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EN
Introduction: Most of the pesticides have, by nature, some degree of toxicity because they are intended to kill certain organisms and thus create a risk of damage. The use of pesticides has raised serious concerns, mainly about the potential effects on human health and especially on respiratory system. Thousands of people (from 20,000 to 220,000) lose their life due to pesticide poisoning. Ninety nine percent of them (99%) live in developing countries. Purpose: To review the literature, to identify the harmful effects of pesticides on human health, and particularly on the respiratory system, and to define the ways of dealing with them. Materials and methods: Extensive review of the relevant literature was performed via electronic databases (Medline, Pubmed, Cihnal and Google scholar) and scientific journals (Greek and international) using the appropriate key words: pesticides, respiratory symptoms, pulmonary disease and a combination of them. Results: The effects on human health due to exposure to pesticides depend on a number of factors, including the category of pesticides involved, the amount and type of active substance, as well as their form, route of contamination, exposure time and pesticides' residual dose. Pesticides, especially those that inhibit the action of cholinesterase, lead to the onset of respiratory symptoms. A number of respiratory symptoms and diseases have been associated with occupational pesticide exposures, such as wheezing, asthma cough, phlegm, dyspnoea and influenza like syndrome are reported especially among agricultural workers. Conclusions: Pesticides are dangerous substances for the human body and especially for the respiratory system, if they are used without control. Proper use of pesticides can ensure both the quality of the environment and citizen's safety and health. New scientific data require periodic review of safety levels.
EN
Ground level (tropospheric) ozone, an air pollutant and key ingredient of urban smog, has a negative impact on human health worldwide. Many studies have reported increases in emergency-room visits, hospital admissions, and mortality for patients with these conditions, associated with days of increased ozone. Short-term exposures to ozone irritate the respiratory system and may cause health problems by damaging lung tissue, reducing lung function, increased airway inflammation and making the lungs more sensitive to other irritants. It not only affects people with existing breathing problems, but also can affect healthy children and adults. Persons especially sensitive to ozone exposure are the elderly, infants, children, persons with existing respiratory issues such as diabetes mellitus, asthma or allergies, asthmatics, chronic respiratory patients, pregnant women, smokers, and persons with lung cancer, cardiovascular disease or immune system deficiency. Furthermore, recent research studies suggest that long-term exposure to ozone may be associated with lung cancer. This possibility is expected to be further explored.
EN
It has been proven that outdoor and indoor air pollutants can cause adverse health effects and are able to promote the onset of atopic diseases. The current manuscript is focused on methodological issues. The aim of the study is to determine the effect of air pollution, urban environment, and urban heat islands (UHIs) on the occurrence of respiratory diseases including allergic rhinitis, asthma and wheezing in preschool children. The study group consists of 276 five-year-old children attending randomly selected kindergartens in the urban and rural areas of the Łódź Voivodeship. The questionnaire including data on the child’s state of health and socio-economic data will be filled by the caregivers. The children will undergo skin prick testing and the measurement of volatile organic compounds in exhaled breath. The key components of air pollution – particulate matter (PM) will be measured by personal meters. The PM sampling planned in the study will take 12 h for PM2.5 and for PM10 alike. Data on the level of outdoor air pollution will be collected based on the results obtained from air monitoring stations. The impact of air pollution, UHIs and the environment on the respiratory system and the presence of allergies in children, including chronic respiratory diseases, will be assessed. The project results will provide a scientific basis for the development of preventive programs in the population of children in the Łódź Voivodeship, adapted to the real health needs of society.
EN
The head is an important element of the biokinetic chain. Under physiological conditions, it should extend along the midline of the body. Due to its location and the fact that it constitutes approx. 6% of the total body weight, many authors believe it has a significant impact on its functioning. The aim of this study was to conduct a systematic literature search and to synthesize the evidence of the impact of the head posture on the functioning of the human body. A systematic review was conducted within 3 databases: PubMed, Medline OVID, and EBSCO, using the following terms: “forward head,” “posture,” “position,” and “neck.” For the analysis, scientific articles published after 2013 were selected. A total of 16 studies matched the inclusion criteria of this systematic review. Their results have proven that the position of the head has a significant effect on the human body. Research findings show that abnormal head position changes affect muscle activity, proprioception, the pattern of breathing and neck pain. This is the first systematic review of the relationship between the head posture, and the functioning of the human body. The results of this study seem to be promising if used in therapeutic practice.
Sztuka Leczenia
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2021
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vol. 36
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issue 1
51-56
EN
Coronavirus disease 2019 (COVID-19) has spread worldwide. It mainly attacks the respiratory system of the body, but complications appear in many organs and tissues. Healthcare teams were put on standby to fight a virus that they did not get to know well. Post-covid physiotherapy focuses mainly on the rehabilitation of the respiratory system and counteracting the effects of changes in the musculoskeletal system. Physiotherapeutic procedures included posture positions, bronchial tree cleansing, active exercises and physical therapy. An important element of physiotherapy is working in a medical team with doctors, nurses and psychologists.
PL
Choroba Coronavirus Disease 2019 (COVID-19) rozprzestrzeniła się w całym świecie. Atakuje głównie układ oddechowy organizmu, ale powikłania ujawniają się w wielu narządach oraz tkankach. Struktury ochrony zdrowia zostały postawione w stan gotowości do walki z wirusem, którego nie zdążono dobrze poznać. Fizjoterapia post-covidowa skupia się głównie na rehabilitacji układu oddechowego oraz na przeciwdziałaniu skutkom zmian w układzie mięśniowo-szkieletowym. Wśród postępowania fizjoterapeutycznego znalazły się pozycje ułożeniowe, toaleta drzewa oskrzelowego, ćwiczenia czynne oraz fizykoterapia. Ważnym elementem fizjoterapii jest działanie w zespole wraz z lekarzami, pielęgniarkami oraz psychologami. Słowa kluczowe: Covid-19, fizjoterapia post-covidowa, układ oddechowy
EN
Objectives Traffic-related particulate matter (PM) is one of the major sources of air pollution in metropolitan areas. This study is to observe the interactive effects of gene and fine particles (particles smaller than 2.5 μm – $\text{PM}_\text{2.5}$) on the respiratory system and explore the mechanisms linking $\text{PM}_\text{2.5}$ and pulmonary injury. Material and Methods The participants include 110 traffic policemen and 101 common populations in Shanghai, China. Continuous 24 h individual-level $\text{PM}_\text{2.5}$ is detected and the pulmonary function, high-sensitivity C-reactive protein (hs-CRP), Clara cell protein 16 (CC16) and the polymorphism in CXCL3, NME7 and C5 genes are determined. The multiple linear regression method is used to analyze the association between $\text{PM}_\text{2.5}$ and health effects. Meanwhile, the interactive effects of gene and $\text{PM}_\text{2.5}$ on lung function are analyzed. Results The individual $\text{PM}_\text{2.5}$ exposure for traffic policemen was higher than that in the common population whereas the forced expiratory volume in 1 s (FEV₁), the ratio of FEV₁ to forced vital capacity (FEV₁/FVC) and lymphocytes are lower. In contrast, the hs-CRP level is higher. In the adjusted analysis, $\text{PM}_\text{2.5}$ exposure was associated with the decrease in lymphocytes and the increase in hs-CRP. The allele frequencies for NME7 and C5 have significant differences between FEV₁/FVC ≤ 70% and FEV₁/FVC > 70% participants. The results didn’t find the interaction effects of gene and $\text{PM}_\text{2.5}$ on FEV₁/FVC in all the 3 genes. Conclusions The results indicated that traffic exposure to high levels of $\text{PM}_\text{2.5}$ was associated with systemic inflammatory response and respiratory injury. Traffic policemen represent a high risk group suffering from the respiratory injury.
EN
Introduction. Cardiopulmonary Exercise Test (CPET) can precisely determine aerobic capacity, conjugate and independent functions of the pulmonary cardiovascular, and skeletal muscle systems. Aim. To describe CPET feedback from a high stamina professional football player. Description of the case. The test took place in course of one CPET session. The method of an individual case study was used in this research. The participant was a local team football player. According to the coaches’ opinion, this player had the best ability to perform long distance work. The test was performed using a cycle ergometer. Cardiopulmonary Exercise Test was performed with a cycle ergometer RAMP test. Conclusion. The player’s capacity is at a level that allows us to outline his results as a unique case.
EN
This work presents studies on secondary school children inhabiting two regions of Warsaw: Śródmieście (Central part) and Międzylesie (East part). These two locations significantly differ according to air pollution, which is much higher in Śródmieście than in Międzylesie. the sample consist of 219 boys and 225 girls aged 13-16 years. The main aim of this work concerns the evaluation of physical development (body height and weight, BMI and chest circumference, Marty index – chest circ./height) and respiratory parameters (VC, Ziemssen index – VC/height, MV, FEV1 RR, TV, IRV, ERV, Ap) of studied children depending on the place of residence. The data were presented in “z” scores and the difference was calculated using t-test for independent samples. The results show that there were not significant differences in body build as well as in most respiratory functions between children from the Central and East parts of Warsaw. The significant differences were found for IRV and Ap which were greater in children from Śródmieście and for TV and MV which were greater in girls from Międzylesie. The more detailed analysis of these studies, including data concerning living conditions of studied children and smoking habits within their families is under preparation.
EN
Background: The frequency of respiratory symptoms in workers exposed to water aerosol was evaluated along with the preliminary assessment of microbiological contamination of air and water used in glass processing plants. Material and Methods: A questionnaire survey was conducted in 131 workers from 9 glass processing plants. Questions focused on working conditions, respiratory symptoms and smoking habits. A pilot study of air and water microbiological contamination in one glass processing plant was performed. Water samples were tested for Legionella in accordance with EN ISO 11731-2:2008 and for total colony count according to PN-EN ISO 6222:2004. Air samples were tested for total numbers of molds and mildews. Results: During the year preceding the survey acute respiratory symptoms occurred in 28.2% of participants, while chronic symptoms were reported by 29% of respondents. Increased risks of cough and acute symptoms suggestive of pneumonia were found among the respondents working at a distance up to 20 m from the source of water aerosol compared to other workers (OR = 2.7), with no difference in the frequency of other symptoms. A microbiological analysis of water samples from selected glass plant revealed the presence of L. pneumophila, exceeding 1000 cfu/100 ml. The number of bacteria and fungi detected in air samples (above 1000 cfu/m³) suggested that water aerosol at workplaces can be one of the sources of the air microbial contamination. Conclusions: The questionnaire survey revealed an increased risk of cough and acute symptoms suggestive of pneumonia in the group working at a shortest distance form the source of water aerosol. Med Pr 2013;64(1):47–55
PL
Wstęp: Przedmiotem badań była ocena częstości występowania dolegliwości ze strony układu oddechowego osób narażonych na aerozol wodny w zakładach przemysłowych oraz wstępna ocena skażenia mikrobiologicznego powietrza i wody technologicznej. Materiał i metody: Opracowano ankietę, która zawierała pytania ukierunkowane na warunki pracy oraz występowanie objawów zmian w układzie oddechowym, które mogą sugerować zapalenie płuc, w tym legionelozę. Badania ankietowe przeprowadzono w 9 zakładach mechanicznej obróbki szkła, wzięło w nich udział 131 osób. Badania mikrobiologiczne powietrza i wody wykonano w 1 wybranym zakładzie. W próbkach wody oznaczano obecność bakterii z rodzaju Legionella według PN-EN ISO 11731-2:2008 oraz ogólną liczbę mikroorganizmów według PN-EN ISO 6222:2004. Badania ogólnej liczby pleśni i grzybów w powietrzu prowadzono metodą zderzeniową. Wyniki: Występowanie ostrych dolegliwości ze strony układu oddechowego odnotowano u 28,2% osób, a dolegliwości przewlekłe u 29% osób. Najczęściej występującą dolegliwością był długotrwały kaszel, który zgłaszało 16% badanych. Rzadziej zgłaszana była duszność wysiłkowa (12,9%), świszczący oddech (12,2%) oraz ból w klatce piersiowej (10,7%). Stwierdzono zwiększone ryzyko kaszlu oraz zespołu ostrych objawów, które mogą sugerować zapalenie płuc w grupie osób wykonujących pracę w odległości do 20 m od źródła aerozolu wodno-powietrznego, w porównaniu z pozostałymi pracownikami. Badania mikrobiologiczne wody technologicznej wykazały obecność bakterii Legionella pneumophila w liczbie przekraczającej 1000 jtk/100 ml. Jednocześnie odnotowano wysoką liczbę bakterii i grzybów w powietrzu (> 1000 jtk/m³), których źródłem prawdopodobnie była woda technologiczna. Wnioski: Uzyskane dane ankietowe oraz badania pilotażowe skażenia mikrobiologicznego wody i powietrza na stanowiskach pracy wskazują na istnienie realnego zagrożenia zdrowia pracowników narażonych na wdychanie skażonego aerozolu wodnego. Med. Pr. 2013;64(1):47–55
EN
This paper reviews rare occupational respiratory diseases with uncommon causes. Among others, it refers to the Ardystil syndrome characterized by the occurrence of organizing pneumonia in the textile printing sprayers, as a result of inhalation of substances used in aerographic textile printing. Furthermore, secondary pulmonary alveolar proteinosis due to exposure to chemical and organic dusts was described, and so was the occurrence of the “vineyard sprayer’s lung” in farm workers in Portugal. Eosinophilic bronchitis, showing a strong resemblance to bronchial asthma, was found to occur, among others, in a baker, a nurse and workers exposed to acrylates, α-amylase or welding gases. Occupational exposure to diacetyl in popcorn production workers might also create a threat to their respiratory system. A newly recognized factor that may cause bronchitis and lung diseases is the fiberglass used by workers building small boats and ships. An increased risk for respiratory ailments is observed in people employed in the textile industry, exposed to commodities or cotton dust. Even the resources used to protect different surfaces against moisture have been recognized as the causative agents of lung diseases. The rare occurrence of some occupational respiratory diseases enables a detailed analysis of the epidemiology and evaluation of the relationship between the etiologic agents and the development of the disease. This literature review highlights the fact that most respiratory diseases require a special analysis of occupational and environmental exposure.
PL
W pracy przedstawiono specyfikę rzadko występujących chorób układu oddechowego o nietypowych przyczynach. Omówiono zespół Ardystilu, charakteryzujący się wystąpieniem organizującego się zapalenia płuc, który pojawił się po raz pierwszy u pracowników tekstylnej fabryki sitodruku w wyniku narażenia na inhalację substancji używanych w przemyśle malowania aerograficznego. Opisano wtórną postać proteinozy pęcherzyków płucnych, związaną z narażeniem na czynniki chemiczne i pyły organiczne, a także wystąpienie u robotników rolnych w Portugali i płuca opryskiwaczy winnic. Przedstawiono eozynofilowe zapalenie oskrzeli, wykazujące duże podobieństwo do astmy oskrzelowej, które wystąpiło m.in. u piekarza, pielęgniarki i pracowników narażonych na akrylany, α-amylazę i gazy spawalnicze. Zagrożenie dla układu oddechowego może nieść ze sobą także praca w ekspozycji na diacetyl u pracowników fabryki wytwarzającej popcorn. Nowym czynnikiem, który może powodować choroby oskrzeli i płuc, jest włókno szklane używane przez pracowników budujących małe łodzie i statki. Zwiększone ryzyko wystąpienia dolegliwości ze strony dróg oddechowych występuje też u osób zatrudnionych we włókiennictwie, zawodowo eksponowanych na surowce lub pył bawełny. Czynnikiem ryzyka tych schorzeń są także środki przeznaczone do ochrony różnych powierzchni przed wilgocią. Rzadkie występowanie niektórych zawodowych chorób układu oddechowego powoduje, że niemożliwa jest szczegółowa analiza epidemiologiczna i ocena zależności między czynnikiem etiologicznym a rozwojem schorzenia. W niniejszym przeglądzie piśmiennictwa podkreślono, że wystąpienie choroby układu oddechowego każdorazowo wymaga zwrócenia szczególnej uwagi na narażenie zawodowe i środowiskowe.
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