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The effectiveness of screening for major cardiovascular risk factors in the population of small towns in Poland

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Rutkowski M., Wierucki Ł., Wojciechowska A., Zdrojewski T.
European Journal of Translational and Clinical Medicine
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2021
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vol. 4
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issue 1
57-64
EN
Background: Screening represents an important tool to improve detection of cardiovascular risk factors. Uniform standards for screening programs and for evaluation of their effectiveness are still lacking. Material and methods: The results of the Polish 400 Cities Project (P400CP) were analyzed by age and gender, and with regard to the prevalence and awareness of cardiovascular risk factors. The P400CP population were volunteers reporting for screening tests in small towns, and a representative sample was used as control. Results: Mean age in the screening group was 10 years more than in the representative sample. Two thirds of participants were women. First-time diagnosis rates for elevated arterial blood pressure, hyperglycemia and hypercholesterolemia in the screening were 28%, 15% and 51%, respectively. Almost 40% of participants reported previously diagnosed hypertension (vs. 25% of the control sample), 7% vs. 4% reported diabetes and 16% vs. 9% – hypercholesterolemia. Smokers represented 16.5% of participants (36% of the control sample). Conclusions: “Open” screening programs fail in targeting young adults, especially males, and people reporting for screening are often already diagnosed with arterial hypertension and/or diabetes. Despite these limitations, “open” screening is effective in detecting undiagnosed cases of hypercholesterolemia. Non-smokers report for screening tests more often.
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Statistical methods for the assessment of students' knowledge as illustrated by the Introduction to Internal Medicine exam

64%
Stefański A. I., Bladowska N., Więczkowska A., Wojtyniak B., Ignaszewska-Wyrzykowska A., Jasiel-Wojculewicz H., Jendrzejewski J., Rutkowski M., Zdrojewski T.
European Journal of Translational and Clinical Medicine
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2019
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vol. 2
|
issue 1
22-27
EN
Background: We wanted to develop substantial and statistical methodology for complex assessment of quality of teaching in internal medicine at a medical university. Our aim was also to check the connection between the results obtained during the midterm and final exam. Material and methods: We compared the results obtained by Polish (PD, n=235) and English Division (ED, n=81) students achieved during the midterm exam and multiple-choice final exam. The mean scores were calculated with t-Student test. For further evaluation Wilcoxon tests were used with the Bonferroni correction, The Stuart-Maxwell test was carried out to verify the hypothesis about correlations between results in the midterm and final exam. Results: The mean midterm exam score was 84.4% in PD and 72.6% in ED (p <0.0001) and mean final exam score was respectively 72.3% and 55.6% (p <0.0001). Good result of the final exam was obtained by 62% of students Conclusions: It is crucial to use appropriate tools to grade the quality of teaching. To evaluate that one should use advance statistical tests. The fact that ED students achieve less points on the exams might have several reasons such as the language barrier. Obtaining a good result during midterm exam does not guarantee passing the final exam.
3
Publication available in full text mode
Content available

Statistical methods for the assessment of students' knowledge as illustrated by the Introduction to Internal Medicine exam

64%
Stefański A. I., Bladowska N., Więczkowska A., Wojtyniak B., Ignaszewska-Wyrzykowska A., Jasiel-Wojculewicz H., Jendrzejewski J., Rutkowski M., Zdrojewski T.
European Journal of Translational and Clinical Medicine
|
2019
|
vol. 2
|
issue 1
22-27
EN
Background We wanted to develop substantial and statistical methodology for complex assessment of quality of teaching in internal medicine at a medical university. Our aim was also to check the connection between the results obtained during the midterm and final exam. Material and methods We compared the results obtained by Polish (PD, n=235) and English Division (ED, n=81) students achieved during the midterm exam and multiple-choice final exam. The mean scores were calculated with t-Student test. For further evaluation Wilcoxon tests were used with the Bonferroni correction, The Stuart-Maxwell test was carried out to verify the hypothesis about correlations between results in the midterm and final exam. Results The mean midterm exam score was 84.4% in PD and 72.6% in ED (p <0.0001) and mean final exam score was respectively 72.3% and 55.6% (p <0.0001). Good result of the final exam was obtained by 62% of students who passed well the midterm exam. Conclusions It is crucial to use appropriate tools to grade the quality of teaching. To evaluate that one should use advance statistical tests. The fact that ED students achieve less points on the exams might have several reasons such as the language barrier. Obtaining a good result during midterm exam does not guarantee passing the final exam.
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