The Importance of Foot Function Assessment Using the Foot Function Index-Revised Short Form (FFI-RS) Questionnaire in the Comprehensive Treatment of Patients with Rheumatoid Arthritis.

BACKGROUND: Foot problems may have a substantial negative impact on rheumatoid arthritis (RA) patients' mobility. They affect walking and the functional capacity to perform daily tasks. METHODS: This study included 61 patients with RA and foot pain or swelling. The study group comprised 37 patients (aged 54.3 ± 9.5 years) with foot lesions, as demonstrated in an ultrasound, and the control group comprised 24 patients (aged 57.3 ± 11.5 years) without foot lesions. The patients' health statuses were evaluated with the Foot Function Index-Revised Short Form (FFI-RS), the Polish version of the Health Assessment Questionnaire-Disability Index (HAQ-DI), and the Disease Activity Score 28 (DAS 28). RESULTS: The FFI-RS showed significant differences between the study and control groups in total results, as well as in the pain and stiffness subscales. Subsequent analyses showed numerous significant correlations. The FFI-RS total results correlated with the HAQ's standing up, walking, and total results. The FFI-RS pain results correlated with the social issues and HAQ's total results. The FFI-RS difficulty results correlated with the disease's duration. In the study group, there were significant correlations of the FFI-RS stiffness, difficulty, and social issues results with the HAQ's standing up, walking, and total results, and also of the FFI-RS activity limitation results with the HAQ's standing up results. In the control group, there were correlations of the FFI-RS stiffness, difficulty, and activity limitation results with the HAQ's walking and total results. Finally, in the study group, we also found correlations of the FFI-RS total, pain, stiffness, difficulty, and social issues results with the Visual Analog Scale (VAS) results, as well as of the FFI-RS total results with the DAS 28 results. CONCLUSIONS: The FFI-RS is an effective tool for assessing RA patients' functional status and can be used to evaluate treatment effects. The FFI-RS detected RA-related changes in the foot joint function in patients without foot lesions, as assessed by ultrasound.

Research and TLS (LiDAR) Construction Diagnostics of Clay Brick Masonry Arched Stairs.

The study presents the terrestrial laser scanning (TLS) diagnostic of the clay brick masonry arched staircase in a historic building. Based on the measurements of the existing arched stair flights, 1:1 scale experimental models with and without stair treads were made. Strength tests of the models were carried out for different concentrated force locations in relation to the supporting structure. Force, deflections and reaction in the upper support of the run were measured during the tests. The influence of the masonry steps on the curved vault on the load capacity and stiffness of the run structure was analyzed. The conducted experimental investigations showed that the key element responsible for the actual load-bearing capacity and stiffness of this type of stair flights were the treads above the masonry arch.

The assessment of effectiveness of SEM- EDX and ICP-MS methods in the process of determining the mineralogical and geochemical composition of particulate matter deposited on spider webs.

Air pollution can be monitored using many different methods. In this paper, we aimed to test and validate two analytical techniques based on complex mineralogical and geochemical analyses with the use of spider webs as a passive sampler. The samples of spider webs were collected in 2018 in polluted areas in the vicinity of the copper smelter Glogów (Poland). Samples were analysed using scanning electron microscopy with energy dispersive x-ray analysis (SEM-EDX) to obtain not only the information about the form and size of studied particles but also their origin (anthropogenic or terrigenous). Geochemical analysis was performed using inductively coupled plasma mass spectrometry (ICP-MS), providing the total amount of chosen and potentially toxic elements. The frequency of metal occurrence in atmospheric particles identified with the use of SEM-EDX was compared with the results from ICP-MS and recalculated into the percentage of contribution. A significant correlation between chemical and mineralogical composition was found demonstrating that the phases and minerals were correctly recognised and properly divided into groups. For elements such as Pb, Zn, and Cu, which are the major contaminants in the study area, the validation of the method gave good results, revealing the convergence of results for most sampling points. Finally, our study showed that the results obtained by SEM-EDX analysis can be comparable to quantitative results (ICP-MS analysis).

Effects of polystyrene diet on Tenebrio molitor larval growth, development and survival: Dynamic Energy Budget (DEB) model analysis.

The presence of polystyrene (PS) waste increases constantly. Styrofoam, the most popular form of PS, is one of the major plastic pollutants in the environment. An efficient and environmentally friendly method of PS recycling is still needed. The biodegradation of PS by insects has been presented by researchers as a promising alternative to chemical, mechanical and thermal methods. The main aim of this study was to assess the survival, growth, and development of yellow mealworms (the larvae of Tenebrio molitor) fed with PS to determine if the insects are able to use PS as a source of mass and energy. The Dynamic Energy Budget (DEB) model was used to analyze the effects of food type on the growth trajectory and metabolism of tested organisms. We investigated five possible modes of influence of PS diet on DEB model parameters including a decrease of food availability, an increase in somatic maintenance power, an increase in costs for structure, allocation of energy, and a decrease in somatic maintenance power. Our results show that changes in the development of larvae fed with PS are mainly caused by a decrease in reserves density and reaction of the organism to the insufficient food supply. The inability or difficulty in completing the life cycle of T. molitor larvae fed with PS raises doubts about the use of mealworms as an effective technology for utilizing polystyrene.

Mutagenicity of indoor air pollutants adsorbed on spider webs.

In this study, air pollutants were determined on spider webs collected from six indoor sites in the Lower Silesia region, southwest Poland. In order to assess the mutagenicity (M) of the collected samples, the standard Salmonella assay was used with two Salmonella typhimurium strains, TA98 and YG1041. The assays were conducted with and without metabolic activation (S9 mix). The presence of 15 polycyclic aromatic hydrocarbons (PAHs) and PAH-derivatives (nitro-PAHs; NPAHs) on spider webs was also assessed at the studied sites. The total PAH content of collected samples ranged from 1.65 to 51.75 µg g-1; the total NPAH content ranged from 0.22 to 2.44 µg g-1. The highest PAH concentration was found at two sites: a basement with coal heating (S4) and a garage (S6). Samples from these two sites were also characterized by the highest mutagenicity values in TA98 strain (65,127 and 35,565 revertants/g of web in the absence and presence of S9 mix, respectively, for S4 and 54,753 and 46,262 revertants/g, respectively, for S6). For strain YG1041, the highest values were obtained in a basement with coal heating; values were 233,748 and 185,321 revertants/g of web in the absence and presence of S9 mix, respectively. The concentration of PAHs was significantly correlated with the mutagenicity (M) of the web samples collected. Reassuming, people are exposed to substances with possible carcinogenic properties and potential adverse health effect through the ambient air due to vehicular traffic, heating systems, cooking habits etc. The application of spider webs sampling could bring the very important information regarding the possible health effect associated with indoor air, making these kind of studies cheap and reliable.

Monitoring of indoor polycyclic aromatic hydrocarbons using spider webs.

Fifteen polycyclic aromatic hydrocarbons (PAHs) were measured in the spider webs prepared in the laboratory and exposed to indoor air pollution in a defined period of time. We have selected homes differing in location (rural area vs. city), type of room (living room, kitchen, basement), inhabitants' habits (smoking cigarettes vs. non-smoking) and type of heating/cooking devices used (natural gas, liquefied gas, coal- and wood-fuelled heating). Webs from two species, from Agelenidae and Pholcidae families, were prepared and used for monitoring of PAHs. PAHs were characterised based on concentration, profile distribution, source apportionment by cluster analysis and diagnostic ratios. The concentrations of sum of 15 PAHs (µg g-1 dry weight) varied from 1.7 (bedroom in detached house in rural area) to 67.9 µg g-1 (room with heavy smokers in detached house in the city), and were dominated by 3-ring (6.89-57.1%) and 2-ring compounds (5.05-48.3%). The result of cluster analysis (CA) suggested two distinct groups of PAHs. The dominant PAH source was found to be mixed petrogenic and pyrogenic consisting of a mixture of cooking, smoking, heating and neighbouring traffic activities.

The Effect of Whole-Body Cryotherapy at Different Temperatures on Proinflammatory Cytokines, Oxidative Stress Parameters, and Disease Activity in Patients with Ankylosing Spondylitis.

PURPOSE: Patients with ankylosing spondylitis (AS) have increased production of proinflammatory cytokines, increased oxidants, and decreased antioxidant capacity. The aim of this study was to determine the effect of whole-body cryotherapy (WBC) at -110°C and -60°C, on disease activity, selected proinflammatory cytokines, and oxidative stress in patients with AS. METHODS: Sixty-five patients with AS were recruited to one of three study procedures: WBC at -110°C, -60°C, or exercise therapy (non-WBC). The Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Ankylosing Spondylitis Disease Activity Score (ASDAS-CRP), concentration of C-reactive protein (CRP), and the concentrations of interleukin 8 and 17 (IL-8, IL-17) were measured at the beginning of the study and at the end of the intervention. The concentration of thiobarbituric acid reactive substances (TBARS), as a lipid peroxidation result, and total antioxidant status, an antioxidant organism potential, were measured. RESULTS: All the studied groups showed significantly decreased posttherapy disease activity expressed as a function of the BASDAI, ASDAS-CRP, and the IL-8 concentration. We found that the TBARS concentration after therapy was significantly increased in the WBC at -110°C group. A comparison of the therapeutic effects between the treatment groups showed a significantly lower BASDAI after therapy in the WBC at -110°C group compared to the non-WBC group. CONCLUSION: WBC at -110°C had a positive effect on lowering AS clinical activity as measured by the BASDAI.

Comparison of Deep Tissue Massage and Therapeutic Massage for Lower Back Pain, Disease Activity, and Functional Capacity of Ankylosing Spondylitis Patients: A Randomized Clinical Pilot Study.

OBJECTIVES: This study aims to compare the effectiveness of deep tissue massage (DTM) and therapeutic massage (TM) in the management of ankylosing spondylitis (AS) patients. MATERIALS AND METHODS: This was a small, randomized clinical pilot study. Subjects were 27 men with diagnosed AS, randomly assigned to DTM group or TM group. Subjects in each group had 10 sessions of massage. Outcomes included the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), the Bath Ankylosing Spondylitis Functional Index (BASFI), Modified Schober Test, Finger to Floor Test, chest expansion, and pain intensity of lower back. RESULTS: There are no statistical significant differences between groups, except for BASDAI and pain intensity of lower back. CONCLUSIONS: This study suggests that massage may have clinical benefits for treating ankylosing spondylitis patients. Additional scientific research in this area is warranted.

Adaptation and Validation of the Foot Function Index-Revised Short Form into Polish.

PURPOSE: The aim of the present study was to adapt the Foot Function Index-Revised Short Form (FFI-RS) questionnaire into Polish and verify its reliability and validity in a group of patients with rheumatoid arthritis (RA). METHODS: The study included 211 patients suffering from RA. The FFI-RS questionnaire underwent standard linguistic adaptation and its psychometric parameters were investigated. The enrolled participants had been recruited for seven months as a convenient sample from the rheumatological hospital in Srem (Poland). They represented different sociodemographic characteristics and were characterized as rural and city environments residents. RESULTS: The mean age of the patients was 58.9 ± 10.2 years. The majority of patients (85%) were female. The average final FFI-RS score was 62.9 ± 15.3. The internal consistency was achieved at a high level of 0.95 in Cronbach's alpha test, with an interclass correlation coefficient ranging between 0.78 and 0.84. A strong correlation was observed between the FFI-RS and Health Assessment Questionnaire-Disability Index (HAQ-DI) questionnaires. CONCLUSION: The Polish version of FFI-RS-PL indicator is an important tool for evaluating the functional condition of patients' feet and can be applied in the diagnosis and treatment of Polish-speaking patients suffering from RA.

Comparison of kinetic and pharmacological profiles of recombinant α1γ2L and α1ß2γ2L GABAA receptors - A clue to the role of intersubunit interactions.

The fastest inhibitory mechanism in the CNS is mediated by ionotropic GABAA receptors and it is known that subunit composition critically determines their properties. While a typical GABAA receptor consists of two α, two ß and one γ/δ subunit, there are some exceptions, e.g. αß receptors. Functional α1γ2 GABAA receptors can be expressed in recombinant model (Verdoorn et al., 1990) and although their role remains unknown, it seems appealing to extend their characterization to further explore the structure-function relationship of GABAA receptors. Intriguingly, this receptor is lacking canonical GABA binding sites but it can be activated by GABA and dose-response relationships for α1ß2γ2L and α1γ2L receptors overlap. Deactivation kinetics was similar for both receptors but the percentage of the fast component was smaller in the case of α1γ2L receptors and, consequently, the mean deactivation time constant was slower. The rate and extent of macroscopic desensitization were smaller in the case of α1γ2L receptors but they showed slower recovery. Both receptor types had a similar proton sensitivity showing only subtle but significant differences in pH effects on deactivation. Flurazepam exerted a similar effect on both receptors but the rapid deactivation components were differently affected and an opposite effect was observed on desensitization extent. Rebound currents evoked by pentobarbital were undistinguishable for both receptor types. Taking altogether, although some significant differences were found, α1ß2γ2L and α1γ2L receptors showed unforeseen similarity. We propose that functioning of GABAA receptors might rely on subunit-subunit cooperative interactions to a larger extent than believed so far.

Effects of Whole-Body Cryotherapy in Comparison with Other Physical Modalities Used with Kinesitherapy in Rheumatoid Arthritis.

Whole-body cryotherapy (WBC) has been frequently used to supplement the rehabilitation of patients with rheumatoid arthritis (RA). The aim of this study was to compare the effect of WBC and traditional rehabilitation (TR) on clinical parameters and systemic levels of IL-6, TNF-α in patients with RA. The study group comprised 25 patients who were subjected to WBC (-110 °C) and 19 patients who underwent a traditional rehabilitation program. Some clinical variables and levels of interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α) were used to assess the outcomes. After therapy both groups exhibited similar improvement in pain, disease activity, fatigue, time of walking, and the number of steps over a distance of 50 m. Only significantly better results were observed in HAQ in TR group (p < 0.05). However, similar significant reduction in IL-6 and TNF-α level was observed. The results showed positive effects of a 2-week rehabilitation program for patients with RA regardless of the kind of the applied physical procedure.

Kinesio Taping Does Not Alter Quadriceps Isokinetic Strength and Power in Healthy Nonathletic Men: A Prospective Crossover Study.

OBJECTIVES: The effects of Kinesio Taping (KT) on muscular performance remain largely unclear. This study aimed to investigate the acute effects of KT on the maximum concentric and eccentric quadriceps isokinetic strength. STUDY DESIGN: This is a single-blinded, placebo crossover, repeated measures study. METHODS: Maximum isokinetic concentric/eccentric extension torque, work, and power were assessed by an isokinetic dynamometer without taping (NT) and with KT or placebo taping (PT) in 17 healthy young men. Repeated measures one-way analysis of variance (ANOVA) was used for statistical analyses. RESULTS: Testing concentric contractions at 60°/s or 180°/s isokinetic speed, no significant differences in peak torque (Nm), total work (J), or mean power (W) were noted among the application modes under different conditions. Testing eccentric contractions at 30°/s or 60°/s isokinetic speed, no significant differences in mentioned parameters were noted, respectively. KT on the quadriceps neither decreased nor increased muscle strength in the participants. CONCLUSION: KT application onto the skin overlying the quadriceps muscle does not enhance the strength or power of knee extensors in healthy men.

Effects of different local cryotherapies on systemic levels of TNF-α, IL-6, and clinical parameters in active rheumatoid arthritis.

Cryotherapies are frequently used to supplement the rehabilitation of patients with rheumatoid arthritis (RA) owing to their analgesic and anti-inflammatory effects. Forty patients with active RA were recruited and received 10 days of comprehensive therapy with different local cryotherapies. None of the respondents were subjected to biological treatment. They were divided into two groups according to the therapy received: nitrogen vapour at -160 °C (group I) or cold airflow at -30 °C (group II). Levels of tumour necrosis factor α (TNF-α), interleukin 6 (IL-6), disease activity score (DAS28), and functional variables were used to assess the outcomes. After the therapy, both groups exhibited similar improvements. Significant reduction in TNF-α level (nitrogen: p < 0.01; cold air: p < 0.05) and no change in IL-6 were observed. DAS28, the clinical severity of pain, duration of morning stiffness, degree of self-reported fatigue, and health assessment questionnaire (HAQ) scores improved significantly. In addition, the active range of knee extension, time, and the number of steps in the 50-m walk test also clearly got better in both groups. The 10-day comprehensive therapies including different local cryotherapies for the patients with RA cause significant decrease in TNF-α systemic levels, meaningly improve DAS28, HAQ scores, and some functional parameters, but do not change IL-6 levels. However, there were no differences in the effectiveness of either cryotherapy.

Thermal effectiveness of different IR radiators employed in rheumatoid hand therapy as assessed by thermovisual examination.

We conducted a thermovisual comparison of mean hand surface temperature changes upon local heating with two different IR sources. Sixty-six patients with rheumatoid arthritis (47 women and 19 men; average age, 56.1 ± 8.6 years) were subjected to topical heat therapy for one hand with either the standard IR radiator (SIR) or the water filter IRA (wIRA). The surface temperature of the dorsal side of both hands was measured, and thermal images were taken before and up to 2 h after treatment. At 1 min after treatment, SIR application increased the surface skin temperature of the heated hand from 31.5 ± 1.9 to 35.0 ± 1.9 °C (P<0.05), while wIRA increased it from 32.1 ± 1.6 to 34.2 ± 1.1 °C (P<0.05). Constant decline in temperature was observed immediately after treatment, with the temperatures reaching baseline in about 30 and 120 min after wIRA and SIR treatment, respectively. Similar temperature changes were observed in the heated hands for wIRA and SIR, except at 1 min after treatment. Changes in the untreated hands indicated contralateral reaction. The temperature of the warmed hand showed a correlation to the body mass index.