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Introduction. Being physically active is a desired element of a lifestyle in terms of avoiding civilizational diseases, but may also promote a risk of occurring damages of the locomotor system. The research objective was to obtain the information on the spinal joints, hip joints and shoulder joints mobility that may predispose to suffering physical injuries by men practicing capoeira and bodybuilding. Materials and methods. The study consisted of 43 men practicing capoeira and bodybuilding. The research tool consisted of: a series of tests evaluating the flexibility (the Dega test, Thomas test, Thomayer test and Zipper Back Scratch Test), and of a custom-made survey on training methods, the number, types and circumstances of contracted injuries, as well as their treatment methods. Results. One studied person from the first group and eleven persons from the second group showed a negative Thomayer test result. Iliolumbar muscle spasms were identified in the case of two men practicing capoeira and sixteen bodybuilders. Seven men practicing capoeira and thirteen men practicing bodybuilding obtained negative Dega test results. Negative Back Scratch Test results were observed in the case of five capoeira adepts and fifteen bodybuilders. The differences between the results of all the tests were statistically significant (p

The dominant cause of injuries in traffic crashes. A significant portion of them affects victims under the influence of ethyl alcohol. The goal of the studies was to assess the correlation between the state of sobriety and the severity of injuries expressed by injury severity scales in fatal pedestrian victims of traffic crashes. Research Material and Method: The data were obtained from the Warsaw Medical University's Department of Forensic Medicine. The analysis covered the data for 2009-2013 and included 200 fatal pedestrian victims hit by passenger cars. The assessment of the effect of risk factors on injury severity expressed in terms of injury severity scales such as Life Threat Indicator (LTI), International Classification based Injury Severity Score (ICISS), Injury Severity Score (ISS) and New Injury Severity Score (NISS), was made using adequately selected methods of statistical analysis.As alcohol concentration increases in women, the values of LTI, ICISS-10 and ICISS-15 decrease, which denotes more severe injuries. In the ISS and NISS, the effect of alcohol concentration on the severity of injuries turned out to be negligible. However, these injuries are significantly heavier in women than in men. According to all the scales used, the older the victims, the milder injuries cause their death.The studies show that ethyl alcohol concentration may harm injury severity, especially in the case of women. The assessment of the severity of injuries in traffic crash victims is significantly influenced by their age and gender. The more risk factors the scale takes into consideration, the more precise is the assessment.

IntroductionA substantial percentage of traffic crashes involve people under the influence of ethyl alcohol. In such circumstances, we speak of the possible effect of ethanol upon trauma outcomes. The present research aimed to assess the state of sobriety fatal pedestrian victims and the correlation between the level of sobriety and the severity of injuries.Research material and methodThe data was obtained from the Warsaw Medical University's Department of Forensic Medicine. The analysis covered the data for the period of 2009-2013; it encompassed 158 fatal pedestrian victims hit by passenger cars. The appropriate methods of statistical analysis were applied.ResultsThe majority of the fatal pedestrian victims were individuals under the influence of ethyl alcohol (72.15%). Significant correlations were observed between the concentration of ethyl alcohol and the victims' gender (pConclusionsPedestrians under the influence of ethyl alcohol are a significant group of victims of traffic crashes. Ethyl alcohol is not an independent factor affecting the severity of injuries. A higher percentage of pedestrian victims die on the scene, especially in rural areas.

A 59-year-old farmer was admitted to the Department of Trauma Surgery because of pain associated with the presence of a tumour on the side of the right thigh. The patient stated that his biggest problem was great difficulty in moving and handling agricultural machinery due to the aforementioned lesion. On physical examination, the patient presented with numerous cutaneous and subcutaneous neurofibromas, as well as one large plexiform neurofibroma. Diagnosis of Neurofibromatosis type 1 was established, based on National Institutes of Health diagnostic criteria. Moreover, molecular genetic testing found known pathogenic mutation p.Arg1769* in one of the alleles of NF1 gene (heterozygote), typical for Recklinghausen disease. The big plexiform neurofibroma in the patient was not operated on because of lung cancer.

According to some authors, serum selenium levels are strongly associated with the severity of liver diseases, including liver cirrhosis. The aim of this study was to determine the relationship between the concentration of selenium and pro-inflammatory and profibrotic cytokines-interleukin-6 (IL-6) and growth differentiation factor 15 (GDF-15) in patients with alcoholic liver cirrhosis. The parameters studied were determined in the serum of 99 patients with alcoholic liver cirrhosis divided based on the severity of disease according to the Child-Turcotte-Pugh criteria. In patients with liver cirrhosis, the serum selenium concentration was statistically lower, whereas serum IL-6 and GDF-15 concentrations were higher than those in the control group. Moreover, the concentration of selenium negatively correlated with the levels of GDF-15 and IL-6. The above results may indicate a role of selenium deficiency in the pathogenesis and progression of alcoholic liver disease.

According to some authors, the serum selenium level is strongly associated with the severity of liver diseases including liver cirrhosis. The aim of the study was to determine the relationship between the concentration of selenium and pro-inflammatory and profibrotic cytokines – interleukin-6 (IL-6) and growth differentiation factor 15 (GDF-15) in patients with alcoholic liver cirrhosis. The parameters studied were determined in serum of 99 alcoholic liver cirrhosis patients divided based on the severity of disease according to the Child-Turcotte-Pugh criteria. In patients with liver cirrhosis, the serum selenium concentration was statistically lower whereas serum IL-6 and GDF-15 concentrations were higher than those in the control group. Moreover, the concentration of selenium negatively correlated with the levels of GDF-15 and IL-6. The above results may indicate a role of selenium deficiency in the pathogenesis and progression of alcoholic liver disease.

The Role of Pilates and Aquafitness Exercises in Sustaining the Health and Fitness of Elderly WomenBackground: The aim of this study was an evaluation of the effectiveness of two forms of physical activity: Pilates and aquafitness - gymnastics in water, in sustaining the health and fitness of women after the age of 55.Material and methods: In research groups were twenty five volunteer women - participants of physical training of the age from 55 to 76 years. One of the groups (Group 1) conducted exercise according to the Pilates method, and the second group (Group 2) practiced in water - aquafitness. The exercises took place once a week, 1.5 hours each. The research ("up and go" test, test for strength and endurance of lower limbs, test for strength of upper limbs, test for suppleness of the lower body part) has been conducted twice - in the first four weeks of training and after ten weeks.Results: The strength of upper limbs considerably increased (p=0.038) in the case of women practicing in water. The program of aquafitness contains a lot of resistance exercises for the upper limbs, which had impact on the above mentioned result. Improvement in the results of tests of suppleness of lower body part was observed (after an 10-week cycle of exercises) in Pilates groups.Conclusions: Pilates and aquafitness were beneficial for the level of suppleness of seniors. The frequency of exercises - once a week - is insufficient for sustaining full fitness, however, even such minimal doze of physical activity positively affects the physical and mental condition of the seniors.

Introduction: A purpose of the work was diagnosis of chosen lifestyle elements of disabled athletes, compared to inactive disabled persons, characterized by similar kind and the degree of disability. Material and methods: The questionnaire survey was conducted on 150 disabled persons (31 women; 119 men), from among 98 were active athletes (wheelchair fencing n=32; wheelchair rugby n=31; table tennis n=14; basketball n=9 and other disciplines n=12). Totally 52 inactive disabled persons were in a control group. Juczyński’s Inventory of Healthy Behavior (IHB - where health behaviors are being judged in four categories: eating habits, preventive behaviors, the psychological attitude and health practice) and an author's questionnaire about lifestyle were used as a research tool. Results: Results show that physically active persons are paying the greater attention to healthy lifestyle than non-active. The total rate of health behaviors (HBR) was higher in the group of athletes (p=0.071). The biggest differences (p=0.000) were noted in eating habits and the smallest in preventive behaviors (p=0.408). Disabled athletes more easily cope with typical problems of the everyday life (like architectural barriers, social isolation). Also they have more often undertake paid work and take part in other fields (culture, tourism). Conclusions: During examination a positive effect of the practicing sport on health behaviors, the frame of mind, self-assessment and participation in the social and professional life was proved. So it seems reasonable to promote sport and physical activity among disables people.

The heterogeneous population of patients affected by trauma is extremely difficult to systematize. This is due to the diversity of mechanisms of injury, the nature and severity of the injury and the population, which relate to injuries, diverse in terms of gender, age, presence of comorbidities that make up the final severity of the injury and a certain degree of danger to life. AIM: The aim of the study was to develop a universal method to assess the severity of injury and loss of life resulting from their consequences, using the parameters available in the Polish administrative databases, a similar diagnostic efficacy as other used scales to assess the severity of damage. MATERIAL AND METHODS: The study analyzed a group of 92 463 patients hospitalized due to injuries sustained as a result of injuries in all hospitals of the Lublin region in 2003-2005. Developed catalogs risk factors, reference to the population of the Lublin province. RESULTS: Developed five models predictive of injury severity scale counterparts, which include different combinations of risk factors associated with the type of injury, age of the patient and the mechanism of injury that have been evaluated for their diagnostic efficacy in differentiating the expected outcomes. Prediction model have the best diagnostic efficacy AUROC 0.9615, SE 0.0025 and 95% CI 0,9565-0,9665, hereinafter referred to as Life Hazard Ratio (LHR), which has a similarly high diagnostic efficacy as the other, examined in the work of the rock assess the severity of damage AUROC 0.9585, SE 0.0368, 95% CI0 0.8849-1. CONCLUSIONS: 1. The proposed method of use of the International Classification ICD-10 allows the use of regional administrative databases to conduct detailed analyzes of population and monitor trends in the epidemiology of injuries. 2. Developed Life Hazard Ratio (LHR)is a universal method for the objective evaluation of the severity of injuries and the associated risk of life-threatening, can also conduct population studies. 3. LHR has a comparable rate of diagnostic efficacy as other commonly used scales assessing the severity of the injury. Language: en

Reports of trauma caused by a horse kick in the abdomen are rare in the literature. This article presents 4 patients with injuries sustained this way. In all cases, injuries were sustained as a result of a sudden act of aggression while tending to the horse. In all the patients, the trauma consisted in severe injuries of abdominal organs, successfully managed by means of damage control procedures. Caution should be exercised during contact with horses, even when the care taker is familiar with the animal. This is particularly important in the case of individuals who are in contact with horses as part of their professional activities, such as horse breeders or veterinarians. Abdominal injuries resulting from horse kicks are generally very severe and should be managed by means of damage control.