Transformation and operation of a uniform psychiatric ward dedicated to COVID-19 patients during the pandemic. / Transformacja i zasady dzialania psychiatrycznego oddzialu jednoimiennego w trakcie pandemii COVID-19.

This article aims to describe the experience of transforming the Clinical Department of Adult, Child and Adolescent Psychiatry of the University Hospital in Krakow (CDACAP) into award designated by the Malopolska Voivod to provide the treatment for mentally ill adults from Malopolska Voivodship and adolescents from the south of Poland during the COVID-19 pandemic. We discuss sequent stages of transformation, practical solutions and difficulties encountered in the process. 9 patients with confirmed SARS-CoV-2 infection were hospitalized in the CDACAP between 09.04 and 29.05.2020, and 97 were tended to by consulting psychiatrists in the main building of the University Hospital in Krakow between 23.03 and 23.05.2020. In our experience, the Polish healthcare facilities, especially psychiatric and long-term care ones, were ill-equipped to operate during the pandemic crisis. This situation has brought out the nationwide lack of systemic solutions, particularly in the areas of child and adolescent psychiatry as well as forensic psychiatry. Functioning during the epidemic and confronting the risk of rapid deterioration in patients'condition clearly pointed out the necessity of creating psychiatric wards within the multispecialty hospitals. The requirement for ensuring separate spaces for patients with SARS-CoV-2 infection or with exclusion thereof should be considered in the psychiatric reform which assumes the regional responsibility of stationary wards.

[Sense of coherence, style of coping and adaptation after hysterectomy]. / Poczucie koherencji, style radzenia sobie a adaptacja po zabiegu histerektomii.

AIM: This article is devoted to analysis of factors favourable for adaptation after hysterectomy procedure. The consequence of expressing the hysterectomy as a stress situation is laying a great emphasis on analysis of coping with yourself and the factors affecting this process. We suggest the model where the sense of coherence affect indirectly thought the styles of coping on the level of health. METHOD: Overall we examine 71 woman, 35 of them 10 days after the operation and 36 having this procedure 24-36 months earlier. The applied methods were: SOC-29, CISS, BDI, STAI and the Kuppermann Index. RESULTS: We obtain results that confirm significant impact of the sense of coherence and the style of coping to women's health. CONCLUSIONS: The results challenge proposed model as the only explanation. The sense of coherence influence the health not only thought the styles of coping. Discrepancies that were obtained thought the researches suggest the necessity of examining other possible relationships between those variables.