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EN
Summary. Introduction: Breast cancer is the most common tumor among women in Poland. About 5000 women die every year because of breast cancer. The purpose of research was to determine the influence of BCT with sentinel lymph node biopsy on the change in quality of life in patients undergoing this procedure. Materials and methods: The study involved 50 women (median age – 50.2 years) undergoing BCT with sentinel lymph node biopsy for breast cancer in the Department of Breast Cancer and Reconstructive Surgery, Centre for Oncology, Bydgoszcz, Poland. The assessment was carried out in patients in clinical stages I and II. Standard QLQ-C30 and QLQ-BR23 questionnaires were used. The same participants filled in the QLQ-C30 and QLQ-BR23 questionnaires before (Group A1) and six weeks after the procedure (Group A2). Results: Quality of life measured with the use of EORTC QLQ-C30 and EORTC-BR 23 scales was higher in women before the procedure with respect to role functioning and global quality of life assessment (p < 0.05). There was an improvement in emotional functioning, feeling sick and unwell, and mental functioning after the procedure (p < 0.05). No statistically significant differences were noted in physical functioning, cognitive functioning, social functioning, or sexual functioning before and after the procedure (p > 0.05).
EN
Patients after spinal cord injury, severe brain trauma and cerebral stroke (ischemic or hemorrhagic) are often immobilized in bed or wheelchair for months or even years. One of the main risk factor for deep vein thrombosis is just prolonged immobilization.The aim of the study was to evaluate the frequency of symptomatic and asymptomatic thrombosis among immobilized patients because of severe brain damage and spinal cord injury.Material and methods. The study included 59 patients with tetra or paraparesis after severe brain damage or spinal cord injury, hospitalized in the University Hospital in Bydgoszcz in the Department of Rehabilitation over the period 2007-2008. All of them had lower extremities duplex-scan ultrasound as a screening examination and D-dimer testing.Results. Thrombosis was confirmed in nine patients (15% of all examined) and two patients (23%) in his group were of asymptomatic. 77% of diagnosed patients had only low extremities edema. Full symptomatic thrombosis with low extremities edema, increased warmness and redness were observed in 22% of patients.Conclusions. It is advisable to make periodical lower extremities venous system examination to exclude deep vein thrombosis. The risk of missed diagnosis in this group of patients is connected with increased percentage of embolism complications during the rehabilitation process. In patients after spinal cord injury, there are indications to examine the patients' venous system periodically.
PL
W artykule przedstawiono opis oraz praktyczne zastosowanie urządzenia do dynamicznego i statycznego treningu pacjentów w pozycji stojącej. Wskazania do jego zastosowania w terapii są szerokie. Jest urządzeniem przeznaczonym dla osób, których mobilność lub percepcja z różnych przyczyn została ograniczona. Istnieje możliwość indywidualnego doboru rodzaju treningu do zdolności pacjenta oraz stopniowania trudności w trakcie terapii. Możliwa jest również dokumentacja i obiektywna ocena wyników treningowych. Prezentacja tego urządzenia niesie szereg informacji o zastosowaniu i możliwościach wykorzystania go w procesie postępowania terapeutycznego.
EN
This article describes and presents practical use of a device for dynamic and static training for patients in standing position. It has broad possibilities of therapeutic use. It is a device dedicated for helping people whose mobility or perception has been limited due to various reasons. It offers individual selection of training mode that suits patient's abilities and gradation of training difficulty during therapy. It also enables documenting and objective assessment of training results. Presentation of this device shows information on application and range of use of this device in the therapeutic process.
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