Medical Science Pulse最新文献

{"title":"Assessment of virtual healthcare: predictors of access and utilization before, during,\u0000and after the COVID-19 pandemic","authors":"W. Hills, Matthew Murphy, Karen T. Hills","doi":"10.5604/01.3001.0015.5391","DOIUrl":"https://doi.org/10.5604/01.3001.0015.5391","url":null,"abstract":"Background: Societal needs highlighted by the ongoing COVID-19 pandemic have resulted in rapid telehealth development and implementation. The broadening of guidelines for practice by regulatory bodies have\u0000allowed providers to employ video-capable devices in the virtual delivery of services to physical- and mentalhealth clients located across a broad range of settings.\u0000Aim of the study: This study examined use of synchronous, video-based, virtual healthcare before and during the COVID-19 pandemic. This included a comparison of: access for physical and mental health needs;\u0000differential assessment of service provision by professionals; consumer satisfaction; and, anticipated future\u0000use of virtual healthcare.\u0000Material and Methods: An online survey link was sent to three participant groups: college-aged students,\u0000adults, and retirement-aged persons. A total of 685 participants, varying in age, gender, ethnicity, and experience using tele-healthcare provided usable data for this study.\u0000Results: Half of participants (49.2%; n=337) used virtual healthcare; more people used it during the pandemic (87.2%; n=294) than before (26.4%; n=89). Physical services (86.8%; n=291; primarily physicians) were\u0000more common than mental health services (25.6%; n=86; primarily counselors). Access was most common\u0000through laptop computers (60.7%; n=204). Participants were satisfied with virtual healthcare experiences\u0000(Mdn=5). Almost all participants (94.2%; n=645) believed that virtual healthcare would continue after the\u0000pandemic, but only two-thirds (61.3%; n=420) reported they would use virtual healthcare if available in the\u0000future. Both previous experience with (p<0.001) and satisfaction with (p<0.001) virtual healthcare positively\u0000predicted anticipated future use.\u0000Conclusions: Tele-healthcare has experienced significant growth in the COVID-19 era. Emergency policy\u0000changes have resulted in services being developed and offered in the medical and mental health realms in\u0000conjunction with ongoing empirical evaluations of what does and does not work.\u0000\u0000","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47086196","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":"Paramedics’ knowledge of medical guidelines and procedures for protection against coronavirus\u0000during the COVID-19 pandemic: a pilot study","authors":"Szymon Dorowski, Katarzyna Szwamel","doi":"10.5604/01.3001.0015.5261","DOIUrl":"https://doi.org/10.5604/01.3001.0015.5261","url":null,"abstract":"Background: Paramedics are the frontline workers of the healthcare profession. Thus, they need to be\u0000equipped with the relevant knowledge, skills, and protective gear against different forms of infection, including coronavirus disease 2019 (COVID-19).\u0000Aim of the study: To determine the level of paramedics’ knowledge about implementing medical guidelines\u0000and procedures to avoid coronavirus infection during the COVID-19 pandemic.\u0000Material and methods: This study involved 101 paramedics employed in Emergency Medical Services in\u0000Legnica between November 2020 and January 2021. A diagnostic survey method and opinion polling technique were applied. A survey developed by the study authors was used.\u0000Results: Overall, 38 (37.62%) paramedics had sufficient knowledge of medical guidelines and procedures\u0000preventing coronavirus infection, 28 (27.72%) had good knowledge, 23 (22.77%) had very good knowledge,\u0000and 12 (11.88%) had insufficient knowledge of the topic. Variables such as education (p=0.305), participation in any course on COVID-19 (p=0.650), frequency of emergency services for patients suspected to have\u0000COVID-19 infection or with confirmed COVID-19 infection (p=0.116), and job seniority (p=0.984) did not\u0000have a significant influence on interviewees’ knowledge of this topic.\u0000Conclusions: There is a need for organizing courses, workshops, or training events for paramedics concerning the code of conduct and good practice while working with patients who suffer from highly infectious\u0000diseases in order to improve safety in the work environment. It is particularly important as paramedics themselves opted to organize such courses. It is recommended that before organizing the course, one should obtain information from potential participants about the preferred format of the course.\u0000\u0000","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47725788","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":"Nurses’ strategies for dealing with stress during the COVID-19 pandemic","authors":"E. Szlenk-Czyczerska, Anna Ławnik, Adam Szepeluk","doi":"10.5604/01.3001.0015.4064","DOIUrl":"https://doi.org/10.5604/01.3001.0015.4064","url":null,"abstract":"Background: In view of the SARS-CoV-2 coronavirus pandemic, it is important to study the activities undertaken\u0000by nurses to cope with stress.\u0000Aim of the study: The study’s main objective was to analyze strategies of coping with stress among nurses\u0000working in public and non-public medical institutions in Opolskie and Lubelskie provinces, Poland, during\u0000the COVID-19 pandemic.\u0000Material and methods: The study group included a total of 155 nurses. The Mini-COPE questionnaire and\u0000the author’s original questionnaire were used in the study.\u0000Results: With increasing age, nurses coped with stress by using their sense of humor less often, seeking instrumental\u0000support, discharge of emotions, using psychoactive substances, and blaming themselves. Respondents\u0000with a master’s degree were more likely to cope with stress by positive reevaluation, turning to religion,\u0000and seeking emotional and instrumental support. Examining the effect of job tenure on the level of coping\u0000strategies revealed significant variation for active coping (p=0.0355), sense of humor (p=0.0024), seeking\u0000emotional support (p=0.0209), seeking instrumental support (p=0.0062), preoccupation with something else\u0000(p=0.0383), discharge (p=0.0075), psychoactive substance use (p=0.0097), and blaming oneself (p=0.0155).\u0000There was no significant variation in the effect of place of employment on stress coping strategies.\u0000Conclusions: During the pandemic, respondents managed stress mainly through active coping, planning,\u0000acceptance, positive reevaluation, and seeking instrumental support. As nurses age, they are more likely to\u0000use the strategy of turning to religion. Due to the growing problem of stress, it is necessary to identify and\u0000share information about ways to effectively cope with stress.\u0000\u0000","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43203307","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":"Obesity and low levels of physical activity are associated with a decreased health-related quality of life\u0000in postmenopausal women: a Wroclaw pilot study","authors":"J. Lewandowska, Mateusz Tomaczak, I. Wilk, F. Lwow","doi":"10.5604/01.3001.0015.3944","DOIUrl":"https://doi.org/10.5604/01.3001.0015.3944","url":null,"abstract":"Background: Menopause is associated with numerous somatic dysfunctions, an increased risk of chronic\u0000diseases, and complications in the mental and social components of health that lower the quality of life\u0000(QoL). Obesity and related comorbidities affect over 60% of postmenopausal women in Poland. A significant\u0000role for systematic physical activity (PA) in the prevention of dysfunctions and chronic diseases, including\u0000obesity and mental disorders, has been observed previously. A low level of PA is observed across the Polish\u0000population, especially in postmenopausal women.\u0000Aim of the study: To examine QoL in postmenopausal women participating in a community health promotion\u0000program as it relates to obesity and levels of PA.\u0000Material and methods: The study sample consisted of 76 postmenopausal women (aged 65.75±5.14 years)\u0000participating in the Active Wrocław 55+ program. Before starting the program, anthropometric measurements\u0000were taken, and QoL and PA were assessed using the 36-Item Short Form Health Survey (SF-36) and\u0000the International Physical Activity Questionnaire-Short Form (IPAQ-SF), respectively.\u0000Results: Most women had a PA level above 600 MET -min/week (78.95%), and were overweight or obese\u0000(86.84%). A waist circumference over 80 cm, indicating an increased risk for metabolic syndrome, was observed\u0000in 85.89% of the participants. BMI and waist circumference negatively correlated with the level of PA\u0000(p=0.001 and p=0.017, respectively). Women exhibiting low levels of PA and higher BMIs showed a significantly\u0000lower QoL compared to those with higher PA and lower BMIs, particularly with regard to the physical\u0000domains of QoL.\u0000Conclusions: Obesity and a low level of PA are associated with a significant decline in the health-related QoL\u0000(especially in the PF and PCS domains) of postmenopausal women an urban setting.\u0000\u0000","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46863332","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":"A medical doctor as a legal expert during the COVID-19 pandemic","authors":"M. Procek, S. Radowicki, B. Grabarek, Natalia Kordzikowska, D. Boroń","doi":"10.5604/01.3001.0015.3554","DOIUrl":"https://doi.org/10.5604/01.3001.0015.3554","url":null,"abstract":"Background: In Poland, the total number of SARS-CoV-2 infections since March 4, 2020 is 2,880,596, with\u00002,652,372 recoveries and 75,135 deaths. It may be assumed that such an unexpected event, apart from the\u0000health-related and economic consequences, will in the near future result in a wave of demands from those\u0000who have suffered as a result of COVID-19.\u0000Aim of the study: The aim of this study is to assess the current legal status in the context of opinions issued\u0000by medical doctors with regard to COVID-19, with a particular emphasis on responsibility towards the\u0000employee and the employer.\u0000Material and methods: A review was conducted using the database of legal acts (SIP LEX; accessed on\u000001.06.2021) based on the following words: labor code, civil procedures code, decisions of the Supreme Court,\u0000claims, employee health, health protection, COVID-19, and labor law.\u0000Results and conclusions: By searching the SIP LEX database and comparing the results with the legal standards\u0000of international law, the role and importance of the doctor as an expert on COVID-19 was established.\u0000The presented findings are based on judgments of the Supreme Court, the regulations of the Minister of Justice,\u0000announcements of the Marshal of the Sejm of the Republic of Poland, and the provisions of the Act on\u0000the Profession. It is certain that doctors will face another important task connected with COVID-19. It must\u0000be assumed that, in the near future, they will be forced to issue opinions on numerous and complicated cases\u0000regarding employer responsibility for damages incurred by employees due to COVID-19. Medical experts will\u0000use knowledge and experience acquired during the struggle with the disease to evaluate whether it was highly\u0000probable that an employee illness was the result of an infection with the pathogen in the workplace, and then,\u0000furthermore, to specify the after-effects of this illness.\u0000\u0000","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44907303","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":"Societal attitudes toward death and awareness of death confirmation: an internet survey","authors":"Bożena Majchrowicz, K. Tomaszewska, E. Guty","doi":"10.5604/01.3001.0015.2816","DOIUrl":"https://doi.org/10.5604/01.3001.0015.2816","url":null,"abstract":"Background: The progress and development of treatment methods and techniques have made the previous\u0000criteria for recognizing human death imprecise and insufficient. Thus, a medical line had to be drawn between\u0000life and death. Attitudes towards death and awareness concerning its confirmation, although often marginalized, undergo significant changes over time depending on the social space they concern.\u0000Aim of the study: The aim of the study was to examine social attitudes towards death and the level of awareness concerning its confirmation.\u0000Material and methods: This research on attitudes and knowledge regarding brain death involved 400 randomly selected respondents who were Internet users. The research was conducted from September 2019 to\u0000January 2020 using the CAWI method and a proprietary questionnaire.\u0000Results: An older age, a higher level of education, and less frequent religious practice were significantly associated with knowledge of brain death. Of particular note, more complete knowledge of brain death was associated with greater support for organ transplantation, and this relationship was most evident in individuals\u0000willing to donate their own organs.\u0000Conclusions: There is a clear variation in the level of knowledge about brain death. At least a high level of\u0000knowledge was held by 40.3% (161) of the respondents, and the same percentage was seen for those with at\u0000most a low level of knowledge (40.3%, 161). Regardless of who would be the organ donor, whether a loved one\u0000or a stranger, the respondents overwhelmingly supported organ transplantation after death. Acceptance of\u0000organ donation was higher when respondents had more knowledge of what brain death is\u0000\u0000","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43347149","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":"Knowledge of prevention and treatment of human papillomavirus (HPV) infections among young men","authors":"Maria Florkiewicz, Anna Tobolska, G. Bączek","doi":"10.5604/01.3001.0015.2832","DOIUrl":"https://doi.org/10.5604/01.3001.0015.2832","url":null,"abstract":"Background: Today, human papillomavirus (HPV) infection has become the most common sexually transmitted\u0000disease worldwide. Major consequences of contracting the virus include both mild skin lesions and\u0000a range of cancers, the most frequent of which are cervical cancer, penile cancer, oral cavity cancer, throat\u0000cancer, and anal cancer, undoubtedly demonstrating its high oncogenic potential.\u0000Aim of the study: The objective of this study is to determine the level of knowledge among men aged 18–26\u0000years with regard to HPV prevention and treatment.\u0000Materials and methods: An online survey was conducted using a questionnaire developed by the authors.\u0000The questionnaire was comprised of 16 closed-ended questions and 5 questions pertaining to demographics.\u0000Chi-squared tests or Spearman’s rank correlation coefficients were used for the statistical analysis.\u0000Results: Only 27.5% of the respondents correctly answered a question regarding the number of types of the\u0000virus, and 33% correctly determined the percentage of the cases where an active infection turns into a chronic\u0000state. However, a high level of awareness of the routes of infection was demonstrated, with more than half\u0000of the respondents (63%) answering this question correctly. Additionally, more than two-thirds (67.9%) of\u0000the men indicated correctly that one of the factors facilitating infection is a young age at the time of the first\u0000contact with the virus. Nearly all respondents (90%) indicated that using condoms is an effective form of\u0000prevention.\u0000Conclusions: The results expressly indicate an insufficient level of knowledge regarding HPV among young\u0000men. Due to the high level of sexual activity in this age group, increased education with regard to the prevention\u0000of sexually transmitted diseases is needed.\u0000\u0000","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45476108","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":"10th EURIPA Rural Health Forum “Understanding our Patients - working closely together”. Abstract Book 23 - 25th September 2021","authors":"Özden Gökdemir, J. Jacquet, F. Petrazzuoli, D. Kurpas, Patrick Ouvrard, Jane Randall-Smith","doi":"10.5604/01.3001.0015.2770","DOIUrl":"https://doi.org/10.5604/01.3001.0015.2770","url":null,"abstract":"2021 is probably an important milestone to rural world. Lockdown, social distancing, pandemic, climate change, greenhouse effects, planetary health.... all these key words in the same pot. The consequences of these terrible circumstances are already alarming. We will have to work closely with our patients, working together, thinking together, not only as professionals but also as global citizens. Join us, in the most appropriate way, to share the present and build the future.\u0000Jean Pierre Jacquet\u0000President of EURIPA\u0000\u0000","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49641479","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":"Natural preparations supporting the treatment of coronary heart disease: a narrative review","authors":"A. Sidor","doi":"10.5604/01.3001.0015.2815","DOIUrl":"https://doi.org/10.5604/01.3001.0015.2815","url":null,"abstract":"Coronary heart disease (CHD) is currently the most common cause of death in the world. Diet plays a significant role in the treatment of CHD. The purpose of this review is to present the current knowledge on\u0000natural products, including soybeans, garlic, black coffee, tea, and monounsaturated fatty acids, as well as\u0000components of the Mediterranean diet and Portfolio diet in supporting the treatment of CHD. A literature\u0000search was carried out in a scientific search engine database. Combinations of the following terms were used:\u0000“coronary heart disease”, “ischemic heart disease”, and “natural preparation of CHD”. Scientific publications\u0000were systematically examined to identify both direct and indirect evidence that met the aims of this review.\u0000Only articles that considered human subjects were included. After the selection process, a total of 28 articles were included in the review. The main findings were as follows: Garlic ameliorates the function of the\u0000endothelium, blood pressure parameters, and lipid profiles. Coffee improves glucose metabolism and shows\u0000antioxidant and anti-inflammatory properties. Tea ameliorates the lipid profile. Monounsaturated fatty acids\u0000show antioxidant properties. The Mediterranean diet has antihypertensive and antioxidant properties and\u0000reduces inflammation. The Portfolio diet shows lipid-lowering and antioxidant properties. Diet in CHD is an\u0000extremely important factor supporting treatment and can significantly modify the parameters of cardiovascular risk. However, there is still a need for more research on the properties of natural products and their\u0000health effects.\u0000\u0000","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42159153","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":"Personalized medicine – challenge for healthcare system: a perspective paper","authors":"Dorota Stefanicka-Wojtas, D. Kurpas","doi":"10.5604/01.3001.0015.2648","DOIUrl":"https://doi.org/10.5604/01.3001.0015.2648","url":null,"abstract":"Abstract: Personalized Medicine is a challenge for healthcare systems in Central and Eastern Europe if they are to provide patients with personalized diagnosis and treatment. Personalized medicine (PM) is about tailoring a treatment as individualized as the disease. [1 Integrated care involves receiving care along a continuum of health promotion, disease prevention, diagnosis, treatment, disease-management, rehabilitation and palliative care services, coordinated across the different levels and sites of care within and beyond the health sector, and according to the needs of patients throughout the life course. [2]\u0000Personalized Medicine and Integrated Care are among the most important concepts related to the management and organization of healthcare systems. This article intends to identify challenges to the adoption of personalized medicine and stimulate fruitful dialogue and debate about the evaluation of barriers and facilitators within the implementation of personalized medicine interventions, identify the barriers and take systematic actions to remove as many of them as possible to create a future where PM is fully integrated into real-life settings.\u0000\u0000","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45194397","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}