Telemedicine in cardiology

Introduction Telemedicine is becoming regularly used in rural part of some of developed countries. Moreover, it could be applied to improve diagnosis and emergency care in adults as well as in neonatal care. Material and methods Articles in the EBSCO database have been analyzed using keywords: telemedicine, cardiology. The available literature is subjectively selected. Then, the newest version of every paper was searched for. Results Results of researches with applications of telemedicine in cardiology in emergency, chronic conditions. Moreover, potential costs and benefits were described. Conclusions Telemedicine could be useful for patients, their families, clinicians and regional healthcare systems. The rapidly changing healthcare climate includes an increasing focus on cost reduction, quality improvement and results, patient-centered care and technology solutions, all of which are well served by the optimal use of telemedicine

Telemedicine in neurology

Introduction Telemedicine in neurology has been developed for the last two decades. However, this concept has only been introduced to the emergency scene recently. In the above review current state and prognosis of development of telemedicine would be described. Material and methods Articles in the EBSCO database have been analyzed using keywords: telemedicine, neurology. The available literature is subjectively selected. Then, the newest version of every paper was searched for. Results Results of researches with applications of telemedicine in neurology in emergency, chronic conditions. Moreover, potential costs and benefits were described. Conclusions The involvement of stroke specialists also facilitated the diagnosis of other neurological emergencies such as intracerebral hemorrhage, subarachnoid hemorrhage, hypoglycemia and seizure. Potential barriers to the use of this technology include the initial costs of equipment and training of personnel. Further development of telemedicine would possibly improve both emergency and long-term care in neurology

The role of resveratrol in cellular aging

Resveratrol is a substance present in grapes, blueberries and peanuts. Its concentration in grapes varies depending on the type and strain of the fruit. Resveratrol has a number of health-promoting properties for the body. Researchers most often indicate antioxidant, anticancer and cardioprotective activity, especially in the context of coronary heart disease, as well as anti-inflammatory, inhibiting the proliferation of pro-inflammatory cytokines. Resveratrol plays a neuroprotective role in the body, especially in the context of Alzheimer's disease, has a positive effect on the genes responsible for longevity and is the perpetrator of the so-called "The French paradox". The aim of the work was to present the role of resveratrol in cellular aging

The influence of non-pharmacological methods in osteoporosis treatment

Introduction Osteoporosis is a systemic skeletal disorder which results from an imbalance in bone remodeling. The disease can occur because of failure to achieve peak bone mass and/or excessive bone resorption and/or decreased bone formation during remodelling. Multiple pathogenetic and regulatory mechanisms are responsible for these changes. In the above review, selected non-pharmacological therapies in osteoporosis are described. Material and methods Articles in the EBSCO database have been analyzed using keywords: osteoporosis, osteopenia, treatment. The available literature is subjectively selected. Then, the newest version of every paper was searched for. Results Results of researches on osteoporosis pathomechanism, quality of life in patients, comorbidities, non-pharmacological methods for treatment of osteoporosis, the impact of physical exercise, role of diet as adjunctive therapy in osteoporosis were described. Conclusions Osteoporosis and treatment influence on the patient's functioning and subjective assessment of the quality of life. Medical doctors need to take into account high occurrence of multimorbidity in adults with osteoporosis to be able to propose comprehensive treatment. The treatment of the affected patients should be improved to offer early or even preventive care for other diseases that coexist with osteoporosis. Non-pharmacological interventions, such as diet, seem to be effective in osteoporosis. Effects of physical exercise could be beneficial in osteoporosis patients, however further studies are needed to determine specifics of the most effective program

Sexuality in men with urinary incontinence - summary of current knowledge

Background: The problem of urinary incontinence is facing an increasing population of people. The problem of incontinence is troublesome for both women and men. Incontinence decreases the quality of sexual life. Men struggling with incontinence often have problems with erection and ejaculation. Materials and methods: Analysis of articles in the EBSCO and Google Scholar database using keywords: sexuality, incontinence, men, Results: Urinary incontinence affects both women and men. There are no specific criteria with which this ailment can be diagnosed. Therefore it is impossible to determine how frequent urinary incontinence actually is. It is estimated that it can affect 4-8% of the population around the World. The problem becomes more and more severe, as the number of affected patients grows each year. The urinary incontinence among men leads to sexual dysfunction, which causes various issues in private, professional and social life of such patients. Sexual dysfunction in male patients can lead to lower quality of life, what has a negative influence on their closest family and friends. Urinary incontinence in male patients can be treated pharmacologically or surgically. Only in case the non-invasive treatment fails, more radical methods are perused. Conclusions: Urinary incontinence more often affects women than men. It is a very embarrassing ailment, nevertheless patients under a proper treatment regain not only psychological but also sexual satisfaction. Urinary incontinence should not be a taboo topic, also among men patients. More research is needed to improve treatment program and support of such patients

Therapeutic treatment in the elderly with heart failure

Heart failure (HF) is a clinical syndrome that is the last common stage in many cardiovascular diseases. The main causes leading to the development of HF are, among others, primary impairment of myocardial contractility, volume and / or ventricular congestion, and obstruction of the diastolic duct due to pericardial diseases. The methods of detecting heart failure include: an accurate interview with the patient, laboratory tests and echocardiography. Treatment options include non-pharmacological, pharmacological and surgical treatment. A very important aspect of cure is also physical activity and appropriate nutritional treatment

Breast cancer as a significant social problem

Background: This article is devoted to the topic of breast cancer, which is a very important and overlooked problem by many women. This cancer is the most common malignancy in women in developed countries. It also creates an increasing problem in developing countries and causes high mortality. Early diagnoses of neoplastic lesions and rapid implementation of therapy in most cases allow for successful treatment its prognosis. Self-control is very important, women should examine their breasts by palpation. Further research to diagnose breast cancer are: mammography (MMG), ultrasonography (USG), magnetic resonance (MR), positron emission tomography (PET) and microscopic examination. Material and Methods: In this article, it was analyzed by the latest literature on risk factors, epidemiology, diagnosis and treatment of breast cancer. Articles were searched from PubMed and Google Scholar. Results: Breast cancer risk factors have been shown to be early menstruation, high women's height, high body mass (especially fat content) and hyperinsulinaemia. In addition, genetic factors play an important role. Research also confirms that highly-used cleaners, and at their head, DDP (dichlorodiphenyltrichloroethane) affect the formation of breast cancer. This is the third most common cause of death in women aged 60-85. In treatment, an individual approach to each patient is important. Older women individually discuss the methods of treatment with the doctor, because it gives beneficial results of therapy. Conclusions: Breast cancer has become a very important medical and social problem in older women. Mass media are needed to disseminate knowledge, topics related to treatment and to support the sick. In older women, treatment is more aggressive, and in addition to radiotherapy, a partial mastectomy is performed. Breast cancer is a tought term for woman’s in all age. It is related with fear and loss of self—confidence

ERAS protocol in the treatment of older people

Prylińska Monika, Husejko Jakub, Skierkowska Natalia, Bieniek Daria, Rupniak Iga, Wycech Alicja, Gaborek Patryk, Osiak Joanna, Rozmarynowicz Ewa, Gajos Małgorzata, Topka Weronika, Kudanowska Agnieszka ,Kędziora - Kornatowska Kornelia. ERAS protocol in the treatment of older people. Journal of Education, Health and Sport. 2019;9(3):279-289. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.2596527 http://ojs.ukw.edu.pl/index.php/johs/article/view/6701 https://pbn.nauka.gov.pl/sedno-webapp/works/907885 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part b item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eissn 2391-8306 7 © The Authors 2019; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 15.02.2019. Revised: 15.02.2019. Accepted: 17.03.2019. ERAS protocol in the treatment of older people Monika Prylińska2, Jakub Husejko1, Natalia Skierkowska1, Daria Bieniek1, Iga Rupniak1, Alicja Wycech1, Patryk Gaborek1, Joanna Osiak1, Ewa Rozmarynowicz1, Małgorzata Gajos1, Weronika Topka1, Agnieszka Kudanowska1, Kornelia Kędziora - Kornatowska1 1. Faculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University, Bydgoszcz 2. Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, Department of Hygiene, Epidemiology and Ergonomics, ul. M. Curie-Skłodowskiej 9, Bydgoszcz, Poland Abstract Background: The guidelines for elderly recommend nutritional assessment in order to prevent malnutrition and make fast recovery after operation and mobilization possible. The ERAS protocol shortens the length of hospital stay and reduces the complication rate. Material and methods: A systematic review of published literature has been done for the factors reported to predict outcomes of enhanced recovery after surgery (ERAS) among the elderly patients. Results: The improvement of treatment effects must be supported by a multidisciplinary medical team involved in the whole process with holistic approach which reduces time of regeneration and cost of health care Conclusions: ERAS protocol implementation is highly beneficial for operated patients due to faster recovery and strong psychological support by providing information concerning the perioperative period and reducing stress caused by the surgery. However, must be supported by a team of professional medical staff. Key words: enhanced recovery after surgery, perioperative care, older peopl

Potential applications of virtual reality devices in older people. Narrative review

Introduction Many of the non-pharmacological therapeutic interventions such as physical and mental exercises are focused on some of the dimensions of human cognition only. Therefore, methods involving immersion in VR (VR) might presumably belong to the more effective treatment methods. VR is a rapidly evolving technology, which is successfully and increasingly present in various branches, including medicine. Despite its increasing popularity for many people it is still new and unexplored, which leads to negative opinions and unwillingness to use in geriatric population. Therefore, the main purpose of this article is to describe application of virtual reality and new technologies devices in geriatrics. Material and methods Articles in the EBSCO database were analyzed using keywords: virtual reality, frailty, pain, phobias, stroke rehabilitation, adverse effects. Available literature has been subjectively selected. Results Researches with applications of virtual reality techniques in sarcopenia and frailty, phobias, stroke rehabilitation, pain therapy were described. Moreover, potential adverse effects were discussed. Conclusions An overview of the research results in this area indicates that the virtual reality, possibly could be applied in mental and physical training in the cases of both physiological aging and various disorders. At the same time, the disadvantages and potential adverse effects have been pointed out. Further studies on application of VR in older people should be conducted to determine its effectiveness in various clinical and nonclinical settings

Postoperative functioning of cardiac patients. Diagnostic methods of postoperative monitoring and risk of mortality

Abstract Introduction: Cardiovascular diseases are the most common reason for deaths of people. Progress in cardiac surgery and cardiac diagnosis a significantly decreased the risk of surgery and postoperative mortality in patients. The aim of our study was to present methods for monitoring patients after cardiac surgery and to assess the risk of morality. Material and methods: Articles in the EBSCO database have been analysed using keywords: postoperative functioning, cardiac surgery, risk of morality. Results: Studies have shown that cardiac surgery patients are a large group with many co-existing health problems that affect the occurrence of problems in the postoperative period. Hemodynamic monitoring of patients is carried out using a variety of techniques, both invasive and non-invasive. There are also many tools to assess post operative cognitive dysfunction. Interesting are modern methods of hemodynamic monitoring, which can be used by patients at home, after leaving the hospital. It should be remembered that all methods of treatment and monitoring of cardiac surgery patients have an impact on their quality of life and functioning. Do not forget about non-pharmacological methods of affecting the functioning of postoperative patients included in the ERAS protocol. Conclusions: Cardiac patients require a complex and interdisciplinary approach in the postoperative period. Many elements should be taken into account and prepared the patient for this situation. Progress in medicine more often reduces the risk of morality cardiac patients. However, should remember about the impact of all our activities on the quality of life and functioning of patients. Keywords: postoperative functioning, cardiac surgery, risk of morality Introduction Cardiovascular diseases are causing more than 17 million deaths worldwide, and according to the World Health Organization (WHO) mortality due to cardiovascular diseases will become the leading cause of deaths of up to 20 million people per year [1]. Progress achieved in cardiac surgery and cardiac diagnosis allows for a significant reduction in the risk of surgery and postoperative mortality in patients. However, the evaluation of the result of the operation should not focus only on the effectiveness of the surgery itself. Treatment of cardiac surgery patients should also take into account how will they function in everyday life situations after the surgery