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EN
The Peking Rules have not been ratified in an official document and carry no legal weight. They are just a private set of regulations for settling loss and damage by sacrifice. They were accepted by the China Council for the Promotion of International Trade (CCPIT) on 1 January 1975 and remain in force today. The structure of the Peking Rules is uniform and is not divided into general and specific regulations. The rules are comprised of a peculiar type of preamble and eight titled articles. The range of loss and damage by sacrifice includes extraordinary losses, damages, and reasonably incurred extraordinary expenses resulting from actions taken to protect vessel and cargo from a common danger posed by forces of nature, accidents, or other extraordinary circumstance that can occur in maritime transport. Undoubtedly, the York-Antwerp Rules, especially their Hamburg version from 1974, significantly influenced the Peking Rules, as is reflected by the striking similarities in text and character of the two sets of rules. The authoress also discusses the problem of the Peking Rules in reference to the Polish maritime code.
EN
The aim of the study was to determine the relation between the severity of cognitive impairment and the risk of falling among the elderly.The risk of falling was analyzed in 20 subjects (mean age 79,6 ±9,5). The study included persons with the Mini-Mental State Examination (MMSE) score below 27 (average MMSE 17,7 ±6,0). To assess the risk of falling the Fallscreen in a shortened version was used (PPA). The correlation of MMSE results with PPA results was analyzed.The mean value of the fall risk indicator was 4,9 ±0,2. Analyzing the relation between separate PPA tests, there was a significant negative moderate correlation of MMSE scores with reaction time (−0,54) and a similar positive correlation with knee extension strength (0,61). A high correlation of MME results was recorded with the fall risk indicator (−0,71).The strong correlation of cognitive impairment with the physiological profile among elderly shows that the higher the cognitive deficit, the higher the likelihood of a fall inci-dent in this group. When creating fall prevention programs, it is worth paying attention to improv-ing the muscular strength of the lower limbs and general reaction time, because these two elements may particularly affect the increased fall risk of people with cognitive impairment.
PL
Celem pracy było określenie związku pomiędzy nasileniem zaburzeń poznawczych a ryzykiem upadku wśród osób starszych.Badaniami objęto 20 osób (średnia wieku 79,6 ±9,5). Do badań włączono osoby z wynikiem skali Mini-Mental State Examination (MMSE) poniżej 27 (średni MMSE 17,7 ±6,0). Analizę ryzyka upadku przeprowadzono, oceniając profil fizjologiczny FallScreen (PPA). Dokonano analizy korelacji wyników MMSE z wynikami PPA.Średnia wartość wskaźnika ryzyka upadku wyniosła 4,9 ±0,2. Analizując związek poszczególnych testów PPA, wykazano istotną ujemną umiarkowaną korelację wyników MMSE z czasem reakcji (-0,54) oraz podobną, dodatnią korelację z siłą wyprostu stawu kolanowego (0,61). Z kolei wysoką korelację wyników MME zarejestrowano w przypadku wskaźnika ryzyka upadku (-0,71).Wysoka korelacja zaburzeń poznawczych z profilem fizjologicznym wśród osób starszych pokazuje, iż im deficyt kognitywny jest wyższy, tym większe jest prawdopodo-bieństwo wystąpienia upadku w tej grupie. Tworząc programy prewencji upadków osób star-szych, warto zwrócić uwagę na poprawę siły mięśniowej kończyn dolnych oraz czasu reakcji, gdyż te dwa elementy mogą szczególnie wpływać na zwiększone ryzyko upadku osób z zaburzeniami poznawczymi.
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