[Analysis medical staff opinion according to quality management in health care]. / Analiza opinii personelu medycznego dotyczaca zarzadzania jakoscia w ochronie zdrowia.

UNLABELLED: The practice of documenting the credibility of quality management system of companies in the medical sector in Poland does not have a long history. In the recent years hospitals have started to work in a system similar to a competitive market with features specific for medical service preserved. As a result quality focused activity instruments were introduced to the medical service market, such as ISO family of standards. The aim of the work objective was to get to know the opinion of medical staff about the changes resulting in the quality management system implementation. MATERIAL AND METHODS: The answers of a team of 200 medical staff from two Polish hospitals were analysed. The respondents were employed in medical institutions before and after the introduction of ISO 9001. RESULTS: A large number of participants claimed that standardization in work organization made a significant improvement (45.50%, n = 91), but part of them (36.50%, n = 73) claimed that this new organization improved the situation not very much. And a small group (18,00%, n = 36) said that the organization did not change after the introduction of standardization. Nurses and medical rescue workers more often claimed (the result being statistically significant) that their work organization improved after the standardization implementation (48.54%), differently from doctors (27.59%, p = 0.008). Doctors in the research often claimed that the changes after the introduction of standardization caused an increase in the requirements of their professional qualifications (79.13%), but the nurses and medical rescue workers found it a bit less (74.85%). Most participants (87.50%, n = 175) claimed that the changes which appeared as a result of the introduction of standardization motivated them to compete against others health care institutions. CONCLUSIONS: Medical staff in the research claimed that the changes after the introduction of standardization resulted in work organization improvement. Nurses and medical rescue workers more often claimed (the result being statistically significant) that their work organization improved after the standard implementation. Most of the respondents were convinced about the benefits of standardization implementation. Changes that took place as a result of the introduction of quality management system based on ISO are a motivating factor for competing against other health care institutions. The system of quality insurance based on ISO is constructed in such a way so as to strive for satisfying constantly changing customers' needs, because quality is not an ideal notion but a goal that needs to be pursued.

[Assessment of psychosocial attitudes among homosexual men]. / Ocena postaw psychospolecznych mezczyzn o orientacji homoseksualnej.

UNLABELLED: Homosexuality, though more than 20 years no longer exists in the classification of diseases as a deviation, it is still by many people seen as such behavior. The aim of the study was to assess the situation and psychosocial attitudes in the group of homosexual men. MATERIAL AND METHODS: The study involved a group of 187 men aged 20-54 years. The study population was characterized by hiding homosexual orientation, lack of a permanent partner for more than half of them and the tendency to avoid safe sex and taking a passive role in intimate contact. In the study a questionnaire prepared by the authors was used. RESULTS AND CONCLUSIONS: Most respondents hid his homosexuality from others, and over half of them do not have a permanent partner. Representatives of the study group, in most cases do not prefer safe sex and in intimate contact acted as passive.

[Self-aggressive behavior in prisons]. / Zachowania autoagresywne w zakladach penitencjarnych.

UNLABELLED: In the literature devoted to the phenomenon of self-harm among engaged imprisonment, meets the different views the causes of such behavior and the risk of their occurrence. Views prevail, according to which aggression is considered common phenomenon among people in prisons. Social isolation and lack of close intimate relationships may foster this type of behavior. The aim of this study is to assess the prevalence of self-aggressive behavior among prisoners. MATERIAL AND METHODS: We analyzed 133 cases of self-harm and 151 cases of suicide made a fatal persons deprived of their liberty. THE RESULTS: Among those detained in prisons showing self-aggressive behavior are high rates of mental dysfunction. CONCLUSIONS: In carrying out self-aggressive states embedded high rates of mental dysfunction, mainly disorders Personality and alcohol dependence and/or psychoactive substances. Among those who made a successful suicide bombing found a high rate of personality disorders and disorders depressive. Causes and determinants of self-harm and suicides by persons residing in institutions prisons are in many respects similar. Those embedded in prisons having mental disorders pose a high risk of autoimmunity, and therefore require special supervision and care of individual psycho-psychological one.