Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 48.317
Filtrar
1.
BMC Geriatr ; 21(1): 491, 2021 09 09.
Artigo em Inglês | MEDLINE | ID: mdl-34503463

RESUMO

BACKGROUND: Aging is a progressive and irreversible process that negatively affects the quality of life (QOL). Older adults face difficulties related to worsening health, lowering the level of physical and mental efficiency. We aimed to analyze the associations between physical fitness and QOL in Polish older adults considering sex differences. METHODS: This cross-sectional study was performed from March to August 2015. The sample consisted of 100 community-dwelling adults (67 women, 33 men) with a mean age of 82.94 ± 2.67 years. The World Health Organization QOL, Short Form questionnaire (WHOQOL-BREF), and the Fullerton Functional Fitness Test (FFFT) were used. Biometric data, social and environmental situation, nutritional and lifestyle behaviors have been also collected using a questionnaire designed by the authors. RESULTS: The results obtained in individual domains of WHOWOL-BREF indicate a good level of QOL in all the examined domains. Statistically significant sex differences were obtained in physical (p = 0.01), psychological (p = 0.04) and environmental (p = 0.02) domains in WHOQOL-BREF. It was noted that men perform better in terms of the upper (arm curl, p < 0.001) and lower body strength (chair stand, p = 0.01), aerobic endurance (two-minute step test, p < 0.001), agility and dynamic balance (up and go test, p < 0.001) in FFFT. CONCLUSIONS: Community-dwelling older adults aged 80-93 years in Poland present a good level of QOL, and the higher score was obtained in men. Also, men presented better physical fitness, showed a higher level of independence in daily activities, and assessed better their own QOL than women.


Assuntos
Vida Independente , Qualidade de Vida , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Humanos , Masculino , Aptidão Física , Polônia/epidemiologia
2.
Przegl Epidemiol ; 75(1): 76-85, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34338473

RESUMO

INTRODUCTION: Tick-borne encephalitis (TBE) is endemic in many parts of Eurasia including countries previously considered to be free from the disease. The incidence of TBE is changing owing to various ecological and climatic factors. The factors influencing the variability of the number of TBE cases are still under investigation. In 2020 the new coronavirus SARS-CoV-2 emerged causing COVID-19 pandemic. Governments have reorganized health care systems to contain a surge of COVID-19 cases and avoid hospital overload. Moreover, new measures have modified several aspects of social habits leading to a change in the incidence of numerous diseases. We aimed to evaluate the epidemiology of TBE in the last decade (2010-2019) and to demonstrate the impact of the surge of SARS-CoV-2 infections on the TBE incidence as reported to a national surveillance database. MATERIAL AND METHODS: We performed the analysis of the TBE notification from the epidemiologic reports in the years 2010-2019 and in the pandemic year 2020 at a national and regional level in Poland. We included data from two infectious disease departments located in the most TBE-prevalent province of Poland. RESULTS: Most cases of TBE occur in two provinces of Northeastern Poland from May to December. The increasing temporal trend occurred in Poland in 2016-2017. The increased number of cases of COVID-19 coincided with a reduction of the number of the reported TBE cases in 2020. CONCLUSIONS: Tick-borne encephalitis virus activity in Poland is invariably concentrated in endemic regions of Northeastern Poland fluctuating considerably from year to year. The decrease of TBE incidence with surge of COVID-19 patients conceivably resulted from underreporting due to limited access to specialized diagnostics. In endemic areas, TBE should be included in the differential diagnostics in all the cases when the central nervous system infection in suspected.


Assuntos
COVID-19/epidemiologia , Encefalite Transmitida por Carrapatos/epidemiologia , Animais , Vírus da Encefalite Transmitidos por Carrapatos , Humanos , Incidência , Polônia/epidemiologia , Prevalência , Fatores de Risco , Estações do Ano , Fatores de Tempo , Tempo (Meteorologia)
3.
BMC Public Health ; 21(1): 1516, 2021 08 06.
Artigo em Inglês | MEDLINE | ID: mdl-34362345

RESUMO

BACKGROUND: Detection of the seasonal patterns of healthy and unhealthy behavior could be helpful for designing individual and population health interventions programs. This study investigates the seasonal variation in sales of common types of products in Poland and Polish Google queries related to healthy behavior. METHODS: Data of index sales from a large Polish retail store franchise, from January 2014 to August 2019, has been analyzed. The commercial data included twelve types of products. The interest of Google users was investigated using Google Trends statistics for the same period for six lifestyle-related topics. The seasonality was checked using time series analysis. RESULTS: Six of the consumer goods (dairy, ready-made meals, salty snacks, meats, beer, and cigarettes) were most commonly purchased in summer months, four (processed fish, food fats, wine, and alcohol 30%+) in December, and two (bread and sweets) in October. The lowest sales indexes were observed mostly in February. The interest in four topics that have been analyzed ("Diet," "Dietitian," "Weight loss," and "Gym"), was highest in January, while interest in "Dietary supplements" was high in February, and "Running" in May. The search volume of the Google topics were the lowest in December. CONCLUSION: The purchase of food, drinks, and cigarettes, and the interest in information regarding different components of a healthy lifestyle has seasonal variation. New Year and Lent might be good periods to encourage healthy behavior. The motivation may decrease in summer and during Christmas.


Assuntos
Estilo de Vida , Ferramenta de Busca , Animais , Comércio , Humanos , Polônia , Estações do Ano
4.
Front Public Health ; 9: 635081, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34395353

RESUMO

Managing the oral health of children during the time of a health emergency linked to the current COVID-19 pandemic presents specific problems. A high number of non-specific effective infection control protocols are available in dental settings. It is of fundamental importance to implement specific protocols relating to those clinical situations that normally do not represent an emergency but which now fall into that category. The aim of this study was the comparison of data obtained from the Regional National Health Fund (NFZ) relating to the number and the type of procedures in the oral health management of children aged 0-18 years from the Wielkopolska region, with the months of March and April of 2019 being compared with those of the, respective, pandemic period of 2020. The results showed statistical differences in the number of performed procedures when comparing 2019 and 2020; especially in April (n = 53,077 in 2019 but only n = 2,287 in 2020), when lockdown restrictions reached their highest level and when only 30% of the dental clinics for children were open for patients in the Wielkopolska region of Poland. Regarding surgical cases, there were no differences in percentage frequency between April 2019 and 2020 in terms of extractions. However, an increase was observed in abscess incisions (3.5-17.8%) and surgical dressings (1.5-10.07%). There was a decrease in the total number of performed conservative dentistry procedures in April 2020, but temporary fillings in primary and permanent teeth showed a prominent increase: from 6.4% in 2019 to 19.3% in 2020; and 5.8-11.4%, respectively. Pulp treatment and mucosal lesions therapy fall into the dental emergency category during this COVID-19 pandemic. These cases have shown an increase from 3.2% in 2019 to 12.8% in 2020 for pulp treatment, and from 2.3 to 4.3% for the treatment of oral mucosal lesions. As suspected, after the lockdown was implemented, the number of pediatric dental cases were low. Moreover, the analysis revealed differences in the profile of clinical situations that represented the emergency cases and the pandemic treatment protocols. Future implications suggest that dental prophylactic procedures be included in pandemic protocols with even dental services being limited to a form of urgent treatment. New approaches and treatment models should be implemented in the control of the infectious spread of the disease in the management of the oral health of children in this pandemic period.


Assuntos
COVID-19 , Pandemias , Criança , Humanos , Controle de Infecções , Saúde Bucal , Pandemias/prevenção & controle , Polônia/epidemiologia , SARS-CoV-2
5.
Ecotoxicol Environ Saf ; 223: 112577, 2021 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-34352577

RESUMO

Once deposited, radiocesium remains in the environment for a long time, and constantly enters the food chain. Over time, game species tend to accumulate 137Cs by two orders of magnitude more than farm animals. This occurs especially in places heavily contaminated, thus meat products made out of local game should be treated with caution. One of such areas, known as the Opole Anomaly, is located in South-Western Poland and represents one of most 137Cs contaminated regions across Europe after the Chernobyl accident. The aim of the study was to find out the 137Cs activity in soil and local game, the value of the soil-to-game aggregated transfer factor and to assess the effective dose of the ionising radiation (Eeff) received by consumers of local game meat in years 2012-2019. We examined meat of three common game species: red deer, roe deer and wild boar for 137Cs activity. 137Cs activity in meat samples ranged from 0.14 to 592 Bq kg-1. The aggregated transfer factor (Tag) in game ranged from 0.006 to 0.01 m2 kg-1 f.w. for wild boar, 0.005-0.008 m2 kg-1 f.w. for roe deer, and 0.003-0.004 m2 kg-1 f.w. for red deer. The effective dose received by people who regularly consume local game meat ranged from less than 14.2 µSv y-1 to 134 µSv y-1, depending on the amount of differently contaminated game meat consumed annually. Even those for whom game is the only source of meat, consumption of wild boar along with local mushrooms and bilberries will, since 2012, not exceed the regulation limit of 137Cs at the level of 1 mSv y-1. By the best of our knowledge this is the first study regarding 137Cs activity in game and risk assessment from the most contaminated "post-Chernobyl" area in Poland.


Assuntos
Cervos , Síndrome de Poland , Animais , Radioisótopos de Césio/análise , Humanos , Carne/análise , Polônia , Solo , Sus scrofa , Suínos
6.
Viruses ; 13(7)2021 07 02.
Artigo em Inglês | MEDLINE | ID: mdl-34372500

RESUMO

The emergence of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) evolved into a worldwide outbreak, with the first Polish cases in February/March 2020. This study aimed to investigate the molecular epidemiology of the circulating virus lineages between March 2020 and February 2021. We performed variant identification, spike mutation pattern analysis, and phylogenetic and evolutionary analyses for 1106 high-coverage whole-genome sequences, implementing maximum likelihood, multiple continuous-time Markov chain, and Bayesian birth-death skyline models. For time trends, logistic regression was used. In the dataset, virus B.1.221 lineage was predominant (15.37%), followed by B.1.258 (15.01%) and B.1.1.29 (11.48%) strains. Three clades were identified, being responsible for 74.41% of infections over the analyzed period. Expansion in variant diversity was observed since September 2020 with increasing frequency of the number in spike substitutions, mainly H69V70 deletion, P681H, N439K, and S98F. In population dynamics inferences, three periods with exponential increase in infection were observed, beginning in March, July, and September 2020, respectively, and were driven by different virus clades. Additionally, a notable increase in infections caused by the B.1.1.7 lineage since February 2021 was noted. Over time, the virus accumulated mutations related to optimized transmissibility; therefore, faster dissemination is reflected by the second wave of epidemics in Poland.


Assuntos
COVID-19/epidemiologia , COVID-19/virologia , SARS-CoV-2/classificação , SARS-CoV-2/genética , Teorema de Bayes , Evolução Molecular , Variação Genética , Genoma Viral , Humanos , Epidemiologia Molecular , Mutação , Filogenia , Polônia/epidemiologia , Prevalência , Sequenciamento Completo do Genoma
7.
Medicina (Kaunas) ; 57(8)2021 Jul 22.
Artigo em Inglês | MEDLINE | ID: mdl-34440944

RESUMO

Introduction: The World Health Assembly adopted the Global Health Strategy and aims to reduce the incidence of Hepatitis from up to 10 million cases per year to 0.9 million cases and to reduce deaths from 1.4 million to 0.5 million per year by 2030. However, given the prevalence of chronic Hepatitis B in many countries and the incidence of new cases of acute Hepatitis B, the task is not easy. This study investigates the trends and determinants of the incidence of acute Hepatitis B in Poland in 2005-2019. Materials and Methods: Data on the incidence of acute hepatitis B (AHBV) were obtained from the National Institute of Public Health. A case definition for AHBV was consistent with the EU definition. The incidence trends were determined by considering the sex, age and place of residence. Due to the exponential dependence model, the computations were based on the logarithm of the incidence rate. This allowed for the transformation to linear form and analysis could be conducted using linear models. Pearson's correlation was used to determine the linear trend of incidence in general and according to sex and place of residence. The values of incidence rates (independent proportions test) and the coefficients illustrating the trends under study were also compared among males and females as well as urban and rural residents. Results: The incidence of AHBV in the Polish population decreased with similar slopes in both sexes. The newly reported cases of AHBV were more frequent in the male population. The incidence of acute Hepatitis B in the urban population was significantly higher than in the rural population. The significant decreasing trends in incidence were observed in all age ranges, with the exception of two age ranges 0-4 and 10-14, where the total incidence during the whole study period was negligible. Conclusion: Despite the significant decrease in the incidence of AHBV in Poland and its position among the European countries with the lowest hepatitis B (HBV) incidence, the alarmingly high proportion of iatrogenic infections requires further improvement in the sanitary condition of health care facilities. It is also necessary to decrease the number of unvaccinated individuals.


Assuntos
Surtos de Doenças , Hepatite B , Distribuição por Idade , Feminino , Hepatite B/epidemiologia , Humanos , Incidência , Masculino , Polônia/epidemiologia , Sistema de Registros , População Rural , Distribuição por Sexo , População Urbana
8.
Artigo em Inglês | MEDLINE | ID: mdl-34444541

RESUMO

Perceptions of the harmfulness of tobacco products may be a determinant of smoking behaviors. This study aimed to: (1) assess the perception of harmfulness of various tobacco products and e-cigarettes in Poland as well as (2) to assess the awareness of the health effects of using tobacco and e-cigarettes. A cross-sectional survey was conducted in 2019 with a nationally representative sample of 1011 individuals aged 15 and over. In the studied group, 22.3% were smokers. Smokeless tobacco was most likely to be perceived as less harmful than cigarettes (25%), followed by water pipe (24.5%), heated tobacco products (22%), e-cigarettes (21.6%), slim cigarettes (17.1%), flavored cigarettes (except menthol ones) (16.1%), menthol cigarettes (15.6%) and cigarillos (12.6%). In this study, 10% of respondents denied that smoking causes serious diseases. Most of the respondents (88.9%) were aware that smoking causes lung cancer (88.9%), but only 70.4% were aware that smoking causes stroke. Smokers compared to non-smokers were less likely to declare that smoking causes a stroke (OR: 0.43, 95%CI: 0.31-0.59; p < 0.001) or myocardial infarction (OR: 0.41, 95%CI: 0.29-0.60; p < 0.001). There were no significant differences (p > 0.05) in the perception of harmfulness of various tobacco products and e-cigarettes by gender, age, or occupational status.


Assuntos
Sistemas Eletrônicos de Liberação de Nicotina , Produtos do Tabaco , Estudos Transversais , Humanos , Percepção , Polônia/epidemiologia
9.
Artigo em Inglês | MEDLINE | ID: mdl-34444559

RESUMO

The purpose of this study was to investigate whether the in-season pandemic lockdown influenced physical match performance in professional soccer players who participated in the competition of German Bundesliga and Polish Ekstraklasa. The data from 306 games for German Bundesliga and 296 games for Polish Ekstraklasa were divided into before- and after-lockdown periods. The physical performance of German Bundesliga teams after the 63-day COVID-19 lockdown did not differ significantly from that in the first part of the season. In contrast, Polish Ekstraklasa teams, after the 81-day lockdown, displayed significantly shorter total distances (p < 0.001), shorter high-intensity running distances (p = 0.03), and fewer high-intensity actions (p = 0.02). Moreover, when the effective playing time was considered, teams covered significantly less relative total distance (p < 0.001) and relative high-intensity running distance (p = 0.02). The results of the current study suggest that physical performance during the matches of the German Bundesliga was not influenced by the COVID-19 lockdown, contrary to those of the Polish Ekstraklasa. This difference could have been caused by different break lengths and different restrictions implemented in these countries during the pandemic lockdown.


Assuntos
Desempenho Atlético , COVID-19 , Futebol , Controle de Doenças Transmissíveis , Humanos , Pandemias , Desempenho Físico Funcional , Polônia , SARS-CoV-2
10.
Artigo em Inglês | MEDLINE | ID: mdl-34444575

RESUMO

From a socio-ecological perspective, individuals are influenced by the interplay of individual, relational, and societal factors operating as a broader system. Thereby, to support youth adjustment during the critical adolescence period, the interplay between these factors should be investigated. This study aimed to investigate cross-cultural differences in adolescents' maternal and paternal attachment, adolescents' adjustment difficulties and self-control, and in their association. N = 1000 adolescents (mean (M) age = 16.94, SD = 0.48; 45.90% males) from China, Italy, Spain, and Poland participated by completing self-report measures. Results showed cross-country similarities and differences among the considered variables and their associative pattern. Moreover, conditional process analysis evaluating the association between maternal vs. paternal attachment and adjustment difficulties, mediated by self-control, and moderated by country, was performed. Maternal attachment directly, and indirectly through greater self-control, influenced adjustment difficulties in all four countries. This association was stronger among Spaniards. Paternal attachment influenced directly, and indirectly through self-control, on adolescents' adjustment difficulties only in Italy, Spain, and Poland, and was stronger among Polish adolescents. For Chinese adolescents, paternal attachment solely associated with adjustment difficulties when mediated by self-control. Thus, results highlighted both similarities and differences across countries in the interplay between maternal vs. paternal attachment and self-control on adolescents' adjustment difficulties. Implications are discussed.


Assuntos
Comparação Transcultural , Autocontrole , Adolescente , China/epidemiologia , Feminino , Humanos , Itália/epidemiologia , Masculino , Relações Pais-Filho , Polônia , Espanha/epidemiologia
11.
Artigo em Inglês | MEDLINE | ID: mdl-34444581

RESUMO

The aim of this study was to analyse the effect of the first year of the COVID-19 pandemic on total hip arthroplasty (THA) and total knee arthroplasty (TKA) surgical volume in Poland. A retrospective analysis of data concerning THA and TKA collected by the National Health Fund in Poland in 2019 and in 2020 has been conducted. The number of primary hip or knee arthroplasties in 2020 was around 71% and 67% of the number registered in 2019, respectively. There was also a decline in the volume of revision arthroplasties observed, with 65% and 63% of THA and TKA revisions performed in 2019. The most significant decrease was observed in April and May, and during the second wave of the pandemic in November 2020, with a decline of 87%, 55% and 56%, respectively. The results of this study show the significant impacts that the COVID-19 pandemic had on the volume of elective hip and knee arthroplasties in Poland in 2020. In comparison with 2019, a decrease of around 30% for primary and of 40% for revision arthroplasties was observed. The most significant decline was observed in April and May 2020, and during the second wave of the COVID-19 pandemic in Poland in November 2020.


Assuntos
Artroplastia do Joelho , COVID-19 , Humanos , Pandemias , Polônia/epidemiologia , Estudos Retrospectivos , SARS-CoV-2
12.
Artigo em Inglês | MEDLINE | ID: mdl-34444630

RESUMO

Recently, the interest in mushroom consumption has been growing, since their taste and low calorific value are appreciated, but also due to their nutritional value. In determining the usefulness of mushrooms in the human diet, it is important to consider the conditions of their occurrence to perform the assessment of bioaccumulation of minerals. The aim of the study was: (a) to determine the content of selected macronutrients (P, K, Ca, Mg, Na) in fruiting bodies of Boletus edulis, Imleria badia, Leccinum scabrum and the soils, (b) to determine their bioaccumulation potential taking into account the habitat conditions, and (c) an attempt to estimate their role in covering the requirement for macronutrients of the human organism. The research material was obtained in the NW of Poland: Uznam and Wolin, the Drawa Plain and the Insko Lakeland. In the soil, we determined the content of organic matter, pH, salinity and the content of absorbable and general forms of macronutrients. The content of macronutrients in mushrooms was also determined. Chemical analyses were performed using the generally accepted test methods. The study showed that in NW Poland, B. edulis grew on the acidic soils of Arenosols, and I. badia and L. scabrum grew on Podzols. The uptake of K, Mg and Ca by the tested mushrooms was positively, and P and Na negatively correlated with the content of these elements in the soil. The acidity of the soil affected the uptake of K and Mg by mushrooms. There was no effect of the amount of organic matter in the soil noticed on the content of macronutrients (except sodium) in mushrooms. Among the studied macronutrients, none of the mushrooms accumulated Ca, while P and K were generally accumulated in the highest amounts, regardless of the species. Each of the other elements was usually accumulated at a similar level in the fruiting bodies of the species we studied. The exception was I. badia, which accumulated higher amounts of Mg compared to B. edulis and L. scabrum. Mushrooms can enrich the diet with some macronutrients, especially in P and K.


Assuntos
Agaricales , Basidiomycota , Bioacumulação , Dieta , Ecossistema , Monitoramento Ambiental , Humanos , Nutrientes , Polônia
13.
BMC Med Educ ; 21(1): 450, 2021 Aug 26.
Artigo em Inglês | MEDLINE | ID: mdl-34445982

RESUMO

BACKGROUND: In March 2020, due to the SARS-CoV-2 pandemic, the Polish government ordered the closing of all medical faculties, with an obligatory shift to online learning. This lockdown continued, with a short period of blended learning, over the time of summer 2020. Distance learning had previously been rarely used within Polish medical schools, so such a sudden transfer was a major challenge. The aim of the study was to explore undergraduates' perception of online teaching provided at Polish medical faculties during the pandemic and to analyze how these experiences may inform future curriculum development. METHODS: The online survey was addressed to undergraduates at Polish medical faculties in November 2020. The questions captured demographics, epidemiological data and students' perception of various aspects of online teaching. Responses were subjected to thematic analysis and their distribution compared considering demographic parameters . RESULTS: Six hundred twenty students from thirteen medical faculties responded to the survey. Major benefits from online teaching perceived by respondents included increased convenience, enhanced quality, a sense of comfort and safety. Major complaints were associated with unsatisfactory content, technical issues, difficulties engaging, poor organization and lack of social life. Students claimed that online teaching required more self-directed learning and discipline and 57.9% considered this impact as negative. 44.5% of respondents took part in educational online activities beyond their scheduled classes. For 49.2% online examinations were reported as more stressful and for 24.8% - less stressful than traditional ones. Differences in the opinions on online teaching were found between men and women, students in early and senior years, Polish and non-Polish ones. CONCLUSIONS: The sudden move online inevitably was problematic for students. Their perspective afforded us the opportunity to consider shortcomings of pre-pandemic undergraduate curriculum. Online education requires a more self-directed learning, which was challenging for many students, so further enhancement of more autonomous study skills seems necessary. Distress expressed by students indicates the need for urgent support with mental health issues.


Assuntos
COVID-19 , Educação à Distância , Estudantes de Medicina , Controle de Doenças Transmissíveis , Feminino , Humanos , Masculino , Pandemias , Polônia/epidemiologia , SARS-CoV-2
14.
Nutrients ; 13(8)2021 Jul 27.
Artigo em Inglês | MEDLINE | ID: mdl-34444727

RESUMO

The paper presents the designs and methods of a cross-sectional study of two groups of randomly selected Polish inhabitants aged 19-64, and 65 and over, carried out as part of the National Health Program. The aim of the study was to illustrate the current health situation of the respondents in terms of nutrition and physical activity level. The quantitative and qualitative methods were used. The Computer Assisted Personal Interview technique was used. The dietary research was carried out through repeated interviews about the frequency of food consumption, and about what food had been consumed in the previous 24 h. In addition to the questionnaire studies, anthropometric data, blood pressure and the level of physical activity were measured. During the COVID-19 pandemic, some methods were modified according to hygiene rules. The Computer Assisted Telephone Interview technique was used to collect the data, and the anthropometric data were obtained via measurements made by the respondents themselves based on detailed instructions. The results will be used to present representative data for the Polish population, describing a wide range of eating behaviours and other lifestyle elements, food and nutrition knowledge, dietary supplement use, the occurrence of diet-related diseases, nutritional status and, in the seniors group, the risk of sarcopenia.


Assuntos
COVID-19/epidemiologia , Exercício Físico , Estado Nutricional , Obesidade/epidemiologia , Pandemias , Adulto , Idoso , Estudos Transversais , Dieta/métodos , Comportamento Alimentar , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Estilo de Vida , Masculino , Pessoa de Meia-Idade , Polônia/epidemiologia , Fatores de Risco , SARS-CoV-2 , Sarcopenia/epidemiologia , Inquéritos e Questionários , Adulto Jovem
15.
Pol Merkur Lekarski ; 49(292): 278-282, 2021 Aug 16.
Artigo em Inglês | MEDLINE | ID: mdl-34464368

RESUMO

Epidemiological data on serum vitamin D levels in the population of Polish patients with angiographically confirmed coronary artery disease are limited. AIM: The aim of the study was to prospectively assess the concentrations of vitamin D in a group of patients from the Cardiological Department in Bielanski Hospital in Warsaw referred for coronary angiography due to suspected coronary artery disease. MATERIALS AND METHODS: The study included a total of 1,043 qualified patients (374 women and 669 men, age: 66,9±11,0 years) who underwent coronary angiography between the years of 2013 and 2017. Plasma 25(OH)D concentrations were assessed by electrochemiluminescence. RESULTS: The median 25(OH)D concentration in the study group was 15.2 ng/ml (range: 4.0 - 55.0 ng/ml). Optimal 25(OH)D concentrations (ie., equal to or greater than 30 ng/ml) were found in 64 patients (6%). Severe deficiencies (less than 10 ng/ml) were found in 229 patients (22%). Moderate deficiencies (concentration equal to or greater than 10 ng/ml and less than 20 ng/ml) and mild deficiencies (concentration equal to or greater than 20 ng/ml and less than 30 ng/ml) were observed in 525 (50%) and 225 patients (22%), respectively. CONCLUSIONS: Vitamin D deficiency was found in 94% of residents of central Poland with angiographically confirmed coronary artery disease. 22% of patients had a severe vitamin D deficiency. Due to the documented effects of vitamin D on the cardiovascular system and the fact that cardiovascular disease (including coronary artery disease) is still the most common cause of death in developed countries, prophylactic and therapeutic strategies should be considered to combat 25(OH)D deficiency in this group of Polish patients.


Assuntos
Doença da Artéria Coronariana , Deficiência de Vitamina D , Idoso , Angiografia Coronária , Doença da Artéria Coronariana/diagnóstico por imagem , Doença da Artéria Coronariana/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Polônia/epidemiologia , Vitamina D , Deficiência de Vitamina D/epidemiologia
16.
Exp Appl Acarol ; 84(4): 769-783, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34379235

RESUMO

In recent years, a new focus of the relict tick Haemaphysalis concinna was discovered in Western Poland, near Wolsztyn, Greater Poland voivodeship. This species may play an important role in the circulation of pathogens of medical and veterinary importance. In the present study we tested 880 juvenile ticks collected from rodents, including 427 H. concinna, 443 Ixodes ricinus and 10 Dermacentor reticulatus for three of the most common pathogens vectored by ticks in Poland: Rickettsia and Babesia spp. and Borrelia burgdorferi s.l. Additionally, molecular techniques were applied for accurate identification of tick host species (the voles Microtus and Alexandromys). Our study found differences in the range and prevalence of vectored pathogens between the three tick species. DNA of all three pathogens was found in I. ricinus. In juvenile H. concinna, DNA of Babesia microti, Borrelia afzelii and Rickettsia sp. was identified. Moreover, DNA of a new unnamed Babesia species related to B. crassa, was found in two H. concinna nymphs. This genotype of Babesia was previously identified in H. concinna in the Far East and then in Central Europe. DNA of Rickettsia raoulti and B. afzelii was detected in D. reticulatus nymphs. Among rodent hosts, Alexandromys oeconomus seems to be host of the highest significance for juvenile tick stages and was the only host species with B. afzelii detected in blood samples. Using phylogenetic methods, we confirmed a clear division between rodents from the genera Microtus and Alexandromys. Moreover, we found that A. oeconomus trapped in Western Poland clustered with a Central European A. oeconomus allopatric phylogroup.


Assuntos
Ixodes , Ixodidae , Rickettsia , Animais , Filogenia , Polônia , Rickettsia/genética
17.
BMC Geriatr ; 21(1): 466, 2021 08 18.
Artigo em Inglês | MEDLINE | ID: mdl-34407761

RESUMO

BACKGROUND: For older adults, life satisfaction and depressive symptoms are related to quality of life. In this group of society, life satisfaction is particularly associated with the emotional area. The notion of life satisfaction is related to many factors, such as personality traits, moods and various life events, and poses challenges in various aspects of everyday life. Given that mental health is one of the determinants of the quality of life of older adults, it is reasonable to conduct research among this growing group of the population. The aim of this study was to assess life satisfaction and depressive symptoms in mentally active older adults in Poland. METHODS: The study covered 125 attendees at the University of Healthy Senior (UHS) and 125 auditing students at the University of Psychogeriatric Prophylaxis (UPP), organised by the Faculty of Health Sciences at the Medical University of Bialystok, of whom 78.3% were female and 21.7% male. The study was conducted using four standardised scales: the Satisfaction with Life Scale (SWLS), Beck Depression Inventory, Geriatric Depression Scale (GDS), and Hospital Anxiety and Depression Scale (HADS). RESULTS: Seniors who participated in the study were satisfied with their lives; the average SWLS score was 23 points. Men rated their level of satisfaction higher than women: the median score on the SWLS was 26 points for men and 23 points for women. Life satisfaction and mental disorders did not differ on the basis of sex, age, or education (the type of place of education attended). As the level of depression increased, life satisfaction decreased. Statistically significant correlations of average strength were found between the point values of the four measures of depression under consideration and were evenly distributed from 0.57 to 0.69. CONCLUSIONS: The high level of life satisfaction and a low level of mental disorders should be maintained in this population, and additional educational activities should be organised among seniors on a large scale. There were no differences in the distribution of psychometric measure scores among the three compared age groups of respondents in this study. Each of the questionnaires used measured of different aspects of depressive conditions, and it is worth using them in parallel rather than interchangeably.


Assuntos
Depressão , Satisfação Pessoal , Idoso , Estudos Transversais , Depressão/diagnóstico , Depressão/epidemiologia , Feminino , Humanos , Masculino , Polônia/epidemiologia , Qualidade de Vida
18.
Sensors (Basel) ; 21(15)2021 Jul 23.
Artigo em Inglês | MEDLINE | ID: mdl-34372232

RESUMO

The influence of wind on the maneuverability of sea-going vessels is a known factor limiting their maneuverability, especially in the case of very large vessels. Adverse weather conditions often limit the maneuverability of vessels or even make it impossible to enter the port. This results in longer delivery times for transported goods as well as measurable material losses for both carriers and their owners. This situation is often caused by a lack of information on differences in the prevailing weather conditions at the entrance to the port and at the seaport itself. There are simulation tools, such as the methods of computational fluid dynamics (CFD), which, after their appropriate adaptation and use in a virtual environment, have become important decision-making tools supporting the port administration when deciding about the movement of vessels. In this article, the authors present the results of research aimed at adapting one of the CFD methods for the needs of maritime navigation. The effects of the work were verified in a virtual environment and were successfully implemented in the port waters of Gdansk, Poland.


Assuntos
Hidrodinâmica , Vento , Simulação por Computador , Humanos , Polônia , Reprodutibilidade dos Testes
19.
Sensors (Basel) ; 21(15)2021 Jul 31.
Artigo em Inglês | MEDLINE | ID: mdl-34372442

RESUMO

In this paper, we present a detailed analysis of the public data provided by low-cost sensors (LCS), which were used for spatial and temporal studies of air quality in Krakow. A PM (particulate matter) dataset was obtained in spring in 2021, during which a fairly strict lockdown was in force as a result of COVID-19. Therefore, we were able to separate the effect of solid fuel heating from other sources of background pollution, mainly caused by urban transport. Moreover, we analyzed the historical data of PM2.5 from 2010 to 2019 to show the effect of grassroots efforts and pro-clean-air legislation changes in Krakow. We designed a unique workflow with a time-spatial analysis of PM1, PM2.5, and PM10, and temperature data from Airly(c) sensors located in Krakow and its surroundings. Using geostatistical methods, we showed that Krakow's neighboring cities are the main sources of air pollution from solid fuel heating in the city. Additionally, we showed that the changes in the law in Krakow significantly reduced the PM concentration as compared to neighboring municipalities without a fossil fuel prohibition law. Moreover, our research demonstrates that informative campaigns and education are important initiating factors in order to bring about cleaner air in the future.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , COVID-19 , Poluentes Atmosféricos/análise , Poluição do Ar/análise , Cidades , Controle de Doenças Transmissíveis , Monitoramento Ambiental , Calefação , Humanos , Pandemias , Material Particulado/análise , Polônia , SARS-CoV-2
20.
Front Public Health ; 9: 680975, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34395362

RESUMO

Antibiotic resistance is one of the most important public health threats worldwide. Antimicrobial misuse and overuse are well-recognized risk factors for the resistance emergence and spread. Monitoring of antibiotic consumption (AC) is an important element in strategies to combat antibiotic resistance. As a result of AC surveillance in Poland, regional differences in AC levels were observed. This study aimed to characterize the regional AC in the period 2013-2017 in primary care in Poland and to assess the possible determinants that influence the AC at the regional level. The study analyzed relationships between AC and its factors (grouped in three different categories: demographic, economic, and related to the organization of healthcare). Data covered AC in primary care in 5 years period (2013-2017) from all 16 Polish voivodeships. The AC primary care data were sales data, expressed in defined daily doses (DDD) according to the WHO methodology. The yearly data on demographic, economic, and related healthcare factors were downloaded from the Central Statistical Office of Poland. Standard statistical parameters were used to characterize the AC. Non-standardized regression coefficients were used to estimate the quantitative dependence of variables. The strongest correlation was demonstrated with factors related to employment, female reproductive activity, mobility of the population, the number of outpatient consultations, and the number of dentists. A correlation was also found between population mobility and density. Recognized risk factors for increased AC should be a priority for interventions implementing and disseminating rational antibiotic policy.


Assuntos
Antibacterianos , Atenção Primária à Saúde , Antibacterianos/uso terapêutico , Atenção à Saúde , Resistência Microbiana a Medicamentos , Feminino , Humanos , Polônia/epidemiologia
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...