绝非伪影，而是反映了首次检查时患者身体的近地神经网络、广东话语音变异和新陈代谢的特殊性。重要的是，在再次检查时，参数偏差明显或完全接近样本平均值±标清或标准值±标清的范围。结论上述情况使我们有理由开始广泛讨论 "下降变量 "问题，因为它是被忽视和丢失的独特信息的载体。
{"title":"„Falling values”: artifacts or source of unique information? Drastically low electrical conductivity of acupuncture points is accompanied by significant deviations of EEG, HRV, immunity, metabolism and GDV parameters","authors":"A. Gozhenko, Toto Zantaraia, W. Żukow","doi":"10.12775/qs.2024.17.004","DOIUrl":"https://doi.org/10.12775/qs.2024.17.004","url":null,"abstract":"Background. \u0000With this article, we start the project \"Functional relationships between the parameters of acupuncture points and the neuro-endocrine-immune network\", thereby joining the construction of a bridge between the Western and Eastern paradigms of medicine. \u0000Materials and methods. The object of observation were 10 women (32-76 years) and 10 men (37-67 years) examined twice with a weekly interval. The volunteers were considered practically healthy, but the initial testing revealed deviations from the norm in a number of parameters of the neuro-endocrine-immune (NEI) network as a manifestation of maladaptation. We recorded electrical conductivity in acupuncture points (AP) Pg(ND), TR(X) and MC(AVL) as well as parameters of NEI network, gas discharge visualization (GDV) and metabolism. \u0000Results. The preliminary analysis of the parameters revealed in the female SO drastic deviations from both the reference and the average for the sample, the levels of electrical conductivity of three pairs of AP - that is, the so-called \"falling values\", which are usually removed from the subsequent analysis as artifacts. However, we found the same drastic or significant deviations of a number of other parameters of GDV, EEG, HRV, adaptation hormones, immunity and metabolism in this patient. Therefore, the registered drastic decrease in electrical conductivity of AP is by no means an artifact, but reflects the peculiarities of the NEI network, GDV and metabolism of the patient's body during the first examination. It is significant that upon re-examination, the deviations of the parameters significantly or completely approached the range of the average for the sample ± SD or the norm ± SD. \u0000Conclusion. The above gives us a reason to initiate a broad discussion of the problem of \"falling variables\" as carriers of unique information that is ignored and lost.","PeriodicalId":431915,"journal":{"name":"Quality in Sport","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141006979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Alpha-gal syndrome (AGS) arises from tick bites, triggering excessive IgE antibodies to galactose-α-1,3-galactose (α-Gal). Symptoms vary, often appearing post-α-Gal ingestion, ranging from mild to severe, including urticaria, angioedema and respiratory issues. Delayed symptom onset complicates diagnosis, posing challenges for patients. AGS can also result from contact with medical animal-derived products, such as bovine-derived heart valves, necessitating heightened healthcare provider awareness, especially in tick-exposed regions. Management involves allergen avoidance and emergency medications like epinephrine. Further research is needed to refine diagnostic and therapeutic approaches. Purpose: Through literature review and clinical presentation description, we aim to raise awareness and enhance understanding of alpha-gal syndrome. Description of the state of knowledge: AGS, an emerging atypical food allergy, stems from immune reactions to α-Gal oligosaccharide in mammalian meat and other animal products. Avoiding medical items containing alpha-gal is crucial to prevent iatrogenesis. Summary: Understanding AGS etiology and symptoms is vital for diagnosis and management. Healthcare providers' lack of awareness may lead to underdiagnosis, inadequate patient care, and underestimation of affected individuals.
{"title":"Alpha-gal syndrome: exploring the link between tick bites and red meat allergy","authors":"Julia Szymonik, Sebastian Szopa","doi":"10.12775/qs.2024.17.002","DOIUrl":"https://doi.org/10.12775/qs.2024.17.002","url":null,"abstract":"Introduction: Alpha-gal syndrome (AGS) arises from tick bites, triggering excessive IgE antibodies to galactose-α-1,3-galactose (α-Gal). Symptoms vary, often appearing post-α-Gal ingestion, ranging from mild to severe, including urticaria, angioedema and respiratory issues. Delayed symptom onset complicates diagnosis, posing challenges for patients. AGS can also result from contact with medical animal-derived products, such as bovine-derived heart valves, necessitating heightened healthcare provider awareness, especially in tick-exposed regions. Management involves allergen avoidance and emergency medications like epinephrine. Further research is needed to refine diagnostic and therapeutic approaches. \u0000Purpose: Through literature review and clinical presentation description, we aim to raise awareness and enhance understanding of alpha-gal syndrome. \u0000Description of the state of knowledge: AGS, an emerging atypical food allergy, stems from immune reactions to α-Gal oligosaccharide in mammalian meat and other animal products. Avoiding medical items containing alpha-gal is crucial to prevent iatrogenesis. \u0000Summary: Understanding AGS etiology and symptoms is vital for diagnosis and management. Healthcare providers' lack of awareness may lead to underdiagnosis, inadequate patient care, and underestimation of affected individuals.","PeriodicalId":431915,"journal":{"name":"Quality in Sport","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141048157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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