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1.
Rev. esp. salud pública ; 96: e202210078-e202210078, Oct. 2022. tab
Artigo em Espanhol | IBECS | ID: ibc-211619

RESUMO

FUNDAMENTOS: Un estilo de vida saludable está relacionado con la salud física y mental. El objetivo de este trabajo fue evaluar si diferentes comportamientos de estilo de vida saludable estaban asociados con el bienestar subjetivo. MÉTODOS: Se entrevistó a un total de 10.800 participantes de Finlandia, Polonia y España en 2011-2012. La actividad física, el consumo de frutas y verduras, el tabaco, el alcohol y la calidad del sueño fueron autoinformados. La satisfacción con la vida se midió con la Cantril Self-Anchoring Striving Scale. El afecto positivo y negativo se evaluaron utilizando una versión abreviada del Método de Reconstrucción del Día. Se llevaron a cabo análisis de regresión múltiple. RESULTADOS: Las conductas de estilo de vida saludable (consumo de cinco o más frutas y verduras al día, actividad física moderada o alta, no fumar a diario y tener una buena calidad del sueño) se asociaron positivamente con el bienestar evaluativo (ß=0,23,p<0,001; ß=0,16, p<0,001; ß=0,26, p<0,001; ß=0,23, p<0,001, respectivamente), después de controlar por variables de confusión comola salud y la depresión. La buena calidad del sueño se relacionó con mayor afecto positivo (ß=0,29, p<0,001), menor afecto negativo (ß=-0,15, p<0,001) y mayor satisfacción con la vida (ß=0,23, p<0,001), después de ajustar por dichas variables de confusión. CONCLUSIONES: Un estilo de vida saludable se correlaciona de manera importante con el bienestar, independientemente de sus efectos en la salud. Los estilos de vida saludables podrían ser considerados a la hora de desarrollar estrategias que mejoren no solo la salud física, sino también el bienestar de la población.(AU)


BACKGROUND:A h ealthy lifestyle is related to physical and mental health. The aim of this study was to assess whether different healthy lifestyle behaviours are associated with experiential and evaluative well-being. METHODS: A total of 10,800 participants from Finland, Poland and Spain were interviewed in 2011-2012. Physical activity, fruit and vegetable consumption, smoking, alcohol use, and sleep quality were selfeported. Life satisfaction was measured with the Cantril Self-Anchoring Striving Scale. Positive and negative affect were assessed using an abbreviated version of the Day Reconstruction Method. Multivariate regression analyses were performed. RESULTS: Healthy lifestyle behaviours (consumption of five or more servings of fruit and vegetables per day, moderate or high physical activity, being a non-daily smoker, and having a good sleep quality) were positively associated with evaluative well-being (ß=0.23 p<0.001; ß=0.16, p<0.001; ß=0.26, p<0.001; ß=0.23, p<0.001, respectively), after controlling for confounding variables such as health and depression. Good sleep quality was related with higher positive affect (ß=0.29, p<0.001), lower negative affect (ß=-0.15, p<0.001) and higher life satisfaction (ß=0.23, p<0.001), after adjusting for those confounding variables. CONCLUSIONS: A healthy lifestyle is an important correlate of well-being independently of its effects on health. Healthy lifestyles could be considered when developing strategies to improve not only the physical health, but also the well-being of the population.(AU)


Assuntos
Humanos , Masculino , Feminino , Estilo de Vida Saudável , Seguridade Social , Saúde Mental , Atividade Motora , Frutas , Verduras , Satisfação Pessoal , Uso de Tabaco , Finlândia , Polônia , Espanha , Saúde Pública , Estudos Transversais , Inquéritos e Questionários
2.
An. psicol ; 38(2): 201-208, may.-sep. 2022. tab
Artigo em Inglês | IBECS | ID: ibc-202881

RESUMO

El objetivo de este estudio transcultural fue analizar las diferencias en resiliencia, estrategias de regulación cognitiva de las emociones (CERS) y distress psicológico durante la pandemia del COVID-19 en Polonia y España. Método. Se realizó una encuesta online en una muestra de 1,182 adultos. Se llevó a cabo un análisis MANOVA para examinar las diferencias en las variables estudiadas entre estos países. Esto fue seguido de un análisis MANCOVA controlando el sexo y la edad. Se realizaron análisis de regresión lineal segmentados por país con el fin de identificar modelos predictivos de distrés psicológico. Resultados. La población polaca se caracterizó por niveles más altos de ansiedad, menos resiliencia y más uso de CERS desadaptativas durante el confinamiento. La población española sufrió más estrés pero utilizó CERS adaptativas y fue más resiliente. La edad y el sexo femenino aparecieron como factores de riesgo de malestar psicológico en España. Se encontró que los modelos de predicción de distrés psicológico fueron diferentes en ambos países: las CERS adaptativas fueron predictivas en España y la resiliencia fue predictiva en Polonia. Conclusiones. Este estudio podría guiar en iniciativas para la promoción del bienestar psicológico como vía para prevenir trastornos psicopatológicos durante la pandemia.(AU)


Background.The objective of this cross-cultural study was to ana-lyze the differences in resilience, cognitive emotion regulation strategies (CERS), as well as psychological distress during the COVID-19 pandemic between Poland and Spain. Method.An online survey was conducted on a sample of 1,182 adults. A MANOVA analysis was carried out to examine the differences in the studied variables between these countries. This was followed by MANCOVA analysis to control for gender and age. Linear re-gression analyses segmented by country were conducted in order to identi-fy psychological distress prediction models. Results.Polish population was characterized by higher levels of anxiety, less resilience and more maladap-tive CERS during the lockdown. Spanish population was more affected by stress but used more adaptable CERS and was more resilient. Age and fe-male gender appeared as risk factors of psychological distress in Spain. The psychological distress prediction models were found to be different be-tween both countries: adaptive CERS was predictive only in Spain, and re-silience was predictive only in Poland. Conclusions.This study could guide in initiatives for the promotion of psychological well-being as a way to pre-vent psychopathological disorders during the pandemic.(AU)


Assuntos
Humanos , Adulto , Ciências da Saúde , Coronavirus , Estresse Psicológico , Resiliência Psicológica , Orientação , Adulto , Comparação Transcultural , Espanha , Polônia
4.
Int. j. clin. health psychol. (Internet) ; 21(3): 1-9, sep.-dec. 2021. tab, graf
Artigo em Inglês | IBECS | ID: ibc-211577

RESUMO

Abstract Background/Objective: Previous findings indicated that parents of children with developmental disabilities face greater care giving demands and report higher levels of stress. This study explores the styles and strategies of coping with stress among parents of children with developmental disabilities compared to parents of children with typical development. Method: 167 parents of children with developmental disabilities and 103 parents of typical development children participated as a voluntary. The CISS and the COPE Inventory were used to assess the coping styles and strategies in rearing a child. Results: The results from Multivariate Analysis indicated significant differences between parents of children with and without developmental disabilities in one of three coping styles and one of eight coping strategies. Parents of children with developmental disabilities less often used the avoidance-oriented style and emotional support strategy. The task-oriented style and strategies were the dominant approach in both groups of parents. In stressful situations connected with rearing a child, parents of children with developmental disabilities do not use as dominant strategies connected with seeking emotional support and religion, which occur in the parents of typical development children. Conclusions: The results suggest areas where coping may be different than in families of children without DD. (AU)


Resumen Antecedentes/Objetivo: Investigaciones previas muestran que los padres con hijos que padecen trastornos del desarrollo deben hacer frente a mayores demandas de atención y reportan mayor estrés. El presente estudio compara los estilos y estrategias de afrontamiento del estrés utilizados de los padres de hijos con trastornos del desarrollo con los utilizados por padres de hijos con desarrollo típico. Método: Participaron 167 padres de niños con trastornos del desarrollo y 103 padres de niños que muestran un desarrollo típico. Los inventarios CISS y COPE se utilizaron para evaluar los estilos y estrategias de afrontamiento. Resultados: Los resultados indicaron diferencias significativas entre los padres de hijos con y sin trastornos del desarrollo en uno de los tres estilos de afrontamiento y una de las ocho estrategias, utilizando con menos frecuencia el estilo orientado a la evitación y la estrategia de apoyo emocional, siendo los orientados a la tarea el enfoque dominante. En situaciones estresantes, los padres de niños con trastornos del desarrollo no utilizaron las estrategias de búsqueda de apoyo emocional o la religión. Conclusiones: Los resultados sugieren un afrontamiento diferente al de las familias con hijos sin discapacidades. (AU)


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Deficiências do Desenvolvimento , Educação Infantil , Pessoas com Deficiência , Estresse Psicológico , Análise Multivariada , Polônia
5.
Arch. prev. riesgos labor. (Ed. impr.) ; 24(1): 62-73, ene.-mar. 2021. graf
Artigo em Espanhol | IBECS | ID: ibc-197121

RESUMO

La comercialización del amianto en Europa de la segunda mitad del siglo XX supuso un consumo de millones de toneladas. La exposición laboral se ha controlado a partir de la Directiva de 2009 y, en la actualidad, mediante vigilancia epidemiológica, se registran las patologías, mesoteliomas fundamentalmente, por exposiciones pasadas. Después de prohibida su utilización, aún permanecen cantidades ingentes en edificios, infraestructuras y vehículos, entre otros. El camino hacia su eliminación se inició con una Resolución del Parlamento Europeo, de 2013 y el Dictamen del Comité Económico y Social Europeo (2015/C 251/03). Con el objetivo de conocer las dificultades de estos planes se ha revisado el de Polonia, único país que hasta la fecha, ha implementado un plan de acción con un gran respaldo financiero y las actuaciones llevadas a cabo en relación con la exposición a amianto en España y, Navarra en concreto por contar con un registro exhaustivo de trabajadores expuestos. El enorme esfuerzo económico que precisan estos planes y los riesgos medioambientales que suponen, merecen una precisa planificación, que exige conocer el no alcance hasta la fecha actual de los objetivos planteados en Polonia, país referente


The commercialization of asbestos in Europe in the second half of the 20th century translated into consumption of millions of tons of this material. Occupational exposure to asbestos is controlled under the 2009 European Union Directive. Currently, through epidemiological surveillance and pathology registries (mainly mesotheliomas), it is possible to record past exposures. Despite prohibiting its use, large amounts of asbestos remain in buildings, infrastructures and vehicles, among others. The road to elimination of existing asbestos began with a 2013 European Parliament Resolution and the Opinion of the European Economic and Social Committee (2015 / C 251/03). To better understand barriers to implementing these plans, we reviewed the experience in Poland the only country that to date has implemented an action plan with great financial support, together with actions carried out in Spain generally, and Navarre specifically, given the latter's exhaustive registry of exposed workers. The enormous economic effort required to implement these plans, along with the environmental risks associated with asbestos abatement, require detailed planning, which should consider understanding why the objectives set by Poland, a benchmark country, have not been achieved to date


Assuntos
Humanos , Amianto , Exposição Ocupacional/legislação & jurisprudência , Exposição Ocupacional/prevenção & controle , Amianto/efeitos adversos , Exposição Ocupacional/economia , Exposição Ocupacional/estatística & dados numéricos , Avaliação de Programas e Projetos de Saúde , Polônia , Espanha
6.
Allergol. immunopatol ; 48(6): 814-818, nov.-dic. 2020. graf, tab
Artigo em Inglês | IBECS | ID: ibc-199276

RESUMO

INTRODUCTION AND OBJECTIVES: Atopic dermatitis (AD) is the most common skin disease among pediatric patients, which affects up to 20% of children worldwide. Characterized by pruritus and eczema, it is also associated with improper skin barrier function and allergen sensitization. Here, we aimed to assess the presence of haptens in emollients marketed in two European countries: in Poland and Spain, as, firstly, these products are considered to be AD's basic therapy, and, secondly, frequent application of potent sensitizers on atopic skin may result in contact dermatitis. MATERIALS AND METHODS: We systematically searched for moisturizers explicitly described as "Atopic skin care" products in the most frequently visited online pharmacies in Poland and Spain. Subsequently, we created a database of all products and compared their composition with 139 contact haptens listed in the European Baseline Series (EBS), Fragrance and Cosmetic Series. RESULTS: As of December 2018, our list comprised 159 and 111 emollients available on the Polish and Spanish markets, respectively. There were no ingredients listed in 28 (17.5%) products in Poland and 24 (21.6%) in Spain. Only 23 (17.5%) and 13 (14.8%) products were hapten free. The pattern of most common haptens was similar in both countries, including phenoxyethanol, tocopherol and tocopheryl acetate, undefined parfum in Poland and tocopherol, phenoxyethanol, tocopheryl acetate and undefined parfum in Spain. CONCLUSIONS: This study shows that a vast majority of products taken into consideration contain at least one potential contact hapten. These findings indicate a need for patient education about potentially allergenic ingredients and stronger cooperation between academia and cosmetic manufacturers


No disponible


Assuntos
Humanos , Emolientes/química , Haptenos/química , Haptenos/efeitos adversos , Dermatite Atópica/induzido quimicamente , Fatores de Risco , Disponibilidade de Medicamentos Via Internet/estatística & dados numéricos , Creme para a Pele/efeitos adversos , Creme para a Pele/química , Espanha , Polônia
7.
Rev. esp. investig. quir ; 23(1): 35-38, 2020. ilus
Artigo em Espanhol | IBECS | ID: ibc-191771

RESUMO

Se le reconoce a Rudolf Nissen como uno de los cirujanos más relevantes del siglo XX. Su principal aportación se considera que fue la técnica denominada de fundoplicatura para el tratamiento de la hernia hiatal, aunque realizó otras que no han tenido tanta relevancia científica. También ha sido recordado como el cirujano que trató quirúrgicamente a Albert Einstein de su aneurisma de aorta abdominal, mediante una técnica que no fue efectiva de recubrimiento con película de celofán. Rudolf Nissen inicio su formación y trabajo en Alemania vinculándose como ayudante al prestigioso cirujano Sauerbruch, para posteriormente trasladarse a Turquía potenciando el desarrollo de la cirugía de este país, emigrar más tarde a Estados Unidos trabajando en inicialmente en Boston y más tarde en New York y retornar a Europa exactamente a Basilea para culminar su carrera profesional. Sus orígenes judíos condicionaron su vida, en especial el haber tenido que emigrar de Alemania y su posterior relación con hospitales relacionado con esta comunidad religiosa


Rudolf Nissen is recognized as one of the most relevant surgeons of the 20th century. His main contribution is considered to be the so-called fundoplication technique for the treatment of hiatal hernia, although he performed others that have not had such scientific relevance. He has also been remembered as the surgeon who surgically treated Albert Einstein of his abdominal aortic aneurysm, using a technique that was not effective in coating with cellophane film. Rudolf Nissen began his training and work in Germany by joining the prestigious surgeon Sauerbruch as an assistant, and later moved to Turkey, promoting the development of surgery in this country, emigrating later to the United States working initially in Boston and later in New York and return to Europe exactly to Basel to complete his professional career. His Jewish origins conditioned his life, especially having had to emigrate from Germany and his subsequent relationship with hospitals related to this religious community


Assuntos
Humanos , História do Século XVIII , História do Século XIX , Cirurgia Geral/história , Polônia
8.
Allergol. immunopatol ; 47(6): 570-578, nov.-dic. 2019. graf, tab
Artigo em Inglês | IBECS | ID: ibc-186550

RESUMO

Background: The key role of dietary factors in immunotolerance promotion and allergic diseases prevention has been emphasised. The aim of the study was the analysis of the impact of immunomodulatory dietary components, consumed by pregnant women, on the development of cow's milk allergy (CMA) in their offspring. Materials and methods: Fifty-one pairs of mothers and their CMA-offspring were included in the study group. The analysis of a daily intake of selected dietary components was conducted retrospectively with the application of a seven-day diet of a mother in the third trimester of gestation and the authors’ own questionnaire. The Diet 5.D programme was used. Results: An average daily retinol intake by study-group mothers was significantly lower than by control-group mothers and valued 375.6 μg/d vs. 543.7 μg/d (p = 0.040), respectively. Folates intake in the study group was 598.8 μg/d vs. 361.1μg/d in the control group (p = 0.001). Vitamin D in the study group was statistically lower - 3.6μg/d, comparing to the control group - 6.9 μg/d (p = .038). Average LC-PUFA intake by mothers with allergic children was 0.09g/d, while in the control group 0.18g/d (p = 0.016). An analysis of the diet revealed that significantly more mothers of children from the control group (n = 12; 48%) consumed fish 2-3 times per month in comparison to the study group (n = 9; 17.6%) (p = 0.007). Conclusions: Vitamin D, A, LC-PUFA, retinol, riboflavin and fish consumption by pregnant mothers of CMA-children was significantly lower, whereas beta-carotene and folates consumption was significantly higher than that of mothers with non-allergic children


No disponible


Assuntos
Humanos , Masculino , Feminino , Gravidez , Imunomodulação/imunologia , Complicações na Gravidez/dietoterapia , Complicações na Gravidez/imunologia , Hipersensibilidade a Leite/dietoterapia , Projetos Piloto , Dietoterapia , Polônia , Vitamina D , Consumo de Energia , Análise Fatorial , Fatores de Risco , Análise de Regressão , Relações Mãe-Filho , Análise Multivariada , Estudos Retrospectivos
9.
Allergol. immunopatol ; 47(1): 43-46, ene.-feb. 2019. graf, tab
Artigo em Inglês | IBECS | ID: ibc-180770

RESUMO

Background: It is considered that farm areas protect young patients from allergy and asthma due to high exposure to endotoxins. Aim: To compare CD4+/CD25+ T-regulatory cells and forkhead transcription factor Foxp3 expression in asthmatic children allergic to house dust mites (HDM) living in rural and farm areas. Materials and Methods: This was a prospective analysis of 35 children living in farm areas (n = 19) and rural areas (n = 16), aged 8-16, with allergic rhinitis (allergic to dust mites) and newly diagnosed asthma. Surface molecule CD4+CD25+Foxp3+ expression on cultured PBMCs was estimated by flow cytometry using fluorophore-conjugated monoclonal antibodies in each patient. Results: Thirty-five children were included into the analysis: 19 children living in farm areas and 16 in rural areas. Within and between-groups (farm area vs. rural area) differences in CD4+/CD25+ and CD4+/CD25+Foxp3+ cell expression did not reach the level of significance. Conclusion: The current analysis showed that CD4+/CD25+ and CD4+/CD25+Foxp3+ cell expression was not associated with place of living in asthmatic children sensitive to HDM


No disponible


Assuntos
Humanos , Animais , Masculino , Feminino , Criança , Adolescente , Asma/imunologia , Rinite Alérgica/imunologia , População Rural , Linfócitos T Reguladores/imunologia , Antígenos de Dermatophagoides/imunologia , Asma/epidemiologia , Antígenos CD4/metabolismo , Fatores de Transcrição Forkhead/metabolismo , Subunidade alfa de Receptor de Interleucina-2/metabolismo , Polônia/epidemiologia , Estudos Prospectivos , Pyroglyphidae/imunologia , Rinite Alérgica/epidemiologia
10.
Med. clín (Ed. impr.) ; 151(5): 191-195, sept. 2018. tab
Artigo em Inglês | IBECS | ID: ibc-173882

RESUMO

Introduction: Rheumatoid arthritis (RA) is an autoimmune diseases, where different genetic variants in cytokine genes may play a pathogenic role. A GWAS in autoimmune diseases highlighted the IL-23R gene as a one of the susceptibility factors. We examined three candidate single nucleotide polymorphisms (SNPs) rs10889677, rs11209026 and rs2201841 of the IL-23R gene, as well as determined their possible association with RA in a Polish population. Patients and methods: The IL-23R gene polymorphisms were genotyped for 422 RA patients and 348 healthy individuals using TaqMan SNP genotyping assay. Results: The genotypes frequency did not deviate from HWE in each examined group. A comparison of the allele as well as genotype frequencies of the IL-23R polymorphisms under codominant, dominant and recessive genetic model revealed no significant differences between RA patients and healthy subjects. We also demonstrated that IL-23R rs2201841 and rs11209026 as well as rs11209026 and rs10889677 were in complete linkage disequilibrium (D'=1.0). Our genotype-phenotype analysis demonstrated that in carriers of rs10889677C and/or rs2201841A allele the RF, extra-articular manifestations and erosion were more frequent present than in patients with rs10889677A and/or rs2201841A allele, although this association was not significant. Discussion: Present findings indicated that the autoimmune disease-associated genetic variants in IL-23R gene are not associated with RA in the Polish population


Introducción: La artritis reumatoide (AR) es una enfermedad autoinmune en la que las diferentes variantes genéticas en los genes de las citocinas pueden desempeñar un papel patogénico. Un GWAS de enfermedades autoinmunes destacó al gen IL-23R como uno de los factores de susceptibilidad. Examinamos tres polimorfismos de nucleótido único candidatos (SNP), rs10889677, rs11209026 y rs2201841 del gen IL-23R, y determinamos su posible asociación con AR en una población de Polonia. Pacientes y métodos: Se genotipificaron los polimorfismos del gen IL-23R en 422 pacientes de AR y 348 individuos sanos, utilizando la prueba TaqMan de genotipificación de SNP. Resultados: La frecuencia genotípica no se desvió de HWE en cada grupo examinado. La comparación del alelo, así como las frecuencias genotípicas de los polimorfismos de IL-23R con arreglo al modelo genético codomitante, dominante y recesivo no reveló diferencias significativas entre los pacientes de AR y los sujetos sanos. Demostramos también que rs2201841 y rs11209026 de IL-23R, al igual que rs11209026 y rs10889677, se hallaban en desequilibrio completo de ligamiento (D’ =1). Nuestro análisis genotipo-fenotipo demostró que en portadores del alelo rs10889677C y/o rs2201841A eran más frecuentes el FR, las manifestaciones extra-articulares y la erosión que en los pacientes portadores del alelo rs10889677A y/o rs2201841A, aunque esta asociación no fue significativa. Discusión: Los hallazgos presentes demostraron que las variantes genéticas asociadas a las enfermedades autoinmunes en el gen IL-23R no están asociadas a AR en la población polaca


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Artrite Reumatoide/genética , Citocinas/genética , Interleucina-23/análise , Artrite Reumatoide/patologia , Polimorfismo Genético , Polônia
11.
Rev. iberoam. micol ; 34(1): 10-16, ene.-mar. 2017. tab, ilus
Artigo em Inglês | IBECS | ID: ibc-160728

RESUMO

Background. Over the last decades, Candida species have emerged as important pathogens in immunocompromised patients. Nosocomial infections are mainly of endogenous origin. Nevertheless, some cases of exogenous candidiasis have also been reported. Aims. The aim of this study was to evaluate the genetic relatedness between Candida albicans, Candida glabrata, Candida tropicalis, Candida krusei and Candida kefyr isolates recovered from intensive care unit (ICU) patients. Methods. A total of 132 Candida clinical isolates (62 C. albicans, 40 C. glabrata, 13 C. tropicalis, 11 C. krusei, 6 C. kefyr), obtained from specimens of endotracheal aspirate, urine and blood taken from patients of a tertiary hospital in Poland, were included in the study. Species identification was performed by PCR method and genetic relatedness was assessed by randomly amplified polymorphic DNA assay (RAPD) with five primers. Results. The RAPD analysis revealed high genetic diversity among the studied Candida isolates, indicating that most of the strains were from endogenous sources. Only two clonal strains of C. glabrata isolated from different patients were observed, suggesting a possible cross-transmission of these pathogens. Conclusions. Our study confirmed the high discriminatory power of the RAPD assay. This genotyping method can be applied to local epidemiological studies of Candida species (AU)


Antecedentes. En las últimas décadas, el hongo Candida se ha convertido en un patógeno importante para los pacientes con trastornos del sistema inmune. Las infecciones nosocomiales son fundamentalmente de origen endógeno; sin embargo, también se han documentado algunos casos de candidiasis exógena. Objetivos. El objetivo del estudio fue evaluar la relación genética entre las cepas de Candida albicans, Candida glabrata, Candida tropicalis, Candida krusei y Candida kefyr aisladas de pacientes en cuidados intensivos. Métodos. Se estudiaron 132 aislamientos de Candida (62 C. albicans, 40 C. glabrata, 13 C. tropicalis, 11 C. krusei, 6 C. kefyr) obtenidos de muestras procedentes de aspirado endotraqueal, orina y sangre tomadas de pacientes de un hospital en Polonia. La identificación de las especies se realizó mediante PCR, y el estudio de la relación genética con el método de amplificación aleatoria de ADN polimórfico (RAPD) con cinco oligonucleótidos. Resultados. El análisis de la amplificación por RAPD mostró una alta diversidad genética entre los aislamientos objeto de estudio, lo que indica que la mayoría de ellos tenían un origen endógeno. Solo se observaron dos cepas clonales de C. glabrata procedentes de diferentes pacientes, lo que evidencia una posible transmisión cruzada de estos patógenos. Conclusiones. Nuestro estudio confirma el alto poder discriminatorio de la técnica RAPD, lo que validaría este método de genotipificación para el estudio de la epidemiología local de especies de Candida (AU)


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Candida/classificação , Candida/isolamento & purificação , Técnica de Amplificação ao Acaso de DNA Polimórfico/instrumentação , Técnica de Amplificação ao Acaso de DNA Polimórfico , Infecção Hospitalar/epidemiologia , Infecção Hospitalar/microbiologia , Infecção Hospitalar/prevenção & controle , Candida albicans/genética , Candida albicans/isolamento & purificação , Candidíase/microbiologia , Candida glabrata/genética , Candida glabrata/isolamento & purificação , Candida tropicalis/genética , Candida tropicalis/isolamento & purificação , Cuidados Críticos/métodos , Polônia/epidemiologia , Oligonucleotídeos/análise , Oligonucleotídeos/genética , Oligonucleotídeos/isolamento & purificação
12.
Allergol. immunopatol ; 45(1): 18-24, ene.-feb. 2017. tab, graf
Artigo em Inglês | IBECS | ID: ibc-158970

RESUMO

BACKGROUND: Studies indicate that exposure to polycyclic aromatic hydrocarbons (PAH) is associated with adverse respiratory and allergy outcomes. Exposure to PAH may impair the immune function of the foetus and, subsequently, be responsible for an increased susceptibility of children to allergic diseases. OBJECTIVES: The aim of the present study was to assess the association between mother's exposure to PAH during pregnancy and allergy diseases in their infants. We also assessed the above associations using measured PAH exposure in children's urine during the first two years of life. METHODS: The current analysis was restricted to 455 mothers and their children from Lodz district. The women were interviewed three times during the pregnancy in order to collect demographic, socio-economic and medical history data. Children's health status was assessed at the age of 10-18 months and repeated at two years of age. The associations between dependent dichotomous variables and urine concentrations of 1-hydroxypyrene (1-HP) were analysed using logistic regression. RESULTS: We showed that higher urine concentrations of 1-HP in mothers at 20-24 weeks of pregnancy increased the risk of more frequent respiratory infections (p = 0.02) in children during their first year of life. Higher 1-HP concentrations in children's urine increased the risk of food allergy (p = 0.002) in children during their first two years of life. CONCLUSIONS: This study suggests awareness of environmental factors, which may affect children's health since PAH showed to be a risk factor for airway infections and food allergy in children after adjustment for other risk factors


No disponible


Assuntos
Humanos , Hidrocarbonetos Policíclicos Aromáticos/efeitos adversos , Hipersensibilidade Respiratória/epidemiologia , Hipersensibilidade Alimentar/epidemiologia , Infecções Respiratórias/epidemiologia , Exposição Materna , Fatores de Risco , Poluentes Ambientais/análise , Hidrocarbonetos Policíclicos Aromáticos/urina , Polônia/epidemiologia , Exposição Materna/efeitos adversos
13.
Rev. derecho genoma hum ; (44): 185-202, ene.-jun. 2016.
Artigo em Inglês | IBECS | ID: ibc-192825

RESUMO

Directive 2011/24/EU of the European Parliament and of the Council of 9 March 2011 on the application of patients' rights in cross-border healthcare is aimed at ensuring patient mobility, establishing some rules for facilitating access to safe and high-quality healthcare and promoting cooperation on healthcare between Member States, whilst fully respecting their responsibilities in the organisation and delivery of such healthcare. In this report the impact of the aforementioned Directive in the Polish National Legal System is analyzed


La Directiva 2011/24/UE del Parlamento Europeo y del Consejo, de 9 de marzo de 2011, relativa a la aplicación de los derechos de los pacientes en la asistencia sanitaria transfronteriza, tiene como objetivos garantizar la movilidad de los pacientes, establecer unas reglas para facilitar su acceso a una asistencia sanitaria segura y de alta calidad en la Unión Europea, y promover la cooperación en materia de asistencia sanitaria entre los Estados miembros, respetando plenamente las responsabilidades de éstos en la organización y prestación de dicha asistencia. En este informe se analiza el impacto de dicha Directiva en el sistema jurídico de Polonia


Assuntos
Humanos , Acesso aos Serviços de Saúde/legislação & jurisprudência , Direitos do Paciente/legislação & jurisprudência , Cooperação Internacional/legislação & jurisprudência , Doenças Raras , União Europeia , Polônia
14.
Eur. j. psychiatry ; 30(2): 149-158, abr.-jun. 2016. tab
Artigo em Inglês | IBECS | ID: ibc-155813

RESUMO

Background and Objectives: Internet use, which has become extremely important and essential in everyday life, often leads to problematic use. The main aim of our study was to answer the question of whether self-esteem is a predictor of Internet addiction. Methods: The participants were 1,011 people from three countries: Turkey (N = 320), Poland (N = 350), and Ukraine (N = 341). Young's Internet Addiction Test and Rosenberg's Self-Esteem Scale were used. Results: Results provide evidence that self-esteem is a predictor of Internet addiction and that this pattern is found across cultures. Conclusions: People who approach themselves with heavy self-criticism and evaluate themselves as unworthy are more prone to Internet addiction. More research is also needed to provide a better understanding of the Internet addiction phenomenon and its relation to self-esteem, personality, and culture (AU)


No disponible


Assuntos
Humanos , Comportamento Aditivo/psicologia , Internet , Mídias Sociais , Comparação Transcultural , Distribuição por Idade e Sexo , Turquia/epidemiologia , Ucrânia/epidemiologia , Polônia/epidemiologia
15.
Clin. transl. oncol. (Print) ; 18(2): 189-195, feb. 2016. tab, graf
Artigo em Inglês | IBECS | ID: ibc-148224

RESUMO

Background. Response to chemotherapy is a prognostic factor in patients with Ewing sarcoma (ES); the role of FDG PET to predict response in these patients has not been thoroughly investigated. We evaluated the diagnostic accuracy and the potential of FDG PET to predict response to chemotherapy (CHT). Materials and methods. e analyzed data of 50 patients with ES (median age 12.6 years). All patients were treated with neoadjuvant CHT, and underwent surgery for local control. All patients had 18F-FDG PET/CT at diagnosis and after induction CHT, prior to local control. We compared response assessed by histopathology with FDG PET using standard uptake values (SUVs). Results. Median SUV at diagnosis (SUV I) was 5 (range 1.2-17), and median SUV after neoadjuvant chemotherapy (SUV II) was 1.8 (range 0-8.4). Median SUV II/I ratio was 0.3 (range 0-1). SUV at diagnosis was significantly lower in patients with good histological response than in patients with poor histological response (median 3.8 vs. 7.2, p 0.02). We found a significant correlation between SUV II and outcome; the positive predictive value of an SUV II ≤ 2.5 for favorable response was 84.21 %, and the median SUV II was significantly higher in patients with disease progression (2.3 vs. 1.6, p = 0.04). In multivariate analysis, necrosis and SUV II were significant predictors of outcome. Conclusions. 18F-FDG PET demonstrates high diagnostic accuracy for response to initial chemotherapy in patients with ES and it correlates with outcome. The role of FDG PET in predicting response and outcome should be further investigated (AU)


No disponible


Assuntos
Humanos , Masculino , Feminino , Sarcoma de Ewing/congênito , Sarcoma de Ewing/patologia , Necrose/enzimologia , Necrose/metabolismo , Polônia/etnologia , Tomografia Computadorizada por Raios X/métodos , Estágio Clínico , Terapêutica/métodos , Sarcoma de Ewing/complicações , Sarcoma de Ewing/diagnóstico , Necrose/classificação , Necrose/complicações , Estudos Retrospectivos , Tomografia Computadorizada por Raios X , Estágio Clínico/métodos , Recidiva , Terapêutica/instrumentação
16.
Nutr. hosp ; 32(1): 196-201, jul. 2015. tab, ilus
Artigo em Inglês | IBECS | ID: ibc-141360

RESUMO

Background: home enteral nutrition (HEN) is the best option for chronic. patients without the ability to swallow, but with intact digestive tract. Despite the increasing use of home enteral tube feeding (HETF), there is little published information about the types of patients receiving home enteral nutrition. The purpose of this paper to present the evolution of HETF. Material and methods: the retrospective multicenter observational study was performed using questionnaires, which were distributed among the biggest Polish HEN centres. The study covered all patients treated between January, 2007 and January, 2014. Results: in total 196 adult patients in 2008 (M:104. F: 92, mean age 58.1 [41-75]) and 2842 in 2013 (M: 1541, F: 1301, mean age 61.4 range: 1-91) were assessed. The number of patients grew significantly between 2008 and 2013 (p0.05). Percutaneous endoscopic gastrostomy was the most common GI access (>60%), its use and the use of gastrostomies increased significantly since 2008 (p <0.05). Although the reimbursement for HETF started in 2007, HEN centres expressed doubts about unclear rules for the qualification to HEN and its use. Conclusions: HETF is a safe, well-tolerated and cost-effective procedure. The profile of patients and techniques may vary at the beginning, but becomes similar to other HETF countries relatively soon. The number of patients grows quickly, and that fact suggests that the prevalence of HETF is similar in all countries (AU)


Antecedentes: el inicio con nutrición enteral (HEN) es la mejor opción para los pacientes crónicos sin capacidad de tragar, pero con el tracto digestivo intacto. A pesar del aumento en el uso de la alimentación por sonda enteral domiciliaria (HETF), hay poca información publicada sobre los tipos de pacientes que reciben nutrición enteral domiciliaria. El propósito de este trabajo es presentar la evolución de HETF. Material y métodos: el estudio observacional multicéntrico retrospectivo se realizó mediante cuestionarios que se distribuyeron entre los mayores centros HEN polacos. El estudio abarcó a todos los pacientes tratados entre enero de 2007 y enero de 2014. Resultados: en total fueron evaluados 196 pacientes adultos en 2008 (M: 104 F: 92, edad media 58,1 [41-75]) y 2.842 en 2013 (M: 1541, F: 1.301, con una edad media de 61,4 rango: 1-91). El número de pacientes aumentó significativamente entre 2008 y 2013 (p0,05). La gastrostomía endoscópica percutánea fue el acceso GI más frecuentes (>60%), su uso y el uso de gastrostomías aumentó significativamente desde 2008 (p< 0,05). Aunque el reembolso de HETF comenzó en 2007, los centros de HEN expresaron dudas sobre las reglas poco claras para la calificación para HEN y su uso. Conclusiones: HETF es un procedimiento seguro, bien tolerado y rentable. El perfil de los pacientes y las técnicas puede variar al principio, pero se vuelve similar a otros países HETF relativamente pronto. El número de pacientes crece rápidamente, y ese hecho sugiere que la prevalencia de HETF es similar en todos los países (AU)


Assuntos
Humanos , Nutrição Enteral/tendências , Apoio Nutricional/métodos , Distúrbios Nutricionais/dietoterapia , Polônia , Serviços Hospitalares de Assistência Domiciliar/tendências
17.
Index enferm ; 23(1/2): 10-14, ene.-jun. 2014. tab
Artigo em Espanhol | IBECS | ID: ibc-126521

RESUMO

La última década ha traído modificaciones importantes en la atención perinatal en Polonia con los cambios propuestos por la OMS. Sin embargo, la introducción de cualquier cambio se enfrenta a obstáculos inherentes a las actitudes de las mujeres, así como la reticencia del personal. Objetivo principal: Conocer la opinión de las habitantes de las aldeas en cuanto a la atención perinatal se refiere y evaluar determinados aspectos de la calidad de la atención obstétrica. Metodología: La muestra fue de 250 residentes seleccionadas al azar de la región de Podkarpacie (Polonia), entre 18 y 60 años de edad que tenían al menos un hijo. Se realizó un cuestionario original llevándose a cabo el estudio en 2010. Resultados y conclusión principal: Aquellas mujeres cuyos nacimientos fueron menos intervenidos evaluaron mejor los servicios obstétricos. Un aspecto significativo fue la comodidad y seguridad, gracias a la continuidad de la atención prestada por el mismo equipo terapéutico


The last decade has brought significant changes in perinatal care in Poland with the changes proposed by the WHO. However, the introduction of any changes has been facing obstacles inherent in the attitudes of both women, as well as the routine approach of staff. Objective: To learn about the inhabitants of the village of perinatal care and the evaluation of selected aspects of quality of obstetric care. Methods: The sample consisted of 250 randomly selected residents of Podkarpacie region (Poland), aged 18-60 years of age, with at least one child. Original questionnaire was conducted by the study taking place in 2010. Results and Conclusions: Those women, whose births were less surgery, had the best evaluation of obstetric services. A significant aspect of obstetric care which is the comfort and security of labor in the hospital, thanks to the continuity of care provided by the same therapeutic team


Assuntos
Humanos , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Cuidado Pré-Natal/estatística & dados numéricos , Centros de Saúde Materno-Infantil , Bem-Estar Materno , Paridade , Método Canguru , Relações Mãe-Filho , Satisfação do Paciente/estatística & dados numéricos , Polônia
18.
Nutr. hosp ; 26(6): 1412-1419, nov.-dic. 2011. tab
Artigo em Espanhol | IBECS | ID: ibc-104818

RESUMO

Objective: To identify attitudinal determinants of fish consumption in Spain and Poland, and to discuss the potential impact of local healthy eating policies in the observed reported frequency of fish consumption. Design: Repeated survey analysis , multivariate linear regression analysis. Data collected through a questionnaire that included socio-demographics, self-reported anthropometrics, as well as validated items of attitudinal and involvement scales, validated items of knowledge about fish, and behaviours (reported fish consumption). Setting: Consumer survey in Poland and Spain, 1800 respondents in 2004 and 1815 respondents in 2008. Results: In Poland, intentions to consume more fish and reported fish consumption increased in the four years period between both surveys, together with objective knowledge regarding fish. In Spain with the exception of subjective knowledge, fish consumption at home and total fish consumption, all attitudinal and involvement scale changes were statistically significant. Multivariate regression revealed that age had a small but significant positive effect in all scales, except for satisfaction with life, fish consumption out of home and subjective health. Satisfaction with life and subjective knowledge were significantly determined by household size. The differences between countries were statistically significant for involvement with health and fish, for intention to eat fish, the general attitudes and objective knowledge regarding fish. Conclusions: In Poland, a more positive attitude towards fish, and increased levels of knowledge about this product were observed and could partially be attributed to national policy efforts. In Spain, an interesting feature was observed: more people reported choosing fish when eating out in 2008 compared with respondents in 2004. Such a trend suggests that people slowly move towards healthier choices even in the out of home eating (AU)


Objetivo: Identificar los factores determinantes de las actitudes hacia el consumo de pescado en España y Polonia, y discutir el impacto potencial de las políticas locales de alimentación saludable en la frecuencia registrada del consumo de pescado entre los participantes. Diseño: Análisis de encuestas repetidas y análisis de regresión lineal multivariante. Los datos fueron recogidos a través de un cuestionario que incluía información sociodemográfica, medidas antropométricas auto-valoradas, así como elementos de validación de escalas validadas de actitudes, de involucramiento, y de los conocimientos acerca del pescado, y los comportamientos (autovalorados) de consumo de pescado. Marco: Encuesta de consumidores en Polonia y España, 1.800 encuestados en 2004 y 1.815 los encuestados en 2008. Resultados: En Polonia, las intenciones de consumir más pescado y el consumo de pescado reportado aumentaron en el período de cuatro años entre las dos encuestas, junto con el conocimiento objetivo sobre el pescado. En España, a excepción del conocimiento subjetivo, el consumo de pescado en el hogar y el consumo total de pescado, todos los cambios en las escala de actitudes hacia el pescado y de involucramiento fueron estadísticamente significativas. El análisis de regresión multivariantes reveló que la edad tiene un pequeño efecto positivo, pero significativo en todas las escalas, excepto las de satisfacción con la vida, la de consumo de pescado fuera del hogar y la escala de salud subjetiva. El escore de satisfacción con la vida y el conocimiento subjetivo sobre pescado fueron determinados de manera significativa por el tamaño del hogar. Las diferencias entre países son estadísticamente significativas para involucramiento con la salud y el pescado, con la intención de comer pescado, la actitud general y el conocimiento objetivo sobre el pescado. Conclusiones: En Polonia, una actitud más positiva hacia el pescado, y los mayores niveles de conocimiento acerca de este producto observados pueden atribuirse en parte a los esfuerzos de las políticas nacionales de alimentación saludable. En España, una característica interesante se observó: más personas reportaron haber consumido pescado fuera del hogar en 2008 que en 2004. Esta tendencia sugiere que en España los consumidores se dirigen lentamente hacia opciones más saludables, incluso al comer fuera de casa (AU)


Assuntos
Humanos , Produtos Pesqueiros , Alimentos Integrais , Comportamento Alimentar , Espanha , Polônia , Atitude , Política Nutricional
19.
Pharm. pract. (Granada, Internet) ; 9(2): 110-115, abr.-jun. 2011. tab
Artigo em Inglês | IBECS | ID: ibc-89641

RESUMO

Objective: The purpose of the study was to assess the influence of pharmaceutical care on patients’ knowledge, quality of life and blood pressure and to determine whether new type of pharmaceutical services changes the pharmacists’ satisfaction and knowledge. Methods: Community pharmacies were randomly assigned to study and control group and pharmacists from both groups included patients with hypertension, who meet inclusion and exclusion criteria. Study group provided the pharmaceutical care (education, pharmacotherapy monitoring, detecting and solving drug related problems) for their patients, while the control group provided the standard pharmaceutical services (dispensing medicines with or without counseling). At the beginning and the end of the study pharmacists and patients filled in the knowledge test. Pharmacists fulfilled also satisfaction questionnaire. Results: Survey data were collected from 28 and 56 patients from community pharmacies in study and control group respectively. At the last meeting the normal blood pressure achieved 79% and 55% patients in study and control group, respectively (p>0,05). The pharmaceutical care improved patients’ knowledge about disease. Pharmacists from study group, who provided pharmaceutical care, had higher level of pharmacotherapy knowledge and professional satisfaction than the control group. Conclusion: Implementation of pharmaceutical care into the pharmacy practice benefits both, patients and pharmacists (AU)


Objetivo: el propósito de este estudio fue evaluar la influencia de la atención farmacéutica sobre el conocimiento de los pacientes, la calidad de vida y la presión sanguínea, y determinar si un nuevo tipo de servicios farmacéuticos modifica la satisfacción del farmacéutico y el conocimiento. Métodos: Se asigné aleatoriamente farmacias comunitarias a grupos estudio y control, y los farmacéuticos de ambos grupos incluyeron pacientes con hipertensión que cumplían los criterios de inclusión y exclusión. El grupo estudio se proporcionó atención farmacéutica (educación, seguimiento farmacoterapéutico, detección y resolución de problemas relacionados con medicamentos) a sus pacientes, mientras que el grupo control proporcionó los servicios farmacéuticos estándar (dispensación de medicamentos con o sin consejo). Al principio y al final del estudio los pacientes rellenaron un test de conocimientos. Los farmacéuticos también rellenaron un cuestionario de satisfacción. Resultados: Se recogieron datos de 28 y 56 pacientes de farmacias comunitarias de los grupos estudio y control, respectivamente. En el último encuentro, se había alcanzado la presión arterial normal en el 79% y 55% de los pacientes en los grupos de estudio y control, respectivamente (p<0,005). La atención farmacéutica mejoró el conocimiento de los pacientes sobre su enfermedad. Los farmacéuticos del grupo estudio, que proporcionaron atención farmacéutica, tenían niveles más altos de conocimiento de la farmacoterapia y satisfacción profesional que los del grupo control. Conclusión: La implantación de la atención farmacéutica en la práctica farmacéutica beneficia tanto a los pacientes como a los farmacéuticos (AU)


Assuntos
Humanos , Masculino , Feminino , Hipertensão/tratamento farmacológico , Farmacoepidemiologia/métodos , Assistência Farmacêutica , Farmácias/organização & administração , Formas de Dosagem/normas , Indústria Farmacêutica/métodos , Assistência Farmacêutica/organização & administração , Assistência Farmacêutica/estatística & dados numéricos , Serviços de Saúde Comunitária/provisão & distribuição , Polônia/epidemiologia
20.
Gac. sanit. (Barc., Ed. impr.) ; 20(1): 63-66, ene. 2006. graf
Artigo em En | IBECS | ID: ibc-046814

RESUMO

Objetivo: Para estudiar la aplicación específica de la mortalidad infantil como indicador relevante de la salud, hemos considerado sistemáticamente las tendencias en la mortalidad infantil en 5 países de Europa central y del este (República Checa, Hungría, Polonia, Eslovaquia y Eslovenia). Métodos: Hemos calculado las tasas de mortalidad infantil (por 1.000 nacidos vivos) y las tendencias a partir de la base de datos de mortalidad de la Organización Mundial de la Salud, así como otras bases de datos europeas y nacionales seleccionadas. Resultados: En 1990, la mayoría de los países de Europa central y del este tenían tasas apreciablemente mayores que el valor medio de la Unión Europea de 9,2/1.000, hasta 14,8/1.000 en Hungría y 19,4/1.000 en Polonia. Sin embargo, entre 1990 y 2001, la mortalidad infantil disminuyó sustancialmente en todos los países de Europa central y del este, y en 2001 las tasas en la República Checa (4,0/1.000) y Eslovenia (4,3/1.000) fueron menores que la media de la Unión Europea (4,6/1.000). Discusión: La mortalidad infantil es un indicador relevante de los cambios favorables de la salud observados en países de Europa central y del este durante la década pasada


Objective: To address the issue of infant mortality as an important health indicator, we systematically analyzed trends in infant mortality in five central and eastern European (CEE) countries (the Czech Republic, Hungary, Poland, Slovakia and Slovenia). Methods: Infant mortality rates (per 1,000 live births) and trends were computed using the World Health Organization database, as well as selected European databases. Results: In 1990, mortality rates in most CEE countries were appreciably higher than the mean European Union value of 9.2/1,000 (up to 14.8/1,000 in Hungary and 19.4/1,000 in Poland). However, between 1990 and 2001, infant mortality decreased substantially in all CEE countries, and in 2001 the rates in the Czech Republic (4.0/1,000) and Slovenia (4.3/1,000) were lower than the EU average of 4.6/1,000. Discussion: Infant mortality is an important indicator of the improvements in health observed in CEE countries over the last decade


Assuntos
Recém-Nascido , Humanos , Mortalidade Infantil/tendências , Dinâmica Populacional , República Tcheca , Hungria , Polônia , Apoio à Pesquisa como Assunto , Eslováquia , Eslovênia
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