The study describes the benefits of MIS-TLIF (minimally invasive transforaminal lumbar interbody fusion) and compares them with OTLIF (open transforaminal lumbar interbody fusion). It compares blood loss, length of hospitalization stays (LOS), operation time, and return of the patient to the environment. A total of 250 adults (109 males and 141 females), mean age 59.5 ± 12.6, who underwent MIS-TLIF in the Neurosurgery Clinic (NSC) Ruzomberok, Slovakia, because of lumbar degenerative diseases (LDD), participated in this retrospective study. Data were obtained from the patients' medical records and from the standardized Oswestry Disability Index (ODI) index questionnaire. To compare ODI in our study sample, we used the Student's Paired Sample Test. To compare the MIS-TLIF and OTLIF approaches, a meta-analysis was conducted. Confidence intervals were 95% CI. The test of homogeneity (Chi-square (Q)) and the degree of heterogeneity (I2 test) among the included studies were used. Statistical analyses were two-sided (α = 0.05). All monitored parameters were significantly better in MIS-TLIF group: blood loss (p < 0.001), operation time (p < 0.001), and ODI changes (p < 0.001). LOS (p < 0.042) were close to the significance level. ODI in the study sample decreased by 33.44% points after MIS-TLIF, and it significantly increased as well (p < 0.001). The percentage of patients who were satisfied with the surgery they underwent was 84.8%. The study confirmed that the MIS-TLIF method is in general gentler for the patient and allows the faster regeneration of patient's health status compared to OTLIF.
- Publikační typ
- časopisecké články MeSH
INTRODUCTION: The study presents associations between prevalence of chronic diseases and selected socio-economic (SES) attributes in adult population of Slovakia and analyses the prevalence of chronic diseases in regions of Slovakia. METHODS: In total, 735 respondents (146 men and 589 women) with a mean age of 37.79 ± 13.6 participated in this cross-sectional study. The main observed characteristics were chronic diseases and their associations with SES attributes, namely household income, education, age and lifestyle represented by frequency in engaging in recondition-relaxation activities. In order to obtain data, a self-administrated online questionnaire was used. Data were analysed by calculation of odds ratio and chi-square test. The significance level was set at 0.05. RESULTS: Apart from lung disease which are least suffered in central Slovakia (χ^2 = 9.850, df = 1, p = 0.043), the prevalence of chronic diseases is equally represented in all 8 administrative regions of Slovakia. Prevalence of chronic diseases is significantly influenced by age. The age of 40 is critical for the occurrence of chronic diseases. Respondents with higher education level have a lower prevalence of chronic diseases and vice versa (OR = 1.127; RR = 1.079). A better lifestyle represented by higher frequency of engaging in recondition relaxation activities was found in healthy respondents (OR = 0.700549 and RR = 0.936958; χ^2 test p = 0.000798). Household income did not show a significant association with the prevalence of chronic diseases (OR = 1.06; RR = 1.025; χ^2 test, p = 0.778). CONCLUSION: The study did not confirm a higher prevalence of chronic diseases in regions with weaker SES in Slovakia. Out of the 4 monitored SES attributes, 3 of them (age, education and lifestyle) had a significant impact on the prevalence of chronic diseases. Household income showed only a minimal association with the prevalence of chronic diseases, but this interdependence was not significant (Tab. 6, Ref. 41).
Príspevok má teoretický charakter a je zameraný na hmotnos ť žien v staršom veku. Popisuje základné postupy súvisiace s úpravou životosprávy. Pozornosť je venovaná najmä nefarmakologickým stratégiám, ktoré môžu byť nápomocné pri úprave hmotnosti.
The paper has a theoretical character and is focused on weight of women in older age. It describe basic process connected with change of lifestyle. Attention is focused on non-pharmacological strategies which can help with weight adjustment.
Životospráva je dôležitým faktorom pri skvalitňovaní života žien v klimaktérium. „Zmena životného štýlu vrátane stravovania môže výrazným spôsobom zmierniť ťažkosti v prechode“ (1). Podstatnú zložku životosprávy tvoria: racionálna výživa, eliminácia škodlivých látok a stresu, dostatočná pohybová aktivita i relaxácia. Príspevok prináša informácie o základných zásadách racionálnej výživy v klimaktériu.
Lifestyles is an important factor in improving the lives of women in the menopause. “Lifestyles changes including nutrition can significantly mitigate the difficulties during menopause” (1). Essential components of lifestyles are as follows: balanced diet, elimination of harmful substances and stress, sufficient physical activity and relaxation. The paper provides information on the basic principles of rational nutrition in the menopause.
K najčastejším formám liečby vo vyššom veku patrí farmakologická liečba. Farmakologická liečba seniorov je ale spojená s veľkým množstvom problémov, najviac pri polyfarmácii. Z tohto dôvodu je pri niektorých symptómoch, syndrómoch nahradená nefarmakologickými postupmi. Príspevku sa preto venujeme nefarmakologickej liečbe a jej reálnemu využitiu u seniorov v ústavnej starostlivosti. V teoreticko - empirickom príspevku charakterizujeme nefarmakologickú liečbu, opisujeme najčastejšie indikácie tejto liečby a výsledky výskumu, ktorý je súčasťou projektu KEGA „Možnosti interdisciplinárnej kooperácie pri realizovaní nefarmakologickej liečby seniorov v ústavných zariadeniach.“ Cieľom príspevku je prezentovať možnosti aplikácie nefarmakologickej liečby v ošetrovateľskej starostlivosti o seniora/geriatrického pacienta. Hlavnou metódou pilotnej štúdie projektu KEGA bol pološtruktúrovaný rozhovor a analýza dokumentu. Výskumný súbor tvorili sestry pracujúce v zdravotníckych a sociálnych zariadeniach poskytujúcich starostlivosť seniorom, zdravotná dokumentácia, internetové stránky zariadení. Analýzou výsledkov sme zistili, že k najčastejšie realizovaným výkonom nefarmakologickej liečby patria: liečebná výživa, hydratácia, ošetrovateľská rehabilitácia, edukácia, poradenstvo, fyzikálna liečba, fytoterapia, aplikácia kyslíka. V zariadeniach sociálnych služieb je realizovaná bazálna stimulácia, zmyslová aktivácia, reminiscenčná liečba, validácia. Zistili sme aj problémy v liečbe, a to: nedostatok pomôcok, nespolupráca pacienta, nedostatok vedomostí o niektorých metódach liečby, nezáujem vedenia o aplikáciu metód, nedostatočnú interdisciplinárnu spoluprácu.
The most common forms of treatment in older age is pharmacotherapy. Pharmacological treatment of seniors is associated with a large number of problems. The most problems are related to polypharmacy. For this reason is pharmacological treatment for some diseases and syndromes replaced by non-pharmacological treatment. This article deals with non-pharmacological treatment and its real use in the elderly in institutional care. In the theoretical-empirical contribution we characterize non-pharmacological treatment. We describe the most frequent indications of this treatment and present the results of the research that is part of the KEGA project: Possibilities of Interdisciplinary Cooperation in the Realization of Seniors Nonpharmacological Treatment in Institutional care. The aim of the paper is to present application non-pharmacological treatment in nursing care of senior / geriatric patients. The main methods pilot study were a semi-structured interview and document analysis. The research file were nurses working in the health and social facilities providing senior care, health documentation, and website of these institutions. By analyzing the results, we found that the most frequent interventions of non-pharmacological treatment were: nutrition therapy, hydration, nursing rehabilitation, education, counseling, physical therapy, phototherapy, oxygen application. In social services were re alized basal stimulation, sensory activation, reminiscent therapy, validation. We also found problems in treatment there were: lack of aids, non-compliance of patients, lack of knowledge about some methods of treatment, lack of guidance on application of methods, lack of interdisciplinary cooperation.
- Klíčová slova
- recenzovaný článek, nefarmakologická léčba,
- MeSH
- domovy pro seniory MeSH
- ošetřovatelská péče MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- Check Tag
- senioři nad 80 let MeSH
- senioři MeSH
- Klíčová slova
- novorozenci, poporodní péče, péče o novorozence, kontakt s dítětem, kangaroo care, skin to skin,
- MeSH
- klokánkování MeSH
- Klíčová slova
- podpora, nemocnost,
- MeSH
- alergie prevence a kontrola MeSH
- dítě MeSH
- fyziologie výživy kojenců MeSH
- infekce dýchací soustavy prevence a kontrola MeSH
- kojenec MeSH
- kojení * MeSH
- lidé MeSH
- mateřské mléko fyziologie imunologie MeSH
- morbidita MeSH
- průjem kojenců prevence a kontrola MeSH
- průzkumy a dotazníky využití MeSH
- statistika jako téma MeSH
- vztahy mezi matkou a dítětem psychologie MeSH
- Check Tag
- dítě MeSH
- kojenec MeSH
- lidé MeSH
- Geografické názvy
- Slovenská republika MeSH
