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EN
Introduction. Among patients with asthma, a lot of attention is being given to, at the present time, to such comorbidity as excessive body mass (EBM) or obesity. Aim. To evaluate the level of IgA in patients with bronchial asthma against the background of excessive body weight or obesity and to evaluate the effects of drug on the bacterial lysate and inosine pranobex. Material and methods. According to the design, the study was conducted in two stages: the first stage – examination of 105 patients with asthma. 105 patients with a basic diagnosis of asthma were examined whose average age was 41.19 ± 1.05 years, 75 patients were found to have EBM or obesity (BMI 31.67 ± 0.53) who were included in the main group and 30 patients with NBMI (BMI 22.13 ± 0.32), which were the comparison group. Results. The patients in the main group with a severe course had significantly lower serum IgA values than the patients in the comparison group (p<0.05), but the statistically significant difference between this index in the patients with a severe course in the main group and the control group was not revealed. The patients in the main group had a significant increase in the level of secret IgA against the background of the use of treatment-and-prophylactic complex (TPC) with the inclusion of a preparation of bacterial lysate in combination with inosine pranobex against the background of training in asthma school, receiving the basic treatment (p<0.05). Conclusion. Patients with asthma who have large BMI have a more severe course of bronchial asthma. A Correlation relationship was established in the group of patients with bronchial asthma and with excessive body weight or obesity between the level of sIgA and the severity of the asthma course; there is a direct strong correlation. Patients in the main group had a significant increase in the level of sIgA against the background of the use of TPC with the addition of a basic treatment by the preparation of bacterial lysate together with inosine pranobex.
XX
Introduction: Asthma is one of the most common diseases of the respiratory system. Its chronic nature and periodic intensification influence patients’ quality of life. During the last decade, the role of physiotherapy has become more important as it is more effective in treating people who suffer from asthma as well as its complications. Aim: The aim of the presented article is the evaluation of effort tolerance amongst patients before and after eighteen days of the application of a set of exercises. Methods: Sixty patients in the state of remission who suffer from chronic asthma were examined. Patients were classified under model C and D. The described program was realized for six days per week and then for a further 3 weeks. The effectiveness of physiotherapy on effort tolerance was evaluated. Submission: The data presented indicates that patients who were treated according to the program managed to walk in a six-minute test much faster than the rest of the patients. Conclusions: 1. Results show that physiotherapy of patients who suffer from asthma treated under model B or C present observed improvement of effort tolerance. 2. Comprehensive application of model C and D proves an increased ability amongst patients to walk much faster during the six-minutes test.
PL
Wstęp. Astma oskrzelowa jest chorobą przewlekłą, która ogranicza funkcjonowanie chorych w róznych sferach życia codziennego, w aspekcie fizycznym, społecznym i emocjonalnym. Dlatego badania HRQoL mogq byc cennym uzupełnieniem badania lekarskiego, szczególnie ważnym u chorych przewlekle.
EN
Background. Bronchial asthma is a chronic disease, debilitating the physical, social and emotional aspects of patients’ life. Therefore the HRQoL assessment may serve as a supplement to medical assessment, which is especially important in patients with chronic conditions.
EN
Respiratory diseases are a cause of long-term sickness absence, and even of partial or complete inability to work. This paper presents the first in Poland description of principles of good practice in occupational health service provided for people with respiratory diseases. The issues concerning the certification of the ability to work in this group of patients are discussed. The key-principles of preventive care of workers with obstructive and interstitial lung diseases with particular attention paid to the control of major risk factors are also presented. The importance of possible contraindications for job performance by workers affected by these diseases, as well as the responsibilities of occupational health physicians were highlighted. Med Pr 2013;64(3):427–438
PL
Choroby układu oddechowego są istotną przyczyną długotrwałej absencji chorobowej, a nawet częściowej lub całkowitej niezdolności do pracy zawodowej. Artykuł jest pierwszym w Polsce opracowaniem zasad dobrych praktyk w opiece profilaktycznej nad osobami z chorobami układu oddechowego. Omówiono w nim zagadnienia związane z orzekaniem o zdolności do pracy u tych osób oraz przedstawiono kluczowe elementy opieki profilaktycznej nad pracownikiem z obturacyjnymi i śródmiąższowymi chorobami układu oddechowego, ze szczególnym uwzględnieniem kontroli czynników ryzyka. Zwrócono również uwagę na możliwe przeciwwskazania do wykonywania pracy w przypadku tych schorzeń oraz zadań lekarza sprawującego opiekę profilaktyczną. Med. Pr. 2013;64(3):427–438
Medical Review
|
2012
|
issue 2
157–166
PL
Niesteroidowe leki przeciwzapalne (NLPZ) należą do najczęściej stosowanych środków medycznych. Charakteryzują się licznymi groźnymi działaniami niepożądanymi i mogą wywoływać nadwrażliwość. W pracy przedstawiono zarys historyczny nadwrażliwości na NLZP, aktualny podział reakcji nadwrażliwości, ich patomechanizm, obraz kliniczny i ogólne zasady rozpoznawania nadwrażliwości na NLPZ. Podano również zalecenia dotyczące postępowania u chorych nadwrażliwych na NLPZ.
EN
Nonsteroid anti-inflammatory drugs (NSAIDs) are one of the most frequently prescribed group of medicines. Their safety profile is poor as they can induce several dangerous side effects and hypersensitivity. In this paper historical aspects, an up-to-date classification of hypersensitivity reactions, patomechanism, clinical presentation and diagnostic procedures have been described. Management of patients sensitive to NSAIDs has been discussed, as well.
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