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Background: Breast cancer is one of the most common cancers in women. The aim of the study was a comparative analysis of the level of knowledge of third- to fifth-year physiotherapy students and practicing physiotherapists in the field of rehabilitation of post-mastectomy complications. Material and methods: A total of 112 participants (41 physiotherapy students and 71 physiotherapists) took part in the study. A proprietary online survey questionnaire consisting of 31 questions was used. Results: Physiotherapists were more likely than students to derive knowledge about rehabilitation of complications in patients after breast cancer treatment from courses, while students used materials available in classes at the university. The average number of points obtained in the knowledge test was 14.89 out of a possible 25. The most correct answers (89.5%) were given to the question concerning the negative effects of the presence of large lymphedema on the body of the person being treated. The lowest number of correct answers (23.7%) was recorded in the question concerning the type of exercise that is contraindicated during early cancer treatment. Conclusions: A moderate level of knowledge was predominant, indicating an overall average state of knowledge among the groups surveyed. There is a need for more diverse educational methods to improve knowledge in areas identified as weaknesses. [ABSTRACT FROM AUTHOR]

Copyright of Sport & Tourism Central European Journal / Sport i Turystyka Srodkowoeuropejskie Czasopismo Naukowe is the property of Jan Dlugosz University in Czestochowa and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Osteopathy is a medical system of diagnosis and treatment of a human being who is seen as an inseparable whole in terms of structure and function. However, there is a lack of coherence in the way osteopathic diagnosis and treatments are described in the literature. Medical databases including Medline, PubMed, PEDro, Osteopathic Research Web, and Cochrane Database of Systemic Reviews were reviewed. The data collected were assessed for compliance with the inclusion and exclusion criteria using abstract analysis. In total, 30 articles were analysed in depth. To systematise the results, these publications were divided into the following categories: musculoskeletal disorders, gynaecology, paediatrics, neurology, and internal medicine (gastroenterology, pulmonology, immunology). A review of the literature indicates that osteopathic treatments and techniques are most commonly used in orthopaedics and traumatology of the musculoskeletal system. The physiological and biomechanical mechanisms of action of osteopathic treatments are not confirmed by basic research. [ABSTRACT FROM AUTHOR]

Acute limb ischaemia is a sudden deterioration or lack of blood flow to a limb, potentially causing the risk of losing it. The main symptom is pain and weakness or lack of active movement of the foot and toes, i.e. motor paralysis. The gold standard in the treatment of patients with acute limb ischaemia is surgical treatment. Revascularisation is followed by rehabilitation, which includes early verticalisation and mobilisation, including breathing and antithrombotic exercises. In case of a so-called foot drop complication, the rehabilitation plan includes the following: passive exercises, passive remedial exercises, self-assisted exercises, resistance exercises, kinesiotaping, gait training, as well as protecting the ankle with an orthosis to prevent the paralysed foot from dropping. [ABSTRACT FROM AUTHOR]

Niniejszy artykuł jest studium przypadku pięcioletniej dziewczynki zarażonej wirusem cytomegalii, z prelingwalnym, odbiorczym uszkodzeniem słuchu głębokiego stopnia, bilateralnie implantowanej. Celem artykułu jest opis badań dotychczasowego rozwoju oraz aktualnych umiejętności komunikacyjnych dziecka w kontekście wczesnej diagnozy, wczesnej obuusznej implantacji oraz systematycznej terapii logopedycznej badanego dziecka. Opis umiejętności opracowany został z wykorzystaniem Karty Badania Surdologopedycznego oraz Karty Oceny Zachowań Komunikacyjnych Dziecka z Uszkodzonym Słuchem. Narzędzia te umożliwiły dokonanie szczegółowej charakterystyki umiejętności dziecka w zakresie porozumiewania się fonicznego we wszystkich podsystemach języka: fonologicznym, leksykalnym oraz gramatycznym: morfologicznym i składniowym. Ocenie poddano również zachowania gestowo-mimiczne dziecka pełniące funkcję komunikacyjną. Omówione zostały także możliwości audiologiczne dziecka ze szczególnym wskazaniem na korzyści, jakie odnosi z obuusznej implantacji i intensywnej pracy surdologopedycznej. Wyniki badań pozwoliły stwierdzić, że mowa jest preferowanym sposobem komunikowania się badanej dziewczynki. Osiągnęła ona bardzo wysokie umiejętności w zakresie komunikacji fonicznej, zbliżone do poziomu prezentowanego przez słyszących rówieśników. Porozumiewanie się gestowo-mimiczne pełni funkcję pomocniczą. Bazuje na gestykulacji naturalnej, choć dziecko miało epizod nauki podstaw języka migowego. Analiza historii rozwoju mowy dziecka pozwala dostrzec silną zależność między czasem implantacji a przyspieszeniem dynamiki rozwoju jego mowy.

Copyright of Polish Otorhinolaryngological Review / Polski Przegląd Otorynolaryngologiczny (Index Copernicus) is the property of Index Copernicus International and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Sport & Tourism Central European Journal / Sport i Turystyka Srodkowoeuropejskie Czasopismo Naukowe is the property of Jan Dlugosz University in Czestochowa and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This article presents the activities undertaken for the benefit of children and young people with multiple disabilities by those involved in the establishment and running of the Non-Public Primary School at the Foundation for Assistance to People with Disabilities. The historical aspect of the moment of initiation and continuous development of the establishment is presented, as well as the current aims and directions of its activities. The mission of the establishment is to prepare pupils, within the scope of their individual abilities and needs, to function independently in everyday life, as well as to develop, in a broad sense, their ability to build social relationships and communicate with others. At present, the school, thanks to its many years of experience, highly qualified, interdisciplinary staff and proven methods and forms of cooperation matched to the individual needs and capabilities of the child and his or her family, provides nearly a hundred students, including those with coupled disabilities and profound intellectual disabilities, with professional interactions in the field of motor, pedagogical, speech therapy and psychological therapy. [ABSTRACT FROM AUTHOR]

Copyright of Medical Rehabilitation / Rehabilitacja Medyczna is the property of Medical Rehabilitation and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Medical Rehabilitation / Rehabilitacja Medyczna is the property of Medical Rehabilitation and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Medical Rehabilitation / Rehabilitacja Medyczna is the property of Medical Rehabilitation and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Medical Rehabilitation / Rehabilitacja Medyczna is the property of Medical Rehabilitation and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of General Medicine & Health Sciences / Medycyna Ogólna i Nauki o Zdrowiu is the property of Witold Chodzki Institute of Rural Medicine and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Family Medicine Forum / Forum Medycyny Rodzinnej is the property of VM Medica-VM Group (Via Medica) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Abdominal hernia (hernia abdominalis) is the displacement of organs outside the body cavity, where they should be. Patients with a large abdominal hernia undergo repair procedures. Before the procedure it is advisable to undertake preparatory physiotherapy, which reduces the risk of respiratory failure and improves the patient's general fitness. The physiotherapy includes, among others, spirometry, approximate assessment of respiratory efficiency, 6-minute walking test, respiratory physiotherapy, and general fitness exercises. [ABSTRACT FROM AUTHOR]

Copyright of Medical Rehabilitation / Rehabilitacja Medyczna is the property of Medical Rehabilitation and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Biuletyn Kryminologiczny is the property of Polish Academy of Sciences, Institute of Legal Studies and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aim: To assess the functional status of patients and to investigate the effectiveness of rehabilitation intervention in coronavirus disease (COVID-19). materials and methods: There were 21 patients with clinically-laboratory confirmed coronavirus disease (COVID-19), who participated in the study. Among the examined patients there were 16 (76.2%) women and 5 (23.8%) men. The average age of the patients was 58±5.08 years. The rehabilitation cycle included an initial and final assessment of the patients' functional status, after which a rehabilitation intervention was carried out, which consisted of breathing exercises and motor activity. Results: The initial assessment of the patients' functional status in physical exertion during the 1st day showed that the heart rate (HR) was 127.09±0.55 bpm, the respiratory rate (RR) was 28.05±0.39/min, SpO2 was 85.95±0.38 %, systolic arterial pressure (APs) -- 145.09±1.48 mmHg, diastolic arterial pressure (APd) -- 84.33±0.86 mmHg. Up to the 5th day of the rehabilitation cycle, heart rate decreased at 25.9%, RR -- at 16.8%, SpO2 increased at 6.8%, APs decreased by 14.3%, APd decreased at -- 9.3% (p<0.001). The SpO2 saturation index after respiratory gymnastics increased significantly starting from the first up to the 5th day of rehabilitation from 92.29±0.44% to 97.62±0.29% (p<0.001). Subjective indices under the influence of rehabilitation intervention had reliable dynamics with a tendency to the decrease of manifestations of shortness of breath according to the Modified Borg scale (MBS) at 63.6% (p<0.001), leveling of general fatigue according to the Borg CR10 scale -- at 63.4% (p<0.001), an increase in the patient's mobility index -- at 66.4% (p<0.001), an increase in tolerance to the physical exertion for 6-minute walking distance 6MWD -- at 93.4% (p<0.001). Conclusions: Thus, rehabilitation assessment and intervention is an extremely important stage in the treatment of patients with the coronavirus disease (COVID-19), which provides an opportunity to improve the functional status of patients by physically influencing the pathogenetic mechanisms of the disease. [ABSTRACT FROM AUTHOR]

Aim: The purpose of this article is a thorough review and assessment of the problematic issues of ensuring the post-covid restoration of health, work capacity, and occupational safety in current conditions. Analysis and generalization of components of individual types of rehabilitation and determination of measures to combat acute respiratory disease COVID-19. materials and methods: The research is based on the analysis of international documents, strategies, recommendations, guidelines, empirical and analytical data of the World Health Organization and the International Labor Organization; scientific and analytical research. The article is grounded on dialectical, comparative-legal, cysteine-structural, formal-legal, and analytical methods. Additionally, in order to establish the facts of the provision of rehabilitation procedures, a survey of 1,063 respondents who suffered COVID-19 disease was conducted through social networks. Conclusions: Rehabilitation is one of the main components of medical and social care. It is the rehabilitation after COVID-19 that makes it possible to eliminate the negative consequences of the suffered virus disease. Among the effective post-covid recovery rehabilitation measures special attention should be paid to innovative means that can integrate the social protection system. COVID-19 recovery should take place through the treatment provided by professional rehabilitators; an individual program should be developed for each patient who has sought help, which will depend on the patient's state of health and needs; also, modern techniques and equipment must be used. [ABSTRACT FROM AUTHOR]

Aim: To create a device for PWPV evaluation which would be cheap and could be easily used not only at the inpatient but also at the restorative outpatient and health-resort stages of rehabilitation. materials and methods: The clinical examination included 90 people who were randomized into the group of observation (n=75) with patients of AH various degrees. 15 practically healthy persons were involved into the control group. PWPV was measured using a specially designed device according to the generally accepted carotid-femoral technique. Results: Our results showed that the PWPV of healthy persons measured using original device failed to differ statistically from the literature reference values and indicated the correspondence of the measurements we obtained with the data received using traditional apparatus. Out data of original PWPV measurement obtained from examined and treated patients do not differ from the results obtained in wide range of patients aged from 40 to 70 years with the 1st -2nd stages of AH. Conclusions: We described an efficacy of PWPV determination using an original device. The use of the proposed device does not contradict with the generally accepted method of vascular stiffness measuring and studying. The results obtained on it are comparable with the data of the most used stationary device SphygmoCor for these purposes. The prospects of the device using are without the limitations in patients with vascular diseases at the stage of rehabilitation. [ABSTRACT FROM AUTHOR]

Aim: to determine the dynamics of the level of functioning of patients after laparoscopic cholecystectomy in the long-term rehabilitation period. materials and methods: 79 patients after laparoscopic cholecystectomy were included, double-blind survey on the presence of impairments in functioning, activity and participation using the ICF. Statistical methods: measurement of the median value (Me), upper and lower quartiles (25%; 75%). The Mann-Whitney U-test was used to compare independent samples; the Wilcoxon T-test was used for dependent samples. Results: under the influence of rehabilitation, positive dynamics in the state of the gastrointestinal tract and the gait activity of patients of group A were revealed after the implementation using a biomedical approach. The rehabilitation method of group B was based on the assessment of the patient's functioning using the ICF and the organization of problem-oriented and aimed at achieving long- and short-term tasks with a patient-centered approach. to achieve improved functioning of gastrointestinal functions, general endurance, aerobic capacity, muscle strength and improved activities. Conclusions: the dynamics of the level of functioning and activity of patients after laparoscopic cholecystectomy in the long-term rehabilitation period was better in the group that used a biopsychosocial approach with the use of ICF. [ABSTRACT FROM AUTHOR]

Człowiek stworzony na obraz i podobieństwo Boże powinien kierować się w życiu prawem miłości. Tę miłość należy okazywać każdemu człowiekowi. Osoby niepełnosprawne umysłowo również powinny być otoczone tą troskliwą miłością. To ogromne wyzwanie i zadanie zwłaszcza dla rodziców. Na nich spoczywa wielka odpowiedzialność za proces rozwoju tych jednostek, w tym odpowiedzialność za ich chrześcijańskie wychowanie. Dlatego celem artykułu jest przedstawienie roli rodziny w procesie rewalidacji, rehabilitacji i chrześcijańskiej formacji osób z niepełnosprawnością intelektualną.

Introduction: Because there are few trials evaluating rehabilitation effects in people with hip osteoarthritis, it is important to increase the body of research and develop assessment methods improving the objectivity of evaluation. Aim of the research: To evaluate the effect of a long-term, land-based physiotherapy program on the hip-related function in patients with hip osteoarthritis, and to assess the relationship of self-reported and assessor-observed functional outcome measures. Material and methods: The trial was conducted prospectively over a 12-month period. The study cohort consisted of 37 people of both genders. The intervention included three rounds of 3-week physiotherapist-supervised treatment and two 5-month intervals of an unsupervised maintenance program in between. The functional assessment was performed 4 times using the Hip Dysfunction and Osteoarthritis Outcome Score (HOOS) and a set of performance-based tests (PBTs): the 30-Second Chair Stand Test (30secCST), 40-Metre Fast-paced Walk Test (40mFPWT), and Stair Climb Test (SCT). The hip joint was evaluated twice structurally using the Scoring Hip Osteoarthritis with MRI (magnetic resonance imaging). Results: A significant improvement in hip-related function was observed in HOOS among MRI progressors, exclusively physical workers. Non-progressors, mostly sedentary workers, were characterized by improvement of PBTs. There was a correlation between HOOS and 40mFPWT and SCT at the baseline, 3-week, and 6-month follow-ups. The outcomes for 30secCST were not consistent. We observed a positive effect of rehabilitation on hip function in the studied population, although progressors and non-progressors achieved different outcomes. The relationship of PBTs and HOOS was marked, but not unequivocal. Conclusions: The improvement in self-reported measures may mask disease progression in MRI progressors. [ABSTRACT FROM AUTHOR]

Aim: Toanalyze rehabilitation and improvement of the quality of life of patients with median abdominal wall defects (MAWD) by increasing the efficiency of alloplasty by determining the general principles of planning and performing surgical interventions. Materials and methods: We carried out an analysis of the treatment results of 346 patients with MAWD, who underwent surgery in the 1st Poltava City Hospital for the period 2005-2019. There were 269 women (77.8%), men – 77 (22.2%). 282 (81.5%) patients underwent reconstructive surgeries, 59 (17.1%) – reconstructive and corrective alloplasty techniques, and 5 (1.4%) – corrective ones. Patients underwent surgery: onlay – in 3 patients (0.9%), sublay – in 289 (83.5%), sublay-inlay – in 38 (11.0%), inlay – in 4 (1.2%), Ramirez modification – in 10 (2.9%), open IPOM – in 2 (0.6%). Results: Local complications were in 25 (7.2%) cases: seroma in 12 (3.5%) patients, infiltrate in 5 (1.5%), necrosis of the edges in 4 (1.2%), hematoma – in 3 (0.9%), wound suppuration – in 1 (0.3%). In the remote period, 14 (4.1%) were registered: recurrence – 7 (2.0%); long-term deep seroma- 3 (0.9%); ligature fistulas with phlegmon – 2 (0.6%); abscess formation – 1 (0.3%), hernial sac infiltration – 1 (0.3%). Conclusions: The results of MAWD alloplasty depend on the correct solution of the planning problem and the choice of the most rational treatment tactics. Adequate abdominoplasty leads to an improvement in the quality of life of patients, medical and social rehabilitation. [ABSTRACT FROM AUTHOR]

Senility brings physical and mental limitations. There are growing diseases that worsen intellectual and motor performance. Elderly people require rehabilitation, Not only because of illness, but also to maintain self-reliance and independence. Global health problems, including emotional and sleep disorders, affect the quality of life of older people. They deserve special attention in the context of demographic processes currently taking place in the world and the related challenges for health and social policy. [ABSTRACT FROM AUTHOR]

Introduction: Autism is not a specific condition. It is, however, a comprehensive disorder of psychomotor and social development. A number of factors, both environmental (family-related) and genetic, are believed to be the cause of autism. The percentage of children affected by autism has been increasing over the past 20 years. It is assumed that statistically, approximately 20 children in every 10,000 will become affected by this condition. Autism is 4 times more common in boys than in girls. The disorder is characterised by impaired mental growth, and, consequently, social and motor development. Research objective: The aim of the article is to present the role of dog therapy in supporting the process of therapeutic rehabilitation among children with autism. In particular, the following aspects were taken into account: breeds of canines used in dog therapy, mechanisms of influence concerning dog therapy on the child's body, as well as the forms and results obtained. Material and methods: The work is a narrative review. It was written on the basis of the document analysis method with the use of quantitative and qualitative techniques, as well as database searches for Polish and foreign scientific literature on the subject, i.e. Web of Science, PubMed and Google Scholar. In the article, the research results are presented in relation to the efficiency of applying dog therapy in the treatment of autistic children between 2002 and 2017, with emphasis on foreign literature. Results: The most commonly used forms of dog therapy used are: Animal Assisted Activity (AAA), Animal Assisted Therapy (AAT) and Animal Assisted Education (AAE). Conclusions: The use of dogs in the process of therapeutic rehabilitation has positive influence both on the autistic child and his/her family environment. It helps cope better with many difficulties and motivates to take up more activities. Dog therapy affects all spheres of personal development, i.e. mental, motor and socio-emotional. [ABSTRACT FROM AUTHOR]

Copyright of Polish Nursing / Pielegniarstwo Polskie is the property of Poznan University of Medical Sciences Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Polish Nursing / Pielegniarstwo Polskie is the property of Poznan University of Medical Sciences Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aim: To investigate the organizational and legal principles of providing medical assistance for the rehabilitation of servicemen of the Armed Forces of Ukraine. Materials and Methods: During the conducted research, a following complex of general scientific and special scientific methods was used: the formal legal method was used to analyze the organizational and legal principles of providing medical assistance for the rehabilitation of servicemen of the Armed Forces of Ukraine; the comparative legal method helped to clarify the approaches of national legislation and international standards to the provision of medical assistance for the rehabilitation of servicemen of the Armed Forces of Ukraine; the method of forecasting and modeling was used to develop practical recommendations for the provision of medical assistance for the rehabilitation of servicemen of the Armed Forces of Ukraine in connection with the escalation of the Russian-Ukrainian armed conflict; the method of system analysis allowed to investigate the organizational and legal principles of providing medical assistance for the rehabilitation of servicemen of the Armed Forces of Ukraine; the historical and legal method made it possible to reveal the peculiarities of the evolution of the organizational and legal regulation of providing medical assistance for the rehabilitation of servicemen of the Armed Forces of Ukraine. Conclusions: Rehabilitation is an important component of clinical/medical assistance in situations of armed conflict and emergency and is necessary to mitigate the significant amount of disability that follows the surge of traumatic injuries and exacerbation of chronic diseases with devastating consequences for individuals, families and communities, resulting from insufficient access to rehabilitation. [ABSTRACT FROM AUTHOR]

Aim: To assess the effectiveness and safety of acupressure in the complex rehabilitation and treatment of patients with gastroduodenal pathology. Materials and Methods: A retrospective analysis of the results of examination and treatment of 40 patients with gastroduodenal pathology was carried out. For treatment, the author’s protocol of acupressure (AP) was used based on the recommendations of F.M. Houston. Statistical processing of the results was carried out according to the qualitative data analysis algorithm using the MedCalc 2022 software package. The frequency of occurrence of qualitative binary variables was analyzed with the calculation of 95% CI. To determine the effect of AP on the change in the frequency of clinical syndromes, the McNemar test for related groups was used. The assessment of the risk of side effects of AP was carried out on the basis of determining the significance level of 95% CI for the share, taking into account the binomial distribution of the characteristic. Formulated null and alternative statistical hypotheses. Results: After two weeks of treatment with the using of AP against the background of the disappearance of endoscopic signs of gastroduodenal pathology, statistically significant changes in the frequency of manifestations of all clinical syndromes were detected. AP not only relieves pain, but also shortens the duration of the illness, eliminates functional disorders of the motility of the upper parts of the digestive tract, allows to achieve clinical and endoscopic recovery and provides stable and long-term remission. Tolerability of AP was good. No side effects were registered. It has been proven with a probability of 95% that the risk of a side effect does not exceed 9%. Conclusions: Using of AP is effective, safe, which corresponds to the alternative statistical hypothesis. [ABSTRACT FROM AUTHOR]

Aim: Cancer is the second leading cause of death worldwide, with breast cancer being the most commonly occurring cancer in women. In Poland and in most of the other European countries, breast cancer constitutes 21% of all cancer cases. The aetiology of breast cancer has not yet been fully determined. Early detection offers a better chance of cure. Materials and Methods: The study group consisted of 23 female patients from the breast cancer support group at the Specialist Hospital in Radom. The patients underwent rehabilitation. The study used a research tool in the form of a survey developed by the authors, which helped collect sociodemographic and health data. The data were statistically analysed and the presence of statistically significant differences was checked with a chi-squared test. The results were presented as a proportion (%) of the study group. Results: The results of the study show that rehabilitation had a significant impact on the quality of life. Study patients described the physical therapy they received during and after hospitalisation as excellent. Conclusions: Breast cancer patients should undergo physical therapy and rehabilitation both before and after surgery. [ABSTRACT FROM AUTHOR]

Aim: To evaluate the effect of immunorehabilitation therapy of CNP associated with Epstein-Barr virus on the nasopharyngeal microbiome changes and related to them indications for surgery. Materials and Methods: 20 healthy individuals and 32 patients diagnosed with CNP associated with Epstein-Barr virus were included in the study. The qualitative composition of microbiome and its quantitative characteristics were studied during the course of immunorehabilitation therapy with the phytoextract BNO 1030. The findings were compared with the features of the course of disease and existence of indications for surgical treatment. Results: In patients with indications for adenotomy, a nasopharyngeal dysbiosis was formed through elimination of commensal bacteria and contamination of nasopharynx with opportunistic and pathogenic bacteria, Candida fungi. The immunorehabilitation therapy helped 75% patients gain a pronounced clinical response and refuse operative treatment. The qualitative and quantitative composition of commensal flora, reduction in the rate of opportunistic flora and elimination of pathogenic and fungal flora were observed in such patients. In 25% patients with poor therapeutic efficacy and indications for adenotomy against the background of elimination of pathogenic and fungal flora, the level of commensal and opportunistic flora of nasopharynx remained unchanged. Conclusions: The immunorehabilitation helps 75% patients normalize the microbiome of nasopharynx, improve the clinical symptomatology and cancel the indications for surgical treatment. [ABSTRACT FROM AUTHOR]

Aim: The objective of the research is to assess the effectiveness of postoperative rehabilitation of patients with secondary hyperparathyroidism (SHPT) after parathyroid surgery intervention (PTSI). Materials and Methods: The research focused on 143 patients with SHPT after PTSI who experienced chronic renal failure and were on programmed hemodialysis, the ASA risk III-IV. PTSI was performed under general anesthesia. After surgery, group I patients (n=71) received a “potassium-free” diet, programmed hemodialysis, calcium preparations, prophylactic doses of heparins, and symptomatic treatment. In group II (n=72), rehabilitation measures were supplemented with the administration of glucocorticoids with the control of blood cortisol and metabolism. Results: After PTSI, all patients felt general weakness, had a low level of ionized blood calcium, hemodynamic, oxygen and metabolism disorders, with more pronounced manifestations in group I. In group II, synchronously with the reduction of metabolic disorders, hemodynamics and oxygen level were restored to reference values, and hypocalcemia was quickly corrected with administering calcium (≥2g/day). Conclusions: The use of glucocorticoids accompanied with the control of blood cortisol levels and indirect calorimetry during the rehabilitation of patients with SHPT after PTSI accelerates the recovery of life support functions of patients and improves the results of their rehabilitation. [ABSTRACT FROM AUTHOR]

The article discusses the issue of horticultural therapy. The first part of the article is a theoretical background of the problem in the literature of the subject: the definitions of garden therapy and its assumptions. The second part presents the development of horticultural therapy in a global and Polish perspective. The next part contains the features of a therapeutic garden, plants used in garden therapy, and the use of horticultural therapy in the rehabilitation process and in work with children. Follow-up of the article describes horticultural therapy activities in the Special School and Educational Center no. 3 in Krakow. The last part of the article contains conclusions of own research. [ABSTRACT FROM AUTHOR]

The paper describes the case of a patient with a lateral ankle fracture, who came to the hospital emergency department. After a series of diagnostic tests, the patient was fitted with a plaster splint and was discharged home. During the follow-up visit, the cast was removed (numerous bruises, circulation problem, mobility problem, swelling), the patient started rehabilitation due to the persistent complications described above and in order to restore the condition of the treated limb. After 2 months of intensive rehabilitation, including a number of methods, therapies and physical treatments, limb mobility was restored, swelling and pain were reduced, which enabled the patient to live independently and return to work. [ABSTRACT FROM AUTHOR]

Introduction: Psychiatric rehabilitation is a set of interactions that are to lead to the proper functioning of the patient in society, in accordance with the adopted social and legal order. Includes elements of education, care, and therapy. Material and methods: The study was conducted among patients of forensic psychiatry departments in the period September – October 2019. It covered 100 people, both men and women. subjects of the so-called judicial detention. The study was carried out by the method of a diagnostic survey, using the questionnaire technique. The study did not require the approval of the Bioethics Committee. Results: Most of the patients (58% of the study group) correctly realized the reasons for staying in the forensic psychiatry ward and accepted the court’s decision to be placed in a psychiatric hospital. Most of the patients (73%) were satisfied with the treatment and willingly participated in rehabilitation activities (80%). The oldest patients less often participated in rehabilitation classes — 23% of people participated in the classes on their own initiative or because of their interests. The age of the patients was significantly related to the involvement of patients in the proposed forms of rehabilitation. The vast majority of patients (92%) were optimistic about their future after leaving the ward. Conclusions: The vast majority of patients willingly participated in psychiatric rehabilitation classes. Educational classes conducted by nurses in the form of educational lectures turned out to be the most popular form of rehabilitation classes at the forensic psychiatry department. They needed these activities in the pine trees of patients and constituted a valuable source of information about health. A large group of patients noticed the positive impact of rehabilitation activities on their personality or life and intend to use the acquired skills in the future. [ABSTRACT FROM AUTHOR]

Copyright of General Medicine & Health Sciences / Medycyna Ogólna i Nauki o Zdrowiu is the property of Witold Chodzki Institute of Rural Medicine and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Cerebral palsy encompasses nonprogressive but evolving disorders, primarily motor, resulting from damage to the region of the central nervous system (CNS) during early development. Cerebral palsy occurs at a frequency of 1 in 500 newborns and is the leading cause of physical disability among children. Preterm birth is a major risk factor for cerebral palsy and more than half of children diagnosed with cerebral palsy are born prematurely. Factors predisposing a child to the development of cerebral palsy can be divided into prenatal, perinatal, and postnatal. Cerebral palsy can be divided into 4 main types: spastic, dyskinetic, ataxic, and mixed. This paper aims to highlight the need for hand therapy in children with cerebral palsy and the use of clinimetrics in pediatric therapy. The most common scales used to assess upper limb involvement are the Manual Ability Classification System (MACS) for children 4-18 years old with cerebral palsy, Zancolli classification, House classification, Assisting Hand Assessment (AHA) Test, Melbourne Assessment 2, Hypertonia Assessment Tool (HAT), Ashworth Scale, Modified Ashworth Scale, Modified Tardieu Scale, and general scales used to assess a child's gross and fine motor functioning. Finally, a sample hand therapy program for children with cerebral palsy was proposed. [ABSTRACT FROM AUTHOR]

Copyright of Polish Journal of Sports Medicine / Medycyna Sportowa is the property of Agencja Wydawnicza Medsportpress Sp. z o. o. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Art of Healing / Sztuka Leczenia is the property of Jagiellonian University Medical College and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of General Medicine & Health Sciences / Medycyna Ogólna i Nauki o Zdrowiu is the property of Witold Chodzki Institute of Rural Medicine and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of General Medicine & Health Sciences / Medycyna Ogólna i Nauki o Zdrowiu is the property of Witold Chodzki Institute of Rural Medicine and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aim: To analyse the state of medical rehabilitation services for musculoskeletal disorders under contracts of the National Health Service of Ukraine (NHSU) at the regional level and identify possible problems in terms of health care reform. Materials and Methods: Normative documents regulating the provision of rehabilitation care in the health care system of Ukraine, and published by the NHSU information on concluded agreements on medical care under the Medical Guarantees Program were used as materials of the study. The research embraced methods of system analysis, structural-logical analysis, medical-statistical, graphic and bibliosemantic methods. Conclusions: The analysis of NHSU contracts in 2021 revealed that funding for packages of medical rehabilitation services for musculoskeletal disorders involves the provision of services in 129,170 cases, which is only 0.8% of the 2019 need. It was established that in Transcarpathian region in 2021 the amount of contracting for medical rehabilitation for musculoskeletal disorders was 45.4% of the funds for all rehabilitation packages in the region. With the increase in the total funding of signed contracts in the region, the number of projected cases of rehabilitation care in this area decreased by 9.9%. The provision of medical rehabilitation services for musculoskeletal disorders in Ukraine is insufficient and does not cover the potential needs of the population. At the regional level, there is a decrease in the number of planned cases of such services, but an increase in the number of health care facilities that provide them. [ABSTRACT FROM AUTHOR]

Aim: The aim of the work was to reveal the peculiarities of implemetation of a multidisciplinary approach in a system of physical therapy. Materials and Methods: Theoretical analysis and systematization of data of scientific-methodical literature, data of Internet network. Conclusions: Implementation of the rehabilitation program is defined as a comprehensive task that requires participation of a team of specialists, where everyone has a list of specific and interchangeable functions. Each of the specialists in the multidisciplinary team is responsible for the patient. At the same time, building of the rehabilitation program, choosing of strategies and means are subordinated to the commonly developed goal. [ABSTRACT FROM AUTHOR]

Aim: To analyze the reasons of low rehabilitation efficiency of persons with disabilities after musculoskeletal injuries. Materials and Methods: A retrospective study of the 102 people’s records whose permanent disability is extended after next certification was conducted. Results: Only 31.4% persons reduced the severity of disability. The rest remained unchanged (67.6%) or deteriorated (1.0%). Permanent disability after musculoskeletal injuries is typical for men (86.3%), villagers (74.5%), working age (99.0%), of which 37.5% – men under 40 years. Near half persons (45.1%) have passed the next re-examination more than 3 times; in 52.0% ones four or more years have passed after injury; in 9.8% cases the continuation of rehabilitation is considered as hopeless. Defects in the implementation of rehabilitation measures were revealed, namely: excessive use of drugs with insufficient evidence of effectiveness (85.3-88.2%), inadequate coverage of physical therapy and occupational therapy (56.4%), a formal approach to the individual rehabilitation programs (IRP) formation, in particular in the assessment of rehabilitation potential (100.0%), the degree of movement restrictions (20.6%), social and labor rehabilitation (36.3%). Despite the fact that the majority of the observed people (86.3%) were recognized as capable for work, only 63.7% were provided with advice on rational employment, and 78.4% of them do not work. Conclusions: Improving of the rehabilitation effectiveness requires comprehensive integrated solutions at the state level in order to change approaches to assessing the degree of disability, the formation and implementation of IRP based on modern world standards. [ABSTRACT FROM AUTHOR]

Aim: Was a study of the role of neuroprotection therapy in rehabilitation possible neurological manifestations of post-COVID-19 syndrome and its effect on productivity in post-COVID-19 patients. Materials and Methods: All patients underwent neuropsychological testing immediately after the COVID-19 treatment and after the administration of neuroprotection therapy. Results: Аll patients voiced complaints typical of asthenic syndrome. Upon the neuroprotection, a verified (р<0,01) increase in well-being, activity and mood in both the Test groups was observed. Significantly, in the Test group 1 showed verified (р<0,01) increase in all indicators after the neuroprotection course, compared with the Test group 2 upon the implementation of a rehabilitation program only. Upon the neuroprotection and comprehensive rehabilitation program, both the test groups and the control group proved a decrease in the signs of asthenic syndrome, with Test groups 1 and 2 displayed verified effect (р<0,01). Both, upon neuroprotection and upon the four-week rehabilitation program, the following verified positive changes in the level of severity of asthenic syndrome were observed. Conclusions: Early administration of neuroprotection able maliorating neurological manifestations of post-COVID-19 syndrome, reducing recovery time and enhansing productivity in post-COVID-19 patients. [ABSTRACT FROM AUTHOR]

Copyright of State & Society / Państwo i Społeczeństwo is the property of Andrzej Frycz Modrzewski Krakow University, AFM Publishing Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Szkoła Specjalna is the property of Akademia Pedagogiki Specjalnej im Marii Grzegorzewskiej and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Wstęp: Mięsaki kości są nowotworami złośliwymi o pochodzeniu mezenchymalnym, których występowanie jest zjawiskiem rzadkim. Najczęściej zdiagnozowanym pierwotnym nowotworem kości jest wrzecionowatokomórkowy mięsak kostnopochodny (osteosarcoma). Mięsaki kości w głównej mierze lokalizują się w kościach długich kończyn, najczęściej w kości udowej, piszczelowej oraz ramiennej. Celem niniejszej pracy jest przedstawienie programu kompleksowej rehabilitacji po resekcji mięsaka kostnopochodnego kości ramiennej i poresekcyjnej endoprotezoplastyce Mutars. Materiał i metody: Praca została napisana na podstawie historii choroby pacjentki leczonej w Klinice Ortopedii, Traumatologii i Onkologii Narządu Ruchu Pomorskiego Uniwersytetu Medycznego w Szczecinie. Wyniki: Rehabilitacja szpitalna trwa zazwyczaj około 7 dni. Głównym jej celem jest możliwie szybki powrót pacjenta do optymalnego funkcjonowania i wykonywania czynności dnia codziennego. Rehabilitacja poszpitalna trwa znacznie dłużej niż rehabilitacja szpitalna i zależy od stanu pacjenta. Jej głównym celem jest odzyskanie przez pacjenta siły mięśniowej. Wnioski: Rehabilitacja jest ważnym elementem postępowania leczniczego pacjentów onkologicznych. Wczesne zapoczątkowanie rehabilitacji przynosi wymierne korzyści w czasie trwania leczenia oraz powrotu chorego do zdrowia. Słowa kluczowe: endoprotezoplastyka, mięsak kości, mięsak kościopochodny, rehabilitacja

Aim: We aimed to provide a complete narrative review of the definition, modern classification, methods, and effectiveness of early and late rehabilitation in stroke patients. Materials and Methods: A comprehensive electronic literature search was performed on Scopus, Web of Science, MEDLINE, ScieLo, PubMed, The Cochrane Library, EMBASE, Global Health, CyberLeninka, RINC databases, and databases of government scientific libraries of Ukraine, European Union, United Kingdom, and the USA for the period 2014-2021. It was done to identify scientific publications that discussed the definition, modern classification, principles, methods, and effectiveness of early and late rehabilitation in stroke patients. Conclusions: We provided a comprehensive narrative review of the definition, modern classification, methods, and effectiveness of early and late rehabilitation in stroke patients. [ABSTRACT FROM AUTHOR]