Samoocena obciążenia układu mięśniowo-szkieletowego pielęgniarek zatrudnionych w oddziałach zachowawczych i zabiegowych

Introduction. Work-related musculoskeletal disorders (WMSDs) all over the world are a frequent cause of illness affecting people working especially in the health sector. In the medical professions, nursing staff experiences negative impact of work on the motor system to the highest degree.Aim. The aim of the work is to assess the extent of disability of nursing staff exposed to excessive strain on the spine as measured by the Oswestry Disability Index.Material and Methods. The study involved 50 nurses employed in surgical (32%) and conservative (68%) departments. The study used the method of a diagnostic survey, and the Oswestry Disability Index questionnaire was the research tool. The collected material was subjected to statistical analysis.Results. Women accounted for nearly 98% of the respondents. The average age of the respondents was over 46 years (46 years and 3 months). The results of the study showed that the occurrence of pain in the spine adversely affects the functional performance, in particular the social life (p=0.0004) and lifting (p=0.036). The average disability score at the Oswestry scale was 25.88%, which indicates a moderate disability of the respondents.Conclusions. Pain in the spine significantly affects the functional capacity of the subjects. This problem is particularly common among nursing staff. (JNNN 2018;7(4):155–159)Wstęp. Na całym świecie dolegliwości mięśniowo-szkieletowe związane z pracą (WMSDs) są częstą przyczyną zachorowań dotykającą osoby pracujące zwłaszcza w sektorze służby zdrowia. Wśród zawodów medycznych to personel pielęgniarski jest najbardziej narażony na negatywne oddziaływanie pracy zawodowej na układ ruchu.Cel. Celem pracy jest ocena zakresu niepełnosprawności personelu pielęgniarskiego narażonego na nadmierne obciążenia kręgosłupa mierzona za pomocą narzędzia Oswestry Disability Index.Materiał i metody. W badaniu uczestniczyło 50 pielęgniarek zatrudnionych w oddziałach zabiegowych (32%) oraz zachowawczych (68%). W badaniach zastosowano metodę sondażu diagnostycznego, a narzędziem badawczym był kwestionariusz Oswestry Disability Index. Zebrany materiał poddano analizie statystycznej.Wyniki. Blisko 98% ankietowanych stanowiły kobiety. Średnia wieku badanych wyniosła ponad 46 lat (46 lat i 3 miesiące). Wyniki badań wykazały, iż występowanie dolegliwości bólowych kręgosłupa w sposób negatywny wpływa na wydolność funkcjonalną, a w szczególności na prowadzenie życia towarzyskiego (p=0,0004) oraz dźwiganie (p=0,036). Średni wynik niepełnosprawności w skali Oswestry wyniósł 25,88%, co świadczy o umiarkowanej niesprawności respondentów.Wnioski. Dolegliwości bólowe kręgosłupa w sposób znaczący wpływają na wydolność czynnościową badanych. Problem ten jest szczególnie powszechny wśród personelu pielęgniarskiego. (PNN 2018;7(4):155–159

Successive stages of calcitization and silicification of Cenomanian spicule-bearing turbidites based on microfacies analysis, Polish Outer Carpathians

Mid-Cretaceous turbidites with large proportions of sponge spicules are widely distributed in the Silesian Nappe of the Outer Carpathians, giving rise to diversified types of sediments, from spiculites to spicule-bearing siliciclastics and calcarenites. Part of this succession, Middle–Late Cenomanian in age, was transformed into cherts. A microfacies study showed that these turbidite sediments underwent several stages of calcitization and silicification, which took place during Mid-Cretaceous times in different sedimentary environments, i.e., on a northern shelf bordering the Silesian Basin and on a deep sea floor. The first diagenetic changes were related to changes to the biotic components of the turbidite layers, dominated by siliceous sponge spicules. This process, which took place in the spiculitic carbonate mud on the shelves, was related to the calcitization of sponge spicules. Calcareous clasts and calcified skeletal elements also were corroded by bacteria. After transportation down the slope, the biogenic and siliciclastic particles were deposited below the carbonate compensation depth. Taphonomic processes on the basin floor and alternating phases of carbonate and silica cementations, recrystallization and dissolution occurred in these sediments and were related to the diversification in composition of successive turbidite layers. Silicification was related to the formation of quartz precipitates as fibrous chalcedony or microcrystalline quartz, which were derived from the earlier dissolution of amorphous silica, originating mostly from siliceous sponge spicules and radiolarian skeletons. However, a source of silica from hydrothermal vents was also possible. The initial silica precipitation could have taken place in a slightly acidic environment, where calcite was simultaneously dissolved. A number of silicification stages, visible as different forms of silica precipitate inside moulds after bioclasts, occur in the particular turbidite layers. They were related to changes in various elements of the pore-water profile after descending turbidity-current flows. A very low sedimentation rate during the Middle–Late Cenomanian in the Silesian Basin may have favoured the sequence of initial calcitization and silicification stages of the turbidite sediments

Psychological description at depression in combat sports - on the example of male judo

Wojdat Marta, Janowska Patrycja, Pujszo Małgorzata, Stępniak Robert, Wolska Beata. Psychological description at depression in combat sports - on the example of male judo. Journal of Education, Health and Sport. 2017;7(8):256-266. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.846916 http://ojs.ukw.edu.pl/index.php/johs/article/view/4723 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 2017; 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 (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/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: 01.08.2017. Revised: 02.08.2017. Accepted: 22.08.2017. Psychologiczne spojrzenie na depresję w sportach walki - na przykładzie judo mężczyzn Psychological description at depression in combat sports - on the example of male judo Wojdat Marta1, Janowska Patrycja1, Pujszo Małgorzata1, Stępniak Robert2, Wolska Beata3 1 Studenckie Koło Naukowe "WyKoNa", Uniwersytet Kazimierza Wielkiego, Bydgoszcz, Polska 2 Instytut Kultury Fizycznej, Uniwersytet Kazimierza Wielkiego, Bydgoszcz, Polska 3 Zakład Sportów Walki Akademia Wychowania Fizycznego i Sportu, Gdańsk, Polska Corresponding author: Stępniak Robert Ph. D Instytut Kultury Fizycznej, Uniwersytet Kazimierza Wielkiego, ul. Sportowa 2, 85-091 Bydgoszcz Polska email: [email protected] Słowa kluczowe: depresja, pozycja społeczna, zawodnicy judo Keywords: depression, social position, judo fighters Streszczenie Celem pracy było opisanie stanu depresji w środowisku osób trenujących judo w sposób profesjonalny bądź zawodowy, oraz znalezienie ewentualnych związków pomiędzy depresją a karierą sportową i funkcjonowaniem w społeczeństwie tej grupy sportowców. Badania wykazały istotnie niższy stopień depresji w środowisku judoków, związki tego zjawiska w funkcjonowaniem społecznym oraz brak związku z jakością kariery sportowej. Abstract The aim of the study was to describe the level of depression in judo practitioners - (professional and recreational) and to find possible associations between depression and sports careers and the social functioning of this group of athletes. Studies have shown a significantly lower level of depression in the judo group, and the dependence of this phenomenon with social functioning, and a lack of association depression with quality of athletic career

Progressive bronchiectasis and CMC in a patient with STAT1 GOF — a rare case of primary immunodeficiency

Bronchiestasis is a common complication developing in patients with primary immunodeficiency disorders. AD GOF STAT1 defi-ciency is characterized by CMC, repeated infections, and autoimmunity. It is the most frequently diagnosed entity in a group of PIDs with CMC. Here, we present the first Polish case of a female patient with early-onset bronchiestasis accompanied by CMC and a severe course of infections who was genetically diagnosed with AD GOF1 STAT1 mutation at the age of 15

Altered coronary artery function, arteriogenesis and endothelial YAP signaling in postnatal hypertrophic cardiomyopathy

Introduction: Hypertrophic cardiomyopathy (HCM) is a cardiovascular genetic disease caused largely by sarcomere protein mutations. Gaps in our understanding exist as to how maladaptive sarcomeric biophysical signals are transduced to intra- and extracellular compartments leading to HCM progression. To investigate early HCM progression, we focused on the onset of myofilament dysfunction during neonatal development and examined cardiac dynamics, coronary vascular structure and function, and mechano-transduction signaling in mice harboring a thin-filament HCM mutation.Methods: We studied postnatal days 7–28 (P7–P28) in transgenic (TG) TG-cTnT-R92Q and non-transgenic (NTG) mice using skinned fiber mechanics, echocardiography, biochemistry, histology, and immunohistochemistry.Results: At P7, skinned myofiber bundles exhibited an increased Ca2+-sensitivity (pCa50 TG: 5.97 ± 0.04, NTG: 5.84 ± 0.01) resulting from cTnT-R92Q expression on a background of slow skeletal (fetal) troponin I and α/β myosin heavy chain isoform expression. Despite the transition to adult isoform expressions between P7–P14, the increased Ca2+- sensitivity persisted through P28 with no apparent differences in gross morphology among TG and NTG hearts. At P7 significant diastolic dysfunction was accompanied by coronary flow perturbation (mean diastolic velocity, TG: 222.5 ± 18.81 mm/s, NTG: 338.7 ± 28.07 mm/s) along with localized fibrosis (TG: 4.36% ± 0.44%, NTG: 2.53% ± 0.47%). Increased phosphorylation of phospholamban (PLN) was also evident indicating abnormalities in Ca2+ homeostasis. By P14 there was a decline in arteriolar cross-sectional area along with an expansion of fibrosis (TG: 9.72% ± 0.73%, NTG: 2.72% ± 0.2%). In comparing mechano-transduction signaling in the coronary arteries, we uncovered an increase in endothelial YAP expression with a decrease in its nuclear to cytosolic ratio at P14 in TG hearts, which was reversed by P28.Conclusion: We conclude that those early mechanisms that presage hypertrophic remodeling in HCM include defective biophysical signals within the sarcomere that drive diastolic dysfunction, impacting coronary flow dynamics, defective arteriogenesis and fibrosis. Changes in mechano-transduction signaling between the different cellular compartments contribute to the pathogenesis of HCM

Comparative analysis of the level of aggression between the women practicing judo and Brazilian jiu-jitsu

Aim: Comparison of the level of aggression between the women practicing judo and Brazilian jiu-jitsu against the average aggression level among Polish women. Materials and methods: A group of 30 women practicing judo and a group of 27 women practicing jiu-jitsu were tested by using a questionnaire to show the aggression level- ‘Aggression questionnaire’ by Buss, Amity Institute with Polish adaptations. Results: The total decreasing in the aggression level was observed among the group of women practicing judo and partial among women practicing Brazilian jiu-jitsu. Conclusion: A longstanding practice of Brazilian jiu-jitsu by women results in decreasing of aggression level, what can be later used during planning therapeutic schemes

Predicting survival in out-of-hospital cardiac arrest patients undergoing targeted temperature management: The Polish Hypothermia Registry Risk Score

Background: Prompt reperfusion and post-resuscitation care, including targeted temperature management(TTM), improve survival in out-of-hospital cardiac arrest (OHCA) patients. To predict inhospital mortality in OHCA patients treated with TTM, the Polish Hypothermia Registry Risk Score (PHR-RS) was developed. The use of dedicated risk stratification tools may support treatment decisions.Methods: Three hundred seventy-six OHCA patients who underwent TTM between 2012 and 2016 were retrospectively analysed and whose data were collected in the Polish Hypothermia Registry. A multivariatelogistic regression model identified a set of predictors of in-hospital mortality that were used to develop a dedicated risk prediction model, which was tested for accuracy.Results: The mean age of the studied population was 59.2 ± 12.9 years. 80% of patients were male, 73.8% had shockable rhythms, and mean time from cardiac arrest (CA) to cardiopulmonary resuscitation (CPR) was 7.2 ± 8.6 min. The inputs for PHR-RS were patient age and score according to the Mild Therapeutic Hypothermia (MTH) Scale. Criteria for the MTH score consisted of time from CA to CPR above 10 min, time from CA to the return of spontaneous circulation above 20 min, in-hospital CA, unwitnessed CA, and non-shockable rhythm, each counted as 1 point. The predictive value of PHR-RS was expressed as an area under the curve of 0.74.Conclusions: PHR-RS is one of the simplest and easiest models to use and enables a reliable prediction of in-hospital mortality in OHCA patients treated with TTM