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Adherence to Therapeutic Recommendations in Patients with Type 2 Diabetes 2 型糖尿病患者遵守治疗建议的情况
Pub Date : 2024-07-26 DOI: 10.12775/jehs.2024.64.53826
S. Krzemińska, Milan Laurinc, E. Bąk, Mária Sováriová Soósová, Bogusława Kupczak-Wiśniowska
Introduction: The level of modern medicine has led to a continuous extension of life expectancy. This fact is also linked to the aspect of proper adherence by patients to therapeutic recommendations. This process also applies to patients with diabetes, where it is often necessary to take multiple medications and adhere to a therapeutic regimen. However, the literature reports non-adherence to the prescribed therapy by patients. This behavior is so common and significant that the World Health Organization (WHO) included non-adherence to these recommendations in the list of the most serious health problems facing society, which is an obstacle in achieving positive outcomes of the therapy.Objective: The aim of the study is to evaluate the adherence to therapeutic recommendations in patients with type 2 diabetes.Materials and Methods: A total of 105 patients participated in the study, but due to missing responses, 98 correctly completed surveys were included in the analysis. The method used in the study was a diagnostic survey using a questionnaire. A standardized tool, the Adherence in Chronic Diseases Scale (ACDS), was used, and sociodemographic and clinical data were obtained from medical records and patient interviews.SummaryResults: In the studied group, the average score on the ACDS scale was 19.29±3.85, which indicates a low level of adherence to therapeutic recommendations. Among women, adherence to recommendations averaged 19.83±3.46, while among men the average was lower at 18.46±4.29. However, these differences were not statistically significant (p > 0.05). Women only slightly adhered to medical recommendations more than men.In terms of adherence, groups distinguished by the duration of diabetes differed significantly (p < 0.05). There were significant statistical differences (p < 0.05) between individuals who had been ill for up to 20 years and those who had been ill for over 35 years. Half of the individuals who had been ill for up to 20 years adhered to medical recommendations at least as much as Me = 21.00, while half of those over 35 years adhered no more than Me = 18.00. Individuals who had been ill for up to 20 years adhered significantly more to medical recommendations than those who had been ill for over 35 years (p < 0.05).Conclusions: The study group is characterized by a low degree of adherence to therapeutic recommendations. Gender does not influence the level of adherence. The longer the duration of the disease, the lower the degree of adherence to therapeutic recommendations.
导 言现代医学的发展使人们的寿命不断延长。这一事实也与患者正确遵从治疗建议有关。这一过程也适用于糖尿病患者,因为糖尿病患者通常需要服用多种药物并坚持治疗方案。然而,有文献报道,患者并不遵从处方治疗。这种行为是如此普遍和重要,以至于世界卫生组织(WHO)将不遵守这些建议列入了社会面临的最严重健康问题清单,这是取得积极治疗效果的一个障碍:本研究旨在评估 2 型糖尿病患者遵守治疗建议的情况:共有 105 名患者参与了研究,但由于答卷缺失,98 份正确填写的调查问卷被纳入分析。研究采用的方法是使用问卷进行诊断调查。研究使用了标准化工具--慢性病依从性量表(ACDS),并从病历和患者访谈中获得了社会人口学和临床数据:在研究组中,ACDS量表的平均得分为(19.29±3.85)分,表明对治疗建议的依从性较低。女性对建议的依从性平均为(19.83±3.46)分,而男性则较低,为(18.46±4.29)分。然而,这些差异并无统计学意义(P > 0.05)。在遵守医疗建议方面,根据糖尿病病程划分的组别差异显著(P < 0.05)。患病时间不超过 20 年的人与患病时间超过 35 年的人之间存在明显的统计学差异(p < 0.05)。在病程不超过 20 年的人中,有一半人遵守医疗建议的程度至少达到 Me = 21.00,而在病程超过 35 年的人中,有一半人遵守医疗建议的程度不超过 Me = 18.00。病程不超过 20 年的人对医疗建议的遵从程度明显高于病程超过 35 年的人 (p < 0.05):该研究群体的特点是对治疗建议的依从性较低。结论:研究对象的特点是对治疗建议的遵从度较低,性别并不影响遵从度。病程越长,遵守治疗建议的程度越低。
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引用次数: 0
Acceptance of the disease by patients with heart failure 心力衰竭患者对疾病的接受程度
Pub Date : 2024-07-25 DOI: 10.12775/jehs.2024.64.53815
Małgorzata Fraś, Kinga Płatek, Mária Sováriová Soósová, E. Bąk
IntroductionNowadays, heart failure is one of the most serious health problems. In Poland, about a million people struggle with it. This is due to several demographic and epidemiological trends, m.in. the improvement of the health care system and the aging of the population. Cardiovascular diseases are a huge challenge for the healthcare system, as they are considered the main cause of death in Poland. The basic assumption of the treatment of the disease includes the improvement of the quality of lifeAim of the study: The aim of the study was to assess acceptance of the disease in patients with heart failure receiving outpatient medical care. Material and methods:The research was carried out on a group of 100 patients from NZOZ "Vita". To carry out the research, the author's questionnaire and the Standardized Questionnaire: AIS and LOT-R were used, and appropriate consents were obtained for their use in the work. Results In the study group, the level of disease acceptance according to the AIS in patients with heart failure treated on an outpatient basis was medium and high (48%; n=48 vs. 48%; n=48). Among the respondents, the largest group (46%; n=46) were people with an average level of optimism according to LOT-R. In people with heart failure, the most common comorbidities were diabetes, hypertension and bronchial asthma. Additional diseases did not have a statistically significant impact on the acceptance of the disease among the examined patients (p>0.05). The importance of religion as well as spiritual development in the respondents' lives did not influence their acceptance of the disease (p>0.05). Respondents with an optimistic attitude more often represented a higher level of acceptance of the disease according to the AIS than those with a pessimistic attitude (p=0.005). Conclusions Acceptance of the disease is the final stage of adaptation to the disease, it manifests itself in the recognition of limitations and losses that result from the occurrence of a given disease entity. Therefore, accepting the disease brings many benefits that ultimately improve the course of the disease and further prognosis.
导言心力衰竭是当今最严重的健康问题之一。在波兰,约有一百万人与之抗争。这是由于人口统计学和流行病学的几种趋势造成的,其中包括医疗保健系统的改善和人口老龄化。心血管疾病被认为是波兰人死亡的主要原因,因此对医疗保健系统来说是一个巨大的挑战。治疗疾病的基本假设包括改善生活质量:研究目的:本研究旨在评估接受门诊治疗的心力衰竭患者对该疾病的接受程度。材料与方法:研究对象是来自 NZOZ "Vita "的 100 名患者。在研究过程中,使用了作者的问卷和标准化问卷:AIS 和 LOT-R,并获得了在工作中使用它们的适当同意。结果 在研究组中,根据 AIS,门诊治疗的心力衰竭患者对疾病的接受程度为中高水平(48%;n=48 vs. 48%;n=48)。在受访者中,最大的群体(46%;n=46)是根据 LOT-R 具有平均乐观水平的人。在心力衰竭患者中,最常见的合并症是糖尿病、高血压和支气管哮喘。其他疾病对受检患者对疾病的接受程度没有显著的统计学影响(P>0.05)。宗教信仰和精神发展在受访者生活中的重要性并不影响他们对疾病的接受程度(P>0.05)。根据 AIS,持乐观态度的受访者比持悲观态度的受访者对疾病的接受程度更高(p=0.005)。结论 对疾病的接受是适应疾病的最后阶段,它表现为认识到特定疾病实体的发生所带来的限制和损失。因此,接受疾病会带来很多好处,最终会改善病程和进一步的预后。
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引用次数: 0
Selected nursing diagnoses and interventions in patients with COVID-19 hospitalized during pandemic 大流行期间住院的 COVID-19 患者的部分护理诊断和干预措施
Pub Date : 2024-04-25 DOI: 10.12775/jehs.2024.67.001
Elżbieta Araminowicz-Kierklo, L. Sierpińska
Introduction. In March 2020, the WHO announced global pandemic due to the outbreak of coronavirus disease (COVID-19) caused by the SARS-CoV-2 virus. COVID-19 is considered as a highly infectious disease, with a considerable mortality rate, especially among older people with concomitant diseases (heart failure, pulmonary diseases, arterial hypertension, diabetes). The pathogen affects mainly the respiratory system, and may also lead to acute respiratory distress syndrome, sepsis. In a severe state of health of a patient nurses make many nursing diagnoses, based on which they plan and implement nursing interventions to limit the risk of complications/death. Objective. The aim of the study was presentation of selected nursing diagnoses and interventions in patients hospitalized due to COVID-19 during the period of pandemic. Materials and Method. Nursing diagnoses and nursing interventions associated with these diagnoses were analyzed among patients hospitalized due to COVID-19 during pandemic, based on practical experiences in Poland.   Results. The COVID-19 pandemic was a new challenge for nurses in inpatient health care to provide patients with attentive care in a severe health condition. The efforts of nurses had to be focused on solving many care problems in the bio-psycho-social sphere in order to limit the risk of complications/death. The implementation of nursing interventions had to proceed smoothly, with consideration of the provision of secure environment of patient care and personal protection. Conclusions. The symptoms of COVID-19 are frequently multisystemic and are related with the risk of complications/death.  The presented nursing diagnoses and interventions in patients ill with COVID-19 disease are an example of the provision of high quality care of patients infected with SARS-CoV-2 virus. Nursing care of a patient with COVID-19 should be characterized by the subjective approach to the patient in accordance with the holistic concept of solving health problems in the bio-psycho-social sphere.
前言2020 年 3 月,由于 SARS-CoV-2 病毒引起的冠状病毒病(COVID-19)爆发,世界卫生组织宣布全球大流行。COVID-19 被认为是一种传染性极强的疾病,死亡率相当高,尤其是在伴有疾病(心力衰竭、肺部疾病、动脉高血压、糖尿病)的老年人中。病原体主要影响呼吸系统,还可能导致急性呼吸窘迫综合症、败血症。在病人健康状况严重时,护士会做出许多护理诊断,并据此计划和实施护理干预措施,以限制并发症/死亡的风险。研究目的本研究旨在介绍大流行期间因 COVID-19 而住院的患者的选定护理诊断和干预措施。材料和方法。根据波兰的实践经验,对大流行期间因 COVID-19 住院患者的护理诊断和与这些诊断相关的护理干预措施进行分析。 结果。COVID-19 大流行对住院医疗护理人员来说是一项新的挑战,他们需要在严重的健康状况下为患者提供周到的护理。护士必须集中精力解决生物-心理-社会领域的许多护理问题,以限制并发症/死亡的风险。护理干预措施的实施必须顺利进行,并考虑为患者提供安全的护理环境和个人保护。结论COVID-19 的症状通常是多系统的,与并发症/死亡风险有关。 针对 COVID-19 疾病患者的护理诊断和干预措施是为感染 SARS-CoV-2 病毒的患者提供优质护理的范例。对 COVID-19 患者的护理应根据解决生物-心理-社会领域健康问题的整体概念,以患者的主观方法为特征。
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引用次数: 0
Analysis of the effectiveness of the training system of future computer profile specialists for the application of digital technologies 未来计算机应用专家培训系统的有效性分析
Pub Date : 2024-04-22 DOI: 10.12775/jehs.2024.58.016
Olha Potapchuk
The purpose of the article is to verify and justify the effectiveness of implementing an authorial system for preparing future computer professionals to apply digital technologies. The methodological basis of the publication is methods of scientific analysis, pedagogical positions on the issues of preparing future computer professionals, implementation of an authorial system for preparing future computer professionals for the application of digital technologies. The scientific novelty lies in highlighting the main results of the pedagogical experiment, which aimed to verify the effectiveness of the system for preparing future computer professionals for the application of digital technologies. The pedagogical experiment was conducted in accordance with the main stages (diagnostic, formative, control), during each of which a series of tasks and research were carried out. The research hypothesis assumes that the quality of preparation of future computer professionals for the application of ICT in professional activities will improve by implementing organizational and pedagogical conditions, principles, approaches, content, forms, and methods laid down in the authorial system for preparing future computer professionals for the application of ICT. To substantiate the conclusions regarding the effectiveness of the content and methodology of the pedagogical experiment, statistical processing of the obtained data will be conducted. It was found that EG students demonstrated significantly higher knowledge and skills in mastering and using modern ICT tools and instruments: 3D modeling technologies, including for graphic reconstruction; additive technologies; development of adaptive web resources; development and application of virtual and augmented reality applications; use of Smart technologies in education, and so on. Conclusions. Summarizing the research results, we believe that the authorial system for preparing future computer professionals for the application of ICT in professional activities is effective and positively influences the formation of their readiness for professional activities in general.
文章的目的是验证和论证实施培养未来计算机专业人员应用数字技术的作者系统的有效性。该出版物的方法论基础是科学分析方法、关于培养未来计算机专业人员问题的教学立场、实施培养未来计算机专业人员应用数字技术的作者系统。科学新颖性在于强调教学实验的主要结果,其目的是验证培养未来计算机专业人员应用数字技术的系统的有效性。教学实验按照主要阶段(诊断、形成、控制)进行,在每个阶段都开展了一系列任务和研究。研究假设认为,通过实施作者在培养未来计算机专业人员应用信息和通信技术的体系中规定的组织和教学条件、原则、方法、内容、形式和方法,可以提高培养未来计算机专业人员在专业活动中应用信息和通信技术的质量。为了证实有关教学实验内容和方法有效性的结论,将对获得的数据进行统计处理。结果发现,EG 学生在掌握和使用现代信息与传播技术工具和手段方面的知识和技能明显提高:三维建模技术,包括图形重建;添加技术;自适应网络资源的开发;虚拟现实和增强现实应用程序的开发和应用;智能技术在教育中的应用等。结论。在总结研究成果时,我们认为,培养未来计算机专业人员在专业活动中应用信息和通信技术的作者系统是有效的,并对他们为一般专业活动做好准备产生了积极影响。
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引用次数: 0
Comprehensive Review of Mastocytosis From Pathophysiology to Management Strategies 从病理生理学到管理策略全面回顾肥大细胞增多症
Pub Date : 2024-04-22 DOI: 10.12775/jehs.2024.66.015
Magdalena Marchaj, Bartosz Basiaga, Klaudia Żądecka-Kobiałka, Anna Putra, Karolina Bednarz, Monika Nowicka-Jasińska, Paweł Frączyk, Sara Bieniek-Zając, Sebastian Baczkowski, Klaudia Krawiec
Introduction: Mastocytosis is a rare hematologic neoplasm characterized by the abnormal proliferation and accumulation of mast cells in various tissues. Its clinical manifestations vary widely, ranging from cutaneous lesions to systemic involvement with potentially life-threatening symptoms. Understanding the pathophysiology, diagnosis, and management of mastocytosis is crucial for improving patient outcomes.    Aim of the Study: The aim of this study was to provide a comprehensive overview of mastocytosis, including its epidemiology, risk factors, pathophysiology, clinical manifestations, diagnostic approaches, and management strategies. By synthesizing current knowledge on mastocytosis, this study aims to enhance understanding of the disease and guide clinical practice.    Description of the State of Knowledge: Mastocytosis is classified into cutaneous and systemic forms, with various subtypes based on clinical and histopathological features. Diagnosis relies on a combination of clinical suspicion, serum tryptase levels, histological examination of bone marrow biopsies, and genetic testing. Management strategies include symptomatic treatment, avoidance of triggers, and targeted therapies such as monoclonal antibodies and tyrosine kinase inhibitors. Advanced forms may require cytoreductive therapy or allogeneic hematopoietic stem cell transplantation (alloHSCT).    Conclusions: Despite advancements in diagnosis and treatment, achieving lasting remission in mastocytosis remains challenging, especially in advanced cases. Further research into the molecular mechanisms underlying the disease and the development of novel therapeutic modalities are needed to improve patient outcomes and quality of life.
引言肥大细胞增多症是一种罕见的血液肿瘤,其特征是肥大细胞在各种组织中异常增殖和聚集。其临床表现千差万别,既有皮肤病变,也有可能危及生命的全身受累症状。了解肥大细胞增多症的病理生理学、诊断和治疗对改善患者预后至关重要。 研究目的:本研究旨在全面概述肥大细胞增多症,包括其流行病学、风险因素、病理生理学、临床表现、诊断方法和管理策略。本研究旨在通过综合当前有关肥大细胞增多症的知识,加深对该疾病的了解并指导临床实践。 知识现状描述:肥大细胞增多症分为皮肤型和全身型,并根据临床和组织病理学特征分为多种亚型。诊断需要结合临床怀疑、血清胰蛋白酶水平、骨髓活检组织学检查和基因检测。治疗策略包括对症治疗、避免诱发因素以及单克隆抗体和酪氨酸激酶抑制剂等靶向疗法。晚期患者可能需要细胞再生疗法或异体造血干细胞移植(alloHSCT)。 结论:尽管在诊断和治疗方面取得了进展,但实现肥大细胞增多症的持久缓解仍具有挑战性,尤其是在晚期病例中。需要进一步研究该疾病的分子机制,并开发新型治疗方法,以改善患者的预后和生活质量。
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引用次数: 0
Sports and Exercise Therapy in Holistic Strategy for Treating Chronic Diseases – literature review 慢性病综合治疗策略中的运动疗法--文献综述
Pub Date : 2024-04-21 DOI: 10.12775/jehs.2024.66.014
Mateusz Bieńko, Marta Rutkowska, Tomasz Król, Michalina Toborek, Magdalena Marchaj, Karolina Korta, Anna Putra, Natalia Niedziela, Mikołaj Margas
Introduction The convergence of sports and health is a developing area, focusing on the therapeutic potential of physical activities in numerous chronic disease management strategies as a necessary part of a holistic strategy. Acknowledging sports as a therapeutic tool emphasizes the necessity for a comprehensive understanding of how sports engagement contributes to innovative healthcare interventions.   Purpose This research aims to investigate the therapeutic potential of prescribing sports and physical exercise in treating primary chronic diseases, exploring its integration into healthcare practices with a focus on efficacy and implications for disease management.   State of Knowledge Physical activity is recommended for treating diabetes, chronic obstructive pulmonary disease, asthma, and rheumatoid arthritis. It reduces the risk of cardiovascular disease and death, lowers blood pressure, ads prevents and manages atherosclerosis and osteoporosis. Non-physical sports like chess and board games also promise protection against dementia, depression, and Alzheimer's.   Conclusions Incorporating sports into healthcare policies and prescribing personalized exercise are essential components of holistic chronic disease management and show widespread benefits. Professional guidance and clear recommendations, aligned with disease-specific guidelines, play a crucial role in ensuring safe and effective physical activity for patients. Potential risks in specific populations, particularly injury risks, can be minimized through proper preventive measures, adjusting the character of exercises, and heightened patient awareness. To ensure good compliance, exercise prescriptions should offer clear and precise guidelines.
导言:体育与健康的融合是一个不断发展的领域,其重点是在众多慢性疾病管理策略中将体育活动的治疗潜力作为整体策略的必要组成部分。认识到体育运动是一种治疗工具,就有必要全面了解体育运动如何促进创新性医疗保健干预措施。 目的 本研究旨在调查体育锻炼在治疗原发性慢性病方面的治疗潜力,探讨体育锻炼与医疗保健实践的结合,重点关注疗效和对疾病管理的影响。 知识现状 建议通过体育锻炼治疗糖尿病、慢性阻塞性肺病、哮喘和类风湿性关节炎。体育锻炼可以降低心血管疾病和死亡的风险,降低血压,预防和控制动脉粥样硬化和骨质疏松症。象棋和棋类游戏等非体育运动也能预防痴呆症、抑郁症和老年痴呆症。 结论 将体育运动纳入医疗保健政策和制定个性化运动处方是慢性病综合管理的重要组成部分,并显示出广泛的益处。与特定疾病指南相一致的专业指导和明确建议在确保患者安全有效地进行体育锻炼方面发挥着至关重要的作用。通过采取适当的预防措施、调整运动特点和提高患者意识,可以最大限度地降低特定人群的潜在风险,尤其是受伤风险。为确保良好的依从性,运动处方应提供清晰准确的指导。
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引用次数: 0
The Role of Mindfulness-Based Interventions in Treating Depression among Population Subgroups 正念干预在治疗人口亚群抑郁症中的作用
Pub Date : 2024-04-19 DOI: 10.12775/jehs.2024.66.007
Nazarii Saiuk, Magdalena Kołodziej, Michał Andrzej Kozicz, Wojciech Mądry, Aleksandra Mazurkiewicz, Joanna Męczyńska, Tomasz Seredyński, Adriana Wojciechowska, Justyna Marcicka, Weronika Salasa
Introduction Major depressive disorder (MDD) is one of the most common psychiatric disorders, with its prevalence on the rise. The use of mindfulness-based interventions (MBIs), primarily including mindfulness-based cognitive therapy (MBCT) and mindfulness-based stress reduction (MBSR), in MDD is scientifically justified. But will every population subgroup benefit from such an approach? Aim of the study The aim of our study is to analyze, based on the latest scientific findings, the effects of MBIs within specific subgroups of patients suffering from depression, including adolescents, elderly patients, cancer patients, individuals experiencing postnatal and perinatal depression, and patients with chronic pain. Additionally, we sought to summarize the current knowledge regarding the structural and functional effects of MBIs on the human brain. Materials and methods We conducted a comprehensive search of scientific databases including PubMed and Google Scholar to identify relevant articles focusing on MBIs and their effects on treating depression within various subgroups. Additionally, we performed a review of literature available on PubMed and Google Scholar to summarize the current knowledge regarding the impact of MBIs on the human brain. Conclusions Across various subgroups MBIs show promise in reducing depressive symptoms, indicating their potential as adjunctive treatments or preventive measures. While longer intervention durations are associated with larger effects, further research is needed to establish a solid evidence base, particularly in older populations and cancer patients with different cancer types.            
导言 重度抑郁障碍(MDD)是最常见的精神疾病之一,其发病率呈上升趋势。在 MDD 中使用正念干预(MBI),主要包括正念认知疗法(MBCT)和正念减压疗法(MBSR),是有科学依据的。但是,是否每个人群都能从这种方法中获益呢?研究目的 我们的研究旨在根据最新的科学发现,分析正念减压疗法在特定抑郁症患者亚群中的效果,包括青少年、老年患者、癌症患者、产后和围产期抑郁症患者以及慢性疼痛患者。此外,我们还试图总结目前有关 MBIs 对人脑结构和功能影响的知识。材料与方法 我们对包括PubMed和谷歌学术在内的科学数据库进行了全面搜索,以确定关注MBI及其对不同亚群体抑郁症治疗效果的相关文章。此外,我们还对 PubMed 和 Google Scholar 上的文献进行了综述,总结了有关 MBI 对人脑影响的现有知识。结论 在不同的亚群体中,MBIs 在减轻抑郁症状方面显示出良好的前景,表明其具有作为辅助治疗或预防措施的潜力。虽然干预持续时间越长,效果越大,但还需要进一步的研究来建立坚实的证据基础,特别是在老年人群和不同癌症类型的癌症患者中。
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引用次数: 0
Thermal Injuries in Children: A Literature-Based Overview 儿童热损伤:文献综述
Pub Date : 2024-04-19 DOI: 10.12775/jehs.2024.66.011
Natalia Wierzejska, Aneta Michalczewska, Agnieszka Fugas, Magdalena Pach, Agnieszka Nowak, Zuzanna Chmielowiec, Alicja Partyka, Mariola Dziedzic, Karolina Smykiewicz, Justyna Dobrzańska
Burns are a significant cause of morbidity and mortality in children. While the majority of pediatric burns are not life-threatening, they can have a significant impact on a child's physical and psychological health. They pose a major social and financial burden, particularly in developing countries. The management of pediatric patients with thermal injuries requires a complex and multifaceted approach. Pediatric burns constitute approximately 40-50% of all reported cases of severe burns. The most common etiologies of pediatric burns include scalds, contact burns, flames, and chemicals. From 80% to 90% of burns occurred at home and were accidental. Despite advancements in treatment, severe burns can lead to life-threatening complications, such as sepsis, multisystem organ failure, and hypermetabolic response or even death. This article aims to provide a literature-based overview of pediatric burn trauma, outlining its unique characteristics, etiology, epidemiology, classification, and initial management.
烧伤是导致儿童发病和死亡的重要原因。虽然大多数小儿烧伤不会危及生命,但会对儿童的身体和心理健康产生重大影响。烧伤对社会和经济造成沉重负担,尤其是在发展中国家。儿科热损伤患者的治疗需要复杂和多方面的方法。在所有报告的严重烧伤病例中,小儿烧伤约占 40-50%。小儿烧伤最常见的病因包括烫伤、接触性烧伤、火焰和化学品。80%到90%的烧伤发生在家中,属于意外事故。尽管治疗手段不断进步,但严重烧伤仍可能导致危及生命的并发症,如败血症、多系统器官衰竭、高代谢反应甚至死亡。本文旨在以文献为基础概述小儿烧伤创面,概述其独特特征、病因学、流行病学、分类和初步处理方法。
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引用次数: 0
Understanding the Challenges of Hashimoto's Thyroiditis: Perspectives on Diagnosis, Treatment, and Associated Conditions 了解桥本氏甲状腺炎的挑战:透视诊断、治疗和相关疾病
Pub Date : 2024-04-19 DOI: 10.12775/jehs.2024.66.004
Klaudia Brygida Kułak, Karolina Alicja Palacz, Katarzyna Gadżała, Izabela Janik, Marzena Pliszka, Katarzyna Chamera-Cyrek, Anna Maria Koman
Introduction: Hashimoto's thyroiditis is a prevalent autoimmune disease among the population. With the progress in diagnostic and research techniques, it has come to light that Hashimoto's thyroiditis is linked to a higher likelihood of developing other disorders that impact multiple organs and systems. Throughout the course of this disease, individuals may experience an array of complications such as sexual dysfunctions, fertility problems, specific mental disorders, cardiovascular diseases and other autoimmune diseases.Aim of the Study: The primary aim of this study is to explore the potential association between Hashimoto’s thyroiditis and its consequential effects on other physiological systems and organs.Description of the State of Knowledge: Hashimoto's thyroiditis is a complex autoimmune disease characterized by chronic inflammation of the thyroid gland. The pathogenesis of the disease is not yet completely understood. Hashimoto's thyroiditis has been associated with a range of health issues, including sexual dysfunction, fertility problems, psychiatric disorders, cardiovascular diseases, and other autoimmune disorders.Materials and methods: An unsystematic scientific literature review was conducted using specific keywords such as Hashimoto's thyroiditis, fertility problems, thyroid tumor, cardiovascular diseases, and autoimmune diseases. The review was carried out on PubMed, analyzing a total of 53 sources published until 2023.Conclusions: HT's association with psychiatric disorders, fertility issues, thyroid tumors, cardiovascular dysfunction, and comorbid autoimmune conditions underscores its broad clinical impact, necessitating integrated management approaches. Effective management of HT requires collaboration among specialists to ensure early detection, proactive intervention, and patient education, ultimately improving therapeutic outcomes and quality of life.
导言桥本氏甲状腺炎是一种常见的自身免疫性疾病。随着诊断和研究技术的进步,人们发现桥本氏甲状腺炎与其他影响多个器官和系统的疾病相关。在患病过程中,患者可能会出现一系列并发症,如性功能障碍、生育问题、特殊精神障碍、心血管疾病和其他自身免疫性疾病:研究目的:本研究的主要目的是探讨桥本氏甲状腺炎与其对其他生理系统和器官的影响之间的潜在关联:桥本氏甲状腺炎是一种以甲状腺慢性炎症为特征的复杂的自身免疫性疾病。该病的发病机制尚未完全明了。桥本氏甲状腺炎与一系列健康问题有关,包括性功能障碍、生育问题、精神障碍、心血管疾病和其他自身免疫性疾病:使用桥本氏甲状腺炎、生育问题、甲状腺肿瘤、心血管疾病和自身免疫性疾病等特定关键词进行了非系统性科学文献综述。综述在PubMed上进行,分析了截至2023年发表的53篇文献:甲状腺肿大与精神障碍、生育问题、甲状腺肿瘤、心血管功能障碍和合并自身免疫性疾病有关,这凸显了甲状腺肿大的广泛临床影响,需要采取综合管理方法。有效管理高血压需要专科医生之间的合作,以确保早期发现、积极干预和患者教育,最终提高治疗效果和生活质量。
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引用次数: 0
The impact of artificial sweeteners on the metabolic syndrome 人工甜味剂对代谢综合征的影响
Pub Date : 2024-04-19 DOI: 10.12775/jehs.2024.66.013
Filip Czyżewski, Alicja Baranowska, Katarzyna Baranowska, Kinga Filipek, Jakub Kawka, Michał Muciek, Sebastian Mrugała, Waldemar Mrugała, Bartosz Skierkowski, Natalia Zalewska
Introduction: Metabolic syndrome is a wide-spread disease that affects even 30% of Polish population. The mentioned syndrome consists of: glucose intolerance, obesity, dyslipidaemia and high blood pressure. Change of lifestyle, particularly diet, is a crucial part of treatment of those issues. Artificial sweeteners are low-calorie or non-nutritive substances that are made for lowering sugar amounts in sweetened beverages. The use of artificial sweeteners rises among those, who want to lower their weight. Artificial sweeteners are well known substances, but their impact on health is still a matter of studies. We want to summarize the current knowledge about their impact on metabolic syndrome and its elements. Objectives: The review and presentation of the current state of knowledge on impact of artificial sweeteners on metabolic syndrome and its components. Material and methods: Review of the studies available on open access sources at PubMed, Google Scholar, National Library of Medicine and Coachrane. Conclusions: Currently there is no evidence of positive impact of artificial sweeteners on the metabolic syndrome. Moreover, new studies prove a negative impact of those substances at obesity, glucose intolerance, dyslipidaemia and blood pressure. However there is a need of further studies about physiology of gut microbiota and current subject to strengthen current depth of evidence.
导言代谢综合征是一种广泛存在的疾病,甚至影响到 30% 的波兰人口。代谢综合征包括:葡萄糖不耐受、肥胖、血脂异常和高血压。改变生活方式,尤其是饮食习惯,是治疗这些问题的关键部分。人工甜味剂是一种低热量或无营养的物质,用于降低甜味饮料中的含糖量。使用人工甜味剂的人越来越多,因为他们希望降低体重。人造甜味剂是众所周知的物质,但其对健康的影响仍有待研究。我们希望总结一下目前关于人工甜味剂对代谢综合征及其要素的影响的知识。目标:回顾并介绍有关人工甜味剂对代谢综合征及其组成部分影响的现有知识。材料与方法:对 PubMed、Google Scholar、美国国家医学图书馆和 Coachrane 等开放获取来源的研究进行回顾。结论:目前没有证据表明人工甜味剂对代谢综合征有积极影响。此外,新的研究证明这些物质对肥胖、葡萄糖不耐受、血脂异常和血压有负面影响。不过,还需要进一步研究肠道微生物群的生理学和当前的主题,以加强现有证据的深度。
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Journal of Education, Health and Sport
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