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Liečba Ulcus cruris bilateralis Microdacyn 60 ® hydrogel

Author(s): Monika Jung / Language(s): Slovak Issue: 3/2017

Patient had two big wounds, which were repaired. But in August 2016 the next leg ulcer for approx. 10x10 cm opened (photos). Microdacyn hydrogel was applied continually. July 2017: The wound react much more slowly than those in other patients, but the effect of treatment is coming. The wound has managed to keep it clean without coatings, at the time of treatment, without pathogens and colonization. The patient still uses a dual constrictive bandage in both lower limbs.

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The Retrospective Study of Intervention Methods in Patients after Surgical Therapy of Breast Cancer

Author(s): Jana Slobodníková / Language(s): English Issue: 2/2017

Introduction: In the Slovak Republic, breast cancer is the most common type of oncological disease in women, the leading cause of cancer mortality in all women. In the past 10 years, breast cancer mortality has continued to slowly decrease, the breast cancer incidence in the past 20 years has continued increase, likely due to program of preventive mammography. The Aim: The aim of this retrospective study was the asses the importance, the position of the interventional methods – core cut biopsy and fine needle aspiration biopsy under ultrasound control in the differential diagnostics of changes after surgical treatment for breast cancer. Patients and Methods: We evaluated examinations of 385 patients with news diagnosed breast carcinoma after conservative surgical therapy in period between January 2005 and December 2016 from Clinic of Radiology in Trenčín. In all cases was performed ultrasound, mammography 2D and 3D examinations, ultrasound guided biopsy with free hand methods, needle 14, 16 and 20 G. Results: The major findings as postoperative changes were seromas, haematomas, fat necrosis, skin thickening, inflammatory changes, granulomas, postoperative scars and local tumor recurrence. Conclusion: The ultrasound guided interventional methods, fine needle aspiration cytology and core cut biopsy are reliable and perfect methods for the differential diagnosis of postoperative changes and the follow up of postoperative changes.

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Úspešná liečba popálenín prípravkom Jodermal A®

Author(s): Pavol Beňo / Language(s): Slovak Issue: 2/2017

We describe a case of successful treatment of burns in the student of high school at the age of 24 years. Injury: burn of the skin of the neck, wrist, chest, breasts and abdomen with the most critical points of the graded 2B caused by two large glasses of freshly prepared coffee, Patient got coffee grounds into her open wound. Treatment: by drug product Jodermal A®, an impulse to its creation has been this case. Conclusion: a quick course of treatment allowed the patient to travel abroad on the fifth day after the first application of the product.

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Neprihojená plastika po extirpácii melanómov na predkolení pravej dolnej končatiny. Kazuistika

Author(s): Monika Jung / Language(s): Slovak Issue: 2/2017

We describe a case analysis in cancer patients with neprihojenou after extirpation on the right lower limb melanoma sculpted legs. The wounds were treated with the therapy of cancer nature all the time and hydrogelom Microdacyn hydrogel - products based on superoxide solution. Treatment was atraumatic comfortable for the patient, because the solution in wound is not burny and it is non-irritant. The healing process was smooth, in the exsudation phase of the operation was wound by cleaning according the expectation.

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Probiotiká v chirurgii - prehľadový článok

Author(s): Viktor Rekeň,Vítězslav Marek / Language(s): Slovak Issue: 1/2017

Introduction: The modern management of a surgical patient can be presented as a set of preventive and targeted arrangements aimed at reducing the effects of stress on the body as an entity. Implementation of the recent scientific advances in the context of professional clinical subspecialities without respecting symbiosis between microorganisms in the digestive tract and macroorganism as a unit may be unsuccessful. Content: A special role particularly in the assessment of patients with malignancies of the gastrointestinal tract in the perioperative period has the functionality of the intestinal microflora as a crucial element of the immune system. Composition of probiotic agents greatly potentiates the physiological microbial colonization of the bowel, which can prevent defection, or generalization of the microorganisms by bloodstream. The authors summarize a global overview of publications that focus on the issue of the length and timing of the exposure a particular type of probiotic to the digestive tract. Conclusion: The results of the quoted works from different areas of abdominal surgery are not convincing. Within the elective surgery of gastrointestinal malignancies, however, a number of factors that have lead to the rational and effective application of probiotic preparations in practice was defined.

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Zdravotná gramotnosť, metóda ako zlepšiť zdravie populácie a jej využitie vo verejnom zdravotníctve

Author(s): Eva Čepová,Peter Kolarčík,Andrea Madarasová Gecková / Language(s): Slovak Issue: 1/2017

Background: Health literacy plays a key role in health promotion as well as in the effective administration of health care. The growing awareness about this topic leads to the development of new tools and ways of their practical application. Core of work: The aim of this study is to present Osborne’s Health literacy questionnaire as an Essentials tool in the program Ophelia which is aimed to develop interventions in the effective management of chronic diseases. Conclusion: It is necessary to create appropriate measures increasing health literacy and thus contribute to improving the overall health of the population.

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Infekčné ochorenia preventabilné očkovaním

Author(s): Peter Špringer,Eliška Knošková,Martin Tulek,Pavol Beňo / Language(s): Slovak Issue: 1/2017

Introduction: Vaccination is one of the most important public health precautions to protect millions of people from infectious diseases. Content: In the second half of the 20th Century, most countries of the world adopted its national immunization program recommended by the WHO. The key legislation for compulsory vaccination in the Slovak republic consist of Act No 355/2007 Coll. on protection, promotion and development of public health and Public Notice of Ministry of Health in the Slovak republic No 585/2008 Coll. Conclusion: Despite some negative response targeted against vaccination and the result of our work highlights the importance of maintaining compulsory vaccination to the extent that we have.

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Microdacyn 60® hydrogél

Author(s): Jaroslava Hudáčková / Language(s): Slovak Issue: 1/2017

Case Report

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Zdravotné aspekty v chove kôz

Author(s): Pavol Makovický,Milan Margetín / Language(s): Slovak Issue: 2/2018

Goats suffer from various diseases, which are caused by bacteria, viruses, parasites and other non-infectious agents. The diagnosis of goat diseases based not only on clinical symptoms is really difficult, as many diseases resemble one another. The important clinical symptoms of common diseases have been given, only to help farmers detect the sick goat at the earliest stage. Farmers may take some steps, as recommended, to prevent further deterioration in the condition of the animal, until it is brought under the supervision of a goat health specialist. It is observed that serious diseases can be prevented or minimized if timely preventive health care is adopted in goat farming.

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Prywatne ubezpieczenia zdrowotne a publiczny system opieki zdrowotnej w Polsce

Author(s): Maria Płonka / Language(s): Polish Issue: 6/2017

In light of OECD and Health Consumer Powerhouse data, Poland is at one of the last places in Europe in terms of organization, funding and health care services. The purpose of the article is to identify the causes of the problem in the light of European comparative data and to identify the place of private health insurance in Poland in the context of solving problems of public health system failure. To this end, the health care system in Poland has been discussed in comparison with other European countries, the causes of the shortcomings of the Polish health care system, private health insurance as a health supplement in Poland, and a summary of the solution to the problem through the public-private partnership model between the NFZ and the insurers.

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Uporednopravna analiza i izazovi regulisanja i finansiranja zdravstvenog osiguranja

Author(s): Ranko P. Sovilj / Language(s): Serbian Issue: 3/2018

There is no country in the world that can provide to all citizens all the benefits offered by modern medicine. In fact, the lack of financial resources with a continuous increase in health spending is a difficult challenge facing all countries of the world, including Serbia. The author deals with the analysis of the problems of unequal access to health services, insufficient health coverage, and the inability to exercise the rights of individuals on compulsory health insurance. Accordingly, the author points out how regulated health systems of developed countries, whose health funds contribute to a significant improvement in the health status of their citizens. Finally, a comparative analysis shows that there is no perfect health insurance system, but to strive for it, and some of the solutions that can contribute to improving the current state of health are proposed.

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Exceptions to the obligation of medical confidentiality in the context of the protection of public health

Author(s): Katarzyna Maria Zoń / Language(s): English Issue: 4/2017

Primarily, it should be noted that a doctor has an obligation to ensure the principles inherent to the doctor-patient relationship and to maintain medical confidentiality. These basic rules ensue from both statutory and deontology regulations. The aim of this paper is to analyse the exceptions to the above rule in relation to public health. In this respect, it is very important to explain the statutory and deontology regulations related to the obligation to maintain confidentiality, as well as to provide a definition of public health. Therefore, the specific nature of the exceptions to the medical confidentiality clause is highlighted. The exceptions are discussed taking into account the fact that public health protection is the requirement justifying their application. Finally, the article ends with a presentation of the conclusions of the analysis.

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Are dietary supplements dangerous? Assessing how society perceives the usage of dietary supplements – results of the preliminary analysis of nationwide survey data.

Author(s): Przemysław Kardas,Jakub Dorożyński,Paula Zdanowicz,Dawid Tyrna,Paulina Lis,Marek Mroczka,Paweł Lewek / Language(s): English Issue: 2/2018

Background: Dietary supplements (DSs) are concentrated sources of nutrients and/or other substances, whosepurpose is to supplement the normal diet. Their consumption in Poland has been on the rise, leading to numerousconcerns. However, current legislation does not provide any background for a relevant pharmacovigilancesystem. Therefore, little is known about their adverse effects (AEs) or patterns of use in Poland. To shed somelight on this, we conducted a nationwide survey.Aim of the study: To assess the prevalence of, and the reasons for, the use of dietary supplements in Poland vianational survey with a collection and an analyse of supposed adverse effects of dietary supplements.Material and methods: The study was conducted using an online survey based on the original questionnaire.In this report, we present the results of the analysis of the first 200 responses.Results: As many as 55.5% (111) of respondents were ‘definitely sure’ or ‘rather sure’ about DSs safety. However,70.5% (141) believed that they could have negative effects. Over 3/4 (153) of respondents used DSs themselves,and 61.0% (122) used them within last 12 months. Of those using DSs, 11.1% (17) reported diverse AEs,with GI tract irritation and mental disturbances being the most common (experienced by 35.3% (6), and 17.6%(3) of those reporting AE s, respectively).Conclusions: Respondents had mixed feelings about DS safety. Despite that, they used these products frequently.Of a note is high incidence of adverse effects experienced by DS users. This undoubtedly points to theneed for a relevant pharmacovigilance system.

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Impact of systemic cryotherapy on physical fitness.

Author(s): Adam Rosłanowski,Edmund Glibowski,Sławomir Winiarski,Iwona Wilk / Language(s): English Issue: 2/2018

Background: Systemic cryotherapy has broad effects on the human body. These include improved immunity, accelerated tissue regeneration, activation of thermoregulatory mechanisms, analgesic effects, and reduced muscle tension and spasticity without compromising strength. Aim of the study: To evaluate the effect of systemic cryotherapy on physical fitness. Material and methods: The 43 participants (42 – 53 years of age) underwent 10 daily treatments in a nitrogencryochamber over two consecutive weeks. Each cryochamber treatment lasted for 3 minutes at -130°C. Physical fitness was tested before and after the cryochamber treatment course using elements of three physical testingmethods (a functional movement screen, a TKKF physical fitness test and a general fitness test). Results: After cryotherapy, there was a visible improvement in the first four exercises of the fitness test withfewer participants feeling pain during movement, and more able to perform the exercises correctly or perfectly.For the remaining three exercises, the changes occurred in fewer subjects and to a lesser extent.Conclusions: Systemic cryotherapy was associated with improved physical fitness. It can be used to help increase overall physical fitness as a complementary and supportive process.acceleratedacceleratedaccelerated

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Health behaviors and life satisfaction of health spa patients.

Author(s): Ewa Grygiel,Elżbieta Cygnar,Katarzyna Zwolińska-Mirek,Janusz Mirek,Monika Bigosińska,Urszula Halska / Language(s): English Issue: 2/2018

Background: Determining the relationship between health behaviors and life satisfaction in patients who use health spas as an accurate measure of well-being (subjective well-being reflecting health condition) can be the basis for implementing preventive activities, setting trends for behavior modification, and monitoring changes in health-promoting practices. Aim of the study: To determine an empirical verification of the relationship between health behaviors and life satisfaction. Material and methods: The study included 123 women and men aged 32–80 years – all of whom were health spa patients. The Health Behavior Inventory (HBI) by Juczyński, and the Polish adaptation of the Satisfaction With Life Scale (SWLS) by Diener, Emmons, Larsen, and Griffin were used to measure health behavior and life satisfaction, respectively. Results: There was a significant positive correlation between health behavior indicators and the level of life satisfaction in patients, as well as an increase in the practice of health behaviors with age. Gender appears to differentiate the frequency of the performance of health behaviors in the subjects. A higher overall rate of health behaviors was observed in females compared with males. For instance, females attached greater importance to healthy eating habits compared with males. However, a higher level of life satisfaction is associated with more intensified preventive behaviors in males. Conclusions: A health education program should take into account both the age and gender of health spa patients. It should also aim to not only develop health awareness, but also to include psychological factors, such as a sense of life satisfaction, which can strengthen patients’ beliefs in the importance of health-promoting activities.

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Examination of fundamental movement patterns and likelihood of injury in amateur runners from Opole region in Poland.

Author(s): Dominika Sobota,Antonina Kaczorowska,Agata Mroczek / Language(s): English Issue: 2/2018

Background: The most common risk factors for running-related injuries are mistakes, such as insufficient warm-up and stretching exercises, during training. Good preparation and proper training reduces the risk of sport-related injuries. Aim of the study: To examine fundamental movement patterns and likelihood of injury in amateur runners. Material and methods: Twenty-four amateur long-distance runners from Opole region (Poland) were divided into two groups. The first group comprised 12 runners from the club “Kotwica Brzeg”, who did a proper warmup before training and stretching exercises after training. The second group comprised 12 runners from other clubs who did not undertake any warm-up or stretching exercises (control group). Fundamental movement patterns were tested by the Functional Movement Screen test (FMS). Results: The mean FMS test score was higher in “Kotwica Brzeg” runners (17.08 points) than in the control group (15.50 points), but this was not statistically significant. The “Kotwica Brzeg” runners performed better in five of the FMS tests, but this was only significant for the rotational stability test. Conclusions: Runners who did a proper warm-up and stretching exercises achieved better results in the FMS test, which may reduce the risk of running-related injuries.

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Relationship with peers of young school-aged children with type 1 diabetes.

Author(s): Ewa Ledwoń,Elżbieta Szlenk-Czyczerska,Marta Gawlik / Language(s): English Issue: 2/2018

Background: Functioning in a peer group plays an important role in child development. Building self-esteem of children depends on many factors such as physical health, self-evaluation of their physical performance, academic achievement, social support, family relationships, as well as relationships with peers and teachers. Importance of contacts with peers increases during school-age. At this time children are not able to reject the opinion of other people and subject their behaviour completely to the expectations of their peers. When the need for emotional contact is not satisfied, the complex of being different appears. Isolation within group causes a sense of inferiority, the child becomes passive and resigned. Children, who are chronically ill, rejected or isolated often follow negative emotions in their actions, they become aggressive towards other children or do not want to continue learning. Often the decision about an individual teaching plan results in further isolation of the child. The child’s position in the peer group affects the developing personality, self-confidence and self-esteem. Aim of the study: The aim of the study was to determine the interpersonal relationships of young school-aged children with type 1 diabetes in their peer groups. Material and methods: The study was conducted on children with type 1 diabetes and their parents, who are supervised by Clinic of Diabetes, Regional Medical Center in Opole. The research tool used in both groups was a questionnaire consisting of open and closed questions elaborated by the authors of this study. Results: 73% (41) of evaluated children declared that diabetes does not hinder their performance at school. 93% (55) children claimed that they do not hide their condition from their peers. In addition, 61% (34) talk about their illness with their peers and 69% (38) of them can count on their peers’ help in self-control of diabetes. 71.9% (46) of parents of children with type 1 diabetes allow their children to participate in school trips and 68.8% (44) to participate in school competitions. Conclusions: In most children, diabetes does not affect children’s performance at school. They participate in classes, are accepted and liked in their peer group. Chronically ill children should be able to participate in all types of activities as much as their healthy peers. It seems necessary to continue studies on performance of young school-aged children with type 1 diabetes in their peer group.

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Application of IPL technology in Acne Vulgaris treatment: a case report.

Author(s): Agata Koziołek,Karolina Chilicka / Language(s): English Issue: 2/2018

Background: Intense pulsed light (IPL) technology has been used by cosmetic and medical practitioner since 1990. Initially it was only used to remove unnecessary hair, but over time, it began to be used for anti-aging treatments, removing erythema, acne lesions, and acne scars. Aim of the study: The aim of this study is to investigate how the use of IPL technology has affected acne lesions and to determine whether the condition of the patient’s skin has improved. Material and methods: A young woman who was struggling with ordinary acne underwent a series of treatments using IPL technology to reduce skin eruptions. Results: The study subject was a 22-year-old patient who had been suffering from acne vulgaris for several years. The skin on her face exhibited changes in the form of pustules, blackheads, and lumps. The entire treatment series was 10 weeks. Prior to the procedure, a very thorough interview was conducted, during which all contraindications were excluded. The Hellgren-Vincent scale, which is used to determine the severity of acne lesions, accurately determines the amount of skin lesions in the form of lumps, pustules, and blackheads. Conclusions: As demonstrated by this study, IPL technology has been beneficial for the condition of the patient’s skin. Pictures from before and after unambiguously indicate the positive effect of intense pulsed light. There has been great improvement in the skin’s overall condition, with reduced acne lesions (lumps, pustules, blackheads).

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Complications in the sexual activity of women after a surgical intervention for breast cancer.

Author(s): Joanna Kusz-Marcol,Maria Konietzka,Jolanta Życińska / Language(s): English Issue: 2/2018

Breast cancer is one of the most common types of cancer among women. The most common form of treatment of this illness is a surgical intervention consisting of a partial or radical mastectomy. This article describes the psychological impacts of this experience on the frequency and occurrence of complications in the sexual activity of women and to determine the role that medical staff can play in helping patients cope with these challenges. The loss of a breast can have negative effects on a woman’s emotional state, specifically in terms of feeling feminine and the relationship with her partner. This is often reflected in a reduced quality of life. The care extended to post-mastectomy patients should routinely include an assessment of possible sexual dysfunctions and monitoring of how such dysfunctions are coped with. The PLISSIT model makes it possible to indicate how post-mastectomy patients may be effectively supported by medical staff. It serves to define a group of patients requiring specialist help. It also aims to initiate a conversation about the difficulties of functioning in this sphere, to provide general information and change existing perceptions, to give specific advice on making referrals to a specialist, and to consider these types of existing problems. The described intervention model is applicable to individual work, as well as to work with couples and groups. This method depends on the type of intervention desired and on the current psychophysical state of the patient and her readiness to start a conversation concerning sexual activity.

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Telomeropathies – rare disease syndromes.

Author(s): Anna Pańczyszyn,Ewa Boniewska-Bernacka / Language(s): English Issue: 2/2018

Telomeres are located at the end of the chromosomes. They protect chromosomes from fusion and degradation. Every cell division causes a shortening of the telomeres. A special enzymatic complex called telomerase is responsible for maintaining telomere length in intensively dividing cells, such as epithelial cells and bone marrow cells. The enzymatic complex includes the TERT subunit, which has reverse transcriptase activity, and the TERC subunit, which acts as a template. Other important components of telomerase are the proteins that are responsible for structural stability. Telomerase remains active only in the dividing cells of the body. The rate of telomere shortening depends on many factors including age, sex, and comorbidities. Faster shortening of telomeres is caused by gene defects, which have an impact on telomerase action. Collectively, these are called telomeropathies. Common causes of telomeropathies are mutations in the TERT and TERC telomerase genes. Types of telemeropathies include dyskeratosis congenita, idiopathic pulmonary fibrosis, and aplastic anaemia, among others. Clinical manifestations and prognoses depend on the type and quantity of mutated genes. Diagnosis of telomeropathies is often problematic because they present with the same symptoms as other diseases. So far, no effective therapeutic methods have been developed for telomeropathies. A therapeutic method for patients with bone marrow failure may be the transplantation of hematopoietic stem cells. For patients with idiopathic pulmonary fibrosis, treatments include immunosuppressive therapy, lung transplantation, or palliative care. In the future, gene therapy may be an effective treatment strategy for telomeropathies. Lifestyle changes may also have a positive impact on the person. Physical activity combined with a healthy diet rich in antioxidants and unsaturated fatty acids can decrease the oxidative stress levels in cells and lead to a slower shortening of the telomeres.

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