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The study visit between June and July 2012 included observation on rules regarding care for elderly people in Herrljunga commune (Swedish: Herrljunga komun). In Sweden, similar to other countries, the percentage of elderly people – those above 65 years old - is systematically growing. Care for elderly people is organized by authorities of the communes (komun). Health visitors are subjects to local government supervision Their main task is to develop rules and procedures for geriatric care. A patient’s health state indicates the commitment of staff, whether it should be a single visit, day care or 24/7 care.
EN
Introduction: Obesity afflicts approximately 3,000,000 people in Poland. Co-morbidities develop mainly in connection with morbid obesity. Bad health conditions connected with obesity may decrease the health-related quality of life (HRQOL). A body mass index of 30-34 kg/m2, along with co-morbidities, could be a reco-mmendation for surgical treatment. Reduction of body mass may cause recovery or symptoms relief. Bariatric surgery is currently the most effective method of morbid obesity treatment. Purpose: To evaluate the quality of life of patients after bariatric treatment. Materials and methods: Research material was gathered in the 1st Department of General and Endocrinological Surgery, University Hospital in Bialystok, by applying standardized BAROS among 108 patients after bariatric treatment. The study group included 73 women (67.6%) and 35 men (32.4%), between 20 and 60 years old (average age ± 40 years), and with a BMI of 41-52 (average BMI 45.5). Results: In 18 patients (16.6%) laparoscopic adjustable gastric banding (LAGB) was applied, in 58 (53.8%) sleeve gastrectomy was performed, and in 32 patients (29.6%) Roux-en-Y gastric bypass (RYGB) was applied. Significant difference (p<0. 0001) was stated in BMI according to the type of procedure. A higher reduction of BMI was obtained after RYGB than after LAGB and sleeve gastrectomy. Evaluation of quality of life was conducted six months after the surgery. No significant difference (p>0.05) was found in the quality of life depending on the surgery type. Complications that occurred after surgeries did not significantly influence the subjective evaluation of quality of life. Conclusions: The quality of life of the patients did not improve 6 months after bariatric surgery. This did not differ independently of weight loss in patients or of the type of surgery performed. Verifying obtained results after a longer period of time following the surgery is suggested
EN
Introduction: Cystic fibrosis (CF) is inherited, metabolic, multisystem disease with various clinical symptoms. In the airways neutrophilic inflammation and increased levels of neutrophil elastase (NE) are observed even in young children. The method of electrophoretic mobility of cell nuclei (EMN) is a way of assessment cell maturity. Observed distorted nuclei mobility is mostly dependent on chromatin distribution and remodeling. Purpose: To evaluate the EMN index in buccal cells collected from CF patients. Materials and methods: The study was conducted in the group of 15 CF patients aged 5-26 years. Results: In the healthy subjects we have observed that the lowest EMN index values were reach around 2 year of life (7.6 ± 3.1) and in the late senescence (8.5 ± 2.5) with the peak values around 16-21 years (61.4 ± 2.5). The results differed significantly from the healthy controls. Conclusion: EMN index in CF buccal cells may be a simple method to quickly assess the chromatin remodeling.
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