Wiadomosci lekarskie最新文献_第4页

Foodstuffs for particular nutritional purposes and dietary supplements in the legal-medical context. 用于特殊营养目的的食品和法律医疗用途的膳食补充剂。

Wiadomosci lekarskie Pub Date : 2025-01-01 DOI: 10.36740/WLek/202429

Rafał Patryn, Agnieszka Kowalska-Olczyk, Michał Sekuła, Joanna Niezbecka-Zając, Juliana Woszczyło

{"title":"Foodstuffs for particular nutritional purposes and dietary supplements in the legal-medical context.","authors":"Rafał Patryn, Agnieszka Kowalska-Olczyk, Michał Sekuła, Joanna Niezbecka-Zając, Juliana Woszczyło","doi":"10.36740/WLek/202429","DOIUrl":"https://doi.org/10.36740/WLek/202429","url":null,"abstract":"Foodstuffs for special dietary purposes are products that, due to their special method of preparation or composition, differ from common foodstuffs and are intended to meet the nutritional needs of specific groups of consumers, such as oncology patients. The indication for the use of these products is to provide the body with essential nutrients in the right proportions, thereby improving or maintaining the current state of health. Dietary supplements are also food products that contain vitamins and other substances, and their intake is aimed at helping to maintain specific nutrients in the human body at the appropriate level.Dietary supplements should be used under medical supervision and at a dosage determined by the body's needs. Both of the above-mentioned groups of nutritional products are gaining increasing popularity among consumers. Many of them, encouraged by the described health benefits, use and dose these products without consulting a doctor or pharmacist, often exceeding the recommended intake and even replacing a well-balanced diet, which can pose a serious health risk.These products, in combination with certain medications, can also pose a serious risk of adverse effects, especially in the elderly population taking multiple medications.Therefore, their use should be cautious, and in case of any doubts, it should be preceded by consultation with a doctor or pharmacist.","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 3","pages":"559-564"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000125","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}

引用次数: 0

Epidemiology, treatment and diagnosis of Hepatitis C virus infections. 丙型肝炎病毒感染的流行病学、治疗和诊断。

Wiadomosci lekarskie Pub Date : 2025-01-01 DOI: 10.36740/WLek/202252

Nisreen Jawad Kadhim, Laith M Abbas Al-Huseini, Fadhl Alzamili, Ali Mansoor Al Ameri

引用次数: 0

Certain ethical issues that arise when using 3D bioprinting technology. 使用3D生物打印技术时出现的某些伦理问题。

Wiadomosci lekarskie Pub Date : 2025-01-01 DOI: 10.36740/WLek/203904

Viktor V Zaborovskyy, Olena V Ustych, Tereziia P Popovych, Vasil V Manzyuk

引用次数: 0

Features of clinical flow of traumatic illness on a background chronic stress. 慢性应激背景下创伤性疾病的临床流特征。

Wiadomosci lekarskie Pub Date : 2025-01-01 DOI: 10.36740/WLek/203903

Stepan S Filip, Rudolf M Slivka, Andrii M Bratasiuk, Yuriy P Skrypynets, Antonina V Varvarynets

引用次数: 0

Effective strategies for the treatment of eyelid diseases in modern ophthalmology. 现代眼科眼睑疾病的有效治疗策略。

Wiadomosci lekarskie Pub Date : 2025-01-01 DOI: 10.36740/WLek/205359

Rimma L Skrypnyk, Nataliia A Tykhonchuk, Inna D Skrypnychenko, Alla I Zadorozhna, Nataliia W Zhaboedova, Oksana I Parfonova

{"title":"Effective strategies for the treatment of eyelid diseases in modern ophthalmology.","authors":"Rimma L Skrypnyk, Nataliia A Tykhonchuk, Inna D Skrypnychenko, Alla I Zadorozhna, Nataliia W Zhaboedova, Oksana I Parfonova","doi":"10.36740/WLek/205359","DOIUrl":"https://doi.org/10.36740/WLek/205359","url":null,"abstract":"Objective: Aim: Investigate the effectiveness of micellar foam containing tea tree oil and Roman chamomile oil in preoperative eyelid sanitation in patients with blepharitis.Patients and methods: Materials and Methods: The study involved 37 patients with blepharitis, aged 28-62. Patients were split into two groups: 22 who used micellar foam preoperatively and 15 who did not. Diagnoses included chronic, seborrheic, and demodicosis blepharitis. Symptoms and signs were monitored over a ten-day treatment period, showing varied responses to micellar foam.Results: Results: The study showed a significant improvement in blepharitis symptoms with the use of foam containing tea tree and Roman chamomile oils. Patients reported reduced dryness, scaling, hyperemia, and itching. Microscopic examination showed disappearance of scales and couplings, and reduced hyperemia. Bacterial contamination decreased significantly, with good tolerance to the treatment.Conclusion: Conclusions: Recent literature and our study indicate that women predominantly suffer from blepharitis, possibly due to their higher medical service utilization. Most cases were mild to moderate, with multifactorial causes and bacterial influence. Eight patients (36.4%) had non-bacterial blepharitis. Understanding blepharitis epidemiology helps in pathogenetically targeted treatment. The innovative micellar foam with tea tree oil and chamomile shows positive results and reduces antibiotic resistance risks.","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 5","pages":"1006-1012"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317984","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}

引用次数: 0

Development and validation of a new diagnostic tool for identifying burnout syndrome. 开发和验证一种新的诊断工具，以确定倦怠综合征。

Wiadomosci lekarskie Pub Date : 2025-01-01 DOI: 10.36740/WLek/205365

Oleg S Chaban, Olena O Khaustova, Vitaliy Yu Omelyanovich

{"title":"Development and validation of a new diagnostic tool for identifying burnout syndrome.","authors":"Oleg S Chaban, Olena O Khaustova, Vitaliy Yu Omelyanovich","doi":"10.36740/WLek/205365","DOIUrl":"https://doi.org/10.36740/WLek/205365","url":null,"abstract":"Objective: Aim: To creation the first Ukrainian burnout syndrome diagnostic scale and confirm the quality of its psychometric characteristics.Patients and methods: Materials and Methods: The study was conducted using a newly developed questionnaire administered to 1,405 academic staff members of higher educational institutions in Ukraine. Test validation was carried out using exploratory factor analysis, Spearman's rank correlation coefficient, Ferguson's δ coefficient, Cronbach's α coefficient, Guttman's split-half coefficient, and the Spearman-Brown equivalent forms coefficient.Results: Results: The criterion validity was assessed through factor analysis, yielding 10 factors. Consequently, the initial version of the questionnaire was reduced by 10 items with the lowest factor loadings. The final version consists of 50 items with a dichotomous response scale. The discriminatory power of the questionnaire, evaluated using Ferguson's δ coefficient, was found to be extremely high (δ-Ferguson = 0.988). Consistency indices also demonstrated high reliability: α-Cronbach = 0.877; Guttman split-half = 0.848; Equal-length Spearman-Brown = 0.857. The concurrent reliability of the questionnaire was assessed using Spearman's correlation analysis, showing statistically significant positive correlations of most questionnaire items with the overall test score (≥ 0.419; p ≤ 3.29E-15).Conclusion: Conclusions: The obtained results confirm the feasibility of using the first Ukrainian \"Questionnaire for Identifying Burnout Syndrome\" (© Chaban O.S., 2025) in practical psychology, medicine, and burnout research.","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 5","pages":"1037-1044"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317981","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}

引用次数: 0

The interconnections of different types of fertiliser consumption on disability-adjusted life years of digestive system diseases in European countries. 欧洲国家不同类型肥料消费对消化系统疾病残疾调整生命年的相互关系。

Wiadomosci lekarskie Pub Date : 2025-01-01 DOI: 10.36740/WLek/205403

Vladyslav Smiianov, Maksim Husenko, Olena Vishnikina, Olena Churikanova, Tetiana Vasylieva

{"title":"The interconnections of different types of fertiliser consumption on disability-adjusted life years of digestive system diseases in European countries.","authors":"Vladyslav Smiianov, Maksim Husenko, Olena Vishnikina, Olena Churikanova, Tetiana Vasylieva","doi":"10.36740/WLek/205403","DOIUrl":"https://doi.org/10.36740/WLek/205403","url":null,"abstract":"Objective: Aim: This study examines the impact of different fertiliser types - phosphate, nitrogen, and potash -and pesticide use on disability-adjusted life years (DALYs) associated with digestive system diseases in European countries. It focuses on pancreatitis, upper digestive system disorders, and non-alcoholic fatty liver disease (NAFLD), including cirrhosis.Patients and methods: Materials and Methods: Using a balanced panel dataset covering 39 European countries from 2006 to 2021, the study incorporates data from the Global Burden of Disease database (DALYs), the Food and Agriculture Organization (fertiliser and pesticide use), and the World Bank (trade indicators). A fixed-effects regression model was applied to assess the influence of agricultural chemical use and trade dynamics on DALYs.Results: Results: Pesticide use per hectare was significantly associated with higher DALYs for NAFLD, indicating substantial health risks. Nitrogen fertiliser use showed a protective effect against DALYs for upper digestive diseases and pancreatitis. In contrast, excessive potash application was linked to increased DALYs for pancreatitis. The effects of phosphate use varied by disease type. Trade-related interaction terms demonstrated complex and sometimes amplifying effects on health outcomes.Conclusion: Conclusions: Agricultural inputs have both beneficial and adverse health implications. While essential for productivity, their misuse can contribute to chronic disease burdens. The findings highlight the importance of sustainable farming practices and regulatory oversight. Integrating health metrics such as DALYs into agricultural and environmental policy could improve public health outcomes across Europe.","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 5","pages":"1176-1183"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318094","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}

引用次数: 0

Problems of antimicrobial resistance in the primary health care system (results of the sociological study). 初级卫生保健系统中抗菌素耐药性问题（社会学研究结果）。

Wiadomosci lekarskie Pub Date : 2025-01-01 DOI: 10.36740/WLek/205352

Valery M Lekhan, Nadiia V Puchkova, Mykola I Zaiarskyi

{"title":"Problems of antimicrobial resistance in the primary health care system (results of the sociological study).","authors":"Valery M Lekhan, Nadiia V Puchkova, Mykola I Zaiarskyi","doi":"10.36740/WLek/205352","DOIUrl":"https://doi.org/10.36740/WLek/205352","url":null,"abstract":"Objective: Aim: To assess the level of awareness of primary health care physicians regarding the problem of antimicrobial resistance and identify the main obstacles to the rational use of antibiotics in practice.Patients and methods: Materials and Methods: A sociological survey was conducted among primary health care physicians using a specially designed questionnaire containing questions on knowledge, antibiotic prescribing practices, and ways to address the problem of antimicrobial resistance. The survey was conducted in January 2025. Descriptive and analytical statistics were used to analyze the results obtained from 221 respondents.Results: Results: Most respondents (about 90%) encountered cases of antimicrobial resistance in their work. The respondents named the following as the main reasons: the use of antibiotics without a prescription (87.8% of respondents), their excessive use (80.1%), and non-compliance by patients with the course of treatment (77.8%). Analysis of the responses shows that respondents sometimes prescribe antibiotics from the watch and reserve groups (53.4% and 29%, respectively), regularly prescribe antibiotics without a prescription (14%), use injectable antibiotics (21% of respondents); 54.3% note that patients often take antibiotics on their own.Conclusion: Conclusions: The survey results show that antimicrobial resistance is a serious problem in the primary healthcare system. Primary care physicians often do not follow recommendations for selecting and prescribing antibiotics. Effectively solving the problem requires a comprehensive approach, which should include improving antibiotic stewardship, increasing the level of knowledge of medical professionals, and widely informing the population about their proper use.","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 5","pages":"981-987"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318073","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}

引用次数: 0

Healthcare fraud in the United States of America and Ukraine: A comparative legal research. 美利坚合众国和乌克兰的医疗保健欺诈：比较法律研究。

Wiadomosci lekarskie Pub Date : 2025-01-01 DOI: 10.36740/WLek/207347

Anzhela B Berzina, Pavlo S Berzin, Ruslan A Volynets, Olga M Koval, Nataliia V Marushchak, Mykhailo B Holovko, Iryna Y Khmil

{"title":"Healthcare fraud in the United States of America and Ukraine: A comparative legal research.","authors":"Anzhela B Berzina, Pavlo S Berzin, Ruslan A Volynets, Olga M Koval, Nataliia V Marushchak, Mykhailo B Holovko, Iryna Y Khmil","doi":"10.36740/WLek/207347","DOIUrl":"https://doi.org/10.36740/WLek/207347","url":null,"abstract":"Objective: Aim: To conduct a comparative legal study of healthcare fraud in the United States of America and Ukraine.Patients and methods: Materials and Methods: This study is based on the analysis of the US federal regulatory legislation (False Claims Act, Anti-Kickback Statute, Stark Law); data from the Fraud Section of the US Department of Justice for the last five years; case law in Ukraine (more than 30 court verdicts were analysed); data from the National Health Service of Ukraine. Dialectical, hermeneutic, comparative, analytical, synthetic, and systems analysis research methods were used.Results: Results: The criminal legislation acts that provide for criminal liability for healthcare fraud under the laws of the United States and Ukraine are analysed; the criteria for identifying types of healthcare fraud and related criminal offences are defined. It is determined that healthcare fraud has a multidimensional nature, which can manifest itself in different ways, but the common purpose in these manifestations of criminal behaviour is deception or intentional distortion of facts to obtain money or property that is under the control of or owned by any healthcare benefit programme (in the US) or medical guarantees programme (in Ukraine). There are various illegal manipulations with the state programme of medical guarantees. Starting from 2021, the judicial practice of Ukraine lacks a single acceptable approach to the criminal legal assessment of such illegal manipulations.Conclusion: Conclusions: The experience of the United States in determining the types of criminal offences that constitute healthcare fraud and establishing criminal liability for their commission is appropriate to borrow.","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 6","pages":"967-973"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691709","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}

引用次数: 0

Protection of сhildren's rights to access palliative medical services: Legal problems. 保护儿童获得缓和医疗服务的权利：法律问题。

Wiadomosci lekarskie Pub Date : 2025-01-01 DOI: 10.36740/WLek/207368

Oleksandr M Shevchuk, Anatolii M Shevchuk, Olena O Holovash, Oleksandr O Mykhailenko, Arina O Ivanytsia

{"title":"Protection of сhildren's rights to access palliative medical services: Legal problems.","authors":"Oleksandr M Shevchuk, Anatolii M Shevchuk, Olena O Holovash, Oleksandr O Mykhailenko, Arina O Ivanytsia","doi":"10.36740/WLek/207368","DOIUrl":"https://doi.org/10.36740/WLek/207368","url":null,"abstract":"Objective: Aim: To identify legal issues in protecting children's rights to palliative care in Ukraine, to propose basic guarantees of their rights, and to note trends in foreign practice.Patients and methods: Materials and Methods: The study is based on its theoretical and empirical basis, the system of methods of scientific knowledge. The theoretical basis includes scientific articles, expert analysis of legislation and international organizations.Results: Results: The implementation of children's right to palliative care can be classified as universal and special. In the implementation of this right, children often face inadequate representation of their interests and shortcomings in the provision of medical services to them. As a result, the right of children to quality medical care when receiving palliative care, the right of children to receive palliative care at home, the right of the child to consent to receiving palliative care, the right of children to confidentiality and protection of personal data when receiving palliative care, and the right of children to privacy in this area are violated.Conclusion: Conclusions: Accessibility of children's rights to palliative medical care is an important aspect of ensuring the implementation of one of the fundamental, inalienable human rights to life and health as the highest social values.","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 6","pages":"1078-1082"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691728","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}

引用次数: 0