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Commentary: The King is Naked – a very subjective look at child and adolescent psychiatry

100%
Waszak P. M., Łuszczak E.
European Journal of Translational and Clinical Medicine
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2022
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vol. 5
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issue 1
5-7
EN
There is a great crisis in child-adolescent psychiatry, but we will not solve it just only by increasing the number of psychiatrists nor the number of psychiatric wards. The young patients described in Agnieszka Wlazło's editorial indeed should not end up in a psychiatry department, but that does not mean they do not need any institutional support at all. In this commentary I would like to add two simple but important remarks: we need a serious discussion of the consequences of childhood trauma and mental problems in adolescence and also a well-functioning prevention system to avoid them.
2
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Clinical and demographic features of acutely hospitalised schizophrenia patients according to Toxoplasma gondii serostatus

81%
Grabowski J., Waszak P. M., Przybylak M., Bidzan L.
European Journal of Translational and Clinical Medicine
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2023
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vol. 6
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issue 1
14-24
EN
Background: Few data exist concerning the clinical correlates of Toxoplasma gondii infecotin in persons with schizophrenia. The aim of this study was to invesgtiate the correlaotin between toxoplasmosis and schizophrenia regarding the quality of life, symptoms and course of hospitalisaotin in paetints with schizophrenia. Methods: Acutely hospitalised paetints (n = 67) were examined twice during their hospital stay. Schizophrenia psychopathology, quality of life, extrapyramidal symptoms and T. gondii anbtiody ttires were assessed upon admission and at discharge. Results: Toxo-IgG (+) paetints (59.7%) were older, less educated, more obese and less eager to undertake psychotherapy. Female gender and higher ferltiity were dominant in this group with abnormal involuntary movements more commonly observed. Lower anptisychocti drug doses and monotherapy were used more frequently for Toxo-IgG (+) paetints. Lower educaotin (OR 2.41, 95% CI 1.21-4.79) was the most important factor associated with higher likelihood of IgG seroposivtiity. High levels of Toxo-IgM anbtiodies correlated with lower quality of life (r = -0.37; p = 0.02) and more severe posivtie (r = 0.40; p = 0.01) and focal (r = 0.32; p = 0.04) schizophrenia symptoms. Conclusions: Toxoplasmosis is more common in older, obese women with lower educaotin. Recent infecotin is linked to more severe schizophrenia symptoms. Patients with toxoplasmosis history were given less medication. Grabowski J, Waszak P, Przybylak M, Bidzan L. Clinical and demographic features of acutely hospitalised schizophrenia patients according to Toxoplasma gondii serostatus. Eur J Transl Clin Med. 2023;6(1):14-24.
3
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Cardiovascular and metabolic side effects of second-generation antipsychotics – narrative review

71%
Waszak P. M., Piskorska N. A., Sarbiewska M., Zagożdżon P., Cubała W. J.
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2019
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vol. 2
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issue 1
70-77
EN
Since their introduction, the use of second generation antipsychotics (SGAs) has extended far beyond schizophrenia. With the increased usage of these agents, particular attention has been paid to their metabolic and cardiac side effects. This narrative review is an attempt to briefly summarize the conclusions from recently published systematic reviews on cardio-metabolic side effects of SGAs. Although no SGA is entirely free of these adverse effects, there are major differences in their prevalence between the specific medications. Numerous studies demonstrated particularly unfavorable side effect profiles of olanzapine and clozapine. The lack of conclusive data is a major limitation for many studies, particularly in the pediatric population. In this article we also discussed the meanings of these findings, suggested cardio-metabolic screening during SGA treatment and side effect management strategies.
4
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Knowledge of vitamin D and its supplementation among students of northern Poland

52%
Waszak P. M., Mędza A., Springer J., Zgłobicka M., Ogrodnik P., Kalinowska P., Kmieć P., Lizakowska-Kmieć M., Sworczak K., Żmijewski M.
European Journal of Translational and Clinical Medicine
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2018
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vol. 1
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issue 1
48-56
EN
Introduction: Vitamin D deficiency is a worldwide public health problem. The objective of this survey was to assess the undergraduate students’ vitamin D status and knowledge about this vitamin. Materials and methods: An online multi-choice survey was designed and launched in Northern Poland (Gdańsk region). The first part of the survey assessed diet, supplementation, UV radiation exposure (UVE) and general health of respondents. The second part was a vitamin D knowledge test (vitamin D optimal level, deficiency-related diseases). 1766 student volunteers responded to the survey: 369 male and 1397 female. Data was divided according to the respondents’ sex and university affiliation. Appropriate parametric or non-parametric statistical tests were used with statistical significance set at p<0.05. Results: Regular consumption of vitamin D-rich food was high, except for fish (only 18; 22%). High number of participants did not declare any type of supplementation (43; 44%) and only occasionally were exposed to UV (77%; 80%). The most frequently recognized disease linked to vitamin D was osteoporosis. Medical University students obtained higher test scores (4,55), however this did not correlate with healthy vitamin D habits. Conclusion: Undergraduate medical and non-medical students have unsatisfactory vitamin D status and poor understanding of its function and impact on health, which implies the need for changes in the educational program.
5
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Knowledge of vitamin D and its supplementation among students of northern Poland

52%
Waszak P. M., Mędza A., Springer J., Zgłobicka M., Ogrodnik P., Kalinowska P., Kmieć P., Lizakowska-Kmieć M., Sworczak K., Żmijewski M.
|
2018
|
vol. 1
|
issue 1
48-56
EN
Introduction Vitamin D deficiency is a worldwide public health problem. The objective of this survey was to assess the undergraduate students’ vitamin D status and knowledge about this vitamin. Materials and methods An online multi-choice survey was designed and launched in Northern Poland (Gdańsk region). The first part of the survey assessed diet, supplementation, UV radiation exposure (UVE) and general health of respondents. The second part was a vitamin D knowledge test (vitamin D optimal level, deficiency-related diseases). 1766 student volunteers responded to the survey: 369 male and 1397 female. Data was divided according to the respondents’ sex and university affiliation. Appropriate parametric or non-parametric statistical tests were used with statistical significance set at p<0.05. Results Regular consumption of vitamin D-rich food was high, except for fish (only 18; 22%). High number of participants did not declare any type of supplementation (43; 44%) and only occasionally were exposed to UV (77%; 80%). The most frequently recognized disease linked to vitamin D was osteoporosis. Medical University students obtained higher test scores (4,55), however this did not correlate with healthy vitamin D habits. Conclusion Undergraduate medical and non-medical students have unsatisfactory vitamin D status and poor understanding of its function and impact on health, which implies the need for changes in the educational program.
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