ZRE Gdańsk (Poland)

Background: Conservative treatment for adolescent idiopathic scoliosis (AIS) includes physiotherapeutic scoliosis-specific exercises (PSSE) and bracing. One PSSE-based approach is the Rigo Concept, which emphasizes three-dimensional (3D) postural correction, expansion techniques, muscle activation, and postural integration. Recently, increasing interest has been directed toward incorporating whole-body vibration (WBV) into physiotherapy. WBV is a reflex-based neuromuscular training method shown to improve muscle strength and power and enhance proprioception, which may be beneficial in the treatment of AIS. Objectives: This study aimed to assess the effects of physiotherapy based on the Rigo Concept combined with WBV on sagittal spinal curvatures, trunk symmetry, and the angle of trunk rotation (ATR) in girls with AIS. Methods: This prospective controlled experimental study included 45 girls (12.8 ± 1.7 years) with AIS who participated in a 5-day physiotherapy session based on the Rigo Concept. Of these, 22 participants additionally received WBV using a Galileo Med 35 platform (3 × 3 min/day, frequency 25 Hz, peak-to-peak displacement 2 mm), forming the Rigo-WBV group. The remaining participants received the Rigo Concept alone (Rigo-ONLY). Participants were allocated to the study groups using a quasi-random method based on the order of enrollment. ATR was defined as the primary endpoint, while thoracic kyphosis, lumbar lordosis, sacral slope, coronal balance, and scapular position were considered secondary outcomes. All outcomes were assessed before and after the intervention. Results: Neither the Rigo-WBV nor the Rigo-ONLY intervention affected sagittal spinal curvatures (p > 0.05). Coronal balance improved in both the Rigo-WBV (Δ 0.5 cm, p < 0.001) and Rigo-ONLY groups (Δ 0.4 cm, p = 0.005). In the Rigo-ONLY group, an improvement in scapular height asymmetry was observed (Δ 1.1°, p = 0.010). Following the Rigo-WBV intervention, ATR decreased in the main thoracic (Δ 1.9°, p < 0.001), thoracolumbar (Δ 1.9°, p < 0.001), lumbar curve (Δ 2.1°, p < 0.001), and pelvis (Δ 1.0°, p < 0.001). In the Rigo-ONLY group, a reduction in ATR was observed only in the thoracolumbar curve (Δ 1.9°, p < 0.001). Conclusions: In terms of clinical and postural changes, five-day physiotherapy based on the Rigo Concept, with or without WBV, does not influence sagittal spinal curvatures in girls with AIS. Both interventions may improve coronal balance. Moreover, the Rigo Concept combined with WBV may reduce ATR.

To perform a comprehensive statistical characterization of the Double Plate method (ISO 23675) as a potential invitro alternative to the invivo reference method (ISO 24444:2019) for determining the sun protection factor (SPF). Five qualified laboratories were involved in testing the Double Plate method, as part of a large-scale ring test conducted by the International Consortium 'ALT-SPF'. About 32 sunscreen products, reflecting diverse global formulations, were tested using both the invivo reference method and the Double Plate method. This method employs spectrophotometric measurements of sunscreen applied to UV-transparent plates with standardized robotic application to minimize the variability. A mathematical adjustment was introduced to address the initial bias compared to the reference method and further assessed in a follow-up ring test with 12 products, including ISO standards. The Double Plate method exhibited very high intra- and inter-laboratory reproducibility throughout the study, consistently meeting the precision criteria set by ISO/TC217/WG7. Following the mathematical adjustment, the accuracy significantly improved, demonstrating a close alignment with the reference method. The Double Plate method demonstrates excellent reproducibility and, following optimization, high accuracy for the SPF determination. These findings endorse the Double Plate method as a robust and ethical invitro alternative to the invivo reference method for SPF testing. This paved the way for its publication as a new ISO standard (ISO 23675), in December 2024, supporting consumer safety and informed product choices.

Osoby z niepełnosprawnościami pozostają często w wydzielonych przestrzeniach życia społecznego, często nie mając warunków do bycia-u-siebie w mieście. Jednocześnie brak widoczności i słyszalności osób z niepełnosprawnością w przestrzeni publicznej stanowi wyzwanie dla współczesnego miasta. Dlatego w ramach projektowania różnych form wsparcia dla osób zależnych, znaczącą rolę przypisać należy działaniom komunikacyjnym. W tekście wskazano, że w mieście uważnym na potrzeby osób z niepełnosprawnościami łatwiej o wzmocnienia aktywności i emancypację tych osób w ramach działań komunikacyjnych. Porozumienie nadaje sens działaniu komunikacyjnemu i w tym znaczeniu przedstawiono wybrane warsztaty dialogu. To w nich tkwi siła rozwoju różnorodnych form wsparcia dla osób zależnych oraz praktyk partycypacyjnych mieszkańców uczące się miasta. Artykuł przedstawia refleksje na temat wsparcia osób z niepełnosprawnościami w perspektywie ich sprawczego działania, aktywności kreacyjnych w mieście. Podkreślono, że w warunkach miasta czułego, w ramach budowania różnorodnych warsztatów dialogu możliwe jest projektowanie w mieście rozwiązań, służących transformacji umniejszonej kondycji życiowej osób z niepełnosprawnościami.

We have read the article by Anisimova et al. with great interest, and we believe that some discussion is required.1 In this very original investigation, the authors have imaged the Berger's space with intraoperative optical coherence tomography to assess the risk factors for intraoperative complications during phacoemulsification. This study established evidence on migration of lens microfragments, triamcinolone, or cellular material into the Berger's space during cataract surgery. The discontinuity of both the lenticular zonules and Wieger's ligament attachment is presented as the key mechanism for developing fluid misdirection.2,3 The authors use different terms, including acute aqueous misdirection syndrome and acute rock-hard eye syndrome, to discuss the same entity; they also state that intraoperative aqueous misdirection may predispose to postoperative malignant glaucoma (MG) in some cases. We believe that the used nomenclature is incorrect and there is a need for terminology unification. The term aqueous misdirection syndrome is inappropriate, as the syndrome involves movement of balanced salt solution (and not the aqueous humor) through the zonular fibers. On the other hand, the severity of this condition was underlined by the phrase acute intraoperative rock-hard eye syndrome; however, it does not illustrate the underlying mechanism of this entity. Moreover, in some cases, the condition might develop gradually during surgery and not rapidly. We believe that the other terms, such as ciliary block, capsular block, infusion misdirection syndrome, or subcapsular fluid entrapment, are even less accurate. Also, the phrase MG leads to misunderstanding; it is necessary to explain to patients with MG that the condition does not indicate a neoplastic process. We postulate using the unified terminology that is oriented toward the pathophysiological mechanism: acute and chronic fluid misdirection syndrome (FMS). Using a clearly specified definition will enhance the validity of published data and improve our understanding of this dangerous condition. Importantly, acute FMS (also known as aqueous misdirection syndrome, infusion misdirection syndrome, or acute intraoperative rock-hard eye syndrome) and chronic FMS (commonly named MG) present similar risk factors. The anatomical predisposition for FMS involves hyperopia, plateau iris configuration, chronic angle-closure glaucoma, or narrow filtration angle.4

Linked article: This article is commented on by G. Dabas et al., pp. e33–e55 in this issue. To view this article visit https://doi.org/10.1111/jdv.15152

The subject of the article is Wojciech Marczewski’s film Weiser (2000), based on Pawel Huelle’s novel, which explores the problems of memory and oblivion. The author indicates the differences between the cinematic adaptation and the literary prototype that are connected with the strategy of constructing the main characters and modifications of the time and place of the action. Afterwards, Jalocha describes the relationship between image, memory and imagination. Analyzing the formal construction of Weiser, she names the means of cinematic expression that allow to imitate the work of memory. She characterizes the contrast between the lanes of the past and present established in the film, the structure of flashbacks, the way of introducing them into the narration and, based on the scope of subjectivity, she divides retrospections into two sub-categories. Jalocha refers to Paul Ricoeur’s phenomenology of memory, that is the notion of trace and the aporia of presentabsent. When interpreting the film, she takes into consideration the characters’ motivations, their attitudes towards the past, the influence of ‘what has been’ on the present, the nature of the process of reconstructing the truth about the bygone events. She also identifies the motives used in the film that are linked with memory, such as photography and archives. Additionally, the author shows different functions assigned to the character of Weiser: he may be seen as a figure of the Other, the metaphor of childhood and the past seen in terms of an enigma. Marchewski’s films, as Jalocha argues, both on the level of plot and formal organization, thematize the memory and its limitations as well as the inaccessibility of the past founded on the difference between ‘here/now’ and ‘there/then’.

Pandemic influenza A(H1N1)pdm09 virus is a global health threat and between 2009–2011 it became the predominant influenza virus subtype circulating in the world. The research describes the MSSCP (Multitemperature Single Strand Conformation Polymorphism) analysis of the hemagglutinin (HA) region encompassing major neutralizing epitope in pandemic influenza isolates from Taiwan. Several genetically distinct changes appeared in isolates obtained in 2010 and 2011. The majority of changes in HA protein did not result in significant modifications, however three modifications were localized in epitope E of H1 and one was part of the interface binding antibodies BH151 and HC45 possibly making the current vaccine less effective.-Taking into account the possibility of the emergence of influenza A with antibody evading potential, the MSSCP method provides an alternative approach for detection of minor variants which escape detection by conventional Sanger sequencing.

Composite dowel strips find a wide application in bridges. They are easy to manufacture and the transmission of shear forces of the composite action is long lasting and robust. Beside the innovative composite action new construction methods for composite bridges are established. The article summarizes already executed bridge structures implementing composite dowel strips due to construction details and economic aspects.