Katedra i Z aklad Medycyny Rodzinnej

Poland

Katedra i Z aklad Medycyny Rodzinnej

Poland

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Drobnik J.,Katedra i Z aklad Medycyny Rodzinnej | Malcewicz M.,Katedra Fizjoterapii Akademii Medycznej | Jozefowski P.,Katedra Fizjoterapii Akademii Medycznej | Suslo R.,Katedra i Z aklad Medycyny Sadowej | Steciwko A.,Katedra i Z aklad Medycyny Rodzinnej
Family Medicine and Primary Care Review | Year: 2010

The aging of human is a multi-stage process. Aging involves a number of involutional changes and significantly worsen quality of people's life. Changes in old age occur the psychological, biological and social field. The consequence for an old man of decreasing mobility is also decreasing the quality of his life. Therefore, rehabilitation of the elders should be multi-dimensional and effective in improving their quality of life. Rehabilitation is designed to prevent disability and dependence on family and society care. © Wydawnictwo Continuo.


Mroczek B.,Zaklad Nauk Humanistycznych | Wroblewska I.,Instytut Pielegniarstwa Panstwowej Medycznej Wyzszej Szkoly Zawodowej | Kedzierska A.,SPS ZOZ Zdroje | Kurpas D.,Katedra i Z aklad Medycyny Rodzinnej
Family Medicine and Primary Care Review | Year: 2014

Background. The purpose of this study is to determine attitudes of Poles toward mentally ill people. Material and methods. The study was conducted on a group of 208 residents from the west Pomeranian region. 59% of them were women, 41% - men; 49% were aged 18-44 years, 51% - over 45; 55% had higher and 28% secondary education. Results. According to the respondents mentally ill people are: dangerous (70%), aggressive (61%), unpredictable (85%), and should be isolated from society (31%). Feelings that they usually evoke are: fear, sympathy and helplessness. The people around the surveyed use such words as: madman, psycho, nutcase. As many as 96% of the respondents avoid mentally ill people, and 65% will not offer a helping hand to a mentally ill person. Positive attitudes toward the mentally ill were observed among respondents with secondary education; those with higher education distanced themselves from such people. Conclusions. The results obtained show positive changes in attitudes toward the mentally ill, which, however, are insufficient for the demands of democratic society counteracting social exclusion. Public education campaigns, targeting the general public and especially young members of society, are necessary to enable the social integration of mentally ill people. © by Wydawnictwo Continuo.


Manasterski S.,Katedra i Z aklad Medycyny Rodzinnej | Slawin A.,NZOZ Praktyka Lekarza Rodzinnego Agata Slawin w Kielczowie | Dawiec M.,Katedra i K linika Chorob Zakaznych Dzieci | Krajewski J.,Praktyka Lekarza Rodzinnego Jacek Krajewski w Udaninie | Mastalerz-Migas A.,Katedra i Z aklad Medycyny Rodzinnej
Family Medicine and Primary Care Review | Year: 2014

Background. Overweight and obesity are factors that determine many diseases with which patients present themselves to the Family Practice Physician. Objectives. Assessment of the patient's knowledge level of their weight, height and abdominal circumference and then comparison of their self-esteem in the relation to objectively defined values, such as age, gender, level of education and place of residence. Material and methods. The study was conducted on a group of 957 adults in 3 GP's practices located in a big city, small town and in the country. The research tool was a questionnaire with closed and open questions. Results. Knowledge of one's height, weight and abdominal circumference did not differ among the respondents according to age, gender, education and place of residence. An assessment of patients' weight varied: the most optimistic patients were men from rural areas; properly weighing patients evaluating themselves as overweight or obese often were recruited among young, highly educated females. Conclusions. The patients level of knowledge of weight and height is not a prerequisite for the proper patient's self-esteem. © by 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.


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.


Kurpas D.,Katedra i Z aklad Medycyny Rodzinnej | Ciaglewicz J.,Studentka Pielegniarstwa Wydzialu Nauk o Zdrowiu | Hans-Wytrychowska A.,Katedra i Z aklad Medycyny Rodzinnej | Drobnik J.,Katedra i Z aklad Medycyny Rodzinnej | Steciwko A.,Katedra i Z aklad Medycyny Rodzinnej
Family Medicine and Primary Care Review | Year: 2010

Objectives. The aim of the work is to determine the opinion of patients with chronic cardiovascular disorders on the quality of medical healthcare including an analysis of medical care provided by a leading doctor in the biopsychosocial dimension. Material and methods. The study was performed in the period from January 2010 to April 2010 in patients with chronic diseases of cardiovascular system in Medical Ward of Medical Centre of Brzeg in Opole region and in outpatients treated in the area of Brzeg. An anonymous questionnaire including 64 open and closed questions was used. Results. 204 patients with chronic disorders of cardiovascular system took part in the study including 54.9% (112) females and 45.1% (92) males. The majority of the subjects suffered from hypertension (84.5% females and 72.3% males). The doctor most often contacted by the subjects is the primary healthcare unit doctor. Avast majority of patients stated that they waited only one day for the appointment with the doctor. The majority 71.1% (138) of the surveyed think that the waiting time was not too long. Most respondents (77.1%, 155) stated that their doctor's sex has no significance. 15.8% (32) of patients had problems obtaining a referral to a specialist doctor and 15% (30) to additional examination. The most favourable opinion on leading doctor - patient relationship was expressed by inhabitants of cities with the population of < 100 thousand (80.95%). The study shows that 68.6% (140) of patients trust their doctor. Conclusions. Nearly 50% of patients suffer from hypertension. Other common disorders of cardiovascular system included: ischaemic heart disease, state after myocardial infarction. The leading doctor most often contacted by the subjects is primary healthcare unit doctor. Most of the respondents were satisfied with the waiting time for the appointment. The majority of patients faced no difficulties obtaining a referral to a specialist doctor from primary healthcare unit doctor or to additional examination. The most favourable opinion on leading doctor - patient relationship was expressed by inhabitants of cities with the population of <100 thousand.© 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.


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.


Derkacz M.,Klinika Endokrynologii | Chmiel-Perzynska I.,Katedra i Z aklad Medycyny Rodzinnej | Nowakowski A.,Klinika Endokrynologii
Family Medicine and Primary Care Review | Year: 2010

Background. Primary hyperparathyroidism (PH) is a condition in which there is an excessive secretion of parathyroid hormone (PTH). The disease occurs significantly more frequently among women and affects mostly people over 50 years old. Its symptoms are not specific, therefore PH is often detected incidentally during routine screening. Material and methods. The case of a 63-year-old woman with suspected PH referred by the family doctor to the Department of Endocrinology was presented in this paper. Symptoms which suggested the disease were high blood calcium level and concomitant diseases: recurrent kidney stones, stomach ulcers and duodenal ulcers, and osteoporosis. Results. Results of laboratory tests showed abnormal, elevated levels of PTH - 2030 pg/ml (n. 14-72), and elevated blood calcium level - 13.4 mg/dL (8.48-10.48). The ultrasound examination failed to identify lesions that might suggested parathyroid adenoma. SPECT parathyroid scintigraphy using 99m Tc - MIBI showed the presence of a small change suggesting the presence of adenoma of the left lower parathyroid. The patient was qualified for surgical treatment. Conclusions. 1. Patients with PH may come to the GP with symptoms concerning different systems and organs. 2. Recurrent kidney stones, bones pain, or stomach and duodenal ulcers which are especially difficult to treat, should raise suspicion of PH. 3. Patients with symptoms that may suggest PH should be referred for consultation to exclude endocrine disease. © Wydawnictwo Continuo.


Background. The choice of each specialization by a young medical doctor depends on many factors. Objectives. The aim of this work is to identify the main reasons influencing the choice of specialization in family medicine by students of the sixth year. Material and methods. The paper presents the results of a survey conducted among the students of the Faculty of Medicine, Medical University of Lublin. Results. Before the course in family medicine choice of specialization in family medicine was declared by 5.8% of respondents, while at the end of the course in family medicine, this percentage increased to 14.2%. Conclusions. The choice of specialization in family medicine is influenced by the most convenient working hours and a variety of patients. Most excess office work discourages doctors to choose this specialization. © by Wydawnictwo Continuo.

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