Medical Specialties Commons^™

You’Re Testing My Patients: Clinicians’ Preferences For Structured Reporting And Measurement Data, Davit Meliksetyan, Allan Brazier, Adela Pouzar, Sayf Al-Katib

Conference Presentation Abstracts

No abstract provided.

The Who Global Tuberculosis 2021 Report - Not So Good News And Turning The Tide Back To End Tb, Chakaya Jeremiah, Eskild Petersen, Rebecca Nantanda, Brenda N. Mungai, Giovanni Battista Migliori, Farhana Amanullah, Patrick Lungu, Francine Ntoumi, Nagalingeswaran Kumarasamy

Department of Paediatrics and Child Health

Objective: To review the data presented in the 2021 WHO global TB report and discuss the current constraints in the global response.
Introduction and methods: The WHO global TB reports, consolidate TB data from countries and provide up to date assessment of the global TB epidemic. We reviewed the data presented in the 2021 report.
Results: We noted that the 2021 WHO global TB report presents a rather grim picture on the trajectory of the global epidemic of TB including a stagnation in the annual decline in TB incidence, a decline in TB notifications and an increase in estimated TB …

Tangential Cranial Gunshot Wound In An Infant In Historical Context: Illustrative Case, Jeffrey Campbell, Joseph Piatt

Department of Pediatrics Faculty Papers

BACKGROUND

Military neurosurgeons have long known that tangential cranial gunshot wounds can be associated with intracranial complications out of proportion to the external appearance of the injury. This phenomenon seems not to have been described in infancy.

OBSERVATIONS

An infant suffered a massive, acute subdural hemorrhage from a contralateral tangential gunshot wound that did not facture the skull.

LESSONS

Similar to adults, infants are subject to catastrophic intracranial injury from gunshots that do not penetrate the skull. The nature of the injury in this case reflected distinctive aspects of the tissue characteristics and proportions of the infant head.

Pharmacologic Ascorbic Acid As Early Therapy For Hospitalized Patients With Covid-19: A Randomized Clinical Trial, Dagan Coppock, Pierre-Christian Violet, Gustavo Vasquez, Katherine Belden, Michael Foster, Bret Mullin, Devon Magee, Isabelle Mikell, Lokesh Shah, Victoria Powers, Brian Curcio, Daniel A. Monti, Mark Levine

Department of Pharmacology and Experimental Therapeutics Faculty Papers

Despite the widespread availability of effective vaccines, new cases of infection with severe acute respiratory syndrome coronavirus-2, the cause of coronavirus disease 2019 (COVID-19), remain a concern in the settings of vaccine hesitancy and vaccine breakthrough. In this randomized, controlled, phase 2 trial, we hypothesized that high-dose ascorbic acid delivered intravenously to achieve pharmacologic concentrations may target the high viral phase of COVID-19 and thus improve early clinical outcomes. Sixty-six patients admitted with COVID-19 and requiring supplemental oxygen were randomized to receive either escalating doses of intravenous ascorbic acid plus standard of care or standard of care alone. The demographic …

Mechanism Of Injury And Special Considerations As Predictive Of Serious Injury: A Systematic Review., Joshua R. Lupton, Cynthia Davis-O'Reilly, Rebecca M. Jungbauer, Craig D. Newgard, Mary E. Fallat, Joshus B. Brown, N. Clay Mann, Gregory J. Jurkovich, Eileen Bulger, Mark L. Gestring, E. Brooke Lerner, Roger Chou, Annette M. Totten

Faculty and Staff Scholarship

Objectives: The Centers for Disease Control and Prevention's field triage guidelines (FTG) are routinely used by emergency medical services personnel for triaging injured patients. The most recent (2011) FTG contains physiologic, anatomic, mechanism, and special consideration steps. Our objective was to systematically review the criteria in the mechanism and special consideration steps that might be predictive of serious injury or need for a trauma center. Methods: We conducted a systematic review of the predictive utility of mechanism and special consideration criteria for predicting serious injury. A research librarian searched in Ovid Medline, EMBASE, and the Cochrane databases for studies published …

68-Year Old Man With Progressive Weakness And Ventilator Dependent Respiratory Failure: A Case Report Of Sporadic Late Onset Nemaline Myopathy, P. Kirupaharan, Daniel Kramer, Alan Gandler, Lawrence C. Kenyon, Ross Summer

Department of Pathology, Anatomy, and Cell Biology Faculty Papers

Background: Neuromuscular pathologies must be considered when caring for patients with persistent or progressive respiratory failure. Pertinent disease states may involve skeletal muscles of respiration or associated neurologic structures including motor neurons, peripheral neurons and the neuromuscular junction. Diagnosis may require pulmonary function testing, neurophysiologic studies, imaging, and/or muscle biopsy.

Case presentation: A 68-year-old male was transferred to our intensive care unit (ICU) for management of ventilator dependent respiratory failure. Upon further historical review, he described gradually worsening gait instability and muscle weakness, which was previously attributed to vascular Parkinsonism in the setting of known cerebrovascular disease. Upon arrival to …

Criteria Of Initial Selection Of Candidates For Artistic Gymnastics, Kazimierz Kochanowicz, Andrzej Kochanowicz

Baltic Journal of Health and Physical Activity

Background: The effectiveness of the training process and the level of sports results largely depend on the selection of candidates with appropriate psycho-physical predispositions and the efficiency of the training system. Therefore, selection for artistic gymnastics must be based on coaches' thorough knowledge regarding physical development, interdependence of particular systems and analysers, motor skills and mental determinants. The aim of the study was to develop quantitative criteria of initial selection of candidates for artistic gymnastics. Material/Methods: The study material comprised 319 boys aged 6 qualified for gymnastic training at the Interschool Sports Club and the Academic Sports Association of the …

An Attempt At The Identification Of Anthropometric Conditioning Of Sport Results In 400-Metre Men’S Hurdles, Jakub Adamczyk, Marcin Siewierski, Dariusz Boguszewski

Baltic Journal of Health and Physical Activity

Background: The purpose of this work is to verify the opinions concerning the preferred somatic build and to define current parameters of the model of the sportsmaster in 400-metre hurdles. Material/Methods: Data about the height and the body mass of the best world competitors in 400-metre hurdles have been used in the research. Results were divided into three levels: below 48 s; 48.00–48.99 s and 49.00–49.99 s. For all groups the following indexes were defined: Rohrer’s, Quetelet I and Quetelet II. The dependence between the sports level and the somatic parameters were rated by means of the coefficient of Pearson’s …

An Application Of Incremental Running Test Results To Train Professional Soccer Players, Lukasz Radziminski, Pawel Rompa, Robert Dargiewicz, Wojciech Ignatiuk, Zbigniew Jastrzebski

Baltic Journal of Health and Physical Activity

Background: The aim of this study was to lay out an incremental running test to determine anaerobic threshold and its usefulness as a predictability factor of the physiological load on professional soccer players during soccer training activities. Material/Methods: Subjects performed multi-stage incremental running test at three time points throughout the soccer season on a synthetic soccer pitch to determine the lactate threshold. The initial speed was set at 2.8 m/s and increased by 0.4 m/s after each stage until termination. HR was recorded at 5-second intervals by the Polar heart rate monitor (Polar Electro, FIN) at the end of each …

Junior High School Pupils’ Opinions On The Content And Conduct Of Swimming Classes At School, Grzegorz Bielec

Baltic Journal of Health and Physical Activity

Background: The aim of the study was to recognize high school pupils’ opinions about the content of swimming classes, conducted within obligatory physical education lessons. Material/Methods: The experimental group consisted of 56 girls and 60 boys at the age of 14 (± 0.3). All of them were students of the second grade of public secondary schools. The fourth lesson of their obligatory physical education syllabus was conducted at the swimming pool. An anonymous survey was used as a tool. The survey questions referred to the quality and quantity of swimming exercises at the lesson as well as to methodological skills …

Relations Between Bioelectrical Muscles Activity And Isokinetic Strength Parameters In 17–19-Year-Old Judoists, Marcin Dornowski

Baltic Journal of Health and Physical Activity

Background: Muscle strength as an element of preparation and sport competition is one of the most important aspects in technical and tactical efficiency. The aim of this study was to define the level of relation between bioelectrical muscle activity and isokinetic strength parameters in 17–19-year-old judoists. Material/Methods: 30 judo athletes (17–19-year-old) took part in the research. The research was conducted in Gdańsk Academy of Physical Education and Sport Laboratory during 2006–2008. In the research authors used: to evaluate the isokinetic strength level, ”Concept 2 Dyno” device was used in the research, along with surface summary electrical bio-potentials reading on EMG …

Effects Of Interval Training Of Maximal Effort Intensity, Henryk Norkowski, Anna Kuder, Tadeusz Hucinski, Stanislaw Przybylski

Baltic Journal of Health and Physical Activity

Background: The purpose of this study was to determine changes in anaerobic capacity at 100% physical effort intensity in the examined people. Material/Methods: 12 male students from the University of Physical Education in Warsaw were subject to these examinations. The average age was 23.6 years, mean body height 178.7 cm, and body mass 80.6 kg. The experiment was carried out from 7th January to 8th March 2008. The experiment (one group) was carried out in two stages. The first stage had 25 training units on a cycloergometer within 5 weeks. The second stage was connected with controlling the obtained results …

Individualities Of Cardiorespiratory Responsiveness To Shifts In Respiratory Homeostasis And Physical Exercise In Homogeneous Groups Of High Performance Athletes, Viktor Mishchenko, Oksana Shynkaruk, Andrzej Suchanowski, Olena Lysenko, Tomasz Tomiak, Andrej Diachenko, Adam Korol

Baltic Journal of Health and Physical Activity

Background: It is known that high sports performances are based upon optimization of adaptation process. In order to achieve the above, one should provide a maximal account of individual vivid features of athlete's abilities, peculiarities of his/her physiological reactivity. The aim was to study individualities of sensitivity to shifts in respiratory homeostasis and responsiveness to high intensity physical exercises in homogeneous groups of high performance endurance athletes. Material/Methods: Individual peculiarities of the cardiorespiratory system (CRS) physiological reactivity were evaluated in 118 high performance endurance athletes (cyclists, runners and rowers) aged 20-27 years (competing regularly in sports for 6.8 ± 1.1 …

Cardiorespiratory Responses To Submaximal Exercise In 16-18-Year-Old Trained And Untrained Boys, Marcin Luszczyk, Ewa Ziemann, Tomasz Grzywacz, Radoslaw Laskowski, Anna Szczesna-Kaczmarek

Baltic Journal of Health and Physical Activity

Background: The aim of this study was to compare chosen parameters and coefficients characterizing the action of the cardiovascular system and the respiratory system at a low level of a cycloergometric exercise in young boys practicing handball and their untrained peers. In the present study we searched for an answer to questions concerning the influence of physical training on children’s organism in progressive youth development. Material/Methods: The technique of parallel groups was used: the experimental one (boys training handball, n=12) and the control one (not trained boys, n=58). The developmental age of the subjects was evaluated by percentile charts. A …

Selected Socio-Educational And Personal Aspects Of Conditioning Attitudes Of Fair Play In Sport, Artur Ziolkowski, Wojciech Saklak, Piotr Wlodarczyk

Baltic Journal of Health and Physical Activity

Background: It is becoming more realistic in sport to experience and achieve certain qualities that create 'the highest good'. One of the conditions of this transgression is to obey categorically the rules of fair play. Material/Methods: This paper describes personal, social and educational determinants of moral values represented by young athletes. 212 young sportsmen were selected for purposes of this research. They were students from schools with religious and sports background. Results: The results of the research show the relation between levels of morality of fair play in sport and preferred attitudes as well as educational and religious influence of …

Changes In The Prevalence Of Excessive And Deficient Body Weight Among Pomeranian Youth In The Years 1979, 1989, And 1999, Anna Lysak, Janusz Dobosz, Jozef Drabik

Baltic Journal of Health and Physical Activity

Background: The analysis presented in this paper aimed to identify trends in the prevalence of the two extremes of body fat disorders over a period of 20 years (1979–1999) and to form a comparative basis for further studies of physical development of the youth of the Pomerania region. Material/Methods: The study population consisted of 23,854 boys and girls aged 7 to 18 years attending schools in rural and urban areas in the Pomerania administrative region. An overweight and underweight population was identified based on the body mass index (BMI) according to WHO, CDC and the Mother and Child Institute recommendations. …

Quantitative And Qualitative Analysis Of International Standing In Group Competition In The Sport Of Rhythmic Gymnastics, Anna Kwitniewska, Marcin Dornowski, Anita Hökelmann

Baltic Journal of Health and Physical Activity

Background: Until now, analyses gave no information about the numerous quantitative parameters that might affect the level of performance of a group composition. The research was undertaken with a more advanced computer program to analyze competitive performance using the performance parameters such as space parameters, running path, throwing distances, movement network, arrangement forms, etc. during the 2008 Baltic Rhythmic Gymnastics Cup (Senior) in order to find which quantitative and qualitative criteria distinguish the performance of the best teams. Material/Methods: Videos from the Baltic Rhythmic Gymnastics Cup 2008 in Poland were analyzed. In the final analysis results of national teams from …

Defensive Actions Of Contestants During Polish Judo Championships In The Years 2005-2008, Dariusz Boguszewski

Baltic Journal of Health and Physical Activity

Background: The objective of this work was to define and determine the effectiveness of defensive actions applied in judo fighting. Material/Methods: The study was based on video and DVD recordings of fights during Polish Championship finals in the years 2005-2008. Actions of female and male contestants participating in the total of 56 fights were analyzed (to an accuracy of 10-second periods of time). All actions: attacks, counter-attacks and defense without counter-attack were recorded and their effectiveness, preparatory actions, breaks and referees’ decisions were analyzed. Altogether 69 fights of female and male contestants were subject to analysis. According to the author’s …

The Level Of Aerobic And Anaerobic Capacity And The Results Of A Special Mobility Fitness Test Of Female Judo Contestants, Beata Wolska, Valerij Smulskij, Wladyslaw Jagiello

Baltic Journal of Health and Physical Activity

Background: The purpose of this work is to determine the correlation between the indexes of the special fitness test and the parameters of aerobic and anaerobic capacities of women judo competitors during the preparation to the competitive period. Material/Methods: In the research presented in the paper the level of aerobic and anaerobic capacity and the results of a special mobility fitness test of female judo contestants, either members of the Olympic and National Teams or their immediate reserves, was determined (n=11). In order to assess the aerobic capacity a test with increasing load until the refusal to continue the test …

Specifics Of Ventilatory And Heart Rate Chemosensitivity Related To Special Endurance Capacity In High Performance Alpinists And Endurance Athletes, Viktor Mishchenko, Anatoly Pavlik, Andrzej Suchanowski

Baltic Journal of Health and Physical Activity

Background: The aim was to compare ventilatory and heart rate chemosensitivity to hypoxia and hypercapnia in homogenous groups of high performance alpinists and endurance athletes and its relation to special work endurance. Material/Methods: Thirty-two male best national alpinists (30.7±2.7 yrs, VO2max 63.7±1.9 ml. kg-1,min-1, 14.3±2.4 yrs of experience) and 24 high performance male road cyclists of national team (25.7±1.1 yrs, VO2max 74.5±1.5 ml.kg-1,min-1, 11.2±1.4 yrs of experience) were examined by isocapnic progressive hypoxia and CO2 rebreathing tests. Maximal oxygen uptake, lung ventilation and heart rate peak responses were measured in an incremental ergometric test at sea level. Special work capacity …

Kinematic Tactics In The Women's 800 M Freestyle Swimming Final At The Beijing 2008 Olympic Games, Patrycja Lipińska

Baltic Journal of Health and Physical Activity

Background: The purpose of this study was to obtain knowledge on tactics of long distance swimming at the highest women professional level. Material/Methods: Eight swimmers, finalists of 800 m distance of freestyle of the Beijing 2008 Olympic Games were examined. The distribution of velocity of swimming for the entire distance based on 50 m segments was analyzed. Partial, halves and quarters velocity, speed indexes and linear and nonlinear regression equations were calculated. Results: It was revealed that better swimmers (placed 1–3) had their distribution of swimming as an ascending line and with very small difference between segmental velocity and that …

Special Fitness And The Effectiveness Of Technical Preparation In Gymnastic Vault Event In Athletes At The Directed Stage, Andrzej Kochanowicz, Kazimierz Kochanowicz, Stanislaw Sawczyn

Baltic Journal of Health and Physical Activity

Background: The aim of the study was to determine the correlation between individual profiles of leading traits of special fitness with athletes' technical preparation in the gymnastic vault event at the directed stage of training. Material/Methods: The study involved 60 gymnasts aged 11-13 practising artistic gymnastics at the stage of directed training. The study was carried out in laboratory, training and sports competition conditions in years 2003 – 2007. Results: An analysis of results enabled determining the most informative indices having a significant relation with the sports results in gymnastic vault. Quantitative criteria of special fitness and technical preparation in …

A Pattern Of Efficiency Of Actions In Soccer Based On Observations Of The European Championships 2008 Finals, Andrzej Szwarc

Baltic Journal of Health and Physical Activity

Background: The purpose of this work was to present a model which shows the efficiency of the actions in the game of soccer, based on observations of 7 final tournament matches during the European Championships in 2008. The successful teams were analyzed from the quarterfinals to the final match. Activity, effectiveness and reliability, during both offensive and defensive actions, were subject to this examination. Material/Methods: The material consisted of the audio-visual records gathered from 7 matches which had been played in the final tournament in the 2008 European Championships. The gathered data was put on the special observation sheet in …

Aspects Of Athletic Training Management Of The Fittest Lithuanian Skiers-Racers, Algirdas Čepulėnas

Baltic Journal of Health and Physical Activity

Background: The aim of the research was to analyse the system of athletic training management of the fittest Lithuanian skiers - members of the Olympic national team and to establish the peculiarities of the changes in the skiers’ sports performance in the perennial training process. Material/Methods: The complex studies of Lithuanian skiers were carried out three times during an annual training cycle. The study analyses the indices of training loads, physical working capacity and the functional capacity of the organisms of Lithuanian Olympic national team skiers I. T (female), A. N (male) and M. S. (male). We present methods of …

Quantitative And Qualitative Evaluation Of Motor Coordination Abilities In Gymnast Girls Aged 7–9 Years, Kazimierz Kochanowicz, Lola Brygida Boraczynska, Tomasz Boraczynski

Baltic Journal of Health and Physical Activity

Background: The aim of the paper was to build evaluation criteria of selected motor coordination abilities, useful in optimization of training in young gymnast girls, at the initial stage of sport training. Material/Methods: 18 gymnast girls aged 7–9 years old from the Sports School in Olsztyn took part in this study. In order to evaluate selected motor coordination abilities, three tests were used. The first test was taken on dynamometric platform on which subjects performed the Ellipsis test four times. This test is based on controlling the position of the centre of body mass using a dynamometric platform. The tested …

Anaerobic Power And Dependence On Chosen Anthropometric Parameters In Young Handball Players, Marcin Luszczyk, Radoslaw Laskowski, Ewa Ziemann, Tomasz Grzywacz, Anna Szczesna-Kaczmarek

Baltic Journal of Health and Physical Activity

Background: The main aim of the present study was an attempt to answer the enquiries concerning the influence of physical training on morphological changes (anthropometric indicators), capability of anaerobic work and their interactions with a natural development of youth in pubertal and post-pubertal age. Material/Methods: The technique of parallel groups was used: experimental (handball trained [TR]) and control (not trained [NT]). The research period comprised two consecutive years. Once per year selected somatic parameters, body composition, biological age, and anaerobic parameters were determined by means of 30 s Wingate Anaerobic Test (WAnT). Results: Results have shown the high intensity of …

The Features Of Functional Capabilities Of Elite Basketball Players Related To Game Function, Olena Lysenko

Baltic Journal of Health and Physical Activity

Background: The features of functional capacities of elite basketball players related to game functions (players of various lines) have been analyzed on the basis of evaluation of the physiological reactivity characteristics It has been assumed that some specific characteristics are related to efficient competitive activity and are manifestations of endurance: power of cardiorespiratory system (CRS), economy, mobility, stability and ability to realize the potential of the system for specific workload. Material/Methods: Twenty nine elite male basketball players were examined during the competitive period of training. For the analysis of CRS response to physical exercises the complex of the tests for …

The Fate Of Potassium Ions Released From Contractile Muscle During Repeated Supramaximal Exercise, Anna Szczesna-Kaczmarek

Baltic Journal of Health and Physical Activity

Background: The purpose of this paper was to examine the fate of K+ released from contracting muscles during supramaximal exercise repeated three times, which is known to be associated with a large efflux of K+ and lactate into plasma. Material/Methods: Nineteen healthy students of physical education volunteered for the study. All participants performed 30s Wingate Anaerobic Test three times with 7 min rest break. During the exercise test indices of anaerobic capacity were assessed. Parameters characterizing acid base status and potassium ion concentration in plasma, whole blood and erythrocytes were measured before the exercise test, during each break between bouts …

Changes Related To Fatigue In Cardiorespiratory Response Sensitivity To Hypoxic And Hypercapnic Stimulation During Strenuous Physical Load, Viktor Mishchenko, Andrzej Suchanowski, Olena Lysenko

Baltic Journal of Health and Physical Activity

Background: The aim was to study changes in the sensitivity of CRS responses of skilled athletes caused by fatigue during a strenuous physical load. Material/Methods: Response sensitivity to hypoxic and hypercapnic stimuli was analyzed in a group of high performance rowers (n=12) aged 18-22 years during exercising on “Concept-II” rowing ergometer. Two types of loads were used: sustained intensive load at high oxygen consumption (78-83% of VO2max) and relatively easier load (49-62% of VO2max) performed within 5 minutes. The method of rebreathing was used to determine responses sensitivity to СО2. Results: The results showed an increase in respiratory response sensitivity …

Allelic Polymorphism Of Endothelial No-Synthase (Enos) Association With Exercise-Induced Hypoxia Adaptation, Svitlana B. Drozdovska, Victor E. Dosenko, Vladimir N. Ilyin, Mykhailo M. Filippov, Ludmila M. Kuzmina

Baltic Journal of Health and Physical Activity

Background: The aim of the study is to define the possibility of usage of the gene eNOS polymorphisms as molecular-genetic markers of athletes’ resistance to exercise-induced hypoxia. 127 highly qualified athletes were examined (30 persons are underwater finswimmers, 41 – rowers and 56 sportsmen who practice speed and power track and field exercises). The frequency of promotor polymorphisms and the 7th exon of the eNOS gene in athletes engaged in finswimming and throwing has been studied. The comparative analysis of the obtained data with the frequency of allel variants of the eNOS gene has been carried out in athletes engaged …