The Influence of Combined Physical Therapy Procedures on Oxygen Partial Pressure in Tissues Surrounding Ulcer in Patients With Venous Leg Ulcers.

Venous ulcers in lower legs remain a profound treatment problem in contemporary medicine. Proper healing requires, among other things, sufficient blood supply and provision of suitable amount of oxygen to the treated tissues. The aim of the study was to assess the influence of combined physical therapy applied in patients with chronic venous leg ulcers on the oxygen partial pressure values. Fifty-four patients (25 females and 29 males), in the age range of 38 to 89 years with chronic venous leg ulcers, underwent a cycle of 15 procedures with the use of Laserobaria-S device. During a procedure, the patient's lower limb was simultaneously exposed to oxygen having the pressure of 1.5 ATA, low-frequency magnetic field, and low-energy light radiation. Before procedures, directly after the first procedure, as well as on completion of the entire therapeutic cycle, the patients underwent oxygen partial pressure measurements in the tissues surrounding the ulceration area, by means of transcutaneous oximetry, with the use of Medicap Précise 8008s device. The combined physical therapy shows a statistically significant increase of oxygen partial pressure values in tissues surrounding the ulceration, from the average of 68.63 ± 17.04 mm Hg before commencing the therapeutic cycle, to the average of 74.20 ± 18.92 mm Hg after the first procedure (P < .001) and to the average value of 83.79 ± 20.74 mm Hg (P < .001) after completion of therapeutic cycle. Combined physical therapy procedures cause a statistically significant increase of oxygen partial pressure values in tissues surrounding the ulceration, assessed using the objective method of transcutaneous oximetry, both in women and men.

Comparison of the efficacy of topical hyperbaric oxygen therapy alone vs a combination of physical methods including topical hyperbaric oxygen therapy, magnetotherapy, and low-energy light therapy in the treatment of venous leg ulcers.

The aim of the study was to compare the therapeutic efficacy of topical hyperbaric oxygen therapy alone vs a combination of physical methods including topical hyperbaric oxygen therapy, magnetotherapy and low-energy light therapy in the treatment of venous leg ulcers. Thirty-six patients were treated with topical oxygen hyperbaria and 29 patients were treated with a combination of physical methods. The assessment of ulcer surface area with use of a planimetric method, pain intensity with use of Laitinen scale and quality of life by means of EuroQol scale were performed. In both groups a statistically significant (P < .05) reduction of ulcer surface area has been obtained, but in patients treated with combined physical therapy average percentage reduction of ulcer surface area (36.44% ± 11.04%) was statistically significantly (P = .00001) bigger as compared to other group (13.65% ± 8.32%). In both groups of patients statistically significant (P < .05) reduction of frequency and intensity of pain, reduced intake of analgesic drugs and reduction of limitations of physical activity, as well as statistically significant improvement of quality of life have been observed, but in patients treated with combined physical therapy an average increase in the score in EuroQoL scale (61.03 ± 7.14) was statistically significantly (P = .00001) bigger as compared to other group (25.27 ± 8.16). It was concluded that topical hyperbaric oxygen therapy alone and a combination of physical methods cause significant reduction of ulcer surface area, reduction of pain intensity, as well as improvement of the quality of life, but a combination of physical methods is more efficient.

[Analysis of the most common reasons for patient visits to the primary care physician during a 6-month follow-up]. / Analiza najczestszych przyczyn wizyt chorych u lekarza podstawowej opieki zdrowotnej podczas 6-miesiecznej obserwacji.

The health benefits in Primary Health Care (PHC) are given to patients who have made a declaration to the unit having signed a contract with the National Health Fund. Benefits hall be provided in an outpatient clinic, and in cases of medically justified also in the patient's home. The accuracy and rapidity of a diagnosis in the doctor's office often depends on the life and health treated patients. AIM: The aim of the study was to analyze the causes of advice provided at the PHC in particular age groups. MATERIALS AND METHODS: The study included 450 adults patients (228 women and 222 men) who have used the advice of the family doctor with in primary care. The research was carried out by diagnostic survey, using a single questionnaire, by evaluating the percentage reporting concerning sex and age of patients and the reasons for which they signed up to the doctor. The study was conducted over a period of 6 months (from 12-III-2016 to 17-VII-2016) in the clinic working hours (from 8:00 until 18:00). RESULTS: The study included 450 adults patients (228 women and 222 men) who have used the advice of the family doctor with in primary care. The research was carried out by diagnostic survey, using a single questionnaire, by evaluating the percentage reporting concerning sex and age of patients and the reasons for which they signed up to the doctor. The study was conducted over a period of 6 months (from 12-III-2016 to 17-VII-2016) in the clinic working hours (from 8:00 until 18:00). CONCLUSIONS: The largest group of patients presenting to a primary care physician were young people and the age and pre-retirement and the most common reason for reporting patients to the doctor in the clinic POZ visits were associated with prescribing prescription and discharge referrals, as well as infections of various etiology and localization.

[Application of physical therapy procedures in the treatment of chronic wounds of palm fingers - a case report]. / Wykorzystanie zabiegów medycyny fizykalnej w leczeniu przewleklych ran palców dloni ­ opis przypadku.

For many years the increasing number of patients who indulge different accidents and injuries during executing buildings works was observed. The medical help offered to those patients - the most often surgical or orthopedic - in form of surgical debridement of wound should enable its complete healing. However in many cases the healing process of wounds does not run in correct way and chronic wounds come into being, which need complex treatment. Contemporary physical medicine systematically broadens the healing possibilities by introducing to clinical practice new procedures and the therapeutic devices which in many cases accelerate the healing processes of chronic wounds. It this paper the results of the treatment of 44-years old man who experienced the injury of right palm - the cut of two finger tips by the angle grinder, were presented. In the treatment two physical methods were applied: magnetostimulation and local hyperbaric oxygen therapy, with good results resulting in complete healing of wounds, enabling the independent patient's existence, return to professional activity and improvement of quality of his life (Quality of Life).