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    Wyświetlanie 1-5 z 5
    Tytuł:
    Prevention of cardiovascular disease in a rural general practice
    Autorzy:
    Tomiak, Elżbieta
    Chlabicz, Sławomir
    Mizgała, Elżbieta
    Lukas, Witold
    Panasiuk, Lech
    Drzastwa, Witold
    Jankowska-Zduńczyk, Agnieszka
    Powiązania:
    https://bibliotekanauki.pl/articles/987099.pdf
    Data publikacji:
    2016
    Wydawca:
    Instytut Medycyny Wsi
    Tematy:
    cardiovascular risk factors
    prevention
    primary care
    Opis:
    Introduction. Cardiovascular disease (CVD) prophylaxis in general practice, especially in rural areas, is a major organizational challenge. Objective. The aim of this study was to determine the prevalence of CVD risk factors in the studied population, and to identify the effect of the number of planned prophylactic consultations on selected clinical parameters, risk factors, and total cardiovascular risk on the SCORE scale (Systemic Coronary Risk Evaluation). Materials and method. The study included patients of a rural general practice, aged 35–55 years, with at least one modifiable CVD risk factor. Medical history was obtained, a physical examination performed, blood glucose levels, lipid profile, BMI, waist circumference and blood pressure measured and the SCORE cardiovascular risk at baseline and at the end of the study calculated. All participants were provided with targeted specific education. Analysis was performed in two groups of patients (1 and 2), where group 1 had one more prophylactic consultation than Group 2. Results. The results at baseline and a year later were compared in pharmacologically untreated patients, 26 in Group 1 and 34 in Group 2. In Group 1, which had had more prophylactic consultations, a statistically significant decrease was found in the mean systolic blood pressure: 131.000–124.782 (p= 0.02721), mean diastolic blood pressure: 86.846–83.462 (p=0.01111), and a statistically significant decrease in total cardiovascular risk on the SCORE scale (p=0.0478). Conclusions. The higher number of preventive consultations had an impact on a statistically significant decrease in mean blood pressure and mean SCORE value. The year-long cardiovascular disease prophylaxis programme proved less effective than expected, and neither a decrease in body weight nor an improvement in lipid metabolism was achieved in any of the groups.
    Źródło:
    Annals of Agricultural and Environmental Medicine; 2016, 23, 4
    1232-1966
    Pojawia się w:
    Annals of Agricultural and Environmental Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Using affinity analysis in diagnosing the needs of patients as regards e-Health
    Autorzy:
    Strzelecka, A.
    Stachura, M.
    Wójcik, T.
    Pacian, A.B.
    Kulik, T.
    Pacian, J.
    Kaczoruk, M.
    Galińska, E.M.
    Kawiak-Jawor, E.
    Nowak-Starz, G.
    Powiązania:
    https://bibliotekanauki.pl/articles/2086058.pdf
    Data publikacji:
    2020
    Wydawca:
    Instytut Medycyny Wsi
    Tematy:
    patient
    primary health care
    e-health
    affinity analysis
    Opis:
    Introduction. E-Health tools allow a medical facility to set a given patient’s data in order using ICT techniques, and the patient to use those techniques when contacting a given organisation. Materials and method. Secondary statistical data was used in the research. The study was carried out among primary health care patients. Mining for affinity rules was done in the R programme. The apriori and inspect functions from the arules package were used. Moreover, any redundant rules were removed from thoseobtained using the afero-mentioned method. Applying the general description of the affinity analysis method onto the survey described herein, it should be stressed that the aim of using affinity analysis was to discover the rules which contain the sub-transaction B={V_6=1} as a consequent. This was determined by the intention to discover associations regarding the knowledge about a uniform information system that the patients under study might have. Results. In the discovered rules, the antecedent most often contained an indication of the need for introducing a uniform solution as regards telemedicine. Moreover, according to the opinions of ‚conscious‘patients, a uniform IT system should improve the work at primary health care institutions, introducing an on-line booking system for visits should improve the productivity and comfort of doctors, and an IT system should provide unambiguous identification of a patient. Conclusions. There is potential in using affinity analysis within e-Health. The example of affinity analysis described in his study led to the discovery of interesting and important (from the point of view of a medical facility) regularities regarding the knowledge and expectations of patients as regards e-Health.
    Źródło:
    Annals of Agricultural and Environmental Medicine; 2020, 27, 3; 435-441
    1232-1966
    Pojawia się w:
    Annals of Agricultural and Environmental Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Useful tool for general practitioners, home health care nurses and social workers in assessing determinants of the health status and treatment of patients visited in their homes
    Narzędzie pomocne dla lekarza rodzinnego, pielęgniarki środowiskowej i pracownika socjalnego w oszacowaniu uwarunkowań stanu zdrowia i leczeniu pacjentów odwiedzanych w ich domach
    Autorzy:
    Brodziak, Andrzej
    Erenkfeit, Karina
    Zarzyka, Ewa
    Ziółko, Ewa
    Powiązania:
    https://bibliotekanauki.pl/articles/1178776.pdf
    Data publikacji:
    2012
    Wydawca:
    Instytut Medycyny Wsi
    Tematy:
    general practitioner
    home health care nurse
    primary health care
    social worker
    Opis:
    The necessity is emphasized to distinguish between the traditional model of data acquisition reported by a patient in doctor’s office and the more valuable and desired model to become acquainted with the core of the problem by going to a patient’s domicile. In the desired model it is possible to come across various determinants of health during home visits. Family members can be approached and there is a possibility to evaluate the relationships between the patient and his loved ones. One can visually assess one’s living conditions and predictable environmental hazard. For several years, the desired model has been put into practice by general practitioners and home health care nurses. Recently this model is also promoted by “health care therapists” who are members of “teams of home health care”. The authors, being convinced of the merits of “home and environmental model” of practical medicine, have developed a method of recording and illustrating data collected during visits in patient’s home. The elaborated tool helps to communicate and exchange information among general practitioners, home health care nurses, social workers of primary health care centers and specialists. The method improves the formulation of the plan of further therapeutic steps and remedial interventions in psycho-social relations and living conditions of patients.
    Autorzy pracy podkreślają na wstępie, iż należy rozróżnić tradycyjny model obsługi problemu zdrowotnego, zgłaszanego przez pacjenta w gabinecie lekarza, na ogół przy jego biurku od bardziej wartościowego sposobu zaznajomienia się z istotą problemu poprzez udanie się do miejsca zamieszkania chorego. W trakcie takiej wizyty domowej jest możliwe zapoznanie się z rozmaitymi uwarunkowaniami stanu zdrowia pacjenta. Można poznać członków rodziny i ocenić relacje jakie zachodzą pomiędzy chorym a jego osobami najbliższym. Można naocznie ocenić jego warunki bytowe i ewentualne szkodliwości środowiskowe. Od kilkunastu lat ten drugi model czasami realizują lekarze rodzinni i tzw. pielęgniarki środowiskowe (środowiskowo – rodzinne). Ostatnio propaguje się poszerzenie takiego sposobu zaznajamiania się z problemami zdrowotnymi przez zalecenie go tzw. terapeutom środowiskowym, którzy są członkami tzw. „zespołów leczenia środowiskowego”. Autorzy pracy, będąc przekonani o zaletach owego „środowiskowego modelu” medycyny praktycznej opracowali metodę odnotowywania i ilustrowania danych pozyskiwanych w trakcie wizyt w domu chorego. Opracowanie przez nich narzędzie ułatwia przekazywanie i dyskutowanie danych pomiędzy pielęgniarka środowiskową, a lekarzami ośrodków podstawowej opieki zdrowotnej i specjalistami jak i pracownikami socjalnymi. Metoda doskonali ustalanie planu dalszych działań terapeutycznych i interwencji korygujących relacje psychospołeczne i warunki bytowe pacjentów.
    Źródło:
    Medycyna Środowiskowa - Environmental Medicine; 2012, 15, 3; 21-34
    1505-7054
    2084-6312
    Pojawia się w:
    Medycyna Środowiskowa - Environmental Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Awareness of gastrointestinal tract malignancies among the population of Lublin province (Eastern Poland) - a cross-sectional study
    Autorzy:
    Barbecka, M.
    Kolasińska-Bzoma, M.
    Kolasińska-Gliwa, E.
    Polkowski, W.
    Offerhaus, G.J.A.
    Maciejewski, R.
    Sitarz, R.
    Powiązania:
    https://bibliotekanauki.pl/articles/2085871.pdf
    Data publikacji:
    2020
    Wydawca:
    Instytut Medycyny Wsi
    Tematy:
    awareness of gastrointestinal malignancies
    cancer prevention
    primary health care
    prophylaxis
    risk factors
    Opis:
    Introduction. Currently, malignancies are the most severe medical problems worldwide. Numerous, already known risk factors in carcinogenesis could be potentially avoided. Some cancer risk factors have been recognized and have become the targets of primary prophylaxis. Objective. The aim of the study was to ascertain the state of knowledge about risk factors, primary prevention and early detection of malignancies of gastrointestinal tract (GIT) in the urban and rural population of the Lublin province in Eastern Poland. Materialas and method. The study was cross-sectional. The originally designed questionnaire was applied to the group of 1,352 patients, representatives of both the rural and urban environments of the Lublin province during random appointments with their general practitioner (GP). Results. The study showed low awareness of the issues connected with GIT malignancies within the studied group. The problem was particulary apparent in the rural population. Conclusions. In order to raise general awareness of cancer, different means should be applied in urban and rural populations. GPs and the media were found to have the leading rols in the promotion of primary prevention.
    Źródło:
    Annals of Agricultural and Environmental Medicine; 2020, 27, 3; 469-475
    1232-1966
    Pojawia się w:
    Annals of Agricultural and Environmental Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Knowledge and attitude of primary healthcare workers towards rational prescription of artemisinin-based combination therapy in the treatment of uncomplicated malaria in Ondo State, Southwestern Nigeria
    Autorzy:
    Oyinaka, B.D.
    Umar, N.M.
    Aminu, N.
    Akinleye, C.A.
    Nuhu, T.
    Powiązania:
    https://bibliotekanauki.pl/articles/2098244.pdf
    Data publikacji:
    2020
    Wydawca:
    Instytut Medycyny Wsi
    Tematy:
    Primary Health Care
    worker
    artemisinin-based combination therapy
    knowledge
    Ondo State
    Nigeria
    Opis:
    Introduction and objective. For an effective and desired outcome of therapy to be achieved, the technical capacity of the healthcare worker is a key factor. The aim of the study is to assess knowledge and attitudes of primary healthcare (PHC) workers towards rational artemisinin-based combination therapy (ACT) prescribed in the treatment of uncomplicated malaria. Materials and method. This is a descriptive cross-sectional survey in which a self-administered structured questionnaire was used. A combination of stratified and multistage sampling techniques where utilized in the selection of the healthcare workers (HCWs). Results. Of the 422 respondents, 100 (23.7%) were males and 322 (76.3%) were females. Respondents with less than five years in practice accounted for 36%, while 64% had six years and above of practice. Community health extension workers (CHEW) accounted for 54%, while 46% were either community health officers (CHO), nurses, midwives, Bachelors of Science (BSc) in community health, or with other qualifications. A total of 390 (92.4%) were aware of the availability of ACTs and used the malaria treatment protocols, whereas 28 (6.6%) still used monotherapy for simple malaria treatment, and 2.7% did not use any form of test before initiating treatment. Co-administration of non-ACTs with ACTs accounted for 12%, with 88% prescribing paracetamol with ACTs. 67% of the respondents required capacity building in rational ACT use. Conclusion. The majority of the respondents had the requisite knowledge and skills coupled with positive attitudes in prescribing ACTs. Some respondents could not distinguish between an ACTs and a monotherapy. This may affect the exact application of the malaria treatment protocols, especially at the PHC level.
    Źródło:
    Journal of Pre-Clinical and Clinical Research; 2021, 15, 1; 5-14
    1898-2395
    Pojawia się w:
    Journal of Pre-Clinical and Clinical Research
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-5 z 5

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