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EN
The study discusses the problem of tobacco smoking in the context of quality of life. The aim of the study was to make a synthetic review of scientific research conducted all over the world, which assessed the potential influence of tobacco smoking on health related quality of life. Additionally, the paper reviews the Polish literature concerning comprehending and defining “quality of life”, especially in medical sciences. Meta-analysis was a research method. Descriptions of research findings were divided into two parts: using SF-36 questionnaire (the Short Form 36 Health Survey Questionnaire) and using other questionnaires. From the review of scientific research results that tobacco smoking doesn’t influence health related quality of life in an unequivocal manner. Most of the studies showed better assessment of quality of life in non-smokers than in smokers. Improved quality of life was observed among those, who gave up smoking compared to those who continued smoking, but not all researchers demonstrated such a relationship. Research concerning influence of passive smoking on quality of life in individuals inhaling tobacco smoke for example at home, work or in places to eat wasn’t carried out so far. There is a need to do more longitudinal research on quality of life in smokers, passive smokers and among those, who successfully broke the habit to better understand the role of smoking in subjective perceived quality of life.
PL
Praca dotyczy problematyki palenia tytoniu w kontekście jakości życia. Celem pracy było dokonanie syntetycznego przeglądu badań naukowych prowadzonych na całym świecie, w których oceniano potencjalny wpływ palenia tytoniu na jakość życia związaną ze zdrowiem. Dodatkowo, w pracy dokonano przeglądu polskiego piśmiennictwa dotyczącego pojmowania i definiowania „jakości życia”, szczególnie w naukach medycznych. Metodą badawczą była metaanaliza. Opisy wyników badań rozdzielono na dwie części: z wykorzystaniem kwestionariusza SF-36 oraz z wykorzystaniem innych kwestionariuszy. Z dokonanego przeglądu badań naukowych wynika, że palenie tytoniu nie wpływa na jakość życia związaną ze zdrowiem w sposób jednoznaczny. W większości badań osoby niepalące wyżej oceniały swoją jakość życia od osób palących. Wśród osób, które rzuciły palenie obserwowano większą satysfakcję z życia w porównaniu z osobami kontynuującymi palenie, lecz nie wszyscy badacze wykazali taką zależność. Dotychczas nie prowadzono badań nt. wpływu biernego palenia tytoniu na jakość życia osób narażonych na wdychanie dymu tytoniowego np. w domu, miejscu pracy, lokalach gastronomicznych. Istnieje potrzeba przeprowadzenia większej liczby badań longitudinalnych nad jakością życia osób palących tytoń, palących biernie i tych, którzy pomyślnie zerwali z nałogiem w celu większego zrozumienia roli, jaką odgrywa palenie tytoniu w subiektywnie postrzeganej jakości życia.
EN
Backgorund Decreased affective efficiency, preceded by emotional problems, is a common advanced-age disorder which can lead to depression. Aim The aim of this study was to assess the relationship between depressive symptoms experienced by elderly people and their sociodemographic data, self-reported health status, physical fitness, functional capacity, and history of falls. Material and methods The study involved 304 individuals aged 65-100 years. The research instruments were the Geriatric Depression Scale-Short Form, the Barthel Scale, and the Background Survey Geriatric Questionnaire. Results Depression was more common among the elders who had a lower education level, lived alone, were in a worse financial position, and among those whose families were unprepared to provide them with informal care (p < 0.05). Conclusions Depressive symptoms observed in the respondents were significantly related to their sociodemographic data, reduced ability to perform daily activities, low self-reported health status and physical fitness, and recurrent falls.
EN
The aim of the study was to evaluate the nature and frequency of sharps injuries among doctors and nurses from the same surgical/gynecological wards and the prevalence of HBV/HCV/HIV infection.Material and methods. An anonymous cross-sectional sero-survey, with ELISA system used to detect anti-HBc, anti-HCV, anti-HIV, was conducted among 89 doctors and 414 nurses from 16 randomly selected hospitals in West Pomerania, Poland, between January-June 2009.Results. During the preceding 12 months, 82% doctors and 44.4% nurses (p<0.0001) had sustained at least one sharps injury; 12.3% doctors vs 2.2% nurses (p<0.003) sustained more than 10 injuries. The multivariable regression model revealed that being a doctor was associated with a greater odds (OR 4.2) of being injured with sharps. Sixty nine percent of nurses sustained a hollow-bore needle injury vs 8.9% doctors; p<0.001. Anti-HBc were found in 16.4% of doctors and 11.2% of nurses, p>0.28; anti-HCV - in 1.1% of doctors vs 1.4% of nurses, p>0.79; no anti-HIV positive cases were found. The analysis of potential risk factors for contracting a HBV revealed that for both job categories only length of employment was associated with an increased odds of being infected.Conclusions. Although the prevalence of HBV/HCV infection between doctors and nurses does not differ significantly, modifiable risk factors for contracting a BBI such as frequency and nature of sharps injuries may differ, which call for tailoring preventive measures to specific job categories. Long lasting exposure to injury events should be taken into consideration while assessing the risk for accuiring an occupational infection with HBV, HCV or HIV.
EN
Aim: Technologies involved in roasting coffee beans, as well as the methods used to prepare infusions, vary according to culture, and contribute to differences in the concentration of elements in the drink. Materials and Methods: Concentrations of six elements: manganese (Mn), cobalt (Co), nickel (Ni), chrome (Cr), silver (Ag) and lead (Pb) were investigated in coffee infusions from eleven samples of coffee, roasted and purchased in four countries: Bosnia and Herzegovina, Brazil, Lebanon and Poland. Metal concentrations were determined using an induction coupled plasma technique in combination with mass spectrometry (ICP-MS, Perkin Elmer) which measures total metal (ionic and non-ionic) content. Results: Metal intake estimated for individual countries (in the respective order; mean consumption per person per year) was as follows: Mn: 26.8-33.1, 28.3-29.5, 29.7, 12.6-18.9 mg; Co: 0.33-0.48, 0.42-0.35, 0.32, 0.12-0.17 mg; Ni: 3.83-5.68, 4.85-5.51, 4.04, 2.06-2.24 mg; Cr: 0.17-0.41, 0.21-0.47, 0.17, 0.09-0.28 mg; Ag: 0.16-1.13, 0.26-0.70, 0.61, 0.33-1.54 mg, Pb: 4.76-7.56, 3.59-5.13, 3.33, 1.48-2.43 mg. Conclusions: This finding gives new data for Mn, Co, Ni, Cr, and Ag intake from coffee , and suggests that the amounts are negligible. However, the data for Pb consumption in heavy drinkers, for example in Bosnia and Herzegovina, indicate that Pb intake from coffee may contribute to the disease burden. The high lead level in some coffees suggests the need for a more precise control of coffee contamination.
EN
Introduction Coxarthritis, in Poland, affects approximately 8 million people. Early physiotherapy determines the success of treatment. Aim The aim of the study was to analyse the effectiveness of rehabilitation process of patients undergoing hip surgery. Material and methods Medical documentation of 100 patients who have undergone surgery was analysed. Results The most common diagnosis in patients was coxarthritis. The BMI values of the patient’s differed significan¬tly depending on their place of residence. Patients started rehabilitation between day 1 and day 4 after the surgery. The verticalisation in 89% of pa-tients was carried out on day 1. Ninety-three patients decided to learn to walk with crutches. Conclusions 1. Primary coxarthritis is an indication to refer the patient to endoprosthesis. 2. In the course of rehabilitation, there is a progress of the patient’s functional level. 3. The rehabilitation process is not affected by the patient’s gender.
PL
Wstęp Koksartroza w Polsce dotyka ok. 8 mln. osób. Wcześnie wdrożona fizjoterapia decyduje o sukcesie leczenia. Cel Celem pracy była analiza procesu rehabilitacji pacjentów poddanych operacji stawu biodrowego. Materiał i metody Analizowano dokumentację medyczną 100 pacjentów poddanych operacji. Wyniki Najczęstszym rozpoznaniem u pacjentów była koksartroza. Wartości BMI badanych różniły się istotnie w zależności od miejsca zamieszkania. Pacjenci rozpoczynali rehabilitację pomiędzy 1- a 4 dniem. Pioniza¬cję w 89% przypadków przeprowadzono 1 dnia. Naukę chodu o kulach podjęło 93 pacjentów. Wnioski 1. Pierwotna koksartroza jest wskazaniem do skierowania pacjenta na endoprotezoplastykę. 2. Wraz z przebiegiem rehabilitacji występuje progres poziomu funkcjonalności pacjentów. 3. Na przebieg rehabilitacji nie ma wpływu płeć.
PL
DOI: 10.19251/pwod/2019.1(2)WstępKoksartroza w Polsce dotyka ok. 8 mln. osób. Wcześnie wdrożona fizjoterapia decyduje o sukcesie leczenia.CelCelem pracy była analiza procesu rehabilitacji pacjentów poddanych operacji stawu biodrowego.Materiał i metodyAnalizowano dokumentację medyczną 100 pacjentów poddanych operacji.WynikiNajczęstszym rozpoznaniem u pacjentów była koksartroza. Wartości BMI badanych różniły się istotnie w zależności od miejsca zamieszkania. Pacjenci rozpoczynali rehabilitację pomiędzy 1- a 4 dniem. Pionizację w 89% przypadków przeprowadzono 1 dnia. Naukę chodu o kulach podjęło 93 pacjentów.Wnioski1. Pierwotna koksartroza jest wskazaniem do skierowania pacjenta na endoprotezoplastykę.2. Wraz z przebiegiem rehabilitacji występuje progres poziomu funkcjonalności pacjentów.3. Na przebieg rehabilitacji nie ma wpływu płeć.Słowa kluczowe: koksartroza, fizjoterapia, endoprotezoplastyka
EN
Background. During the last few decades, adiposity has become a relatively common phenomenon worldwide. The available data on the effects of pro-inflammatory factors in both depression and adiposity has been attracting great attention. Aim. We sought to assess the prevalence of -889C>T IL-1α, -31T>C and -511C>T IL-1β, -330T>G IL-2 and -174G>C IL-6 genes and their association with adiposity and depression in Polish subjects. Methods. A cohort study was conducted in 2013/2014, covering a sample of 297 individuals (217 female and 80 male). Anthropometric data was handled using the BIA analysis method, while for genotyping PCR-RFLP techniques were used. Results. A positive correlation between depression and anthropometric parameters: adipose tissue (in kg) and adipose tissue (in %) (R=0.135 and p=0.02, R=0.114 and p<0.05, respectively) was found. No association between studied polymorphisms and depression was observed. Conclusion. Although it was not possible to demonstrate any influence of the studied polymorphisms as the genetic modulator of depression, authors believe that the presented data are noticeable and may provide the basis for future studies on larger groups.
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