2017, volume 11, issue 2
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RekordLegionella spp. in selected public utility buildings in Poland in 2009- 2013(Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2017-07-28)Background. Civilizational changes, including urbanisation and industrialisation, created the conditions for the development of new pathogens colonising water networks which endanger human health and life. The aim of the study was to assess the contamination of water supply systems in public buildings by Legionella spp. a pathogenic group of Gram-negative bacteria. Material and methods. The material samples were taken from the hot water supply systems of 41 buildings: school dormitories, boarding schools, educational centres, student dormitories. Results. In all analysed years, there were samples in which the applicable standards were exceeded, as specified by the regulation on the quality of water intended for human consumption. The highest percentage of negative samples was found in 2012, with as many as 81.1%, and the lowest one in 2011 − 35.3%. Positive samples obtained in the first and subsequent tests were detected in 20.0% of the tested facilities. The change from positive to negative values was found in 30.0% of the tested water networks. There were also cases of negative samples both in the first and subsequent tests, which was detected in 50.0% of the facilities. Conclusions. 1. An excessive amount of the officially permissible value of Legionella was found in 53.9% of the examined hot water samples. 2. The obtained results confirm the necessity of modernising and doing elementary repairs in water supply networks.
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RekordOptimized upstream therapy for managing patients with postinfarction cardiosclerosis associated with hyperuricemia(Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2017-07-28)Background. The recent epidemiological studies have shown that serum uric acid (SUA) is a risk factor for cardiovascular diseases and a negative prognostic marker for mortality in subjects with pre-existing heart failure. Material and methods. 147 patients, (59.2±0.8) years old, with postinfarction cardiosclerosis were included in this study. An evaluation of cardiohemodynamics, heart rhythm disturbances, lipid and purine metabolism’s violation and systemic inflammation was performed before treatment and six months afterwards. Results. An elevated SUA level was associated with the progression of postinfarction heart remodeling. Heterogenity of ventricular repolarization, decrease of heart rate variability, as well as high grade premature ventricular complexes were observed in these patients. Complex treatment with eprosartan provided a significant regress of left ventricle hypertrophy, achievement of target blood pressure levels, complete recovery from ventricular tachycardia, prevention of new-onset of atrial fibrillation. The use of fenofibrate resulted in reducing of total cholesterol, triglycerides, low density lipoproteins, SUA and main markers of systemic inflammation as well as an increase high density lipoproteins. Conclusions. The use of eprosartan and fenofibrate is an optimized upstream strategy for managing patients with postinfarction cardiosclerosis associated with hyperuricemia.
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RekordKnowledge in the prevention of Lyme borreliosis and exposure to ticks in women and men studying non-medical courses in Latvia(Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2017-07-28)Background. The aim of the following study was to assess the level of knowledge in the prevention of Lyme borreliosis and exposure to ticks in non-medical students, broken down by gender. Material and methods. The study group comprised 274 students from Latvia, including 229 women and 45 men aged 18-35. As for the research tool, the authors’ own questionnaire survey was used. Results. Latvian male students are more likely to use repellents and more often examine their bodies on return from green areas (86.6% and 97.8% respectively) than women (66.3% and 93.9%, respectively). The biggest group of the respondents (35.6% of the men and 41.1% of the women) considered that twisting the tick out with tweezers was the correct method of removing ticks. Slightly fewer respondents, i.e. 26.6% of the men and 36.2% of the women, opted for tweezing it out with a swift steady movement. In practice, most people do not do this on their own − 28.9% of the men turn to a doctor / nurse for help and 32.3% of the women to some other person. Students critically assess their knowledge regarding Lyme borreliosis: 60% of the men evaluate it as minimal and 53.1% of the women as average. More than 86% of the men and 73.4% of the women in the study group reported being bitten by a tick. Conclusions: The results of the study reflect the attitudes of Latvian academic youth towards Lyme borreliosis as well as knowledge about the disease and its prevention, which allows for assessing the need for intensifying public education in the subject.
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RekordAwareness of tick-borne bacterial infection in the students of nonmedical universities in Ternopil region (western Ukraine)(Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2017-07-28)Background. The aim of the study was to evaluate the awareness of Lyme borreliosis prevention and exposure to ticks in non-medical students of 2 universities in Ternopil Region (Western Ukraine). Material and methods. The study was conducted by surveying 252 young persons studying at non-medical universities in Ternopil (Western Ukraine): 119 students of Ternopil Volodymyr Hnatyuk National Pedagogical University (TNPU) and 133 of Ternopil Ivan Puluj National Technical University (TNTU), aged 18-23 years old. All the participants completed а questionnaire. Results. The students of Ternopil Volodymyr Hnatyuk National Pedagogical University (TNPU) and Ternopil Ivan Puluj National Technical University (TNTU), Ternopil, understand that the risk of being infected with Lyme borreliosis does not only appear in forests, but also in gardens, parks, and countryside. Still, 16.5% of the students of both Ternopil universities showed very low awareness about Lyme borreliosis. Most TNPU respondents in the study group (40.7%) were bitten by a tick in the abdomen area; 31.3% of the TNTU students declared being bitten in lower limbs. Students of both universities recorded the fewest bites in the chest area (7.1% in TNTU and 13.0% in TNPU respectively). As for the most frequent methods of tick removal, 71.4% of the respondents lubricated it with fat (e.g. butter, oil) and 42.0% twisted it out with tweezers. Conclusions. Education towards proper methods of tick removal, prevention of tick bites (clothes, repellents) should become an important element of protection measures in students in the regions of high Lyme borreliosis frequency, including Ternopil.
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RekordRisk of tick-borne bacterial diseases in forestry workers of Ternopil region (western Ukraine)(Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2017-07-28)Background. The aim of the study was to evaluate the awareness of Lyme borreliosis prevention and risk of being infected with the Borrelia burgdorferi in the forestry workers of Ternopil Region. To achieve the objective, serological tests were performed. Material and methods. The studies were conducted by diagnosing serum in 348 employees of Ternopil Region for anti-Borrelia burgdorferi s.l. antibodies by ELISA test. The age of the examined persons ranged from 17 to 75, mean age - 38.9 years. All the participants completed а questionnaire. The forestry workers were asked to state whether they noticed any symptoms compatible with Lyme borreliosis. Results. 348 forestry workers employed in five forest inspectorates were examined for specific anti-Borrelia burgdorferi s.l. antibodies. With ELISA test, a positive or inconclusive result in at least one antibody was observed in 43.1% of the respondents (n=150 of 348): IgM antibody − in 14.6% (n=51 of 348), and IgG antibody – in 35.3% (n=123 of 348). The largest number of respondents in the study group, i.e. 35.3%, were bitten in the abdomen area. As for the methods of tick removal, most respondents pulled the tick out with fingers (35.9%), while only 6.0% turned to a physician or nurse to have it removed. Erythema migrans (47%) and pruritis (31%) were the most frequent symptoms among the participants. Conclusions. T he absence of t he official r ecognition of Lyme b orreliosis a s a n o ccupational disease in Ukraine makes the study of prevention measures and their distribution in professional groups working in wooded areas an urgent matter. Providing the forest administration units with a sufficient number of tweezers or special loops for tick removal would certainly increase the protection of those exploiting forests against work-related tick-borne diseases.