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The blood levels of parathyroid hormone (PTH), calcium, phosphorus and magnesium were examined in 122 cows, which included healthy cows as well as cows with osteomalacia and paresis. Levels of PTH were determined in vitro using IMMULITE analyzer, levels of macroelements - using the automated “Eos-Bravo” analyser with Hospitex reagents. The blood level of PTH ranged from 1.7 to 7.5 pmol/l in healthy cows and from 3.95 to 20.19 pmol/l in sick cows. The highest and most significant increase in blood PTH level (up to 18.31 ± 1.88 pmol/l) was found in cows with parturient paresis. The blood serum levels of PTH in healthy cows changed depending on age and on the physiological status, being significantly lower in cows 2-4-years-old compared with cows 8-years-old and over. The levels of PTH were significantly higher in cows-in-calf and heifers-in-calf compared with cows of the lactation period. Higher levels of PTH were found during the winter than in the summer. The blood level of PTH correlated inversely with the level of calcium in cows with osteomalacia (r = -0.89) and with parturient paresis (r = - 0.49-0.61). The blood serum PTH levels were significantly increased in all groups of cows (p<0.05) on the day of parturition and one day after parturition compared with the measured PTH level 5 days before parturition. Vitamin D (injected 3-5 times) administered during the last days before calving effectively increased the levels of calcium, phosphorus and PTH.
The article describes the dynamics of changes in blood concentrations of the active substances present in the solution after its infusion to healthy cows in comparison to NaCI solution as well as the response of paretic cows to treatment with the new complex solution. Cows received a dose of 400 ml of Al solution (containing 8.4 g of Ca2+) intravenously. In healthy cows the average calcium concentration in blood serum prior to the test was 2.52 + 0.08 mmol/1 while 15 min. after the infusion the concentration rose to 3.10 ± 0.08 mmol/1 (p < 0.05) and magnesium concentration rose from 0.61 ± 0.05 to 1.39 ± 0.08 mmol/1 (p < 0.05). This experiment showed that elevated concentration of non-organic phosphates persisted 1 hour after infusion (p < 0.05). In the second phase of efficacy evaluation of the novel preparation Al on paretic cows the intravenous injection of 1 ml/kg of body weight of Al solution increased calcium concentration up to almost normal level (p < 0.05). The level of magnesium in serum 1 h after injection was statistically significantly higher by 63% (p < 0.05) and reached the physiologically normal concentration. 1 h after the infusion of test solution the level of phosphate was higher by 13% (p > 0.05). The rise was statistically not significant. Even though Al solution undoubtedly produced an increase in glucose concentration in the blood serum, due to wide dispersion of individual measurements and high standard deviation the increase (p > 0.05) in glucose concentration was found insignificant. Most of the treated paretic cows rose within 1-6 h after infusion of 400 ml of solution Al. No relapses were observed. A combination of different salts of calcium and magnesium, non-organic phosphates and glucose with analeptic substance mixed in one solution (Al solution) administered at a dose of 1 ml/kg of body weight raises concentrations of essential macroelements in blood serum of cattle and promotes improvement of paretic cows condition.
Objective: To evaluate the health-related quality of life (HRQOL) in patients aroused from prolonged coma after a severe traumatic brain injury (TBI) treated by physiotherapists trained in the ‘Academy of Life’ programme. It was assumed that physiotherapists who acquired this knowledge and experience would create a better therapeutic milieu, and would be more effective than physiotherapists who had not received this training. Material and methods: 40 patients who had suffered a severe TBI in a motor vehicle accident and had been aroused from prolonged coma were examined. All the patients underwent long-term rehabilitation according to a standard, phased programme. They were divided into two numerically even groups: an experimental group, treated by therapists trained in the ‘Academy of Life’ programme, and a control group, treated by physiotherapists who were not trained in this programme. The research instruments included an analysis of documentation, a structured clinical interview, and the Quality of Life Scale. Results: As hypothesized, the experimental group showed significant improvement in HRQOL, whereas in the control group improvement was statistically non-significant. Conclusions: The patients from the experimental group, treated by physiotherapists trained in the ‘Academy of Life’, obtained a significantly greater improvement in physical and social functioning, and thus in HRQOL, than patients from the control group.
The aim of this paper was to assess the effectiveness of treatment of Type I (according to Hansen) intervertebral disc extrusion using the fenestration method. The evaluated clinical material included 37 chondrodystrophic dogs in which multiple fenestration (from 2 to 6 intervertebral spaces) was performed. Dachshunds comprised 86.5% of patients. All dogs were administered corticosteroids during the operation. A mass similar to a slightly jelly-like yogurt, cottage cheese or plaster-like consistency was extracted. In one case a post-surgical pyogenic infection of the wound occured. In two cases, a deterioration in the neurological state followed the fenestration procedure of the cervical spine. In one case of thoraco-lumbar spine fenestration, a deterioration of clinical state was found. Recovery was observed after disc extrusion from the cervical spine in 8 out of 11 dogs, from the thoraco-lumbar spine in 12 out of 14 dogs with the 2nd grade clinical signs and in 11 out of 12 dogs with the 3nd grade clinical sings. In 6 dogs, recurrence of first or second grade clinical signs occurred, but only half of them had to undergo treatment. The probability of dog recovery did not depend on the degree of symptom intensity in a statistically significant way (p=0.11) or on the duration of the disease before the surgical treatment (p=0.87).
Many people spend about 80% of their free time practicing sports, including skiing, which in many cases can cause changes in the skeletal system, muscular system and other organs. The aim of this article is to discuss the treatment of a 25-year-old man who suffered a compressive fracture of the C6 vertebra with paresis of the ulnar nerve. The treatment used physiotherapy with changing magnetic fields (magnetostimulation, magnetolaserotherapy, kinesitherapy exercises) with good effects. On the basis of the results we discovered that these treatment methods can accelerate the time of treatment and increase quality of life.
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