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Wyświetlanie 1-13 z 13
Tytuł:
Assessment of knowledge on cardiovascular disease risk factors by postal survey in residents of Malopolska Voivodeship. Malopolska CArdiovascular PReventive Intervention Study (M-CAPRI)
Autorzy:
Waśniowska, Anna
Kopeć, Grzegorz
Szafraniec, Krystyna
Misiowiec, Witosława
Waligóra, Marcin
Brózda, Mateusz
Sarnecka, Agnieszka
Podolec, Jakub
Orzeł-Nowak, Anita
Pająk, Andrzej
Podolec, Piotr
Powiązania:
https://bibliotekanauki.pl/articles/989864.pdf
Data publikacji:
2017
Wydawca:
Instytut Medycyny Wsi
Tematy:
cardiovascular disease
health knowledge
risk factors
postal survey
Opis:
Introduction. Education is a key tool in the prevention of cardiovascular disease (CVD). Education programmes require monitoring of their effectiveness. Objectives. 1) to introduce postal screening for the assessment of knowledge on CVD risk factors (RFs) for the Polish population, 2) to assess this knowledge in adult residents of Małopolska Voivodeship, and 3) to assess whether knowledge on RFs is related to age, gender, place of residence, level of education and family history of CVD. Materials and method. Anonymous questionnaires were posted to a random sample of 5,000 residents of Małopolska Voivodeship in Poland. Results were presented as proportions of participants who listed RFs correctly. A series of multiple logistic regression models was used to assess the associations of knowledge on RFs with the potential determinants. Results. 1,126 completed questionnaires were returned. Over 35% of respondents could not list a single RF and 14 % listed only 1–2 RFs. About 40% named 3–5 and only 12% listed 6 or more RFs. About a half of the respondents listed incorrectly from 1–8 characteristics as being associated with higher risk of CVD. In the multivariate analysis, knowledge on RFs was not significantly associated with age. Level of education was the strongest determinant of knowledge. Male rural and small town residents had less knowledge, whereas women with a family history of CVD had more knowledge on some CVD RFs. Conclusions. Using a postal questionnaire for the assessment of knowledge of CVD RFs in the population of Małopolska Voivodeship appeared to have serious limitations due to low participation in the study. Despite this, the results of the study indicate that knowledge on CVD RFs is insufficient. Female gender and higher education were related to more prevalent knowledge on RFs. Family history of CVD was related to better knowledge in women only. Male residents of rural areas and small towns had slightly less knowledge on CVD RFs.
Źródło:
Annals of Agricultural and Environmental Medicine; 2017, 24, 2
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Ocena postępowania w zespole uzależnienia od tytoniu (ZUT) w podstawowej opiece zdrowotnej (POZ). Wyniki ogólnopolskiego badania zrealizowanego w ramach Programu Ministerstwa Zdrowia POLKARD
Autorzy:
Szafraniec, Krystyna
Pająk, Andrzej
Cichocka, Izabela
Frejek, Magdalena
Broda, Grażyna
Drygas, Wojciech
Gąsior, Zbigniew
Grodzicki, Tomasz
Zdrojewski, Tomasz
Powiązania:
https://bibliotekanauki.pl/articles/635139.pdf
Data publikacji:
2009
Wydawca:
Uniwersytet Jagielloński. Wydawnictwo Uniwersytetu Jagiellońskiego
Tematy:
smoking, primary care, prevention
Opis:
Evaluation the effectiveness of primary care in professional assistance for smoking patientsAbout 40% of men and 25% of women in Poland are smokers and smoking causes approximately 50 000 premature deaths annually. According to the WHO experts, a tobacco cessation short intervention program provided by primary care physicians is one of the most important prevention measures. In 2004 National  Cardiovascular Disease Prevention Program was launched as a procedure funded by National Health Funds (NFZ), which included the identification of smokers, assessment and treatment of smoking habit. In 2007, the Polish Forum of Prevention issued guidelines that can serve as an effective framework for tobacco cessation intervention in primary care clinics. The aim of this paper is: 1) evaluation the effectiveness of primary care in professional assistance for smoking patients, 2) evaluation of the impact of the NFZ program on frequency of professional consultations on smoking cessation and evaluation of the impact of the NFZ program on smoking prevalence. There were 66 primary care clinics which were recruited to participate the project; 33 clinics participated in NFZ program, the remaining 33 constituted a control group.Random sample of persons at age 35–55 years was selected from all persons registered in each clinic. Eligible for the study were patients free of cvd for whom medical records were available from January 1st 2005 at least. Finally 3940 patients in NFZ clinics, 3162 patients in control clinics were included. For each eligible patient medical records were reviewed and information was collected using a standard questionnaire.All patients were invited for a visit in the clinic. Finally, 2314 persons from the NFZ clinics and 2107 persons from the control clinics participated were examined.That effectiveness of the routine management of smoking cessation in primary care practices was very low. Equally in the NFZ clinics and the control group about 45% of participants were current smokers. Only 15% of patients had recorded information on smoking status in medical documentation and no significant difference between the NFZ clinics and the control group was observed. The NFZ program increased identification of smoking patients (up to about 80%). Physicians and nurses provided advising to 80% and 30% patients, respectively and the other measures to facilitate smoking cessation were used in small proportion of patients. For instance nicotine replacement therapy, including bupropion, was advised to less than 10% of smokers.With the exception to distribution of leaflets which were distributed more frequently in patients of clinics which participated in the NFZ program (22.5%) as compared to control clinics (12.8%), there were no statistical differences in proportion of patients getting professional assistance or other intervention measures between the studied groups. The NFZ program appeared to play important role in identification of smokers. However, the program was not effective enough in treatment of patients addicted to smoking. There is a need to supply the NFZ program by more effective procedure, a kind of structured intervention, which would allow to lower smoking prevalence in primary care patients.
Źródło:
Zdrowie Publiczne i Zarządzanie; 2009, 7, 2
2084-2627
Pojawia się w:
Zdrowie Publiczne i Zarządzanie
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Metoda diagnostyki bezpośredniej termorezystancyjnych czujników temperatury w pojazdach
A method of direct diagnostics of thermoresistive temperature sensors in vehicle
Autorzy:
Perka, Bogdan
Szafraniec, Andrzej
Figura, Radosław
Powiązania:
https://bibliotekanauki.pl/articles/317188.pdf
Data publikacji:
2019
Wydawca:
Instytut Naukowo-Wydawniczy "SPATIUM"
Tematy:
termorezystory
termistor
temperatura
pojazd
thermoresistors
thermistor
temperature
vehicle
Opis:
W artykule zaprezentowana została metoda diagnostyki bezpośredniej termorezystancyjnych czujników temperatury stosowanych w pojazdach mechanicznych. Przedstawione zostały charakterystyki R=f(T) oraz ich parametry techniczne i eksploatacyjne. Omówiono typy czujników powszechnie stosowanych układach pomiarowo-rejestrujących oraz funkcje, które spełniają w systemach sterujących w pojazdach. Na przykładzie wybranych typów czujników przedstawiona została prosta i szybka metoda diagnostyki bezpośredniej ich stanu technicznego. Przedstawione zostało stanowisko diagnostyczne oraz wyniki badań i wnioski dotyczące badanych czujników.
The article discusses thermistor temperature sensors used in automotive vehicles. The characteristic types R=f(T) of thermoresistors as well as their technical and operational parameters are presented. The applications of particular types of thermoresistors in temperature measurements in automotive vehicles are discussed. On the example of the coolant temperature sensors diagnostics is presented. The test results and conclusion regarding the tested sensor diagnostics is presented. The test result and conclusions regarding the tested sensors are presented.
Źródło:
Autobusy : technika, eksploatacja, systemy transportowe; 2019, 20, 6; 234-239
1509-5878
2450-7725
Pojawia się w:
Autobusy : technika, eksploatacja, systemy transportowe
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Epidemia palenia w Krakowie
Autorzy:
Pająk, Andrzej
Szafraniec, Krystyna
Frejek, Magdalena
Powiązania:
https://bibliotekanauki.pl/articles/635191.pdf
Data publikacji:
2009
Wydawca:
Uniwersytet Jagielloński. Wydawnictwo Uniwersytetu Jagiellońskiego
Tematy:
smoking, mortality, cohort study
Opis:
Smoking Epidemic in KrakowElimination of tobacco smoking is an important measure to support health and increase life expectancy. Availability of local data on smoking prevalence and health consequences of smoking is of crucial importance for any anti-smoking campaign.The aim of the present paper is to: 1) describe prevalence of smoking in population of middle-aged residents of Krakow, 2) assess a smokingrelated total mortality risk, and 3) evaluate an excess total mortality attributed to smoking.The study was based on data from Polish part of the HAPIEE Project (Health, Alcohol, Psychosocial Factors in Eastern Europe), a prospective study initiated in 2002. Krakow residents at age 45–69 years were randomly selected within age and gender strata from population registers. Out of initial 10,728 participants, 4857 men and 5127 women were included to the present analysis. Out of them 1630 (34%) men and 1330 (26%) women were current smokers, and 1763 (36%) men and 1077 (22%) women were former smokers. Altogether 71% men and 48% women were ever-smokers. Mean follow-up time was 61 (SD = 10.6) and 62 (SD = 8.0) months for men and women respectively. During the follow-up period there were 294 (6.1%) deaths in men and 135 (2.7%) deaths in women. In total 51,345 person-years were observed. After adjustment to the main cardiovascular risk factors (age, education, BMI, systolic blood pressure , total cholesterol, physical activity and alcohol consumption) more then 3 times higher hazard ratio (HR = 3.3, 95% CI: 2.25–4.99) for currently smoking men and 2 times higher hazard ratio (HR = 2.2, 95% CI: 1.29–3.39) for women compared to non-smokers were observed. In ever-smokers the hazard ratios were as follows: HR = 2.6, 95% CI: 1.78–3.71 for men and HR = 1.8, 95% CI: 1.17–2.69 for women. Among former smokers, the lowest hazard ratio was observed in those who quit smoking more than 15 years ago. In total, 53% of all deaths in men and 18% of all deaths in women were attributed to smoking.In conclusion, implementation of an effective intervention program on smoking cessation should be one of the main targets of public health and preventive medicine in Krakow.
Źródło:
Zdrowie Publiczne i Zarządzanie; 2009, 7, 2
2084-2627
Pojawia się w:
Zdrowie Publiczne i Zarządzanie
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Problem „sterydofobii” wśród pacjentów chorujących na atopowe zapalenie skóry – przegląd zagadnień
Problem of “corticosteroid phobia” among the patients suffering from atopic dermatitis - review
Autorzy:
Jaworek, Andrzej
Jaworek, Magdalena
Szafraniec, Krystyna
Zalewski, Adam
Kurzawa, Ryszard
Wojas-Pelc, Anna
Powiązania:
https://bibliotekanauki.pl/articles/1034408.pdf
Data publikacji:
2018
Wydawca:
Oficyna Wydawnicza Mediton
Tematy:
atopowe zapalenie skóry
miejscowe sterydy
przegląd zagadnień
sterydofobia
współpraca
Opis:
Atopic dermatitis (AD) is a chronic and the most common inflammatory skin disease. AD is characterized by a complex pathophysiology with a wide spectrum of clinical phenotypes. Not fully elucidated etiopathogenesis results in an absence of causative treatment of the disease. Because of their anti-inflammatory, immunosuppressive and antiproliferative effects topical corticosteroids (TCS) are the first line therapy, according to most treatment recommendations. Some patients express irrational fear of using TCS. The concept of steroid phobia, deriving from pulmonology, is not consistent with “phobia” definition. It may be described as a collection of fears, beliefs, knowledge and behaviors associated with a lack of the effectiveness of the treatment. Adherence to TCS is essential for the effective treatment of AD but can be compromised by concerns about their use. This non-adherence contributes to poor disease control and increased health care costs. The topical corticosteroid phobia is very common in the management of chronic inflammatory skin diseases, especially in AD. In the review most recent publications are presented, with particular attention drawn to the new examination tool - TOPICOP scale.
Atopowe zapalenie skóry (AZS) jest przewlekłą, najczęstszą obecnie dermatozą zapalną skóry. AZS cechuje się złożoną patofizjologią, z szerokim spektrum fenotypów klinicznych. Nie do końca poznana etiologia choroby skutkuje brakiem leczenia przyczynowego schorzenia. Ze względu na swoje przeciwzapalne, immunosupresyjne i antyproliferacyjne działanie miejscowe glikokortykosteroidy (mGKS) są pierwszą linią terapeutyczną w większości zaleceń terapeutycznych. Pewna grupa pacjentów prezentuje niezrozumiały lęk przed użyciem mGKS. Koncepcja fobii sterydowej, wywodząca się pulmonologii, nie spełnia kryteriów „fobii” a raczej jest połączeniem lęku, strachu, przekonań i zachowań prowadząc do braku efektywności terapii. Aplikacja mGKS jest niezwykle istotna dla efektywnej terapii AZS. Niestosowanie się do zaleceń daje brak kontroli choroby i zwiększa koszty zdrowotne z nią związane. Problem sterydofobii jest obecnie bardzo rozpowszechniony w terapii przewlekłych, zapalnych chorób skóry, a szczególnie AZS. W pracy przedstawiono przegląd najważniejszych badań dotyczących problemu sterydofobii oraz zaprezentowano najnowsze narządzie badawcze dotyczące problemu – skalę TOPICOP.
Źródło:
Alergia Astma Immunologia - przegląd kliniczny; 2018, 23, 3; 143-149
1427-3101
Pojawia się w:
Alergia Astma Immunologia - przegląd kliniczny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Social costs of loss in productivity-related absenteeism in Poland
Autorzy:
Genowska, Agnieszka
Fryc, Justyna
Pinkas, Jarosław
Jamiołkowski, Jacek
Szafraniec, Krystyna
Szpak, Andrzej
Bojar, Iwona
Powiązania:
https://bibliotekanauki.pl/articles/2167461.pdf
Data publikacji:
2017-10-06
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
sickness absence
indirect costs
productivity loss
occupational medicine
working age
inequalities in health
Opis:
Objectives The aim of this study was to estimate indirect costs associated with losses in productivity due to sickness absence among registered workers in Poland. Material and Methods Data on sick leave durations in 2013 was obtained from the Social Insurance Institution (SII) (Zakład Ubezpieczeń Społecznych – ZUS). Based on the number of assumptions, this data was used for calculating absence durations. The costs of lost productivity were estimated on the basis of the measure of gross value added. Results Estimated losses in productivity due to absenteeism in 2013 together accounted for 4.33% of gross domestic product (GDP) (17.09 billion euro). In the female population, the total value of losses amounted to 9.66 billion euro, but excluding the costs of pregnancy, childbirth, and puerperium (2.96 billion euro), it was 6.7 billion euro. In the male population, the loss amounted to 7.43 billion euro. The highest overall costs of sickness absence based on age were found in the age group of 30–39 years (5.14 billion euro, including pregnancy, childbirth, and puerperium – 1.474 billion euro; respiratory diseases – 0.632 billion euro, injuries and poisonings – 0.62 billion euro). In the group of people aged > 40 years, the highest cost was generated by bone-muscular diseases (1.553 billion euro) and injuries and poisoning (1.251 billion euro). Higher losses in the productivity of women in addition to pregnancy, childbirth, and puerperium were due to mental and behavioral disorders (0.71 billion euro), diseases of the genitourinary system (0.38 billion euro), and neoplasms (0.35 billion euro). At the same time, in men, compared to women, we observed higher losses due to injuries and poisoning (1.65 billion euro), and diseases of musculoskeletal (1.26 billion euro), nervous (0.79 billion euro), circulatory (0.65 billion euro), and digestive (0.41 billion euro) systems. Conclusions Improvement and further development of effective strategies for prevention of complications of pregnancy and chronic diseases in the workplace are necessary. Policies aimed at reduction of sickness absence could potentially increase prosperity and the socioeconomic situation in Poland. Int J Occup Med Environ Health 2017;30(6):917–932
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2017, 30, 6; 917-932
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
    Wyświetlanie 1-13 z 13

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