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Dziemidok P.,Institute of Rural Health in Lublin | Dabrowski M.,University of Rzeszow | Makara-Studzinska M.,Medical University of Lublin
Psychiatria Polska | Year: 2016

Diabetes itself, by its nature, can aggravate the symptoms of depression. One of its main complications is peripheral diabetic neuropathy (PDN). Based on the literature the presence of the relationship between the PDN and depression is confirmed. The symptoms connected with instability while walking and reduction of everyday activities were the strongest predictors of the intensification of depression symptoms. The relationship between the neuropathic ulcers and depression is considered as ambiguous. Additional problems in diagnosis and evaluation is the polyetiologic character of the disease, damage to the nerve fibers of different thickness, variety of methods of the diagnosis and differences in the prevalence of diabetic neuropathy (26%-50%). The presence of the described differences may be connected with diagnostic methods and the fact of the modification of perceived symptoms such as pain by the depression itself. One of the results of difficulties in describing the relationships and diagnosis are problems, described in the literature, with the selection of patients requiring treatment of PDN. Source

Wojtyla A.,Institute of Rural Health in Lublin | Gozdziewska M.,Institute of Rural Health in Lublin | Paprzycki P.,Institute of Rural Health | Bilinski P.,Chief Sanitary Inspectorate | Bilinski P.,Institute of Haematology and Transfusion Medicine
Annals of Agricultural and Environmental Medicine | Year: 2012

Epidemiological studies in Poland show that tobacco smoking by adolescents at reproductive age is still frequently observed. This concerns both boys and girls. The study was based on all-Polish population studies of health behaviours of adolescents aged 14-24 (Youth Behavioural Polish Survey - YBPS) conducted in 2011, and the Pregnancy-related Assessment Monitoring Survey (PrAMS). More than 12% of pregnant women do not discontinue smoking in association with becoming pregnant and expose the foetus to tobacco smoke, despite being aware of the hazardous effect of smoking on the health of the mother and child. Smoking in pregnancy is mainly observed among mothers with a low education level and those aged under 23. According to the Baker's Foetal Origins of Adult Health and Diseases Hypothesis, exposure of the foetus to the components of tobacco smoke results in many perturbations in the form of a lower birth weight, prematurity, worse state of neonates after birth, and higher susceptibility to contacting civilization diseases at the age of adulthood. The results of studies confirm some observations. Polish studies clearly confirmed a lower birth weight of babies delivered by mothers who smoke; however, earlier termination of pregnancy and worse status of neonates after birth were not observed. According to the Baker's hypothesis, a lower birth weight of babies delivered by smoking mothers during the further life cycle exposes the offspring to the risk of contracting civilization diseases. The efforts undertaken by public health authorities should be biased towards education of the population at reproductive age about the hazardous effect of smoking on the health of the foetus and the offspring born. Women at reproductive age should be encouraged to discontinue smoking in association with the planning of pregnancy and in pregnancy. Source

Bojar I.,Institute of Rural Health in Lublin | GLowacka M.D.,Poznan University of Medical Sciences | Humeniuk E.,Medical University of Lublin
Annals of Agricultural and Environmental Medicine | Year: 2012

In 2005 in Poland, referring to the recommendations by the National Health Programme and recommendations by the European Union, the National Programme for Control of Cancerous Diseases was implemented by virtue of the Act, one of its basic assumptions being an improvement of oncologic awareness among the Polish population. It is expected that the result of actions in this respect will be an increase in reporting rates for prophylactic examinations and a decrease in the number of deaths due to cancerous diseases. The objective of the study was presentation of the analysis of morbidity and mortality due to cervical cancer in Poland and in individual regions, after the implementation of the National Programme for Control of Cancerous Diseases. The data was obtained from the Oncology Centre and from the computer Information System for Prophylaxis Monitoring (SIMP). In the analysis of obtained results, qualitative variables distribution was defined by means of the following values: number of instances (n) and frequency (%) with which they occur in a given category. The frequencies with which these categories of variables occur were compared by means of the chi-squared test with Yates' correction. The permissible error probability of the first type (p-value) is assumed to equal 0.05. The statistical assessment of results was performed by means of STATISTICA PL statistical software, version 9.0. In Poland in 2010, as many as 3,078 female patients suffered from with cervical cancer, compared with 3,263 in 2005, i.e. prior to implementation of The National Cancer Prevention Programme Act. Therefore, it can be concluded that there was a decline in cervical cancer incidence of 5.7%. As regards the mortality rate, there was a decline of 3.4%. A comparison of the cervical cancer morbidity and mortality rate for Poland and its provinces between 2005-2010 showed statistically significant differences only for morbidity rate - a decline in frequency in the entire Polish territory and in the following provinces: Lublin, tódz, Lesser Poland, and Greater Poland, as well as an increase in the morbidity rate in Kuyavian-Pomeranian province. Source

Paprzycki P.,Institute of Rural Health in Lublin
Annals of Agricultural and Environmental Medicine | Year: 2014

The recognition of adolescents' physical activity has become one of the serious challenges of the modern times, as a concern about the future health of societies. The major goal of the presented study was to discover the level of physical activity among Polish adolescents aged 16-18, and the factors which condition this level. The investigations were carried out in 2011, among 2,974 school adolescents from various locations in Poland - 1,790 girls (60.2%), and 1,184 boys (39.8%). As a study method, a short version of the IPAQ was applied. The results of the study indicated that a larger number of girls than boys show a low level of physical activity. With respect to activity among boys, higher values of intensive and moderate efforts are noted, while in girls, higher values of activities related to walking. It was confirmed that the level of physical activity does not depend on the place of residence. However, the number of physical exercise classes attended is a significant factor, both among boys and girls. It was also found that adolescents who more frequently lead a sedentary style of life are characterized by a lower level of total physical activity. Sedentary lifestyle (time spent sitting) does not differ among the level of physical activity of girls and of boys, neither with respect to the scope of the total physical activity nor to its three levels (low, moderate, high). Source

Szczyrek M.,Medical University of Lublin | Krawczyk P.,Medical University of Lublin | Milanowski J.,Medical University of Lublin | Milanowski J.,Institute of Rural Health in Lublin | And 3 more authors.
Annals of Agricultural and Environmental Medicine | Year: 2011

Chronic obstructive pulmonary disease (COPD) is a common inflammatory disease of the airways characterized by airflow obstruction that is not fully reversible. It is most often caused by smoking, but other factors including exposure to biological agents can play a significant role in its development. It is one of the leading causes of morbidity and mortality among the adult population worldwide. In Poland, symptoms of chronic impairment of airflow are present in 8.5% of males and 4.9% of females. Livestock farmers have an increased risk of chronic bronchitis, COPD, and reduced forced expiratory volume (FEV1). COPD in farmers working inside confinement buildings is related to organic dust exposure and may become severe. The management of COPD is aimed at improving the patient's quality of life and functional status. Currently, apart from lung transplantation, there is no treatment that would significantly improve lung function and decrease mortality. This led us to the conclusion that we should study the problem further, and cautiously monitor patients to help efforts aimed at the prevention of respiratory diseases among farmers and agricultural workers. Source

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