Physiotherapeutic management in the separation of the white borderline

Dissolution of the white border of the rectus abdominal muscle is a disruption of the functioning of the rectus muscle, which results in loosening of the white border. As a result, a characteristic muscle stretch is visible. This defect affects a significant number of pregnant women and is not just an aesthetic problem. There are many factors that contribute to the above-mentioned ailments. To get the best treatment results, it is important to diagnose the problem early. For this purpose, special tests are used. The ease with which they are made enables the patient to control the separation of the frontier by the patient. The implementation of therapy should take place already in the first days after delivery. It is important to start therapy with posture corrective exercises, breathing exercises and learning how to properly perform everyday activities. Then we implement exercises that involve the abdominal muscles. The exercise program can be supplemented with dynamic slicing. A holistic approach to the problem and combining different forms of therapy allows you to obtain optimal results

Korzyści z podejmowania regularnej aktywności fizycznej przez osoby starsze = The benefits of regular physical activity for the elderly

Kaźmierczak U., Radzimińska A., Dzierżanowski M., Bułatowicz I., Strojek K., Srokowski G., Zukow W. Korzyści z podejmowania regularnej aktywności fizycznej przez osoby starsze = The benefits of regular physical activity for the elderly. Journal of Education, Health and Sport. 2015;5(1):56-68. ISSN 2391-8306. DOI: 10.5281/zenodo.13935http://ojs.ukw.edu.pl/index.php/johs/article/view/2015%3B5%281%29%3A56-68https://pbn.nauka.gov.pl/works/524287http://dx.doi.org/10.5281/zenodo.13935Formerly Journal of Health Sciences. ISSN 1429-9623 / 2300-665X. Archives 2011 – 2014 http://journal.rsw.edu.pl/index.php/JHS/issue/archive Deklaracja.Specyfika i zawartość merytoryczna czasopisma nie ulega zmianie.Zgodnie z informacją MNiSW z dnia 2 czerwca 2014 r., że w roku 2014 nie będzie przeprowadzana ocena czasopism naukowych; czasopismo o zmienionym tytule otrzymuje tyle samo punktów co na wykazie czasopism naukowych z dnia 31 grudnia 2014 r.The journal has had 5 points in Ministry of Science and Higher Education of Poland parametric evaluation. Part B item 1089. (31.12.2014).© The Author (s) 2015;This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland and Radom University in Radom, PolandOpen 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/3.0/) 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/3.0/) which permits unrestricted, non commercialuse, 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: 15.06.2014. Revised 05.10.2014. Accepted: 25.12.2014. Korzyści z podejmowania regularnej aktywności fizycznej przez osoby starszeThe benefits of regular physical activity for the elderly Kaźmierczak U.¹, Radzimińska A.¹, Dzierżanowski M.², Bułatowicz I.¹, Strojek K.¹, Srokowski G.¹, Zukow W.³ Katedra Fizjoterapii CM UMK w Toruniu1Zakład Kinezyterapii i Masażu Leczniczego UMK CM w Toruniu²Zakład Terapii Manualnej UMK CM w Toruniu3Wydział Kultury Fizycznej, Zdrowia i Turystyki, Uniwersytet Kazimierza Wielkiego w Bydgoszczy Słowa kluczowe: regularna aktywność fizyczna, osoby starsze. Keywords: regular physical activity, elderly. AbstraktW państwach rozwiniętych i rozwijających się coraz większą grupę społeczeństw stanowią seniorzy.Świadomość problemu spowodowała podjęcie powszechnej dyskusji ekspertów i praktyków z dziedzin medycznych na temat konieczności działań niezbędnych dla zapewnienia społeczeństwom pomyślnej starości.Od dawna wskazuje się, że brak aktywności ruchowej jest dla zdrowia niebezpieczny.Starzeniu się układu sercowo-naczyniowego towarzyszy dużo niekorzystnych zmian strukturalnych, czynnościowych i biochemicznych. Za typowe dla tego okresu zmiany uważa się osłabienie możliwości relaksacji włókien mięśniowych, co może być przyczyną rozkurczowej niewydolności serca.Trening zdrowotny – jest rodzajem aktywności fizycznej wykonywanej z powodów medycznych. Celem jest uzyskanie efektów fizycznych oraz psychicznych przeciwdziałających zmniejszaniu się zdolności adaptacyjnych organizmu.Eksperci przekonują osoby starsze o korzyściach płynących z aktywnego fizycznie stylu życia. Bogate piśmiennictwo poruszające tematykę medycznych aspektów procesu starzenia, mówi o niezaprzeczalnym znaczeniu ruchu dla toczących się w ludzkim ciele procesów inwolucyjnych. Aktywność fizyczna odpowiednio dozowana jest w stanie wyraźnie zmniejszyć negatywny wpływ tych zmian i jak najdłużej pozwolić utrzymać zdrowie fizyczne, psychiczne i społeczne. Zauważono, że systematycznie dozowany wysiłek fizyczny zmniejsza ryzyko wystąpienia wielu chorób np. cukrzycy, miażdżycy, choroby niedokrwiennej serca.Liczne badania naukowe i bogate piśmiennictwo gerontologiczne przedstawiają najnowsze doniesienia specjalistów o tym, jak należy prawidłowo przygotować i prowadzić trening fizyczny z osobami starszymi. Ludzki organizm zaczyna starzeć się około 20-25 roku życia. Zmiany dotyczą wszystkich układów ciała. Najbardziej odczuwalne w życiu codziennym są te, które zachodzą w układzie krążeniowo-oddechowym i mięśniowo-szkieletowym. Trening fizyczny dla osoby starszej, aby był skuteczny i bezpieczny, powinien być skonstruowany i nadzorowany przez specjalistę. AbstractIn developed and developing countries an increasing group of societies are seniors. Awareness of the problem has led to widespread discussion of experts and practitioners from the fields of medical devices on the need for the measures necessary to ensure that societies successful old age. For a long time, indicates that the lack of motor activity is dangerous to health. Aging of the cardiovascular system is accompanied by a lot of adverse structural changes and biochemical function.For typical of this period of change is believed to be weakening the possibility of relaxation of the muscle fibers, which may cause diastolic heart failure. Training of health-is a type of physical activity performed for medical reasons. The goal is to get mental and physical effects against reducing the adaptability of the body. Experts are finding older people about the benefits of a physically active lifestyle. Rich writing evocative theme of medical aspects of the aging process, speaks of undeniable importance for traffic in human flesh involutional processes. Physical activity appropriately dosed is able to clearly reduce the negative impact of these changes and as long as you can afford to maintain the physical, mental and social health. It was noted that systematically dosed exercise reduces the risk of many diseases, eg. diabetes mellitus, atherosclerosis, coronary heart disease.Numerous scientific studies and extensive external links gerontologiczne submit the latest reports of professionals about how to properly prepare and conduct physical training with the elderly. The human body begins to age about 20-25 years of age. The changes apply to all body systems. Most felt in everyday life are the ones that occur in the breathing cardiopulmonary and musculo-skeletal. Physical training for older persons, in order to be effective and safe, should be designed and supervised by a specialist

Structure of unbound neutron-rich 9^{9}He studied using single-neutron transfer

The 8He(d,p) reaction was studied in inverse kinematics at 15.4A MeV using the MUST2 Si-CsI array in order to shed light on the level structure of 9He. The well known 16O(d,p)17O reaction, performed here in reverse kinematics, was used as a test to validate the experimental methods. The 9He missing mass spectrum was deduced from the kinetic energies and emission angles of the recoiling protons. Several structures were observed above the neutron-emission threshold and the angular distributions were used to deduce the multipolarity of the transitions. This work confirms that the ground state of 9He is located very close to the neutron threshold of 8He and supports the occurrence of parity inversion in 9He.Comment: Exp\'erience GANIL/SPIRAL1/MUST

Structure effects in Ne-20+Pb-208 quasi-elastic scattering

Preliminary results of an analysis of experiments devoted to a study of the sensitivity of the 20Ne + 208Pb quasi-elastic angular distributions at two near-barrier energies and the previously measured corresponding barrier distribution to the value of the nuclear quadrupole deformation length of 20Ne are reported

Effects of Prandial Versus Fasting Glycemia on Cardiovascular Outcomes in Type 2 Diabetes: The HEART2D trial

OBJECTIVE—Hyperglycemia and Its Effect After Acute Myocardial Infarction on Cardiovascular Outcomes in Patients With Type 2 Diabetes Mellitus (HEART2D) is a multinational, randomized, controlled trial designed to compare the effects of prandial versus fasting glycemic control on risk for cardiovascular outcomes in patients with type 2 diabetes after acute myocardial infarction (AMI)

Glycated hemoglobin, body weight and blood pressure in type 2 diabetes patients initiating dapagliflozin treatment in primary care:a retrospective study

Introduction - The present study aimed to describe characteristics of patients with type 2 diabetes (T2D) in UK primary care initiated on dapagliflozin, post-dapagliflozin changes in glycated hemoglobin (HbA1c), body weight and blood pressure, and reasons for adding dapagliflozin to insulin. Methods - Retrospective study of patients with T2D in the Clinical Practice Research Datalink with first prescription for dapagliflozin. Patients were included in the study if they: (1) had a first prescription for dapagliflozin between November 2012 and September 2014; (2) had a Read code for T2D; (3) were registered with a practice for at least 6 months before starting dapagliflozin; and (4) remained registered for at least 3 months after initiation. A questionnaire ascertained reason(s) for adding dapagliflozin to insulin. Results - Dapagliflozin was most often used as triple therapy (27.7%), dual therapy with metformin (25.1%) or added to insulin (19.2%). Median therapy duration was 329 days [95% confidence interval (CI) 302–361]. Poor glycemic control was the reason for dapagliflozin initiation for 93.1% of insulin-treated patients. Avoiding increases in weight/body mass index and insulin resistance were the commonest reasons for selecting dapagliflozin versus intensifying insulin. HbA1c declined by mean of 9.7 mmol/mol (95% CI 8.5–10.9) (0.89%) 14–90 days after starting dapagliflozin, 10.2 mmol/mol (95% CI 8.9–11.5) (0.93%) after 91–180 days and 12.6 mmol/mol (95% CI 11.0–14.3) (1.16%) beyond 180 days. Weight declined by mean of 2.6 kg (95% CI 2.3–2.9) after 14–90 days, 4.3 kg (95% CI 3.8–4.7) after 91–180 days and 4.6 kg (95% CI 4.0–5.2) beyond 180 days. In patients with measurements between 14 and 90 days after starting dapagliflozin, systolic and diastolic blood pressure decreased by means of 4.5 (95% CI −5.8 to −3.2) and 2.0 (95% CI −2.9 to −1.2) mmHg, respectively from baseline. Similar reductions in systolic and diastolic blood pressure were observed after 91–180 days and when follow-up extended beyond 180 days. Results were consistent across subgroups. Conclusion - HbA1c, body weight and blood pressure were reduced after initiation of dapagliflozin in patients with T2D in UK primary care and the changes were consistent with randomized clinical trials

Are the weak channels really weak?

The transfer probabilities for 20Ne + 90Zr and 20Ne + 92Zr at energies near the Coulomb barrier were measured. This quantity turned out to be very similar for both Zr isotopes and does not explain the observed differences in the barrier height distributions for these systems

Effects of Prandial Versus Fasting Glycemia on Cardiovascular Outcomes in Type 2 Diabetes: The HEART2D trial

OBJECTIVE—Hyperglycemia and Its Effect After Acute Myocardial Infarction on Cardiovascular Outcomes in Patients With Type 2 Diabetes Mellitus (HEART2D) is a multinational, randomized, controlled trial designed to compare the effects of prandial versus fasting glycemic control on risk for cardiovascular outcomes in patients with type 2 diabetes after acute myocardial infarction (AMI)

Resonances of 6He via the 8He(p,t)6He reaction

We investigated the low-lying spectroscopy of 6He via the 2-neutron transfer reaction induced by the 8He SPIRAL beam at 15.4 A.MeV on a proton-rich target. The light charged recoil particles produced by the direct reactions were measured using theMUST2 Si-strip telescope array. Two new resonances were observed above the known 2+ state in 6He, and the angular momentum transfer was deduced through the analysis of the angular distributions. Results are discussed in comparison with the recent calculations of various nuclear structure theories which include the coupling to the continuum technique and to the ones which give an understanding of the cluster correlations in the light weakly-bound nuclei

Benefits and Harms of Sodium-Glucose Co-Transporter 2 Inhibitors in Patients with Type 2 Diabetes: A Systematic Review and Meta-Analysis

Sodium-glucose co-transporter 2 inhibitors (SGLT2-i) are a novel drug class for the treatment of diabetes. We aimed at describing the maximal benefits and risks associated with SGLT2-i for patients with type 2 diabetes.Systematic review and meta-analysis.We included double-blinded, randomised controlled trials (RCTs) evaluating SGLT2-i administered in the highest approved therapeutic doses (canagliflozin 300 mg/day, dapagliflozin 10 mg/day, and empagliflozin 25 mg/day) for ≥12 weeks. Comparison groups could receive placebo or oral antidiabetic drugs (OAD) including metformin, sulphonylureas (SU), or dipeptidyl peptidase 4 inhibitors (DPP-4-i). Trials were identified through electronic databases and extensive manual searches. Primary outcomes were glycated haemoglobin A1c (HbA1c) levels, serious adverse events, death, severe hypoglycaemia, ketoacidosis and CVD. Secondary outcomes were fasting plasma glucose, body weight, blood pressure, heart rate, lipids, liver function tests, creatinine and adverse events including infections. The quality of the evidence was assessed using GRADE.Meta-analysis of 34 RCTs with 9,154 patients showed that SGLT2-i reduced HbA1c compared with placebo (mean difference -0.69%, 95% confidence interval -0.75 to -0.62%). We downgraded the evidence to 'low quality' due to variability and evidence of publication bias (P = 0.015). Canagliflozin was associated with the largest reduction in HbA1c (-0.85%, -0.99% to -0.71%). There were no differences between SGLT2-i and placebo for serious adverse events. SGLT2-i increased the risk of urinary and genital tract infections and increased serum creatinine, and exerted beneficial effects on bodyweight, blood pressure, lipids and alanine aminotransferase (moderate to low quality evidence). Analysis of 12 RCTs found a beneficial effect of SGLT2-i on HbA1c compared with OAD (-0.20%, -0.28 to -0.13%; moderate quality evidence).This review includes a large number of patients with type 2 diabetes and found that SGLT2-i reduces HbA1c with a notable increased risk in non-serious adverse events. The analyses may overestimate the intervention benefit due bias