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PL
IntroductionPatient’s confidence is very important in patient – doctor communication. It is very vital when we talk about efficient medical care because it can improve this care significently. It is particularly important for people who can not contact with it easily. Thanks to watching relations between patient and doctor we can get to know the way the patient judges references of the doctor during his professional activities.The aim of the thesisThe aim of these studies was to estimate the level of patient’s confidence after the last medical appointment. The studies were made with the help of Anderson and Dedrick scale. ResultsPatients were satisfied after the appointment when during the examination they could see a telephone and a computer on the desk, medical equipment and other medical things. The doctor was closer than 61 cm from them and patients could not see any physical barriers. During the examination the position of the doctor was open, he used gestures and he was sitting face to face to the patient (angle 180° or 90°). His eyes were at the same level as patient’s eyes. ConclusionsThe ability of proper communication with the patient is a very important element of medical care. However, it is often underestimated. But efficiency of therapy and efficiency of diagnostics depend on these factors.
PL
IntroductionNursing is a profession of public trust, which, because of the nature of work with another person, is subjected to constant evaluation.Aim Evaluation of the perception of the profession of nurse by the youth of the matura classes.Material and methodsThe study was conducted from February to April 2016 in randomly selected post-gymnasium schools. The questionnaire survey was used for the study.ResultsThe study involved 105 students in the matura classes, among them 77 were women, which constituted 67% and 35 men, which is 33% of the total population studied. Nineteen were 64 of them, 61% of the total, and 41 of them, 39% of the respondents. Research shows that young people consider the profession of Nursing / Nurse to be a profession of interest to such an answer, more than half of the respondents 54.3%. Only 28.6% of respondents consider the profession of nurse to be unattractive. Respondents indicated that the majority of the high school students surveyed were 54 (51.4%) who did not want to work as a nurse / nurse, only 27 (25.7%) of the respondents expressed their willingness to work in the profession, 24 ( 22.9%) people abstained from the answer. The strange fact is that young people in most professions of nurses find it interesting.ConclusionsAccording to junior high school students, the profession of nurse / nurse is an interesting profession. The person who is a future trainee should be qualified; Sense of responsibility, communicativeness, theoretical and practical knowledge. The profession of the nurse of the examined youth is associated with the assistant, assistant doctor.
EN
Today, current problems and pneumonia, gastric ulcers, which can be regarded as an independent disease or as a complication. In this paper we describe the contents of cytokines (CC) in the blood during the early period of experimental pneumonia disease and stomach ulcers. For the experiment, we selected two models of disease: experimental pneumonia (EP) and peptic ulcer (PU). Materials and methods. The study was conducted on 39 male guinea pigs, weighing 180 - 210 g test animals were divided into three groups. The experimental pneumonia caused by the method Shlyapnykova V. N., Solodova T. L., gastric ulcer simulated method Komarov V. I. All guinea pigs carried determine the concentration of cytokines: TNF-α, IL-6 and IL-10 in serum using ELISA (ELISA) using the kits of the company «Diaclone» (France), according to the enclosed instructions. Digital statistical results processed by using Student's criterion. Results and discussion. In the study of the system EP and cytokines in VHSH found that in the test day of the experiment were as likely changes in the content of proinflammatory and antiinflammatory cytokines compared with the group of intact animals Results and discussion, CC proinflammatory IL-6 was found to increase its concentration to 61.1% (r≤0,05) on the fourth day, the eighth day of the disease models, this figure increased by 68.9% (r≤ 0.05) compared with kotrolem. A similar trend was observed from the following cytokines - TNF-α, which is typical of proinflammatory cytokines and other markers of generalized non-specific inflammation. There was increase in this indicator in fourth and eighth days of TNF-α respectively 59.4% (r≤0,05) and 65.6% (r≤0,05) relatively intact group of porpoises. Consequently, studies cytokine profile in serum under conditions established experimental models of diseases increase in the pool of inflammatory CC. Analysis of anti-inflammatory cytokine IL-10 for 4 days and VHSH EP showed its reduction by 22.5% (r≤0,05) when compared to the 1st group of animals experiment. Reduction of the Central Committee observed for 8 days at 31.4% (r≤0,05) compared with control animals. Thus, the study of cytokines (TNF-α, IL-6 and IL-10) showed increase in proinflammatory and anti-inflammatory interleukins decline, indicating that the balance between pro- and anti-inflammatory CC.
EN
In the work, we studied the parameters of the psychological and emotional state of patients with type 2 diabetes mellitus on the background of excessive body weight. Psychological and emotional state studies were conducted using the Patient Health Questionnaire-PHQ-9, questionnaire the hospital scale of anxiety and depression (HADS). A comparison of the frequency of occurrence of anxiety-depressive disorders and the study of the degree of their severity in the patients under study. The study revealed that negative changes in the indicators of psychological and emotional state in patients with type 2 diabetes are six times more likely than in healthy people.
EN
A doctor’s adaptation to medical activity has a great influence on the effectiveness of his professional activity. The objective: to explore individual psychological predictors of the formation of maladaptation states of internship doctors for the development of a system for their diagnosis, correction and psychoprophylaxis. A comprehensive clinical-psychological, psychodiagnostic and clinical-anamnestic examination of 213 internship doctors of the first year of training atKharkovNationalMedicalUniversity, 116 women and 97 men, aged 22-25 years old had been conducted. It had been established that internship doctors are characterized by feelings of internal tension and dissatisfaction, decreased mood, irritability, anxiety, long-term uncertain negative emotions, unmotivated fears, self-doubt, doubts about making decisions, decline in intellectual activityin conjunction with increased exhaustion and withdrawal mercurial attention. We have developed a system of medical and psychological support during the professional training period depending on the type of disadaptation. The psychotherapeutic complex in the internship doctors included the use of rational psychotherapy, autogenous training (psychotonic version of Shogham-Mirovsky), art therapy, progressive muscle relaxation by Jacobson, cognitive-behavioral therapy of Beck, autogenous training in the modification of Lebedinsky - Bortnik, etc. were used. The results of a three-year catamnestic study proved the effectiveness of the proposed system of psychotherapeutic correction of disorders of adaptation, positive dynamics of the mental state was noted, the maladaptive states were reduced; 92.6% of the examined recurrences of the violations of adaptation did not occur.
PL
Juraszek Karolina, Hagner-Derengowska Magdalena, Hoffmann Magdalena, Kalisz Zdzisława, Zukow Walery. Wpływ pracy zawodowej na występowanie zespołów bólowych kręgosłupa na przykładzie pielęgniarek województwa kujawsko – pomorskiego = The impact of work on the occurrence of back pains on the example of nurses in the Kujawsko-Pomorskie voievodeship. Journal of Education, Health and Sport. 2016;6(8):504-521. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.60944http://ojs.ukw.edu.pl/index.php/johs/article/view/3788   The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015).755 Journal of Education, Health and Sport eISSN 2391-8306 7© The Author (s) 2016;This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, PolandOpen Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium,provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License(http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercialuse, distribution and reproduction in any medium, provided the work is properly cited.The authors declare that there is no conflict of interests regarding the publication of this paper.Received: 01.08.2016. Revised 08.08.2016. Accepted: 25.08.2016.  Wpływ pracy zawodowej na występowanie zespołów bólowych kręgosłupa na przykładzie pielęgniarek województwa kujawsko – pomorskiegoThe impact of work on the occurrence of back pains on the example of nurses in the Kujawsko-Pomorskie voievodeship Karolina Juraszek2, 4, Magdalena Hagner-Derengowska1, 2, Magdalena Hoffmann3, Zdzisława Kalisz2, Walery Zukow5 1. Katedra Neuropsychologii Klinicznej Collegium Medicum w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu2. Bydgoska Szkoła Wyższa w Bydgoszczy3. Uniwersyteckie Centrum Kliniczne w Gdańsku, Klinika Nadciśnienia Tętniczego i Diabetologii4. Centrum Onkologii im. prof. F. Łukaszczyka w Bydgoszczy, Zakład Rehabilitacji5. Uniwersytet Kazimierza Wielkiego w Bydgoszczy  Słowa kluczowe: praca, zespoły bólowe kręgosłupa, pielęgniarkiKey words: work, back pain, nurses StreszczenieZdrowie człowieka w dużym stopniu determinują czynniki środowiskowe, wśród których ogromny wpływ na prawidłowe funkcjonowanie wywiera charakter wykonywanej pracy i obciążenia jakie za sobą niesie. Obecnie jedną z głównych schorzeń pracowników podmiotów leczniczych są przeciążenia układu mięśniowo-szkieletowego, wśród których zespoły bólowe kręgosłupa stanowią drugą pod względem częstości przyczynę absencji w pracy. Grupę badawczą stanowiło 205 zawodowo czynnych pielęgniarek z różnych grup wiekowych.W grupie badanych pielęgniarek badania wykazały niepokojąco mały odstetek osób posiadająych wiedzę na temat norm dźwiagania cieżarów u kobiet. Również nie wszystkie pielęgniarki znają i przyjmują prawidłową pozycję podczas dźwiagania pacjentów. Mimo to są zdania, że posiadają potrzebną wiedzę odnośnie ergonomii i profilaktyki w pracy.Analiza występowania zespołów bólowych kręgosłupa w grupie pielęgniarek potwierdziła niekorzystny wpływ pracy na organizm, jak również nakreślila podłoże problemu związane nie tylko ze specyfiką wykonywanych czynności w pracy, ale również z niedostatecznym przeszkoleniem odnośnie bezpieczeństwa i profilaktyki przeciążenia narządu ruchu na stanowisku pracy. Abstract Human health is largely determined by the environmental factors, among which the nature of the work and load that it carries has a huge impact on the proper functioning of the body. Currently one of the major diseases of health service employees is overload of the musculoskeletal system, including back pain as a second most common cause of absenteeism. The study group consisted of 205 professionally active nurses from different age groups.In the surveyed group of nurses studies showed an alarmingly small percentage of people aware of lifting standards for women. Also, not all nurses know and assume the correct position when lifting patients. The occurrence of back pains in the group of nurses confirmed the negative impact of work on the body. It outlined the base of the problem related not only to the specific nature of activities performed at work, but also to insufficient training for health and safety of musculoskeletal overload in the workplace.
PL
Prusik Katarzyna, Ossowski Zbigniew, Bielawa Łukasz, Wiech Monika, Kortas Jakub, Konieczna Seweryna, Prusik Krzysztof. Zróżnicowane programy aktywizujące a sprawność funkcjonalna kobiet w wieku 60+ = Diverse activation programs and the efficiency of functional women aged 60+. Journal of Education, Health and Sport. 2016;6(3):113-124. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.47867http://ojs.ukw.edu.pl/index.php/johs/article/view/3425https://pbn.nauka.gov.pl/works/721251 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015).755 Journal of Education, Health and Sport eISSN 2391-8306 7© The Author (s) 2016;This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, PolandOpen Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium,provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License(http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercialuse, distribution and reproduction in any medium, provided the work is properly cited.The authors declare that there is no conflict of interests regarding the publication of this paper.Received: 05.01.2016. Revised 12.02.2016. Accepted: 27.02.2016.  Zróżnicowane programy aktywizujące a sprawność funkcjonalna kobiet w wieku 60+ Diverse activation programs and the efficiency of functional women aged 60+ Katarzyna Prusik1, Zbigniew Ossowski1, Łukasz Bielawa1, Monika Wiech1, Jakub Kortas1, Seweryna Konieczna2, Krzysztof Prusik1 1Academy of Physical Education and Sport in Gdansk2Medical University of Gdansk Keywords: Nordic Walking, health training, occupational therapy.Słowa kluczowe: Nordic Walking, trening zdrowotny, terapia zajęciowa. AbstractOne of the many forms of activity may be physical activity dressed in costume popular in Poland and in the world of Nordic Walking. Another way to stimulate the occupational therapy, which involves the realm of the physical, mental and social man usually less active in general. The objectives of occupational therapy are similar to the general objectives underlying any form of physical activity, and that is the behavior of self-reliance, independence and efficiency.The aim of the study is to analyze different activation programs in relation to the functional capacity of women aged 60+.We analyzed two fundamentally different activation programs seniors: occupational therapy program implemented in the Daily Nursing Home for the Elderly in Gdansk and health training program in the form of Nordic Walking realized within statutory research. The material tested is 48 women over the age of 60, after 24 people training Nordic Walking 3 times a week for 60 minutes, and 24 people participating in occupational therapy.Physical activity is an effective means to maintain physical for a long time, it can also be an effective means of shaping it during aging. Physical activity should begin early. Then you can expect spectacular effects of training, and thus a high physical translates directly to high levels of positive physical health. You can expect to achieve in this area, the leader among his peers. You can go ahead and prepare for old age, efficient, independent and self.
EN
Background: The objective of the study was to develop the initial assessment of psychometric properties in the Polish version of the Diabetes Attitude Scale (DAS-3P) for a group of people with type 2 diabetes and to determine the impact of the selected sociodemographic and medical factors on the patients’ attitude towards the disease.Materials and Methods: The study was conducted on a group of 227 people with type 2 diabetes who were treated at the Diabetes Outpatient Clinic and the Endocrinology Clinic of the Independent Public Clinical Hospital No 4 in Lublin. The theoretical accuracy was assessed by means of confirmatory and exploratory factor analysis and the method of scale DAS- 3 major axis. The accuracy of the DAS-3 scale was determined by examining the internal test congruity and analysing the value of Cronbach’s alpha coefficient. The differences between the mean valueswas determined by the t test and the single factor analysis of variance.Results: Following the revision, Cronbach’s alpha internal congruence coefficient reached a  = 0.79 for the whole DAS-3P and the normality of the DAS-3P distribution does not deviate significantly from the symmetrical distribution. However,the study showed a statistically important difference (p < 0.05) between gender, place of residence, level of education, need for material support, participation in training and the mean DAS-3P score. The age, the presence of a domestic partner, job activity, BMI, duration of the disease, the treatment method, the concentration level of HbA1C were not of statistical importance (p > 0.05) for the DAS-3P scores.Conclusions: 1.There is a need to continue with the study into the psychometric properties of the DAS-3 scale in the Polish version on a large study population with type 2 diabetes, 2. The survey group of patients with type 2 diabetes shows a positive attitude towards their disease assessed by the DAS-3P, 3. Higher scores in the Diabetes Attitude Scale (DAS-3P) were obtained by males living in the city, with higher education background, in need of material support and participating in training on diabetes.
PL
 Aim: The comparison the level of aggression of women and men in the judo population, against the background of the average aggression of the Polish societyMaterial and Methods: A group of 77 former and still practicing judokas (30 women and 47 men) were tested using a questionnaire to determine the aggression level of "Aggression Questionnaire" Buss, Perry, Amity Institute in Polish adaptation.Results: Women had lower levels of physical aggression than men. Reduced feelings of hostility among women and men made the judo environment different from the average Polish population.Conclusions: Only the lower level of physical aggression in women is discriminating against the judo environment. The lower level of sense of hostility is a significant distinctive for the entire judo community.
EN
In the modern education system there are rapid and significant changes that do not by pass the teaching of disciplines in medical universities. Different types of multimedia technologies allow you to model the conditions of learning activities and implement them in the form of various training exercises. Each of these types contributes to a more rational activity of the teacher at certain stages of the educational process, expands opportunities, intensifying the pedagogical process as a whole. Technological novelties help to activate self-motivation of students, their creative thinking, independence and the desire to comprehensively obtain and assimilate information, stimulate curiosity and interest in scientific activity.
EN
Background. State of physical performance is one of the attributes of quality of life and the criterion of the effectiveness of treatment and rehabilitation. Prominent among the methods of rehabilitation takes balneotherapy. Data on the effect of rehabilitation in Truskavets’ spa resort on the physical performance of different groups of patients ambiguous. In a previous study we found a number of positive and negative actotropic factors. The aim of this study is to assess the influence of balneotherapy at resort Truskavets on physical performance and clarify some its mechanisms. Materials and methods. The object of observation were 29 women (average age 45 years with a range of 29-61 years) suffering from chronic cholecystitis in remission who arrived at spa Truskavets’ (Ukraine) for rehabilitation. Physical performance evaluated by veloergometry. State of central hemodynamics investigated by echocardiography. Plasma levels of hormones determined by ELISA, electrolytes by methods reflometry and spectrophotometry. Results. Ascertained increase physical performance in 48% of women, the lack of significant change in 24% and decrease in 28%. Found that changes in physical performance are accompanied concordance changes in aldosteronemia, sodium level in erythrocytes, calciumemia, enddiastolic volume of left ventricule, blood pressure and general peripheral vascular resistance while opposing changes in phosphatemia, magniumemia, activity of Na,K-ATPase of red blood cells and body mass. Conclusion. Multivariate effects of balneotherapy on physical performance due multivariate effects on electrolytes exchange and central hemodynamics.
EN
Functioning of the skin with age leads to its changes under which the condition of the dermis fibers deteriorates, which affects the appearance of the person and causes a number of consecutive pathological processes in the skin deeper layers. The development of methods for the prevention and treatment of age-related involuntary changes in the skin, enhancement of repair processes in its various layers is relevant and has a scientific and practical significance. Morphological studies of rabbits skin after the exogenous hyaluronic acid (HA) administration in various concentrations were performed. Studies have shown that when HA various concentrations are injected intradermally into rabbits, the increase in the formation of connective tissue fibers in the dermis is manifested with an increase of HA concentration. An increase in the HA concentration in the compounds promotes an increase in the degree of compaction of the dermis of rabbits. Lower HA concentration (1.4% and 2%) after single administration causes stimulation of the processes inside the skin at earlier time (2 weeks), and a concentration of 4% - is more active at a later time (8 weeks). We can assume a connection between the HA concentration and the time of the manifestation of the most pronounced morphological changes in the skin. It is likely that the stimulating effect of HA is manifested when the optimal physiological concentration is reached. The obtained data are in favor of further studies of the influence of the concentration of exogenous HA on the processes of skin biorevitalization.
EN
Introduction. Suicide is a serious problem globally. More and more people are dying because of taking their lives. This tragic act is an expression of helplessness and loneliness of a man who did not receive help in a timely manner. Suicide is a process of intertwined thoughts and deeds. This process lasts for several weeks to several months or even years, and the sequence of reactions taking place during that time is called suicidal behavior. This process can be interrupted at any time through crisis intervention saving human life.Aim. The aim of this work is to analyze the suicidal crisis and the phenomenon of suicide, as well as to familiarize the reader with risk factors that may indicate the possibility of committing suicide. Moreover, the aim of the work is to present effective crisis intervention to people threatened with a suicidal act.Summary. Human life is the most important value. Each saved life is a great success for both the suicide, his relatives and the whole society. That is why prevention and education are so important. If the society is sensitive to risk factors that may indicate a threat of committing suicide, it will be able to react at the right time by helping a person who is in a suicidal crisis.
EN
Golovatyuk K. P. Role of polymorphisms TNF.- alpha gene in the development of recurrent miscarriage after in vitro fertilization in the residentS of Odessa region of Ukraine. Journal of Education, Health and Sport. 2017;7(1):323 - 332. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.265805http://ojs.ukw.edu.pl/index.php/johs/article/view/4218    The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 754 (09.12.2016).754 Journal of Education, Health and Sport eISSN 2391-8306 7© The Author (s) 2017;This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, PolandOpen Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License(http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.The authors declare that there is no conflict of interests regarding the publication of this paper.Received: 02.01.2017. Revised 16.01.2017. Accepted: 24.01.2017. UDK 618.177-089.888.11:618.39-0796:575.162 ROLE OF POLYMORPHISMS TNF- alpha GENE IN THE DEVELOPMENT OF recurrent miscarriage after in vitro fertilization in THE  residentS of Odessa region of Ukraine K. P. Golovatyuk Odessa National medical University, Ukraine; nosenko.olena@gmail.com;  info@gameta.od.ua SummaryThe frequency of genotypes and allelic variants of the TNF-α gene (-238 G> A, -308 G> A, -1031 T > C), depending on the reproductive status and evaluation of its association with recurrent miscarriage (RM) in cycles in vitro fertilization (IVF) has been studied. The residents of the Odessaregion of Ukrainehave been under examination. It has been revealed that typing of SNPs of genes of the immune response TNF-α (rs1799964) and TNF-α (rs1800629) may be used as an early diagnostic method and pregravida prediction of reproductive losses in infertile women with RM after IVF. Genotypes AA -308G> A, (GA + AA) -308G> A and TC-1031C, (TC + CC) -1031C TNF-α gene were statistically significant associated with an increased risk of RM after IVF.Key words: recurrent miscarriage, in vitro fertilization, tumor necrosis factor-α r, inheritance, polymorphism, genotype, polymerase chain reaction.
PL
Introduction. Fear of death  is the fear of ending one’s own existence. While a man grows up he/she is aware that his/her life will be ended with death. Nevertheless, the awareness does not reduce the fear. An individual can see, hear, experience. He/she is surrounded by loved people, is determined in pursuin his/her goals and death ends it all, it is the absolete end. Therefore, everyone is more or less affraid of it.Aim. The aim of the study is to verify if there are any differences in the level of fear of death among chosen age groups. What affects and conditions them.Materials and methods. The study involved 60 men divided on two age groups. The first one were 30 men in their early adulthood aged 23 – 28. The secong one were 30 men in their late adulthood aged 60 and more. The research tools were two questionnaires FTVS – Fear of death and dying inventory by R. Oschmann and NEO-PI-R Five Factor Model (FFM).Results. Men in their early and late adulthood experience fear of death in similar manner, fear of facing death, fear of mortality, fear of ending one’s existence, fear of physical destruction, fear of live after death and fear of dying proces. Personal characteristics relate with fear of death differently in gropus of men in early and late adulthood.Keywords: fear, personality, death,  
EN
Voloshyna O., Zbitnieva V., Busel S., Chaika A., Samorukova V., Dychko T. The role of additional correction methods of insufficient adherence to treatment for effective blood pressure control in patients with resistant arterial hypertension. Journal of Education, Health and Sport. 2016;6(12):857-865. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.252818http://ojs.ukw.edu.pl/index.php/johs/article/view/4184   The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 754 (09.12.2016).754 Journal of Education, Health and Sport eISSN 2391-8306 7© The Author (s) 2016;This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, PolandOpen Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium,provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License(http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercialuse, distribution and reproduction in any medium, provided the work is properly cited.The authors declare that there is no conflict of interests regarding the publication of this paper.Received: 05.12.2016. Revised 20.12.2016. Accepted: 25.12.2016. УДК 616.12-008.331.1-036.8 THE ROLE OF ADDITIONAL CORRECTION METHODS OF INSUFFICIENT ADHERENCE TO TREATMENT FOR EFFECTIVE BLOOD PRESSURE CONTROL IN PATIENTS WITH RESISTANT ARTERIAL HYPERTENSION O. Voloshyna, V. Zbitnieva, S. Busel, A. Chaika, V. Samorukova, T. Dychko Odessa National Medical University, Ukraine AbstractThe article considers the results of applying the different correction methods of insufficient adherence to treatment in patients with resistant and pseudo-resistant arterial hypertension on the background of the optimization of antihypertensive therapy in the effective blood pressure control by a doctor and a patient.Keywords: resistant hypertension, pseudo-resistant hypertension, uncontrolled blood pressure, adherence
EN
The problem of the development concerns green areas of the city of Bydgoszcz. It determines the extent to which the urban greenery and its functioning in the city pursue the principles of sustainable development. The paper identifies the influence of urban green on important elements of urban life, ie on the society, microclimate and biodiversity of Bydgoszcz.
EN
In the general-somatic network there is a steady increase in the number of patients with psychosomatic disorders. Problems of providing adequate psychiatric and psychotherapeutic assistance to this category of patients are related to the motivation of patients to participate in psychological measures and the readiness of the medical system to provide comprehensive care on the basis of the biopsychosocial approach. Mental factors are involved both in the occurrence and course of a metabolic syndrome in the form of a patient's lifestyle and behavior patterns of healthy functioning, and is a consequence of somatic pathology. Mental factors are involved both in the occurrence and course of a metabolic syndrome in the form of a patient's lifestyle and behavior patterns of healthy functioning, and is a consequence of somatic pathology. So mental disorders of metabolic syndrome are manifested in the form of psychosocial maladaptation, neurotic, affective, personality, and organic disorders. Desynchronosis which is a factor of the development of a metabolic syndrome and characterizes the complex chronobiological component of the regulation of psychophysiological functions in norm and under the influence of stress, deserves special attention.Addressing the diagnosis of mental disorders associated with metabolic syndrome is precisely aimed at determining chronobiological disorders of psychosomatic integrated areas and is supposed to improve diagnostic and treatment process and to shorten the treatment of these disorders.
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Wójcik Gustaw, Skalska-Izdebska Renata, Śliwińska Ewa, Szulc Anna. Rodzaje urazów i częstość ich występowania w siatkówce wyczynowej kobiet = Types of injuries and frequency of occurrence in women's volleyball. Journal of Education, Health and Sport. 2016;6(12):98-108 eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.192457http://ojs.ukw.edu.pl/index.php/johs/article/view/4036    The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015).755 Journal of Education, Health and Sport eISSN 2391-8306 7© The Author (s) 2016;This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, PolandOpen Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium,provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License(http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercialuse, distribution and reproduction in any medium, provided the work is properly cited.The authors declare that there is no conflict of interests regarding the publication of this paper.Received: 02.11.2016. Revised 22.11.2016. Accepted: 03.12.2016.   RODZAJE URAZÓW I CZĘSTOŚĆ ICH WYSTĘPOWANIA W SIATKÓWCE WYCZYNOWEJ KOBIET TYPES OF INJURIES AND FREQUENCY OF OCCURRENCE IN WOMEN'S VOLLEYBALL Gustaw Wójcik1, Renata Skalska-Izdebska2, Ewa Śliwińska2, Anna Szulc3 1Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej. Wydział Nauk o Zdrowiu i Nauk Społecznych, Katedra Kultury Fizycznej i Fizjoterapii2Uniwersytet Rzeszowski, Wydział Medyczny, Instytut Fizjoterapii3Uniwersytet Medyczny w Lublinie, Wydział Nauk o Zdrowiu, Katedra Rehabilitacji  STRESZCZENIEWstęp: Sport wyczynowy od zawsze był nieodłącznie związany z kontuzjami i uszkodzeniami narządu ruchu. Medialna promocja sportu oraz jego komercjalizacja zmusiły zawodowych sportowców do znoszenia obciążeń treningowych przekraczających możliwości organizmu. W celu osiągnięcia jak najlepszych wyników, zaczęto wprowadzać do sportu wyczynowego coraz młodszych zawodników, których organizmy trudno znoszą nadmierne obciążenia treningowe. Ciągła pogoń za sukcesem, realizowana zgodnie z zasadą „cel uświęca środki”, doprowadziła do gwałtownego wzrostu liczby urazów i uszkodzeń narządu ruchu od drugiej połowy XX wieku.Cel pracy: celem pracy było zbadanie, jaki rodzaj urazu występował najczęściej wśród zawodowych siatkarek, jakiej okolicy ciała najczęściej dotyczył oraz czy powodował wystąpienie dysfunkcji w uszkodzonej części ciała.Materiał i metody: Badanie przeprowadzono na grupie 31 zawodowych siatkarek trenujących w polskich klubach orlenligowych i pierwszoligowych. W celu oceny rodzaju i częstotliwości najczęściej występujących urazów posłużono się ankietą autorską. W opracowaniu wyników wykorzystano program Statistica 10.0Wyniki: Wśród badanych zawodniczek 96,7% doznało w swojej karierze urazu. Większość kontuzji dotyczyła stawów w tym najwięcej skokowego (67,7%) i kolanowego (48,3%).Wnioski: Najczęściej występującym urazem wśród siatkarek trenujących wyczynowo były skręcenia stawu. Obszarem ciała, najczęściej ulegającym kontuzjom, był staw skokowy. Słowa kluczowe: uraz sportowy, piłka siatkowa, zwichnięcia, skręcenia ABSTRACTBackground: Professional sport is always integrally connected with injuries of body. Media promotion of sport and its commercialisation forces players to endure training load, which crosses their bodies possibilities. To achieving the best scores, people was starting to bring younger players to proffesional sport. Their bodies wasn’t completely formed and not be able to  match excessive training load. Unstoppable pursuit of success led to sudden increase of sport injuries since the second half of 20th century.Aim: The aim of this thesis is examination which kind of injury is generally appearance and in which part of the body it generally occurs.Material and methods: The thesis is conducted on a group of 31 professional women volleyball players from Orlenliga and first league. To assessment the kind and frequency of the most common injuries the own questionnaire has been used. In elaboration of results, the Statisctica 10.0 program has been used.Results: Among professional women volleyball players 97,6% had an injury. Injuries mostly concern joints, especially ankle and knee.Conclusion: The most common injuries in professional women volleyball is joint sprains. Injuries mostly occur in the ankle. Key words: sport injury, volleyball, dislocations, torsion joint.
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Ciechańska Beata, Olejniczak Dominik, Skonieczna Joanna, Dykowska Grażyna. Zagrożenia zdrowia mieszkańców wsi, w tym dzieci, w kontekście prac wykonywanych w gospodarstwie rolnym = Threats to the health of villagers, including children, in the context of the work carried out on the farm. Journal of Education, Health and Sport. 2016;6(4):181-192. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.50070http://ojs.ukw.edu.pl/index.php/johs/article/view/3462 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015).755 Journal of Education, Health and Sport eISSN 2391-8306 7© The Author (s) 2016;This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, PolandOpen Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium,provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License(http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercialuse, distribution and reproduction in any medium, provided the work is properly cited.The authors declare that there is no conflict of interests regarding the publication of this paper.Received: 20.03.2016. Revised 17.04.2016. Accepted: 17.04.2016.  Zagrożenia zdrowia mieszkańców wsi, w tym dzieci, w kontekście prac wykonywanych w gospodarstwie rolnymThreats to the health of villagers, including children, in the context of the work carried out on the farm Beata Ciechańska1, Dominik Olejniczak2, Joanna Skonieczna2, Grażyna Dykowska2 1Studenckie Koło Naukowe Zdrowia Publicznego, sekcja Promocji Zdrowia, Warszawski Uniwersytet Medyczny 2Zakład Zdrowia Publicznego, Warszawski Uniwersytet Medyczny  Słowa kluczowe: zagrożenia zdrowia, środowiskowe uwarunkowania zdrowia, ludność wiejska.Key words: health threats, health determinants, rural population. lic zdr. publ. Beata Ciechańska1dr n. med. Dominik Olejniczak2mgr Joanna Skonieczna2dr n. o zdr. Grażyna Dykowska2 StreszczenieStopień narażenia na choroby i urazy wśród ludności wiejskiej jest inny, niż w przypadku mieszkańców miast. Wynika to z uwarunkowań środowiskowych, a także ze specyfiki pracy. Wart podkreślenia jest fakt, iż, nadal duża liczba dzieci narażona jest na uszczerbek na zdrowiu w wyniku angażowania ich do prac niebezpiecznych lub przekraczających ich możliwości. W 2012 roku 168 mln dzieci na świecie wykonywało pracę, a 85 mln dzieci angażowanych było do prac niebezpiecznych. Gałęzią działalności gospodarczej, w której najczęściej pracują dzieci, jest rolnictwo [1]. W Polsce praca dzieci w rodzinnym gospodarstwie rolnym jest społecznie akceptowalna. Pomimo, iż udział dzieci w tych zajęciach niewątpliwie może mieć pozytywny wpływ na ich zdrowie praca na wsi często wiąże się z licznymi groźnymi dla zdrowia i życia urazami.Istnieje szereg instytucji, które prowadzą działania, mające na celu zminimalizowanie ryzyka zdrowotnego wśród mieszkańców wsi. Działania te polegają między innymi na realizowaniu programów zdrowotnych, opartych na edukacji. Te inicjatywy, choć słuszne, wymagają jednak zintensyfikowania, by objąć swoim zasięgiem jak największą grupę ludności wiejskiej, szczególnie dzieci i młodzieży. Threats to the health of villagers, including children, in the context of the work carried out on the farm AbstractThe degree of exposure to disease and injuries among the rural population is different in the case of urban residents. This is due to environmental conditions, as well as the specifics of the work. It is worth emphasizing that, still a large number of children are exposed to bodily harm as a result of engaging their use for dangerous workor exceeding their capabilities. In 2012, 168 million children worldwide involved in jobs, and 85 million children were involved hazardous work. Branch of economic activity in which children usually work, is agriculture. [1]In Poland, the work of children in a family farm is socially acceptable. Although the share of children in these classes can undoubtedly have a positive impact on their health work in the countryside it is often associated with numerous dangerous to life and limb injuries.There are a number of institutions that carry out activities aimed at minimizing health risks among the villagers. These measures consist, inter alia, implementation of health programs based on education. These initiatives, though correct, however, intensify the need to embrace its reach as the largest group of rural population, especially children and adolescents.
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