Przeglad lekarski最新文献

{"title":"[Opinions and attitudes of school employees on selected elements of tobacco control policies and strategies for tobacco control].","authors":"Marek Milcarz,&nbsp;Adam Rzeźnicki,&nbsp;Piotr Wojtysiak,&nbsp;Dorota Kaleta","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>The World Health\u0000Organization has taken actions at\u0000international level in order to reduce\u0000the tobacco epidemic. Therefore\u0000Framework Convention on Tobacco\u0000Control and MPOWER package were\u0000developed. The strategies contained\u0000in these documents are considered\u0000to be the most effective and efficient.\u0000Compliance with these guidelines\u0000and broad public support for the implemented\u0000solutions has positive effects\u0000on the population level, and also\u0000at the local level, eg. voivodeship or\u0000district.\u0000The aim of the study was to investigate\u0000the attitudes and opinions\u0000of employees of schools on selected\u0000elements of tobacco control policies\u0000and strategies for tobacco control.</p><p><strong>Material and methods: </strong>During the period from November 2014 and May\u00002015 employees working in 60 schools\u0000in Piotrkowski county were examined.\u0000Conducting a survey among the personnel\u0000employed in schools an anonymous\u0000questionnare adopted from\u0000the study Global School Personnel\u0000Survey (GSPS) was applied.</p><p><strong>Results: </strong>Among all surveyed every\u0000third respondent believes that\u0000smoking bans in the workplace help\u0000smokers to stop smoking. Among all\u0000respondents, half of the respondents\u0000believe that smoking bans in the\u0000workplace help former smokers to\u0000maintain tobacco abstinence. Among\u0000all respondents 37.4% declared their\u0000support for raising taxes on tobacco\u0000products.</p><p><strong>Conclusions: </strong>Effective implementation\u0000of smoking ban in public\u0000places and the introduction of other\u0000provisions of the Act on the protection\u0000of health against consequences\u0000of tobacco use and tobacco products\u0000require broad information campaigns\u0000to increase support to tobacco control\u0000activities.</p>","PeriodicalId":21148,"journal":{"name":"Przeglad lekarski","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36038283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Hygienic habits and health behaviors in patients with obesity].","authors":"Anna Lehmann-Kalata,&nbsp;Anna Wędrychowicz-Welman,&nbsp;Anna Kurhańska-Flisykowska,&nbsp;Ewelina Swora-Cwynar,&nbsp;Marian Grzymisławski,&nbsp;Anna Surdacka","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Smoking is the most\u0000common addiction in the world. Coexistence\u0000of smoking and obesity\u0000lead to a significant increase in the\u0000risk of cardiovascular diseases. It is\u0000also known that both the tobacco and\u0000excessive weight have a negative impact\u0000on oral health.</p><p><strong>Aim: </strong>Assessment of the frequency\u0000of smoking, hygienic habits and\u0000healthy behaviors in people with obesity.</p><p><strong>Material and methods: </strong>The study\u0000included 125 people, of both sexes,\u0000aged from 20 to 65 years. The study\u0000group consisted of patients Clinic of\u0000Internal Medicine, Metabolic and Nutrition,\u0000Poznań University of Medical\u0000Sciences with a BMI> 25 kg/m2, control\u0000group - patients Clinic of Conservative\u0000Dentistry and Periodontology,\u0000Poznań University of Medical\u0000Sciences of normal weight (BMI <25\u0000kg/m2). All participants were asked to\u0000complete a short survey on smoking,\u0000frequency of dental checkups and hygiene\u0000habits associated with the oral\u0000cavity.</p><p><strong>Results: </strong>In both groups of patients,\u0000obese and normal weight, we\u0000found similar percentages of smokers:\u000025 and 24.24%. Both groups\u0000showed a similar time of brushing,\u0000however, we found statistically significant\u0000differences in the frequency\u0000of tooth brushing.</p><p><strong>Conclusion: </strong>Despite the similar\u0000results obtained during the survey in\u0000both groups of patients, it seems necessary\u0000to take patients with obesity\u0000particularly dental care, enhancement\u0000of preventive measures as well as incitement\u0000to refrain from smoking.</p>","PeriodicalId":21148,"journal":{"name":"Przeglad lekarski","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36039111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Smoking habit among parents of kids with respiratory system allergies during 10 years observation].","authors":"Grzegorz Przybylski,&nbsp;Anna Piechnik,&nbsp;Marta Pilaczyńska-Cemel,&nbsp;Agnieszka Nowakowska-Arendt","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Allergies of the respiratory system\u0000are very often at children and\u0000are a global problem and still increasing.\u0000Passive smoking may predispose\u0000to allergies. Assuming that\u0000anti-smoking education conducted\u0000among of the children’s parents during\u0000each control visit to the Allergy\u0000Clinic affects the behavior of the\u0000parents, we decided to analyze its\u0000effectiveness.</p><p><strong>Materials and methods: </strong>The study\u0000comprised parents of 946 children\u0000at the Allergy Clinic, who were diagnosed\u0000and treated in years 2005-2014.\u0000The anti-nicotine education was applied\u0000by whole period of observation\u0000during routine medical visits. The outcome\u0000of an anti-smoking education\u0000achieved nearly 70 % efficiency.</p><p><strong>Results: </strong>Anti-nicotine education\u0000of the children’s parents diseased on\u0000chronic allergic diseases of respiratory\u0000system is very good restrictive\u0000agent their exposition on smoking\u0000the tobacco. Contemporaneously\u0000in eftective way influences on decisions\u0000of adults about cessation\u0000smoking and the healthy style ot life\u0000promotes.</p>","PeriodicalId":21148,"journal":{"name":"Przeglad lekarski","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36039115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Honey bee venom allergy diagnostics].","authors":"Wojciech Dyga,&nbsp;Marcin Stobiecki,&nbsp;Ewa Czarnobilska","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Honey bee venom (Apis mellifera)\u0000is a mixture of many components,\u0000both amines, peptides enzymes and\u0000toxins. Most of the enzymes are allergens\u0000with different allergenic potential.\u0000It may affect not only to the\u0000symptoms, it may also contribute to\u0000the success of immunotherapy. In\u0000some cases the problem of a bee venom\u0000allergy diagnosis is difficult due\u0000to the imperfection of the classical\u0000diagnostic methods. In the present\u0000work reports in the literature regarding\u0000the bee venom allergy diagnosis\u0000on the basis of identification of the\u0000venom allergen sIgE to components\u0000are summarized.\u0000The use of recombinant allergens\u0000has allowed for the study of sIgE\u0000against the allergenic components,\u0000and thus determination of the individual\u0000profile of allergy. Extending the\u0000test panel of bee venom components\u0000to rApi m10 and rApi m3 compared\u0000to rApi m1 increases the diagnostic\u0000sensitivity by identifying new allergens\u0000that are not always present in\u0000the available preparations used in immunotherapy.</p>","PeriodicalId":21148,"journal":{"name":"Przeglad lekarski","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36042355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Food hypersensitivity in patients with pollen allergy].","authors":"Jacek Gocki,&nbsp;Joanna Kołodziejczyk,&nbsp;Michał Przybyszewski,&nbsp;Zbigniew Bartuzi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Clinical observations indicate\u0000the frequently reported food hypersensitivity\u0000among patients, sensitive\u0000to airborne allergens. Symptoms\u0000of food hypersensitivity in\u0000this group of patients are often exacerbated\u0000during the pollen season.\u0000These reactions may be the results\u0000of cross-reactions between pollen\u0000and food allergens or food and pollen\u0000allergy coexisting. The aim of\u0000the study was to determine the incidence\u0000of food hypersensitivity in\u0000patients allergic to airborne allergens,\u0000the type of clinical manifestations\u0000and a kind of food frequently\u0000causing the symptoms. Retrospective\u0000analyses of case records of 55\u0000randomly selected patients with airborne\u0000allergy aged from 18 to 72 yrs\u0000(mean 55 yrs), including 28 women\u0000ranging in age from 18 years to 62\u0000yrs (mean 36 yrs) and 27 men aged\u0000from 18 to 72 yrs (mean 34 yrs) were\u0000carried out. All patients underwent\u0000skin prick tests with the following allergens:\u0000grass, rye, birch, alder, hazel,\u0000mugwort, plantain, Dermatophagoides\u0000farinae, Dermatophagoides\u0000pteronyssinus, skin dog, cat dander,\u0000Alternaria alternata, Cladosporium\u0000herbarum. We assessed the type\u0000of clinical manifestations of pollen\u0000allergy and evaluated the type of\u0000clinical manifestations of food hypersensitivity\u0000and the type of foods\u0000that caused it. In the examined 55\u0000patients, 15 individuals reported\u0000food hypersensitivity (27.2%), the\u0000most frequently after consumption\u0000of apples, carrots, cherry, peach,\u0000hazelnut, walnut, celery and nectarines.\u0000Clinical manifestation of food\u0000hypersensitivity was mainly oral allergy\u0000syndrome (OAS). Hypersensitivity\u0000to food above all was reported\u0000by patients with allergic rhinitis,\u0000sensitive to grass and tree pollen.\u0000Due to the high prevalence of food\u0000hypersensitivity in patients allergic\u0000to airborne allergens, it seems advisable\u0000to consider avoiding eating\u0000some foods, such as apple, carrots,\u0000cherries, peach, particularly frequently\u0000cross-reacting with grass\u0000and trees allergens. This dietary restriction\u0000can prevent about 30% of patients with inhalant\u0000allergy against onset of oral allergy.</p>","PeriodicalId":21148,"journal":{"name":"Przeglad lekarski","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36042428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Cancer patients expectations of their doctors].","authors":"Anna Kornaś,&nbsp;Barbara Bętkowska-Korpała","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The evaluation of expectations\u0000of patients is one of the elements of\u0000evaluation of patient’s satisfaction\u0000from the received medical services.\u0000The degree to which these expectations\u0000are met determinates the level\u0000of patient’s motivation to complete\u0000doctor’s orders and undertake actions\u0000aiming the diagnostic and therapeutic\u0000process.\u0000Cancers as diseases of affluence\u0000are a significant clinical and social issue.\u0000In the context of holistic patient\u0000care the research of cancer patient’s\u0000expectations are of special importance.\u0000The aim of the work is to present\u0000definitions and types of expectations\u0000that the cancer patients have of their\u0000doctors and the methodology of\u0000research in this field. The work was\u0000performed on basis of analysis of publications\u0000found in MEDLINE , EMBASE,\u0000PsycINFO, Web of Science databases\u0000and concerning results of research\u0000of patient’s expectations. First part of\u0000the article discusses the definitions\u0000and type of patient’s expectations of\u0000doctors. Then the begins of research\u0000on the expectations of patients were\u0000described, including the input of Polish\u0000authors in this field. Then we moved\u0000on to discuss research evaluating the\u0000expectations of cancer patients.\u0000In comparing the different researches\u0000we conclude, that the cancer patients\u0000declare their need of support and expect\u0000information regarding their treatment.\u0000What those expectations require\u0000from the doctors, is the development of\u0000communication skills that are adjusted\u0000to the situation on every stage of the\u0000diagnostic and therapeutic processes\u0000as well as knowledge of the ways the\u0000patients can cope with their disease.</p>","PeriodicalId":21148,"journal":{"name":"Przeglad lekarski","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36042546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of respiratory tract infections, allergies and assessment of humoral immunity within the Malopolska region's cohort of 11- year old children born with extremely low birth weight in comparison with to their term born peers.","authors":"Magdalena Zasada,&nbsp;Małgorzata Klimek,&nbsp;Wojciech Durlak,&nbsp;Monika Kotula,&nbsp;Tomasz Tomasik,&nbsp;Przemko Kwinta","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Children born with extremely low birth weight (ELBW) have more respiratory tract complications during childhood. Little is known about respiratory and allergy problems in ELBW children at the threshold of adolescence.</p><p><strong>Materials and methods: </strong>A follow-up study was conducted at the age of 11 among ELBW children (n=65) and age-matched controls (n=36). The primary outcomes in the study were the occurrence of respiratory and allergy problems and the rate of hospitalization due to respiratory complications at the age of 11 years, assessed with a questionnaire. Secondary outcome variables were serum levels of immunoglobulin classes.</p><p><strong>Results: </strong>ELBW children had more respiratory tract infections (31 vs.11%, p = 0.03), but less allergies (3 vs. 22%, p < 0.01) compared with controls and had lower level of serum tIgE (geometric mean: 46.5 vs. 89.3 kU/l, p = 0.02). The risk factors for the occurrence of respiratory tract disorders in the ELBW group were: low gestational age, need for surfactant therapy and length of ventilatory support in the neonatal period.</p><p><strong>Conclusions: </strong>ELBW children have more frequent respiratory tract complications, but fewer allergies at the age of 11 years compared with children born at term. Lower respiratory tract problems decrease in ELBW children with age. Respiratory tract infections are not connected with deficiency in humoral immunity.</p>","PeriodicalId":21148,"journal":{"name":"Przeglad lekarski","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34308558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Cardiac syndrome X--epidemiology, diagnostics, ethiopatoghenesis, prognosis, treatment and latest guidelines].","authors":"Mariusz Kret","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Since first performed coronary angiography it was noticed that many patients with chest pain, abnormal rest electrocardiogram and positive stress test have normal result of coronary angiogram. The cause of this wasn't known. For the first time this disorder was named cardiac syndrome X by Harvey Kemp in 1973. In the new 2013 European Society of Cardiology guidelines regarding diagnosis and treatment of stable coronary artery disease, term cardiac syndrome X was substituted by \"angina with normal coronary arteries\". This article elaborates epidemiology, diagnostics, ethiopatoghenesis, prognosis and treatment of patients with diagnosis of term cardiac syndrome X in the light of the latest studies and guidelines.</p>","PeriodicalId":21148,"journal":{"name":"Przeglad lekarski","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34436991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Risk factors of death occurrence in patients with acute kidney injury in the course of severe cardio-vascular complications].","authors":"Ewa Ignacak,&nbsp;Grażyna Wyrwicz-Zielińska,&nbsp;Izabela Krzysztonek-Weber,&nbsp;Władysław Sułowicz","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Acute kidney injury (AKI) is a frequent and serious complication in patients with cardiovascular disease. The aim of the study was to evaluate the risk of death in patients with AKI complicating severe cardiovascular diseases.</p><p><strong>Material and methods: </strong>A retrospective analysis of 246 patients surveys (157 men and 89 women aged 67.9 ± 14.8 years) with AKI in the course of severe cardiovascular diseases, hospitalized in intensive care units and words of nephrological profile in years 2000-2011 were performed.</p><p><strong>Results: </strong>The majority of patients (95.9%) with AKI required hemodialysis treatment. The mortality rate in the study group was high and amounted to 69.5% and the recovery of renal function was observed in 39 patients (27.3%). Kidney disease before the onset of AKI was observed in 116 patients (47.2%). Patients with arterial hypertension have more frequently oligoanuria (p = 0.001), needs more hemodialysis sessions (p = 0.029) and stay longer in hospital (p = 0.012). In multivariate analysis, the occurrence of death depend on such factors as: the lack of recovery of renal function, bleeding from gastrointestinal tract, urinary tract infections, and other infectious and noninfectious complications.</p><p><strong>Conclusions: </strong>No recovery of renal function and comorbidity while AKI in the course of severe cardiovascular diseases increase the risk of death.</p>","PeriodicalId":21148,"journal":{"name":"Przeglad lekarski","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34498648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Others physical methods in psychiatric treatment based on electromagnetic stimulation].","authors":"Tomasz Zyss,&nbsp;Wojciech Rachel,&nbsp;Wojciech Datka,&nbsp;Robert T Hese,&nbsp;Piotr Gorczyca,&nbsp;Andrzej Zięba,&nbsp;Wojciech Piekoszewski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the last decades a few new physical methods based on the electromagnetic head stimulation were subjected to the clinical research. To them belong:--vagus nerve stimulation (VNS),--magnetic seizure therapy/magnetoconvulsive therapy (MST/MCT),--deep stimulation of the brain (DBS) and--transcranial direct current stimulation (tDCS). The paper presents a description of mentioned techniques (nature, advantages, defects, restrictions), which were compared to the applied electroconvulsive treatment ECT, earlier described transcranial magnetic stimulation TMS and the pharmacotherapy (the basis of the psychiatric treatment).</p>","PeriodicalId":21148,"journal":{"name":"Przeglad lekarski","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34499667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}