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EN
Introduction. Periodontitis is a group of inflammatory disorders affecting periodontal tissues. This condition manifests by a progressive destruction of the alveolar bone, subsequently leading to tooth loss. World Health Organization introduced Community Periodontal Index of Treatment Needs in order to gain data regarding periodontal health and treatment needs of people with periodontitis Aim. To evaluate the periodontal status of citizens living in the city of Lublin and its surrounding, using Community Periodontal Index of Treatment Needs (CPITN). Material and methods. Community Periodontal Index of Treatment Needs was used to assess the periodontal status among 180 patients aged 35-44 residing in Lublin and the area around it. Results. Periodontal diseases have been observed in over 90% of the examined population. Treatment need index TN1 has referred to 26.11% of the patients, TN2 – 61.67% and TN3 – 2.22% respectively. Conclusions. Patients who visit the dentist regularly have a better periodontal status as compared to groups randomly selected.
EN
Desirable sound of music has a wide range of psychological and physiological beneficial health effect among diverse population in different conditions. Research for example showed when music is selected according to its motivational qualities, the positive impact on performance (e.g., increased endurance) and psychological states (e.g., enhanced affect) are even greater, which has important implications for exercise adherence in male and female participants. On the other hand, healing sounds have always been considered in the past an important aid in medical practice, and nowadays, medicine has confirmed the efficacy of music therapy in clinical setting and in aging population. It seems healing harmony as a source of inspiration in science is an effective approach to improve quality of life in different individuals. Hence, music intervention as an easily, inexpensive, noninvasive approach to improve public health is notably recommended
EN
Since the start of the Russian Invasion of Ukraine on 24.02.2022, millions of people (mostly women and children) have fled Ukraine. Majority of them fled to Poland and providing adequate medical care for the massive influx of refugees is a considerable challenge for the Polish healthcare system, already burdened by the COVID-19 pandemic and staf shortages. The purpose of this study was to identify: the potential health problems of the incoming population, the legal and ethical aspects of the refugee crisis and its implications on public health. Combining the current data with previous research on refugee crises reveals a set of issues that need to be addressed. Ensuring continuity of chronic disease treatment, mental health, the risk of spreading vaccinable preventable diseases, high rates of tuberculosis, HIV and the ongoing COVID-19 pandemic are among the main concerns. In the near future, answers will have to be found to the emerging ethical questions of equal, safe access to care, implications of the language barrier, immunisation coverage, medical staf shortages, and existing legal and ethical regulations. As the emergency responses are addressed, the hosting countries need to prepare long-term resolutions. Kolińska K, Paprocka-Lipińska A, Koliński M. The Ukrainian refugee crisis: its ethical aspects and challenges for the Polish healthcare system - a descriptive review. Eur J Transl Clin Med. 2023;6(1):79-86.
EN
The global COVID-19 pandemic has resulted in restrictions in most countries. One of them was to replace traditional education in schools with online learning. Such a change could provoke a build-up of negative feelings due to insecurity and loneliness. In addition, reducing daily physical activity and closing sports venues can have a detrimental effect on health. The article presents the results of the study of the impact of distance learning on the daily physical activity and condition of physical education teachers in Poland, as well as the subjective perception of physical and mental health in this professional group. Google forms were used to collect the data. The research tool was a questionnaire. The analysis showed that distance learning had a significant negative impact on the physical and mental health of the study group. The impact of distance learning on physical and mental health is gender independent. Teachers more often negatively assessed their physical and mental health compared to the studies in previous years. Daily physical activity of the subjects decreased, and most of them increased their body weight. Less than 3% of the surveyed teachers during the blockade felt happy and full of life.
EN
With 1.27 million deaths in 2019, antimicrobial resistance (AMR) has resulted in the deaths of more people than HIV/AIDS and malaria combined. AMR is listed among the top 10 global public health priorities by the WHO. The magnitude of the AMR burden is poorly prioritized in the public health sector, and its impact is difficult to accurately estimate due to a lack of sufficient data, especially in Africa. The misuse and overuse of antibiotics for various non-medical purposes is widely reported, especially in low-income developing countries, as one of the key contributors to AMR, yet little effort is put in place to curb the menace. Also, the clinical pipeline of new antimicrobials is scanty. This review explores the mechanism of AMR, the effects of AMR on health and the public sector with regard to morbidity, mortality, and economic losses, and the impact of COVID-19 on AMR. Recent potential therapies that are used to combat AMR, such as phage therapy, and how they could bring about development in the public health sector were discussed. Also, the impact of vaccines and preventive strategies to curb the spread of AMR in the public sector were highlighted.
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EN
The goal of this paper is to explain the dependence between the political system of the state: collectivist, conservative, and liberal in a postmodern society, and public health-related practice. In the consideration of different systems of physical culture, including the system of health culture known as public health, Niklas Luhmann’s theory of social systems has been used. The social system of health culture, hitherto known as the system of public health, is acknowledged as a variety of social systems of physical culture, whereas the health gymnasion is one of many possible centers of habilitation, recreation, and rehabilitation of the body. It is argued that an educating society can only persist successfully if the state does not lose control in the struggle against the ideologues of neoliberal forces hostile to the solidarity-based and welfare state.
EN
Regular moderate-intensity exercise (e.g. brisk walking) provides health benefits. In the present study, we compared the physiological and metabolic responses of playing the Nintendo Wii Sports tennis, baseball and boxing with self-paced brisk treadmill walking. Ten young-adults (21±1 years; 73.9±12.0 kg; 1.76±0.06 m) played each sport for 10 min with a 5 min rest interval or, in a separate session, walked briskly (6.1±0.6 km·h-1) with an equivalent time order wearing the Cosmed K4b2 metabolic system. In a bout of 10 min, the average values during Nintendo Wii boxing for physiological (i.e. minute ventilation, oxygen uptake and heart rate) and metabolic (i.e. energy expenditure, fat oxidation, carbohydrate oxidation and respiratory exchange ratio) responses were equal to brisk treadmill walking but lower for Nintendo Wii tennis and baseball (P<0.05). It was concluded that the physiological and metabolic responses of Nintendo Wii boxing would allow this game activity to be a viable part of a programme of structured exercise in young-adults to gain health benefits.
EN
The consumption of smoked-fish usually from the open shelf in most communities of the developing countries has raised some health related concerns. As one of the common sources of protein available to man, fish is highly consumed due to its lower cholesterol content and price. So it forms a rich protein source for both poor and rich. This research enumerated the fungal load of retailed smoked-fish sold within Owerri metropolis, Imo State, Nigeria. A total of thirty six fish samples which comprised nine fish species such as Ethmalosa fimbrata (Bonga fish), Clarias garepinus (Mud cat fish), Ilisha Africana (West African shad) Alestes nurse (Silverside fish), Chrysichthys nigrodigitatus (Silver catfish), Gymnallabes typus (Catfish), Calamoichthys calabaricus (Rope fish), Schilbe uranoscopus (Butter fish) and Cynoglossus browni (Sole) were randomly purchased from markets in Owerri. The fish samples were inoculated onto Sabouraud dextrose agar plates incorporated with 0.5mg/ml of chloramphenicol. The fungal isolates were identified using standard methods Thirty four fungal organisms made up of four genera: Aspergillus species, Penicillium species, Fusarium species and Rhizopus species were isolated from the fish samples. Aspergillus flavus 8 (23.53%), Aspergillus fumigatus 7 (20.58%) and Rhizopus species 7 (20.58%) were the dominant mycofloral in decreasing sequential order. Aspergillus niger, Fusarium species and Penicillium species occurred in less frequency 4 (11.77%). Aspergillus flavus was the most dominant mycofloral. Aspergillus species are known to produce aflatoxins which are carcinogenic (causing hepatoma-cancer of the liver), acute hepatitis, reduced red blood cell and decreased immune system in man. Fusarium species was reported to produce fumonisin toxin and Penicillum produces penicillic acid. Prolonged intake of smoked-fish with these metabolites may constitute potential public health hazard. It is recommended that smoked-fishes be processed, stored and distributed under safe hygienic condition and good sanitary practices in order to prevent fungal contamination.
PL
WSTĘP: ChatGPT jest modelem językowym stworzonym przez OpenAI, który może udzielać odpowiedzi na zapytania użytkownika, generując tekst na podstawie otrzymanych danych. Celem pracy była ocena wyników działania ChatGPT na polskim Lekarskim Egzaminie Końcowym (LEK) oraz czynników wpływających na odsetek prawidłowych odpowiedzi. Ponadto zbadano zdolność chatbota do podawania poprawnego i wnikliwego wyjaśnienia. MATERIAŁ I METODY: Wprowadzono 591 pytań z dystraktorami z bazy LEK do interfejsu ChatGPT (wersja 13 lutego – 14 marca). Porównano wyniki z kluczem odpowiedzi i przeanalizowano podane wyjaśnienia pod kątem logicznego uzasadnienia. Dla poprawnych odpowiedzi przeanalizowano spójność logiczną wyjaśnienia, natomiast w przypadku odpowiedzi błędnej obserwowano zdolność do poprawy. Wybrane czynniki zostały przeanalizowane pod kątem wpływu na zdolność chatbota do udzielenia poprawnej odpowiedzi. WYNIKI: ChatGPT osiągnął imponujące wyniki poprawnych odpowiedzi na poziomie: 58,16%, 60,91% i 67,86%, przekraczając oficjalny próg 56% w trzech ostatnich egzaminach. W przypadku poprawnie udzielonych odpowiedzi ponad 70% pytań zostało popartych logicznie spójnym wyjaśnieniem. W przypadku błędnych odpowiedzi w 66% przypadków chatbot podał pozornie poprawne wyjaśnienie dla nieprawidłowych od-powiedzi. Czynniki takie jak konstrukcja logiczna (p < 0,05) i wskaźnik trudności zadania (p < 0,05) miały wpływ na ogólną ocenę, podczas gdy liczba znaków (p = 0,46) i język (p = 0,14) takiego wpływu nie miały. WNIOSKI: Mimo iż ChatGPT osiągnął wystarczającą liczbę punktów, aby zaliczyć LEK, w wielu przypadkach podawał wprowadzające w błąd informacje poparte pozornie przekonującym wyjaśnieniem. Chatboty mogą być szczególnym zagrożeniem dla użytkownika niemającego wiedzy medycznej, ponieważ w porównaniu z wyszukiwarką internetową dają natychmiastowe, przekonujące wyjaśnienie, co może stanowić zagrożenie dla zdrowia publicznego. Z tych samych przyczyn ChatGPT powinien być ostrożnie stosowany jako pomoc naukowa.
EN
INTRODUCTION: ChatGPT is a language model created by OpenAI that can engage in human-like conversations and generate text based on the input it receives. The aim of the study was to assess the overall performance of ChatGPT on the Polish Medical Final Examination (Lekarski Egzamin Końcowy – LEK) the factors influencing the percentage of correct answers. Secondly, investigate the capabilities of chatbot to provide explanations was examined. MATERIAL AND METHODS: We entered 591 questions with distractors from the LEK database into ChatGPT (version 13th February – 14th March). We compared the results with the answer key and analyzed the provided explanation for logical justification. For the correct answers we analyzed the logical consistency of the explanation, while for the incorrect answers, the ability to provide a correction was observed. Selected factors were analyzed for an influence on the chatbot’s performance. RESULTS: ChatGPT achieved impressive scores of 58.16%, 60.91% and 67.86% allowing it pass the official threshold of 56% in all instances. For the properly answered questions, more than 70% were backed by a logically coherent explanation. In the case of the wrongly answered questions the chatbot provided a seemingly correct explanation for false information in 66% of the cases. Factors such as logical construction (p < 0.05) and difficulty (p < 0.05) had an influence on the overall score, meanwhile the length (p = 0.46) and language (p = 0.14) did not. CONCLUSIONS: Although achieving a sufficient score to pass LEK, ChatGPT in many cases provides misleading information backed by a seemingly compelling explanation. The chatbot can be especially misleading for non-medical users as compared to a web search because it can provide instant compelling explanations. Thus, if used improperly, it could pose a danger to public health. This makes it a problematic recommendation for assisted studying.
EN
Elderly people are not only more susceptible to disease, but they are also at a higher risk of sustaining accidents such as falls, which definitely affects the quality of human life. Aging, in other words, carries with it an increased danger of illness and injuries, including those caused by falling. Research referred to in this article consisted in collecting and analyzing anonymized data of 411 geriatric patients admitted to a hospital in Berlin, Germany, over a period of six months, between January and June 2020, and attempted to look at how fall prophylaxis can reduce the overall healthcare costs generated by senior citizens. Of the 411 geriatric patients, 105, aged between 49 and 97 (69 females and 36 males), sustained injuries due to falling and made up 34.3% of all geriatric patients. Conclusions that the author arrived at can prove useful to determine the importance of the prevention of falls of older people in reducing the complications resulting from falls. The overall costs of senior citizens' health care were also taken into consideration. Therefore, solutions should be sought to reduce the number of falls of older people. Falls are an important public health problem causing suffering for elderly patients, worsening the comfort of further life and additionally generating relatively high costs for the economy.
EN
Authors consider the social and cultural consequences of the recognition of the Hypothesis of People’s Participation in Recurrent Reconstruction of the Sub - universe, presented over the last few years by many authors. They discuss the possible implications in the fi eld of religion, metaphysical refl ection and research. They consider also the possible economic and political consequences. The authors argue that the most important would be the psychological repercussions relevant to every human being, considering that hypothesis. They believe that the consequences would be benefi cial to the average well-being and patterns of action. According to the authors these consequences would be even benefi cial to public health.
PL
Autorzy, zastanawiają się w pracy jakie będą konsekwencje społeczne i kulturowe uznania za wysoce prawdopodobną prezentowanej na przestrzeni kilku ostatnich lat, przez wielu już autorów „Hipotezy o współudziale ludzi w nawrotowym odtwarzaniu się Wszechświata”. Omawiają następstwa jakie przejawiłyby się wtedy na polu religii, rozważań metafi zycznych i badań naukowych. Zastanawiają się również nad ewentualnymi następstwami ekonomicznymi i politycznymi. Autorzy sadzą, iż najważniejsze byłyby jednak następstwa psychologiczne, istotne dla każdego człowieka, rozważającego tą hipotezę. Sądzą oni iż następstwa te byłyby korzystne dla przeciętnego samopoczucia i wzorców działania. Zdaniem autorów pracy, w skali całej populacji następstwa te, byłyby wręcz korzystne dla poziomu zdrowia publicznego.
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