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EN
Aim: The aim of the study is an attempt to answer the question whether a long-term karate practice exerts influence on the incidence of injuries and what its type and underlying cause. Methods: The research was carried out in July 2013 in Cracow during a karate training camp. 125 people from Poland participated in the study. The participation in research was voluntary and people were informed about its aim and application. The average age was 37,6 ± 11,3 years. The youngest participant was 15 and the oldest 57. Median age was 39 which means that half of participants was not older than 39 and the other half was at least 39. Questionnaire techniques were used in the study. The research tool used to implement the selected technique was survey questionnaire. The questionnaire consisted of 23 open- and close-ended questions. Results: As results from own research, the greatest number of competitors (38) have suffered from contusion (47,1% of all injury types). This injury types constitutes almost half of all injuries. Among all injury types karate contestants suffered from last year, the most common were contusions (25,6% of all injuries). Conclusions: Karate training is not related to any serious injuries apart from contusions which at the same time are most common injury in this type of training. Contestants’ and training experience are not directly related to injury incidence. An appropriately organized, rational training and using prevention enables to avoid injuries. Circumstances of injury incidence change with contestants’ age and training experience.
EN
Objectives: The aim of the study was to assess the function of semicircular canal in videonystagmography head impulse test (VHIT) in the patients with vertigo and balance disorders. Material and Methods: The study was performed in 135 patients (86 women and 49 men) aged 22–79 years, who were divided into 2 groups: I (study group) – 73 patients with vertigo of peripheral, central or mixed origin, II (control group) – 62 patients without vertigo (healthy individuals). The function of canal was determined on the basis of GAIN and expressed as DG/RH×100% (where DG is deviation of gaze and RH is rotation of head). Results: In the study group the semicircular canal injuries were found in 37 (50.69%) patients, including 24 (32.87%) patients with 1 injury and 13 (17.8%) patients with 2 or more injuries in semicircular canal. The injured anterior semicircular canal was reported 13 times; the lateral – 9 times and the posterior – 31 times. Conclusions: In the study group, in the VHIT, injuries in semicircular canals were reported in peripheral vertigo, mixed vertigo with non-compensated and compensated function of the labyrinth in 50.68% cases, whereas in the caloric test dysfunction of the labyrinth was found in 58.49% cases.
EN
Introduction: Common etiologies of acute traumatic peripherial nerve injury include penetrating injury, crush, stretch, and ischemia. Purpose: This paper reports an epidemiological and clinical study of patients with peripheral nerve injuries who were treated for upper limb trauma, which included nerve injury, surgically treated in the Department of Orthopedics University Hospital in Bialystok, in the years 1997-2007.Materials and methods: A total of 202 patients with injury to the median, ulnar and radial nerves were involved in the study. Based on the medical history concerning day care and inpatient hospitalization, surgery books data and the analysis of medical histories, the data referring to the nerve trauma were analyzed. Results: The data allowed a reliable assessment of the population of patients with upper limb nerve injury and methods of treatment, as well as quantitative presentation of the methods of repair and reconstruction of the damaged nerve stem. Conclusions: In the Department of Orthopedics, Medical University of Bialystok, in the years 1997-2007 delayed nerve injuries were more frequently treated than the immediate ones. Surgical treatment of nerve injuries most frequently used primary suture and cable grafting reconstructions. Secondary epineural suture of the nerve was performed more rarely. Autogenic nerve graft segments were most frequently collected from the ulnar nerve of the lower extremity. The medial antebrachial cutaneous nerve grafting was much seldom performed.
EN
ObjectivesThe purpose of this study was to characterize a new respiratory syndrome associated with exposure to a humidifier disinfectant (HD) in South Korea that is distinct from the well-known HD-related lung injury (HDLI). The authors identified this condition in 24 study subjects who were family members of patients with definite or probable HDLI (referred to as index cases), and were exposed to HD in the same room as the index cases.Material and MethodsThe authors reviewed medical records of 236 family members in 110 families who were exposed to HD in the same rooms and residences as the index cases.ResultsThey identified 24 family members who were exposed to HD in the same rooms and residences as the index cases, and who developed respiratory disorders that were distinct from HDLI. The clinical signs and symptoms of these individuals were in the upper respiratory tract, such as allergic rhinitis and croup, or in the lower respiratory tract, such as bronchitis and pneumonia. The diffusing capacity of the lung fordetermicarbon monoxide was reduced in 9 of 12 children (data not available for 1 child), and in 4 of 5 adults (data not available for 6 adults). The percent forced vital capacity and forced expiratory volume in one second/forced vital capacity ratios were within the normal ranges in most patients. The computed tomography findings, which mostly indicated non-specific inflammation, were inconsistent with the radiological diagnostic criteria for HDLI, but were abnormal in 8 of 11 adults, and in 2 of 13 children.ConclusionsThe authors propose a new condition, i.e., HD-related respiratory syndrome (HDRS), which is characterized by mild to moderate or atypical respiratory symptoms and signs, and is related to HD exposure, but is distinct from HDLI. The recognition of HDRS may provide a basis for understanding the natural history of HD-related respiratory problems, and for capturing the whole spectrum of HD-related clinical manifestations in the respiratory tract.
EN
Street cleaning is an integral part of the solid waste management system. There are different ways to achieve clean streets depending on the availability of equipment, the type and magnitude of dirt, the surface conditions encountered or traffic conditions. In general, hand sweeping by an individual worker or a group, hose flushing, or machine sweeping or flushing are applied. In order to obtain information about the occurrence and relevance of occupational health hazards of street cleaners, the current international literature, as well as corresponding German regulations, were reviewed and evaluated. Street cleaning includes a variety of health hazards for employees. These can be subdivided into effects of occupational tasks and effects of working conditions such as weather or road traffic. The hazards result from physical, chemical and biological exposures, but may also be due to physiological and psychological burden or inadequate safety aspects. The most commonly reported work-related complaints are musculoskeletal and respiratory disorders, cuts, slips, and road traffic accidents. In developing countries, street cleaners seem to be still heavily exposed to dust and, in most cases, no suitable protective measures are available. Especially in industrialized countries there exist a number of standards and recommendations for waste workers that aim to reduce their occupational health impacts.
EN
Objectives This study has aimed at identifying prevalence of injury-occurrence in 24 pre-professional-ballet-dancers (females, 16–18 years of age), and identifying the associations between the body-built and prevalence of injuries. Material and Methods The sample of variables included: body mass, body height, and 3 somatotype characteristics (mesomorph, ectomorph and endomorph) and data on injuries over the preceding year. Results Dancers were mostly ectomorphic-mesomorph (endomorphy: 2.6±0.54, mesomorphy: 3.99±0.77, ectomorphy: 3.23±0.54). The most commonly injured locations were the foot (17% of all injuries) and ankle (17%). Majority of the injuries occurred while practising but 37% of hip-injuries occurred while performing. Ankle-injuries resulted in longest absence from ballet. Endomorphy was related to ankle-injury (odds ratio (OR) = 1.9, 95% confidence interval (CI): 1.4–2.3), ectomorphy to foot injury (OR = 1.7, 95% CI: 1.1–2.9), and body-mass to injury to the toes (OR = 1.7, 95% CI: 1.4–3.1). Conclusions The results of this study allow for recognizing those dancers who are particularly vulnerable to injuries of certain body location. A more profound analysis of the possible mechanisms that lead to hip-injury during performance is needed. Int J Occup Med Environ Health 2017;30(1):151–159
EN
Background The profession of a firefighter is fraught with a significant risk of injuries. Firefighters operate in hazardous zones to mitigate threats and combat fires. Aim of work is to evaluate the accident rate of the officers of the Polish State Fire Service in connection with their service, considering direct participation in rescue operations, and other official duties between the years 2015–2022. Material and Methods An 8-year analysis was conducted from reports covered the number of accidents, the number of injured firefighters, the age of the officers, the circumstances of the event, and the type and location of the injury. This includes fire and rescue operations, exercises, training, official trips, sports activities, and technical work related to equipment. Results Between 2015 and 2022, there were 12 588 individual and group accidents in various circumstances. Most firefighter accidents occurred during rescue and firefighting operations, as well as during sports activities which dominate as the cause of injuries among firefighters in the observed period (37.8%), and injuries related to rescue and fire-fighting activities constitute 28.5%. Other work activities of firefighters cause 33.7% of injuries. In 2020 was a clear reduction in the number of accidents per 1000 employed firefighters in each observed parameter (total, interventions, sport) while maintaining the average level of firefighter employment (M±SD 30 099±224). Conclusions The most frequent circumstances of injury are slippery and challenging spaces, surfaces, and carelessness. The most common type of body injury is a dislocation and sprain concerning the ankle joint, foot. The most frequent causes of work-related injuries for firefighters, as the results indicate, are participation in team sports and fire-fighting and rescue operations. The most commonly occurring medical consequences resulting from a firefighter’s injury are fractures, sprains, and contusions of various body areas. Firefighters are most burdened with injuries in the age group 26–35 years old.
EN
The presentation summarizes the results of two years of oral history research. The aim of the research was to record the recollections of the still living eyewitnesses of the events in the fall of 1944 in Cluj and its surroundings, in settlements that belonged to the southern part of Transylvania during World War II. Several hours of interviews were made in the villages of the regions of Ţara Călatei (Kalotaszeg) and the Transylvanian Plain (Mezőség), and the lecture presents a synthesis of these interviews. They address issues like deportation, atrocities, fleeing, arm usage, Soviet and Romanian detention camps, adventurous escapes, etc.
EN
Introduction: Soccer players are injury prone, and increasing competition - especially at the highest level - leads to increasing training loads, and these may contribute to more injuries to players. Hence, the aim is to increase preventive measures and treatment in this field. Aim: The paper examines soccer players’ susceptibility to injuries occurring at different levels of the sport’s development, and describes the accompanying conditions. Materials and Methods: The study involved 215 players of different levels, of which 105 came from the II and III league clubs (group I) and 110 from IV league clubs (group II ). The conducted research was based on a diagnostic survey using an anonymous questionnaire containing 15 questions developed by the authors. Results: Similar traumas (injuries) were observed among respondents of both groups. Group I had suffered injuries in the case of 92 (87.62%) respondents, while Group II contained 87 (79.09%) subjects who had suffered injuries. Group I trained harder than Group II , but the nature of the injuries was similar for all the players. The surveyed Group I had 100% access to physio-therapeutic help; in Group II this was the case for only 48 (43.64%) subjects. Group I also applied preventive anti-injury measures to a greater extent than Group II , in the form of pre-training warm-ups and post-training stretching and loosening. Conclusions: Among the more advanced soccer players there was a trend toward more traumas with similar kinds of sustained injuries, despite the greater availability of physiotherapy care and their use of more antiinjury prevention techniques than in the group representing the lower levels of sport advancement in soccer. This adverse effect is associated with the more intense training and training loads of the more advanced players Wstęp: Piłka nożna jest sportem powodującym wiele kontuzji a wzrastająca rywalizacja – szczególnie na najwyższym poziomie – prowadzi do zwiększania obciążeń treningowych, które mogą się przyczyniać do powstawania większej ilości uszkodzeń ciała piłkarzy. Stąd dąży się do zwiększenia działań prewencyjnych i terapeutycznych w tym zakresie. Cel pracy: Zbadanie częstości pojawiania się kontuzji, przyczyn i skutków ich występowania oraz stosowanych sposobów prewencji urazów u piłkarzy nożnych o różnym poziomie zaawansowania sportowego Materiał i metody: W badaniu wzięło udział 215 piłkarzy nożnych, z których 105 pochodziło z klubów II i III - -ligowych (grupa I), a 110 z klubów IV-ligowych (grupa II ). Przeprowadzono je w oparciu o metodę sondażu diagnostycznego z zastosowaniem anonimowego kwestionariusza ankiety własnego autorstwa zawierającej 15 pytań. Wyniki: W obydwu grupach zaobserwowano podobieństwa w zakresie odniesionej urazowości. W grupie I występowała ona u 92 (87,62%) ankietowanych, a w II grupie u 87 (79,09%) osób, przy czym grupa I trenowała intensywniej niż II , a charakter urazów był podobny u wszystkich piłkarzy. Badani grupy I mieli 100% dostępność do pomocy fizjoterapeutycznej, a w grupie II miało ją tylko 48 (43,64%) osób. Grupa I również w większym stopniu niż grupa II stosowała środki prewencji urazów w postaci rozgrzewki przed treningiem oraz rozciągania i rozluźniania mięśni po treningu. Wnioski: W grupie bardziej zaawansowanych piłkarzy nożnych występowała jedynie tendencja do większej urazowości przy podobnym rodzaju odniesionych uszkodzeń ciała, pomimo większej dostępności do pomocy fizjoterapeutycznej i stosowania przez nich w większym stopniu prewencji przeciwurazowej niż w grupie reprezentującej niższy poziom sportowy. To niekorzystne zjawisko związane jest z większymi obciążeniami treningowymi i startowymi bardziej zaawansowanych piłkarzy.
PL
W artykule przedstawione zostało zagrożenie dla osoby strzelającej oraz osób postronnych, które wynika ze zużycia części składowych broni. Analizowany przypadek dotyczy niekontrolowanego oddania strzałów „serią” z pistoletu P-64 spowodowanego zużyciem jego części składowych w efekcie oddania dużej liczby strzałów. Powodem zaistnienia powyższego przypadku był brak dostatecznego nadzoru nad liczbą oddawanych strzałów oraz nieprzeprowadzanie w terminie okresowej obsługi broni w celu oceny jej stanu technicznego.
EN
The article shows the risk to the shooting person and bystanders resulting from the worn out weapon components. The case study refers to taking the uncontrolled large number of shots using a P-64 pistol caused by its worn components. The reason for this occurrence was the lack of adequate supervision over the number of shots taken and the lack of periodic weapon service in order to assess its technical condition.
EN
Background Paramedics are exposed to a number of factors that may have a direct or indirect impact on the risk of an accident at work. The aim of the study was to analyze the incidence of accidents at work among paramedics as well as to discuss risk factors and measures to prevent such cases. Material and Methods The data on accidents at work were obtained from unpublished internal hospital documentation. The results were subjected to statistical analysis. Results In the years 2001–2013 there were 40 events, including 6 collective accidents, in which 41 paramedics of the emergency department were injured. On average, around 3 accidents involving paramedics occurred each year. The accidents happened most frequently in the evening and at night and in the winter months (statistically insignificant relationship). Incorrect behavior of the paramedics was the most common cause of an accident (75.6%) and musculoskeletal injuries (75%) most frequently of upper and lower limbs (55%) were the most common effects of an accident. In none of the cases safety regulations were breached by employees or employer. Conclusions Accidents among paramedics can be prevented by changing the interior design of and the medical equipment installation in the rear cabin of the ambulance, conducting regular training to upgrade the skills of paramedics and enriching their knowledge about health and safety in their widest meaning. Med Pr 2016;67(2):213–221
PL
Wstęp Ratownicy medyczni narażeni są na wiele czynników mogących bezpośrednio lub pośrednio wywoływać ryzyko wystąpienia wypadku przy pracy. Celem badania była analiza wypadkowości przy pracy wśród ratowników medycznych, omówienie czynników ryzyka oraz wymogów profilaktycznych w odniesieniu do omawianych przypadków zdarzeń/wypadków. Materiał i metody Dane o wypadkach przy pracy uzyskano z niepublikowanej dokumentacji wewnętrznej wybranego szpitala specjalistycznego. Wyniki W latach 2001–2013 w dokumentacji szpitalnej odnotowano 40 zdarzeń (w tym 6 wypadków zbiorowych), w których uczestniczyli pracownicy oddziału ratunkowego. W wypadkach ucierpiało 41 ratowników medycznych. Średnio rocznie dochodziło do ok. 3 wypadków z udziałem ratowników medycznych, najczęściej wieczorem i w nocy oraz w miesiącach zimowych (zależność nieistotna statystycznie). Najczęstszą przyczyną wypadków było nieprawidłowe zachowanie się pracownika (75,6%). Z kolei najczęstsze obrażenia dotyczyły układu kostno-stawowego (75%), w tym najczęściej kończyn górnych i dolnych (55%). W żadnym analizowanym przypadku nie stwierdzono naruszenia przepisów bezpieczeństwa i higieny pracy (bhp) ani przez pracowników, ani przez pracodawcę. Wnioski Wypadkom wśród ratowników medycznych można zapobiegać poprzez zmianę układu wnętrza tylnej kabiny ambulansu i sposobu mocowania w nim wyposażenia medycznego, a także poprzez przeprowadzanie systematycznych szkoleń podnoszących kwalifikacje ratowników i wzbogacających ich wiedzę z zakresu szeroko pojętego bhp. Med. Pr. 2016;67(2):213–221
EN
The objective of the present article is to describe and evaluate a pilot traffic safety project, “Live to Be Twenty”, run by the Kolečko endowment fund and its partners. Targeted at students in the 17-19 age category, the project was carried out from September 2015 to June 2016 at selected secondary schools, including grammar schools, in the Central Bohemia and Ústí nad Labem regions. The paper provides an outline of the basic concepts concerning the raising of public awareness of traffic safety-related issues, particularly as regards adolescents’ risk-taking behaviour and their specific personality aspects and the ways in which the environment may influence their thinking and behaviour. General statistics showing the rates of injuries among children and adolescents are also provided. The main focus of the article is on prevention and traffic education, with a view to the secondary school context, and the young people’s readiness to provide first aid. In addition, the paper examines thoroughly the effectiveness of the project and the degree of its effect on its participants. It seeks to establish to what extent the project may have influenced the thinking, attitudes, and behaviour of the young people who participated in it. The evaluation study was intended to answer the questions of whether and to what extent the project had an impact on the students (and for how long). The results suggest that the project had a significant effect on the students’ attitudes and their readiness to provide first aid. However, this effect was short-lived: no effect was demonstrated at a three-month follow-up. In conclusion, the findings are, used to recommend changes for the future implementation of the project, including the better practical utilisation of the experience and results generated by the project and incorporating the project into a long-term and systematic policy covering the school-based prevention of risk behaviour.
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