Annals of agricultural and environmental medicine : AAEM最新文献

{"title":"National trends in influenza mortality in Poland from 2009-2023 with regard to the periods before, during and after the COVID-19 pandemic.","authors":"Monika Kaczoruk, Piotr Tyszko, Andrzej Szpak, Aneta Nitsch-Osuch","doi":"10.26444/aaem/215366","DOIUrl":"10.26444/aaem/215366","url":null,"abstract":"<p><strong>Introduction and objective: </strong>In the 21st century two pandemics occurred, caused by viral respiratory infections. Both influenza and COVID-19 viruses exhibit high infectivity, have a rapid onset and mutate easily. Considering the fact that the influenza virus is characterized by rotational circulation of strains, while SARS-CoV-2 is constantly evolving, the difficulty is to effectively control the transmission. The extension of lifespan and the emergence of new diseases emphasize the need to assess the risk of death in endemic diseases. The aim of the study is determination of the scale and conditioning of mortality due to influenza in Poland in pre-Covid, Covid, and post-Covid years.</p><p><strong>Material and methods: </strong>The study is a retrospective analysis of public statistics data concerning the causes of deaths. The data analyzed were obtained from the Central Statistical Office.</p><p><strong>Results: </strong>In Poland during 2009 - 2023, 1,545 deaths due to influenza were registered, of which 875 in the pre-Covid period, and 670 during the Covid and post-Covid periods. During the COVID-19 pandemic the incidence of influenza significantly decreased. In Europe, in the season 2022-2023, a four-fold increase in the number of cases of influenza was recorded. In the assessed period of 15 years, the number of deaths among males slightly predominated over that among females, and more than doubled among the urban population, compared to the rural population.</p><p><strong>Conclusions: </strong>An increase in life expectancy and the growing threat of emerging diseases has important implications for public health. The national health policy strategy should prioritize and improve vaccination coverage, especially among groups at high risk.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":"33 1","pages":"39-45"},"PeriodicalIF":1.2,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147577557","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":"Clinical evidence for the adaptogenic effects of <i>Withania somnifera</i> and <i>Rhodiola rosea</i> - A systematic review with molecular interpretation of psychometric outcomes.","authors":"Joanna Łuszczak, Janusz Kocki","doi":"10.26444/aaem/213417","DOIUrl":"10.26444/aaem/213417","url":null,"abstract":"<p><strong>Introduction and objective: </strong>Adaptogens are plant-derived substances that enhance the body's resilience to physical and psychological stress, with <i>Withania somnifera</i> and <i>Rhodiola rosea</i> being among the most studied representatives. The aim of this review is to evaluate the adaptogenic effects of <i>W. somnifera</i> and <i>R. rosea</i> based on randomized controlled trials (RCTs).</p><p><strong>Review methods: </strong>A systematic literature search was performed using the key words: 'ashwagandha', '<i>Withania somnifera</i>', '<i>Rhodiola rosea</i>', and 'plant adaptogen'. Twenty-four studies met the inclusion criteria - 19 on <i>W. somnifera</i> and 5 on <i>R. rosea</i>.</p><p><strong>Brief description of the state of knowledge: </strong>The analyzed trials involved 10-590 participants, aged 18-75 years, both healthy individuals and patients with stress-related or functional disorders. Interventions included standardized extracts at daily doses of 120-1000 mg for <i>W. somnifera</i> and 290-1500 mg for <i>R. rosea</i>, with supplementation lasting 3-16 weeks. Reported benefits included reduction of stress and anxiety, alleviation of depressive symptoms, improved sleep quality, enhancement of cognitive functions, increased muscle strength and recovery, and favourable hormonal changes. Methodological heterogeneity, short intervention periods, and small sample sizes remain limitations.</p><p><strong>Summary: </strong>Evidence from RCTs confirms that <i>W. somnifera</i> and <i>R. rosea</i> exert multi-dimensional adaptogenic effects, improving psychophysical health and supporting stress resilience. Their mechanisms involve regulation of the hypothalamic-pituitary-adrenal axis, neurotransmission, immune and hormonal pathways. Further long-term, high-quality clinical trials, supplemented with molecular and systemic approaches, are required to consolidate their role in integrative, evidence-based medicine.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":"33 1","pages":"3-11"},"PeriodicalIF":1.2,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147577549","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":"Demographic factors, cancer history, and stress coping strategies among colorectal cancer patients during the end of the COVID-19 pandemic - a cross-sectional association study.","authors":"Piotr Pawłowski, Szymon Lewicki, Joanna Milanowska, Aneta Kościołek, Marzena Samardakiewicz","doi":"10.26444/aaem/204853","DOIUrl":"10.26444/aaem/204853","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the is to determine the occurrence, severity, and correlates of distress in patients undergoing oncological treatment during the SARS-CoV-2 pandemic, focusing on the relationships with demographic factors, such as gender, age, residence, and treatment types. The relationships between distress and strategies for coping with cancer are also examined.</p><p><strong>Material and methods: </strong>A diagnostic survey method was utilised which incorporated such tools as the Distress Thermometer and the Mini-MAC Scale. The survey assessed stress severity and coping strategies among 104 oncological patients treated for colorectal cancer at the Oncology Centre of the Lublin Region, eastern Poland, during the last year of the pandemic.</p><p><strong>Results: </strong>The average stress score was 6.96 [95% Confidence interval (CI) (6.60, 7.32)] with a standard deviation of 1,86. Women and younger patients exhibited higher anxiety and destructive coping styles. Analysis also revealed that cancer patients residing in rural areas reported higher levels of distress and more frequent use of destructive coping mechanisms, compared to their urban counterparts. Positive re-evaluation as a coping strategy increased with age. The study found that a history of cancer was associated with higher levels of distress and a greater use of destructive coping styles, regardless of the cancer stage or type of treatment.</p><p><strong>Conclusions: </strong>Coping strategies in cancer patients are significantly associated with demographic factors, including gender, age, and place of residence. Distress levels in cancer patients are positively correlated with non-constructive coping strategies, such as anxious preoccupation and helplessness-hopelessness. High levels of distress underscore the need for routine distress screening and comprehensive psychosocial support.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":"33 1","pages":"135-142"},"PeriodicalIF":1.2,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147577510","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 potential of ancient medicine - using products from snails in treatment of oncology patients.","authors":"Krzysztof Piotr Jasik, Jan K Kinasiewicz, Szymon Szlęzak, Jarosław Paluch","doi":"10.26444/aaem/206989","DOIUrl":"10.26444/aaem/206989","url":null,"abstract":"<p><strong>Introduction and objective: </strong>Although routine treatment methods aim to aggressively destroy tumour tissues, they often fail to account for the correlations of tissue destruction and regeneration processes. Despite considerable progress in the field of oncology, it is worth noting the ancient ways of treatment using products from nature which potentially can effectively support current therapies.</p><p><strong>Review methods: </strong>The literature review used PubMed, Google Scholar, Scopus, Science Direct, Frontiers, Medline, Bookshelf, and Elsevier databases, taking into consideration publications from the last eight years. However, the subject of research is niche, forcing the use of older papers.</p><p><strong>Brief description of the state of knowledge: </strong>Plant extracts or their derivatives, tuberculin or sometimes mushrooms are most frequently employed in treating cancer. There are also publications on the anti-cancer properties of products from snail. Some researchers, however, believe there is little merit in turning to ancient methods. Extracts derived from snail bodies have been demonstrated to induce apoptosis in cancer cells, reduce their viability, and inhibit metastasis while exhibiting minimal or no detrimental impact on human cells. The interaction between snail hemolymph and anti-cancer drugs is sometimes synergistic. Snail organisms constitute specific micro-ecosystems that may contain micro-organisms. which, together with their metabolites, may also play an important role in immunotherapy. This problem, and the studies presented in the publications, must be verified by multiple methods.</p><p><strong>Summary: </strong>The products extracted from the snail have the potential to be of significant importance in the future treatment of cancer patients. While the findings presented in various studies are valuable, they are insufficient for the reliable verification of treatment methods, as they are made mainly under in vitro conditions.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":"33 1","pages":"24-30"},"PeriodicalIF":1.2,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147577499","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":"Effect of overweight and obesity on clinical course and prognosis in patients with acute coronary syndromes.","authors":"Magdalena Dudzikowska, Dorota Rębak, Joanna Gotlib-Małkowska, Jarosław Chmielewski, Radosław Sierpiński, Małgorzata Goździewska, Maria Pąchalska, Piotr Szenk","doi":"10.26444/aaem/213894","DOIUrl":"10.26444/aaem/213894","url":null,"abstract":"<p><strong>Introduction and objective: </strong>Acute coronary syndromes (ACS) are life-threatening conditions, characterized by limited or absent blood flow in the coronary arteries. Diagnosis of ACS depends on clinical symptoms, characteristic electrocardiogram (ECG) changes, and increased biochemical markers of myocardial necrosis above reference values. The aim of the study was to assess the effect of overweight and obesity on the clinical course and prognosis in patients with acute coronary syndromes.</p><p><strong>Material and methods: </strong>The study was conducted in the 2nd Cardiology Clinic in Kielce, south-east Poland. The study included 256 patients diagnosed with ACS, unstable angina (UA), non-ST-elevation myocardial infarction (NSTEMI), and ST-elevation myocardial infarction (STEMI). Males constituted 58.6% of the total number of patients, and persons aged 65 and older - 51.2%. The study was of an observational, case-control character. The procedure covered anthropometric measurements, collection of fasting venous blood samples, and analysis of patients' medical records.</p><p><strong>Results: </strong>The mean BMI in the examined population was 28.86(±4.85) kg/m²; mean body weight - 80.08(±16.03) kg; 41.8% of patients were diagnosed with overweight, 35.9% with obesity. The mean total cholesterol level in the examined population was 191.11(±51.28) mg/dL, and mean LVEF - 51.35 (±8.86)%. Coronary angiography was performed on 95.7% of patients. The most common risk factors for CVD were: arterial hypertension (65.6%), and hypercholesterolaemia (50.0%).</p><p><strong>Conclusions: </strong>Overweight or obesity increases the risk of occurrence of classical cardiovascular risk factors, such as arterial hypertension, hypercholesterolaemia, and type 2 diabetes. In patients with ACS, obesity was related with renal failure. In overweight and obese persons coronary angiography was most often performed.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":"33 1","pages":"90-97"},"PeriodicalIF":1.2,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147577505","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-economic determinants of the second-dose measles vaccination coverage in Poland.","authors":"Paulina Maria Nowicka, Zbigniew Lewandowski, Mariusz Gujski, Bolesław Krzysztof Samoliński","doi":"10.26444/aaem/207725","DOIUrl":"10.26444/aaem/207725","url":null,"abstract":"<p><strong>Introduction and objective: </strong>Measles is one of the most contagious human viruses and serves as an early indicator of gaps in population immunity. Despite the introduction of measles vaccination 50 years ago, Poland remains one of nine endemic countries in the WHO European Region. The aim of the study is to assess the relationship between socio-economic factors and sufficient coverage (≥95%) with the second dose of vaccination against measles (MMR2) at the poviat level in Poland from 2014 - 2018.</p><p><strong>Material and methods: </strong>Data on MMR2 coverage was extracted from annual reports collected by sanitary-epidemiological stations in Poland. Socio-economic data was obtained from Statistics Poland. A multivariate logistic regression analysis, adjusted for population size and the number of physicians and nurses, was performed to identify predictors of sufficient MMR2 coverage.</p><p><strong>Results: </strong>Three socio-economic variables were found to be significant independent predictors of sufficient MMR2 coverage across years: the number of households receiving community-based social assistance, families receiving child benefits, and the number of medical consultations in primary health care. Poviats with higher values for these variables had increased odds of achieving sufficient MMR2 coverage. In contrast, no significant association was observed between MMR2 coverage and the average monthly salary, employment rates, or the number of foster families.</p><p><strong>Conclusions: </strong>MMR2 coverage at the poviat level in Poland is predictable using selected socio-economic variables. The findings suggest that benefitting from social assistance positively influences vaccination uptake. While individual-level data would provide greater insight, poviat-level data can still guide public health interventions to improve MMR2 coverage and reduce the risk of measles outbreaks.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":"33 1","pages":"82-89"},"PeriodicalIF":1.2,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147577442","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":"Rural-urban differences in the perception of cooperation between schools and the psychiatric care system for children and adolescents, and attitudes towards the ban on using phones at school - a cross-sectional study.","authors":"Aleksandra Lewandowska, Mateusz Jankowski, Mariusz Gujski, Agata Andrzejczyk, Katarzyna Nowakowska-Domagała, Andrzej Silczuk","doi":"10.26444/aaem/207723","DOIUrl":"10.26444/aaem/207723","url":null,"abstract":"<p><strong>Introduction and objective: </strong>Since 2020, a new model of psychiatric care for children and adolescents has been implemented in Poland. The aim of the study is to analyze the current level of cooperation between schools and the psychiatric care system for children and adolescents, as well as to identify attitudes towards the ban on using phones at school among school principals in the Łódź province in Central Poland.</p><p><strong>Material and methods: </strong>A total of 1,564 school principlas from Łódź province were inivited to participate in a cross-sectional survey. The self-prepared questionnaire was available online between March - April 2025.</p><p><strong>Results: </strong>Data were received from 605 school principals, with a response rate of 38.7%. Respondents declared an average (48.3%) level of knowledge about the new model of psychiatric care for minors. Most of the school principals declared support (66.8%' definitely yes' and 23.5% 'rather yes') for the implementation law on the banning of use of phones in schools. School principals with 1-5 years of professional experience more often declared a good level of cooperation with reference level I and II of psychiatric care for minors, as well as support for a ban on the use of mobile phones in schools (p<0.05). Those managing primary schools or schools in rural areas, declared more positive attitudes towards (p<0.05) implementation of a ban on use of mobile phones in schools. Females more often declared (p=0.04) that a ban on use of mobile phones will have positive impact on children's social skills. The level of support for a ban on use of mobile phones in schools increased with the years of professional experience (p=0.02).</p><p><strong>Conclusions: </strong>Five years after the introduction of the new model of psychiatric care for children and adolescents, there are still significant gaps in cooperation between schools and individual reference levels of psychiatric care for minors.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":"33 1","pages":"75-81"},"PeriodicalIF":1.2,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147577203","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 level of trust in healthcare professionals in Poland during the COVID-19 pandemic.","authors":"Kinga Nowak, Paulina Mularczyk-Tomczewska, Filip Raciborski","doi":"10.26444/aaem/204341","DOIUrl":"10.26444/aaem/204341","url":null,"abstract":"<p><strong>Introduction and objective: </strong>The level of trust in the healthcare professionals in Poland is one of the lowest in the European Union. The COVID-19 pandemic caused a sense of danger due to the risk of infection and death. The aim of the survey was to determine the level of trust that Polish citizens have in healthcare professionals and the factors related to trust, including concern of SARS-Cov-2 infection and their opinion on pandemic management.</p><p><strong>Material and methods: </strong>The study comprised 1,218 adult citizens of Poland aged 18-90. The study was conducted on a representative sample at the national level. Data were collected between 6-16 September 2021.</p><p><strong>Results: </strong>The highest percentage of respondents expressed trust in healthcare workers in terms of their competences (66.1%), and the lowest in terms of equal treatment of patients (43.7%). More than half (53.0%) of those with a very low level of trust in medical staff negatively assessed the government's actions related to the pandemic. In this group, 59.8% were not afraid of SARS-CoV-2 infection. Multivariable logistic regression showed that people with a very low level of trust in medical staff had twice the chance (OR=2.09; 95%CI: 1.23-3.56) of being unvaccinated against COVID-19, compared to those with a very high level of trust.</p><p><strong>Conclusions: </strong>The issue of trust in medical personnel is multi-dimensional. The highest percentage of individuals expressed trust in the competences of doctors and their level of engagement in their work. The majority of doubts concerned the equality of treatment of patients. Elderly individuals tended to exhibit more trust in medical personnel compared to younger individuals. Reluctance to vaccination against COVID-19 was associated with a lack of trust in medical personnel.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":"33 1","pages":"53-58"},"PeriodicalIF":1.2,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147577476","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":"Psychological adaptation to cancer in women with breast cancer considering selected medical factors.","authors":"Mateusz Niemiec, Irena Dorota Karwat, Magdalena Konieczny, Edyta Wojciechowska, Katarzyna Sygit, Elżbieta Cipora","doi":"10.26444/aaem/206068","DOIUrl":"10.26444/aaem/206068","url":null,"abstract":"<p><strong>Introduction and objective: </strong>The diagnosis and treatment of breast cancer result in numerous somatic, psychological, and spiritual challenges, the severity of which depends on the patient's psychological adaptation to the disease. The aim of the study is to assess the psychological adaptation to cancer in women with breast cancer, taking into account selected medical factors.</p><p><strong>Material and methods: </strong>The study included 522 women diagnosed with breast cancer. The diagnostic survey method was used, with research tools including a Self-Authored Questionnaire and the Mini-Mac Psychological Adaptation to Cancer Scale. Statistical calculations were performed using the Statistica 13.3 software package, with a significance level of p ≤ 0.05.</p><p><strong>Results: </strong>A constructive coping style predominated in the studied group, with the highest intensity observed in positive re-evaluation (M = 22.18). A higher stage of cancer progression correlated with a greater intensity of the 'fighting spirit' strategy (p = 0.016). The longer the time since breast cancer diagnosis, the lower the intensity of anxious preoccupation (p = 0.030), helplessness-hopelessness (p = 0.005), and the destructive coping style (p = 0.009). The destructive coping style was more frequently observed in women who had not undergone chemotherapy (p = 0.001), while surgically treated women exhibited a higher intensity of the helplessness-hopelessness strategy (p = 0.047). In contrast, patients who had undergone radiotherapy had a lower mean level of anxious preoccupation (p = 0.006).</p><p><strong>Conclusions: </strong>The analyzed medical factors - such as the time since cancer diagnosis, cancer stage, self-assessment of current health status, and applied therapies - determined the psychological adaptation to the disease in women diagnosed with breast cancer.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":"33 1","pages":"112-117"},"PeriodicalIF":1.2,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147577544","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 combined Smartwatch-Electrocardiogramme approach for atrial fibrillation detection in rural practice.","authors":"Kazuhiko Kotani","doi":"10.26444/aaem/217588","DOIUrl":"10.26444/aaem/217588","url":null,"abstract":"<p><p>Atrial fibrillation (AF) is the most common type of arrhythmia, characterized by irregular ventricular responses due to chaotic electrical activity in the atria [1]. AF is relatively prevalent, observed in approximately 1-2% of the general adult population, especially the elderly [1]. It is known as a critical condition due to being a major cause of stroke and heart failure [2, 3]. Of note, the prevalence of AF is reported to be high at 2.05% among agricultural populations in rural mountainous areas [4]. However, residents of these areas are recognized to have less opportunity to receive full disease management because of restricted access to cardiac specialists, travel distance, insufficient testing opportunities, insufficient understanding of the disease, and inadequate self-management support [4-6]. There is a demand for a simple method to detect AF among such residents.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":"33 1","pages":"1-2"},"PeriodicalIF":1.2,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147577531","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}