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    Wyświetlanie 1-4 z 4
    Tytuł:
    Analysis of diabetes-related complications and the cost of diabetes in Poland. The methodology and the research sample used in Economedica DM-PL Survey
    Autorzy:
    Bogusławski, Stefan
    Wojciechowska, Agata
    Smaga, Anna
    Strojek, Krzysztof
    Wróbel, Katarzyna
    Wojtyniak, Bogdan
    Juszczyk, Grzegorz
    Czech, Marcin
    Zdrojewski, Tomasz
    Powiązania:
    https://bibliotekanauki.pl/articles/2203241.pdf
    Data publikacji:
    2023-06-07
    Wydawca:
    Gdański Uniwersytet Medyczny
    Tematy:
    diabetes mellitus
    prevalence
    cost of illness
    research design
    Opis:
    Background: Knowledge about diabetes mellitus (DM)-related complications, the direct and indirect costs incur red by patients with DM is still insufficient in Poland. Economedica DM-PL (Economedica) survey was a cross-sectional observational study that aimed to assess these issues. Material and methods: The survey was carried out in 2016 on a representative sample of 2032 diabetic patients recruited by 195 general practioners (GP) and 48 diabetologists (D) randomly selected from the national registry of physicians. Each GP and D recruited 8 to 10 patients with DM according to the specified protocol. The study included 1938 medical questionnaires (comple ted by the GPs and Ds), 1938 questionnaires about costs (completed by the patients) and 1532 treatment adherence questionnaires. Results: The Economedica survey provided new insights into DM epidemiological and cost data. 70% of patients with type-1 DM were diagnosed with the disease before the age of 40. For 76% patients with type-2 DM, it was diagnosed aeftr the age of 50. The average monthly out-of-pocket medical costs for DM patients in 2016 reached 66.2 EUR, while their non-medical costs were 36.8 EUR. Conclusions: The methodology applied in our study proved useful for providing new dimensions of DM epidemiological and cost data in Poland.
    Źródło:
    European Journal of Translational and Clinical Medicine; 2023, 6, 1; 31-40
    2657-3148
    2657-3156
    Pojawia się w:
    European Journal of Translational and Clinical Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Contribution of avoidable causes of death to premature mortality in Poland and selected European countries
    Autorzy:
    Wojtyniak, Bogdan
    Stokwiszewski, Jakub
    Powiązania:
    https://bibliotekanauki.pl/articles/1827553.pdf
    Data publikacji:
    2020-12-30
    Wydawca:
    Polska Akademia Nauk. Czytelnia Czasopism PAN
    Tematy:
    avoidable mortality
    premature mortality
    mortality in Poland
    mortality in Central
    Europe
    avoidable cardiovascular mortality
    avoidable cancer mortality
    Opis:
    Our study, availing the new, agreed by the OECD and Eurostat, lists of preventable and treatable causes of death, seeks to quantify the contribution of avoidable causes to premature mortality and its dynamics in Poland and Central European countries – Czechia, Hungary, Lithuania and Slovenia, in comparison with Sweden serving as a benchmark country in 1999–2017. We calculated age standardised death rates for the broad groups of avoidable causes and more specific ones, which comprised preventable and treatable cancer and diseases of the circulatory system (DCS), preventable injuries and alcohol-related diseases. Deaths from not avoidable causes were also analysed. The analysis of time trends in the death rates and calculation of the Average Annual Percent Change (AAPC) for the overall trend were performed with joint-point models. The contribution of changes in mortality from avoidable causes to increase life expectancy during 1999–2017 and contribution of the difference in mortality from these causes to the difference in life expectancy between five countries and Sweden were based on the decomposition of temporary life expectancy between birth and age 75 [e(0-75)]. For the calculation of life expectancy, we used the classic Chiang method and the decomposition of life expectancy by the death causes and age was conducted with the Arriaga method. The AAPC of death rates from avoidable causes in 1999–2017 was similar in all the countries but Lithuania, where the decline started later. The decline in the death rates from not avoidable causes is much slower than the rates from avoidable causes. Mortality from treatable causes was decreasing faster than from preventable causes in most populations. In 1999–2017, the average rate of mortality decline for preventable cancer was greater among men than among women, while for treatable cancer the sex-related differences were much smaller and in favour of women. As for preventable and treatable death from DCS, their decrease was faster among women than men in all the countries but Sweden. Improvements in mortality from causes that could be avoided through prevention or treatment made substantial positive contributions to the overall change in life expectancy in all the countries. The differences in temporary life expectancy e(0-75) between the analysed Central European countries and Sweden were much smaller in 2017 than in 1999, due to the reduction of the gap in mortality from avoidable causes. Our results show that among men, and to a lesser extent among women, mortality from preventable causes contributes more than mortality from causes that can be effectively treated to shorter life expectancy in the countries of Central Europe than in Sweden. This indicates that in reducing the health gap between the inhabitants of Central Europe and Western Europe, the healthcare system should consider disease prevention even to a greater extent than just treating them.
    Źródło:
    Studia Demograficzne; 2020, 178, 2; 11-34
    0039-3134
    Pojawia się w:
    Studia Demograficzne
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Statistical methods for the assessment of students knowledge as illustrated by the Introduction to Internal Medicine exam
    Autorzy:
    Stefański, Adrian Ireneusz
    Bladowska, Natalia
    Więczkowska, Aleksandra
    Wojtyniak, Bogdan
    Ignaszewska-Wyrzykowska, Agata
    Jasiel-Wojculewicz, Hanna
    Jendrzejewski, Jarosław
    Rutkowski, Marcin
    Zdrojewski, Tomasz
    Powiązania:
    https://bibliotekanauki.pl/articles/895821.pdf
    Data publikacji:
    2019-06-04
    Wydawca:
    Gdański Uniwersytet Medyczny
    Tematy:
    exam evaluation
    statistical methodology
    Iinternal medicine
    Opis:
    Background: We wanted to develop substantial and statistical methodology for complex assessment of quality of teaching in internal medicine at a medical university. Our aim was also to check the connection between the results obtained during the midterm and final exam. Material and methods: We compared the results obtained by Polish (PD, n=235) and English Division (ED, n=81) students achieved during the midterm exam and multiple-choice final exam. The mean scores were calculated with t-Student test. For further evaluation Wilcoxon tests were used with the Bonferroni correction, The Stuart-Maxwell test was carried out to verify the hypothesis about correlations between results in the midterm and final exam. Results: The mean midterm exam score was 84.4% in PD and 72.6% in ED (p <0.0001) and mean final exam score was respectively 72.3% and 55.6% (p <0.0001). Good result of the final exam was obtained by 62% of students Conclusions: It is crucial to use appropriate tools to grade the quality of teaching. To evaluate that one should use advance statistical tests. The fact that ED students achieve less points on the exams might have several reasons such as the language barrier. Obtaining a good result during midterm exam does not guarantee passing the final exam.
    Źródło:
    European Journal of Translational and Clinical Medicine; 2019, 2, 1; 22-27
    2657-3148
    2657-3156
    Pojawia się w:
    European Journal of Translational and Clinical Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Towards estimating the burden of disease attributable to second-hand smoke exposure in Polish children
    Autorzy:
    Jarosińska, Dorota
    Polańska, Kinga
    Wojtyniak, Bogdan
    Hanke, Wojciech
    Powiązania:
    https://bibliotekanauki.pl/articles/2178808.pdf
    Data publikacji:
    2014-01-01
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    environmental burden of disease
    children
    second-hand smoke
    Polska
    Opis:
    Objectives: To estimate the burden of disease attributable to second-hand smoke (SHS) exposure in Polish children in terms of the number of deaths and disability adjusted life years (DALYs) due to lower respiratory infections (LRI), otitis media (OM), asthma, low birth weight (LBW) and sudden infant death syndrome (SIDS). Materials and Methods: Estimates of SHS exposure in children and in pregnant women as well as information concerning maternal smoking were derived from a national survey, the Global Youth Tobacco Survey, and the Global Adult Tobacco Survey in Poland. Mortality data (LRI, OM, asthma, and SIDS), the number of cases (LBW), and population data were obtained from national statistics (year 2010), and DALYs came from the WHO (year 2004). The burden of disease due to SHS was calculated by multiplying the total burden of a specific health outcome (deaths or DALYs) by a population attributable fraction. Results: Using two estimates of SHS exposure in children: 48% and 60%, at least 12 and 14 deaths from LRI in children aged up to 2 years were attributed to SHS, for the two exposure scenarios, respectively. The highest burden of DALYs was for asthma in children aged up to 15 years: 2412, and 2970 DALYs, for the two exposure scenarios, respectively. For LRI, 419 and 500 DALYs, and for OM, 61 and 77 DALYs were attributed to SHS, for the two exposure scenarios, respectively. Between 13% and 27% of SIDS cases and between 3% and 16% of the cases of LBW at term were attributed to SHS exposure. Conclusions: This study provides a conservative estimate of the public health impact of SHS exposure on Polish children. Lack of comprehensive, up to date health data concerning children, as well as lack of measures that would best reflect actual SHS exposure are major limitations of the study, likely to underestimate the burden of disease.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2014, 27, 1; 38-49
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-4 z 4

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