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Excessive body mass and its correlation with hypertension – a review of the literature

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Justyna Wyszyńska J., Justyna Podgórska-Bednarz J., Artur Mazur A.
Medical Review
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2016
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issue 2
2019-2019
EN
Hypertension is a serious health issue both in Poland and worldwide. It has been demonstrated that hypertension diagnosed in childhood persists in adulthood. Therefore, knowledge of the risk factors, prophylaxis and treatment of hypertension are crucial due to its serious medical and social consequences. Early identification of risk factors for hypertension allows to implement targeted preventive actions leading to the modification of habits connected with lifestyle, which in turn may lead to a reduction in the incidence of the disease or reduce its effects. The aim of the paper is to characterize the relationship between the occurrence of excessive body mass and hypertension in adults and in children and adolescents. Material and methods. A review of Polish and foreign literature mainly from the last 10 years. The following databases were searched: PubMed, EBSCO, Science Direct, Termedia, Polish Medical Bibliography.
PL
Nadciśnienie tętnicze stanowi poważny problem zdrowotny zarówno w Polsce, jak i na całym świecie. Wykazano, że nadciśnienie tętnicze rozpoznane w dzieciństwie utrzymuje się również w okresie dorosłości. Dlatego znajomość czynników ryzyka, profilaktyka i leczenie nadciśnienia tętniczego jest niezwykle ważne ze względu na jego poważne konsekwencje zdrowotne i społeczne. Wczesna identyfikacja czynników ryzyka nadciśnienia tętniczego pozwala na wdrożenie ukierunkowanego działania prewencyjnego prowadzącego do modyfikacji nawyków związanych ze stylem życia, co w konsekwencji może doprowadzić do zmniejszenia zachorowalności na tę chorobę lub ograniczenia jej skutków. Celem pracy jest charakterystyka zależności pomiędzy występowaniem nadmiernej masy ciała i nadciśnienia tętniczego u osób dorosłych oraz w populacji wieku rozwojowego. Materiał i metoda. Dokonano przeglądu piśmiennictwa. Przeszukano następujące bazy danych: PubMed, EBSCO, Science Direct, Termedia, Polska Bibliografia Lekarska. krajowego i zagranicznego, głównie z ostatnich 10 lat.
2
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Extracorporeal shock wave therapy in the treatment of plantar fasciitis

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Justyna Wyszyńska J., Justyna Podgórska-Bednarz J., Anna Świtała A., Julian Skrzypiec J.
Medical Review
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2016
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issue 4
465-472
EN
Plantar fasciitis is reported as the most common cause of chronic plantar heel pain. An extra-corporeal shock waves have been used in the treatment of plantar fasciitis with promising results. The purpose of this paper was to present results from randomized controlled trials to estimate of the effectiveness of ESWT in the treatment of plantar fasciitis. Method: MEDLINE, EBCO, PubMed, ScienceDirect and SpringerLink databases were searched, using the keywords: ESWT, plantar fasciitis, shock wave, randomized clinical trials. Results: Ten randomized clinical trials was critically appraised. Eight studies report significant decreases in pain symptoms and better function scores associated with an extra-corporeal shock wave therapy. However two studies show no meaningful improvement of clinical outcome in patients treated with extracorporeal shock wave therapy for chronic plantar fasciitis compared with placebo. Summary: In most cases shockwaves therapy was a safe and effective method for treatment of chronic plantar fasciitis and helped the patient to avoid surgery for recalcitrant heel pain but warrants further larger studies.
PL
Zapalenie powięzi podeszwy jest najczęstszą przyczyną przewlekłego bólu podeszwowej strony pięty. Wyniki terapii zapalenia powięzi podeszwy zewnętrzną falą uderzeniową są obiecujące. Celem pracy jest przedstawienie wyników randomizowanych badań klinicznych mających na celu ocenę skuteczności fali uderzeniowej w terapii zapalenia powięzi podeszwy. Metody: Analizą objęto doniesienia opublikowane w bazach: MEDLINE, EBCO, PubMed, ScienceDirect oraz SpringerLink. Użyte słowa kluczowe: terapia zewnętrzną falą uderzeniową, zapalenie powięzi podeszwy, randomizowane badania kliniczne. Wyniki: Wyniki dziesięciu randomizowanych badań klinicznych zostały objęte analizą. Analiza wyników ośmiu z nich wskazuje na istotne zmniejszenie dolegliwości bólowych oraz polepszenie funkcji u pacjentów leczonych przy użyesticiu fali uderzeniowej. Natomiast wyniki pozostałych dwóch badań nie wskazują na znaczącą poprawę stanu pacjentów leczonych falą uderzeniową w porównaniu z grupą kontrolną pacjentów nieotrzymującą leczenia. Podsumowanie: W większości przypadków terapia zewnętrzną falą uderzeniową jest efektywną metodą leczenia zapalenia powięzi podeszwy, pomaga pacjentom uniknąć leczenia operacyjnego,jednakże celowe byłoby przeprowadzanie badań klinicznych obejmujących liczną grupę pacjentów.
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Morbidity trend of lip cancer in Podkarpacie and in Poland in the years 1963–2013

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Jan Gawełko J., Marek Cierpiał-Wolan M., Justyna Podgórska-Bednarz J., Andrzej Kawecki A.
European Journal of Clinical and Experimental Medicine
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2017
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issue 1
32–38
EN
Introduction. The dramatic decline in the incidence of lip cancer, which until the 80s of the twentieth century was the cause of significant morbidity, is an example of changes in the structure and trends of cancer incidence both in Poland and in the regions. Aim. Therefore, the aim of this paper is to analyze the changes in the morbidity trend of the lip cancer during the last 50 years, both in Poland and in Podkarpacie. Material and methods. A retrospective analysis of the lip cancer morbidity in the Podkarpackie region and in Poland in the years 1963–2013 was carried out based on data from the literature and our own research. Results and conclusion. A steady decline in the incidence of lip cancer in Podkarpacie has been observed since 1982 for men and 1983 for women. In Poland these trends have been observed since 1972 for men and 1993 for women. In the analyzed period significant changes in the incidence structure in terms of sex are observed – from approximately 1:10 (women / men) in 1963 similarly in Podkarpackie and Poland – to 1:4.6 in Podkarpacie and 1: 2.6 in Poland in 2013.
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Effects of sensory integration therapy in a 7-year old child with epilepsy following craniocerebral trauma – a case study

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Maria Widelak M., Andżelina Wolan-Nieroda A., Justyna Podgórska-Bednarz J., Agnieszka Guzik A.
European Journal of Clinical and Experimental Medicine
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2020
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issue 1
67-71
EN
Introduction. Post-traumatic epilepsy develops as a complication of a serious craniocerebral trauma, frequently an open head injury, resulting in neurological impairments. Aim. The study was designed to discuss problems associated with sensory integration dysfunction observed in a seven-year old girl with epilepsy which occurred as a result of craniocerebral injury. Description of the case. The case study is based on information gained from the girl’s medical records, an interview with her guardians and a sensory function questionnaire. Additional examinations assessed the girl’s balance control, and her functional performance according to Barthel scale. The girl received a three-week sensory integration therapy which included exercise involving tactile, vestibular and proprioceptive stimulation, as well as balance exercises and self-care training. Conclusions. In this particular case, application of sensory integration therapy produced beneficial results. The findings show improvement in balance, coordination as well as self-care.
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Comparative analysis of the incidence of Oropharyngeal cancer and Laryngeal cancer in the region of south-eastern Poland from 1980 to 2013

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Jan Gawełko J., Marek Cierpiał-Wolan M., Andrzej Kawecki A., Justyna Podgórska-Bednarz J.
European Journal of Clinical and Experimental Medicine
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2017
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issue 1
39-44
EN
Introduction. The incidence of head and neck cancers in Poland demonstrated a general tendency to stabilize in the last two decades. However, a global phenomenon in the change of morbidity structure in terms of the specific anatomical location is observed, which will probably increasingly apply also to Poland. Aim. The aim of the study was to present the changes that have occurred in the structure of the incidence of oropharyngeal cancer in comparison to laryngeal cancer in the period from 1980 to 2013, in the region of south-eastern Poland and the whole country. Material and methods. A retrospective analysis of the incidence due to the head and neck organ cancer in 1980-2013 in the region of south-eastern Poland and the whole country was performed based on demographic data from the Provincial Statistical Office in Rzeszow and Podkarpackie Cancer Register as well as the Department of Epidemiology, Oncology Centre in Warsaw. Results and conclusion. In the last three decades, the percentage of laryngeal cancer incidence in women (13% vs 18%) as well as oropharyngeal cancer (18.2 % vs 21.6%) was lower in Podkarpacie than in Poland overall. The incidence of oropharyngeal cancer in men in Podkarpacie was lower in the analyzed period than in Poland overall, and only in the last 3 years of observation has it reached a value close to the average for the country. The incidence of laryngeal cancer in men showed a dramatic downward trend both in Poland and in the Podkarpacie province, whereby both in terms of incidence rates and standardized rates and percentages – it is far more pronounced in the analyzed province.
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Forms of physical activity of the elderly

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Piotr Czarnecki P., Justyna Podgórska-Bednarz J., Lidia Perenc L.
European Journal of Clinical and Experimental Medicine
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2020
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issue 3
221-228
EN
Introduction. Physical activity is known to be an important factor influencing health throughout human life. This issue has become crucial for public health due to the aging of the population in both developed and developing countries. Aim. is to present a literature review on the forms of physical activity undertaken by the elderly, as well as on issues related to physical activity and the population aging. Material and methods. The study was prepared on the basis of a review of Polish and foreign literature. The following databases and data sources were used: EBSCO, ScienceDirect and Google Scholar. An additional source of data were the websites of the Central Statistical Office. Strictly defined key phrases were used during the collection of literature. The work has been divided into thematic subsections on the aging of the society, the impact of physical activity on health and the main topic, i.e. forms of physical activity selected by the elderly. Analysis of the literature. The number of elderly people in Polish society has increased by almost 3.7 million over three decades. Therefore, an important topic is prophylaxis aimed at increasing the number of days in good health, largely covering the broadly understood activation of the elderly. The available data indicate that only 12% of elderly people undertake physical activity once a week. The most common form of spending free time actively is walking (as many as 73% of people in this population declare this form of physical activity in one of the presented studies). Conclusion. Organized forms of physical activity are undertaken much less frequently by the analyzed age group mainly due to financial limitations and limited availability of sports infrastructure
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Association between body mass and physical activity with quality of life in patients with rheumatoid arthritis

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Anna Świtała A., Justyna Wyszyńska J., Kinga Czerwińska K., Katarzyna Dereń K., Justyna Podgórska-Bednarz J., Agnieszka Guzik A.
European Journal of Clinical and Experimental Medicine
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2017
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issue 3
200–205
EN
Introduction. Rheumatoid arthritis (RA) is a progressive joint condition that leads to joints destruction and complications in the internal organs and significantly affects the a patient’s functional, physical, psychological and social condition. Over the last few years, research into the quality of life (QoL) in people with chronic disease has been conducted to assess the results of treatment. Aim. The aim of the study was to assess QoL in various areas of life in regards to physical and mental functioning, social relations, and environmental influences in people with RA. Material and methods. The study group (subjects with RA) and the control group (subjects without RA) consisted of 48 people each. Subject age ranged from 19 to 68. In order to assess QoL, the WHOQOL-BREF questionnaire was used, while socio-demographic data were assessed with a questionnaire developed by the authors. Results. QoL in people with RA was lower than that of healthy individuals. The worst QoL was observed in the physical domain. No statistically significant association was found between BMI and QoL. It was found, however, that subjects with RA and a higher level of physical activity had a better QoL than those with a lower level of physical activity. Conclusion. There was no association between the body mass of RA patients and QoL assessment. However, an association was found between the level of physical activity in people with RA and QoL in the physical and environmental domain.
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