Annals of agricultural and environmental medicine : AAEM最新文献

{"title":"A rare case of spinal dural arteriovenous fistula in a 22-year-old farmer.","authors":"Sara Kierońska-Siwak, Natalia Rulewska, Jan Klimowicz, Grzegorz Meder, Milena Świtońska, Paweł Sokal","doi":"10.26444/aaem/195582","DOIUrl":"https://doi.org/10.26444/aaem/195582","url":null,"abstract":"<p><p>Spinal Dural Arteriovenous Fistulas (DAVFs) are rare vascular malformations characterized by abnormal connections betweena spinal artery and venous plexus. Though uncommon, DAVFs can be misdiagnosed due to their presentation with nonspecific symptoms, leading to potential treatment delays or incorrect procedures. This case report presents a 22-year-old male farmer admitted with gradual lower limb muscle weakness and urinary retention. Despite no trauma history, his recent exposure to chemicals raised concerns. Neurological examination revealed significant mobility impairment, particularly in the left leg, alongside sensory deficits. MRI findings demonstrated spinal cord oedema and venous dilatation, suggesting DAVF. The patient underwent successful endovascular embolization, with a post-operative course free of complications. This case highlights the challenges in diagnosing DAVF and underscores the importance of timely intervention.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":"32 3","pages":"432-436"},"PeriodicalIF":1.2,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194306","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":"Period poverty among women after the 2023 Kahramanmaraş Earthquake in Turkey - a cross-sectional study.","authors":"Nursel Alp Dal, Nuray Kurt, Kerime Derya Beydağ, Ulkin Gunduz, Anna Nagórska, Małgorzata Nagórska","doi":"10.26444/aaem/208382","DOIUrl":"https://doi.org/10.26444/aaem/208382","url":null,"abstract":"<p><strong>Introduction and objective: </strong>Menstrual poverty lies at the intersection of poverty, sustainability, reproductive rights, and gender inequality. The study investigates menstrual poverty among women affected by the 2023 earthquake in Turkey.</p><p><strong>Material and methods: </strong>A descriptive cross-sectional study was conducted between 24 April - 24 May 2023 with 400 women impacted by the earthquake. Data were collected via social media using a survey form. Chi-square tests, Bonferroni test, and binary logistic regression model were used for statistical analysis.</p><p><strong>Results: </strong>The mean age of participants was 27.27 ± 8.40 years; 69.5% had higher education, 57.0% lived in urban areas, and 90.5% had no chronic disease. A significant relationship was found between access to menstrual products and basic needs (clean water, toilet paper, soap, safe toilet access, and healthcare) during menstruation after the earthquake (p<0.05). A significant correlation was also observed between disruptions to the menstrual cycle and the following variables: lack of privacy, perception that lack of privacy affected menstruation, healthcare access, and difficulty obtaining menstrual products (p<0.05).</p><p><strong>Conclusions: </strong>Most participants faced difficulties accessing menstrual products, water, hygiene supplies, privacy, and healthcare. Those living in tents or containers reported greater challenges. These barriers contributed to menstrual poverty and impacted women's cycles. As menstrual health and hygiene are basic needs and human rights, menstrual poverty must be addressed globally.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":"32 3","pages":"383-390"},"PeriodicalIF":1.2,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194365","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":"Influence of daily physical activity and Body Mass Index on the incidence and severity of injuries during hiking - retrospective analysis of a cross-sectional Questionnaire Survey.","authors":"Tomasz Stanislaw Zwoliński, Piotr Wąż, Katarzyna Zorena, Dorota Grześkowiak, Bartłomiej Siek, Dominika Szalewska, Piotr Łuczkiewicz, Kamila Gworys","doi":"10.26444/aaem/196268","DOIUrl":"https://doi.org/10.26444/aaem/196268","url":null,"abstract":"<p><strong>Introduction and objective: </strong>Hiking is becoming an increasingly popular leisure activity, practised due to its benefits, often regardless of people's exercise capacity and Body Mass Index (BMI) values. The aim of the study was to investigate the relationship between the level of daily physical activity and BMI, as well as the incidence and severity of injuries experienced during hiking.</p><p><strong>Material and methods: </strong>A total of 230 individuals fulfilled completed questionnaire forms. Questionnaires were distributed via Google form between 15 January 2021 and 23 February 2021. A modified Global Physical Activity Questionnaire (GPAQ) and BMI values were used to check how the hikers' health and physical condition influenced the incidence and severity of trauma while hiking. 162 mountain hikers were included in the final analysis.</p><p><strong>Results: </strong>Using independence tests, it was shown that in the cases there was no relation between the created BMI categories and the occurrence of injury (p-value=0.708), or between physical activity groups and the occurrence of injury (p-value=1). The results also showed no statistically significant correlation between the severity of the injury sustained during hiking, or both daily physical activity level (p-value=0.754) and BMI value (p-value=0.854).</p><p><strong>Conclusions: </strong>The study might indicate that proper, adjusted hiking could be the correct way of spending free time, regardless of pre-existing levels of physical activity and/or BMI.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":"32 3","pages":"398-44"},"PeriodicalIF":1.2,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194369","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 and attitudes toward Autism Spectrum Disorder in Poland - results of a national survey and identification of key areas for educational initiatives.","authors":"Beata Maja Gellert, Urszula Religioni, Dorota Raczkiewicz, Janusz Ostrowski, Jarosław Pinkas","doi":"10.26444/aaem/200209","DOIUrl":"https://doi.org/10.26444/aaem/200209","url":null,"abstract":"<p><strong>Introduction and objective: </strong>Autism Spectrum Disorder (ASD) is a neurodevelopmental condition characterized by social communication difficulties, repetitive behaviours, and atypical sensory responses. Despite increasing recognition, comprehensive understanding of ASD is lacking among the public and healthcare professionals. The aim of the study was to assess the knowledge and opinions of Polish society on ASD, identifying the weakest areas to inform future educational initiatives.</p><p><strong>Material and methods: </strong>A cross-sectional survey was conducted from May to June 2024, involving 1,098 respondents, representative of the Polish population. Three questionnaires were used: an author-designed autism knowledge questionnaire, the Polish Autism Knowledge Questionnaire, and the Knowledge about Childhood Autism among Health Workers (KCAHW). Socio-demographic data were also collected.</p><p><strong>Results: </strong>37% of respondents considered ASD rare, 34% had interacted with someone with ASD, and 18% had a family member with ASD. Genetics (26.5%), maternal alcohol use during pregnancy (10%), and vaccines (7%) were cited as causes. The Internet (85%) and social media (28%) were themain sources of information. The mean KCAHW score was 8.6 ± 5.5, indicating moderate ASD knowledge, with women, younger individuals, and those with higher education or personal contact scoring higher (p<0.001).</p><p><strong>Conclusions: </strong>Knowledge about ASD in Poland is moderate yet fragmented, with significant gaps that could impede early diagnosis and intervention. Targeted educational campaigns are needed, focusing on specific gaps, along with increased government support for early diagnosis.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":"32 3","pages":"368-376"},"PeriodicalIF":1.2,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194380","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":"Achievement motivation profiles and coping styles of women with binge eating disorder. A study of a clinical sample of women in Poland.","authors":"Waldemar Klinkosz, Beata Łubianka, Justyna Iskra, Eliza Sak, Karolina Lewandowska, Wojciech Styk","doi":"10.26444/aaem/197769","DOIUrl":"https://doi.org/10.26444/aaem/197769","url":null,"abstract":"<p><strong>Introduction and objective: </strong>Today, more and more people struggle with eating disorders. To be able to propose effective therapeutic and treatment interventions for these individuals, scholars need to gain a deeper understanding of the psychological factors that underlie eating disorders. The aim of the study was to determine whether women with binge eating disorder (BED) differed from healthy women in coping styles and achievement motivation.</p><p><strong>Material and methods: </strong>A total of 86 adult women participated in the study: 43 women with BED and a comparison group of 43 women without an eating disorder (nED). The following instruments were used: Endler and Parker's Coping Inventory for Stressful Situations (CISS) and Schuler, Thornton, Frintrup and Prochaska's Achievement Motivation Inventory (Leistungsmotivationsinventar, LMI).</p><p><strong>Results: </strong>Women with BED were found to predominantly use emotion-oriented coping strategies, while women with nED were more likely to use task-oriented and avoidance-oriented coping styles, in particular looking for social contacts and engaging in substitute activities. The two groups of women also had significantly different scores on the dimensions of Achievement Motivation. Women with BED scored lower than women with nED on as many as 12 LMI scales, and had lower total scores; the only scale on which they had higher scores than their healthy counterparts was Pride in Productivity.</p><p><strong>Conclusions: </strong>Binge eating women differ from healthy women in both coping styles and the level of achievement motivation. Women who binge eat cannot cope effectively with high levels of stress and tend to respond to stressful situations with intense emotions, which may increase their need for compulsive overeating. They also have difficulty achieving goals and objectives.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":"32 3","pages":"361-367"},"PeriodicalIF":1.2,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194270","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":"Children's well-being and expectations before planned surgery.","authors":"Alina Trojanowska, Danuta Zarzycka","doi":"10.26444/aaem/210588","DOIUrl":"https://doi.org/10.26444/aaem/210588","url":null,"abstract":"<p><strong>Introduction and objective: </strong>The need for surgical treatment causes a psychological burden in children and is a source of fear and anxiety, which may hinder the procedure and recovery. The aim of the study is to assess the well-being of children before surgery, paying attention to anxiety and anger, and to learn about their fears and expectations.</p><p><strong>Material and methods: </strong>The research was conducted among 112 children aged 11-16 (average age 13.5±2.6) waiting for surgery in 3 departments (surgery, laryngology and orthopaedics) of USD in Lublin. The research used the Overt Anxiety Scale (SJN) 'What Are You Like?', the Anger Expression Scale (SEG), and a self-designed questionnaire.</p><p><strong>Results: </strong>Most children waiting for surgery had a reduced sense of security (90.0%) and felt anxiety (55.4%), anger and nervousness (50.0%), mainly due to the lack of information. Nearly all children (92.9%) experienced pre-operative anxiety. The majority of participants characterized their anxiety as mild (44.6%), while the remaining respondents classified it as moderate (28.6%) or severe (19.7%). The factor that additionally reduced well-being was the parents' anxiety, and the sight of other sick children after the procedure. The presence of parents and the kindness and understanding of the staff had a positive impact on the emotional state of the respondents. The children were afraid of pain and limited activity. They expected information about limitations before and after the procedure, pain management and quick recovery.</p><p><strong>Conclusions: </strong>Children and adolescents in the pre-operative period require psychotherapeutic interventions and information support from medical staff, which may contribute to reducing their anxiety and have a positive impact on their recovery.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":"32 3","pages":"391-397"},"PeriodicalIF":1.2,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194293","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":"Influence of socio-demographic characteristics on the evaluation of effectiveness of medical simulation.","authors":"Magdalena Brodowicz-Król, Paulina Kaczor-Szkodny, Paweł Więch, Maria Malm, Ewa Guz, Piotr Choina, Piotr Lutomski, Katarzyna Szpot","doi":"10.26444/aaem/207636","DOIUrl":"https://doi.org/10.26444/aaem/207636","url":null,"abstract":"<p><strong>Introduction and objective: </strong>Learning effectiveness is a key element in the educational process that determines how effectively students can assimilate, store, and apply the knowledge acquired. There are many approaches and theories in the research literature exploring the different aspects of this process. Factors influencing learning effectiveness include learning style, motivation, learning techniques, and learning environment. Learning effectiveness also depends on individual student characteristics, including socio-demographic characteristics. The aim of the study is to verify the influence of socio-demographic characteristics on the assessment of the effectiveness of medical simulation as a learning method, using the standardised EPQ tool.</p><p><strong>Material and methods: </strong>The study was conducted between 2023-2024 among 306 nursing students by means of a diagnostic survey, using the survey instrument EPQ.</p><p><strong>Results: </strong>The surveyed students rated the educational techniques best in terms of collaboration. Statistical analysis showed a weak negative correlation between age and the evaluation of active learning, expectations, and the overall evaluation of educational techniques. Statistically significant results were obtained in the correlation of place of residence with the evaluation of educational practices.</p><p><strong>Conclusions: </strong>The study showed a general relationship of the influence of selected socio-demographic characteristics on the evaluation of educational practices in medical simulation. Despite the occurrence of a relationship, the age of the subjects did not determine the outcome of the simulation effectiveness evaluation. There is a lack of detailed research in the available literature on the influence of socio-demographic variables on the evaluation of medical simulation educational practices, which allowed the identification of a research gap (white gap).</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":"32 3","pages":"377-382"},"PeriodicalIF":1.2,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194360","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":"IRIS without PML in MS patients - a case report of IRIS after past alemtuzumab therapy with subsequent oral cladribine treatment and review of the literature.","authors":"Anna Jamroz-Wiśniewska, Anna Drelich-Zbroja, Urszula Chyrchel-Paszkiewicz, Konrad Rejdak","doi":"10.26444/aaem/200751","DOIUrl":"https://doi.org/10.26444/aaem/200751","url":null,"abstract":"<p><p>Alemtuzumab is a high-efficacy drug for relapsing-remitting multiple sclerosis (MS), leading to non-selective reconstitution of the immune system. Immune reconstitution inflammatory syndrome (IRIS) develops due to reconstruction of cellular immunity and inflammation in the CNS, mostly after progressive multifocal leukoencephalopathy (PML). A case of a 42-year-old patient is presented treated in the past with alemtuzumab because of highly active MS. He was admitted after 8 years of remission because of aphasia, bulbar syndrome and severe agitation. MRI of the brain showed multiple big confluencing lesions supra- and infratentorially, with mass effect and contrast enhancement. IRIS was diagnosed. Prolonged steroids therapy and plasma exchange were used with success. IRIS can also be a complication of natalizumab or fingolimod withdrawal and arise from the restoration of the previously suppressed immune response. Other cases of IRIS in MS patients without preceding PML are also reviewed.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":"32 3","pages":"428-431"},"PeriodicalIF":1.2,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194323","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":"Exposure of meat products to nitrites as food additives in Poland.","authors":"Katarzyna Stoś, Barbara Wojda, Maciej Ołtarzewski, Joanna Gajda-Wyrębek, Marta Dmitruk, Jacek Postupolski","doi":"10.26444/aaem/200165","DOIUrl":"https://doi.org/10.26444/aaem/200165","url":null,"abstract":"<p><strong>Introduction and objective: </strong>Nitrites are commonly used as food additives E 249 and E 250 in the production of meat products, mainly to protect them from contamination with Clostridium botulinum bacteria. However, the intake of nitrites should be limited as it can have a potentially negative effect on health (suspected to be carcinogenic to humans). The aim of the study was the assessment of nitrite intake (expressed as sodium nitrite) in the diets of 4,134 persons, aged 1-96, in Poland.</p><p><strong>Material and methods: </strong>The data on sodium nitrite intake were based on the daily consumption of food products and meals, and the actual content of sodium nitrite in food products obtained from the analytical tests carried out by sanitary inspection laboratories in 2017 and 2018. Risk assessment was based on the sodium nitrite intake calculations of: mean (X), median (Me), 95th percentile (P95), and comparison with ADI. The data were analysed with respect to the total studied sample and the 'consumers only' group.</p><p><strong>Results: </strong>The daily sodium nitrite intake expressed in mg/kg b.m./day, on average, 0.012 for all respondents, amounting to 12.1% ADI. The risk analysis shows that the Polish population was characterized by the average intake of sodium nitrite at a safe level (below ADI). However, certain cases of sodium nitrite intake (P95 level) were observed to exceed ADI. The most exposed group were children.</p><p><strong>Conclusions: </strong>A balanced and varied diet, with limited consumption of meat products will help diminish the risk of excessive intake of nitrites by consumers in Poland.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":"32 3","pages":"340-345"},"PeriodicalIF":1.2,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194329","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 health locus of control and the declared health behavior concerning breast cancer prevention - comparison of Polish women living in urban and rural areas.","authors":"Amelia Ciuba, Marta Kulpa, Aneta Nitsch-Osuch","doi":"10.26444/aaem/204854","DOIUrl":"https://doi.org/10.26444/aaem/204854","url":null,"abstract":"<p><strong>Introduction and objective: </strong>Health behaviour is a set of activities that affect an individual's well-being and attitude toward health. These behaviours are shaped by socio-demographic characteristics, social circumstances, cultural background, personality traits, and the mass media. The health of an individual is largely determined, among other factors, by his/her actions, decisions, and the resulting outcomes. The health locus of control affects an individual's adherence to health-related recommendations. The aim of the study is to examine the association between the health locus of control and declared health behaviours in Polish women in the setting of breast cancer prevention.</p><p><strong>Material and methods: </strong>The study included 407 women between the age of 45 and 69 years (mean: 54.86, SD: 6.718), selected using convenience sampling. The research was conducted at the Medical University of Warsaw between March 2021 - May 2022, using convenience sampling. The research tool was a survey consisting of an author-designed questionnaire, the Multidimensional Health Locus of Control Scale, and the Health Behaviour Inventory Correlation analysis between scales from HBI questionnaire and scales from MHLC-B questionnaire was conducted.</p><p><strong>Results: </strong>Correlation analysis showed that the internal health locus of control was positively correlated with healthy nutrition habits, preventive behaviours, and positive adjustment. Additionally, the external health locus of control was also positively correlated with preventive behaviours, positive adjustments, and health-promoting practices. In contrast, a higher belief in the influence of chance was inversely correlated with healthy nutrition habits and positive adjustment.</p><p><strong>Conclusions: </strong>Psychological factors influencing women's attitudes towards preventive behaviours can help in the planning of preventive measures. An increase in the internal health locus of control may translate into a higher participation rate in population-based screening programmes.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":"32 3","pages":"411-417"},"PeriodicalIF":1.2,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194342","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}