Compression therapy in venous diseases : physical assumptions and clinical effects

Compression therapy (CT) is an established treatment method in chronic venous disease. Despite years of clinical experience, choosing the optimum compression therapy, including grade and pressure distribution, which determine the efficacy of treatment poses a challenge. The paper discusses CT physical assumptions (stiffness, elasticity, static and dynamic stiffness indices), clinical effects and contraindications to CT

Cardiovascular complications in secondary hyperparathyroidism — specific changes, prevention and treatment

Częstość występowania przewlekłej choroby nerek (PChN) jest wysoka i stale wzrasta. Wiąże się to ze zmianami demograficznymi i epidemią chorób cywilizacyjnych takich jak cukrzyca, nadciśnienie tętnicze, otyłość. W miarę utraty czynnego miąższu nerek narasta ilość powikłań towarzyszących tej chorobie. Jednym z najczęstszych jest rozwój wtórnej nadczynności przytarczyc, która stymuluje pojawianie się powikłań sercowo-naczyniowych. W pracy przedstawiono czynniki ryzyka powstania zmian naczyniowych we wtórnej nadczynności przytarczyc, najczęstszego rodzaju histologicznych układu sercowo-naczyniowego, oraz zasady profilaktyki i leczenia wtórnej nadczynności przytarczyc.The incidence of chronic kidney diseases (CKD) is high and still growing. It is connected with demographic changes, as well as epidemics of civilization-related diseases, such as diabetes, arterial hypertension, obesity. As the active renal parenchyma is lost, the amount of complications accompanying the disease increases. One of the most frequent complications is the development of secondary hyperparathyroidism, which stimulates the occurrence of cardiovascular complications. The authors of the study presented risk factors for vascular lesions in secondary hyperparathyroidism, the most frequent type of histological lesions in the cardiovascular system, as well as the principles for prevention and treatment of secondary hyperparathyroidism

Selected physical medicine interventions in the treatment of diabetic foot syndrome

The diabetic foot syndrome (DFS) is among chronic complications of diabetes mellitus; it can affect individuals with both type 1 and type 2 diabetes. Diabetic patients have up to a 25% lifetime risk of developing DFS, which is both a medical and social problem. Several studies have indicated that, apart from pharmacotherapy and modern active wound dressings, physical medicine also has a role in prevention and management of diabetic foot ulcers. The paper presents physical medicine interventions most recognized in the conservative management of DFS.The diabetic foot syndrome (DFS) is among chronic complications of diabetes mellitus; it can affect individuals with both type 1 and type 2 diabetes. Diabetic patients have up to a 25% lifetime risk of developing DFS, which is both a medical and social problem. Several studies have indicated that, apart from pharmacotherapy and modern active wound dressings, physical medicine also has a role in prevention and management of diabetic foot ulcers. The paper presents physical medicine interventions most recognized in the conservative management of DFS

Selected physical medicine interventions in the treatment of diabetic foot syndrome

The diabetic foot syndrome (DFS) is among chronic complications of diabetes mellitus; it can affect individuals with both type 1 and type 2 diabetes. Diabetic patients have up to a 25% lifetime risk of developing DFS, which is both a medical and social problem. Several studies have indicated that, apart from pharmacotherapy and modern active wound dressings, physical medicine also has a role in prevention and management of diabetic foot ulcers. The paper presents physical medicine interventions most recognized in the conservative management of DFS

The effect of compression therapy on quality of life in patients with chronic venous disease : a comparative 6-month study

Introduction: Chronic venous diseases (CVD), because of its chronic and progressive nature, impairs patients' quality of life (Qol). Aim: To compare the OoL in patients with primary superficial venous insufficiency at different stages before and after compression therapy (CT). Material and methods: We compared the change in the QoL parameters from baseline to the end of a 6-month compression therapy. 180 subjects were enrolled. They were subdivided into 6 equal subgroups according to CEAP classes. The OoL was assessed using questionnaires, the generał SF-36v2 and the disease-specific CIVIQ-20. At the beginning and after the completion of the study intervention, the severity of CVD was assessed in each patient using CEAP and VCSS. The pain intensity was assessed using the numerical rating scale. Results: The CT reduced the severity of CVD, which translated into the increased size of C2 an d C5 subgroups, and reduced size of C3 and C6 subgroups. Another marker of reduced severity of CVD after CT was a significant reduc- tion in VCSS scores in Cl, and C3-C6 subgroups. A 6-month CT was associated with a significant OoL improvement in all CEAP class-based subgroups, across all individual and composite domains of SF-36v2, as well as dimensions and GIS of CIVIQ-20. Similarly, there was a significant pain reduction reported in all CEAP class-based subgroups. Conclusions: Compression therapy using ready-made compression hosiery significantly affects the quality of life in patients with chronic venous disease at all its stages, CEAP classes C1-C6

Przetoka tętniczo-żylna do dializ– co wiemy dzisiaj?

Since the number of patients awaiting dialysis and survival time for kidney dialysis patients are on the increase, the issue of pre-emptive vascular access creation, care and use for hemodialysis is gaining importance. This paper summarizes the principles, policies and procedures aimed to achieve the longest survival time and the best possible quality of life in patients on renal replacement therapy.Wobec stale zwiększającej się liczby chorych w tak zwanym przedsionku dializacyjnym oraz liczby pacjentów dializowanych, jak również coraz dłuższego okresu przeżycia na dializach, nabiera wagi kwestia wyprzedzającego wytworzenia dostępu naczyniowego do dializ, prawidłowa opieka i użytkowanie przetoki dializacyjnej. Artykuł ten stanowi krótkie przypomnienie zasad dotyczących powyższych kwestii będących gwarantem jak najdłuższego czasu i jak najwyższej jakości życia chorych w okresie leczenia nerkozastępczego

Selected physical medicine interventions in the treatment of diabetic foot syndrome

The diabetic foot syndrome (DFS) is among chronic complications of diabetes mellitus; it can affect individuals with both type 1 and type 2 diabetes. Diabetic patients have up to a 25% lifetime risk of developing DFS, which is both a medical and social problem. Several studies have indicated that, apart from pharmacotherapy and modern active wound dressings, physical medicine also has a role in prevention and management of diabetic foot ulcers. The paper presents physical medicine interventions most recognized in the conservative management of DFS