2022, Volume 16, Issue 1
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RekordBarriers and benefits of adopting electronic health records (EHRs) in public hospitals(Akademia Bialska Nauk Stosowanych im. Jana Pawła II, 2022-02-17)Background. Physicians make up the primary frontline healthcare practitioner group that must be engaged in the implementation of electronic health records (EHRs). This study aimed to explore physician attitudes and readiness towards the implementation of EHR systems in public hospitals. Material and methods. A total of 296 clinicians from four public hospitals in Iraqi Kurdistan with different job titles were included in the study. Results. The physicians reported that top hospital management would give importance to the EHR project (87.5%), include physicians in its implementation (69.6%) and provide adequate training (69.75%). EHRs may negatively affect physician attitudes due to increased control/monitoring of clinical practices by hospital administration (55.4%) or due to security, legal, and ethical concerns (50.0%), which may limit physician autonomy (51.8%). Moreover, physicians reported that EHR may diminish patient confidence in physicians (37.5%), may threaten physician credibility with patients (51.8%), and will likely interfere with doctor-patient interactions (55.4%). The analysis showed that autonomy could be limited due to the interference of EHRs in doctor-patient interactions (p=0.003). Physician concerns with respect to patient relationships included privacy concerns (p=0.008) and compromised physician autonomy (p=0.003). Conclusions. The physicians reported that while hospital management would support the implementation of an EHR system, the physicians had concerns about physician autonomy and potential negative impacts on doctor-patient relationships.
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RekordPhysical activity among primary school children aged 6-10 in Poland(Akademia Bialska Nauk Stosowanych im. Jana Pawła II, 2022-03-01)Background. Physical activity (PA) is a primary stimulator of human psychosomatic development. Material and methods. The research analysis was based on data for children 6-10 years of age (n=908) attending primary schools in Poland, which were collected through indirect interviews from their parents. The research tool included an anonymous survey questionnaire for which the response rate was 20.8%. A value of p≤0.05 was taken to indicate statistical significance. Body Mass Index (BMI) was used for the assessment of the weight and height proportions. Results. Moderate PA of 3-5 hours per week had the highest percentage among girls and boys for type of PA. Moderate to vigorous physical activity (MVPA), which equates to 5-10 hours, was selected by 17.1-28.1% of girls, depending on body weight, and was most frequent among the group of obese girls. In the group of boys, MVPA=5-10 hours was 17.2-27.6% respectively, depending on body weight. This answer was most frequently selected by boys with normal body weight (27.6%). In the both groups of girls and boys, no statistically significant differences between nutritional status and time spent on PA were noted (girls: χ²=24.00; p=0.065; boys: χ²=19.33; p=0.199). The majority of children surveyed used sports facilities 2-4 times a week. This answer was most frequently chosen by the group of obese boys (51.7%) and girls (54.8%). Conclusions. Levels of PA among the children in this study was found to be insufficient, and the amount of PA did not have a statistically significant correlation with body weight.
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RekordTests assessing upper limb function and their use in hand therapy for children with hemiplegic cerebral palsy(Akademia Bialska Nauk Stosowanych im. Jana Pawła II, 2021-12-22)Cerebral palsy encompasses nonprogressive but evolving disorders, primarily motor, resulting from damage to the region of the central nervous system (CNS) during early development. Cerebral palsy occurs at a frequency of 1 in 500 newborns and is the leading cause of physical disability among children. Preterm birth is a major risk factor for cerebral palsy and more than half of children diagnosed with cerebral palsy are born prematurely. Factors predisposing a child to the development of cerebral palsy can be divided into prenatal, perinatal, and postnatal. Cerebral palsy can be divided into 4 main types: spastic, dyskinetic, ataxic, and mixed. This paper aims to highlight the need for hand therapy in children with cerebral palsy and the use of clinimetrics in pediatric therapy. The most common scales used to assess upper limb involvement are the Manual Ability Classification System (MACS) for children 4-18 years old with cerebral palsy, Zancolli classification, House classification, Assisting Hand Assessment (AHA) Test, Melbourne Assessment 2, Hypertonia Assessment Tool (HAT), Ashworth Scale, Modified Ashworth Scale, Modified Tardieu Scale, and general scales used to assess a child's gross and fine motor functioning. Finally, a sample hand therapy program for children with cerebral palsy was proposed.
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RekordThe selection of stress coping strategies by university students based on prior COVID-19 exposure(Akademia Bialska Nauk Stosowanych im. Jana Pawła II, 2022-02-17)Background. The present study examined factors influencing the choice of coping strategies in response to stress caused by the pandemic. The aim of the study was the analysis of the selection of coping strategies chosen by university students stratified based on whether they had previously contracted coronavirus disease (COVID-19). Material and methods. A variant of the COPE questionnaire was used to examine the choice of coping strategies among 876 students of Krasnoyarsk (Russia) during the lockdown. Fifteen coping strategies were assessed in 27.9% students who had COVID-19 and 72.1% who did not have COVID-19, taking into account sex differences. Results. Problem-oriented and active coping strategies were common in both groups. The most common scenarios are active handling strategies (median 6.0). In both groups, respondents rarely singled out (median ≤4.0) the use of psychoactive substances, denial of the situation, and conversion to religion. Females more often than young males used concentration on emotions as a coping strategy. Females who experienced COVID-19 refuse to believe what happened, and choose to seek social support for emotional reasons. Conclusions. The risk of infection and the transmitted illness engendered coping strategies associated with active actions. Passive coping strategies were used less frequently. The tactics used to select appropriate coping strategies for those who have not been ill and who have recovered are similar, irrespective of sex.
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RekordAntibody response after SARS-CoV-2 mRNA vaccine in naïve and previously infected healthcare workers(Akademia Bialska Nauk Stosowanych im. Jana Pawła II, 2021-12-31)Background. Evaluating and monitoring plasma levels of anti-SARS-CoV-2 antibodies in healthcare workers, together with the vaccination of this at-risk population is important for maintaining the viability of the healthcare system, especially during the emergence of new viral variants. The aim of this study is to investigate plasma levels of anti-SARS-CoV-2 antibodies in healthcare providers following full vaccination, in both naïve and previously infected individuals. Material and methods. Complete data was available for 89 healthcare workers from the larger group of 102 initial participants. Plasma was collected at least one month, and no later than two months after the full dose of an mRNA vaccine, and analyzed by determining the total antibody concentration against the spike protein using an ECLIA kit. Results. The degree of humoral-specific immune response was at least 5-fold higher in previously infected healthcare workers compared to naïve persons that received the vaccine only. The highest titer was found in office-based staff, relative to those found in doctors and nurses. However, this difference lacks statistical significance. Among previously infected participants, nurses had significantly higher antibody titers, when compared to doctors. Conclusions. The study revealed a sustained immune response after mRNA vaccine among healthcare workers, with enhanced response in previously infected subjects, highlighting a boosting effect of the vaccine.