Polish Journal of Public Health最新文献

{"title":"Diseases of the digestive system as the cause of disability certificates","authors":"Paulina Pawłowska, Aleksandra Skorupa, Aleksandra Nowińska, Janusz Iwanicki, Barbara Nieradko-Iwanicka","doi":"10.12923/2083-4829/2023-0002","DOIUrl":"https://doi.org/10.12923/2083-4829/2023-0002","url":null,"abstract":"Abstract Introduction. The incidence of gastrointestinal system neoplasms increases. Colon cancer is one of the most prevalent neoplasms in men and women. Cardiovascular diseases and cancers are among leading causes of death in Poland. Colon cancer and other gastrointestinal diseases (inflammatory, autoimmune, neoplastic), can be causes of disability too. Aim. The aim of the study was to investigate the characteristics of 16+ population obtaining disability certificates due to gas­trointestinal diseases in Lublin within the last 16 years. Material and methods. The data from the years 2006-2021 were obtained from the Municipal Disability Adjudication Council in Lublin. Results. In the years 2006-2021 Municipal Disability Adjudication Council in Lublin issued 76,581 disability certificates. Out of that number 2861 (3.7%) certificates were issued due to gastrointestinal diseases. In the years 2006-2012 mainly moderate degree disability was diagnosed. Since 2013 most of the 16+ patients have been diagnosed with severe disability. Majority of patients were unemployed men with vocational education. Conclusions. Gastrointestinal tract diseases are in eighth the place among the causes of disability certificates in Lublin. The main cause of disability are musculoskeletal diseases. More effective screening programs are necessary to prevent avoidable disability due to gastrointestinal diseases. Keywords: gastrointestinal tract diseases, disability, disability certificate.","PeriodicalId":391651,"journal":{"name":"Polish Journal of Public Health","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136084012","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":"The influence of vitamin D3 level and supplementation on the severity of symptoms and quality of life of female patients with depression","authors":"Gabriela Zdunek, Arkadiusz Kołodziej, Mateusz Masiak","doi":"10.12923/2083-4829/2023-0001","DOIUrl":"https://doi.org/10.12923/2083-4829/2023-0001","url":null,"abstract":"Introduction. Vitamin D3 has many functions in the human body. The impact of vitamin D3 on mental health is seen in various neurological and psychiatric disorders. In this study, we are assessing its impact on the symptoms and the quality of life of female patients with depressive episodes.\u0000Aim. The study aimed to determine whether higher levels of serum 25(OH)D correlate with milder symptoms of depression and better quality of life among female patients with depressive episodes as well as to establish whether vitamin D3 supplementation reduces the symptoms of depression and increases the quality of life in the population above.\u0000Material and methods. Patients (n=33) were divided into a study group (supplementing 2000 IU vitamin D3 daily for 2 months) and a control group. In both groups, the serum 25(OH)D was measured at the study’s beginning and end. The symptoms of depression and the quality of life were assessed using BDI-II, HDRS, and SF-36 questionnaires, which the patients answered at baseline and after two months. The trial was completed by 12 patients in the study group and 10 in the control group.\u0000Results and conclusion. No association between the serum 25(OH)D level, symptoms of depression severity, and life quality was shown in patients (n=33) who completed the initial bloodwork. No statistically significant difference was found in changes in depression scores and life quality between the study and control group. No correlation was found between the changes in the scores of depression and life quality and the changes in serum 25(OH)D levels. A statistically significant difference was found in the serum 25(OH)D levels (p=0.0004), with no such difference in the control group (p=0.06). A statistically significant difference was also found in the BDI-II depression scores both in the study and in the control group (p=0.02 and p=0.04). No such difference was found in the study or control in the HDRS depression score or SF-36 life quality score. Therefore, the study does not show the benefit of vitamin D3 supplementation in the reduction of depression symptoms or life quality in female patients with depressive episodes.\u0000Keywords: vitamin D3, depressive disorders, mood disorders, life quality.","PeriodicalId":391651,"journal":{"name":"Polish Journal of Public Health","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121554046","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":"Occurrence and applied interventions in Work-Related Musculoskeletal Disorders among medical workers – review","authors":"Patryk Ciężarek, J. Zyznawska, Grzegorz Frankowski, Joanna Bonior","doi":"10.2478/pjph-2022-0016","DOIUrl":"https://doi.org/10.2478/pjph-2022-0016","url":null,"abstract":"Abstract Introduction. Ailments resulting from work-related musculoskeletal disorders (WRMSD) are currently a large social problem that is widely studied both in Poland and in the world in the context of preventive measures. WRMSD are one of the main causes of dysfunction or injuries, resulting in absenteeism and even disability. The professional group of medical workers is currently one of the most exposed to the occurrence of occupational-related musculoskeletal disorders, right after the construction and, agricultural and fishing sectors. Aim. The aim of the study is to present the problems of musculoskeletal disorders and various interventions to prevent this disease in medical professions. Material and methods. The authors undertook the analysis of the subject matter due to the increasing number of musculoskeletal disorders and occupational diseases in medical groups. The authors obtained articles from reputable databases: PubMed and Embase. Results. The results of the analyzed studies clearly indicate an increasing frequency of musculoskeletal disorders among medical workers, higher in increasingly younger age groups. The dominant symptoms include muscle pain in the neck area, upper and lower back, shoulder and knee joints, as well as numerous overload syndromes. Conclusion. Kinesiology programs significantly reduce the incidence of WRMSD and also injuries, they reduce pain and the use of drugs. The most common types of intervention include: consultation with therapists in preventive programs and work ergonomics training. Continuous and multidirectional research on the issues of WRMSD is necessary due to their more frequent occurrence and the lack of effective system solutions in the field of their prevention and treatment.","PeriodicalId":391651,"journal":{"name":"Polish Journal of Public Health","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131438554","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 common concentration-response function based on the results applying lags","authors":"M. Szyszkowicz, Eugeniusz Porada","doi":"10.2478/pjph-2022-0014","DOIUrl":"https://doi.org/10.2478/pjph-2022-0014","url":null,"abstract":"Abstract Introduction. Estimating the impact of short-term exposure on health outcomes needs knowledge of both the profile and magnitude of the relative risks. This motivates constructions of practical and reliable concentration-response functions (C-RFs). Aim. To define a practical method of finding concentration-response parametric function whose adjustable parameters can be tuned by data-driven well established routines. Material and methods. Mortality data for the period from 1987 to 2015 (10,592 consecutive days) in Montreal, Canada, are used for illustrative purposes. Exposure to ambient ozone measured by its concentration levels is considered health risk. Concentration-response function is built using statistical modelling, conditional Poisson regression, natural spline technique, and a rudimentary hierarchical data clustering. The case-crossover design is applied to fit the model of C-RF to the mortality data consisting of daily counts of non-accidental deaths. Results. Log-linear models of the concentration-response functions were computed for the concentrations and cofactors data lagged by 0 to 7 days; the results were statistically significant within this range of lags. The effectiveness of fitting was confirmed by reliable statistical tests. Digital routines were created to perform all computational tasks; software codes (written for R software platform) are included. The C-RF specifying the current responses to the cumulative exposure in several previous days can be obtained from the responses to lagged exposures. Conclusions. The proposed method of concentration-response function estimation appears practical and effective in producing reliable results. The constructed function is a parametric and monotonic non-decreasing.","PeriodicalId":391651,"journal":{"name":"Polish Journal of Public Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125874758","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":"The influence of COVID-19 pandemic on the access to dental offices and the development of oral medical conditions","authors":"J. Kowalewska, K. Kuśmirek","doi":"10.2478/pjph-2022-0012","DOIUrl":"https://doi.org/10.2478/pjph-2022-0012","url":null,"abstract":"Abstract Introduction. Pathologies in the oral cavity are a visible problem in polish society. The knowledge regarding oral pathologies and a doctor-patient contact are necessary to diagnose and treat efficiently. COVID-19 pandemic limited this contact reducing health control that caused the development of new pathologies. Those limitations touched dentists making the efficient diagnosis and treatment difficult. Aim. The aim of this study was to examine the influence of COVID-19 on the accessibility of dental procedures and the development of oral pathologies. Material and methods. The survey took place during Students’ Science Club Fair at the Medical University in Lublin on 5th November 2021 and in the following days among students of the Medical University in Lublin and other universities in Poland. 102 respondents answered 8 questions anonymously. Results. The answers’ analysis showed that 74,5% of the respondents do regular dental check-ups at least once a year. Due to the pandemic 27,5% had to change the date of at least one appointment. 47% admitted that the access to dental offices during the pandemic was difficult. 67,6% noticed the rise of the prices of dental procedures. 72,5% declared the lack of new oral pathologies and 26,5% confirmed the appearance of new symptoms in the oral cavity. Conclusions. The high percentage of dentists in Poland explains why the society is used to an easy access to dental procedures. Dental offices’ accessibility was limited due to the pandemic which was felt by the respondents as a rise in prices and a decrease of the availability of the dentists in that period. Those limitations resulted in the diagnosis of new pathologies.","PeriodicalId":391651,"journal":{"name":"Polish Journal of Public Health","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123437279","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":"Opportunities and constraints in the job search by public health graduates in their opinion","authors":"I. Rydlewska-Liszkowska, Agnieszka Zdęba-Mozoła, A. Strzelecka, Anna Rybarczyk-Szwajkowska","doi":"10.2478/pjph-2022-0011","DOIUrl":"https://doi.org/10.2478/pjph-2022-0011","url":null,"abstract":"Abstract Strengthening of the professionalism of public health (PH) specialists may be the response to changes in health care systems. The aim of the study was to explore the potential and restrictions associated with job search by PH graduates, as well as to examine their opinions on their position on the labor market. The survey was conducted using questionnaire (CAWI) on 107 respondents from two medical universities in 2019. The average age of the respondents was 24.5. 5.61% and 17.76% of graduates from both universities respectively declared that the university prepared students well. Most respondents indicate internships, apprenticeships organized by employers (78%) and accepting graduates without professional experience (64%) as employers’ activities which facilitate entering the labor market. Graduates considered the most important obstacles in finding work to be: low interest in PH graduates work, insufficient contacts and relationships and insufficient professional experience. Their competencies do not coincide with the expectations of employers. Employers and universities do not establish sufficient cooperation. Although the dependency between the place of study and the graduates’ perception of the role of university and employers facilitating entry into the labor market and re-selection of the study is not strong, it should not be ignored in shaping education programs.","PeriodicalId":391651,"journal":{"name":"Polish Journal of Public Health","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125261112","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":"Socio-professional adaptation of a nurse in a new workplace","authors":"J. Jablonska, Elzbieta Grzywacz, Maria Grzymkowska, Jolanta Chmielowiec, Justyna Chwałczyńska, Katarzyna Błaszczak, J. Masiak, K. Chmielowiec","doi":"10.2478/pjph-2022-0003","DOIUrl":"https://doi.org/10.2478/pjph-2022-0003","url":null,"abstract":"Abstract Introduction. The period of socio-professional adaptation is a time when the new employee often feels insecure and is accompanied by emotional tension. Already in the initial period of work, an employee develops a specific attitude towards the environment, which, at a later stage, influences professional development or motivation. Aim. The aim of the study is to assess the course of the process of social and professional adaptation among nurses who, after graduation, started their first job in hospital departments in the Lubuskie Voivodeship, as well as to characterize the adaptation process and factors influencing its effective course. Material and methods. The material for the research was collected by means of a proprietary questionnaire. The number of 118 people participated in the study. Results. There was a statistical dependence between the socio-professional adaptation process and the existence of procedures related to it. Then a relationship was noted between the procedures for the adaptation process and the presentation of the adaptation plan to the new employee. Statistically significant differences were demonstrated by analyzing the feeling of being ready to work independently depending on the duration of the adaptation period in a new workplace. Conclusion. The adaptation process is often ineffective and important elements, such as access to adaptation procedures, adaptation plan, employee final evaluation, are often overlooked. These elements have a statistically significant impact on the overall assessment of the adaptation process. The adaptation period is often too short, which translates into the lack of readiness to work for new employees.","PeriodicalId":391651,"journal":{"name":"Polish Journal of Public Health","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121904805","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":"The survey of the opinion of the management of Disability Adjudication Teams in Poland on the reform of adjudication on disability","authors":"J. Iwanicki, B. Nieradko-Iwanicka, A. Jaremek","doi":"10.2478/pjph-2022-0009","DOIUrl":"https://doi.org/10.2478/pjph-2022-0009","url":null,"abstract":"Abstract Introduction. Adjudication of disability in Poland is carried out by independent institutions, operating within the framework of various judicial systems and on the basis of different legal regulations. In 2017, an inter-ministerial team was appointed whose task was to develop a coherent and modern system of adjudicating on disability and inability to work. Aim. The aim of the study was to obtain the opinion of the management of Disability Adjudication Boards in Poland whether there is a need to reform the certification of disability. Material and methods. The research questionnaire was sent to 294 boards. In total 66 responses were obtained, which is 23.5% of the invitations. Results. Over 65% of respondents indicate the need for reform, while 28.8% believe that the reform is unnecessary. The weaknesses of the current system include the inability to recruit appropriate doctors and specialists – 90.9%, insufficient financing of teams – 81.8% and staff shortages among full-time employees – 57.6%. Fewer respondents indicate unclear criteria for assessing disability – 47% and poor preparation of assessments – 21.2%. The strengths of the system are dominated by organizational factors: employee preparation – 77.3%, organizational stability of the system – 59.1% and locating teams in the local government structure – 51.5%. The following factors can be considered as substantive: stability of regulations – 39.4% and quality of jurisprudence – 34.8%. Conclusions. Majority of the respondents see the need for the reform of adjudication on disability. The greatest problems of disability adjudication boards in Poland are: difficulty in specialists’ recruitment and insufficient financing.","PeriodicalId":391651,"journal":{"name":"Polish Journal of Public Health","volume":"131 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115230820","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":"Sex differences in masticatory muscle activity in healthy young adults","authors":"Michał Ginszt, Grzegorz Zieliński, J. Szkutnik, Magdalena Bakalczuk, Magdalena Zawadka, A. Ginszt, Piotr Gawda, P. Majcher","doi":"10.2478/pjph-2022-0008","DOIUrl":"https://doi.org/10.2478/pjph-2022-0008","url":null,"abstract":"Abstract Introduction. Several studies analyzed the gender differences in masticatory muscle activity. Previous scientific reports indicate the predominance of the masseter muscle activity in male subjects and the predominance of the temporalis anterior in women. However, there is a lack of studies analyzing the differences in the activity of the mandibular abduction muscles between men and women. Aim. The presented study evaluated the sex differences in activity within temporalis anterior, masseter, and digastric muscle in healthy young adults. Material and methods. Thirty-six healthy young adults aged 20 to 29 years (mean 22±2.6 years) were qualified for the presented study. The subjects were divided into two equal groups (n=18) in terms of gender. The masticatory muscle activity was recorded within the temporalis anterior (TA), the superficial masseter muscle (MM), and the anterior bellies of the digastric muscle (DA). Electromyographic activity was recorded in three conditions: at rest, during maximum voluntary clenching at the intercuspal position, and during maximum voluntary clenching with cotton rolls between teeth. Results. Significant differences in electromyographic activity between the male and female group were observed within resting activity for the TA-R (Women: 1.98 µV vs. Men: 1.26 µV; p=0.000), TA-L (Women: 2.13 µV vs. Men: 1.33 µV; p=0.000), DA-R (Women: 2.17 µV vs. Men: 1.29 µV; p=0.001), DA-L (Women: 2.13 µV vs. Men: 1.37 µV; p=0.005). Moreover, significant difference in resting activity index was observed within left side (Women: -9.89 % vs. Men: 10.39%; p=0.037), and within right side during clenching with cotton rolls between teeth (Women: 9.83% vs. Men: 25.59%; p=0.016). Conclusions. Women represent higher resting sEMG activity within the temporalis anterior and digastric muscles than men. Electromyographic patterns may be influenced by gender at rest and during clenching tasks.","PeriodicalId":391651,"journal":{"name":"Polish Journal of Public Health","volume":"22 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120811729","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":"The disease X: waiting for the next pandemic","authors":"E. Iskra, Agnieszka Pachnia, B. Drop, M. Polz-Dacewicz","doi":"10.2478/pjph-2022-0006","DOIUrl":"https://doi.org/10.2478/pjph-2022-0006","url":null,"abstract":"Abstract In 2008 the WHO published a report on infectious diseases against which there is no effective treatment or vaccines and therefore – diseases able to cause pandemic. In addition, so called disease X was mentioned – potentially deadly, with no herd immunity against it, holding pandemic potential, unknown in medicine yet. In 2019 such disease X was COVID-19. There is a plausibility, that next pandemic will be induced by zoonotic RNA virus (alike SARS-CoV-2) infecting people in place of intensified human-animal contacts (like high-density animal farming) without proper legal regulations in terms of animal husbandry and high population density. Also in the past major pandemics in XX and XXI centuries were result of zoonotic transmissions (HIV/AIDS, SARS, MERS, Spanish flu, avian flu, swine flu, Ebola). The key in risk recognising is governments and international healthcare agencies’ reaction – proper countermeasures to control pandemic range should be taken. Animal trade should be legally regulated and deforestation limited. There is also an urgent need for funding R&D studies on diseases listed by the WHO.","PeriodicalId":391651,"journal":{"name":"Polish Journal of Public Health","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121938939","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}