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Rok 2021 z wirusem SARS-CoV-2 był ciężkim okresem zarówno dla społeczeństwa, jak i dla całego systemu ochrony zdrowia w Polsce. Brak doświadczenia w kontekście pracy z szybko rozprzestrzeniającą się chorobą zakaźną, która powodowała okresowe zaostrzenia niewydolności Systemu Państwowego Ratownictwa Medycznego wymusił poszukiwanie rozwiązań usprawniających działanie zespołów ratownictwa medycznego. W wielu sytuacjach napotkane problemy udało się skutecznie rozwiązać, w innych niestety nadal upatrujemy realnego zagrożenia. Wielogodzinne absencje zespołów ratownictwa medycznego związane z długim czasem realizacji niestandardowych wezwań, konieczność dezynfekcji, niespodziewanie wykluczany personel z gotowości do pełnienia dyżuru to tylko jedne z wielu czynników, które paraliżowały System Państwowego Ratownictwa Medycznego. Problem pandemii pozostanie w systemie ochrony zdrowia znacznie dłużej niż pierwotnie się spodziewano, dlatego wypracowane lokalnie rozwiązania muszą być poddawane ciągłej ewolucji, aby sprostać wyzwaniom, które jeszcze poddadzą niejednej próbie System Państwowego Ratownictwa Medycznego. The year 2021 with the SARS-CoV-2 virus was a difficult period both for the society and for the entire health care system in Poland. The lack of experience in the context of working with a rapidly spreading infectious disease that caused periodic exacerbations of the failure of the State Medical Rescue System forced the search for solutions to improve the operation of medical rescue teams. In many situations, the encountered problems have been successfully resolved, in others, unfortunately, we still see a real threat. Many hours of absences of the Medical Rescue Teams related to the long time of implementing non-standard calls, the need for disinfection, unexpectedly excluded personnel from being ready to be on duty are just one of the many factors that paralyzed the State Medical Rescue System. The problem of the pandemic will remain in the health care system much longer than originally expected, therefore locally developed solutions must be constantly evolved to meet the challenges that will put the National Medical Emergency System to the test many times. Wydawnictwo zostało sfinansowane ze środków JM Rektora UAM przyznanych w ramach grantu pn. "Mobilne punkty pomocy medycznej, modułowe szpitale polowe. Doświadczenia organizacyjne i logistyczne COVID-19.Projekt rozwiązań systemowych w Wielkopolsce".

Husejko Jakub, Karło Aneta, Piątkowska Paula, Porada Mateusz, Kontowicz Marlena, Leśniak Zuzanna, Olszewski Bogusz, Łabędź Magdalena, Romaniuk Maciej, Kędziora - Kornatowska Kornelia. Rehabilitation in scoliosis - an overview of the most important procedures. Journal of Education, Health and Sport. 2019;9(7):378-389. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.3346197 http://ojs.ukw.edu.pl/ The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2019; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 01.07.2019. Revised: 05.07.2019. Accepted: 23.07.2019. Rehabilitation in scoliosis - an overview of the most important procedures Jakub Husejko1, Aneta Karło1, Paula Piątkowska2, Mateusz Porada1, MarlenaKontowicz1, Zuzanna Leśniak1, Bogusz Olszewski1, Magdalena Łabędź1, Maciej Romaniuk1, Kornelia Kędziora - Kornatowska1 Faculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University Department of Gastroenterology and Eating Disorders, Nicolaus Copernicus University Abstract Introduction: Scoliosis is defined as deformation of the spine and torso in three dimensions. Study show that scoliosis affects 68% of healthy individuals over 65 years of age with no low back pain. The aim of this article is to review the available scoliosis rehabilitation methods, including the newest physical rehabilitation trends. Material and methods: Articles in the Google Scholar, Pub Med database have been analysed using keywords: scoliosis, deformation of the spine and torso, modern methods of rehabilitation, older people. Results: After skeletal maturity, curves less than 30°do not progress, however most curves greater than 50°continue to progress with approximate change of 1°per year. Bracing is one of the most popular options of scoliosis treatment. Braces usage aims to slow the progression of the curve. However, complications resulting from the physical changes caused by the compression of the body and/or psychological effects due to the disturbance of the appearance while wearing the brace may occure. The Lehnert-Schroth three-plane corrective breath method principles are: a proper breathing technique where the ribs are used as levers and the breath is directed to the unstretched parts of lungs allowing correction of the curvature of the spine, and secondly activation of non-working muscles on the side of the concave curvature. Nevertheless, surgical procedure is advised for curves greater than 45° in immature patients and greater than 50° in mature patients. Conclusions: Scoliosis, defined as spinal and torso deformity in three planes. 80% of all cases of this postural defect are juvenile idiopathic scoliosis (AIS). However, degenerative scoliosis developed during the patient’s life due to the degeneration of the discs of the spine is frequent in people over the age of 65. It often limits daily functioning and can cause severe pain that requires medical intervention. It has been proven that properly selected systematic rehabilitation may lead to significant improvement in the spinal alignment. Nevertheless, in severe cases surgical treatment may be necessary. Keywords: scoliosis, deformation of the spine and torso, modern methods of rehabilitation, older people

Kontowicz Marlena, Husejko Jakub, Porada Mateusz, Karło Aneta, Bursiewicz Wiktor, Lange Hubert, Zwolinski Adrian, Nawrocka Agnieszka, Łabędź Magdalena, Romaniuk Maciej, Zaborna Daria, Prylińska Monika, Kędziora‑Kornatowska Kornelia. Sciatica - radiating pain affecting an increasing part of society. Journal of Education, Health and Sport. 2019;9(7):57-66. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.3265482 http://ojs.ukw.edu.pl/index.php/johs/article/view/7094 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2019; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 20.06.2019. Revised: 25.06.2019. Accepted: 02.07.2019. Sciatica - radiating pain affecting an increasing part of society Marlena Kontowicz1, Jakub Husejko1, Mateusz Porada1, Aneta Karło1, Wiktor Bursiewicz1, Hubert Lange1, Adrian Zwolinski1, Agnieszka Nawrocka1, Magdalena Łabędź1, Maciej Romaniuk1, Daria Zaborna1, Monika Prylińska1, KorneliaKędziora‑Kornatowska1 Faculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University Introduction: Sciatica is a current and more common problem affecting normal functioning. Along with the development of civilization, the lifestyle has also changed, contributing to spend a large amount of time in a sitting position. Material and Methods: Review of literature data available in the Pubmed, Cochrane and Google Scholar databases. Results: Both in a standing and sitting position, the pressure exerted on the intervertebral discs increases leading to a hernia which, pressing on the roots of the L4-S1 nerves, lead to symptoms characterized by pain in the lumbar region, back of the buttock, thigh, calf, foot and paresthesia of these areas. Due to the progressive changes associated with aging, the frequency of sciatica increases with age. The basis for the diagnosis of sciatica is a carefully collected interview and examination of the patient, while imaging and neurophysiological tests can be helpful in determining the degree of compression on nerve structures. Treatment of sciatica is dependent on the cause and can be both conservative and surgical. Conclusions: Due to the increasing number of cases of sciatica, it seems necessary to expand the knowledge on the diagnostic and therapeutic possibilities of this disease. Keywords: sciatica; herniated disc; back pain; nerve compression; neuralgia; radiculopathy