PSJD - Yadda

1

Robert Charles Schneider as a Proud Director of one of the First and Finest Higher Education Sport Management Programs in USA and World

100%

Schneider R. C., Kosiewicz J.

Physical Culture and Sport. Studies and Research

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2017

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vol. 76

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issue 1

64-70

2

Gyöngyi Szabó Földesi as Scientist and University Teacher in Hungarian and International Perspective

80%

Földesi G. S., Kosiewicz J.

Physical Culture and Sport. Studies and Research

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2017

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vol. 73

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issue 1

62-69

3

Antihypertensive drugs utilisation and educational activities

70%

Velickovic-Radovanovic R., Petrovic J., Kodela B., Janković S.

Open Medicine

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2010

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vol. 5

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issue 5

627-635

EN

The mortality rate from cardiovascular diseases is high in Serbia. Analysis of antihypertensive drugs utilization is the basis for assessment of cardiovascular pharmacotherapy appropriateness. The aim of this study was to analyze the trend in antihypertensive drugs utilization among outpatients in Niš region, South Serbia compared to some Nordic countries (Norvay, Sweden) and Australia as well as to analyze trends in educational and drug promotion activities directed to primary healthcare workers within the same region. Using the ATC/DDD methodology, we analyzed the utilization of antihypertensive drugs dispensed on prescription in the Nis region over the 2003–2007 period. The study was retrospective, based on data obtained from Central City Pharmacy Nis. Educational and drug promotion activities were noted from the records of Medical Faculty, University of Nis, and from the records of local branches of pharmaceutical companies active in Serbia. Wilcoxon’s test was used in order to calculate the statistical significance of difference. A significant increase of 79.8% (153.8/ 276.6 DDD/inhabitants/day) in antihypertensive drug consumption was observed in the same period. This analysis showed there were substantial increases in the use of diuretics (134.7%), ACE inhibitors (79.5%) and calcium channel blockers (116.1%), especially amlodipin (241.2%). During the observed period, annual numbers of educational activities and of pharmaceutical sales representatives employed within the region increased for almost one fourth. This analysis pointed to a significant increase in the use of antihypertensive drugs in the Nis region, which was matched with increase in educational and drug promotion activities within the region, so that in 2006–2007 total consumption was approximate to some referential countries (Norvay, Sweden).

4

First Aid education in the opinion of secondary school students

70%

Goniewicz M., Chemperek E., Nowicki G., Wac-Górczyńska M., Zielonka K., Goniewicz K.

Open Medicine

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2012

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vol. 7

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issue 6

761-768

5

Life Skill Development and Transfer beyond Sport

70%

Agnew D., Jackson K., Pill S., Edwards C.

Physical Culture and Sport. Studies and Research

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2019

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vol. 84

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issue 1

41-54

6

Educational programme of Early Breast Cancer Detection in 40-year-old female inhabitants from Cracow, as an element of a preventive treatment of complications requiring oncological rehabilitation

70%

Łabuzek M., Kołodziejski L. S.

Medical Rehabilitation

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2014

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vol. 18(1)

5-14

EN

Introduction: Breast cancer is the most common malignant tumour among women in Poland, with a dynamically increasing incidence rate. At present, one-half of breast cancer cases are diagnosed at the stage of high locoregional advancement, which leads to common radical mastectomies. These procedures are the cause of the most serious complications, i.e. restricted mobility of the glenohumeral joint and lymphoedema of the upper limb, which usually require rehabilitation.Objective: An evaluation of the attendance and effectiveness of detecting suspicious breast lesions in 40-year-old female inhabitants of Kraków who were personally invited to take part in the Educational Programme of Early Breast Cancer Detection (EPEBCD). This study assumes that increasing the level of oncological education amongst women should result in high attendance in screening, which would lead to detection of breast cancer at earlier stages. In these cases, effective methods of breast-conserving therapy are used, which carry a minimal risk of complications that require rehabilitation.Material and methods: The subject of the analysis was a group of 19,773 female inhabitants of Kraków who took part in the EPEBCD between 2003 and 2008. The group consisted of 4723 women aged 40 years who were personally invited to take part in the Programme, and 15,010 other women who volunteered for the research. The percentage of suspicious lesions discovered in physical and mammographic examinations in both groups was analysed. In the statistical analysis, the stratum weight was examined, using a two-tailed test and the STATISTICA 6.0 program. The significance level α < 0.05 was assumed.Results: The attendance rate of 40-year old women who were sent personal invitations was similar in each year (2003 to 2008) and, on average, accounted for 24.4%, which was half of the assumed attendance. It demonstrates that the level of oncological education among young women is low. Breast cancer awareness increased with age and resulted in voluntary participation of older women in screening programmes. The percentage of suspicious changes detected by a physical examination among the 40-year-old women invited personally (Group 1; 0.49%) did not differ significantly from the “before screening” group (Group 2, aged 41 to 49; 0.47%) and even from the “screening” group (Group 3, aged 50 to 69; 0.45%). Only in the “after screening” group of the oldest women (Group 4, over 69), the percentage (1.57%) was significantly higher (p < 0.001). The percentage of suspicious changes detected by mammography did not differ significantly in the group of 40-year-old women (Group 1; 3.58%) and in the “before screening” group (Group 2; 4.11%; Groups 1 and 2, p > 0.05). Significant differences were only found in the “before screening” Group 2 and “after screening” Group 4 (p < 0.001). The percentage of suspicious changes identified by mammography did indeed increase with age, though this was only a marginal increase, at the level of tenths of a percent. Only in the oldest group (Group 4), this percentage (5.16%) was significantly higher than in the other research groups.Conclusions: The much higher percentage of suspicious breast lesions discovered by mammography in comparison with those discovered in a physical examination demonstrates a low level of breast cancer advancement in most cases, which can be treated by means of breast-conserving therapy. Dissemination of educational and screening programmes will help to increase the percentage of early detected breast cancer cases which, after breast-conserving therapy, will not constitute a risk of serious complications requiring rehabilitation.

7

Differences in reporting somatic complaints in elderly by education level

61%

Stankunas M., Soares J., Stankuniene A., Gabriella Melchiorre M., Torres-Gonzales F., Ioannidi-Kapolou E., Barros H., Lindert J.

Open Medicine

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2013

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vol. 8

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issue 1

125-131

8

Optimization of early rehabilitation of patients undergoing cardio-surgical interventions – first-hand experiences

51%

Piwoda A., Jastrzębska B.

Medical Rehabilitation

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2005

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vol. 9(2)

26-34

PL

W niniejszym artykule autorzy dzielą się swoimi doświadczeniami związanymi z pracą z chorymi poddawanymi operacjom kardiochirurgicznym. W szczegółowy sposób przedstawione są stosowane metody postępowania na poszczególnych etapach wczesnej rehabilitacji szpitalnej. Wyróżniono, w ramach fizjoterapii kardiochirurgicznej, dwa główne etapy. Etap I, to przygotowanie przedoperacyjne, etap II – rehabilitacja wczesna, składająca się z dwóch okresów: pierwszego prowadzonego na oddziale intensywnej terapii, oraz drugiego – na oddziale pooperacyjnym. Wraz z opisem stosowanych technik fizjoterapeutycznych wskazano najczęściej występujące problemy, z którymi terapeuta może się spotkać oraz przedstawiono sposoby radzenia sobie z nimi. Zaprezentowano również pewne odmienności w rehabilitacji pooperacyjnej u osób z różnymi rodzajami zabiegów kardiochirurgicznych, tj: zabiegów pomostowania tętnic wieńcowych, plastyki lub wymiany zastawek serca (aortalnej, mitralnej, rzadziej trójdzielnej), transplantacji serca, operacji tętniaków aorty piersiowej i brzusznej, plastyki tętnic szyjnych i korekcji wad wrodzonych serca. W ramach etapu I wskazano znaczenie kompleksowego przygotowania pacjentów przed operacją, podkreślając ważne miejsce edukacji chorego, która gwarantuje lepsze pooperacyjne usprawnianie, szczególnie ważne w trudnych pierwszych dobach po zabiegu. W drugim etapie rehabilitacji zaznaczono potrzebę wspomagania standardowych metod fizjoterapii stosowaniem nowoczesnej aparatury: BIPAP Vision oraz Cough Assist. Zwrócono uwagę na pozytywne efekty włączenia w proces rehabilitacyjny – edukacji, pomiaru jakości życia i tworzenia grup wsparcia dla chorych po operacjach na sercu.

EN

In this article, authors wish to share their experiences in work with the patients after cardio-thoracic surgery. Consecutive stages of early hospital rehabilitation and applied methods of therapeutic conduct have been described in detail. There are two main stages in cardio-surgical physiotherapy. Stage I – pre-operation preparation, stage II – early rehabilitation consisting of two periods: the first one run in an intensive care unit (ICU), the second one in a surgical unit. Along with the description of physiotherapeutic techniques, the most frequently occurring problems a therapist can face as well as the ways of managing them have been presented. The authors present certain dissimilarities in surgical rehabilitation of persons with different kinds of interventions on heart: CABG, plasty or the exchange of heart valve (aortic, mitral, more seldom tricuspid), the heart transplantation, operations of chest aortic aneurysm and abdominal aortic aneurysm, plasty of cervical arteries and corrective operations of cardiac defects. In the first stage the significance of patient’s complex preparation for the operation highlighting the importance of the patient’s education, which guarantees better postsurgical rehabilitation, is emphasized. In the second stage standard physiotherapeutic methods need to be aided by modern equipment: BIPAP Vision or Cough Assist. It has been observed that education, life quality assessment and support groups for patients after cardio-surgery have positively contibuted to rehabilitation process.

9

Knowledge of the factors inducing lymphedema and compliance with preventive recommendations in mastectomy patients

51%

Dziura I., Grądalski T.

Medical Rehabilitation

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2008

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vol. 12(4)

23-27

EN

Background: Lymphedema is a clinical manifestation of lymphatic system insufficiency. The risk of lymphedema increases especially in the case of women after mastectomy with removal of axilla lymph nodes and post-surgical radiotherapy. As a result of the above, it appears in the upper limb at the side where the surgery has been carried out. The factors that increase the risk of lymphedema include fatigue, overheating and injury to the limb at risk.Aim: To investigate the level of awareness of lymphedema prevention and the frequency of the post-mastectomy patients’ compliance with the received recommendations.Material and methods: 40 women after one-side radical mastectomy and post-surgical radiotherapy took part in the research. None of them had symptoms of recurrence. All patients had a clinical manifestation of upper limb lymphedema at the side of the surgical intervention. The patients were asked to fill in a questionnaire that consisted of 6 questions.Results: The research has shown that patients with risk of lymphedema display a low level of education in the matter and that they indicate problems with access to professional information on the topic of lymphedema prevention. The properly trained medical staff rarely proved to be a source of information on the topic. The women who participated in the survey mostly knew that they had to avoid injections and taking blood pressure in the affected upper limb as well as excessive upper limb exercise. Most frequently mentioned preventive recommendations included elevation of the limb and appropriate exercise. Among the factors generating lymphedema, most women indicated excessive physical effort as a subjective cause of the manifestation of the condition.Conclusion: Despite the knowledge of lymphedema prevention measures, the patients often fail to comply with the recommendations they have been given.Background: Lymphedema is a clinical manifestation of lymphatic system insufficiency. The risk of lymphedema increases especially in the case of women after mastectomy with removal of axilla lymph nodes and post-surgical radiotherapy. As a result of the above, it appears in the upper limb at the side where the surgery has been carried out. The factors that increase the risk of lymphedema include fatigue, overheating and injury to the limb at risk.Aim: To investigate the level of awareness of lymphedema prevention and the frequency of the post-mastectomy patients’ compliance with the received recommendations.Material and methods: 40 women after one-side radical mastectomy and post-surgical radiotherapy took part in the research. None of them had symptoms of recurrence. All patients had a clinical manifestation of upper limb lymphedema at the side of the surgical intervention. The patients were asked to fill in a questionnaire that consisted of 6 questions.Results: The research has shown that patients with risk of lymphedema display a low level of education in the matter and that they indicate problems with access to professional information on the topic of lymphedema prevention. The properly trained medical staff rarely proved to be a source of information on the topic. The women who participated in the survey mostly knew that they had to avoid injections and taking blood pressure in the affected upper limb as well as excessive upper limb exercise. Most frequently mentioned preventive recommendations included elevation of the limb and appropriate exercise. Among the factors generating lymphedema, most women indicated excessive physical effort as a subjective cause of the manifestation of the condition.Conclusion: Despite the knowledge of lymphedema prevention measures, the patients often fail to comply with the recommendations they have been given.

10

Demographic determinants of self-care after myocardial infarction

41%

Wilski M.

Medical Rehabilitation

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2010

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vol. 14(3)

18-24

PL

Wstęp: Sposób w jaki człowiek troszczy się o swoje życie, jego jakość i kształt uzależniony jest od wielu czynników. Analizując ich wpływ na zachowania jednostki względem własnego zdrowia nietrudno dostrzec, że istotne znaczenie mają tak podstawowe własności podmiotu jak wiek, płeć, wykształcenie czy też poziom dochodów jednostki. Przyjmując, że troska o siebie stanowi główny czynnik kształtujący poziom aktywności własnej jednostki w procesie rehabilitacji, zasadnym wydaje się założenie, że powyższe czynniki wpływać będą także na poziom troszczenia się o siebie. Ustalenie tych zależności było głównym celem niniejszego opracowania.Materiał i metody: Badaniami objętych zostało 127 osób, które przeszły zawał serca po raz pierwszy i nie miały innych poważnych chorób towarzyszących. Przebadanych zostało 28 kobiet i 99 mężczyzn. Badanie polegało na wypełnieniu kwestionariusza KTS mierzącego poziom troski o siebie oraz metryczki pozwalającej ustalić wiek, płeć, wykształcenie oraz poziom dochodu na jednego członka rodziny badanego.Wyniki: Uzyskane wyniki badań, pozwalają stwierdzić, iż nie ma istotnego związku między wiekiem i poziomem dochodu a troską o siebie i jej rodzajami. Istnieje związek na poziomie istotności 0,01 między poziomem wykształcenia a poziomem i rodzajami troski o siebie. Badania nie wykazały związku między płcią a ogólnym poziomem troski o siebie. Istnieje natomiast związek na poziomie istotności 0,05 między płcią a troską o funkcjonowanie psychiczne. Wnioski: Z przeprowadzonych badań wynika, że wraz z poziomem wykształcenia wzrasta poziom troski o siebie. Tym samym edukacja pacjenta w rehabilitacji kardiologicznej, może być jednym z podstawowych i najprostszych środków oddziaływania, zwiększających jego poziom troszczenia się o siebie. Wiek i poziom dochodów okazały się nie mieć istotnego znaczenia dla troski o siebie jednak w przypadkach obu zmiennych daje się zaobserwować pewne tendencje, które skłaniać powinny do dalszych analiz. Płeć nie ma znaczenia dla ogólnego poziomu troski o siebie, jednak kobiety istotnie bardziej troszczą się o swoje funkcjonowanie psychiczne niż mężczyźni.

EN

Introduction: The low level of participation in cardiac rehabilitation of patients after myocardial infarction is one of the most important problems in cardiology. Participation in the cardiac rehabilitation process depends on many diverse factors and one of the fundamental ones is a self-care attitude. It is very important to find predictors which can effectively influence this attitude. If we can understand some of the self-care attitude predictors, we might be better prepared to lead a more effective and much faster form of rehabilitation. The presented studies relate to the above mentioned issues.Material and methods: The studies were performed on a group of 127 patients, 28 women and 99 men, after myocardial infarction, who were subjected to cardiac rehabilitation. The studies comprised filling out a questionnaire that appraises self-care and personal data. The results were then subjected to statistical analysis and discussion.Results: The study found that there is no correlation between the self care, age and socioeconomic status of the patients after myocardial infarction. There is a correlation between educational level and self care (0.01) and mental self care and gender (0.05). There is no correlation between general self care and gender.Conclusion: It resulted from the studies that along with the level of education the level of self care increases. Results suggest that the education of the patients after myocardial infarction can be an important factor influencing people’s self care. Results also indicate that women have a higher level of mental self care than men do. Although there was no relation between self care, age and socioeconomic status, the results show that there is a trend in this connection that might be important. Further research into this problem should be encouraged.

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Robert Charles Schneider as a Proud Director of one of the First and Finest Higher Education Sport Management Programs in USA and World

Gyöngyi Szabó Földesi as Scientist and University Teacher in Hungarian and International Perspective

Antihypertensive drugs utilisation and educational activities

First Aid education in the opinion of secondary school students

Life Skill Development and Transfer beyond Sport

Educational programme of Early Breast Cancer Detection in 40-year-old female inhabitants from Cracow, as an element of a preventive treatment of complications requiring oncological rehabilitation

Differences in reporting somatic complaints in elderly by education level

Optimization of early rehabilitation of patients undergoing cardio-surgical interventions – first-hand experiences

Knowledge of the factors inducing lymphedema and compliance with preventive recommendations in mastectomy patients

Demographic determinants of self-care after myocardial infarction