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    Wyświetlanie 1-8 z 8
    Tytuł:
    Diagnostic and therapeutic algorithm of proceeding in back pain disorders
    Algorytm postępowania diagnostyczno-leczniczego w zespołach bólowych kręgosłupa
    Autorzy:
    Krasuski, Marek
    Powiązania:
    https://bibliotekanauki.pl/articles/1934420.pdf
    Data publikacji:
    2005
    Wydawca:
    Akademia Wychowania Fizycznego im. Bronisława Czecha w Krakowie
    Tematy:
    Low Back Pain
    discopathy
    spondylosis
    spondyloarthrosis
    Rehabilitation
    zespół bólowy kręgosłupa
    dyskopatie
    spondyloza
    spondyloartroza
    rehabilitacja
    Opis:
    Back pain is a symptom presented in a broad range of disorders. Blurred or non-specyfic clinical presentation, excessive information from laboratory tests and image techniques, numerous therapeutic options of poor efficiacy evidence, explain difficulties in diagnosing and management of a person with low back pain. According to autor’s clinical observation there is a large number of back pain patients referred to specialized treatment with unrecognized cause and character of main and accompanying disorders. The paper presents an original pattern of diagnostic and therapeutic proceeding with patient apearing with back pain. Important and often neglected aspects of adequate diagnostic and therapeutic proceeding are discussed. The pattern is based on author’s clinical experience and literature review. The algorithm defines a logical consequence of proceeding and validates base for drawing clinical conclusions for an adequate therapeutic program design. Author believes that clinical proceeding according to the presented pattern could facilitate determination of a proper diagnosis and diminish the risk of incorrect treatment consequences.
    Zespoły bólowe kręgosłupa są wbrew pozorom trudne w diagnozowaniu i leczeniu. Decydują o tym niespecyficzne objawy kliniczne i czasami bardzo bogate w treści badania dodatkowe. Okazuje się też, że czasami zbyt mało mamy informacji dotyczących rzeczywistego działania leczniczego niektórych zabiegów stosowanych w fizykoterapii, stąd pojawia się problem oceny skuteczności prowadzonego leczenia. W pracy przedstawiono propozycję algorytmu diagnostyczno-leczniczego w zespołach bólowych kręgosłupa. Omówiono najistotniejsze zagadnienia związane z diagnostyką i leczeniem bólów kręgosłupa. W algorytmie zwraca się uwagę na kolejność postępowania w zależności od uzyskanych informacji dotyczących diagnostyki, a także wskazano na najczęściej stosowane zabiegi terapeutyczne. Algorytm ma ułatwić postawienie rozpoznania choroby i ograniczyć do minimum błędy wynikające z niewłaściwej diagnozy, a co za tym idzie niewłaściwego leczenia. Obserwacje kliniczne dowodzą, że zbyt często rozpoznanie zespołów bólowych kręgosłupa traktuje się ogólnikowo, nie wnikając w szczegóły dotyczące określenia chorej struktury wywołującej objawy chorobowe.
    Źródło:
    Medical Rehabilitation; 2005, 9(3); 19-25
    1427-9622
    1896-3250
    Pojawia się w:
    Medical Rehabilitation
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Changes of ventilatory parameters in the positional training of persons after cervical spinal cord injury
    Zmiany parametrów wentylacyjnych w trakcie pionizacji osób po urazie rdzenia kręgowego w odcinku szyjnym
    Autorzy:
    Tederko, Piotr
    Krasuski, Marek
    Powiązania:
    https://bibliotekanauki.pl/articles/1942910.pdf
    Data publikacji:
    2009
    Wydawca:
    Akademia Wychowania Fizycznego im. Bronisława Czecha w Krakowie
    Tematy:
    spinal cord injury
    Spirometry
    ventilatory parameters
    Rehabilitation
    postural training
    uszkodzenie rdzenia kregowego
    spirometria
    parametry wentylacyjne
    rehabilitacja
    trening posturalny
    Opis:
    Background: Cervical spinal cord injury (CSCI) is followed by mixed respiratory dysfunction.Purpose: Evaluation of the ventilatory parameters of CSCI patients in postures typical for positional training. Material: 51 CSCI patients in a mean age of 34.4 (SD=14.6) years; complete motor deficite (CMD) 66.6%; injury of C5 level or above – 68.6%. Control group(CG): 10 healthy volunteers. Method: Spirometry and flow-volume examination in recumbent (R), sitting (S) and vetrical 60o tilt (V) positions. Main results: Expiratory reserve volume (ERV) undergoes significant positional changes in CG (R: 1.34 L, H: 0.25 L, V: 0.79 L; p=0.02), but not in CSCI patients. Transition from R to S in CMD persons results in a significant decrease in vital capacity (VC) (from 2.45 to 1.75 L; p=0.0008); inspiratory capacity (IC) (from 2.48 to 1.41 L; p=0.0008); forced expiratory volume in 1 second (FEV1) (from 2.21 to 1.64 L; p=0.002); forced vital capacity (FVC) (from 2.55 to 1.78 L; p=0.0004). The FEV1/FVC rate does not depend on positional changes ranging from 89.7% to 93.9% of the reference values. Ventilatory parameters in the incomplete motor deficite (ICMD) group do not differ significantly between the examined body positions. Transition between R and S in the CMD group results in a significant decrease in the peak expiratory flow (PEF) (from 4.23 to 3.53 L/s) and the peak inspiratory flow (PIF) (from 3.89 to 3.43 L/s), while in ICMD the PEF increases from 4.01 to 4.39 L/s and the PIF increases from 3.66 to 4.18 L/s.Conclusions: Transition from R to S in CSCI patients results in increased restriction. CMD patients express a reduction of peak flows while in the ICMD peak flows increase after transition between R and S. Shifting from S to a 60o vertical tilt with standard trunk stabilization does not change significantly the ventilatory parameters in CSCI patients.
    Źródło:
    Medical Rehabilitation; 2009, 13(1); 11-17
    1427-9622
    1896-3250
    Pojawia się w:
    Medical Rehabilitation
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Contemporary diagnostic methods of the urinary system in patients after spinal injury with subsequent neurological deficits: Diagnostics of the lower urinary tract
    Współczesne metody oceny układu wydalniczego u osób po urazie kręgosłupa powikłanym zaburzeniami neurologicznymi – diagnostyka dolnych dróg moczowych
    Autorzy:
    Tederko, Piotr
    Krasuski, Marek
    Kiwerski, Jerzy
    Powiązania:
    https://bibliotekanauki.pl/articles/1938546.pdf
    Data publikacji:
    2007
    Wydawca:
    Akademia Wychowania Fizycznego im. Bronisława Czecha w Krakowie
    Tematy:
    Spin
    injury
    complications
    diagnostics
    neurogenic bladder
    lower urinary tract
    Kregosłup
    uraz
    powikłania
    diagnostyka
    pecherz neurogenny
    dolne drogi moczowe
    Opis:
    Introduction: Spinal injury with neurological deficit usually results in a neurogenic bladder disorder. The problem may range from total lack of micturition during the spinal shock phase to various forms of detrusor-sphincter dyssynergia. Typical consequences include increased intra-vesical pressure, inability to effectively empty the bladder, increased risk of vesico-ureteral reflux, infection, bladder or kidney stones, neoplastic complications within the urinary tract and renal failure. Proper diagnostics of urinary tract function and morphology enables choosing adequate bladder emptying strategy, early diagnosis and effective treatment of urinary complications in patients after spinal injury with neurological deficit.Study purpose: Presentation of contemporary methods of functional, imaging and endoscopic diagnostic tests of the lower urinary tract in patients with spinal injury with neurological deficit. We discuss clinical value and accuracy of particular diagnostic methods in prevention and monitoring of the therapy of urinary complications.Study form: Literature review.Conclusions: Although urodynamic studies serve as the principal tool among the modern methods of the lower urinary tract function assessment, simple functional tests such as measurement of residual urine volume measurement or cystometrogram may be helpful in clinical practice, particularly during the early post-traumatic phase. Ultrasonographic examination is the first choice imaging study. Clinical validity of screening cystoscopy in spinal injury with neurological deficit patients remains doubtful, but this procedure is of unquestionable value in cases with haematuria.
    Źródło:
    Medical Rehabilitation; 2007, 11(2); 21-26
    1427-9622
    1896-3250
    Pojawia się w:
    Medical Rehabilitation
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Impact of spinal injury with neurological consequences on sexual function: Sexual dysfunctions in men
    Wpływ urazu kręgosłupa powikłanego zaburzeniami neurologicznymi na funkcje seksualne – dysfunkcje seksualne u mężczyzn
    Autorzy:
    Tederko, Piotr
    Krasuski, Marek
    Kiwerski, Jerzy
    Powiązania:
    https://bibliotekanauki.pl/articles/1938607.pdf
    Data publikacji:
    2007
    Wydawca:
    Akademia Wychowania Fizycznego im. Bronisława Czecha w Krakowie
    Tematy:
    spinal injury with neurological consequences
    Men
    sexual dysfunction
    Infertility
    Rehabilitation
    uraz kregosłupa powikłany zaburzeniami neurologicznymi
    dysfunkcje seksualne
    niepłodnosc
    rehabilitacja
    mężczyźni
    Opis:
    Sexual impairment and decreased fertility constitute a part of a complex dysfunction typical for men with spinal injury with neurological consequences (SINC). Despite the progress in medical sciences and quality of care provided for disabled persons, the problem is often neglected by medical professionals and caregivers.Aim of the study: Presentation of patophysiological background and specificity of sexual dysfunction typical for men following SINC. Review of contemporary treatment modalities designed for erectile dysfunction and infertility in men after SINC.Method: Literature review, authors’ clinical experience.Results and conclusions: Specific neurological deficit with overlapping adaptation problems and depression account for erectile dysfunction in men after SINC. There is a wide range of efficient therapies addressed to patients suffering from erectile disturbances resulting from SINC. Selection of a proper therapy depends on location (level) of the lesion of a neural structure, type of deficit, functional status, presence of symptoms of autonomic dysreflexia, concomitant diseases and patient’s individual preferences. Patient’s awareness of the disability and positive attitude towards acceptance of alternative forms of sexual expressions are crucial for the therapeutic success. Ejaculation dysfunction and infertility are common among men after SINC. Application of contemporary methods of assisted reproduction may be efficient in about half of male population with SINC.
    Źródło:
    Medical Rehabilitation; 2007, 11(4); 27-31
    1427-9622
    1896-3250
    Pojawia się w:
    Medical Rehabilitation
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Impact of spinal injury with neurological consequences on sexual function: Sexual dysfunctions in women
    Autorzy:
    Tederko, Piotr
    Krasuski, Marek
    Kiwerski, Jerzy
    Powiązania:
    https://bibliotekanauki.pl/articles/1938610.pdf
    Data publikacji:
    2007
    Wydawca:
    Akademia Wychowania Fizycznego im. Bronisława Czecha w Krakowie
    Tematy:
    spinal injury with neurological consequences
    Women
    sexual dysfunction
    partner relationships
    Rehabilitation
    uraz kregosłupa powikłany zaburzeniami neurologicznymi
    me/czyzni
    dysfunkcje seksualne
    niepłodnosc
    rehabilitacja
    Opis:
    Patophysiological background of sexual dysfunctions in women after spine injury with neurological consequePatophysiological background of sexual dysfunctions in women after spine injury with neurological consequences (SINC) is a difficult object of scientific investigations and is not as accurately described as sexual impairment in men after SINC. In particular, systematic reports on pregnancy and its complications in women after SINC are lacking. Aim of the study: Presentation of backgrounds and specificity of sexual disorders, dysfunctions of partner relationships and contraception in women after SINC.Method: Literature review, authors’ clinical experience.Results and conclusions: Persons with sexual dysfunction following SINC should be subjected to psychological evaluation and specified sexual education. These specific interventions should be introduced at the appropriate time and take into account functional progress made during rehabilitation and the level of patients’ acceptance of disability. Partner’s involvement is crucial for effective psychotherapy of persons after SINC. A possibility to take the advantage of experience of other persons with a similar disorder is of particular value during the therapy. There is a positve correlation between the ability to experience sexual satisfaction and quality of social adaptation after SINC. The form, acceptance and efficiency of sexual education in persons after SINC are affected by cultural conditions.nces (SINC) is a difficult object of scientific investigations and is not as accurately described as sexual impairment in men after SINC. In particular, systematic reports on pregnancy and its complications in women after SINC are lacking. Aim of the study: Presentation of backgrounds and specificity of sexual disorders, dysfunctions of partner relationships and contraception in women after SINC.Method: Literature review, authors’ clinical experience.Results and conclusions: Persons with sexual dysfunction following SINC should be subjected to psychological evaluation and specified sexual education. These specific interventions should be introduced at the appropriate time and take into account functional progress made during rehabilitation and the level of patients’ acceptance of disability. Partner’s involvement is crucial for effective psychotherapy of persons after SINC. A possibility to take the advantage of experience of other persons with a similar disorder is of particular value during the therapy. There is a positve correlation between the ability to experience sexual satisfaction and quality of social adaptation after SINC. The form, acceptance and efficiency of sexual education in persons after SINC are affected by cultural conditions.
    Źródło:
    Medical Rehabilitation; 2007, 11(4); 32-35
    1427-9622
    1896-3250
    Pojawia się w:
    Medical Rehabilitation
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Contemporary methods of urinary system evaluation in patients after spinal injury complicated by neurological deficits: Diagnostics of the upper urinary tract
    Współczesne metody oceny układu wydalniczego u osób po urazie kręgosłupa powikłanym zaburzeniami neurologicznymi – diagnostyka górnych dróg moczowych
    Autorzy:
    Tederko, Piotr
    Lewandowski, Jacek
    Krasuski, Marek
    Kiwerski, Jerzy
    Powiązania:
    https://bibliotekanauki.pl/articles/1938566.pdf
    Data publikacji:
    2007
    Wydawca:
    Akademia Wychowania Fizycznego im. Bronisława Czecha w Krakowie
    Tematy:
    spinal injury
    Neurological deficits
    urinary system
    Urinary Tract
    uraz kregosłupa
    zaburzenia neurologiczne
    układ wydalniczy
    drogi moczowe
    Opis:
    Introduction: Morbidity and mortality related to urinary tract diseases in patients after spinal injury with neurological disturbances (SIND) are modifiable if prompt and rational diagnostics and therapy are implemented in comprehensive care. SIND increases the risk of urinary tract damage resulting from neurogenic bladder dysfunction, sequels of patient’s immobilisation, nephrotoxic effect of pharmacotherapy, necessity of bladder catheterisation. Severe damage to the urinary system resulting from reflux, urolithiasis, hydronephrosis, recurrent pyelonephritis can occur both during the early and the late phase following SIND. The risk of urinary tract cancer is markedly increased in SIND patients. The natural history of urinary tract diseases in SIND patients might be changed. The course of the disease can be scant in symptoms and signs until late stages. Study design: Overview of scholarly literature.Aim of the study: Presentation and analysis of clinical usefulness of modern tests applied in diagnostics of the urinary tract function in SIND patients. We discussed appropriateness and clinical usefulness of imaging and functional procedures of the upper urinary tract evaluation with special emphasis on basic laboratory tests, modern methods of glomerular filtration rate (GFR) assessment in SIND patients, as well as on the traditional and modern imaging studies.Conclusions: Modern comprehensive care of a patient with SIND, both at the early and late stage following spinal injury, should comprise systematic monitoring of renal function. Efficacious diagnosis is based on meticulous clinical examination. Auxiliary tests are performed according to their availability and the anticipated clinical relevance. First line diagnostic tests should comprise non-invasive techniques. Systematic and credible GFR assessment is indicated in SIND patients. Tests of choice include: 51CrEDTA or 99mTcDTPA clearance, assessment of cystatin-C level, as well as routine imaging studies of the kidneys such as renal radioisotope scanning and ultrasound examination. Urography and computed tomography may serve as auxiliary imaging techniques.
    Źródło:
    Medical Rehabilitation; 2007, 11(3); 21-28
    1427-9622
    1896-3250
    Pojawia się w:
    Medical Rehabilitation
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The application of the BSSD Iono-Free linear combination method in the processing of aircraft positioning
    Autorzy:
    Ćwiklak, Janusz
    Grzegorzewski, Marek
    Krasuski, Kamil
    Powiązania:
    https://bibliotekanauki.pl/articles/247076.pdf
    Data publikacji:
    2019
    Wydawca:
    Instytut Techniczny Wojsk Lotniczych
    Tematy:
    GPS system
    aircraft positioning
    BSSD Iono-Free linear combination
    air navigation
    Opis:
    The article presents the results of research into the use of the differentiation technique of BSSD (Between Satellite Single Difference) observations for the Iono-Free LC combination (Linear Combination) in the GPS system for the needs of aircraft positioning. Within the conducted investigations, a positioning algorithm for the BSSD Iono-Free LC positioning method was presented. In addition, an experimental test was conducted, in which raw observational data and GPS navigation data were exploited in order to recover the aircraft position. The examination was conducted for the Cessna 172 and the on-board dual-frequency receiver Topcon HiperPro. The experimental test presents the results of average errors of determining the position of the Cessna 172 in the XYZ geocentric frame and in the ellipsoidal BLh frame. Furthermore, the article presents the results of DOP (Dilution of Precision) coefficients, the test of the Chi square internal reliability test and the HPL and VPL confidence levels in GNSS precision approach (PA) in air transport. The calculations were performed in the original APS software (APS Aircraft Positioning Software) developed in the Department of Air Navigation of the Faculty of Aeronautics at the Polish Air Force University.
    Źródło:
    Journal of KONES; 2019, 26, 3; 15-21
    1231-4005
    2354-0133
    Pojawia się w:
    Journal of KONES
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Reliability test of a GNSS onboard receiver in the kinematic mode
    Autorzy:
    Ćwiklak, Janusz
    Krasuski, Kamil
    Grzegorzewski, Marek
    Powiązania:
    https://bibliotekanauki.pl/articles/320769.pdf
    Data publikacji:
    2019
    Wydawca:
    Polskie Forum Nawigacyjne
    Tematy:
    GPS
    EGNOS
    RMS
    air navigation
    linear regression
    Opis:
    The article presents the results of the aircraft Cessna 172 positioning based on navigation solutions in the GPS and EGNOS (SBAS) tracking mode. The article makes a comparison of coordinate readings of the Cessna 172 in the ellipsoidal BLh frame. The verification of the coordinates of the aircraft Cessna 172 was used to assess the reliability of the GNSS satellite technique in aviation. In a research test, the navigation data were recorded by the onboard receiver Thales Mobile Mapper during an air test performed over the military aerodrome EPDE in Dęblin. Judging by the conducted investigations, it is possible to conclude that the difference in BLh coordinates of the aircraft Cessna 172 on the basis of the GPS solution and EGNOS (SBAS) solution equals, respectively: from -0.5 m to +3 m for component B; and from -2 m to +6 m for component L; from approximately -11 m to over +1 m for component h. In addition, the paper defines factors of dilution of precision PDOP, based on the GPS and EGNOS (SBAS) solutions. The average value of the PDOP coefficient for a solution in the tracking GPS mode was 2.7, whereas in the EGNOS (SBAS) tracking mode, it was equal to 2.8.
    Źródło:
    Annual of Navigation; 2019, 26; 106-113
    1640-8632
    Pojawia się w:
    Annual of Navigation
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-8 z 8

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