scholarly journals Assessment of blood morphology, electrolyte level as well as kidney and liver function before and after leaving the water in a winter swimmers during the entire winter swimming season - a case study

2019 ◽  
Vol 22 (4) ◽  
pp. 25-33
Author(s):  
Bartłomiej Ptaszek ◽  
Jakub Marchewka ◽  
Andrzej Mikuśkiewicz ◽  
Patrycja Pietraszewska ◽  
Sylwia Przybyło ◽  
...  

Study aim: The aim of the study was to assess blood morphology, electrolyte level as well as indices of kidney function and the activity of selected liver enzymes determining liver function before and after exiting the water in a winter swimmer (“Walrus”) from the “Kaloryfer” (“Radiator”) Krakow Winter Swimming Club during the whole winter bathing season. Materials and methods: The subject of research was a winter swimmer from the “Radiator” Krakow Winter Swimming Club  a 53-year-old male. Blood was collected from the subject: at the beginning of the winter swimming season, during (five times) and at the end of the season (each time before and after getting out of the water); time maintaining in water: 10 minutes. Results: Analysing the average values of the indices before and after exiting the water, statistically significant increases were noted in AST [U/L] by 6.4% and LDH [U/L] by 2.45%, as well as a decrease in Na+ [mmol/l] by 1.14%, Clˉ [mmol/l] by 1.78% and urea [mmol/l] by 3.64%. Conclusions: Regular baths taken by the winter swimmers in cold water did not affect blood morphology indices and did not cause pathological changes in kidney profile. Furthermore, slight fluctuations regarding the concentration of electrolytes in the blood serum and changes in the hepatic profile additionally “externalised” health problems, which appeared prior to winter swimming.

2021 ◽  
Vol 3 (2) ◽  
pp. 84-93
Author(s):  
Santi Komaladini ◽  
Popon Popon

This study aims to determine the application of the divergent semantic intervention method in motor transcortical aphasia clients after stroke, male gender aged 44 years at the Cibabat Regional General Hospital. The research method used is a case study research experiment which aims to determine the condition of the subject before and after intervention through therapy. Data collection was carried out through the WOTS stage, namely (1) interviews with the client's parents, (2) direct observation of the client, (3) conducting tests on the client, and (4) studying the patient's medical record document. The results of the research after doing therapy using the divergent semantic intervention method for 15 meetings obtained good results by assessing the level of words on nouns. The conclusion is that the divergent semantic intervention method has an effect on mentioning the level of objects


2020 ◽  
Vol 9 (3) ◽  
pp. 289-299 ◽  
Author(s):  
Birgitta Lundbäck ◽  
Helen Egerhag

PurposeLesson Study is a model for advancing knowledge about how teachers can enhance teaching through collaboration in schools. This study aims to focus on two learning situations for students in Grades 1–3: elementary school (the first years of school) and school-age educare (activities for students before and after school while their parents are working or studying). The case study aims to describe how teachers use Lesson Study to enhance students' mathematical learning in the two learning situations. The objectives were to describe teachers' perceptions of Lesson Study activities and collaboration and students' knowledge before and after lessons.Design/methodology/approachData were collected as a narrative case study using audio-recorded conversations between researchers and teachers in the different learning contexts. A questionnaire comprising five open-ended questions was used to map students' knowledge of the subject.FindingsTeachers found it advantageous to cooperate with each other across the different learning situations. Mapping students' knowledge before and after a teaching session helped them understand how to create a teaching situation that benefits their students. They saw the value of continued collaboration and called for implementation of the Lesson Study method throughout the school.Research limitations/implicationsAn important limitation of this case study is that it was conducted in a very specific context, and the findings cannot, therefore, be generalized to other situations. However, there is a need for similar case studies to be conducted in different contexts, both in Sweden and in other countries, to pay attention to ways in which elementary schools and school-age educare can develop supplementary teaching situations.Originality/valueThe originality of this case lies in planning and reporting a Lesson Study in two different learning situations in the same school, and the conclusion that educators identify and develop collaborative links in different subjects.


2012 ◽  
Vol 37 (4) ◽  
pp. 317-323 ◽  
Author(s):  
LF Yeung ◽  
Aaron KL Leung ◽  
Ming Zhang ◽  
Winson CC Lee

Background: Prosthetic alignment is usually unchanged once optimized. However, a previous study indicated that long-distance walking significantly altered gait patterns, suggesting some alignment adjustments after walking are required. This study investigated the effects of alignment changes (by inserting a heel lift) on gait of a transtibial amputee before and after treadmill walking. Case Description and Methods: The subject walked, without heel lifts, on a treadmill until perception of fatigue. Gait changes upon heel lifting at the prosthetic side were studied before and after the treadmill walking Findings and Outcomes: For this subject before the treadmill walking, heel lifting induced drop-off with increased prosthetic-side knee flexion at mid-stance and pre-swing. The sound limb outreached to stabilize the gait. After the treadmill walking, the same heel lift did not induce drop-off. It reduced the plantar flexor power generation, potentially delaying its fatigue. Conclusion: After walking prosthetic-side heel lifting could be beneficial. Clinical relevance Many lower-limb amputees have difficulties in long-distance walking due to muscle fatigue. This case study proposes that appropriate alignment changes after some walking potentially relieve fatigue and encourage them to walk longer distances.


2020 ◽  
Vol 3 (2) ◽  
pp. 566-575
Author(s):  
Suhatridjas Suhatridjas ◽  
Isnayati Isnayati

The purpose of this study was to determine the effect of the semi-fowler position on Respiratory Rate in pulmonary TB patients in the Pelni Hospital in Jakarta. The method used in this research is descriptive research with a case study approach. The results showed that there was a change in respiratory rate from 21x / min to 18x / min in the subject I and 22x / min to 19x / min in subject II for three days of treatment. In conclusion, there is a significant change in the patient's breathing ability before and after the intervention.   Keywords: Semi Fowler Position, Respiratory Rate, Lung TB


2017 ◽  
Vol 73 (10) ◽  
pp. 666-670 ◽  
Author(s):  
Agnieszka Wrzesińska ◽  
Włodzimierz Kluciński ◽  
Magdalena Garncarz

The aim of this study was to compare the usefulness of laboratory diagnostic parameters dedicated for general anesthesia in brachycephalic and mesaticephalic dogs. The study was performed on two groups of dogs of 112 animals each, representing two different morphotypes, brachycephalic and mesaticephalic ones, which underwent general anesthesia with medetominidine, midazolam, propofol and isoflurane. Before and after anesthesia, the dogs underwent basic haematological and biochemical tests. In 18% of mesaticephalic dogs and 16% of brachycephalic dogs, the results of laboratory blood tests show a significant increase in the activity of liver enzymes: aspartate aminotransferase (AST), alanine phosphatase (ALT) and alkaline phosphatase (ALP), even though the animals showed no clinical signs other than those recognized in ophthalmologic examination. This demonstrates the presence of subclinical hepatic changes in these animals. Moreover, general anesthesia had a greater negative impact on liver function if liver enzyme values had exceeded certain levels before the anesthesia (AST > 61 U/L, ALT > 91 U/L). This made it possible to define new, useful upper limit values of AST and ALT for subclinical dogs before anesthesia that could lead to more serious complications of liver function after anesthesia. Among all the examined parameters, it is beneficial to monitor the activity of AST, ALT and ALP during the perianesthetic period. In the postanesthesia monitoring, creatinine concentration should also be included.


2020 ◽  
Vol 90 (1-2) ◽  
pp. 95-102 ◽  
Author(s):  
Sara Ebrahimi ◽  
Bahram Pourghassem Gargari ◽  
Fereshteh Aliasghari ◽  
Foad Asjodi ◽  
Azimeh Izadi

Abstract. Background: Nonalcoholic fatty liver disease (NAFLD) is a serious global health problem, thus the prevention and management of the disease is necessary. This study aimed to determine the effects of Ramadan Fasting (RF) on liver function, Visceral Adiposity Index (VAI) and Atherogenic Index of Plasma (AIP) in these patients. Methods: Eighty-three NAFLD patients (57 males and 26 females) were enrolled in the study, 42 patients who practiced RF, between Jun 18 through July 17, 2015 and 41 patients in non-fasting groups. Anthropometric parameters and Ultrasound grading were measured before and after Ramadan. The biochemical parameters including lipid profiles (total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides), liver enzymes (Aspartate aminotransferase, SGOT and Alanine aminotransferase, SGPT) were evaluated before and after Ramadan. AIP and VAI were calculated based on formula. Results: The mean decreases in anthropometric indices were significantly different between groups. Similarly, the mean decrease in the total cholesterol values in the fasting group was remarkably greater than in the control group (p = 0.02). The values of AIP and VAI decreased at the end of the study in both group and the mean of changes showed no differences between groups (p = 0.79 and p = 0.65 for AIP and VAI, respectively). The changes in the concentrations of liver enzymes, as well as the severity of hepatic steatosis, showed remarkable differences between groups (p = 0.03, p = 0.05, and p = 0.02 for SGOT and SGPT, and Liver steatosis, respectively). Conclusion: RF improved liver steatosis in NAFLD patients and might be useful in the management of NAFLD.


2020 ◽  
Author(s):  
Ashar Prima ◽  
Intan Oktaviani ◽  
Hani fauziah

Non-communicable diseases in Indonesia has become one of the main causes of death, as many as 73% of all causes of death. One of the causes of death are non-communicable diseases still ranks first is cardiovascular diseases as much as 35% of all causes of death of non-communicable diseases. The aim this research is to describe the application of deep breathing relaxation techniques to control blood pressure on hypertension sufferers in the working area of Health Center Bekasi Jaya. Method in research is descriptive in the form of case studies of blood pressure before and after a deep breath relaxation techniques, in 2 subjects during the four days. The instrument used was a sphygmomanometer (blood pressure) digital. The results of the research two subjects experienced a decrease in blood pressure after a given breath relaxation techniques, in addition to decreased blood pressure both subjects also experienced an increase in blood pressure. The technique relaxation deep breaths can lower your blood pressure if you can stay focused not think of anything or conditions that occur around the subject when doing relaxation, and its reverse when the subject can not concentrate fully subject to increased blood pressure.Keywords : Hypertension, Relaxation, Breathing, Blood Pressure


2017 ◽  
Vol 9 (9) ◽  
pp. 36
Author(s):  
Farida Tabri ◽  
Zainuddin Maskur ◽  
Muhammad Dali Amiruddin ◽  
Harry L. Makalew

INTRODUCTION: Leprosy is a fairly dreaded disease, but it is curable. However, liver failure is one of the side effect of the treatment that challenging to manage.OBJECTIVES: Assessing the effects of Multi Drug Therapy (MDT) on the liver function (SGOT, SGPT) and Mycobacterium Leprae Particle Agglutination (MLPA) test (IgM anti PGL-1) before and after treatment in patients with multibacillary (MB) leprosy.METHOD: Twenty-eight patients who met the inclusion criteria were enrolled in this study which categorized as new MB leprosy patients in Dr. Wahidin Sudirohusodo Hospital, Makassar, Indonesia. In order to test the liver function, blood serum was taken to measure the SGOT and SGPT level with Bochringer Mannheim automatic analysis, while MLPA test measurement was performed with qualitative method. Blood serum was collected three times with the following period; before the treatment, 3 months, and 6 months after treatment. The data was analyzed using Friedman and Wilcoxon Signed Rank test with significant level p<0.001.RESULT: There were significant increases in SGOT and SGPT levels (p<0.001) before and after MDT treatment between 3 to 6 months. Meanwhile, for IgM anti PGL-1, it was not significant (p>0.01) before treatment and after 3 months treatment, but significant different (p<0.001) on 6 months treatment.CONCLUSION: MDT treatment on MB leprosy patient increase the SGOT and SGPT level but decrease the IgM anti PGL-1 after the 6 months of treatment.


1998 ◽  
Vol 12 (3) ◽  
pp. 187-191 ◽  
Author(s):  
SC Ganguli ◽  
TM Pasha ◽  
BT Petersen

Laparoscopy is the preferred approach for cholecystectomy; however the indications for pre- versus postoperative endoscopic retrograde cholangiography (ERC) are still evolving. The records of patients who had ERC performed one month before (n=119) or after (n=35) laparoscopic or open cholecystectomy from January 1990 to August 1992 (period 1), and 66 patients who had preoperative ERC from November 1995 to October 1996 (period 2) are reviewed. ERC indications, findings and outcomes were reviewed, and trends in the use of preoperative ERC from 1990 to 1996 were sought. Between periods 1 and 2 the yield of preoperative ERC increased from 36% to 58% (P<0.01). The use of preoperative ERC for the indication of abnormal liver enzymes declined (P<0.05), while the yield increased (25% versus 61%, P<0.01). Both the use of ERC and the yield remained stable for other indications. ERC was felt to have changed the surgical approach in 5% of patients. Primary indications for postoperative ERC (n=35) included abnormal intraoperative cholangiography (43%), liver function test abnormalities (23%) and recurrence of preoperative symptoms (14%); stones were found in 60%, 50% and 20% of patients with these indications, respectively. Overall, 46% of postoperative studies revealed duct stones. The roles for pre- and postoperative ERC are changing and depend greatly on the relative laparoscopic and endoscopic expertise at a given institution.


Author(s):  
Aneta Teległów ◽  
Valerjan Romanovski ◽  
Beata Skowron ◽  
Dawid Mucha ◽  
Łukasz Tota ◽  
...  

Regular exposure to a cold factor—cold water swimming or ice swimming and cold air—results in an increased tolerance to cold due to numerous adaptive mechanisms in humans. Due to the lack of scientific reports on the effects of extremely low outdoor temperatures on the functioning of the human circulatory system, the aim of this study was to evaluate complete blood count and biochemical blood indices in multiple Guinness world record holder Valerjan Romanovski, who was exposed to extremely cold environment from −5 °C to −37 °C for 50 days in Rovaniemi (a city in northern Finland). Valerjan Romanovski proved that humans can function in extremely cold temperatures. Blood from the subject was collected before and after the expedition. The subject was found to have abnormalities for the following blood indices: testosterone increases by 60.14%, RBC decreases by 4.01%, HGB decreases by 3.47%, WBC decreases by 21.53%, neutrocytes decrease by 17.31%, PDW increases by 5.31%, AspAT increases by 52.81%, AlAT increase by 68.75%, CK increases by 8.61%, total cholesterol decreases by 5.88%, HDL increases by 28.18%. Percentage changes in other complete blood count and biochemical indices were within standard limits. Long-term exposure of the subject (50 days) to extreme cold stress had no noticeable negative effect on daily functioning.


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