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Obustronna arefleksja błędników: przegląd piśmiennictwa i opis przypadku

100%

Miśkiewicz-Orczyk K., Lisowska G., Szostak-Rogula S., Szlęzak M.

Medycyna Pracy

2021

vol. 72

issue 2

185-192

Bilateral vestibular hypofunction (BVH) is a rare disorder of the peripheral part of the balance organ, which may cause chronic vertigo and oscillopsia accompanying body movements. The chronic and severe nature of the symptoms and difficulties in maintaining balance and performing precise movements may cause the patient’s withdrawal from professional activity. A frequently long period from the onset of the symptoms to the diagnosis of BVH, which should be based on the objective examination of the peripheral part of the vestibular organ, drastically reduces the chances of improving the patient’s precise movement motility and significantly deteriorates the quality of life. Due to the fact that this disease most often affects professionally active patients in the sixth decade of their life, it can become the cause of a loss of the source of income. The publication presents a case report and examination methods of a patient with BVH caused by the administration of gentamicin in the course of phlegmon of the thumb. The case analysis was performed on the basis of a literature review on the diagnosis and treatment of patients with BVH.

Obustronna arefleksja, inaczej wypadnięcie funkcji błędników, to rzadkie schorzenie części obwodowej narządu równowagi, którego głównym objawami są uporczywe, chroniczne zawroty głowy oraz towarzysząca ruchom ciała oscylopsja. Przewlekły, uciążliwy charakter objawów i trudności z utrzymaniem równowagi oraz wykonywaniem precyzyjnych ruchów mogą stać się przyczyną rezygnacji chorego z aktywności zawodowej. Nierzadko długi okres od wystąpienia objawów choroby do diagnozy, która powinna bazować na badaniach obiektywnych części obwodowej narządu równowagi, drastycznie zmniejsza szanse na poprawę motoryki chorych oraz znacząco pogarsza komfort ich życia. Choroba najczęściej pojawia się u aktywnych zawodowo pacjentów w 6 dekadzie życia i może być przyczyną utraty źródła dochodów. W publikacji przedstawiono opis przypadku i metodykę badań wykonanych u pacjenta z obustronną arefleksją błędników, do której doszło na skutek podania gentamycyny w przebiegu ropowicy kciuka. Analizy przypadku dokonano na podstawie przeglądu literatury na temat diagnostyki i leczenia obustronnej arefleksji błędników.

Assessment of life quality and health perception among recovered COVID-19 patients: multivariate analysis – own material and a review of previous reports on life quality assessment among convalescents

64%

Zięba N., Stryjewska-Makuch G., Goroszkiewicz K., Zieliński M., Dadok A., Pietrzyk B., Gajewska J., Miśkiewicz-Orczyk K., Lisowska G.

Medycyna Pracy

2022

vol. 73

issue 6

449-456

Background The SARS-CoV-2 virus, causing acute respiratory disease, is responsible for the COVID-19 pandemic, which began in early 2020. In addition to symptoms typical of respiratory tract infections, the virus causes a number of non-specific, often long-lasting effects that hinder the daily functioning of individuals. The aim of the study was a subjective assessment of life quality and health perception among recovered COVID-19 patients. Material and Methods The study included 337 subjects who had been infected with SARS-CoV-2 confirmed by a positive RT-PCR test. The study participants were of legal age. The convalescents completed a questionnaire that contained 26 questions about gender, height, body weight, blood type, general and specific symptoms, comorbidities, hospital stay and duration of specific symptoms, the severity of which was assessed on the Visual Analogue Scale (VAS). The subjects determined whether the COVID-19 infection influenced their health perception and life quality. Results According to 46% of the respondents, COVID-19 had an impact on their quality of life and health. The chance for patients to notice the negative effects of COVID-19 on their current health status and life quality increased with each subsequent symptom of the disease by 49%, with each day of its occurrence by 3%, and with each VAS point of the severity of all infection symptoms by 30%. Conclusions The study shows that COVID-19 disease affects life quality and overall health perception after recovery. Significant impact of COVID-19 on the quality of life should be a signal to create mental support and rehabilitation programs for convalescents to minimize discomfort and shorten the duration of absenteeism from work.

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2 Medycyna Pracy

2 Lisowska G.

2 Miśkiewicz-Orczyk K.

1 Dadok A.

1 Gajewska J.

1 Goroszkiewicz K.

1 Pietrzyk B.

1 Stryjewska-Makuch G.

1 Szlęzak M.

1 Szostak-Rogula S.

1 Zieliński M.

1 Zięba N.

1 2022

1 2021

Search results

Obustronna arefleksja błędników: przegląd piśmiennictwa i opis przypadku

Assessment of life quality and health perception among recovered COVID-19 patients: multivariate analysis – own material and a review of previous reports on life quality assessment among convalescents