Uniwersytet Medyczny im.Karola Marcinkowskiego w Poznaniu: Wydawnictwo Naukowe UMP / Poznan University of Medical Sciences: Open Journal Systems
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Ocena jakości życia pacjentów hemodializowanych z uwzględnieniem czynników socjodemograficznych i medycznych.The quality of life of hemodialysis patients assessed with regard to sociodemographic and medical factors
No full textBackground. The assessment of the quality of life of hemodialysis patients enables us to identify their problems ? resulting from a chronic disease.Aim of the study. The aim of this study was to assess the quality of life of hemodialysis patients.Material and methods. This survey-based study involved 131 patients of the Dialysis Center of the Provincial Hospital in Gorzów Wielkopolski. The instruments employed were a standardized questionnaire ? SF-36.Results. Vitality was found to be significantly related to such variables as age, marital status, and the type of job, and the mental component was related to participation in social life, stay in hospital, marital status, smoking cigarettes, and financial standing.Conclusions. A high social status, the number of hospital stays, and duration of dialysis significantly contribute to the quality of life of hemodialysis patients.Key words: quality of life, hemodialysis, patient
Prevention of infection, effective control and treatment of infected burn wounds – the role of a nurse in an interdisciplinary teamZapobieganie zakażeniom, skuteczna kontrola i leczenie zakażonych ran oparzeniowych - rola pielęgniarki w zespole interdysc
Get PDFSummaryWound infection is one of many, but at the same time the most serious complication in the treatment of burns. The development of infection particularly concerns patients with deep burns of intermediate and full thickness of skin. In severe thermal, chemical or electrical burns skin immune system (SIS) in the burn wound is damaged or destroyed. The SIS phenomenon is one of the causes of post-traumatic immunosuppression in burn wound and systemic anti-infectious response.The risk of burn wound infection and systemic infection is correlated with the burn area. The aim of the study is to discuss the currently used methods of prevention, effective control and treatment of an infected burn wound. It discusses criteria for infection recognition, immunosuppressive limiting methods, standard and newly introduced methods of removing dead tissues, antimicrobial agents and methods to reduce the risk of bacterial transfer between patients.Prevention, control and treatment of an infected burn wound requires a multidisciplinary approach, including close cooperation between a nurse and a physician. Patient’s deep and extensive burn care process is designed to reduce the risk of developing burns and prevent a critical infection that not only prolongs the healing process but also can lead to generalized infection. The patient care plan should be based on up-to-date medical knowledge and updated regularly.Key words: Burn, burn wound, immunosuppression, infection, prevention, Infection control, antiseptics, dressingsStreszczenieZakażenie rany oparzeniowej jest jednym z wielu, ale równocześnie najgroźniejszym powikłaniem w leczeniu oparzeń. Na rozwój zakażenia w sposób szczególny narażeni są pacjenci z głębokim oparzeniem pośredniej i pełnej grubości skóry. W głębokim oparzeniu termicznym, chemicznym lub elektrycznym w ranie oparzeniowej zostaje uszkodzony lub zniszczony układ odpornościowy skóry (ang. skin immuno system-SIS). Zjawisko SIS stanowi jedną z przyczyn pourazowej immunosupresji w ranie oparzeniowej oraz systemowej odpowiedzi przeciwzakaźnej. Ryzyko zakażenia rany oparzeniowej oraz infekcji ogólnoustrojowej jest skorelowane z powierzchnią oparzenia. Celem pracy jest omówienie aktualnie stosowanych metod zapobiegania, skutecznej kontroli i leczenia zakażonej rany oparzeniowej. Omówiono w niej kryteria rozpoznawania zakażenia, metody ograniczające immunosupresję, standardowe i nowo wprowadzone metody usuwania tkanek martwych, środki przeciwdrobnoustrojowe, oraz metody ograniczające ryzyko transferu bakterii między pacjentami.Zapobieganie, kontrola i leczenie zakażonej rany oparzeniowej wymaga podejścia wielodyscyplinarnego, w tym ścisłej współpracy pielęgniarki z lekarzem. Proces pielęgnowania realizowany na rzecz pacjenta z głębokim i rozległym oparzeniem ma na celu ograniczenie ryzyka rozwoju infekcji w ranie oparzeniowej oraz zapobieganie krytycznemu zakażeniu , które nie tylko wydłuża proces gojenia się rany oparzenowej, ale także może doprowadzić do uogólnionego zakażenia. Plan opieki nad pacjentem powinien być oparty na aktualnej wiedzy medycznej i bieżąco aktualizowany.Słowa kluczowe: oparzenie, rana oparzeniowa, immunosupresja, zakażenie, zapobieganie, kontrola infekcji, antyseptyki, opatrunki
Color stability of dental temporary composite materials assessed in vitro
Get PDFAim of the study. The purpose of this study was to evaluate color stability of temporary prosthetic materials to staining drinks, including tea, coffee and blackcurrant juice, and distilled water. Material and methods. Color was assessed using a reflection spectrophotometer according to the CIELAB color scale, using two illuminants: D65 (daylight) and A (incandescent bulb). Results. Luxatemp, Dentalon plus, Structur 2 SC, Protemp II, and Zhermacryl STC exhibited poor color stability, becoming generally darker (â^†L < 0) and yellowier (â^†b* > 0), with Luxatemp and Dentalon plus being less prone to discoloration than the others. Conclusions. Temporary prosthetic materials may suffer strong discoloration (â^†E > 6.0) upon prolonged exposure to potentially staining beverages, and some of them even upon soaking in distilled water
In situ analysis of usefulness of strontium-fluoride toothpaste for enamel remineralization
Get PDFAim. The aim of the study was to investigate the usefulness of an experimental fluoride toothpaste supplemented with Sr2+ for enamel remineralization. Material and methods. Two experimental groups comprised volunteers aged 20–30 years who had all the oral cavity sanation procedures carried out and all the primary and secondary caries lesions filled before undergoing investigations. The material included twenty healthy premolar teeth extracted for orthodontic reasons due to their abnormal position in the arch or to teeth crowding in 12–14 year old children. The teeth were sectioned into blocks and artificially demineralized. The samples were placed in the oral cavity on the buccal surfaces of the first molar teeth of volunteers who used toothpaste supplemented with Ca2+, P043-, F- (group I), toothpaste supplemented with Ca2+, P043-, F-, Sr2+ (group II) and control toothpaste supplemented with Ca2+, P043- (Hydroxyapatite-HAP). The content of calcium and phosphorus was analyzed on the lateral walls of the enamel lesions, at preselected depths of 15 Î1m and 100 Î1m, by using EDS microanalysis. Results. After three months, the content of calcium in both studied groups was significantly lower at 15 Î1m and 100 Î1m of enamel depth than at the baseline (immediately after enamel demineralization). After six months, the content of calcium was lower only at 15 Î1m in both groups. At 100 Î1m of depth the calcium content was significantly higher in group II and the reference group (HAP). After three months the phosphorus content was significantly lower in group II at 15 Î1m. After six months the content of phosphorous was significantly higher in group II at 15 Î1m and 100 Î1m of enamel depth. Conclusion. The results suggest that supplementation of fluoride toothpaste with strontium improved the effect of enamel remineralization
Geographic tongue – a review of contemporary literature and a case study
Get PDFBenign migratory glossitis (BMG) is a disorder defined under various names such as geographic tongue or glossitis areata exfoliativa. It is a condition which primarily affects the dorsal part of the tongue. The disease has a tendency towards remissions and relapses, which may occur in the same or different areas. The clinical presentation of the condition resembles a map. The aim of this paper is to describe the clinical presentation of geographic tongue, as well as presenting the current view on the aetiology of the condition on the basis of contemporary literature and a case study
The role of the dentist in disaster victim identification – INTERPOL standards and forms
Get PDFDisaster Victim Identification (DVI) is a series of coordinated and multidisciplinary procedures used to recover and identify all the victims of a mass fatality incident. The identification by dental means is a quick and easy method that requires the comparison of antemortem data obtained from the general dental practitioner with the postmortem data completed at the place of the disaster. The comparative analysis of the dental status is effective enough to be recognised by INTERPOL as one of three primary identification methods (together with fingerprints and DNA analysis). Disaster victim identification at the place of an incident is the responsibility of the forensic odontologists among the DVI team members. However, every single dental practitioner can be asked to help in the identification of victims. The main responsibility of the dental practitioner is then to deliver the most reliable and complete dental records, ideally by means of the Interpol AM form available on its website. The article presents the basic information on how to use the pink and yellow INTERPOL F2 forms
Orthodontic and orthodontic-surgical management of impacted canines – a literature review
Get PDFThe phenomenon of impacted canines is observed in about 0.8–4.9% of patients treated orthodontically. In 85% of cases it is observed unilaterally. Besides the third molars, canines are the largest group of impacted teeth. The impacted tooth diagnosis includes clinical and radiological examination. In this particular case, the screening test is a pantomographic X-ray. The full picture of the location of an impacted tooth and adjacent structures can be obtained only through the use of computed tomography. Only a full diagnosis allows a decision to be made as to the treatment of impacted canines and permits an evaluation of the possibility of treatment success. In the case of impacted teeth, the procedures may be varied. Mostly, the tooth is either left in the bone or tracked orthodontically. Rarely is it extracted. In some cases, the surgical procedure includes the autotransplantation of the impacted tooth
