bluuebunny/crossref_metadata_2025_split huggingface dataset:
The quality of medical services in primary healthcare centres in selected communes of the Lubelskie Voivodeship, as assessed by patients – preliminary reports
Authors: Przybylska Daria , Przybylski Piotr , Drop Bartłomiej , Czarnocki Krzysztof , Przybylski Wojciech , Drop Katarzyna , Quinton Magdalena 
Published: May 2018

Abstract

Introduction. Family medicine has a growing responsibility for the health of an individual, and therefore of society as a whole. Establishing an efficient primary healthcare system requires devising an appropriate management strategy. Surveying the quality assessment of medical services is an important element that influences the future shape of the development and management strategy in communes due to the dynamically changing demographic and economic trends, which are leaving their mark on the functioning of local communities.

Aim. Evaluation of quality of medical services in primary healthcare centres in communes of Lubelskie Voivodeship.

Material and methods. The anonymous survey was conducted among 60 patients benefitting from the medical services provided in healthcare centres in Niemce (Niemce Commune, Lublin District). An original questionnaire in the form of a poll was used to assess the quality of services provided in primary healthcare centres.

Results. The results of surveys carried out among the patients of medical centres providing services in the field of primary healthcare (PHC) demonstrated the high level of satisfaction with the received services among the respondents. However, the accessibility of primary healthcare services outside the business hours of PHC centres and the functioning of prevention and health-education programmes need improvement.

Conclusions. Based on the survey results we can conclude that the quality assessment of medical services provided by PHC centres, carried out through the ongoing monitoring of patients’ satisfaction, should be the most important indicator of changes in the management of primary healthcare.
The impact of professional activity on the health status of healthcare managers
Authors: Romanova Anna , Novitskaya Svetlana , Tishchenko Evgeny , Meshcharakov Yurij 
Published: May 2018

Abstract

Introduction. Currently, the work of managers is characterized by a number of factors having an unfavorable impact on human health. Stress as the main risk factor related to the professional activity is considered to be the major cause of possible poor health among the managers. Depression may result from a stress overload of managers.

Aim. The authors wanted to determine the vulnerability to depression related to professional stress among healthcare managers and to assess gender and managerial work experience-specific differences.

Materials and methods. A total of 235 healthcare managers working in the Republic of Belarus with various length of managerial work experience (women n=142, men n=93; mean age 45.7±1.21 years) underwent a psychological testing aimed at determining their vulnerability to depression. The results of the study were analyzed using the STATISTICA 7.0 software.

Results. The vulnerability to depression in men differed from that in women (p=0.002). The predisposition to depression had significant differences between the groups with various experience of managerial work (p=0.03). The vulnerability to depression among healthcare managers increased with the length of managerial work. The highest level of vulnerability to depression was in healthcare managers with >20 years of experience (p=0.02) both in men (p=0.003) and in women (p=0.04).

Conclusion. Thus, acquiring professional competences as a factor contributing to stress resistance, skills of coping with stress and alleviating its impact on the health status is very important through the whole professional activity. Healthcare managers with the length of work experience of 1-5 years are especially in need of the appropriate knowledge and skills.
Assessment of the severity of nausea and vomiting among women during pregnancy vs. selected risk factors
Authors: Cisek Anna , Bucholc Marzena 
Published: May 2018

Abstract

Introduction. It is estimated that 90% of pregnant women suffer from nausea and vomiting (NVP). The severity of NVP may vary and the first symptoms tend to appear between the 4th and 9th week of pregnancy, reaching their peak around 7th-12th week and disappear around 16th-20th week of pregnancy. The etiology of both nausea and vomiting is yet to be discovered, yet there is a number of factors that may contribute to it. These symptoms usually accompany the increase of human chorionic gonadotropin (hCG) and most intensive ailments associated to the highest rate of this hormone appear around the 10th week of pregnancy.

Aim. Assessing the severity of nausea and vomiting in pregnant women and selected risk factors.

Material and methods. The study group consisted of 150 women hospitalized in the Independent Public Teaching Hospital No 4 in Lublin. The head of the Department of Obstetrics and Perinatology Agreement has agreed for the studies to be conducted. The authors used a research tool named modified scale Pregnancy Unique Quantification of Emesis which allowed to investigate the incidence and severity of nausea and vomiting during pregnancy. Demographic data and information on the conditions of nausea and vomiting in pregnancy were collected using a questionnaire survey of the authors’ own making. Database and statistical tests were conducted using 10.0 STATISTICA software (StatSoft, Poland).

Results. The analysis revealed that 108 women (72.00%) experienced nausea or vomitting during pregnancy. Taking into consideration the first trimester of pregnancy, a moderate severity of nausea and vomiting (NVP) occurred with an average of 6.51±3.17 pt. It was found that 82 respondents had light intensity of NVP, whereas 68 moderate. In the second trimester an average intensity of nausea and vomiting (NVP) came to 4.82±2.45 pt, i.e. 117 women had mild symptoms while 33 had moderate symptoms. During the third trimester NVP severity dropped to 3.88±1.67. The majority of respondents stated that nausea and vomiting was of light intensity (92.00%), while 8% declared that it was moderate.

Conclusions. The severity of nausea and/or vomiting varies in the course of pregnancy, with significantly more moderate than mild symptoms occurring in the first compared to other trimesters of gestation. The degree of the severity of NVP in the third trimester of pregnancy is significantly affected by risk factors occurring before pregnancy (migraine headache, nausea or vomiting), and co-morbidities. However, the number of pregnancies, the fact whether the pregnancy was planned or not, motion sickness do not have major significance in this matter.
The professional image of a nurse as seen by parents of children hospitalized in the oncology department
Authors: Wańkowicz Agnieszka , Golubka Paweł , Dłuski Dominik , Golubka Wiktoria , Mierzyński Radzisław , Wańkowicz Piotr , Golubka Kristiana , Golubka Ivan , Bednarek Anna , Darmochwał-Kolarz Dorota 
Published: May 2018

Abstract

Introduction. The professional image of a nurse which is influenced by a whole variety of factors is the main subject of this work. The social attitudes toward nurses are related to people’s own beliefs, opinions, stereotypes, as well as the nurses’ professional, personal and interpersonal skills. The proper image of a nurse is very important. Patients are becoming increasingly demanding toward nurses which poses new challenges for nurses attempting at creating a positive image of this profession.

Aim. The aim of this work was to elicit the opinions about nurses’ work from parents of children hospitalized on the oncologic ward.

Material and methods. The authors used a questionnaire of their own making and conducted a literature analysis. The literature review was made using the data taken from Main Medical Library. The research group consisted of 50 parents of children hospitalized in Oncology, Hematology and Child Transplantology Department in Lublin. All the parents were advised about the aim of the study and informed that the questionnaire is anonymous and voluntary. The obtained results have then undergone a statistical analysis, using a Chi2 test. Statistical significance was reached at the level of p<0.05.

Results. The most important factors affecting the professional image of a nurse are as follows: the parent’s sex, their place of residence, nurse’s appearance, as well as the following traits: being nice, protective and friendly.

Discussion. The image of a nurse as someone who is smiling, friendly and calm appears to be the closest to an ideal picture of such a professional. This pertains not only to parents but to the society as a whole. The nurse should pay attention to patients’ physical needs and expectations, as well as their spiritual side.

Conclusions. The researched group provided a positive opinion about the work of nurses at the Department. They paid special attention to their being nice, protective and friendly. It is the nurses’ physical appearance that sheds a positive light on them, as competent and friendly professionals. Even though most people perceive nursing as a rather unattractive profession, there is a huge deal of respect for nurses.
Adaptation of children with illnesses of the motor organs to hospital conditions
Authors: Brodowicz-Król Magdalena , Pachuta Małgorzata , Pękała Zofia 
Published: May 2018

Abstract

Introduction. It seems that the society should accept the legal and moral responsibility and the care over the injured individuals due to their health problems. Medical staff, doctors and nurses play a major role in the care of children, it is them who are in a direct contact with them in the course of the stay in hospital. The reaction of a child, as an exceptional patient, is quite varied as for the stay in different institutions. Patience, warmth and understanding are features which are necessary in the adaptation to conditions of the treatment. The medical professionals somehow replace parents and care providers, and create home-like environment for these children which means they can always count on help and understanding.

Aim. The purpose of this research was to portray children in hospital as well as their stance toward the current situation, expectations, pleasures and aversions.

Material and methods. The authors of the study examined 20 patients of a surgical clinic, both girls and boys. They applied the method of the diagnostic survey. The research was done using theinterview technique based on contents of unfinished sentences. 12 girls and 8 boys took part in the examination.

Results and conclusion. The examinations reveal that in order to combat negative feelings and overcome loneliness amongill children, hospitals should prolong the visiting time for family and friends and locate patients in rooms according to age, sex or disease. Delivering the greater scope of information provides a sense of security to children and hence has a positive effect to the adaptation to hospital settings.
Frequency of hospitalization in patients diagnosed with congenital talipes equinovarus (CTEV)
Authors: Okoński Piotr , Misztal-Okońska Patrycja , Okoński Marek , Książek Piotr , Goniewicz Mariusz 
Published: May 2018

Abstract

Introduction. Congenital talipes equinovarus (CTEV), also called clubfoot is the second after congenital dysplasia of the hip (CDH) most frequently occurring congenital limb defect. In Europe the deformity affects 1-2 newborns in 1000 live births.

Aim. The aim of the study was to determine frequency of the deformity among other reasons for hospitalization, as well as depicting the profile of patients treated for clubfoot.

Material and methods. Study method was the analysis of medical documentation from two Orthopaedic Wards of Prof. Antoni Gębala Children’s Hospital of Lublin. Medical records of patients treated for congenital talipes equinovarus (IDC 10-Q66.0) between 2008 and 2013 were the study material.

Results. Results of the study show that in the analyzed period of time 310 children were hospitalized for clubfoot in hospotal. 39.35% (n=122) of the total number of patients were girls and 60.65% (n=188) were boys. The average age of patients was 3.69 years, (Me=1.09 years). Average age of girls was 4.17 (Me=1.35 years) and boys 3.89 (Me=0.83 years). The most numerous group consisted of infants up to 1 year (n=154; 49.68%).

Conclusions. Clubfoot affects boys twice as often as girls. Moreover, in the examined hospital the average length of stay for patients with clubfoot has decreased. The research reveals that the average hospitalization length in children with congenital talipes equinovarus is systematically decreasing. The study shows that the number of patients being admitted to the Children’s Orthopedics Institute of the Hospital is increasing while the number of patients with clubfoot remains on the same level.
Nursing care quality and post-operative wound infections
Authors: Kos Marek , Dziewa Agnieszka , Ksykiewicz-Dorota Anna , Drop Bartłomiej , Kos Michał 
Published: May 2018

Abstract
Introduction. The aim of the surveillance over infections is to define the critical points, lacks in knowledge of staff skills, as well as lack of equipment. It is aimed at preventing the same mistakes from being conducted all over again, instead of making those guilty suffer from consequences of their mistakes.
Aim. The authors aimed at assessing the quality of nursing care procedures in terms of preventing post-operative wound infections.
Materials and methods. The research was conducted in medical treatment, surgical and intensive care ward. A self-constructed questionnaire “Nursing care quality and prophylaxis of hospital-acquired infections” was used for the study. It was validated using the peer judges method.
Results and conclusions. The highest nursing care coefficient was noted in county hospitals ( x̅ = 94.5%), while the lowest was noted in clinical hospitals ( x̅ = 91.3%). It was concluded that there is a deficit in adherence to procedures related to post-operative wound treatment.
Assessment of the new Reimbursement Act functioning between January-November 2012 and its impact on pharmacies and pharmaceutical industry and oncological treatment
Authors: Winiarska Małgorzata , Matosiuk Dariusz 
Published: May 2018

Abstract
Introduction. The new Reimbursement Act introduced on 01.01.2012 aimed at improving the way the Polish healthcare system operates, as well as reducing and unifying the prices of medicinal products. The Act provides that the prices for reimbursed drugs are lowered and unified. Increase the transparency, increase the number of innovative reimbursed drugs and lowering the level of co-payments.
Aim. The authors analyze the influence of the new Reimbursement Act (introduced on 01.01.2012) over the way the Polish healthcare system works.
Material and methods. The contents of the Reimbursement Act (introduced 01.01.2012) were used as research material. A content analysis of the new Act (conducted between 2013 and 2014) and its impact over the pharmaceutical industry, drug wholesale and drugstores was analyzed.
Results. Some numerical data concerning retail margins, co-payments by patients, limit groups, reimbursed drug prices were showed in the study.
Conclusions. Unfortunately, the Act itself has many shortcomings, inconsistencies or vague entries that require urgent amendment. Hence, it had a totally different impact.
Pregnant women’s knowledge on early orthodontic prevention – a questionnaire survey
Authors: Szalewska Magdalena , Boryczka Monika , Kapica Anna , Lemejda Justyna , Łukasik Marta , Pietryka-Michałowska Elżbieta , Szymańska Jolanta 
Published: May 2018

Abstract
Introduction. Ensuring proper conditions for the development of the masticatory organ of the child can prevent or reduce the incidence of malocclusion.
Aim. The study aimed to assess the knowledge of mothers on selected elements of early orthodontic prevention.
Material and methods. A questionnaire survey was carried out among 234 pregnant women and women in childbirth from Lower Silesia, Lublin and Lubuskie voivodships. The survey included questions about demographics of mothers, such as age, place of residence, education level, and 10 questions on selected elements of early orthodontic prevention.
Results. The knowledge of mothers on the early orthodontic prevention is associated with the level of education and the place of residence - women with higher education and living in large cities have the greatest expertise in this field, although it is still inadequate in general population of women.
The type and duration of use of removable dentures in seniors over 65 years of age from Lublin in Poland
Authors: Kamińska-Pikiewicz Katarzyna , Bachanek Teresa , Chałas Renata 
Published: May 2018

Abstract
Introduction. Age-related tooth loss causes an increasing need for prosthetic treatment. Maintaining a healthy masticatory system, as well as proper speaking functions is one of the main goals for prosthetic rehabilitation of the elderly.
Aim. The authors aimed at checking what types of moveable dentures people over 65, residents of nursing and family homes tend to wear and how long do they do it.
Material and methods. Some 240 people over 65 were looked at - 117 were residents of nursing homes in Lublin, while another 123 lived in their own family home. The authors took the following factors into consideration: type of denture, and how long were the dentures used.
Results. It appeared that movable dentures were used by some 57.26% of nursing home residents and 69.11% of people living in their family homes. Residents used mostly full denture, both in maxilla and mandible, respectively 71.05% and 67.14%. Similarly, seniors living at home had worn mainly full maxillary denture in 50.00% of cases, and full mandibular denture in 44.44% of cases. The mean time of using maxillary and mandibular dentures was longer in seniors residing in nursing homes (maxilla - 7.24 years, mandible - 7.48 years) than in persons living with their families (maxilla - 5.39 years, mandible - 4.63 years).
Conclusion. The supply of dentures in both groups of seniors is unsatisfactory. Most of the examined seniors have used the dental prostheses for too long.
Using SSR Markers For Assessment Genetic Diversity And Detection Drought Escape Candidate Genes In Barley Lines (Hordeum Vulgare L.)
Authors: Gougerdchi Vahideh , Dezhsetan Sara , Ebrahimi Mohammad Ali , Sadeghzadeh Behzad , Savari Sona 
Published: May 2018

Abstract
Assessment of genetic diversity using molecular markers is one of the primary and important steps in breeding programs. In this study, genetic diversity of 52 barley lines evaluated using 68 SSR primer pairs and 47 primer pairs produced clear and polymorphic banding pattern. In general, 153 polymorphic alleles detected. The number of observed polymorphic alleles varied from 2 to 9, with an average of 3.26 alleles per locus. Polymorphic Information Content (PIC) ranged from 0.07 to 0.81, with an average of 0.45. In this research, SSR markers differentiated the studied lines efficiently. Using cluster analysis, studied barley lines divided into two groups. Genetic diversity was relatively corresponding with geographical origins, because the lines related to a country somewhat diverged from each other. Two-rowed Iranian and Chinese barleys classified in one subgroup. Also, most six-rowed barleys classified in one subgroup. Association mapping analysis was used to identify candidate genes for drought escape in barley lines and 16 informative markers were identified after which confirmation in other tests could be suitable for marker assisted breeding drought escape.
Effect Of Physical And Chemical Mutagens On Morphological Behavior Of Tomato (Solanum Lycopersicum) CV. “Rio Grande” Under Heat Stress Conditions.
Authors: Akhtar Naheed 
Published: May 2018

Abstract
Given the importance to tomato production under heat stress conditions in hot climates of Pakistan, the objective of this research work was to study the influence of temperature and application of physical and chemical mutagens on tomato (Lycopersicon esculentum L.,) CV. “Rio grande” Seeds were treated with chemical mutagen (Ethyl Methane Sulphonate) and physical mutagen (Gamma radiation). Plants were grown in open field conditions under day/night temperatures regimes at the experimental area of Department of Horticulture, faculty of crop and food sciences, PMAS-AAUR. The experiment was set twenty treatments and four replications in Complete Randomize Block Design. It is observed that by increasing dose of mutagens shows lethal effect and morphological parameters reduced significantly. But lower doses of EMS and Gamma radiation improve thermotolerance capacity significantly. Plants were investigated for different morphological parameters i.e Plant height, no. of leaves, leaf area, relative water contents of leaves, chlorophyll contents, cell viability (TCC Assay) and pollen germination. Among gamma rays 5Kr were the only dose which survived and bear fruits. Among EMS 4mM, 8 mM, 16mM performed better under heat stress conditions than other treatments.
Effects Of Seed Vigor On Growth And Grain Yield Of Maize
Authors: Ghassemi-Golezani Kazem , Dalil Bahareh 
Published: May 2018

Abstract
Reduction in seed vigor is a consequence of seed aging which may influence field performance of crops. Thus, a field study was conducted as RCB design with 6 replicates to evaluate the effects of seed vigor on maize (cv. Ksc 301) growth and yield. A sub-sample of maize seeds was kept as control and two other sub-samples were artificially aged for 9 and 12 days. So, three seed lots (V1, V2 and V3), with different vigor were provided and sown in the field. Mean emergence time significantly increased, but mean emergence percentage decreased as seed vigor increased. The lowest leaf area index (LAI), dry matter accumulation (DMA) and crop growth rate (CGR) were obtained for plants from the lowest vigor seed lot (V3). At the later stages of growth, the highest relative growth rate (RGR) was recorded for V1 plants, followed by V2 and V3 plants. Poor stand establishment and growth of plants from V2 and V3 seed lots led to yield loss by 23.7 % and 41.5 %, respectively. These results showed that production and cultivation of high vigor seeds are necessary to ensure satisfactory field performance of maize.
Appreciating Gratitude: Is Gratitude an Amplifier of Well-Being?
Authors: Gruszecka Eufrozyna 
Published: May 2018

Abstract
The aim of the study was to investigate the relationship between gratitude and certain components of well-being which are conducive to affirming life. Additionally, we also compared how experiencing joy impacts those components of well-being. A randomly chosen 1/3 of the participants was asked to recall an event from their past when they felt grateful. Another 1/3 was asked to recall an event from their past when they felt joy. The final 1/3 of the participants was the control group. Next, all participants filled in the Satisfaction With Life Scale. Then (taking turns) they completed the Social Ties Scale and the Social Trust Scale. Finally, all participants estimated the amount of beneficiary experiences and gratitude they had received in life. The results of the study indicate that both gratitude and joy enhance happiness, and that gratitude and joy play an important, although different in some respects, role as contributing factors to happiness. The results indicate a positive relationship between the balance in gratitude experiences and the examined aspects of well-being.