Repository of Polytechnic Lavoslav Ružička Vukovar
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COMPARISON OF THE EFFECTS OF PILATES AND DNS ON THE TRETMENT OF LUMBAR PAIN SYNDROME - A LITERATURE REVIEW
No full textUvod i cilj: Lumbalni bolni sindrom (LBS) označava skup simptoma različite etiologije koji se manifestiraju bolom, ograničenom funkcijom i pokretljivošću na prijelazu iz lumbalnog u sakralni dio kralježnice. Pilates metoda i dinamička neuromuskularna stabilizacija (DNS) se sve više koriste u liječenju LBS-a. Cilj je ovog rada predstaviti problematiku LBS-a te utvrditi i usporediti utjecaj pilatesa i DNS-a na liječenje LBS-a. Metode i materijali: Pretraživane su baze podataka Google Scholar, PubMed, PeDro i Hrčak. Odabrani su radovi u vremenskom rasponu od 2012. do 2021. godine, a najveći broj istraživanja pripada vremenskom periodu od 2017. do 2021. godine (n=35). Rezultati: U rad je uključeno 40 istraživanja. Od toga se 20 istraživanja bavilo temom utjecaja pilatesa na liječenje LBS-a, a drugih 20 utjecajem DNS-a na liječenje LBS-a. Pilates je pokazao pozitivne rezultate u smislu smanjenju boli i razine invaliditeta te poboljšanja kvalitete života, ali nije dokazao superiornost u odnosu na druge tehnike. DNS je pokazao poboljšanja u funkcionalnosti lokomotornog sustava, ali nedostaju studije koje ciljano istražuju utjecaj DNSa na LBS. Zaključak: Rezultati pregleda literature sugeriraju kako bi pilates i DNS mogle biti učinkovite metode u rehabilitaciji LBS-a, ali potrebno je još dodatnih istraživanja s većim brojem ispitanika. Liječenje je LBS-a potrebno i dalje istraživati jer, iako je poznat pozitivan učinak aktivnih vježbi, nema statistički značajnih dokaza o superiornosti jedne metode liječenja LBSa.Introduction and aim: Lumbar pain syndrome (LPS) denotes a set of symptoms of different etiology that are manifested by pain and limited function and mobility at the transition from the lumbar to the sacral spine. The Pilates method and dynamic neuromuscular stabilization (DNS) are increasingly used in the treatment of LPS. The aim of this paper is to present the LBS and to determine and compare the impact of Pilates and DNS on the treatment of LPS. Methods and materials: Google Scholar, PubMed, PeDro and Hrčak databases were searched. Papers in the time range from 2012 to 2021 were selected, and the largest number of studies belongs to the time period from 2017 to 2021 (n = 35). Results: 40 studies were included in the paper. 20 studies addressed the topic of the impact of Pilates on the treatment of LPS, and another 20 on the impact of DNS on the treatment of LPS. Pilates has shown positive results in terms of reducing pain and disability levels and improving quality of life, but has not proven superiority over other techniques. DNS has shown improvements in locomotor system functionality, but studies that target the impact of DNS on LPS are lacking. Conclusion: The literature review results suggest that Pilates and DNS could be effective methods in treatment of LPS, but more research is needed with more subjects. The treatment of LPS needs to be further investigated because although the positive effect of active exercise is very well known, there is no statistically significant evidence of the superiority of a particular method of treating LPS
THE IMPACT OF PHYSIOTHERAPY ON THE QUALITY OF LIFE IN A PERSONS WITH RHEUMATOID ARTHRITIS
No full textReumatoidni artritis progresivna je i upalna bolest zglobova koja narušava funkcionalnost lokomotornog sustava i ostalih organskih sustava. Osobe oboljele od reumatoidnog artritisa imaju narušenu kvalitetu života zbog simptoma bolesti, a najčešći su bol, oteklina, smanjena pokretljivost, depresija i nesanica. Fizioterapijsko liječenje primjenjuje se od akutnog stadija liječenja pomoću krioterapije i odmora, potom se u ostalim stadijima bolesti primjenjuju i ostale procedure kao što su kineziterapija, elektroterapija, parafinoterapija, balneoterapija te terapije ultrazvukom i LASER-om, a s ciljem otklanjanja simptoma i progresije bolesti, djelujući na kvalitetu života. Fizioterapeut ima važnu ulogu tijekom rehabilitacije osoba oboljelih od reumatoidnog artritisa tako što provodi fizioterapijsko liječenje te motivira pacijente na daljnji nastavak i ne odustajanje od poboljšanja kvalitete života.Rheumatoid arthritis is a progressive and inflammatory disease of the joints that impairs the functionality of the locomotor system and other organ systems. People with rheumatoid arthritis have a impaired quality of life due to the symptoms of the disease, and the most common are pain, swelling, decreased mobility, depression and insomnia. Physiotherapy is applied from the acute stage of treatment with cryotherapy and rest, then in other stages of the disease other procedures are used such as kinesitherapy, electrotherapy, paraffintherapy, balneotherapy ultrasound therapy and LASER to eliminate symptoms and progression of the disease, making life quality better. Physiotherapy improves the quality of life in people with rheumatoid arthritis
CONSENT FOR ADOPTION
No full textDjeca ne mogu birati svoje biološke roditelje te se može dogoditi da su njihovi roditelji maloljetne osobe, osobe potpuno lišene poslovne sposobnosti, osobe nesposobne za rasuđivanje, roditelji koji svoju djecu zanemaruju ili zlostavljaju. Upravo zbog toga postoje Centri za socijalnu skrb i sudovi koji su ovlašteni poduzeti mjere radi zaštite prava i dobrobiti djece te posegnuti i za krajnjom mjerom, a to je oduzimanje roditeljske skrbi. U Republici Hrvatskoj pristanak na posvojenje reguliran je Obiteljskim zakonom. Kako bi dijete moglo biti posvojeno prvenstveno je potreban pristanak djetetovih roditelja osim ako to Zakon nije drugačije odredio. Biološki roditelji se teško nose sa posvojenjem jer za njih to predstavlja gubitak djeteta. Država je dužna zaštititi dijete u trenutcima kada život djeteta u biološkoj obitelji više nije moguć ili je narušen. Svaku svoju odluku država donosi preko svojih institucija te je obvezna raditi sve za dobrobit djeteta i njegov daljnji život. Ako je roditelj lišen poslovne sposobnosti te nije u stanju razumjeti značenje pristanka za posvojenje, njegov pristanak može nadomjestiti odluka suda. Pravi slučajevi, u kojima biološki roditelji daju pristanak na posvojenje, iznimno su rijetki. A postupci u kojima roditeljsku skrb oduzima sud iznimno dugo traju.Children cannot choose their biological parents, so it might happen that their parents are not full of age, are deprived of legal capacity, lack the capacity to make decisions, or are parents who neglect or abuse their children. It is precisely why Social Service Departments exist, along with courts who have the authority to take the necessary actions in order to protect children's rights and well-being, which could include the extreme measure of removing the parental responsibility. In the Republic of Croatia, parental consent for adoption is defined by Family Law. Unless otherwise defined by law, parental consent is a prerequisite for putting up a child for adoption. Biological parents find it difficult to cope with their child being placed for adoption as it means they would lose their child. It is the state's responsibility to protect the children whose life in their biological family is either disrupted or no longer possible. All decisions made by the state are administered by the state's institutions. The state is obliged to do its utmost to benefit the child's well-being and future life. If a parent is deprived of legal capacity and cannot comprehend the concept of parental consent for adoption, a court decision can supersede their consent. Cases of biological parents giving consent for adoption are extremely rare, whilst the procedures of removing parental responsibility are extremely lengthy
PHYSIOTHERAPY APPROACH IN CONTROL OF ASTHMA
No full textAstma je kronična upalna bolest respiratornog sustava. Ona je karakterizirana hipersenzitivnošću dišnih puteva te opstrukcijom protoka zraka. U svijetu od astme boluje oko 300 milijuna ljudi. Liječenje astme se dijeli na specifično i nespecifično. Specifično je usmjereno na uklanjanje uzroka astme, dok nespecifično je usmjereno na simptomatsko liječenje. Razlikujemo medikamentozno i nemedikamentozno liječenje astme. U nemedikamentozno liječenje spada edukacija pacijenta i respiratorna fizioterapija. Cilj respiratorne fizioterapije je smanjenje simptoma bolesti i povećanje kvalitete života bolesti. Fizioterapijski postupci te vježbe disanja imaju važnu ulogu u kontroli astme i njezinom liječenju.Asthma is chronic inflammatory disease of respiratory system. She is characterized by airway hypersensitivity and airflow limitation. Globaly around 300 milion people suffer from asthma. Asthma treatment can be specific and nonspecific. Specific treatment is aimed at eliminating the causes of asthma meanwhile the nonspscific treatment is aimed at treating the symptoms of asthma. We distinguish between drug and non – drug treatment of asthma. In non – drug treatment we have education of patient and respiratory physiotherapy. The goal of respiratory physiotherapy is reducing of symptomy and increasing the quality of life in patients. Physiotherapy methods and breathing exercises have a important role in asthma control and treatment
NUTRITIVE SUPPORT AND THE ROLE OF PHYSICAL THERAPIST WITH CARDIOLOGY PATIENTS
No full textKardiovaskularne bolesti uzrok su čak 17,9 milijuna smrti svake godine, a obuhvaćaju sve bolesti i poremećaje u vidu srca i krvnih žila poput koronarne bolesti srca, cerebrovaskularne bolesti, bolesti reumatskog srca i sličnih stanja. Kardiovaskularne su bolesti vodeći uzrok smrtnosti i na području Republike Hrvatske s otprilike 25 694 smrti godišnje, što čini 47,4 % ukupnog mortaliteta u državi. Nutritivna je potpora u mnogih pacijenata, a posebice u kardioloških bolesnika jedna od najvažnijih intervencija koja se može pružiti osobi i koju ona može savladati i koristiti zauvijek. Uz odgovarajuću prehranu, potrebno je uključiti osobu i u kardiološku rehabilitaciju čiji je cilj omogućiti nastavak optimalnog funkcioniranja u svome okruženju i poboljšati pacijentovo zdravlje kako bi usporili ili zaustavili progresiju bolesti. Efekti koje kardiološka rehabilitacija ima jesu smanjenje opće smrtnosti od kardiovaskularnih bolesti, smanjenje komplikacija i komorbiditeta kardiovaskularnih bolesti, redukcija potrebe za dugotrajnim bolničkim liječenjem te poboljšanje kvalitete života.Cardiovascular diseases are a cause of 17,9 million deaths every year, and they encompass every disease and disorder of the heart and blood vessels, like coronary heart disease, cerebrovascular disease, rheumatoid heart disease, and similar conditions. Cardiovascular diseases are the leading cause of mortality in the Republic of Croatia too, with approximately 25 684 deaths a year, which takes up 47,7 % of total mortality in the state. Nutritional support in many patients, particularly cardiological patients, is one of the most important interventions which can be provided to a person, and which they can master and use forever. With appropriate nutrition, it is needed to incorporate the patient in cardiological rehabilitation whose goal is to enable continuous optimal functioning in their environment and improve the patient's health in the term of slowing down or completely stopping the disease's progress. Effects of cardiological rehabilitation are reduction of general mortality, reduction of complications and comorbidities, reduction of long-term hospital treatment, and improvement of life's quality
APPLICATION OF BIOETHICAL PRINCIPLES AND BIOETHICAL PRINCIPLES IN PHYSIOTHERAPY PRACTICE
No full textRiječ bioetika dolazi od grčkih riječi „bios“ što znači život i „ethos“ što znači običaj ili navika te ispituje što je dobro i načine na koje se to dobro može provesti u ljudskom djelovanju i ponašanju da bi se moglo okvalificirati kao etično ponašanje. Fizioterapija je neovisna zdravstvena profesija čija je praksa utemeljena na dokazima, a rehabilitacija je proces koji potiče aktivnost i sudjelovanje kroz fizikalnu terapiju. Hrvatska je po bioetici poznata diljem svijeta te se u Hrvatskoj razvila u snažno i produktivno područje i teorijskog i praktičnog angažmana. Sredinom 70-ih godina su zabilježene prve naznake etičkih normi u hrvatskim bolnicama, a prvo osnovano etičko tijelo bilo je Komisija za medicinsku etiku od strane Hrvatskoj liječničkog zbora. Moral predstavlja dobru volju i izvor je čovjekovog razmišljanja dok je etika filozofska disciplina koja proučava skup načela moralnog ponašanja koja počivaju na vrijednostima poput dobra, poštenja, istine, humanosti. Načelo se smatra osnovnom normom za određivanje moralnog razmišljanja i postupanja, a to su: autonomija, neškodljivost, dobročinstvo i pravednost. Klinička bioetika primarno je usmjerena na etičke probleme u svezi skrbi o pacijentima, a medicinska etika obuhvaća etičku teoriju i praksu u medicini i općenito u cijelom zdravstvu, te profesionalne etike koje su u njenoj oblasti poput etike liječnika, etike medicinskih sestara. Palijativna skrb u fizioterapiji je dobar primjer iskoristivosti i prednosti bioetike i njenih načela. Pravilna komunikacija omogućava poboljšanje ishoda liječenja i smanjenje mogućnosti za povredom nekih bioetičkih načela. Klinička praksa prepuna je problema koji se ne mogu riješiti bez da se umiješa bioetika. Jedan od dugovječnih problema je eutanazija.The word bioethics comes from the Greek words "bios" meaning life and "ethos" meaning custom or habit and examines what is good and how that good can be implemented in human action and behavior in order to qualify as ethical behavior. Physiotherapy is an independent health profession whose practice is evidence-based, and rehabilitation is a process that encourages activity and participation through physical therapy. Croatia is known around the world for its bioethics and it has developed into a strong and productive area of both theoretical and practical engagement. In the mid-1970s, the first indications of ethical norms were recorded in Croatian hospitals, and the first ethical body established was the Commission for Medical Ethics by the Croatian Medical Association. Morality represents good will and it is the source of human thinking while ethics is a philosophical discipline that studies a set of principles of moral behavior based on values such as goodness, honesty, truth, humanity. The principle is considered the basic norm for determining moral thinking and acting, and these are: autonomy, harmlessness, benevolence and righteousness. Clinical bioethics is primarily focused on ethical issues related to patient care, and medical ethics encompasses ethical theory and practice in medicine and health care in general, and professional ethics in its field such as physics ethics, ethics of nurses. Palliative care in physiotherapy is a good example of the usefulness and benefits of bioethics and its principles. Proper communication allows for improved treatment outcomes and reduced chances of violating some bioethical principles. Clinical practice is fraught with problems that cannot be solved without the intervention of bioethics. One of the long-standing problems is euthanasia
ROLE OF KINESIOPHOBIA IN LOCOMOTOR INJURY REHABILITATION
No full textKineziofobija ili strah od pokreta je česta pojava u rehabilitaciji ozljeda lokomotornog sustava. Također igra veliku ulogu u prelasku akutne boli u kroničnu. Pojam je nastao unutar modela koji opisuje izbjegavanje pokreta uvjetovano strahom od boli. Kineziofobija se mjeri putem Tampa upitnika za kineziofobiju koji je sastavljen od 17 izjava o boli, vjerovanjima o boli i tjelesnom stanju te o vježbanju. U ovom istraživanju cilj je bio ustanoviti pojavnost kineziofobije kod osoba koje se rehabilitiraju od ozljeda lokomotornog sustava, kao i izmjeriti razinu kineziofobije putem Tampa upitnika. U istraživanju je dobrovoljno sudjelovalo 53 ispitanika koji su se u tom trenutku rehabilitirali od ozljeda lokomotornog sustava, te se ono provodilo u Zadru 2020. godine. Rezultati su pokazali kako je razina kineziofobije viša kod: muškaraca naspram žena, kod starije dobne skupine naspram mlađe, kao i kod ispitanika koji nisu aktivni naspram onih koji su aktivni u svakodnevnom životu.Kinesiophobia or fear of movement is commonly found in rehabilitation from locomotor injuries. It plays a huge role in transit of acute pain to chronic. The term was firstly used within a fear-avoidance model. Kinesiophobia is measured with Tampa Scale of Kinesiophobia, which consists of 17 statements about pain, beliefs about pain and physical condition, exercise. In this research the objective was to establish incidence of kinesiophobia in people rehabilitating from acute musculosceletal injury, and also to measure the level of kinesiophobia with TSK questionnaire. The research were consisted of 53 people which were rehabilitating from acute musculosceletal injury at that time. The reasrch was conducted in Zadar in year 2020. The results have shown that level of kineiophobia was higher: in men than in women, in older group than in younger one, in a group of respondents which were not physically active than the ones which were physically active in every day life
DISCOURSES OF EARLY REHABILITATION AFTER CEREBROVASCULAR INSULT
No full textMoždani udar (CVI) danas je jedan od glavnih uzroka onesposobljenosti i smrtnosti, kako u Hrvatskoj, tako i u svijetu. Iako najčešće zahvaća treću životnu dob svjedoci smo kako danas posljedice cerebrovaskularnog inzulta pogađaju sve mlađu, radno sposobnu populaciju. Iz tog razloga vrlo je važna rana rehabilitacija pacijenta kako bi se postigao što bolji napredak te kako bi stupanj onesposobljenosti bio što niži. Rehabilitacija pacijenta započinje odmah po postavljanju dijagnoze u jedinicama intenzivnog liječenja te je pristup pacijentu multidisciplinaran.Cerebrovascular Insult (CVI) is one of the main causes of disability and mortality today, both in Croatia and in the world. Although it affects the third age the most, we are witnessing that the consequences of cerebrovascular insult are affecting today an even younger and healthier population. For this reason, early rehabilitation of the patient is very important in order to achieve the best possible results and to keep the degree of disability as low as possible. Rehabilitation of the patient begins immediately after diagnosis in intensive care units and the approach to the patient is multidisciplinary
CONSUMER PROTECTION LAW IN COMPARISON WITH THE SYSTEM OF CROATIAN OBLIGATION LAW
No full textHrvatska je do ulaska u Europsku uniju imala zakone koji su se odnosili na zaštitu potrošača, međutim, bili su razvijani relativno sporo i zaostajali su za svjetskim odredbama. Jedan od uvjeta za ulazak u EU je prilagodba zakonodavstava prema njihovim regulativama kako bi se svim stanovnicima na području EU osigurala jednaka prava, samim time, Hrvatska je bila primorana uložiti više napora u razvoj zakonskih odredbi. 2014. godine, pojavljuje se dopunjeni Zakon o zaštiti potrošača unutar kojeg se postavljaju odredbe koje se direktno odnose na potrošače, dok se zaštita potrošača spominjala i indirektno u Zakonu o obveznim odnosima i nekoliko drugih propisa. Obzirom na kratak rok koji je stavljen pred Hrvatsku u smislu kreiranja zakona o relativno novom području prava, u propisima koji se odnose na potrošačke odredbe, nastale su mnoge kontradiktornosti i nesuglasice, između ostaloga i među gore navedena dva Zakona koja se u određenim člancima zakona pobijaju i pojavljuju se nelogičnosti. Osim što je faktor kratkog roka otežao situaciju, problem dodatno stvara i konstantno mijenjanje trgovačkih pravnih odnosa, poput pojave online trgovine, koje je teško pratiti ako se ne pruže dodatni napori.Before joining the European Union, Croatia had laws concerning consumer protection, however, they were being developed relatively slowly and lagged behind the world regulations. Since one of the conditions for joining the EU was the adjustment of the legislation to the EU regulations in order to ensure equal rights for all EU residents, Croatia was then forced to make greater efforts in developing the legal provisions. In 2014, the Amendments to Consumer Protection Act were created, with provisions directly concerning consumers, and consumer protection was also indirectly mentioned in the Civil Obligations Act and several other regulations. Given the short time limit set for Croatia to create regulations in a relatively new area of legislation, many contradictions and disagreements in the regulations relating to consumer rights occurred, including the two acts mentioned above, which are conflicted in certain articles and contain some illogical parts. Apart from the short time limit making the situation more difficult, another problem posed the constant changes to commercial legal matters, such as the emergence of online commerce, which are difficult to monitor without additional efforts
SURGICAL TREATMENT OF CORONARY DISEASE-PATIENT REVIEW
No full textU radu je predstavljen slučaj 63-godišnjeg pacijenata koji je hospitaliziran 1.lipnja 2020. godine radi kirurške revaskularizacije miokarda u Kliničkom bolničkom centru u Osijeku. Pri prijemu u bolnicu kod utvrđivanja osobe anamneze, kod pacijenta je zabilježeno da je hipertoničar, dijabetičar na peroralnoj terapiji unazad 15 godina te s dijagnozom PTSP-a. Zbog anginoznih tegoba bio predviđen za scintigrafiju miokarda. Operacija je učinjena 9. lipnja. Pacijent je nakon dolaska u JIL bio intubiran i postavljen na mehaničku ventilaciju. Postoperacijski tijek prošao je bez težih komplikacija. Nakon otpusta iz bolnice, pacijent će provoditi rehabilitacijski postupak u trajanju od 21 dan.In this paper is shown a case of 63 yares old patient who was hospitalized at June 1th, 2020. for surgical myocardial revascularization in clinical hospital center in Osijek. On admission to the hospital when was determining personal history, for patient was noted that he is a hipertonyc, diabetic on oral therapy for 15 years, and with a diagnosis of PTSP. Because of anginal symptoms he was intended for scintigraphy of myocardium. The operation was done on June 9th. After arriving at JIL the patient was intubated and placed on mechanical ventilation. The postoperative period passed without complications. After discharge from the hospital the patient will be involved in the rehabilitation procedure for 21 days