A child with vitiligo

Vitiligo is a chronic skin condition which affects 0,5-2% of the world’s population, without any sex or ethnical predilection. Clinically it is characterized by the development of well-defined depigmented macules. Although its etiopathogenesis is exquisitely compound and remains not fully anderstood, it is known that it results from the destruction of melanocytes present in the skin. The aim of this paper is to present vitiligo clinical picture in a children population, its etiopathogenesis and available therapeutical methods. There are many therapeutic options for vitiligo, none of which is fully effective, hence appropriate patients education concerning various medical and cosmetic therapies, as well as the psychological aspects of the disease, is extremely important

Depression in the elderly as a significant clinical problem

Introduction: Depression is a very common mental disorder among older people. It limits life activity and interests. It causes difficulties in making decisions or actions. It introduces somatic and emotional changes, which in older people becomes a problem on a large scale. Diagnosis of depressive disorders has very high clinical value.Depression is often associated with chronic diseases that often accompany the elderly. Material and Methods: The paper reviews literature using the EBSCO and Google Scholar databases. Articles have been analyzed using the keywords depression, depression of the elderly, care for the elderly, treatment of depression, diagnosis of depression, clinical symptoms. The article presents depression as a problem among older people, its symptoms, treatment and care for such people. Results: Treatment of depressive disorders is based on pharmacology and psychotherapy. Care and the presence of loved ones are very important. Commitment to physical activity improves emotional balance. Conclusions: Depression in older people creates a problem in terms of diagnosis and clinical aspect. Depression reduces the quality of life, which means that older people cannot perform basic life activities on their own. Reduces motivation and interest in the environment. Correct diagnosis enables quick implementation of treatment that will allow you to recover. Key words: depression, treatment, care, old age, diagnosis, epidemiology, SSRI, NSRI, helplin

Peripheral nerves electrostimulators. Technical Specifications

Admission The first successful attempt to use stimulants neuro modulation properties date back to the first half of the twentieth century. Due to the high technological limitations, the use of peripheral nerve electrostimulators the early eighties XX century was relatively small and involved few patients treated primarily due to neuropathic pain and patients psychosurgical. The development of modern batteries in the eighties of the twentieth century, standardization and implementation process to achieve consensus on the guidelines for operations in the field of functional neurosurgery, they contributed to intensified "Renaissance" functional neurosurgery. Material and methods Articles in the EBSCO database were analyzed using the keywords: peripheral nerves, stimulation, electrostimulation, neurosurgery. Furthermore, neural searched betting sites in terms of the technical aspects of this equipment. Available literature was subjectively selected. Then searched the latest version of each article. Results Offered different tools offered technical specifications. Technological developments have allowed the convenience to use devices, min. by increasing control by the user or representative of the operation of the pacemaker. Conclusions The development of technology and neuroscience neurostymulatorów resulted in the development of many available on the market. However, more research is needed to determine the exact parameters of stimulation, which would get the largest size stimulation effect while minimizing adverse effects

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

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

Rehabilitation in scoliosis - an overview of the most important procedures

Introduction: Scoliosis is defined as deformation of the spine and torso in three dimensions. Study show that scoliosis affects 68% of healthy individuals over 65 years of age with no low back pain. The aim of this article is to review the available scoliosis rehabilitation methods, including the newest physical rehabilitation trends. Material and methods: Articles in the Google Scholar, Pub Med database have been analysed using keywords: scoliosis, deformation of the spine and torso, modern methods of rehabilitation, older people. Results: After skeletal maturity, curves less than 30°do not progress, however most curves greater than 50°continue to progress with approximate change of 1°per year. Bracing is one of the most popular options of scoliosis treatment. Braces usage aims to slow the progression of the curve. However, complications resulting from the physical changes caused by the compression of the body and/or psychological effects due to the disturbance of the appearance while wearing the brace may occure. The Lehnert-Schroth three-plane corrective breath method principles are: a proper breathing technique where the ribs are used as levers and the breath is directed to the unstretched parts of lungs allowing correction of the curvature of the spine, and secondly activation of non-working muscles on the side of the concave curvature. Nevertheless, surgical procedure is advised for curves greater than 45° in immature patients and greater than 50° in mature patients. Conclusions: Scoliosis, defined as spinal and torso deformity in three planes. 80% of all cases of this postural defect are juvenile idiopathic scoliosis (AIS). However, degenerative scoliosis developed during the patient’s life due to the degeneration of the discs of the spine is frequent in people over the age of 65. It often limits daily functioning and can cause severe pain that requires medical intervention. It has been proven that properly selected systematic rehabilitation may lead to significant improvement in the spinal alignment. Nevertheless, in severe cases surgical treatment may be necessary

The impact of artificial sweeteners on the risk and course of large intestinal adenocarcinoma in the elderly

There are many confirmed risk factors for development of the colorectal cancer, which is one of the most common malignant tumor among both females and males. Moreover, it is a cause of significant percentage of all cancer-related deaths. Even with treatment, the 5-year survival rate is very low. We concentrate on impact of artificial sweeteners on risk and course of adenocarcinoma of colon

Management of stress incontinence in older women

Introduction: Stress incontinence is a problem increasingly affecting older people. This discomfort has an impact on women as a greater extent. Stress urinary incontinence is described as involuntary leakage of urine during even minor efforts: sneezing, coughing, rapid gait. At the beginning inconspicuous loss of a few drops of urine is often not alarming for women. The problem is significant because women often go to a specialist very late and the reason for this is shame. Many people think that this is an accident of old age and it can’t be stopped. Nothing could be more wrong, it can be dealt with. Material and methods: Articles in the EBSCO database have been analysed using keywords: stress incontinence, problems of old age, physiotherapy in urology, older women. Results: The incidence of stress incontinence in women increases with age. The main reason is muscular weakness, which is caused, among other things by pregnancies and labours. Another reason may be hormonal disorders and genetic predisposition. Statistics show that obese women are more likely to suffer from SUI. The progress of medicine and pharmacology is also increasingly effective in the treatment of stress urinary incontinence. First, after finding the problem, conservative treatment is introduced. Treatment is adapted to each patient individually. Age, existing diseases, weight are important factors in the process of treatment. In pharmacology Duloxetine is used. The use of this drug does not completely eliminate the symptoms of stress urinary incontinence. Due to the possibility of side effects i.e. nausea, the drug is used very carefully. In recent years, physiotherapy has been highly valued in the treatment of stress urinary incontinence. The most important is kinesitherapy here. Strengthening the pelvic floor muscles brings the most beneficial effects. Active exercises are supported by: electrostimulation, magnetotherapy and vibro-therapy. The final form of SUI treatment is surgical treatment. However, this do not always bring the expected results. In order to increase the effectiveness of therapy for patients with SUI, the interdisciplinary cooperation of the medical team should be used. Treatment of stress urinary incontinence primarily leads to improved quality of life for patients. Conclusions: Urinary incontinence is a social disease. Women struggle with this problem twice as often than men. Stress incontinence accounts for 63% of all forms of urinary incontinence in women in Poland. The incidence of incontinence increases with age. Problems with stress urinary incontinence become a reason for isolation from society. The patients are not aware of the treatment possibilities, which often results in late inclusion of treatment and rehabilitation. There is a wide range of SUI treatment options. Therefore it is necessary to personalise rehabilitation process to best fit to each patient. Keywords: stress incontinence, problems of old age, physiotherapy in urology, older women

A person with diabetes as a patient - basic rules of conduct

BACKGROUND: Diabetes is very widespread disease. More and more patients suffer from hyperglycaemia and low levels of insulin because of obesity, aging and wrong diet. The most important in treatment based on health condition is to normalize glucose level. It is recommended to treat patients to avoid many complications of hyperglycaemia, e.g. cardiovascular diseases, stroke episodes, neuropathy or nephropathy. The most common cause of death are cardiovascular problems and renal failure. MATERIAL AND METHODS: A proper review of published literature provide to define laboratory indexes, risk factors, complications to precise methods of treatment among patients with diabetes. RESULTS: The problem of growing number of people suffering from diabetes is an important issue to find solutions to conduct their treatment. Basic method is a change of diet and body loss. The most important medicament in treatment is metformin. To achieve the best results of conducting therapy should be extended by pioglitazone or liraglutide. Also addition of aspirin lower dyslipidemia problems. Such a combination provides to minimise side effects of sickness. CONCLUSIONS: Number of people suffering from DM is still and will be growing over the next years. It is significant to diagnose these people because untreated diabetes provides to many complications e.g. stroke or acute coronary syndrome. It is important to examine patients correctly what allows to turn on correct treatment. Basic standards in treatment should contain lower glucose levels, avoid complications to enhance life quality. . Expanded therapy is also concentrated on hypertension, acidosis and ketoacidosis coma to obtain beneficial effects

Care for an elderly person after lower limb amputation

Introduction: Although currently less major amputation is performed, due to more effective revascularization and endovascular treatment, limbs amputations are still necessary and commonly used as a therapeutic method. Amputation of the lower limb is associated with long-term hospitalization, treatment, rehabilitation and a high level of mortality among older people. For the elderly, additionally suffer from number of chronic diseases, who for various reasons amputation of the limb is the only possible treatment option, recommendations regarding further care after such surgery are important. Results: Causes of lower limb amputation include ia. non-traumatic reasons like diabetes or infection and traumatic ones. Frequency of removal of the lower limb, regardless of its reason is estimated about 5.6 to 600 per 100,000 people and the percentage is about 20 times higher in diabetes-suffering people than in non-diabetic. In the case of this disease, amputations mainly concern men over 60 years of age, as well as people who have been subject to hospital treatment many times. Care for a patient who is prepared to amputation procedure include pre- and post-operative rehabilitation, prosthesis of amputated limb, psychological care, patient education and also pharmacotherapy. It is important to give to patient enoxaparin to reduce thromboembolic risk. To increase quality of life after amputation it is important to provide adequate nursing care. Discussion: Other overlooked diseases, which can lead to lower limb amputation are ia. Charcot disease. Proper diagnosis, differentiation and treatment process is extremely important cause can allow patient to avoid the amputation. Conclusion: Gathered recommendations for correct, high-quality, multi-faceted medical care for patients after amputation of the lower limb will improve the quality of medical services for this group of patients