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    Wyświetlanie 1-4 z 4
    Tytuł:
    The relationship between antibiotic therapy in early childhood and the symptoms of allergy in children aged 6–8 years — the questionnaire study results
    Autorzy:
    Raciborski, Filip
    Tomaszewska, Aneta
    Komorowski, Jarosław
    Samel-Kowalik, Piotr
    Białoszewski, Artur Z.
    Walkiewicz, Artur
    Lusawa, Adam
    Szymański, Jakub
    Opoczyńska, Dagmara
    Drużba, Michał
    Borowicz, Jacek
    Lipiec, Agnieszka
    Kapalczynski, Wojciech J.
    Samoliński, Bolesław
    Powiązania:
    https://bibliotekanauki.pl/articles/2180075.pdf
    Data publikacji:
    2012-09-01
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    asthma
    allergy
    antibiotics
    epidemiology
    prevalence
    risk factors
    Opis:
    Introduction: Studies based on the ISAAC questionnaire suggest a correlation between the use of antibiotics and the prevalence of asthma and allergy in children aged 6-7 years. The number of courses of antibiotic therapy is an important factor. Objectives: To investigate the relationship between the use of antibiotics during the fi rst years of life and the prevalence of allergy and asthma among children (aged 6-8 years) in the urban population of Poland. Materials and Methods: A survey-based study with a self-completed questionnaire. The respondents were parents of children aged 6-8 years living in Warszawa, Poland. 1461 completed questionnaires were collected. Results: Asthma was declared in 4.3% of the children. Wheezing and/or sibilant rhonchi within 12 months before the study was observed in 13.5% of the cases. Asthma medication was taken by 21.8% of the children. Allergic rhinitis was declared in 18.7% of the children. Problems with sneezing, rhinorrhea, and nasal congestion not associated with cold or fever were observed in 40.7% of the children. The a nalysis of the odds ratios between the use of antibiotics and the symptoms of allergic diseases revealed a clear correlation. The highest odds ratio was observed between the completion of over three courses of antibiotic therapy prior to the age of 12 months and the declaration of one of the following: asthma (OR = 5.59, 95% CI: 2.6-12.01), wheezing and/or sibilant rhonchi (OR = 4.68, 95% CI: 3.01-7.27) and taking medicines for breathlessness (OR = 5.12, 95% CI: 3.42-7.68). Conclusions: There is a direct relationship between antibiotic use in the fi rst 3 years of life and asthma and allergy symptoms in children aged 6-8 years old.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2012, 25, 4; 470-480
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Effect of physiotherapy on spinal alignment in children with postural defects
    Autorzy:
    Zmyślna, Anna
    Kiebzak, Wojciech
    Żurawski, Arkadiusz
    Pogorzelska, Justyna
    Kotela, Ireneusz
    Kowalski, Tomasz J.
    Śliwiński, Zbigniew
    Śliwiński, Grzegorz
    Powiązania:
    https://bibliotekanauki.pl/articles/2161989.pdf
    Data publikacji:
    2019-02-27
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    postural defects
    PNF
    Vojta
    DIERS
    physiotherapy
    rehabilitation
    Opis:
    Objectives This paper assesses the effect of neurophysiological rehabilitation in children with postural defects on the depth of thoracic kyphosis, lateral spinal deviation and rotation of spinal motor segments. Material and Methods A total of 201 patients aged 8–15 years old with a postural defect diagnosed by medical examination were enrolled. The analyzed parameters were determined using the DIERS system before the first therapeutic session and after 4 weeks of therapy. The angle of thoracic kyphosis, lateral deviation of the spine and spinal rotation were assessed. The therapy employed techniques associated with the proprioceptive neuromuscular facilitation (PNF) and Vojta’s approaches. The results were analyzed separately for both sexes and for patients rehabilitated solely with Vojta’s techniques vs. patients rehabilitated according to combined Vojta’s and PNF techniques. The χ² test was used for statistical analyses, at p < 0.05. Results There was improvement in the angle of thoracic kyphosis, ranging from 0.14 (among boys with kyphosis < 42°) to 5.47 (among girls with kyphosis ≥ 42°), spinal rotation, from 0.37 (among boys with kyphosis ≥ 42°) to 4.33 (among patients with kyphosis ≥ 42° rehabilitated solely according to Vojta’s method), and lateral deviations, ranging from 1.32 mm (among boys with kyphosis < 42°) to 2.99 mm (among patients with kyphosis ≥ 42° rehabilitated solely according to Vojta’s method). Conclusions Neurophysiological rehabilitation of patients with postural defects produced positive effects by improving the angle of thoracic kyphosis, spinal rotation and lateral deviation of the spine. Children with reduced thoracic kyphosis achieved less improvement in the kyphosis angle, lateral spinal deviation and spinal rotation than children with kyphosis ≥ 42°. The DIERS Formetric System enables precise monitoring of therapeutic outcomes. Int J Occup Med Environ Health. 2019;32(1):25–32
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2019, 32, 1; 25-32
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Efficacy of the use of the McKenzie and Vojta methods to treat discopathy-associated syndromes in the pediatric population
    Autorzy:
    Żurawski, Arkadiusz
    Kiebzak, Wojciech
    Zmyślna, Anna
    Pogożelska, Justyna
    Kotela, Ireneusz
    Kowalski, Tomasz J.
    Śliwiński, Zbigniew
    Śliwiński, Grzegorz
    Powiązania:
    https://bibliotekanauki.pl/articles/2161990.pdf
    Data publikacji:
    2019-02-27
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    DIERS
    Vojta
    McKenzie
    lordosis
    kyphosis
    back pain
    Opis:
    Objectives This paper evaluates the efficacy of using the McKenzie and Vojta methods for patients with low back pain and the use of the DIERS Formetric 4D system as an objective diagnostic tool. Material and Methods The study enrolled 28 patients aged 15–17 years old. The patients were hospitalized at the Department of Orthopedics and Traumatology of the Świętokrzyskie Center for Pediatrics in Kielce with a diagnosis of back pain associated with a discopathy. The patients were rehabilitated according to the McKenzie and Vojta methods. Assessment by means of the DIERS Formetric system had taken place before the first therapy session and on the day that pain was eliminated to evaluate trunk inclination, angle of thoracic kyphosis, angle of lumbar lordosis, lateral deviation, trunk torsion, surface rotation and pelvic obliquity. Pain intensity and change in pain intensity over time were assessed by means of a numerical rating scale. Results Pain intensity was reduced to 0 over 3–12 days. The study participants demonstrated reduction in anterior trunk inclination of the mean value at 1.83°. The angle of thoracic kyphosis was also reduced by 7.95°. The angle of lordosis increased by 7.6°. The lateral spinal curvature was reduced by 8.92 mm. There was a reduction of 4.64° in trunk torsion. Surface rotation was reduced by 1.61° and pelvic obliquity was reduced by 3.78°. Conclusions In discopathic patients, postural parameters comprising trunk inclination, angle of thoracic kyphosis, angle of lumbar lordosis, lateral deviation, trunk torsion, vertebral rotation and pelvic obliquity fail to reach Hartzmann’s physiological reference ranges. A therapeutic intervention based on the Vojta and McKenzie methods may normalize the posture to physiological reference ranges and is effective in the treatment of patients with back pain. The DIERS system is an objective tool for tracing the effects of therapy in patients with back pain. Int J Occup Med Environ Health. 2019;32(1):33–41
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2019, 32, 1; 33-41
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Reliability of the Epworth Sleepiness Scale and the Berlin Questionnaire for screening obstructive sleep apnea syndrome in the context of the examination of candidates for drivers
    Wiarygodność Skali Senności Epworth i Kwestionariusza Berlińskiego w diagnostyce przesiewowej zespołu obturacyjnego bezdechu sennego w kontekście badań kandydatów na kierowców
    Autorzy:
    Kiciński, Paweł
    Przybylska-Kuć, Sylwia M.
    Tatara, Kalina
    Dybała, Andrzej
    Zakrzewski, Maciej
    Myśliński, Wojciech
    Mosiewicz, Jerzy
    Jaroszyński, Andrzej J.
    Powiązania:
    https://bibliotekanauki.pl/articles/2164235.pdf
    Data publikacji:
    2016-12-22
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    medycyna pracy
    wiarygodność
    badania kierowców
    zespół obturacyjnego bezdechu sennego
    badania ankietowe
    polisomnografia
    occupational medicine
    reliability
    drivers’ examinations
    obstructive sleep apnea syndrome
    questionnaires
    polysomnography
    Opis:
    Background The aim of the study has been to assess the usefulness of the Epworth Sleepiness Scale (ESS) and the Berlin Questionnaire (BQ) for obstructive sleep apnea syndrome (OSAS) screening. The capacity of both tests to discriminate between healthy individuals or with mild OSAS (apnea-hypopnea index (AHI) < 15/h) vs. patients with moderate or severe OSAS (AHI ≥ 15/h) was evaluated. Material and Methods The study encompassed 223 patients with a suspicion of the OSAS. The ESS and BQ were completed by patients unassisted. Screening polysomnography was performed using the Porti SleepDoc. The OSAS was diagnosed when AHI ≥ 15/h or AHI ≥ 5/h with simultaneous occurrence of clinical symptoms. Results The ESS score was found to be significantly higher in the study group compared to the control group (8.9±5.9 vs. 11.6±5.2 pt, p < 0.0001). Otherwise, there were no significant inter-group differences in the percentage of high-risk individuals according to the BQ (83.7% vs. 92.3%, p > 0.05). Sensitivity of the ESS and BQ was 53.2% and 93.1%, respectively while specificity was 58.8% and 16.2%, respectively. Poor correlation between the ESS score and AHI and apnea index were noticed (r = 0.22, p = 0.001 and r = 0.24, p < 0.001, respectively). Conclusions Considering its low sensitivity, the ESS should not be used as a screening test for the OSAS diagnosis amongst candidates for drivers. The BQ is characterised by high sensitivity for the OSAS diagnosis with AHI ≥ 15/h, however, due to low specificity, the questionnaire may increase the number of healthy individuals referred for needless diagnostic procedures. Med Pr 2016;67(6):721–728
    Wstęp Celem pracy była ocena przydatności Skali Senności Epworth (SSE) i Kwestionariusza Berlińskiego (KB) w diagnostyce przesiewowej zespołu obturacyjnego bezdechu sennego (obstructive sleep apnea syndrome – OSAS). Oceniono przydatność obu testów do rozróżniania osób zdrowych od osób z łagodnym OSAS (wskaźnik bezdechu i spłyceń oddechu (apnea-hypopnea index – AHI) < 15/godz.) i pacjentów z umiarkowanym lub ciężkim OSAS (AHI ≥ 15/godz.). Materiał i metody Do badania włączono 223 pacjentów z podejrzeniem zaburzeń oddychania w czasie snu, którzy wypełnili SSE i KB. Uproszczoną polisomnografię wykonano z wykorzystaniem urządzeń Porti SleepDoc. W przypadku stwierdzenia AHI ≥ 15/godz. lub AHI ≥ 5/godz. i jednoczesnego występowania objawów klinicznych rozpoznawano OSAS. Wyniki Wynik SSE był istotnie wyższy w grupie badanej niż w grupie porównawczej (8,9±5,9 vs 11,6±5,2 pkt, p < 0,0001), natomiast odsetek osób z wysokim ryzykiem OSAS według KB nie różnił się istotnie w obu grupach (83,7% vs 92,3%, p > 0,05). Czułość SSE wyniosła 53,2%, a KB – 93,1%, natomiast swoistość SSE – 8,8%, a KB – 16,2%. Odnotowano słabą korelację między wynikiem SSE a AHI i wskaźnikiem bezdechów (odpowiednio: r = 0,22, p = 0,001 vs r = 0,24, p < 0,001). Wnioski Ze względu na niską czułość SSE nie powinna być stosowana jako samodzielny test przesiewowy w diagnostyce OSAS u kandydatów na kierowców. Natomiast KB, mimo że cechuje się dużą czułością w rozpoznawaniu umiarkowanego lub ciężkiego OSAS (AHI ≥ 15/godz.), z powodu bardzo niskiej swoistości może przyczyniać się do kierowania osób zdrowych na zbędną diagnostykę. Med. Pr. 2016;67(6):721–728
    Źródło:
    Medycyna Pracy; 2016, 67, 6; 721-728
    0465-5893
    2353-1339
    Pojawia się w:
    Medycyna Pracy
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-4 z 4

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