Próba ukierunkowania rehabilitacji u pacjentów ze stwardnieniem rozsianym w zależności od typu klinicznego choroby = The attempt conditions for the rehabilitation of patients with multiple sclerosis, depending on the type of clinical disease

Wojciech Garczyński, Stanisław Krajewski

Abstract


Garczyński Wojciech, Krajewski Stanisław. Próba ukierunkowania rehabilitacji u pacjentów ze stwardnieniem rozsianym w zależności od typu klinicznego choroby = The attempt conditions for the rehabilitation of patients with multiple sclerosis, depending on the type of clinical disease. Journal of Education, Health and Sport. 2016;6(7):35-58. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.56870

http://ojs.ukw.edu.pl/index.php/johs/article/view/3655

 

 

The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015).

755 Journal of Education, Health and Sport eISSN 2391-8306 7

© The Author (s) 2016;

This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland

Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium,

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This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial

use, distribution and reproduction in any medium, provided the work is properly cited.

The authors declare that there is no conflict of interests regarding the publication of this paper.

Received: 25.05.2016. Revised 25.06.2016. Accepted: 28.06.2016.

 

Próba ukierunkowania rehabilitacji u pacjentów ze stwardnieniem rozsianym w zależności od typu klinicznego choroby

 

The attempt conditions for the rehabilitation of patients with multiple sclerosis, depending on the type of clinical disease

 

Wojciech Garczyński 1,2, Stanisław Krajewski 3,4

 

1 Wyższa Szkoła Edukacji i Terapii w Poznaniu, Wydział Studiów Edukacyjnych,
ul. Grabowa 22, 61-473 Poznań

2 Indywidualna Praktyka Fizjoterapeutyczna,
ul. Biskupa Bandurskiego 71/17, 71-685 Szczecin

3 Bydgoska Szkoła Wyższa ul. Unii Lubelskiej 4; 85-059 Bydgoszcz

4 Klinika Neurochirurgii 10 Wojskowy Szpital Kliniczny z Polikliniką,
ul. Powstańców Warszawy 5, 85-681 Bydgoszcz

 

Autor korespondencyjny:

 

dr n. o zdr. Wojciech Garczyński

Indywidualna Praktyka Fizjoterapeutyczna

ul. Biskupa Bandurskiego 71/17

71-685 Szczecin

w.garczynski@gmail.com

 

Słowa kluczowe: rehabilitacja, stwardnienie rozsiane.

 

Key words: rehabilitation, multiple sclerosis.

 

 

 

WSTĘP. Stwardnienie rozsiane (łac. sclerosis multiplex, SM) jest to choroba o podłożu zapalno-demielinizacyjnym ośrodkowego układu nerwowego, w której dochodzi do wieloogniskowych zmian. Etiopatogeneza związana jest z uwarunkowaniami genetycznymi i immunologicznymi. Stwardnienie rozsiane może mieć przebieg z rzutami lub bez. Forma kliniczna pierwotnie postępująca (PPMS) stwardnienia rozsianego występuje bez rzutów, pozostałe formy kliniczne: rzutowo – remisyjna (RRMS), wtórnie postępująca (SPMS) i postępująco – nawracająca (PRMS) charakteryzują się pojawianiem się rzutów choroby, forma łagodna (BNMS) może występować bez rzutów.

CEL BADAŃ. Głównym celem podjętych badań było poszukiwanie zależności pomiędzy zróżnicowaniem funkcji fizycznych chorych na stwardnienie rozsiane a typem klinicznym schorzenia. Ewentualne znalezienie takich zależności w konsekwencji pozwoliłoby na wczesne ukierunkowanie procesu rehabilitacji dostosowanej do potrzeb pacjentów z określonym typem klinicznym  choroby.

MATERIAŁ I METODA. W badaniu wzięło udział 313 osób ze zdiagnozowanym stwardnieniem rozsianym, przebywających na czterotygodniowych turnusach rehabilitacyjnych w Centrum Rehabilitacji dla Osób Chorych na Stwardnienie Rozsiane im. Jana Pawła II w Bornym Sulinowie. Zastosowano metodę sondażu diagnostycznego z wykorzystaniem standaryzowanych kwestionariuszy, typowych do oceny funkcji u chorych na stwardnienie rozsiane (EDSS, MFIS, MDST, HADS, EQUI – SCAL). Do obliczeń statystycznych wykorzystano program Statistica 10 firmy StatSoft.

WYNIKI. Uzyskano statystycznie istotne różnice w wieku zachorowania na stwardnienie rozsiane oraz w średnim czasie trwania choroby z podziałem na formy kliniczne (odpowiednio p<0,001 i p<0,01). Na podstawie testu Kruskala - Wallisa stwierdzono istotne statystycznie różnice w poziomie niewydolności ruchowej - EDSS (p<0,001), zmęczenia – MFIS (p<0,05), równowagi – EQUI SCALE (p<0,001) i niesprawności – MDST (p<0,01) w typach klinicznych stwardnienia rozsianego.

WNIOSKI. 1. Poziom zmęczenia, zakres zaburzeń równowagi, poziom niewydolności ruchowej oraz niesprawności zależą od typu klinicznego SM. 2. Poziom objawów lękowych i depresyjnych nie wykazuje zróżnicowania pod względem typu klinicznego SM. 3. Pomimo występowania pewnego zróżnicowania poziomu wybranych funkcji fizycznych i społecznych zależnie od typu SM, trudnym wydaje się ukierunkowanie rehabilitacji w oparciu o te założenia.

 

 

 

INTRODUCTION. Multiple sclerosis (eng. Multiple sclerosis, MS) is an inflammatory-demyelinating disease of the central nervous system, wherein the multifocal changes occur. Etiopathogenesis is related to genetics and immune. Lesions are characterized by rapid progression and are mainly found in the white matter, brainstem, cerebellum, spinal cord and optic nerve. In remission, remyelination occurs, following which the inflammation subsides. Multiple sclerosis can run with or without relapses. Clinical form of primary progressive (PPMS), multiple sclerosis occurring without relapses, other clinical forms: relapsing - remitting (RRMS), secondary progressive (SPMS) and progressive - relapsing (PRMS) are characterized by the appearance of relapses, a form of benign (BNMS) may be present without relapses.

OBJECTIVES. The main objective of this study was to examine correlations between the diversity of physical and social functions in patients with multiple sclerosis and the type and form of the disease. Possible to find such relations, in consequence,  would enable an early orientation of rehabilitation process for needs of patients with a particular type and form of the disease.

MATERIAL AND METHODS. The study involved 313 patients (215 women and 98 men) diagnosed with multiple sclerosis staying on the four-week rehabilitation courses at the Pope John Paul II Center of Rehabilitation for People with Multiple Sclerosis in Borne Sulinowo. The method of diagnostic survey, based on a survey technique using standardized scales and questionnaires to assess the typical functions in patients with multiple sclerosis (EDSS, MFIS, MDST, HADS, EQUI - SCAL). For the statistical calculation StatSoft Statistica 10 was used.

RESULTS. On the basis of the Kruskal – Wallis test statistically significant differences in the level of physical failure were found - EDSS (p <0.001), fatigue - MFIS (p <0.05), balance - EQUI SCALE (p <0.001) and disability - MDST (p <0.01) in clinical forms of multiple sclerosis.

CONCLUSIONS. 1. The level of fatigue, imbalances, motor failure experienced by the patient depends on the clinical form of MS and shows no variation with respect to the type of disease. 2. Level of anxiety and depression symptoms does not have diversity in terms of form of multiple sclerosis. 3. Despite the prevalence of certain differentiation in some of the physical and social functions depending on the form and type of multiple sclerosis, it seems difficult to orientate rehabilitation based on these assumptions. It seems more important to individualize the process based on the nature and pace of the disease and taking into account the current patient's symptoms.


Keywords


rehabilitacja, stwardnienie rozsiane, rehabilitation, multiple sclerosis.

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References


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Dolomatov, S. I., Gozhenko, A. I., Moskalenko, T. Y., Reutov, V. P., & Dolomatova, E. A. (2005). Effect of ascorbic acid on the renal transport of endogenous nitrates and nitrites in humans. Eksperimental'Naya i Klinicheskaya Farmakologiya, 68(1), 50-52. Retrieved from www.scopus.com

Dolomatov, S. I., Gozhenko, A. I., Zhukov, V. A., Dolomatova, E. A., & Nasibullin, B. A. (2005). Characteristics of the kidney functional state after a single dose of thyroxine in white rats. Patologicheskaia Fiziologiia i Eksperimental'Naia Terapiia, (1), 16-19. Retrieved from www.scopus.com

Dolomatov, S. I., Hozhenko, A. I., Zhukov, V. A., & Dolomatova, O. O. (2003). Effect of ultraviolet irradiation of human blood on serum concentration of triiodothyronine and thyroxine. [Vplyv ul'trafioletovoho oprominennia krovi liudyny na kontsentratsiiu tryiodtyroninu ta tyroksynu v plazmi.] Fiziolohichnyi Zhurnal (Kiev, Ukraine : 1994), 49(4), 80-83. Retrieved from www.scopus.com

Dolomatov, S. I., Klykov, O. V., Gozhenko, A. I., Kalistratova, V. S., & Arkhipov, N. P. (2002). The functional response of kidneys under influence of131I in albino rats. Radiatsionnaya Biologiya.Radioekologiya, 42(3), 337-340. Retrieved from www.scopus.com

Fedoruk, A. S., Gozhenko, A. I., & Rogovyi, I. E. (1998). The protective action of alpha-tocopherol on kidney function and lipid peroxidation in acute hemic hypoxia. [Zashchitnoe vozdeistvie al'fa-tokoferola na funktsiiu pochek i perekisnoe okislenie lipidov pri ostroi gemicheskoi gipoksii.] Patologicheskaia Fiziologiia i Èksperimental'Naia Terapiia, (4), 35-38. Retrieved from www.scopus.com

Filipets, N. D., & Gozhenko, A. I. (2014). Comparative assessment of nephroprotective properties of potassium and calcium channel modulators in experimental renal injury. Eksperimental'Naya i Klinicheskaya Farmakologiya, 77(1), 10-12. Retrieved from www.scopus.com

Gozhenko, A. I., & Dikusarov, V. V. (1986). Characteristics of the osmoregulatory function of the kidneys during physiological pregnancy. [Osobennosti osmoreguliruiushcheǐ funktsii pochek pri fiziologicheskom techenii beremennosti.] Fiziologiia Cheloveka, 12(6), 1011-1015. Retrieved from www.scopus.com

Gozhenko, A. I., & Dikusarov, V. V. (1985). Method for assessing the acid-excretory capacity of the kidneys in pregnant women. [Sposob otsenki kislotovydelitel'noǐ sposobnosti pochek u beremennykh.] Laboratornoe Delo, (12), 716-718. Retrieved from www.scopus.com

Gozhenko, A. I., Dolomatov, S. I., Moskalenko, T. Y., Yakimenko, L. V., Ambrosichuk, E. V., & Dolomatova, E. A. (2004). Determination of nonmetabolized antipyrine in human urine. Eksperimental'Naya i Klinicheskaya Farmakologiya, 67(3), 59-60. Retrieved from www.scopus.com

Gozhenko, A. I., Dorenskii, V. S., Slavina, N. G., Bogdanova, L. A., Fedoruk, A. S., & Pogoretskii, I. N. (1997). The effect of sodium nitrite on the functions of the gastrointestinal tract. [Vliianie nitrita natriia na nekotorye funktsii zheludochno-kishechnogo trakta.] Gigiena i Sanitariia, (2), 39-41. Retrieved from www.scopus.com

Gozhenko, A. I., Dorenskij, V. S., Rudina, E. I., Rasputnyak, S. G., Kotyuzhinskaya, S. G., Kotyuzhinskij, A. L., & Slavina, N. G. (1996). Causes and mechanisms of nitrates intoxication (review of literature). Meditsina Truda I Promyshlennaya Ekologiya, (4), 15-21. Retrieved from www.scopus.com

Gozhenko, A. I., & Fedoruk, A. S. (2001). Classification of renal failure. [Klassifikatsiia pochechnoi nedostatochnosti.] Urologiia (Moscow, Russia : 1999), (5), 35-38. Retrieved from www.scopus.com

Gozhenko, A. I., Fedoruk, A. S., Kotiuzhinskaia, S. G., Gozhenko, E. A., & Kuz'menko, I. A. (2003). Altered renal function in acute sodium nitrite intoxication experiment. [Izmenenie funktsii pochek pri ostroi intoksikatsii nitritom natriia v éksperimente.] Patologicheskaia Fiziologiia i Èksperimental'Naia Terapiia, (1), 28-30. Retrieved from www.scopus.com

Gozhenko, A. I., Goydyk, V. S., Shukhtin, V. V., Goydyk, N. S., & Servetskij, S. K. (2015). THE DYNAMICS OF THE INCIDENCE OF OPPORTUNISTIC INFECTIONS AND SOMATIC DISEASES HIV-INFECTED PATIENTS WHO RECEIVED INPATIENT TREATMENT IN 2006-2011. Likars'Ka Sprava / Ministerstvo Okhorony Zdorov'Ia Ukraïny, (1-2), 9-17. Retrieved from www.scopus.com

Gozhenko, A. I., Gubsky, Y. I., Filipets, N. D., Filipets, O. O., & Gozhenko, O. A. (2017). The experimental investigation of fibrinolytic system under the influence of flocalin in conditions of acute hypoxic kidney injury.Ukrainian Biochemical Journal, 89(4), 49-55. 10.15407/ubj89.04.049

Gozhenko, A. I., Kalugin, V. A., & Grigorishin, P. M. (1988). Thermal radiation of the lumbar region and its possible connection with kidney function. [Teplovaia radiatsiia poiasnichnoǐ oblasti i ee vozmozhnaia sviaz' s funktsiǐ pochek.] Fiziologiia Cheloveka, 14(6), 1020-1023. Retrieved from www.scopus.com

Gozhenko, A. I., Karchauskas, V. Y., Dolomatov, S. I., Dolomatova, E. A., & Pykhteev, D. M. (2004). Renal function in rats facing water and salt load under exposure to cadmium dichloride. Meditsina Truda I Promyshlennaya Ekologiya, (8), 45-48. Retrieved from www.scopus.com

Gozhenko, A. I., Kotyuzhinskaya, S. G., & Kovalevskaya, L. A. (2014). PREDICTORS OF ATHEROSCLEROSIS: NEW DEVELOPMENTS. Likars'Ka Sprava / Ministerstvo Okhorony Zdorov'Ia Ukraïny, (12), 18-25. Retrieved from www.scopus.com

Gozhenko, A. I., Krishtal', N. V., & Kukharchuk, A. L. (1988). Experience in solving clinico-pathophysiological tasks in practical lessons on pathological physiology. [Opyt resheniia kliniko-patofiziologicheskikh zadach na prakticheskikh zaniatiiakh po patologicheskoǐ fiziologii.] Patologicheskaya Fiziologiya i Eksperimentalnaya Terapiya, (1), 70-72. Retrieved from www.scopus.com

Gozhenko, A. I., Kukharchuk, A. L., & Grach, I. I. (1985). Functions and energy metabolism of the kidneys in the rat in response to changes in the volume of circulating blood. [Funktsiia i énergeticheskiǐ obmen pochek u krys pri izmenenii ob"ema tsirkuliruiushcheǐ krovi.] Fiziologicheskii Zhurnal, 31(6), 667-673. Retrieved from www.scopus.com

Gozhenko, A. I., Kukharchuk, A. L., Magalyas, V. N., Rasputnyak, S. G., & Chalaya, E. N. (1996). Renal function during thallium intoxication. Meditsina Truda I Promyshlennaya Ekologiya, (11), [d]33-36. Retrieved from www.scopus.com

Gozhenko, A. I., Kuznetsova, H. S., Olenovych, O. A., Kuznetsov, S. H., Kuznetsova, K. S., & Byts, T. N. (2017). The number of circulating endotheliocytes in the blood plasma of the patients with diabetes mellitus increases. Pharmacologyonline, 3, 23-26. Retrieved from www.scopus.com

Gozhenko, A. I., & Lebedeva, T. L. (2010). Physiological principles of optimal water use. Journal of Water Chemistry and Technology, 32(5), 290-296. 10.3103/S1063455X10050036

Gozhenko, A. I., Nasibullin, B. A., & Kokhno, I. S. (2000). Activity of gastric mucosal NO synthase in duodenal ulcer. [Aktivnost' NO-sintazy slizistoi obolochki zheludka pri iazvennoi bolezni dvenadtsatiperstnoi kishki.] Vestnik Rossiiskoi Akademii Meditsinskikh Nauk / Rossiiskaia Akademiia Meditsinskikh Nauk, (7), 8-11. Retrieved from www.scopus.com

Gozhenko, A. I., & Pakhmurnyǐ, B. A. (1984). The osmoregulatory function of the kidneys in chronic nephritis. [Osmoreguliruiushchaia funktsiia pochek pri khronicheskom nefrite.] Patologicheskaya Fiziologiya i Eksperimentalnaya Terapiya, (4), 57-60. Retrieved from www.scopus.com

Gozhenko, A. I., Pogorelaia, I. V., Dolomatov, S. I., Topor, E. A., Dolomatova, E. A., & Pykhteev, D. M. (2005). Renal clearance of nitrates after single injection of sodium nitrate to white rats. Meditsina Truda i Promyshlennaia Ekologiia, (2), 42-45. Retrieved from www.scopus.com

Gozhenko, A. I., Slavina, N. G., Kotyuzhinskaya, S. G., Kotyuzhinskij, A. L., Fedoruk, A. S., & Gozhenko, E. A. (2001). Method to determine nitrite and nitrate ecological load on humans. Meditsina Truda I Promyshlennaya Ekologiya, (3), 38-39. Retrieved from www.scopus.com

Gozhenko, A. I., Zhuk, O. P., Tanasiuk, V. S., & Sheliag, A. R. (1985). Controllable amplifier for registering tissue blood flow by the hydrogen clearance method. [Upravliaemyǐ usilitel' dlia registratsii tkanevogo krovotoka metodom klirensa vodoroda.] Fiziologicheskii Zhurnal SSSR Imeni I.M.Sechenova, 71(5), 673-675. Retrieved from www.scopus.com

Hozhenko, A. I., Bieliakov, O. V., Kovalevs'ka, L. A., Selyvanenko, V. T., Svirs'kyi, O. O., Popik, H. S., . . . Stepanov, V. V. (2001). Content of myocardial catecholamines in patients with natural and acquired heart disease. [Vmist katekholaminiv u miokardi khvorykh na pryrodzheni ta nabuti poroky sertsia.] Fiziolohichnyi Zhurnal (Kiev, Ukraine : 1994), 47(3), 47-53. Retrieved from www.scopus.com

Hozhenko, A. I., Fedoruk, O. S., & Pohorila, I. V. (2002). Influence of arginine on the renal functional condition of rats in sublimate nephropathy. [Vplyv arhininu na funktsional'nyi stan nyrok shchuriv pry sulemovii nephropatiï.] Fiziolohichnyi Zhurnal (Kiev, Ukraine : 1994), 48(6), 26-30. Retrieved from www.scopus.com

Hozhenko, A. I., & Filipets', N. D. (2014). [The functional state of the kidneys after adenosine triphosphate-sensitive potassium channels activation in experimental acute hypoxia]. Fiziolohichnyĭ Zhurnal (Kiev, Ukraine : 1994), 60(4), 22-29. Retrieved from www.scopus.com

Hozhenko, A. I., Moskalenko, O. M., Sirman, V. M., ZhiZhnievs'ka, O. O., & Storozhenko, S. A. (2012). [Kidney function in oncologic patients after cisplastin chemotherapy]. Fiziolohichnyǐ Zhurnal (Kiev, Ukraine : 1994), 58(3), 72-76. Retrieved from www.scopus.com

Hozhenko, A. I., Nasibullin, B. A., & Kokhno, I. S. (2000). The pathogenetic aspects of an ulcerative lesion of the duodenal mucosa. [Deiaki aspekty patohenezu vyrazkovoho urazhennia slyzovoï obolonky dvanadtsiatypaloï kyshky.] Fiziolohichnyi Zhurnal (Kiev, Ukraine : 1994), 46(1), 70-74. Retrieved from www.scopus.com

Hozhenko, A. I., Peresun'ko, O. P., Orenchuk, V. S., & Vysochyna, K. V. (1999). Active radiation telethermometry in the complex diagnosis of ovarian tumors. [Aktyvna dystantsiina radiatsiina teplometriia v kompleksnii diahnostytsi pukhlyn iaiechnykiv.] Likars'Ka Sprava / Ministerstvo Okhorony Zdorov'Ia Ukraïny, (5), 119-124. Retrieved from www.scopus.com

Hozhenko, A. I., & Trusova, M. V. (2006). Effect of cytostatic ifosfamide on the function of the kidneys in white rats. Fiziolohichnyǐ Zhurnal (Kiev, Ukraine : 1994), 52(4), 19-23. Retrieved from www.scopus.com

Hozhenko, A. I., Vladymyrova, M. P., & Topor, O. A. (2006). Effect of amber acid on the kidney function in gentamycin-induced nephropathy in white rats. Fiziolohichnyǐ Zhurnal (Kiev, Ukraine : 1994), 52(5), 41-46. Retrieved from www.scopus.com

Hrach, I. I., Hozhenko, A. I., Voǐtenko, A. M., & Dorens'kyǐ, V. S. (1992). The water-electrolyte balance in rats with acute overheating and forced rehydration. [Stan vodno-elektrolitnoho balansu u shchuriv pry hostromu perehrivanni ta forsovaniǐ rehidratatsiï.] Fiziologicheskii Zhurnal, 38(2), 91-96. Retrieved from www.scopus.com

Kalugin, V. A., Gozhenko, A. I., Vetoshnikov, V. S., Belov, M. E., & Grigorishin, P. M. (1989). A method of dynamic teplometry. [Sposob dinamicheskoǐ teplometrii.] Meditsinskaya Tekhnika, (4), 44-47. Retrieved from www.scopus.com

Kiriliuk, M. L., Kukharchuk, A. L., & Gozhenko, A. I. (1990). Effect of destruction of the lateral septal nucleus on renal function. [Vliianie razrusheniia lateral'nogo iadra peregorodki mozga na funktsiiu pochek.] Fiziologicheskii Zhurnal, 36(3), 48-52. Retrieved from www.scopus.com

Krishtal', N. V., & Gozhenko, A. I. (1989). Role of the hypophyseo-adrenal system in regulating the acid-secreting function of the kidneys. [Rol' gipofizarno-nadpochechnikovoǐ sistemy v reguliatsii kislotovydelitel'noǐ funktsii pochek.] Fiziologicheskii Zhurnal, 35(1), 59-62. Retrieved from www.scopus.com

Krishtal', N. V., Gozhenko, A. I., & Gareeva, E. G. (1994). Mechanisms of renal adaptation to disorders of water-electrolyte balance in metabolic acidosis. [Mekhanizmy pochechnoǐ adaptatsii k narusheniiam vodno-élektrolitnogo obmena pri metabolicheskom atsidoze.] Patologicheskaya Fiziologiya i Eksperimentalnaya Terapiya, (3), 42-44. Retrieved from www.scopus.com

Kryshtal, M. V., Hareieva, E. H., & Hozhenko, A. I. (1993). Response and endocrine mechanisms in the kidney effected by sodium chloride. [Reaktsiia nyrok na hostre navantazhennia natriiem khlorydom ta ǐǐ endokrynni makhanizmy.] Fiziologicheskii Zhurnal, 39(5-6), 56-60. Retrieved from www.scopus.com

Kucher, V. I., Terenozhkina, N. P., & Gozhenko, A. I. (1983). Isolation of fractions containing natriuretic hormone from blood plasma and their testing in in vivo and in vitro experiments. [Vuydelenie iz plazmy krovi fraktsiǐ, soderzhashchikh natriǐureticheskiǐ gormon, i ikh testirovanie v opytakh in vivo i in vitro.] Problemy Endokrinologii, 29(3), 47-50. Retrieved from www.scopus.com

Kukharchuk, A. L., & Gozhenko, A. I. (1985). Effect of progesterone on ion-regulating kidney function. Problemy Endokrinologii, 31(2), 55-58. Retrieved from www.scopus.com

Kukharchuk, A. L., Gozhenko, A. I., Lille Yu., E., & Loppe, M. (1992). Effect of prostacyclin and its synthetic analogue MM-706 on renal function in sublimate nephropathy. Experimental and Clinical Pharmacology, 55(5), 36-39. Retrieved from www.scopus.com

Kukharchuk, A. L., Gozhenko, A. I., Lille Yu., E., & Loppe, M. (1992). Influence of prostacycline synthetic analogue on the renal function and the blood aggregate state regulation system in experimental acute renal insufficiency. Gematologiya i Transfuziologiya, 37(9-10), 23-25. Retrieved from www.scopus.com

Kukharchuk, A. L., Gozhenko, A. I., Lille, I. E., & Loppe, M. (1992). The effect of prostacyclin and its synthetic analog MM-706 on kidney function in corrosive sublimate-induced nephropathy. [Vliianie prostatsiklina i ego sinteticheskogo analoga MM-706 na funktsional'noe sostoianie pochek pri sulemovoǐ nefropatii.] Eksperimental"Naia i Klinicheskaia Farmakologiia, 55(5), 36-39. Retrieved from www.scopus.com

Lobenko, A. A., Gozhenko, A. I., Kokhno, I. S., Gul'chenko, I. I., Grinchenko, P. A., & Osipova, E. R. (1996). The rate of healing of an ulcerous defect in the duodenal bulb in relation to the site (based on video endoscopic data). [Skorost' zazhivleniia iazvennogo defekta lukovitsy dvenadtsatiperstnoi kishki v zavisimosti ot lokalizatsii (po dannym videoéndoskopii).] Likars'Ka Sprava / Ministerstvo Okhorony Zdorov'Ia Ukraïny, (10-12), 117-119. Retrieved from www.scopus.com

Lobenko, A. A., Gozhenko, A. I., & Mishchenko, V. V. (1999). Dynamic radiation telethermometry in the diagnosis of acute appendicitis. [Distantsionnaia radiatsionnaia dinamicheskaia teplometriia v diagnostike ostrogo appenditsita.] Likars'Ka Sprava / Ministerstvo Okhorony Zdorov'Ia Ukraïny, (3), 103-106. Retrieved from www.scopus.com

Lobenko, A. A., Gozhenko, A. I., & Vasil'ev, V. A. (1995). The efficacy of metabolic therapy in chronic gastritis with secretory deficiency in flight personnel. [Effektivnost' metabolicheskoi terapii pri khronicheskom gastrite s sekretornoi nedostatochnost'iu u lits letno-pod''emnogo sostava.] Likars'Ka Sprava / Ministerstvo Okhorony Zdorov'Ia Ukraïny, (9-12), 175-179. Retrieved from www.scopus.com

Lobenko, A. A., Gozhenko, A. I., & Vasil'ev, V. A. (1997). The use of otsid in treating patients with chronic gastroduodenitis and duodenal peptic ulcer. [Primenenie otsida v lechenii bol'nykh khronicheskim gastroduodenitom i iazvennoi bolezn'iu dvenadtsatiperstnoi kishki.] Likars'Ka Sprava / Ministerstvo Okhorony Zdorov'Ia Ukraïny, (4), 118-121. Retrieved from www.scopus.com

Lobenko, A. A., Tarabrin, O. A., Zaporozhchenko, B. S., Gozhenko, A. I., & Kiriliuk, A. A. (1998). The method of integral estimation of a functional status of the hemostatic system. [Sposob integral'noi otsenki funktsional'nogo sostoianiia sistemy gemostaza.] Klinichna Khirurhiia / Ministerstvo Okhorony Zdorov'Ia Ukraïny, Naukove Tovarystvo Khirurhiv Ukraïny, (7), 30-32. Retrieved from www.scopus.com

Milkov, B. O., Gozhenko, A. I., & Shamrei, G. P. (1987). Diagnosis of acute appendicitis with the use of remote heat flow meter based on anisotropic thermoelements. Klinicheskaya Khirurgiya, No. 4, 28-29. Retrieved from www.scopus.com

Mishcheriakova, N. G., Klenov, V. A., Sviridova, T. G., Khaǐrullina, A. B., & Gozhenko, A. I. (1995). Effects of vanadium on the physical-chemical properties of peripheral blood erythrocytes in rats. [Izuchenie vliianiia vanadiia na nekotorye fiziko-khimicheskikh svoǐstva éritrotsitov perefericheskoǐ krovi krys.] Voprosy Pitaniia, (1), 24-26. Retrieved from www.scopus.com

Mokienko, A. V., Petrenko, N. F., & Gozhenko, A. I. (2015). Hygienic estimation of biocide actions of ozone at water disinfecting. Water and Ecology, 1, 19-25. Retrieved from www.scopus.com

Nabukhotnyǐ, T. K., Pavliuk, V. P., Gozhenko, A. I., & Kukharchuk, A. L. (1987). Role of breast feeding in providing the newborn infant with thyroid hormones. [Rol' estestvennogo vskarmlivaniia v obespechenii organizma novorozhdennogo gormonami shchitovidnoǐ zhelezy.] Voprosy Pitaniia, (1), 29-31. Retrieved from www.scopus.com

Rakhmanin, I. A., Petrenko, N. F., Mokienko, A. V., & Gozhenko, A. I. (2007). Chlorine dioxide as an agent for optimization of drinking water preparation. Gigiena i Sanitariia, (6), 11-13. Retrieved from www.scopus.com

Rogovoǐ, I. E., & Gozhenko, A. I. (1989). Pathogenetic significance of lipid peroxidation in damage of the proximal segment of the nephron in acute masugi's nephritis. [Patogeneticheskoe znachenie perekisnogo okisleniia lipidov v povrezhdenii proksima'lnogo otdela nefrona pri ostrom nefrite Lindemana-Mazugi.] Fiziologicheskii Zhurnal, 35(5), 18-23. Retrieved from www.scopus.com

Sahach, V. F., Shymans'ka, T. V., Zul'fiharov, O. S., Ovchynnikova, O. H., & Hozhenko, A. I. (1999). The effect of a grape extract on the contractile activity of the myocardium and on the coronary flow of the isolated guinea pig heart. [Vplyv ekstraktu vynohradu na skorotlyvu aktyvnist' miokarda ta koronarnyi potik izol'ovanoho sertsia mors'koï svynky.] Fiziolohichnyi Zhurnal (Kiev, Ukraine : 1994), 45(5), 117-121. Retrieved from www.scopus.com

Shaplavskiǐ, N. V., Vladkovskiǐ, I. K., Kukharchuk, A. L., & Gozhenko, A. I. (1988). A method of increasing the accuracy of pipetting. [Sposob povysheniia tochnosti pipetirovaniia.] Laboratornoe Delo, (11), 77-78. Retrieved from www.scopus.com

Shukhtin, V. V., Hozhenko, A. I., & Levyts'kyǐ, A. P. (2013). [Pathogenesis of skin injury in immunodeficient rats]. Fiziolohichnyǐ Zhurnal (Kiev, Ukraine : 1994), 59(4), 63-66. Retrieved from www.scopus.com

Terenozhkina, N. P., Kucher, V. I., Gozhenko, A. I., & Ivanov Yu., I. (1987). The effect of natriuretic factor on the electrolyte transport and energy exchange in slices of the rat kidney cortex. Fiziologicheskii Zhurnal SSSR Imeni I.M.Sechenova, 73(8), 1090-1093. Retrieved from www.scopus.com

Vasil'ev, V. A., Lobenko, A. A., & Gozhenko, A. I. (1996). On early diagnosis of metabolic disorders in gastric lining of pilots. Meditsina Truda I Promyshlennaya Ekologiya, (3), [d]38-39. Retrieved from www.scopus.com

Ye Babelyuk, V., Dubkova, G. I., Korolyshyn, T. A., Holubinka, S. M., Dobrovol’S’Kyi, Y. G., Zukow, W., . . . Popovych, I. L. (2017). Operator of kyokushin karate via kates increases synaptic efficacy in the rat hippocampus, decreases C3-θ-rhythm SPD and HRV vagal markers, increases virtual chakras energy in healthy humans as well as luminosity of distilled water in vitro. preliminary communication. Journal of Physical Education and Sport, 17(1), 383-393. 10.7752/jpes.2017.01057

Zaporozhan, V. M., Gozhenko, A. I., & Gerasymova, L. V. (2001). The kiev period of the scientific activities of V. V. pidvysots'kyi. [Kyïvs'kyi period naukovoï diial'nosti V. V. Pidvysots'kogo.] Fiziolohichnyi Zhurnal (Kiev, Ukraine : 1994), 47(1), 133-138. Retrieved from www.scopus.com

Zaporozhan, V. M., & Hozhenko, A. I. (2000). Clinical pathophysiology: Current status, problems and future development. [Klinichna patofiziolohiia: suchasnyi stan, problemy ta perspektyvy rozvytku.] Fiziolohichnyi Zhurnal (Kiev, Ukraine : 1994), 46(6), 123-126. Retrieved from www.scopus.com

Zaporozhan, V. M., Hozhenko, A. I., Svirs'kyi, O. O., & Zalins'kyi, O. O. (2000). The hormonal factors regulating water-electrolyte exchange in the pathogenesis of the hemodynamic disorders in pre-eclampsia. [Hormonal'ni faktory rehuliatsiï vodno-elektrolitnoho obminu v patohenezi porushen' hemodynamiky pry preeklampsï.] Fiziolohichnyi Zhurnal (Kiev, Ukraine : 1994), 46(2), 48-54. Retrieved from www.scopus.com

Zaporozhan, V. M., Nasibullin, B. A., Hozhenko, A. I., & Shapranov, R. A. (2002). Effects of hypogeomagnetic fields on the structural-functional activity of rat cerebral cortex. [Vplyv hipoheomahnitnoho polia na strukturno-funktisonal'ni koreliaty kory holovnoho mozku shchuriv.] Fiziolohichnyi Zhurnal (Kiev, Ukraine : 1994), 48(3), 16-21. Retrieved from www.scopus.com

Zaporozhan, V. N., Gozhenko, A. I., Dolomatov, S. I., Dolomatova, E. A., Topor, E. A., & Badyin, I. Y. (2004). Renal mechanisms of the osmotic homeostasis maintenance on a background of the salt test.Aviakosmicheskaya i Ekologicheskaya Meditsina, 38(5), 58-59. Retrieved from www.scopus.com

Zaporozhan, V. N., Gozhenko, A. I., Korneenko, T. V., & Dubinina, V. G. (2004). Role of nitric oxide in tumor growth. [Biologicheskaia aktivnost' oksida azota v mekhanizmakh opukholevogo rosta.] Uspekhi Fiziologicheskikh Nauk, 35(1), 66-82. Retrieved from www.scopus.com

 

Napierała M References in Scopus

References


Dolomatov, S. I., Kubyshkin, A. V., Zukow, W. A., Kutia, S. A., Cieslicka, M., Muszkieta, R., & Napierala, M. (2014). Prospects for the replenishment of a feed protein deficit in aquaculture. Russian Journal of Marine Biology, 40(4), 233-240. 10.1134/S106307401404004X

Dragomiretskaya, N., Izha, A., Kalinichenko, N., Szark-Eckardt, M., Klimczyk, M., Cieślicka, M., . . . Zukow, W. (2015). Use of antiviral therapy in patients with chronic hepatitis C. Open Medicine (Poland), 10(1), 209-215. 10.1515/med-2015-0032

Eksterowicz, J., & Napierała, M. (2008). Evaluation of the way of nutrition of the physical education students during summer sports camp. [Ocena sposobu zywienia studentek z kierunku wychowania fizycznego podczas letniego obozu sportowego.] Roczniki Państwowego Zakładu Higieny, 59(1), 75-82. Retrieved from www.scopus.com

Eksterowicz, J., Napierała, M., & Zukow, W. (2016). How the kenyan runner's body structure affects sports results. Human Movement, 17(1), 8-14. 10.1515/humo-2016-0002

Napierała, M., & Nowicki, G. (2004). Recreational activities of bydgoszcz youth at the age of pubescence. [Wypoczynek młodziezy bydgoskiej w wieku pokwitania.] Roczniki Panstwowego Zakladu Higieny, 55(3), 261-268. Retrieved from www.scopus.com

Novikov, N., Dolomatov, S., Zukow, W., Volyanskaya, A., Napierala, M., Hagner-Derengowska, M., . . . Skaliy, A. (2012). Pathogenetic mechanisms of posttraumatic fibrosis of the uterus of white rats. Central European Journal of Medicine, 7(4), 503-510. 10.2478/s11536-011-0168-0

Zukow, W., Kalisz, Z., Muszkieta, R., & Napierala, M. (2011). Acupuncture for rheumatoid arthritis: A randomized, sham-controlled clinical trial. Journal of Acupuncture and Tuina Science, 9(3), 168-172. 10.1007/s11726-011-0502-8


 

Zukow W References in Scopus

References

 

Babelyuk, V. Y., Gozhenko, A. I., Dubkova, G. I., Korolyshyn, T. A., Kikhtan, V. V., Babelyuk, N. V., . . . Popovych, I. L. (2017). Causal relationships between the parameters of gas discharge visualization and principal neuroendocrine factors of adaptation. Journal of Physical Education and Sport, 17(2), 624-637. 10.7752/jpes.2017.02094

Chukhraev, N., Vladimirov, A., Zukow, W., Chukhraiyeva, O., & Levkovskaya, V. (2017). Combined physiotherapy of anxiety and depression disorders in dorsopathy patients. Journal of Physical Education and Sport, 17(1), 414-417. 10.7752/jpes.2017.01061

Chukhraiev, N., Zukow, W., Chukhraieva, E., & Unichenko, A. (2017). Integrative approach to reduction of excess weight. Journal of Physical Education and Sport, 17(2), 563-567. 10.7752/jpes.2017.02085

Dolomatov, S., Sataieva, T., Pazovsky, G., & Zukow, W. (2017). Neuroendocrine effects of helminthiases (A review). Parazitologiya, 51(2), 97-103. Retrieved from www.scopus.com

Dolomatov, S., Zukow, W., & Brudnicki, R. (2013). Role of temperature in regulation of the life cycle of temperate fish. Russian Journal of Marine Biology, 39(2), 81-91. 10.1134/S1063074013020041

Dolomatov, S., Zukow, W., Dzierzanowski, M., Mieszkowski, J., Muszkieta, R., & Klimczyk, M. (2016). Role of nitrates in the adaptation of fish to hypoxic conditions. Water Resources, 43(1), 177-183. 10.1134/S0097807816120046

Dolomatov, S. I., Gozhenko, A. I., Zhukov, V. A., Dolomatova, E. A., & Nasibullin, B. A. (2005). Characteristics of the kidney functional state after a single dose of thyroxine in white rats. Patologicheskaia Fiziologiia i Eksperimental'Naia Terapiia, (1), 16-19. Retrieved from www.scopus.com

Dolomatov, S. I., Hozhenko, A. I., Zhukov, V. A., & Dolomatova, O. O. (2003). Effect of ultraviolet irradiation of human blood on serum concentration of triiodothyronine and thyroxine. [Vplyv ul'trafioletovoho oprominennia krovi liudyny na kontsentratsiiu tryiodtyroninu ta tyroksynu v plazmi.] Fiziolohichnyi Zhurnal (Kiev, Ukraine : 1994), 49(4), 80-83. Retrieved from www.scopus.com

Dolomatov, S. I., Kubyshkin, A. V., Zukow, W. A., Kutia, S. A., Cieslicka, M., Muszkieta, R., & Napierala, M. (2014). Prospects for the replenishment of a feed protein deficit in aquaculture. Russian Journal of Marine Biology, 40(4), 233-240. 10.1134/S106307401404004X

Dolomatov, S. I., Shekk, P. V., Zukow, W., & Kryukova, M. I. (2011). Features of nitrogen metabolism in fishes. Reviews in Fish Biology and Fisheries, 21(4), 733-737. 10.1007/s11160-011-9212-z

Dolomatov, S. I., & Zhukov, V. A. (2008). Effect of exogenous thyroxin on renal ion-regulating and acid-secreting functions in white rats. Aviakosmicheskaya i Ekologicheskaya Meditsina, 42(1), 62-63. Retrieved from www.scopus.com

Dolomatov, S. I., Zukow, W., Atmazhov, I. D., Muszkieta, R., & Skaliy, A. (2012). The use of hormones indicators in human saliva in diagnosing parodontitis in pregnant women. Indian Journal of Human Genetics, 18(3), 305-309. 10.4103/0971-6866.107982

Dolomatov, S. I., Zukow, W., Novikov, N. Y., Muszkieta, R., Bulatowicz, I., Dzierzanowski, M., . . . Strojek, K. (2012). The regulation of osmotic and ionic balance in fish reproduction and in the early stages of ontogeny. Russian Journal of Marine Biology, 38(5), 365-374. 10.1134/S1063074012050057

Dragomiretskaya, N., Izha, A., Kalinichenko, N., Szark-Eckardt, M., Klimczyk, M., Cieślicka, M., . . . Zukow, W. (2015). Use of antiviral therapy in patients with chronic hepatitis C. Open Medicine (Poland), 10(1), 209-215. 10.1515/med-2015-0032

Dzierzanowski, M., Dzierzanowski, M., Maćkowiak, P., Słomko, W., Radzimińska, A., Kaźmierczak, U., . . . Zukow, W. (2013). The influence of active exercise in low positions on the functional condition of the lumbar-sacral segment in patients with discopathy. Advances in Clinical and Experimental Medicine, 22(3), 421-430. Retrieved from www.scopus.com

Dzierzanowski, M., Dzierzanowski, M., Wrzecion, K., Słomko, W., Radzimińska, A., Kaźmierczak, U., . . . Zukow, W. (2013). Discopathy of the lumbar-sacral segment and its influence on sexual dysfunction. Advances in Clinical and Experimental Medicine, 22(1), 93-100. Retrieved from www.scopus.com

Eksterowicz, J., Napierała, M., & Zukow, W. (2016). How the kenyan runner's body structure affects sports results. Human Movement, 17(1), 8-14. 10.1515/humo-2016-0002

Gorsha, O. V., Aplevich, V. M., & Zukow, W. (2017). Efficiency of kinesiotaping application in the complex rehabilitation of children with idiopathic scoliosis. Journal of Physical Education and Sport, 17(3), 1154-1157. 10.7752/jpes.2017.03177

Ivashchenko, O., Khudolii, O., Iermakov, S., Lochbaum, M., Cieślicka, M., Zukow, W., . . . Yermakova, T. (2017). Methodological approaches to pedagogical control of the functional and motor fitness of the girls from 7-9 grades. Journal of Physical Education and Sport, 17(1), 254-261. 10.7752/jpes.2017.01038

Ivashchenko, O., Khudolii, O., Iermakov, S., Lochbaum, M. R., Cieslicka, M., Zukow, W., . . . Yermakova, T. (2016). Intra-group factorial model as the basis of pedagogical control over motor and functional fitness dynamic of 14-16 years old girls. Journal of Physical Education and Sport, 16(4), 1190-1201. 10.7752/jpes.2016.04190

Kozina, Z., Sobko, I., Yermakova, T., Cieslicka, M., Zukow, W., Chia, M., . . . Korobeinik, V. (2016). Psycho-physiological characteristics of female basketball players with hearing problems as the basis for the technical tactic training methodic in world level teams. Journal of Physical Education and Sport, 16(4), 1348-1359. 10.7752/jpes.2016.04213

Kul'chyns'kyi, A. B., Kyjenko, V. M., Zukow, W., & Popovych, I. L. (2017). Causal neuro-immune relationships at patients with chronic pyelonephritis and cholecystitis. correlations between parameters EEG, HRV and white blood cell count. Open Medicine (Poland), 12(1), 201-213. 10.1515/med-2017-0030

Novikov, N., Dolomatov, S., Zukow, W., Volyanskaya, A., Napierala, M., Hagner-Derengowska, M., . . . Skaliy, A. (2012). Pathogenetic mechanisms of posttraumatic fibrosis of the uterus of white rats. Central European Journal of Medicine, 7(4), 503-510. 10.2478/s11536-011-0168-0

Podrigalo, L., Iermakov, S., Rovnaya, O., Zukow, W., & Nosko, M. (2016). Peculiar features between the studied indicators of the dynamic and interconnections of mental workability of students. Journal of Physical Education and Sport, 16(4), 1211-1216. 10.7752/jpes.2016.04193

Sataieva, T., & Zukow, W. (2014). The respective effects of ethyl alcohol and grape polyphenols upon the morphological index of rat kidneys. Central European Journal of Medicine, 9(6), 866-869. 10.2478/s11536-013-0326-7

Babelyuk, Ye.V., Dubkova, G. I., Korolyshyn, T. A., Holubinka, S. M., Dobrovol’S’Kyi, Y. G., Zukow, W., . . . Popovych, I. L. (2017). Operator of kyokushin karate via kates increases synaptic efficacy in the rat hippocampus, decreases C3-θ-rhythm SPD and HRV vagal markers, increases virtual chakras energy in healthy humans as well as luminosity of distilled water in vitro. preliminary communication. Journal of Physical Education and Sport, 17(1), 383-393. 10.7752/jpes.2017.01057

Zadnipryany, I. V., Sataieva, T. P., Tretiakova, O. S., Kubyshkin, A. V., & Zukow, W. (2017). Grape polyphenols concentrate demonstrates cardioprotection in terms of hypoxic myocardial injury. Russian Open Medical Journal, 6(4)10.15275/rusomj.2017.0404

Zadnipryany, I. V., Tretiakova, O. S., Sataieva, T. P., & Zukow, W. (2017). Experimental review of cobalt induced cardiomyopathy. Russian Open Medical Journal, 6(1)10.15275/rusomj.2017.0103

Zubkova, O., Semenova, V., Samosiuk, I., Zukow, W., Vaslovich, V., & Samosiuk, N. (2014). Analysis of ultrastructural synaptic apparatus in parietal neurocortical and midbrain neurons in animals with experimental mild craniocerebral injury prior to and following magneto-laser therapy. Central European Journal of Medicine, 9(5), 714-721. 10.2478/s11536-013-0338-3

Zukow, W., Kalisz, Z., Muszkieta, R., & Napierala, M. (2011). Acupuncture for rheumatoid arthritis: A randomized, sham-controlled clinical trial. Journal of Acupuncture and Tuina Science, 9(3), 168-172. 10.1007/s11726-011-0502-8