2016, Volume 10, Issue 1
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RekordSubjective health profiles among Ukrainian students of Medical Vocational School / Subiektywne profile zdrowia wśród ukraińskiej młodzieży szkolnej Studium Medycznego(Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2016-04-07)Background. Understanding various dimensions of health is a key factor to properly identify health risks. The purpose of the research is to acquire knowledge concerning positive health and survival skills by the Ukrainian students of Medical Vocational School in Lutsk. Material and methods. The study group comprised 467 female students aged 15-25 years old who were the attendants of Postsecondary Vocational School in Lutsk on: Pharmacy, Medicine, Obstetrics, Nursing and Laboratory Diagnostics specialties. A subjective questionnaire was used, which focused on: somatic, mental and social health profiles together with survival skills. Results. The results indicated the intensification of individual profiles, with the highest value of social health. Somatic health identified HR as its highest index, for mental health it was tolerance and for social health- respecting basic values. When it comes to the survival skill health profile tolerating body imbalance obtained the highest index. Conclusions. Most of the specialties showed a domination of different health profiles, which allowed to demonstrate forms of self-reported health models from the specialties of Nursing and Medicine.
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RekordDiversity of physical activity among the school youth depending on the type of place of residence / Zróżnicowanie aktywności fizycznej młodzieży szkolnej w zależności od rodzaju miejsca zamieszkania(Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2016-04-07)Background. The objective of the study was to reveal diversity of physical activity among the school youth depending on the type of place of residence (single-family house, block of flats). Material and methods. The research conducted in 2015 covered 646 students from junior high schools and post-gymnasium schools in Biała Podlaska with an average age of 18,8 ± 0,84 years. The method of research which was applied was the International Physical Activity Questionnaire (IPAQ) within its full form. Conclusions. It was indicated that the school youth, including in particular boys residing in family houses show higher level of physical activity than their peers living in blocks of flats.
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RekordThe presence of anti-EBV antibodies as the cause of false positive results in the diagnostics of Lyme borreliosis / Obecność przeciwciał anty-EBV jako przyczyna wyników fałszywie pozytywnych w diagnostyce boreliozy z Lyme(Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2016-04-07)Background. Laboratory diagnosis of Lyme borreliosis is based on the detection of anti-B. burgdorferi antibodies. Mononucleosis infection can lead to false positive results in serological diagnosis of Lyme borreliosis. Materials and methods. The experimental group comprised 60 patients diagnosed with Lyme borreliosis and 106 individuals professionally exposed to tick bites, with a positive result of ELISA anti-B. burgdorferi IgM test. The control group consisted of 150 healthy individuals. Immunoassay of antibodies to the Epstein-Barr viral capside antigen (EB-VCA) in the IgM class was carried out by the means of Western blot assay. Results. In two patients diagnosed with borreliosis the presence of IgM antibodies to EB-VCA was confirmed. In the group of individuals professionally exposed to tick bites and in the control group no anti-EB-VCA IgM antibodies were found. Conclusions. Anti-EBV IgM antibodies can lead to obtaining false positive results in Lyme borreliosis diagnostics. In the cases when clinical symptoms are not characteristic for Lyme borreliosis, and are accompanied by a positive result of anti-B. burgdorferi antibodies assay only in the IgM class, one has to take into consideration the occurrence of cross-reaction in the Western blot test and carry out differential diagnosis with infectious mononucleosis.
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RekordThe use of thermographic camera in stroke diagnostics – introductory report / Zastosowanie kamery termowizyjnej w diagnostyce udarów mózgu - doniesienie wstępne(Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2016-04-07)Background. Due to the serious course of most severe vascular injuries of the brain, there is anecessity to look for new diagnostic methods which are the least invasive for the patient. Objectives: the evaluation of the usefulness of thermographic camera in stroke diagnostics. Material and methods. The research included 38 patients hospitalised due to cerebrovascular accident in the Intensive Therapy Ward and Neurology Ward. The patients were diagnosed according to EBM (evidence based medicine) by means of CT, then a series of images were taken by means of thermographic camera. The examinations were conducted on the first day of the stroke, preceded by head tomography, and next on the fourth day after the stroke. Results. The examinations showed statistically significant (p<0.05) decrease in the temperature in the brain stroke area in relation to the healthy part both on the first and the fourth day. The difference in the average temperature changes between the cerebral infarction and intracerebral hemorrhage on the first and the fourth day was not statistically significant (P>0.05). The difference in the average temperature changes in the brain stroke area (irrespective of its type) between the first and the fourth day was statistically significant (p<0.05). The difference in the average temperature changes between the smaller and the bigger focal areas in CT on the first and the fourth day was not statistically significant (P>0.05). No significant correlation was observed between the average temperature changes and the clinical state of patients evaluated according to ESS (Epworth Sleepiness Scale) during the first day (p.0.05). Conclusion. Thermographic camera is a useful tool in brain stroke diagnostics, however it does not differentiate between hemorrhagic and ischemic strokes.
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RekordOptimization of pharmacotherapy system for treatment of thyroid diseases in Ukraine / Optymalizacja systemu farmakoterapii w leczeniu chorób tarczycy na Ukrainie(Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2016-04-07)Background. Recent years thyroid diseases are attracting considerable attention. On one hand, this is due to the fact that thyroid is actively reacts on environment, followed by appearance of various diseases. On the other hand, in current conditions population remains face to face with adverse impact of environment because an effective experience of the world community to fight against iodine deficiency is not implemented in Ukraine. Thus every year becomes more patients with thyroid pathology. So there becomes a need to optimize the system of healthcare provision for these patients. Material and methods. We have analyzed medications listed in Ukrainian National Formulary and studied the dynamics of its formation. A comparative analysis of UNF with the British National Formulary was conducted. The compliance of UNF with the WHO Model List of Essential Medicines was checked. Results. Comparative analysis of assortment dynamic of UNF medications for treatment and prevention of thyroid diseases showed that foreign drugs had an advantage of inclusion to formulary. The main difference between BNF and UNF is that drugs are brought in BNF only by original name. In UNF antithyroid drugs are presented by thiamazole which is absent in WHO Model List of Essential Medicines and BNF. Conclusions. We recommend to provide arguments concerning evidence of clinical and cost effectiveness of drugs included to UNF; to include drugs in UNF exclusively by original name; to include carbimazole and propylthiouracil medications into group of antithyroid drugs in UNF; to unite subsections 7.3.2 and 7.3.3 of UNF to one general subsection “antithyroid drugs”.