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Wyświetlanie 1-4 z 4
Tytuł:
Wyzwania dla podstawowej opieki zdrowotnej związane ze stanem zdrowia mieszkańców wsi
Autorzy:
Panasiuk, Lech
Powiązania:
https://bibliotekanauki.pl/articles/635322.pdf
Data publikacji:
2014
Wydawca:
Uniwersytet Jagielloński. Wydawnictwo Uniwersytetu Jagiellońskiego
Tematy:
ludność wiejska, medycyna rodzinna, socjoekonomiczne przeobrażenia, stan zdrowia
Opis:
Challenges for primary health care related with the state of health of rural inhabitantsFor the last twenty five years in the Polish countryside, there have been observed significant changes in the socio-economic sphere, which result in the inhibition of urbanization processes and the reduction of the number of farmers. Alongside, farmers’ work has become less and less manual. However, there have been constant disparities, unfavorable for the rural population, in the education level and obtained income. The state of health of people living in rural areas has not been recently diagnosed and views on this issue are based on the estimated data or studies involving small groups of the population. However, these studies indicate increasing number of obese people and people with lipid disorders in rural areas, which may result in the near future in the increasing number of patients with type 2 diabetes and cardiovascular disease. Moreover, in the years to come, the future of PH care in rural areas seems to be far from promising, as family medicine faces the prospect of growing number of retiring physicians and declining of those who wish to enter the specialization. Unless systemic measures are taken the state of health of rural population can be significantly degraded.
Źródło:
Zdrowie Publiczne i Zarządzanie; 2014, 12, 4
2084-2627
Pojawia się w:
Zdrowie Publiczne i Zarządzanie
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Perception of preventive care and readiness for lifestyle change in rural and urban patients in Poland: a questionnaire study
Autorzy:
Godycki-Ćwirko, Maciek
Panasiuk, Lech
Brotons, Carlos
Bulc, Mateja
Żakowska, Izabela
Powiązania:
https://bibliotekanauki.pl/articles/986684.pdf
Data publikacji:
2017
Wydawca:
Instytut Medycyny Wsi
Tematy:
general practice
patients
preventive medicine
rural
urban
poland
lifestyles
Opis:
Introduction and objective. The idiosyncrasies of rural health demand further research to instigate rural health initiatives and to monitor progress in rural health care. In 2008, a study examined health-related behaviour, perception of importance of preventive interventions, readiness to change lifestyle and willingness to receive support from GPs, according to gender and place of residence. Materials and method. A cross-sectional survey was conducted among patients who visited any of ten randomly-selected general practices in Poland. Results. Four hundred patients were enrolled: 50% from rural areas, 50.3% were females; 23.8% declared a primary level of education (35% rural vs. 12.5% urban) respondents; the median age was 50 years (IQR=18), The predicted means for prevention importance scores for rural residents were 0.623 and for urban residents – 0.682. Place of residence had a significant effect on the importance of prevention (p<0.05; ICC=0.048). Area and gender have a statistically significant effect on preventive behaviour importance scores (p<0.05; ICC=0.0526). Patient expectations of individual counselling by GPs were highest for eating habits – 35.5% rural vs. 16% urban residents (p<0.0001). Conclusions. Patient importance scores for prevention were associated with residence and gender. The villagers attached less importance to prevention. They also declared less willingness to change their lifestyle. Women had higher scores regarding prevention than men. More rural respondents would like to receive individual counselling from their GP regarding eating habits, physical activity, body weight, giving up smoking and safe alcohol use. Urban respondents were more likely to expect leaflets from their GPs on normalizing body weight.
Źródło:
Annals of Agricultural and Environmental Medicine; 2017, 24, 4
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
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:
Relationships between serum selenium and zinc concentrations versus profibrotic and proangiogenic cytokines (FGF-19 and endoglin) in patients with alcoholic liver cirrhosis
Autorzy:
Prystupa, Andrzej
Kiciński, Paweł
Luchowska-Kocot, Dorota
Błażewicz, Anna
Kurys-Denis, Ewa
Niedziałek, Jarosław
Sak, Jarosław
Panasiuk, Lech
Powiązania:
https://bibliotekanauki.pl/articles/990858.pdf
Data publikacji:
2017
Wydawca:
Instytut Medycyny Wsi
Tematy:
liver cirrhosis
alcohol
selenium
zinc
fibroblast growth factor-19
endoglin
Opis:
Introduction and objective. Liver cirrhosis is a disease involving the liver parenchyma, which is characterised by fibrosis. and impaired architectonics of the parenchyma with regenerative nodules. The aim of the study was to determine the relationship between stage of alcoholic liver cirrhosis, concentrations of selenium, zinc and profibrotic and proangiogenic cytokines (FGF-19, ENG). Materials and method. The study included 99 patients with alcoholic cirrhosis and 20 healthy subjects. Ion chromatography with UV/VIS detection was used for determination of zinc ions in the previously mineralized serum samples. The measurements of selenium were performed with the ContrAA700 high-resolution continuum source graphite tube atomic absorption spectrometer. ELISA was used to determine concentration of FGF-19 and ENG in serum samples. Results. Concentrations of zinc and selenium were significantly decreased in cirrhotic patients (p<0.001 for both). The highest concentration of FGF-19 was found in Child-Pugh stage C liver cirrhosis patients (806.9±650.3 pg/ml), and was significantly higher than observed in controls (p=0.005) and stage A patients (compensated cirrhosis) (p=0.02). The highest concentration of ENG was demonstrated in the control group (3.24±148 ng/ml) while the lowest in patients with decompensated cirrhosis (7.32±5.39 ng/ml and 7.92±4.18 ng/ml for stage B and C; p=0.03 and p=0.02, respectively). The use of the multiple-variable model demonstrated that the independent factors affecting the concentration of ENG were the concentration of bilirubin (p=0.02), INR (p=0.01) and duration of alcohol abuse (p=0.02). The independent determinants of FGF-19 concentrations were found to be the stage (severity) of liver cirrhosis (p=0.04) and INR (p=0.03). Conclusions. Concentrations of zinc and selenium in serum of patients with alcoholic liver cirrhosis are not independently related to concentrations of FGF-19 and ENG.
Źródło:
Annals of Agricultural and Environmental Medicine; 2017, 24, 3
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
    Wyświetlanie 1-4 z 4

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