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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
Introduction: Urinary incontinence in women, in reference to the International Continence Society, is defined as an involuntary, uncontrollable, unwitting leakage of urine causing significant hygienic problems as well as physical and social discomfort. Purpose: To identify the major health problems of urinary incontinent women, the estimation of life quality determined by health in the aspect of physical and psychological existence, social interaction and environment influence, and to evaluate the patient’s agility and coping abilities in everyday life. Material and methods: The study was carried out at J. Sniadecki District Hospital and Medical University of Białystok Clinical Hospital in 2012. The study included 107 urinary incontinent women, and 93 continent women formed the control group. The World Health Organization Quality of Life (WHOQOL-BREF) and King's Health Questionnaire (KHQ) were used. Results: The evaluation of general satisfaction from the quality of life and health satisfaction carried out in the examined group shows significantly worse values as compared to the healthy group of women (p=0.02 and p=0.003, relatively). Moreover, the group of women examined as compared to controls is characterized by significantly lower average results of the subjective estimation of the quality of life in the following aspects: physical (p=0.001), psychological (p=0.03), environmental (p=0.004), and social relations (p=0.002). A significant inverse correlation between the influence of an illness on particular aspects of existence taken into account in the KHQ questionnaire and the life quality level measured by the WHOQOL-BREF questionnaire was demonstrated. Conclusions: Women with urinary incontinence had lower scores of life quality. Urinary incontinence among women decreases physical activity and negatively affects their psychological and emotional conditions, as well as their professional and social activity.
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EN
Physical activity (PA) is an important modifiable risk factor for endometrial cancer (EC). PA has been studied using diverse measures including metabolic equivalent of task MET, duration, frequency and subjective levels, but for practical reasons most of epidemiological studies use questionnaires rather than objective measures to document PA. Moderate-intense daily PA has a protective effect and have a 20-40% reduced risk of EC. In this rewiev complex and variable behaviour, and the ability of epidemiological studies to determine the relationship between PA and EC has been discussed.
EN
Ovarian cancer is the most threatening cause of death among gynecologic malignancies and represents the fifth leading cause of death from all cancers for women. Research reveals that ovarian cancer patients exhibit significant immune responses against the tumor. In this review of the current literature chiefly the interaction of ovarian cancer tumor cells and the immune system is discussed. There is increasingly growing evidence that pro-inflammatory cytokines are involved in intricate complex of mechanisms responsible for tumorigenesis, and delicate balance between pro- and anti-inflammatory cytokines is critical for the antitumor host immune response.
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