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1.
J Health Popul Nutr ; 41(1): 17, 2022 May 07.
Artículo en Inglés | MEDLINE | ID: mdl-35526064

RESUMEN

BACKGROUND: Balanced nutrition is crucial for adolescent's proper physical and mental development. Dietary habits change significantly with a child's development. Along with increasing age and the shift towards adolescence, unhealthy diet-related habits become more common. The objective of the survey study was to determine the differences in nutritional habits between children and adolescents according to their age and body mass index (BMI). METHODS: "Let's get the kids moving" campaign (pol. "Uruchamiamy dzieciaki") was launched in 2016. Within the campaign, the survey study was conducted in 2913 participants between 6 and 17 years old from primary and junior high schools in Wroclaw (Poland). The survey was anonymous, and its supplement was voluntary. Participants were divided into age groups. The study group of 2913 consisted of 29.8% of 6-9-year-olds, 32.7% of 10-12-year-olds, and 37.5% of 13-17-year-olds. Body mass index (BMI) was calculated and further interpreted as a BMI z-scores depending on children's age and gender. RESULTS: A total of 19.3% of participants consumed 3 meals a day or less. Children from the oldest age group (13-17) consumed statistically significantly fewer meals per day than younger children (p < 0.001). Children from the oldest age group (13-17) consumed breakfast statistically less often than children of age group 10-12 years (75.0% vs. 83.6%; p < 0.001) and children of age group 6-9 years (75.0% vs. 84.0%; p < 0.001). Severely thin children consumed breakfast significantly more often than overweight (85.8% vs. 76.3%; p = 0.004) and children with obesity (85.8% vs. 75.9%; p = 0.021). Children with obesity consumed vegetables significantly less often than severely thin (p < 0.008), thin (p < 0.001), and children with normal body weight (p < 0.007). The oldest children (13-17 years) consumed Coca-Cola and SSB (p < 0.001) and fruit-flavored beverages (p < 0.05) significantly more often than children from other age groups. Boys consumed carbonated beverages with added sugar significantly more often than girls (p < 0.01). CONCLUSIONS: Unhealthy diet-related behaviors in children and adolescents may promote overweight and obesity and should be targeted in health promotion programs. Special attention should be paid to 13-17-year-olds, as adolescents from this group made more unhealthy choices than younger children.


Asunto(s)
Conducta Alimentaria , Sobrepeso , Adolescente , Índice de Masa Corporal , Niño , Dieta , Femenino , Hábitos , Humanos , Masculino , Obesidad , Sobrepeso/epidemiología , Sobrepeso/etiología , Polonia/epidemiología
2.
Sci Rep ; 12(1): 7572, 2022 May 09.
Artículo en Inglés | MEDLINE | ID: mdl-35534651

RESUMEN

The interrelations between human activity and animal populations are of increasing interest due to the emergence of the novel COVID-19 and the consequent pandemic across the world. Anthropogenic impacts of the pandemic on animals in urban-suburban environments are largely unknown. In this study, the temporal and spatial patterns of urban animal response to the COVID-19 lockdown were assessed using animal-vehicle collisions (AVC) data. We collected AVC data over two 6-month periods in 2019 and 2020 (January to June) from the largest metropolis in southern Poland, which included lockdown months. Furthermore, we used traffic data to understand the impact of lockdown on AVC in the urban area. Our analysis of 1063 AVC incidents revealed that COVID-19 related lockdown decreased AVC rates in suburban areas. However, in the urban area, even though traffic volume had significantly reduced, AVC did not decrease significantly, suggesting that lockdown did not influence the collision rates in the urban area. Our results suggest that there is a need to focus on understanding the effects of changes in traffic volume on both human behaviour and wildlife space use on the resulting impacts on AVC in the urban area.


Asunto(s)
COVID-19 , Animales , Animales Salvajes , COVID-19/epidemiología , Control de Enfermedades Transmisibles , Pandemias , Polonia/epidemiología
3.
Sci Rep ; 12(1): 7265, 2022 May 04.
Artículo en Inglés | MEDLINE | ID: mdl-35508674

RESUMEN

Land use significantly affects the function of waterbodies in landscape. Although there have been numerous studies on the influence of the catchment area on the trophic and ecological status of waterbodies, still is not reached an agreement on the width of the buffer zone that is necessary for effective protection of waterbodies. The aim of the study was to show whether small waterbodies are predominantly influenced by land use in the entire catchment area or only in the zone extending 100 or 200 m away from the shoreline. For two years the waters in six small waterbodies located in the Wielkopolska region (Poland) were analysed. The canonical correspondence analysis (CCA) showed that the influence of land use, especially agricultural land, was much greater within the zone extending 100 m from the shore line of the waterbodies than in the total catchment area. Therefore, it would be advisable to move the border of intensive farming areas beyond the entire 100-m-wide buffer zone, or at least to reduce the intensity of agriculture and to introduce diversified and perennial vegetation creating effective biogeochemical barriers.


Asunto(s)
Contaminantes Químicos del Agua , Agua , Agricultura , Monitoreo del Ambiente , Polonia , Ríos/química , Agua/análisis , Contaminantes Químicos del Agua/análisis , Calidad del Agua
4.
BMC Public Health ; 22(1): 883, 2022 May 04.
Artículo en Inglés | MEDLINE | ID: mdl-35508994

RESUMEN

BACKGROUND: Empirical evidence on the epidemiology of hypertension, diabetes and hypercholesterolemia is limited in many countries in Central and Eastern Europe. We aimed to estimate the prevalence, awareness, treatment and control of hypertension, diabetes and hypercholesterolemia in the Czech Republic, Russia, Poland and Lithuania, and to identify the risk factors for the three chronic conditions. METHODS: We analysed cross-sectional data from the HAPIEE study, including adults aged 45-69 years in the Czech Republic, Russia, Poland and Lithuania, collected between 2002 and 2008 (total sample N = 30,882). Among prevalent cases, we estimated awareness, treatment, and control of hypertension, diabetes and hypercholesterolemia by gender and country. Multivariate logistic regression was applied to identify associated risk factors. RESULTS: In each country among both men and women, we found high prevalence but low control of hypertension, diabetes, and hypercholesterolemia. Awareness rates of hypertension were the lowest in both men (61.40%) and women (69.21%) in the Czech Republic, while awareness rates of hypercholesterolemia were the highest in both men (46.51%) and women (51.20%) in Poland. Polish participants also had the highest rates of awareness (77.37% in men and 79.53% in women), treatment (71.99% in men and 74.87% in women) and control (30.98% in men and 38.08% in women) of diabetes. The common risk factors for the three chronic conditions were age, gender, education, obesity and alcohol consumption. CONCLUSIONS: Patterns of awareness, treatment and control rates of hypertension, diabetes and hypercholesterolemia differed by country. Efforts should be made in all four countries to control these conditions, including implementation of international guidelines in everyday practice to improve detection and effective management of these conditions.


Asunto(s)
Diabetes Mellitus , Hipercolesterolemia , Hipertensión , Adulto , Estudios Transversales , República Checa/epidemiología , Diabetes Mellitus/epidemiología , Diabetes Mellitus/terapia , Femenino , Humanos , Hipercolesterolemia/epidemiología , Hipercolesterolemia/terapia , Hipertensión/epidemiología , Hipertensión/terapia , Lituania/epidemiología , Masculino , Polonia/epidemiología , Prevalencia , Factores de Riesgo , Federación de Rusia/epidemiología
5.
Wiad Lek ; 75(3): 721-726, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35522884

RESUMEN

OBJECTIVE: The aim: This article aims to show the role of local budgets in financing health care in communities, and to initiate a discussion on the possibility of expanding powers of local government bodies in the sphere of health care. PATIENTS AND METHODS: Materials and methods: This study is based on the normative acts of the Republic of Poland and Ukraine, conclusions, reports of the Regional Chambers of Audit (Regionalnych Izb Obrachunkowych) in the Republic of Poland, OECD Indicators and budget gminas. Dialectical, comparative, analytical methods and the method of system analysis were used. CONCLUSION: Conclusions: Health care is among own tasks of gminas. Special legislation in the sphere of health care clarifies and narrows the tasks of gminas to monitoring and assessing public health, as well as to development, implementation and evaluation of special policy programs in the sphere of health care, according to identified needs of community residents and projects aimed at informing people about factors harmful to health and about their consequences. These programs can be financed from the budgets of gminas. This approach reduces and limits potential of local governments in the health care sector. Only in the event of an emergency gminas have the right to assign additional tasks to a medical entity and to finance these tasks from their own budget. In order to improve the quality and clarity of legislation own tasks of gminas in the sphere of health care (point 5, Part 1 Art. 7 of the Law of the Republic of Poland dated 8 March, 1990 "On municipal Government") should be specified taking into account point 1 Art. 2 of the Law of the Republic of Poland dated 11 September, 2015 "On Health Care".


Asunto(s)
Atención a la Salud , Servicios de Salud , Humanos , Polonia , Salud Pública , Ucrania
6.
Front Public Health ; 10: 854028, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35372182

RESUMEN

Aim: The study was aimed at assessing the mortality of the population, the occurrence of the phenomenon of depression and suicide before and during the COVID-19 pandemic. Methods: Data on total mortality in Poland in 2017-2021 came from the report of the Ministry of Health. Data on the number of sick leave due to mental disorders were taken from the report of the ZUS (Social Insurance Institution in Poland). Data on the number of suicides came from police statistics. Results: Increase in the number of deaths in Poland in 2021 compared to the 2017-2019 average - 26.86%. In 2018-2020, the greatest number of fatal suicides was recorded in the age group - 60-64 years (in 2018 N = 565; 10.90%; in 2020 N = 524; 10.15%). Conclusions: In the years 2020-2021, an increase in mortality was observed in Poland compared to the previous years. Moreover, in 2020 there was an increase in sickness absence due to ICD-10 F.32 and an increase in the number of suicide attempts.


Asunto(s)
COVID-19 , COVID-19/epidemiología , Depresión/epidemiología , Humanos , Pandemias , Polonia/epidemiología , Intento de Suicidio
7.
Int Marit Health ; 73(1): 46-51, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35380173

RESUMEN

Malaria is a parasitic disease caused in humans by five species of Plasmodium: P. falciparum, P. vivax, P. malariae, P. ovale, and P. knowlesi and transmitted through a female mosquito bite. In 2020, there were 241 million cases of malaria worldwide including 627,000 deaths. Traveling to malaria endemic areas is a significant risk factor, therefore, it is very important to use non-specific and pharmacological prophylaxis. Malaria symptoms usually appear 10-14 days after infection and the disease may be suspected, based on patient examination and medical history, in patients with fever who have stayed in malaria endemic areas. The initial symptoms of the disease are not pathognomonic and it is important to remember that not all malaria patients develop a fever. A prerequisite for successful treatment of this potentially life-threatening disease is well-targeted, timely diagnosis and immediate implementation of antiparasitic therapy. Despite significant progress in the fight against malaria across the world, the disease still poses a diagnostic and therapeutic challenge, especially when it develops as a result of an imported infection and when diagnosis is complicated by the presence of other diseases. A professional group that requires special attention are maritime workers. In this study we present clinical cases of malaria which show how important it is in the clinical practice of various specialists to include malaria in the differential diagnosis of patients with fever returning from tropical regions.


Asunto(s)
Malaria , Plasmodium , Femenino , Humanos , Malaria/diagnóstico , Malaria/tratamiento farmacológico , Polonia , Factores de Riesgo , Viaje
8.
Pol Przegl Chir ; 94(2): 54-59, 2022 Mar 15.
Artículo en Inglés | MEDLINE | ID: mdl-35485310

RESUMEN

<b>Introduction:</b> Colorectal cancer (CRC), despite intensive research on the improvement of diagnosis and treatment, is still the second most deadly cancer in Poland in terms of mortality. One of the factors predisposing to a higher risk of CRC may be the individual differences in the effectiveness of proteins responsible for the metabolism of xenobiotics - it seems that the removal of potentially harmful exogenous substances significantly reduces the risk of carcinogenesis. </br></br> <b>Aim:</b> In this work, we analyzed the effect of polymorphisms of genes responsible for metabolizing xenobiotics on the risk of CRC - rs72554606 polymorphism of N AT 1 gene, rs1799930 polymorphism of N AT 2 gene and rs1799814 polymorphism of CYP1A1 gene, as well as the level of expression of these genes. </br></br> <b> Conclusions:</b> The results indicate that the GC genotype for N AT 1 and the GA genotype for CYP1A1 may increase the risk of CRC, and in those already diagnosed with colorectal cancer, the expression level of NAT1 is significantly lower than in the control. We believe that these factors may have potential prognostic and diagnostic significance in the treatment of CRC.


Asunto(s)
Neoplasias Colorrectales , Citocromo P-450 CYP1A1 , Neoplasias Colorrectales/epidemiología , Neoplasias Colorrectales/genética , Citocromo P-450 CYP1A1/genética , Humanos , Polonia , Polimorfismo de Nucleótido Simple , Xenobióticos/metabolismo
9.
BMC Prim Care ; 23(1): 94, 2022 Apr 27.
Artículo en Inglés | MEDLINE | ID: mdl-35477390

RESUMEN

BACKGROUND: The purpose of this study was to identify the factors that determine the differences in the distribution and workload of paediatricians in Poland. This research, specific to conditions found within Poland, will help further advance knowledge in this area. Data were derived from the database of Statistics Poland. The level of convergence of the phenomenon studied was analysed. The paediatricians' accessibility index was ascertained and its spatial diversity examined. The level of correlation of patients treated per paediatrician was analysed in relation to indices of urbanisation, availability of paediatricians and disposable income. RESULTS: A moderate variation of patients treated per paediatrician was found and the conditional convergence of the investigated phenomenon observed. A close negative association between the number of patients treated and access to paediatricians (-0.686, p = 0.005) was revealed. CONCLUSIONS: The research suggests that socioeconomic factors may affect the uneven spatial distribution of the workload of paediatricians in Poland and cause differences between the provinces in the equal access to paediatricians. This research may thus provide implications for policy and practice as well as lead to a better understanding of the problem.


Asunto(s)
Pediatras , Urbanización , Humanos , Polonia/epidemiología , Factores Socioeconómicos , Carga de Trabajo
10.
Medicina (Kaunas) ; 58(4)2022 Apr 17.
Artículo en Inglés | MEDLINE | ID: mdl-35454392

RESUMEN

Background and Objectives: The guidelines of the European Society of Cardiology (ESC) recommend the use of telematic methods in the diagnosis of myocardial infarction, allowing for transtelephonic electrocardiography (TTECG) from the emergency scene to centers performing percutaneous coronary interventions (PCI center). It has been proven that such a procedure has a beneficial effect on the survival of patients with ST elevation myocardial infarction (STEMI). Fewer data can be found on the correct use of these methods in everyday clinical practice. The aim of this study was to indicate potential indications and contraindications for the use of the TTECG system, and provide recommendations for proper collaboration between emergency medical systems (EMS) teams and PCI centers. Materials and Methods: The article is a systematic review of cardiological emergencies, with an assessment of indications for the use of the TTECG system. The authors introduced their own grading of the validity of indications for transmission of the TTECG, similar to those used in the official ESC guidelines.: Results:: The authors described individual cardiological emergencies occurring in the practice of EMS, considering specific indications or contraindications for the transmission of the TTECG. The article also discusses individual practical recommendations for proper cooperation between EMS teams and PCI centers in detail. All of the recommendations are compiled in a handy table to facilitate its use in everyday clinical practice. Conclusions: The summary presents a comparison of the realities of the functioning of the telematic support system in Poland in the field of STEMI diagnostics, with the model's recommendations. The necessity of further educating the members of individual teams included in the network dealing with STEMI treatment was indicated, as well as the necessity of introducing legal regulations sanctioning the functioning of telematic systems in modern medicine.


Asunto(s)
Síndrome Coronario Agudo , Intervención Coronaria Percutánea , Infarto del Miocardio con Elevación del ST , Síndrome Coronario Agudo/diagnóstico , Electrocardiografía , Urgencias Médicas , Humanos , Polonia , Infarto del Miocardio con Elevación del ST/diagnóstico , Infarto del Miocardio con Elevación del ST/terapia
11.
Artículo en Inglés | MEDLINE | ID: mdl-35409739

RESUMEN

Dietary supplements are health-promoting products. The legal categorization of dietary supplements as foods does not raise concerns, but a general understanding of how they work in the human body seems to deviate from the official definition. Thus, it is necessary to establish effective methods of market control related to dietary supplements. This research aims at assessing the impact of recommendations by various food safety authorities on ingredients used in newly registered products. It probes how the proportions of utilized product ingredients were modified after the European Food Safety Authority (EFSA) and Chief Sanitary Inspector in Poland (GIS) published their recommendations. Research data on the composition of products comes from the Polish national register of dietary supplements and covers the period from 2012 to 28 November 2021. Note that 103,102 products were analysed for the presence of thirty-seven ingredients, and the joinpoint regression method was applied to assess changing trends related to the use of ingredients. As our research points out, most often, changes in the trend appeared in product ingredients for which the European Food Safety Authority and Chief Sanitary Inspector in Poland issued the recommendation of having the safest level of consumption. However, these changes seem to emerge randomly and should not be unquestionably considered as the result of the published recommendations.


Asunto(s)
Alimentos Funcionales , Sistemas de Información Geográfica , Suplementos Dietéticos , Inocuidad de los Alimentos , Humanos , Legislación Alimentaria , Polonia
12.
Artículo en Inglés | MEDLINE | ID: mdl-35409753

RESUMEN

Social media have become mainstream online tools that allow individuals to connect and share information. Such platforms also influence people's health behavior in the way they communicate about personal health, treatment, or physicians. Individuals' ability to find and apply online health information on specific health problems can be measured using a valid and reliable instrument, the eHealth Literacy Scale (eHEALS). The objective of this study was to evaluate the psychometric aspects of the Polish version of this instrument (eHEALS-Pl) among social media users, which has not been explored so far. We examined the translated version of the eHEALS in a representative sample of Polish social media users (n = 1527). CAWI (computer-assisted web interviews) was a method to collect data. The reliability of the eHEALS-Pl was measured by calculating the Cronbach alpha coefficients and analyzing the principal components. Exploratory factor analysis and hypothesis testing was used to assess the construct validity of the instrument. The internal consistency of the eHEALS-Pl was sufficient: Cronbach alpha = 0.84. The item-to-total correlations ranged from r = 0.514 to 0.666. EFA revealed a single structure explaining 47.42% of the variance, with high factor loadings of the item ranging from 0.623 to 0.769. Hypothesis testing also supported the validity of eHEALS-Pl. The eHEALS-Pl evaluation supported by social media users reviled its equivalence to the original instrument developed by Norman and Skinner in 2006 and it can be used to measure e-health literacy. Since there is no prior validation of the eHEALS among social media users, these findings may indicate important directions in evaluating digital skills, especially in relation to the current challenges related to the COVID-19 pandemic.


Asunto(s)
COVID-19 , Alfabetización en Salud , Medios de Comunicación Sociales , Telemedicina , Alfabetización en Salud/métodos , Humanos , Internet , Pandemias , Polonia , Psicometría/métodos , Reproducibilidad de los Resultados , Encuestas y Cuestionarios , Telemedicina/métodos
13.
Artículo en Inglés | MEDLINE | ID: mdl-35409752

RESUMEN

Cystic fibrosis (CF) is the most common autosomal recessive inherited monogenic disease in Caucasians. As medical technology progresses and the quality of patient care improves, the survival time of patients with CF has increased, which results in more frequent comorbidities such as cystic fibrosis-related diabetes (CFRD). CFRD is the result of abnormal glucose metabolism characterized primarily by insulin deficiency, exacerbated periodically by insulin resistance. The aim of our study was to analyze the epidemiology of patients with CFRD in Poland on the basis of data collected from six CF treatment centers. Analyses were performed on 1157 CF patients who were treated at one of the six CF care centers. CFRD was diagnosed according to standard criteria. All data including demographics, types of CFTR mutations, CFRD duration, and microorganisms in the sputum were obtained from the patients' medical history. Our study indicates that the prevalence of CFRD in Poland is 12.9%. CFRD was most often diagnosed between the ages of 11 and 20 (60% of patients), while 23% of patients were diagnosed between 21 and 30 years of age. Furthermore, we observed that approximately 3-5% of patients under the age of 10 had CFRD. We found out that the type of mutation did not affect the frequency of CFRD development. Factors that increased the risk of developing CFRD include underweight and chronic Pseudomonas aeruginosa infection. Due to the extended lifespan of CF patients, the number of CFRD patients is currently increasing. We believe that the results of our study may complement information from other studies or may be useful in planning health policy in Poland.


Asunto(s)
Fibrosis Quística , Diabetes Mellitus , Adolescente , Adulto , Niño , Fibrosis Quística/epidemiología , Diabetes Mellitus/diagnóstico , Diabetes Mellitus/epidemiología , Diabetes Mellitus/etiología , Humanos , Insulina , Polonia/epidemiología , Esputo/metabolismo , Adulto Joven
14.
Artículo en Inglés | MEDLINE | ID: mdl-35409792

RESUMEN

The study aims to investigate whether assessment of sexual life remained stable during the COVID-19 pandemic. Two surveys were conducted among Polish adults aged 18-70 years in June 2020 (n = 2042; perspective of last 2-3 months) and in June 2021 (n = 2418; last 12 months). Data from 2017 (n = 1980) were used as a reference point. Four questions allowed for defining five sexual life assessment profiles (k-means cluster analysis). Their characteristics were presented using 12 variables and 16 factors that contributed to difficulties in sexual life. The 2020 survey showed a temporary increase in the importance of sexual life and the frequency of sexual intercourse. However, the percentage of respondents representing the most favorable profile decreased significantly over the consecutive survey periods (47.1%, 34.2%, and 32.3%, respectively). Pandemic-induced fatigue and stress as well as the permanent presence of others at home were reported as two main factors negatively affecting the frequency of sexual intercourse during the pandemic. Respondents who assessed their sexual life as poor were more likely to consider illness, depression, and low self-esteem as factors negatively impacting their sexual life in 2021 than a year earlier. The results confirmed that as the pandemic drew on, the assessment of sexual life changed compared to the time around the first lockdown.


Asunto(s)
COVID-19 , Pandemias , Adulto , COVID-19/epidemiología , Control de Enfermedades Transmisibles , Estudios Transversales , Humanos , Polonia/epidemiología , SARS-CoV-2
15.
Artículo en Inglés | MEDLINE | ID: mdl-35409812

RESUMEN

The contribution of health systems to health is commonly assessed using levels of amenable mortality. Few such studies exist for Poland, with analyses of within-the-country patterns being particularly scarce. The aim of this paper is to analyse differences in amenable mortality levels and trends across Poland's regions using the most recent data and to gain a more nuanced understanding of these differences and possible reasons behind them. This can inform future health policy decisions, particularly when it comes to efforts to improve health system performance. We used national and regional mortality data to construct amenable mortality rates between 2002 and 2019. We found that the initially observed decline in amenable mortality stagnated between 2014 and 2019, something not seen elsewhere in Europe. The main driver behind this trend is the change in ischemic heart disease (IHD) mortality. However, we also found that there is a systematic underreporting of IHD as a cause of death in Poland in favour of heart failure, which makes analysis of health system performance using amenable mortality as an indicator less reliable. We also found substantial geographical differences in amenable mortality levels and trends across Poland, which ranged from -3.3% to +8.1% across the regions in 2014-2019. These are much bigger than variations in total mortality trends, ranging from -1.5% to -0.2% in the same period, which suggests that quality of care across regions varies substantially, although some of this effect is also a coding artefact. This means that interpretation of health system performance indicators is not straightforward and may prevent implementation of policies that are needed to improve population health.


Asunto(s)
Isquemia Miocárdica , Causas de Muerte , Europa (Continente)/epidemiología , Programas de Gobierno , Política de Salud , Humanos , Mortalidad , Polonia/epidemiología
16.
Artículo en Inglés | MEDLINE | ID: mdl-35409851

RESUMEN

OBJECTIVES: To compare neurologists' knowledge, practice, and barriers of pharmacovigilance (PV) process among patients with epilepsy in Poland and Egypt. METHODS: It was an international study that used an online questionnaire e-mailed to neurologists registered to practice in Poland and Egypt. RESULTS: Most of the neurologists were familiar with the definition of PV and adverse drug reactions (ADRs), but relatively few neurologists knew where to report ADRs, especially the Egyptian neurologists. Only 31.11% of the neurologists from Egypt and 39.90% neurologists from Poland declared that they had reported ADRs at least once during their professional practice, and few of them declared the regular reporting of such incidents. The main reason for the neurologists not reporting ADRs was the lack of time and a conviction that reporting ADRs would be an additional burden that would generate extra work. CONCLUSION: The standards of pharmacovigilance process, safety control, and quality are not the same throughout the world. System-regulated PV stabilization in a country translates into the practice of maintaining PV. Monitoring the safety of pharmacotherapy and knowledge of risks associated with ADRs should be included in the academic curricula of physician courses.


Asunto(s)
Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos , Epilepsia , Sistemas de Registro de Reacción Adversa a Medicamentos , Estudios Transversales , Egipto , Epilepsia/tratamiento farmacológico , Conocimientos, Actitudes y Práctica en Salud , Humanos , Neurólogos , Farmacovigilancia , Polonia
17.
Artículo en Inglés | MEDLINE | ID: mdl-35409867

RESUMEN

The perception of urban greenery is determined by many aspects, including the personal security of different groups of city dwellers. The objective of this study was to investigate if there are differences between the sense of security of older adults and other groups of urban park users, and which factors play an important role in the evaluation of personal security and thus determine the use (or not) of parks. A survey questionnaire was administrated to a sample of randomly selected park users in Poland (n = 394), including seniors (s = 69). The results show statistically significant differences in security perception between respondents under the age of 60 and those over the age of 60 in the case of all questioned factors. At the same time, all of them are important for a sense of security in older adults. This knowledge is crucial for designing more inclusive and age-friendly urban parks, which should meet the needs and expectations of older adults and encourage them to engage in more activity.


Asunto(s)
Ejercicio Físico , Parques Recreativos , Humanos , Polonia , Recreación , Características de la Residencia , Encuestas y Cuestionarios , Población Urbana
18.
Artículo en Inglés | MEDLINE | ID: mdl-35409879

RESUMEN

Family resilience is a construct based on interactive processes occurring in the family, enabling the family to effectively overcome everyday stressors, as well as developmental and unpredictable crises. By observing how the family deals with difficulties using family resilience processes, we are able to support both parents and protect children against the harmful effects of unfavourable conditions. The aim of our research was to carry out the procedure of adaptation to the Polish language and culture of the Walsh Family Resilience Questionnaire. In this study, 930 Poles participated (72.5% women), aged from 18 to 63 (M = 26.94, SD = 9.8). They filled in the questionnaire online. Confirmatory factor analysis confirmed the model with three factors: belief system, organisational processes, and communication processes. The model indicators were found to be well suited to the data: χ2/df = 1.12, RMSEA = 0.01, CFI = 0.99, TLI = 0.99, SRMR = 0.04. The reliability (Cronbach's alpha) of the scales was also satisfactory (0.94 for the belief systems, 0.86 for the organisational processes, and 0.94 for the communication processes). Tool validation with FRAS-PL scales showed convergence. We named the Polish version of the WFRQ Questionnaire Kwestionariusz Preznosci Rodzinnej Walsh (WFRQ-PL) and found it to be a good tool for assessing the processes of family resilience in our country.


Asunto(s)
Salud de la Familia , Resiliencia Psicológica , Niño , Femenino , Humanos , Lenguaje , Masculino , Polonia , Psicometría , Reproducibilidad de los Resultados , Encuestas y Cuestionarios
19.
Genes (Basel) ; 13(4)2022 04 14.
Artículo en Inglés | MEDLINE | ID: mdl-35456496

RESUMEN

The aim of this study was to determine the suitability of the comparative genomic hybridization to microarray (aCGH) technique for prenatal diagnosis, but also to assess the frequency of chromosomal aberrations that may lead to fetal malformations but are not included in the diagnostic report. We present the results of the aCGH in a cohort of 7400 prenatal cases, indicated for invasive testing due to ultrasound abnormalities, high-risk for serum screening, thickened nuchal translucency, family history of genetic abnormalities or congenital abnormalities, and advanced maternal age (AMA). The overall chromosomal aberration detection rate was 27.2% (2010/7400), including 71.2% (1431/2010) of numerical aberrations and 28.8% (579/2010) of structural aberrations. Additionally, the detection rate of clinically significant copy number variants (CNVs) was 6.8% (505/7400) and 0.7% (57/7400) for variants of unknown clinical significance. The detection rate of clinically significant submicroscopic CNVs was 7.9% (334/4204) for fetuses with structural anomalies, 5.4% (18/336) in AMA, 3.1% (22/713) in the group of abnormal serum screening and 6.1% (131/2147) in other indications. Using the aCGH method, it was possible to assess the frequency of pathogenic chromosomal aberrations, of likely pathogenic and of uncertain clinical significance, in the groups of cases with different indications for an invasive test.


Asunto(s)
Aberraciones Cromosómicas , Feto , Hibridación Genómica Comparativa/métodos , Femenino , Feto/anomalías , Humanos , Análisis por Micromatrices/métodos , Polonia , Embarazo
20.
Artículo en Inglés | MEDLINE | ID: mdl-35409936

RESUMEN

Exposure to radon is the second most common factor causing lung cancer in smokers and the first among non-smokers. We aimed to measure the impact of the radon exposure on patients with different histological types of advanced lung cancer. The measurement of radon exposure was performed in 102 patients with lung cancer in stage 3B or higher (Poland). There were 78.4% of patients with non-small cell carcinoma and 21.6% of patients with small cell carcinoma. One month radon exposure measurement was performed with trace detectors in order to control whether high radon concentrations (>800 Bq/m3) were found in the homes of patients with cancer diagnosed. Results of the determinations were then compared with the representation of the most common types of lung cancer in the study population. In the analyzed group, the average concentration of radon during the exposure of the detector in the residential premises of the respondents accounted for 69.0 Bq/m3 [37.0-117.0] and had no statistically significant effect on the type of lung cancer developed in patients. The lack of statistical significance may result from the small study group and the accompanying exposure to other harmful components. As the incidence of lung adenocarcinoma is increasing and exposure to tobacco smoke is decreasing, the search for other modifiable causes of lung cancer should be the task in the future.


Asunto(s)
Neoplasias Pulmonares , Neoplasias Inducidas por Radiación , Radón , Estudios de Casos y Controles , Exposición a Riesgos Ambientales/efectos adversos , Vivienda , Humanos , Neoplasias Pulmonares/inducido químicamente , Neoplasias Pulmonares/etiología , Neoplasias Inducidas por Radiación/epidemiología , Polonia/epidemiología , Radón/análisis
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