Functional assessment of people practicing Brazilian martial art – Capoeira

Introduction: Due to the growing interest in the subject of health and fitness in the general public, people began to reach for various forms of self-improvement. One of these methods is Capoeira, which is becoming increasingly popular among all age groups and genders. It combines elements of both a fight and a dance. It’s mainly based on kicks, dodges and acrobatics.Aim: The main goal of the study was to conduct a functional assessment of people practicing the Brazilian martial art – Capoeira, and an assessment of the risk of injury.Materials and methods: A total of 25 people were tested in two groups of 13 and 12 people each. The first group consisted of people between the ages of 19 and 43 (mean age 30.92±7.99) who have trained Capoeira for at least one year. The second group was a control group and consisted of people from 21 to 49 years of age (mean age 36.08±10.09) exercising regularly.Results: In the Capoeira group consisting of 13 people, the average final score of the FMS test was 16 points out of 21 achievable. The average score of a control group is 14.5 points. According to the FMS test, 41.67% of people in the non-Capoeira group are at increased risk of injury in sports, while in the Capoeira group of people there is no increased risk of injury (p=0,035).Conclusions: Capoeira group achieved significantly higher results in FMS. According to FMS, Control group showed an increased risk of injury. In the group of active people who did not train martial arts, almost half were characterized by an increased risk of injury

Opinion of medical students on the role of a physiotherapist in providing health services

Introduction. An extremely important aspect of the efficient work of the therapeutic team is the knowledge of the rights and the range of tasks of each specialist who is part of it. In order to increase the efficiency of the physiotherapist's activity in the treatment and rehabilitation of patients, on September 25, 2015, the Act on the Physiotherapist's profession was passed. Despite the fact that the Act is more than 3 years old, there are no reports on the awareness and opinions of medical circles about it. Objective of the study. The aim of the study was to examine the opinions of future doctors - students of the 4th, 5th and 6th year of the medical faculty on the role of a physiotherapist in providing health services. Material and methods. 225 people from several medical schools in Poland (144 women and 81 men) took part in the survey. The questionnaire was based on the Physiotherapist Act and included questions about the students' opinions on the physiotherapists’ rights, their role and competence in the rehabilitation process. Results. A significant proportion of future doctors do not have full knowledge of some of the physiotherapist's rights and the range of tasks. As many as 48.8% of the respondents disagree or have no opinion on the physiotherapist's possibility to refuse to perform the services ordered by a physician. Almost every third person thinks that physiotherapists do not have enough knowledge to conduct the functional diagnosis of the patient. According to 29.3% of respondents, a physiotherapist can not expect a physician to justify an order for physiotherapy. On the other hand, the vast majority of the study group believes that the physiotherapist should look after the patient from the first day after the surgery and consider the physiotherapist an inseparable part of the therapeutic team. As many as 84% of students want to cooperate with a physiotherapist in the future. Conclusions. 1. A significant percentage of students of medicine estimate the competences and skills of physiotherapists to be lower than guaranteed by the Act on the Profession of Physiotherapy. 2. The awareness of students of medicine regarding the competences of physiotherapists set out by the Act is insufficient, which may decrease the efficiency of a healthcare team. 3. Students of medicine consider the role of physiotherapists in the process of treatment and recovery of patients significant

The LiaFSR-LiaX System Mediates Resistance of Enterococcus faecium to Peptide Antibiotics and to Aureocin A53- and Enterocin L50-Like Bacteriocins

Multidrug-resistant Enterococcus faecium strains are currently a leading cause of difficult-to-treat nosocomial infections. The emerging resistance of enterococci to last-resort antibiotics, such as daptomycin, prompts a search for alternative antimicrobials. Aureocin A53- and enterocin L50-like bacteriocins are potent antimicrobial agents that form dapto�mycin-like cationic complexes and have a similar cell envelope-targeting mechanism of action, suggesting their potential as next-generation antibiotics. However, to ensure their safe use, the mechanisms of resistance to these bacteriocins and cross-resistance to anti�biotics need to be well understood. Here, we investigated the genetic basis of E. faecium’s resistance to aureocin A53- and enterocin L50-like bacteriocins and compared it with that to antibiotics. First, we selected spontaneous mutants resistant to the bacteriocin BHT-B and identified adaptive mutations in the liaFSR-liaX genes encoding the LiaFSR stress response regulatory system and the daptomycin-sensing protein LiaX, respectively. We then demonstrated that a gain-of-function mutation in liaR increases the expression of liaFSR, liaXYZ, cell wall remodeling-associated genes, and hypothetical genes involved in protection against various antimicrobials. Finally, we showed that adaptive mutations or overexpression of liaSR or liaR alone results in cross-resistance to other aureocin A53- and enterocin L50-like bacteriocins, as well as antibiotics targeting specific components of the cell envelope (daptomycin, ramoplanin, gramicidin) or ribosomes (kanamycin and gentamicin). Based on the obtained results, we concluded that activation of the LiaFSR�mediated stress response confers resistance to peptide antibiotics and bacteriocins via a cascade of reactions, eventually leading to cell envelope remodeling

The effect of smoking and physical activity level on exercise capacity in older adults

Introduction: Exercise capacity is highly age-dependent and influenced by factors such as physical activity level and smoking. The aim of the study was to analyze the relationship between physical activity level, smoking and exercise capacity in people over 60 years of age. Materials and methods: The study involved 100 participants (50 female and 50 male) over 60 years of age (mean age 68.2 years). Based on the answers provided to a questionnaire about smoking and physical activity level, participants were divided into four groups: exercising non-smokers, exercising smokers, non-exercising non-smokers, and non-exercising smokers. Each group consisted of 25 subjects. Exercise capacity was measured using the 6-minute walk test and the Borg scale. Results: Intergroup comparison showed statistically significant differences between the average results of each group, both in the 6-minute walk test (p=0.010) and on the Borg scale (

Assessment of the muscular strength of the global handgrip and physical activity in patients treated with renal replacement therapy (RRT) by hemodialysis

Introduction Chronic Kidney Disease (CKD) is a social problem. Hemodialysis is the most common method of renal replacement therapy. At the beginning of hemodialysis treatment, physical activity is reduced by 50-60%. The aim of the study was to compare physical activity, handgrip strength and selected anthropometric parameters, and to assess the relationship between handgrip strength, selected anthropometric parameters and the level of physical activity. Material and methods The study included 30 patients aged 65.92 ± 14.65 treated by hemodialysis. The study consisted of patients completing a proprietary survey questionnaire, assessing physical activity using the International Physical Activity Questionnaire (IPAQ), handgrip strength, and performing selected anthropometric measurements. The examinations were performed at baseline (E0) and after three months of hemodialysis (E3) treatment and the results were compared. Results There were no significant differences in the study group for physical activity and global handgrip strength at baseline and after three months of the study. There was no statistically significant differences beetwen physical activity and handgrip strength in study and control group. Conclusions Patients treated with renal replacement present less physical activity compared to people with normal kidney function. The BMI value and level of physical activity does not affect the handgrip strength in hemodialysis patients

An assessment of the impact of physical activity undertaken by patients with gestational diabetes mellitus on neonatal birth weight

Maziarz Agata, Ogonowski Jarosław, Szylińska Aleksandra, Wiatrak Adrian, Turoń-Skrzypińska Agnieszka, Rotter Iwona. An assessment of the impact of physical activity undertaken by patients with gestational diabetes mellitus on neonatal birth weight. Journal of Education, Health and Sport. 2018;8(12):169-183. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.2064733 http://ojs.ukw.edu.pl/index.php/johs/article/view/6358 https://pbn.nauka.gov.pl/sedno-webapp/works/890559 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 2018; 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: 18.11.2018. Revised: 25.11.2018. Accepted: 08.12.2018. An assessment of the impact of physical activity undertaken by patients with gestational diabetes mellitus on neonatal birth weight Agata Maziarz1, Jarosław Ogonowski2, Aleksandra Szylińska1, Adrian Wiatrak1, Agnieszka Turoń-Skrzypińska1, Iwona Rotter1 1. Department of Medical Rehabilitation and Clinical Physiotherapy, Pomeranian Medical University in Szczecin, Poland 2. Autonomous Laboratory for Diseases of Civilization and Obesity Treatment, Pomeranian Medical University in Szczecin, Poland Abstract Background Recent years have seen a growing interest in the physical activity of pregnant patients and its effects on obstetric outcomes. Apart from its positive influence on healthy pregnant patients, moderate physical effort also plays an important role in therapeutic procedures in women diagnosed with gestational diabetes mellitus. The aim of this paper was to assess the link between daily physical activity of patients diagnosed with gestational diabetes mellitus and neonatal birth weight. Material, patients and methods- The study group included 100 patients with gestational diabetes mellitus (GDM) between 26 and 32 weeks’ gestation. Their physical activity was assessed using the International Physical Activity Questionnaire (IPAQ), the Pregnancy Physical Activity Questionnaire (PPAQ) and a pedometer. Results No significant correlation between neonatal birth weight and the parameters describing the type and intensity of physical activity was shown. Neonatal birth weight correlated positively with pregravid BMI of the pregnant patient. A negative correlation was identified between gestational weight gain and pregravid BMI. Conclusion There was no relationship between daily physical activity during pregnancies complicated by diabetes mellitus and neonatal birth weight. Maternal pregravid weight was found to be an important parameter affecting the infant’s weight. Key words: birth weight, physical activity, gestational diabetes mellitu

Evaluation of effort tolerance in diabetic and non-diabetic patients undergoing cardiac rehabilitation after cardiac surgery

Introduction: Complex cardiac rehabilitation is a basic procedure of therapeutic treatment for patients after cardiac surgeries. The course of operations depends on many factors. The aim of this article is to investigate connections between type 2 diabetes and results of 6-minute walk test among patients after cardiac surgery. Materials and methods: This research was conducted among 111 patients who had cardiac surgery. Those patients were qualified to stay at a stationary cardiac rehabilitation facility. They were divided into two groups: patients with and without diabetes. In the analysis, patients’ medical data and 6-minute walk test results before and after complex rehabilitation were taken into consideration. Results: On the basis of our analysis it was found that patients who have diabetes achieve worse results of 6-minute walk test before (OR=0.995; p=0.005) and after (OR=0.994, p=0.006) complex cardiac rehabilitation in comparison with patients without diabetes. Conclusions: Type 2 diabetes has impact on physical effort tolerance among patients after cardiac surgery. Despite improvement of 6-minute walk test results thanks to complex cardiac rehabilitation, patients with type 2 diabetes walked shorter distance than patients without diabetes

The influence of physical activity on the mood of people subjected to standard rehabilitation after cardiac surgery

Introduction: The aim of this study was to assess the correlation between standard post-operational early rehabilitation and compare the differences between mood before and after rehabilitation. Materials and methods: 51 people were examined. The study group included patients from the Department of Cardiac Surgery, SPSK No. 2, PUM in Szczecin. The data was collected using a standardized UMACL scale and an original survey to collect basic data. On the UMACL scale, there are three mood determinants: Hedonic Tone (HT), Tense Arousal (TA) and Energy Arousal (EA). A high level of Hedonic Tone and Energy Arousal as well as low Tense Arousal are considered a good mood. The respondents first filled the UMACL scale questionnaire, then proceeded to a 10-minute drive on the rotor. After completing physical activity, they again completed the same UMACL scale. The obtained results were subjected to statistical analysis. Results: Energy Arousal and Hedonic Tone values increased, and Tense Arousal values decreased in post-operative patients. Conclusions: Even short, one-off physical activity has a positive effect on the mood in cardiac surgery patients

An assessment of the impact of physical activity undertaken by patients with gestational diabetes mellitus on neonatal birth weight

Background Recent years have seen a growing interest in the physical activity of pregnant patients and its effects on obstetric outcomes. Apart from its positive influence on healthy pregnant patients, moderate physical effort also plays an important role in therapeutic procedures in women diagnosed with gestational diabetes mellitus. The aim of this paper was to assess the link between daily physical activity of patients diagnosed with gestational diabetes mellitus and neonatal birth weight. Material, patients and methods- The study group included 100 patients with gestational diabetes mellitus (GDM) between 26 and 32 weeks’ gestation. Their physical activity was assessed using the International Physical Activity Questionnaire (IPAQ), the Pregnancy Physical Activity Questionnaire (PPAQ) and a pedometer. Results No significant correlation between neonatal birth weight and the parameters describing the type and intensity of physical activity was shown. Neonatal birth weight correlated positively with pregravid BMI of the pregnant patient. A negative correlation was identified between gestational weight gain and pregravid BMI. Conclusion There was no relationship between daily physical activity during pregnancies complicated by diabetes mellitus and neonatal birth weight. Maternal pregravid weight was found to be an important parameter affecting the infant’s weight

Post-Stroke Outcomes of Patients with Chronic Obstructive Pulmonary Disease

Introduction: Research has shown that patients with ischemic stroke and coexisting obstructive respiratory disorders have worse clinical status on admission and increased long-term mortality. Patients with chronic obstructive pulmonary disease (COPD) are at increased risk of stroke, and the risk is even greater after exacerbation of COPD. Moreover, COPD and stroke share major risk factors, which are advancing age and smoking. The aim of this study was to analyze the incidence of complications and mortality in acute ischemic stroke (AIS) patients with and without COPD. Material and methods: We analyzed prospectively collected data of 1022 patients with acute is-chemic stroke hospitalized in a district general hospital. The patients were divided into two groups—with coexisting COPD and without COPD. Results: Logistic regression analysis, which allowed for potential confounders, showed an association between coexisting COPD and the fol-lowing complications in acute ischemic stroke patients: heart failure (OR = 1.879, p = 0.048), atrial fibrillation (OR = 4.746, p = 0.012), delirium (OR = 2.803, p < 0.001), pneumonia (OR = 2.424, p = 0.005), bronchospasm (OR = 3.400, p = 0.023), and out-hospital mortality (OR = 2.656, p = 0.001). Conclusion: Patients presenting with acute ischemic stroke and coexisting COPD significantly more often had cardiac and pulmonary complications, as well as delirium following stroke. In a long-term follow-up, the probability of one-year survival was significantly lower in AIS patients with co-existing COPD