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Mazur A.,Studenckie Kolo Naukowe Profilaktyki | Derkacz M.,Klinika Endokrynologii | Chmiel-Perzynska I.,Katedra i Z aklad Medycyny Rodzinnej | Kowal A.S.,Studenckie Kolo Naukowe Profilaktyki
Family Medicine and Primary Care Review | Year: 2010

Background. The proper diet is an extremely important part of a healthy lifestyle. It is based on regular meals and appropriate selection of all nutrients. Objectives. The aim of this study was to assess eating habits of women benefiting from fitness classes, and to assess the relationship between their diet and education, BMI, and motivation to exercise. Material and methods. The study was conducted using a 19-point auditory questionnaire among 120 randomly selected women with an average age of 29.5 years (± 7.6), who trained in fitness clubs. Results. The main reason of use the fitness classes was health care (73.3%), especially for women with higher education (p < 0.05). Most of the women wanted to participate in fitness classes over the years (72.5%), among them more than half intended to use the fitness until the end of their life. 75.5% of the respondents believed that their weight is normal. Surveyed with higher education were slimmer than the others (p < 0.01), they had lower BMI (p < 0.05) and wanted to lose weight significantly less than other women (p < 0.001). Most of the women ate meals 4 times a day (54.1%). Women with higher education consumed fast food more seldom than other respondents (p < 0.05). There was no significant correlation between education and the consumption of other types of food. Conclusions. 1. Most of the women had normal weight and ate healthily. 2. Women with higher education took care about their health more often. They were slimmer and ate less unhealthy meals and junk food (e.g. fast food). 3. For all respondents the main reason of training fitness was maintaining good health. 4. Promotion of healthy lifestyle among the respondents was manifested by desire to attend fitness classes for many years. © Wydawnictwo Continuo.

Dubaj C.,Studenckie Kolo Naukowe | Nowak K.,Studenckie Kolo Naukowe | Pozarowska D.,Klinika Diagnostyki i Mikrochirurgii Jaskry Katedry | Jaroszynski A.,Katedra i Z aklad Medycyny Rodzinnej
Family Medicine and Primary Care Review | Year: 2016

So far in Poland, the vast majority of patients with ocular problems have been diagnosed and treated immediately by an ophthalmologist, acting in our country as a “GP”. Due to the introduced by the National Health Fund a change in the organization of the home health care system, involving the re-introduction of the need for a referral to an ophthalmologist, family doctors are likely to involve in the diagnosis and treatment of eye diseases. This reform can reduce patient wait time in the ophthalmology office, because family doctors are trained to treat some patients with ocular symptoms. The most serious challenge that can stand in front of them is to distinguish those patients who require urgent ophthalmological consultation and to provide adequate medical care until it was provided by an ophthalmologist. Among these so-called “acute conditions in ophthalmology,” the most important are the central retinal artery blockage, retinal detachment, iritis, a base or acid burns and acute attack of glaucoma. They represent a direct threat to loss of function of the eye, and quick implementation of appropriate prehospital treatment and rapid transport to a specialized center has a significant impact on the future vision of the patient after completion of the treatment process. Therefore, it is important for the family doctor to know right workflow for both initial diagnosis and treatment of patients with eye’s acute condtions. © Wydawnictwo Continuo.

Lubieniecka M.,Katedra i Z aklad Medycyny Rodzinnej | Lewandowicz-Uszynska A.,III Katedra iKlinika Pediatrii
Family Medicine and Primary Care Review | Year: 2011

Primary immunodeficiency (PID) are rare diseases and are commonly undiagnosed. The family doctor should be aware of these conditions, since the implementation of quick diagnosis and treatment of patients with PID is vital for survival, improve their health and quality of life. Aim of the paper was paying general practitioner's attention to issues of primary immunodeficiency disorders basing on an overview of the Polish and foreign literature. Currently, the PID group includes over 30 types of diseases, with a specific genetic background. We can distinguish five main groups of deficiency: antibodies(56%), phagocyte cells (8%), the complement system (1%), T lymphocytes (4%), other(31%). Frequently these disorders occur in children, but maybe revealed in adulthood - common variable immunodeficiency (CVID). For many PID an effective therapy is possible, therefore, the number of these conditions after the period of childhood increase. European Society for Immunodeficiency (ESID) has developed a list of 10 disturbing symptoms, suggesting PID. Finding one of these symptoms should lead the GP to refer patients to clinical immunology center for a complex diagnosis and treatment resulting from therapeutic standards for this group of patients. © Wydawnictwo Continuo.

Grywalska E.,Kolo Naukowe Profilaktyki i Promocji Zdrowia przy Katedrze i Z akladzie | Derkacz M.,Klinika Endokrynologii Uniwersytetu Medycznegow | Chmiel-Perzynsk I.,Katedra i Z aklad Medycyny Rodzinnej | Mazur A.,Kolo Naukowe Profilaktyki i Promocji Zdrowia przy Katedrze i Z akladzie | Markowicz J.,Kolo Naukowe Profilaktyki i Promocji Zdrowia przy Katedrze i Z akladzie
Family Medicine and Primary Care Review | Year: 2010

Background. The basis of the therapeutic success is the trust, which patients put in a physician. Objectives. The aim of the study was to evaluate patients' expectations from their physicians, relating both verbal and not verbal aspects of contact. Material and methods. The study was conducted using 61-point author's own questionnaire, composed of closed and semi-open questions, regarding issues, i.e. correct physician's attitudes towards their patients in the group of 233 randomly chosen persons (70.8% women and 29.2% men) cured by family doctors and other specialists. Results. In the opinion of 93.6% subjects, a doctor should explain his or her role in a process of treating. Unfortunately, only 41.6% did so. 28.3% of those questioned thought that the doctor's duty is to lend a hand to the patient as well as introduce herself or himself (92.3%). Physicians have to inform in a clear way about patients' heath state, according to 98.3% of questioned subjects. Unfortunately, only 60.9% of respondents understood physician's words. 27.5% of patients consider that doctors often conceal the truth. 68.2% of group regarded avoidance of looking in the face as insincerity and 64.8% as disrespect. Conclusions. 1. Almost all respondents paid attention to physician's personal culture. It is important especially for persons with higher education and those considering their material state as good. 2. Patients think that doctors do not know how to inform about unpleasant facts about their health state and often conceal the truth. 3. The most important thing, building the trust, is physician's sincerity and ability to speak about her or his mistakes. © Wydawnictwo Continuo.

Chmiel-Perzynska I.,Katedra i Z aklad Medycyny Rodzinnej | Derkacz M.,Klinika Endokrynologii | Kowal A.,Studenckie Kolo Naukowe Badan Epidemiologicznych przy | Grywalska E.,Studenckie Kolo Naukowe Badan Epidemiologicznych przy
Family Medicine and Primary Care Review | Year: 2010

Background. OTC (over the counter) market is divided into two groups: drugs sold without a prescription and products without the status of drugs, which include inter alia mineral-vitamin preparation which have the status of dietary supplements. Material and methods. The study was conducted using the author's questionnaire containing 41 closed questions. The study included 194 individuals, 68 men (35.4%) and 124 (64.6%) women. The average age of the study group was 55.9 ± 13.7 years. 9.4% of respondents had elementary education, 28.1% vocational, 51.6% secondary education and 11% had university degree. Results. All the respondents confirmed purchasing OTC products which were sold without prescription. 92.2% of respondents said they spend monthly below 50 PLN on them. Among the three most frequently purchased OTC products people mentioned: analgesics and antipyretics, medicines for colds and mineral-vitamin preparations. Distribution of factors for the purchase of OTC was similar in all subgroups, regardless of education level of subjects. Among the factors to purchase them, respondents most commonly mentioned the recommendation of a pharmacist - 37.6%, continuous use of medicine - 23.2%, use of OTC by the family or friends - 16.5%, a price promotion - 8.8% and advertising - 6.7%. The decision of buying the OTC products was undertaken after consulting the doctor only by 3.1% of the respondents. Information on the preparation of OTC respondents mostly received from the pharmacist - 49% of respondents. Less frequently mentioned as a source of information were: family - 17%, friends - 11.9%, advertising, and flyers - up to 11.3%. Only 6.8% of those surveyed said they had knowledge of OTC which derives from the doctors. Conclusions. The use of OTC drugs is widespread. Doctors should have adequate knowledge of the OTC, and take into consideration using of these products by their patients. Patients should be properly educated about the rules concerning safe use of OTC products. © Wydawnictwo Continuo.

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