BackgroundThe objective of this study was to evaluate the effect of a rehabilitation program in changing the perception of fatigue in patients with multiple sclerosis.Material/MethodsThe study involved 65 respondents/patients with clinically confirmed multiple sclerosis (54 women, 11 men, average age 46.49 years). The evaluation of the effects of fatigue on the physical, psychological, and psychosocial aspects of life was assessed using the Modified Fatigue Impact Scale (MFIS). To test the effectiveness of the neurorehabilitation program, we enrolled 2 groups: the experimental group (EG, n=32, 29 women, 3 men, Expanded Disability Status Scale (EDSS) 4.8 average, SD±1.77, min. 1.5 max 8.0) participated in the intervention and rehabilitation program over a period of 12 weeks and the control group (CG, n=33, 25 women, 8 men. EDSS average 5.12±1.74 SD, min. 2.0 max. 8.0). Each group of patients was divided into 3 sub-groups according to the severity of EDSS: a) 1–3.5, b) 4–6, and c) 6.5–8. For the statistical evaluation of the significance of the observed changes, the MANOVA/ANOVA model was used.ResultsBetween the input and output assessment of the MFIS individual areas questionnaire between the EG and the CG, there existed a statistically significant in the physical area (p<0.000), psychological area (p<0.000), and psychosocial area (p=0.002).ConclusionsOur results support the importance of an active approach in patients with multiple sclerosis using individualized rehabilitation intervention programs.
BackgroundWe aimed to test the effectiveness of the pulmonary rehabilitation in a mountain environment on the pulmonary function, physical performance, dyspnea, affective factors, and quality of life (QoL) in patients with chronic obstructive pulmonary disease (COPD) and chronic bronchitis (CB), as well as to determine predictors of clinical improvement.Material/Methods128 consecutive patients (90 diagnosed with COPD and 38 diagnosed with CB) underwent comprehensive pulmonary rehabilitation for a duration of 3 weeks in one of 3 mountain health resorts in the High Tatras. The examination included spirometry (FEV1 and FEV1/FVC), 6-minute walk test (6MWT), Borg scale of dyspnea, and assessment of depression (Zung score), anxiety (Beck score), and QoL using the SF-36 scales.ResultsAfter the study intervention, all patients in both monitored groups demonstrated significant improvements in objective measurements in which large treatment effect was achieved (for FEV1 η2=0.218, for 6MWT η2=0.771). Similarly, in subjective measurements a large effect was achieved (for the Beck score: η2=0.599, for the Zung score: η2=0.536). QoL improved after the intervention in all the monitored SF-36 scales in both groups (P<0.001 for all). In patients with COPD, the improvement of exercise capacity was positively correlated with baseline 6MWT and FEV1, and negatively with the Beck anxiety score and the Borg dyspnea score, whereas, only improvement in the mental summary component of QoL was negatively correlated with baseline 6MWT and FEV1 (P<0.05 for all).ConclusionsRehabilitation in a mountain environment has proven to be effective in both the reported diagnoses of COPD and CB. Improvements in both functional and subjective indicators were observed. These findings support the use of this treatment modality.
Introduction and objective. The incidence of Lyme borreliosis (LB) is increasing in many countries in Europe, including Poland and Slovakia. The aim of the study was to analyze the exposure to tick bites and undertaking LB prevention activities among students of medical fields of studies in Poland (PL) and Slovakia (SK). Materials and method. The study was conducted among 611 students from Poland (296 students) and Slovakia (315 students). The applied research tool was the questionnaire. It consisted of questions about exposure to ticks (occurrence of an episode of tick bites, bite site, methods used for tick removal) and the frequency of undertaking preventive actions (using repellents, checking the body after returning from green areas). Pearson Chi-square statistics were calculated to assess significant differences between students from the study countries PL/SK and gender in each country. Results. Among surveyed students the episode of a tick bite was reported by 352 persons (57.6%). Students from PL most frequently removed ticks with tweezers with a swift, steady movement (26.6%), while students from SK removed the tick by applying a fatty substance so that it would come off by itself (30.1%). Most of the surveyed students, being outdoors, did not apply ticks repellents (34.7%) or used them rarely (48.9%). At the same time, 49.4% of students stated that they always checked the body to search for any attached tick after returning from green areas. Conclusions. Considering the fact that the surveyed people were the students of medical fields of studies, and in the future became qualified medical personnel, the frequency of using the analyzed methods of prophylaxis of LB appears to be too small. The results obtained can help in the education of students of medical fields.
Chronic obstructive pulmonary disease is one of the most common chronic lung diseases today and is a serious health, economic and social problem. It is characterized by a progressively worsening airway obstruction leading to respiratory insufficiency, even to death. Co-morbid mental disorders such as depression and anxiety are very common in patients with this condition and are associated with increased morbidity. Although they generally impair quality of life, they are rarely examined in the context of the clinical treatment of such patients. Studies indicate that the prevalence of clinically significant depressive symptoms and anxiety is around 50%. This study deals with the prevalence of depression in patients with chronic obstructive pulmonary disease, and gives an overview of the instruments used for assessing the extent of such depression. S Ú h R NChronická obštrukčná choroba pľúc patrí dnes medzi najčastejšie chronické pľúcne ochorenia a predstavuje závažný zdravotnícky, ekonomický a spoločenský problém ľudskej populácie. Jej základným znakom je progresívne sa zhoršujúca porucha priechodnosti dýchacích ciest, ktorá vedie k respiračnej insuficiencii, až k smrti. Komorbídne psychické poruchy ako depresia a úzkosť sa vyskytujú často a sú spájané so zvýšenou morbiditou. Celkovo zhoršujú kvalitu života, pričom nie sú plne preskúmané v klinickej liečbe pacientov. Existujúce štúdie poukazujú na výskyt klinicky významných príznakov depresie a úzkosti vo výške okolo 50 %. Nasledujúca práca sa zaoberá výskytom depresie u pacientov s chronickou obštrukčnou chorobou pľúc, ako aj prehľadom dotazníkov, ktorými sa hodnotí depresia v populácii.
Abstract:Objective: The aim of our research was to determine the effect of Speleotherapy on the quality of life, anxiety and depression in patients with COPD. Design: Pilot study. Participants: The 128 patients with CPOD participated in the study (average age 64.05), examined during a spa treatment in a sanatoriums in the High Tatras. The experimental group (29 patients) completed spa treatment and Speleotherapy in the Belianska Cave. The control group (99 patients) completed a spa treatment without Speleotherapy. All patients were examined on admission and discharge, for an average 20-day treatment stay. Methods: They
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