Sensory Integration - the weight of stimuli. The role of parents

INTRODUCTION Sensory integration is a kind of integration or organization of stimuli, the ability to feel and respond properly to news from the world. The organization of stimuli takes place in the brain so that later can use them to create appropriate reactions and behaviors. If the flow of stimuli is disturbed then some reactions, the body's response may be incorrect. OBJECTIVE The purpose of this article is to present in a understandable way the sensory integration process and the impact of various stimuli on its condition. It also shows how important parents play in the development and therapy of children with sensory integration disorders. THE WEIGHT OF THE BODCIES The stimuli is food that absorbs our brain through every organ of our body. We are what we eat, that is why, it is so important what we feed our children's brain. Impulses reach the body thanks to the senses: sight, hearing, taste, smell, touch and proprioceptive, atrial and interoceptive. SUMMARY Sensory integration is the whole of reactions that take place between the outside world and our body. The most important and the most intense time of physical and mental development is childhood during which we provide our body with the most stimuli. For children with sensory integration disorders and without these disorders, the best therapists are parents

The role of food and nutrition in the prevention and pathogenesis of hypertension

INTRODUCTION Arterial hypertension belongs to lifestyle diseases that are largely associated with abnormal lifestyle. Based on the results of the population research factors have been identified that increase the risk of hypertension, including: obesity, low physical activity, excessive alkohol consumption, use of diet rich in sodium and low in potassium, too low magnesium and calcium content in food and chronic stres. OBJECTIVE The purpose of this article is to present the role of food and nutrition in the prevention and pathogenesis of hypertension. THE WEIGHT OF THE BODCIES The influence of dietary intervention on blood pressure in patients with normal and high blood pressure was the subject of clinical tests [6,7]. The Dietary Approaches to Stop Hypertension (DASH) study involved a diet that promoted the intake of vegetables, fruits and small amounts of dairy products, contained whole grain cereals, fish, poultry and nuts, while limiting the amount of red meat in the diet, sweetness and sweetened beverages. SUMMARY The DASH diet more effectively reduced the systolic and diastolic blood pressure both in hypertensive patients and those with normal pressure values. Following the low-sodium DASH diet is important in the strategy of prophylaxis and treatment of hypertension and related to that coronary heart disease, both at the population level and in dealing with individual patients

VALUES OF THE 2004 E.U. ENLARGEMENT IN MEDIA DISCOURSE

Values and ideology are assumed to be discursive phenomena. Therefore, the aim of the analysis in the present paper is to present linguistic markers of values that are responsible for organisation of various spheres of life, and the same time, for the shape of ideology of the 2004 EU enlarge- ment as it has been presented in the print media. To exemplify these assumptions, a Press release corpus consisting of some 30,000 words was gathered. It encompasses articles published between 15 April and 7 May 2004 which repre- sent such journalistic genres as press note, report, commentary, report with elements of commen- tary and coverage. In the course of the study, expressions pointing to particular spheres of life were identified and analysed as referring to particular values of the E.U

A review of ultrasonographic methods for the assessment of the anterior cruciate ligament in patients with knee instability – diagnostics using a posterior approach

Aim: The purpose of the study was to improve the ultrasonographic assessment of the anterior cruciate ligament by an inclusion of a dynamic element. The proposed functional modification aims to restore normal posterior cruciate ligament tension, which is associated with a visible change in the ligament shape. This method reduces the risk of an error resulting from subjectively assessing the shape of the posterior cruciate ligament. It should be also emphasized that the method combined with other ultrasound anterior cruciate ligament assessment techniques helps increase diagnostic accuracy. Methods: Ultrasonography is used as an adjunctive technique in the diagnosis of anterior cruciate ligament injury. The paper presents a sonographic technique for the assessment of suspected anterior cruciate ligament insufficiency supplemented by the use of a dynamic examination. This technique can be recommended as an additional procedure in routine ultrasound diagnostics of anterior cruciate ligament injuries. Results: Supplementing routine ultrasonography with the dynamic assessment of posterior cruciate ligament shape changes in patients with suspected anterior cruciate ligament injury reduces the risk of subjective errors and increases diagnostic accuracy. This is important especially in cases of minor anterior knee instability and bilateral anterior knee instability. Conclusions: An assessment of changes in posterior cruciate ligament using a dynamic ultrasound examination effectively complements routine sonographic diagnostic techniques for anterior cruciate ligament insufficiency

Kwalifikacja i przygotowanie pacjenta do zabiegu laparoskopowej rękawowej resekcji żołądka

Obesity is a very serious medical problem included by the World Health Organization to the epidemics of modern times. The epidemiological data suggest that about 50% of adults are overweight and obese. In the treatment of obesity conservative methods are used, such as lifestyle changes, diet, pharmacotherapy and surgical methods, which according to the existing data show the greatest effectiveness. Department of medicine dealing with the treatment of obesity is called bariatric and patient struggling with the problem of obesity and its derivatives is called a "bariatric patient." Among the existing surgical methods for the treatment of obesity, the most commonly used is sleeve laparoscopic gastrectomy.The purpose of the paper is to present the current standards for the qualification and preparation of a patient for bariatric surgery in Poland. Considerations were based on the selected Polish and foreign literature from the last ten years.Otyłość jest bardzo poważnym problemem medycznym zaliczanym przez Światową Organizację Zdrowia do epidemii współczesnych czasów. Z danych epidemiologicznych wynika, że około 50% dorosłych ma nadwagę i otyłość. W leczeniu otyłości stosuje się metody zachowawcze, takie jak zmianę stylu życia, dietę, farmakoterapię oraz metody operacyjne, które według istniejących danych wykazują największą skuteczność. Dział medycyny zajmujący się leczeniem otyłości nosi nazwę bariatrii, a o pacjentach zmagających się z problemem otyłości i jej pochodnych zwykle mówi się „pacjent bariatryczny”. Wśród istniejących chirurgicznych metod leczenia otyłości jedną z najczęściej stosowanych jest laparoskopowa rękawowa resekcja żołądka. Celem pracy jest przedstawienie aktualnych standardów kwalifikacji i przygotowania pacjenta do zabiegu bariatrycznego obowiązujących w Polsce. Rozważania oparto na wybranej specjalistycznej literaturze polskiej i zagranicznej z ostatnich dziesięciu lat

Przegląd metod oceny ultrasonograficznej więzadła krzyżowego przedniego w niestabilności przedniej stawu kolanowego – diagnostyka z dostępu tylnego

Aim: The purpose of the study was to improve the ultrasonographic assessment of the anterior cruciate ligament by an inclusion of a dynamic element. The proposed functional modification aims to restore normal posterior cruciate ligament tension, which is associated with a visible change in the ligament shape. This method reduces the risk of an error resulting from subjectively assessing the shape of the posterior cruciate ligament. It should be also emphasized that the method combined with other ultrasound anterior cruciate ligament assessment techniques helps increase diagnostic accuracy. Methods: Ultrasonography is used as an adjunctive technique in the diagnosis of anterior cruciate ligament injury. The paper presents a sonographic technique for the assessment of suspected anterior cruciate ligament insufficiency supplemented by the use of a dynamic examination. This technique can be recommended as an additional procedure in routine ultrasound diagnostics of anterior cruciate ligament injuries. Results: Supplementing routine ultrasonography with the dynamic assessment of posterior cruciate ligament shape changes in patients with suspected anterior cruciate ligament injury reduces the risk of subjective errors and increases diagnostic accuracy. This is important especially in cases of minor anterior knee instability and bilateral anterior knee instability. Conclusions: An assessment of changes in posterior cruciate ligament using a dynamic ultrasound examination effectively complements routine sonographic diagnostic techniques for anterior cruciate ligament insufficiency.Cel pracy: Celem pracy jest ocena możliwości poprawienia ultrasonograficznej oceny niewydolności więzadła krzyżowego przedniego poprzez wprowadzenie elementu badania dynamicznego. Modyfikacja czynnościowa ma na celu przywrócenie prawidłowego napięcia więzadła krzyżowego tylnego, czemu towarzyszy widoczna zmiana jego kształtu. Opisywana metoda zmniejsza ryzyko popełnienia błędu wynikającego z subiektywnej oceny kształtu więzadła krzyżowego tylnego i – co należy podkreślić – w połączeniu z innymi sposobami ultrasonograficznej oceny więzadła krzyżowego przedniego pozwala zwiększyć trafność diagnozy. Metoda: Jako metodę wspomagającą w diagnostyce uszkodzeń więzadła krzyżowego przedniego wykorzystuje się ultrasonografię. W pracy przedstawiono technikę badania i oceny ultrasonograficznej wydolności więzadła rozszerzoną o badanie dynamiczne. Technika ta może być rekomendowana jako dodatkowa procedura w diagnostyce ultrasonograficznej uszkodzeń więzadła krzyżowego przedniego. Rezultaty: Podczas ultrasonograficznego badania pacjentów z podejrzeniem uszkodzenia więzadła krzyżowego przedniego uzupełnionego metodą dynamicznej oceny zmiany kształtu więzadła krzyżowego tylnego zmniejsza się ryzyko popełnienia subiektywnego błędu przy ocenie i zapewnia większą trafność diagnozy. Ma to znaczenie zwłaszcza u osób z niewielką niestabilnością przednią stawu kolanowego, jak również z niestabilnością przednią występującą jednocześnie w obu stawach kolanowych. Wnioski: Ocena zmiany przebiegu więzadła krzyżowego tylnego w badaniu dynamicznym USG skutecznie uzupełnia dotychczasowe sposoby diagnozowania niewydolności więzadła krzyżowego przedniego

The use of various types of hip prostheses depending on the patient’s age and level of everyday activity

Hip replacement surgery is becoming more and more common in clinical practice, as a growing number of patients qualify to receive this form of treatment. This is because the aging of the society, high prevalence of overweight, and little physical activity contribute to the development of osteoarthritis. Moreover, patients have come to expect good quality of life even at advanced age. Thanks to progress in surgical techniques, these expectations can now be met. Endoprosthesis selection – apart from medical indications – must be based on the patient’s age, everyday activity, and further plans. There are two main types of clinical situations where hip arthroplasty is performed; these are hip joint degeneration and femoral neck fracture. This article aims to present current options of total hip replacement to healthcare professionals who wish to learn more on the subject, including physical therapists, nurses, and professional caretakers for patients with walking difficulties

ACL Reconstruction: Which Additional Physiotherapy Interventions Improve Early-Stage Rehabilitation? A Systematic Review

Despite the restoration of the mechanical stability of the knee joint after ACL reconstruction (ACLR), patients often experience postoperative limitations. To our knowledge, there are no systematic reviews analyzing additional physiotherapy interventions implementing standard rehabilitation programs in the early postoperative phase after ACLR. The objective of this study was to analyze the additional physiotherapy interventions implemented in standard rehabilitation programs that improve early-stage ACLR rehabilitation. For this systematic review, we followed the PRISMA guidelines. In March 2022 we conducted a literature review using electronic databases. Primary outcomes were pain, edema, muscle strength, ROM, and knee function. The risk of bias and scientific quality of included studies were assessed with the RoB 2, ROBINS-I and PEDro scale. For the review, we included 10 studies that met the inclusion criteria (total n = 3271). The included studies evaluated the effectiveness of Kinesio Taping, Whole-body vibration, Local Vibration Training, Trigger Point Dry Needling, High Tone Power Therapy, alternating magnetic field, and App-Based Active Muscle Training Program. Most of the additional physiotherapy interventions improved pain, edema, ROM, knee muscle strength, or knee function in early-stage postoperative ACL rehabilitation. Except for one study, no adverse events occurred in the included studies, which demonstrates the safety of the discussed physiotherapy interventions. Further in-depth research is needed in this area

Assessment of the risk of colorectal cancer in Poland on the basis of the analysis of epidemiological indicators

Malignant tumours are one of the leading causes of death, as well as one of the most important health problems, in Poland and worldwide. Aim of the research was to assess the risk of colorectal cancer in a population of men and women in Poland based on the analysis of data from the most recent studies and epidemiological sources, particularly from the National Cancer Registry. In this study, epidemiological indicators of incidence and deaths for general colorectal cancer (ICD-10: C18–C21) as well as for particular cancer locations (C18 – colon, C19 – rectosigmoid junction, C20 – rectum, C21 – anus and anal canal) analized in men and women in Poland in 2011 as well as the profile of these parameters in years 1999–2011. The incidence for colorectal cancer (CRC) in man: structure indicators (SI) – 12.4%, age standardized rates (ASR) – 30.2/105; in women: SI – 10.0%, ASR – 18.0/105. The deaths due to CRC in men: SI – 11.4%, ASR – 19.8/105; in women: SI – 11.8%, ASR – 10.2/105. Colorectal cancer is a serious threat to the health of Poles, characterised by its dynamics increasing with population age, by high incidence and mortality, as well as by a persistent, constant tendency for increasing epidemiological rates, especially among men. The differentiation of epidemiological rates follows from tumour location. Higher incidence and mortality rates are registered for the population of men and among the residents of Western Poland

Komórki macierzyste w leczeniu złożonych przetok okołoodbytniczych w przebiegu choroby Crohna

Leczenie przetok okołoodbytniczych w przebiegu choroby Crohna jest wymagające i obarczone wysokim odsetkiem niepowodzeń, co zmusza klinicystów do poszukiwania nowych, skuteczniejszych metod terapeutycznych. Jedną z takich opcji jest miejscowe zastosowanie mezenchymalnych komórek macierzystych pochodzących z tkanki tłuszczowej. Dzięki swojej multipotencjalności i wielokierunkowemu mechanizmowi działania wspomniane komórki stanowią obiecujące narzędzie małoinwazyjnego zaopatrywania złożonych przetok okołoodbytniczych, niereagujących na dotychczasowe leczenie, o dużej skuteczności i korzystnym profilu bezpieczeństwa. Niniejsza praca prezentuje aktualną wiedzę na temat mechanizmów działania i sposobu wykorzystania mezenchymalnych komórek macierzystych w leczeniu przetok okołoodbytniczych, a także wyniki skuteczności i bezpieczeństwa ich zastosowania w leczeniu okołoodbytniczej choroby Crohna na podstawie dostępnej literatury