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Rumianowski B.,University Of Szczecin | Brodowska A.,Klinika Rozrodczosci i Uroginekologii | Karakiewicz B.,Zaklad Zdrowia Publicznego | Grochans E.,Samodzielna Pracownia Propedeutyki Pielegniarstwa | And 2 more authors.
Przeglad Menopauzalny | Year: 2012

Menopause means a definitive end of the generative ovarian function and mostly occurs in women aged 40-58. It is well-known that the sooner it occurs the more serious consequences may result, even in the case of early menopausal hormone therapy. The most serious short-term consequences of menopause are menopausal symptoms (depression, hot flushes, sleep disorders, loss of libido), while long-term estrogen deficiency leads to osteoporosis, cardiovascular system diseases, depression, neurodegenerative diseases, urogenital area atrophy, skin and sense organ disorders. Therefore, an important task is to select women at risk of premature termination of the ovarian function. An important issue thus appears to be identification of factors influencing the age of the last natural menstrual period. Analysis of heritability results has brought the conclusion that the age of menopause is a multifactorial trait. The proportion of the impact of environmental and genetic factors, however, was not precisely estimated. Among environmental determinants the influence of many factors is being considered, including reproductive factors (related to the reproductive period), such as age of menarche, number of pregnancies and children, socio-economic factors, such as education, economic status, health determinants, such as the use of oral contraceptives or lifestyle-related factors, such as physical activity and the use of stimulants. Among the genetic factors, a genetic polymorphism of genes encoding enzymes of the estrogen biosynthesis pathway and other independent markers scattered throughout the genome (linkage studies and genome-wide association studies - GWAS) is taken into consideration.


Wieder-Huszla S.,Samodzielna Pracownia Propedeutyki Pielegniarstwa
Annales Academiae Medicae Stetinensis | Year: 2010

Intensive care units (ICUs) are distinguished by the use of specialist medical procedures based on invasive monitoring and mechanical support of dysfunctional organs or systems of the body. Patients at ICUs represent a specific group due to the fact that many of them will suffer infections in the course of hospitalization which pose a threat to their health or life and exert an impact on the therapeutic success. The aim of this study was to perform a prospective analysis of hospital infections at the intensive care unit, to determine etiologic factors and clinical forms of infection, as well as to define infection risk factors specific for the patient or related to the diagnosis, treatment, and specific procedures at the unit. The study was done in 234 patients hospitalized at the Department of Intensive Medical Care, Pomeranian Medical University, Independent Public Clinical Hospital No. 1 in Szczecin during one year. An infection registration card was created for each patient. Samples for microbiological tests were routinely collected once a week or in the event of suspected infection. 1. The prospective clinical, microbiological, and epidemiologic analysis performed at the ICU demonstrated that: a) infections were diagnosed in approx. 45% of the patients, b) the most common clinical forms of infection were: pneumonia (87.5%), sepsis (44.2%), and urinary tract infection (36.5%). Two to four clinical forms of infection were seen in approx. 64% of the patients, c) the most common etiologic factor of infection, irrespectively of the clinical form, were Gram-negative bacteria, predominantly Acinetobacter baumannii and Pseudomonas aeruginosa, d) patient-related infection risk factors of importance included male gender and overweight/obesity, e) procedure--related infection risk factors considerably contributing to infection included: bronchial toilet, tracheostomy, drainage of body cavities, feeding through a gastric tube, gastrostomy, central vessel cannulation, parenteral feeding, and chemotherapy. 2. The understanding of the prevalence and circumstances of infections at ICUs will help verify standards of preventive and therapeutic management at the ICU and may contribute to adequate control and efficient treatment of infections.


Starczewska M.,Samodzielna Pracownia Propedeutyki Pielegniarstwa | Grochans E.,Samodzielna Pracownia Propedeutyki Pielegniarstwa | Jurczak A.,Samodzielna Pracownia Propedeutyki Pielegniarstwa | Szkup-Jablonska M.,Samodzielna Pracownia Propedeutyki Pielegniarstwa | And 3 more authors.
Family Medicine and Primary Care Review | Year: 2012

Background. A diet is an important element of a lifestyle, the one which influences health of every man. Objectives. The aim of this study was to present nutritional habits of students of the selected higher education institutions in Szczecin. Material and methods. The study group consisted of 400 students of two higher education institutions in Szczecin: the Pomeranian Medical University and the Westpomeranian Technological University. This survey-based study was performed using a verified version of the questionnaire compiled by Ph.D. Marzena Zarzeczny-Baran and Master of Sociology, Ewa Wojdak-Haasa. Results. Most students of the Pomeranian Medical University mentioned vegetables and fruit as well as full-cereal products as foodstuffs, which should be included in their everyday diets. Also students of the Westpomeranian Technological University pointed out the above mentioned products, but they did it less frequently. There were considerable differences between the students of both higher education institutions in the times of their first meals, while the numbers of students from both institutions, who admitted to not having dinners, were similar. Fast food was eaten once a week by 60.3% of students of the Westpomeranian Technological University and 57.4% of students of the Pomeranian Medical University. There were no differences in the times of first meals and the frequency of dinner consumption between students depending on their gender. The men ate fast food more often than the women. Conclusions. 1. It was proved that bad nutritional habits were common among students of both higher education institutions. 2. A place of living during studies had no significant influence on the students' diets. 3. It seems reasonable to introduce students to the principles of a well-balanced diet, especially at those higher education institutions, where education programs do not include issues concerning health promotion. © by Wydawnictwo Continuo.


Augustyniuk K.,Samodzielna Pracownia Propedeutyki Pielegniarstwa | Jurczak A.,Samodzielna Pracownia Propedeutyki Pielegniarstwa | Szkup-Jablonska M.,Samodzielna Pracownia Propedeutyki Pielegniarstwa | Stanislawska M.,Samodzielna Pracownia Propedeutyki Pielegniarstwa | And 2 more authors.
Family Medicine and Primary Care Review | Year: 2013

Background. Anxiety is a natural reaction to illness, hospitalization and operating treatment. It is dependent many factors, such as personality traits, age, and ability to react in difficult situations. Objectives. The assessment of level of anxiety, depending on the socio-demographic factors in patients who were prepared for the surgery. Material and methods. The study was conducted among 110 patients hospitalized at the Departments of Surgery and Gynecology at Powiatowe Centrum Zdrowia NZOZ in Drezdenko. The study was conducted from September 2011 to February 2012, using the Inventory STAI questionnaire and own questions. Results. The analysis showed that the largest group of patients had an average level of anxiety, both as a state and as a trait. The average level of anxiety was, respectively, as a state of anxiety in 50 patients (45.5%), anxiety as a feature in 58 patients (52.7%). Depending on the study of anxiety as a state and trait anxiety with regard to age groups of respondents indicated that the level of severity of both types of anxiety increases with age. Women before surgery showed a greater tendency to both types of anxiety. Taking into account the level of education of the patients, the highest level of state anxiety and trait anxiety was shown by patients with higher education level. Conclusions. 1. The level of anxiety in patients was on average level. 2. Education significantly determined the levels of anxiety, both as a state and trait. 3. Before surgery women were significantly more prone to anxiety than men. 4. Younger patients had lower level of anxiety then the older ones. © by Wydawnictwo Continuo.


Markowska A.,Samodzielna Pracownia Propedeutyki Pielegniarstwa | Szkup-Jablonska M.,Samodzielna Pracownia Propedeutyki Pielegniarstwa | Jurczak A.,Samodzielna Pracownia Propedeutyki Pielegniarstwa | Mroczek B.,Zaklad Zdrowia Publicznego | Grochans E.,Samodzielna Pracownia Propedeutyki Pielegniarstwa
Family Medicine and Primary Care Review | Year: 2013

Background. Prison for many people living there is where a planned approach can take action to improve health and change existing harmful health behaviors. The aim of this study was to show, on an example of a selected prison, health behaviors and the factors that influenced the outcome of the action taken health among people who are in prisons in Poland. Material and methods. The study was conducted in 2011 in Detention Centre in Mie{ogonek}dzyrzecz (Areszt Śledczy in Mie{ogonek}dzyrzecz) which held 98 inmates. The study used a method of diagnostic survey using standardized diagnostic tools - IZZ questionnaire (Health Behavior Inventory), and the questions that were used to assess socio-demographic characteristics of the study group. The results were statistically analyzed. Results. 44% of respondents had low level of health behaviors, 44% had average and 12% had high level of health behaviors. Place of residence, education, occupation, number of stays in prison and treatment before being admitted to the prison showed a significant correlation with the general health behavior of prisoners. Conclusions. 1. Most of the prisoners surveyed showed low or average level of health behavior. 2. The factors that influence the development of health-related behaviors of prisoners were: place of residence, education, occupation, number of stays in prison and treatment before admission to prison. 3. Deepening of research on health behavior among inmates in penitentiary on Polish territory, would allow the identification groups among prisoners, to which certain health benefit programs can be targeted.© by Wydawnictwo Continuo.

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