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The Butterfly effect: An impact of materials related to anorexia in audiovisual media 蝴蝶效应:视听媒体中与厌食症有关的材料的影响
Pub Date : 2018-09-28 DOI: 10.17219/PZP/84982
Berenika Kuna
Background. Anorexia is an eating disorder, which affects 14/100 000 people each year. Currently, influence of social media contributes to promoting anorectic behavior. Despite of increasing number of pro-ana websites, the scale of phenomenon were not studied. Objectives. The aim of this study is the assessment of methods used to present anorexia in audiovisual media and social reactions evoked by delivered content. Material and methods. Data used in study included 150 videos submitted to YouTube in 2009-2017 and classified as promoting anorexia (n = 75) or as educational materials (n = 75). Videos were assessed for technical aspects, content and dynamics distribution (comments, like ratio and views number). Results. In both groups of audiovisual materials, women were the authors of 96% videos. Despite of higher views number in educational materials, both pro-ana and educational materials did not significantly differ in like ratio (p = 0.11). Significant difference was observed in presentation of content (p < 0.05). 93.3% authors of pro-ana videos have previously published pro-ana or suicidal content on their channel. Moreover, 75% comments for pro-ana videos were related to the willingness to join pro-ana groups. Conclusions. Regardless of significant differences in content presentation and views number, both pro-ana and educational materials, are characterized by similar dynamics of social reactions. Obtained results confirm problem of promoting anorexia through modern social media and suggest possibility of using social media as a tool in work with anorexia patients.
背景。厌食症是一种饮食失调,每年每10万人中就有14人患有厌食症。目前,社交媒体的影响助长了厌食行为。尽管亲ana网站的数量在不断增加,但对这种现象的规模尚未进行研究。目标。本研究的目的是评估在视听媒体中呈现厌食症的方法和所传递内容引起的社会反应。材料和方法。研究中使用的数据包括2009-2017年提交给YouTube的150个视频,这些视频被分类为促进厌食症(n = 75)或教育材料(n = 75)。评估视频的技术方面,内容和动态分布(评论,喜欢的比例和观看次数)。结果。在两组视听材料中,96%的视频作者是女性。虽然在教材上的浏览量较高,但亲ana和教材的相似率没有显著差异(p = 0.11)。在内容呈现上差异有统计学意义(p < 0.05)。93.3%的亲自杀视频作者曾在其频道上发布过亲自杀或自杀内容。此外,75%的亲ana视频评论与加入亲ana团体的意愿有关。结论。尽管在内容呈现和浏览量上存在显著差异,但亲ana和教育材料都具有相似的社会反应动态特征。研究结果证实了通过现代社交媒体促进厌食症的问题,并提出了将社交媒体作为厌食症患者工作工具的可能性。
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引用次数: 0
Physical activity of College of Rehabilitation students 康复学院学生的体育活动
Pub Date : 2018-09-28 DOI: 10.17219/PZP/79704
P. Dziedzic
Background. Physical activity is one of the most important aspects of health behavior. Medical students in particular should be aware of the positive effects of regular physical activity. Objectives. The purpose of this study was to assess the level of physical activity among physiotherapy students. Material and methods. The study covered 100 full-time and part-time students of the College of Rehabilitation in Warsaw, Poland. The study was conducted by means of a diagnostic survey. The technique used was a survey questionnaire. Analysis of the results was made by comparing groups of students depending on the course of studies, i.e., full-time and part-time. Results. Regular physical activity was practiced by 64% of the subjects, while 36% were physically inactive. The percentage of active students was higher in fulltime students (76.4%), while the percentage of part-time students engaging in physical activity was 51%. The frequency of physical activity was significantly higher in the group of full-time students than in the group of part-time students. Briefly, 27.5% of full-time students participated in physical activity 4–5 times a week, 35.3% 3 times a week (35.3%) and (15.7%) sporadically, while most of part-time students exercised sporadically (44.9%). Conclusions. Physiotherapy students exhibit insufficient levels of physical activity which, given the specificity of their chosen field of study, indicates points to the need for action to shape health behaviors. Full-time students were more active, which may result from having more free time (part-time students reported lack of time due to work or care for children as a cause of insufficient physical activity).
背景体育活动是健康行为最重要的方面之一。医学生尤其应该意识到定期体育活动的积极影响。目标。本研究的目的是评估物理治疗学生的体育活动水平。材料和方法。这项研究覆盖了波兰华沙康复学院的100名全日制和非全日制学生。这项研究是通过诊断调查进行的。所使用的技术是一份调查问卷。根据全日制和非全日制的学习课程,通过比较学生群体对结果进行了分析。后果64%的受试者进行了有规律的体育活动,而36%的人没有进行体育活动。全日制学生中活跃学生的比例更高(76.4%),而从事体育活动的非全日制学生的比例为51%。全日制学生组的体育活动频率明显高于非全日制学生组。简言之,27.5%的全日制学生每周参加4-5次体育活动,35.3%的学生每周参加3次体育活动(35.3%),(15.7%)偶尔参加,而大多数非全日制学生偶尔锻炼(44.9%)。结论。物理治疗专业的学生表现出身体活动水平不足,考虑到他们选择的研究领域的特殊性,这表明需要采取行动来塑造健康行为。全日制学生更活跃,这可能是因为有更多的空闲时间(非全日制学生报告说,由于工作或照顾孩子而缺乏时间,这是身体活动不足的原因)。
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引用次数: 0
Daily activities of the elderly and support given by them to the family in the opinion of young people, and the sociodemographic factors 年轻人认为老年人的日常活动和他们对家庭的支持,以及社会人口因素
Pub Date : 2018-09-28 DOI: 10.17219/PZP/82940
E. Smoleń, W. Boroń, Estera Jursa, Weronika Kolbuch, Paulina Poznańska, K. Sobota, Justyna Stawarczyk
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引用次数: 0
Retrospective analysis of cause of death in intoxicated patients in 2008 2008年中毒患者死因的回顾性分析
Pub Date : 2018-09-28 DOI: 10.17219/pzp/79705
D. Zawadzki, P. Arkuszewski, A. Kołacińska
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引用次数: 0
Fever recurrence in intensive care depending on the cooling technique used 重症监护中发热复发取决于所使用的冷却技术
Pub Date : 2018-09-28 DOI: 10.17219/pzp/85263
Kateřina Hašová, Andrea Vilímková
Material and methods. The required data was retrieved from patient medical records and recorded in the research protocol. A total of 60 patients were enrolled in our study, in whom a recurrence of fever was observed within 24 h. The study subjects were divided into 2 numerically equal groups. The subjects in the experimental group were cooled using the Blanketrol III cooling device, while cooling gel pads were used in the control group. The decision regarding initiation of cooling and the use of antipyretics was at the discretion of the attending physician.
材料和方法。所需数据从患者医疗记录中检索并记录在研究方案中。我们的研究共招募了60名患者,他们在24小时内观察到发烧复发。研究对象被分为两组,每组人数相等。实验组受试者使用Blanketrol III冷却装置冷却,而对照组使用冷却凝胶垫。关于开始冷却和使用退烧药的决定由主治医师自行决定。
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引用次数: 0
Pregnant women’s opinion about prenatal screening: A single-center study 孕妇对产前筛查的看法:一项单中心研究
Pub Date : 2018-09-28 DOI: 10.17219/PZP/85359
A. Szablewska, A. Michalik
Background. Prenatal diagnostics is one of the most important achievements of modern perinatology. We can obtain important information about the risks to the fetus in early pregnancy and take appropriate preventive or curative measures. It is estimated that in the general population, 2–4% of live births are diagnosed with at least one congenital malformation. The incidence of genetically determined diseases and deficiencies make aware how many families are affected by psychological and social problems. Objectives. The aim of the study was to recognize pregnant women’s opinion about prenatal diagnosis. Material and methods. The clinical material included 105 pregnant women who underwent prenatal diagnosis: 79 of them were at risk of congenital malformation (Group A), while 26 had no direct medical indication for prenatal diagnosis (Group B). The study was conducted using a questionnaire survey (Genetic Risk Perception Questionnaire, Prenatal Diagnostic Positive Questionnaire, and Pregnancy Diagnostic Questionnaire; Kornas-Biela). The statistical analysis was based on statistical software STATISTICA 10. Results. A statistically significant difference was found between the groups in terms of age, number of children and time needed for reflection between obtaining information about the possibility of being diagnosed and a decision made. There was a statistically significant dependence between the number of children possessed and the probability of termination of pregnancy. Conclusions. Prenatal diagnosis is accepted by pregnant women. Pregnant women approve prenatal examinations even if the abnormality is not possible to treat. Both group felt anxiety on the same level. Women who have children consider Women who have children consider performing abortion in the case of confirmed fetus malformation as unacceptable.
背景。产前诊断是现代围产期医学最重要的成就之一。我们可以获得有关妊娠早期胎儿风险的重要信息,并采取适当的预防或治疗措施。据估计,在一般人群中,2-4%的活产婴儿被诊断患有至少一种先天性畸形。由基因决定的疾病和缺陷的发生率使人们认识到有多少家庭受到心理和社会问题的影响。目标。本研究的目的是了解孕妇对产前诊断的看法。材料和方法。临床资料纳入105例产前诊断的孕妇,其中有先天性畸形风险的孕妇79例(A组),无直接医学指征的孕妇26例(B组)。采用问卷调查(遗传风险感知问卷、产前诊断阳性问卷、妊娠诊断问卷)进行研究;Kornas-Biela)。统计分析基于统计软件STATISTICA 10。结果。在年龄、子女数量和从获得诊断可能性的信息到作出决定所需的时间方面,两组之间存在统计学上的显著差异。拥有子女的数量与终止妊娠的概率之间有统计学上显著的相关性。结论。产前诊断为孕妇所接受。孕妇同意产前检查,即使异常无法治疗。两组人的焦虑程度相同。有孩子的妇女认为有孩子的妇女认为在确认胎儿畸形的情况下进行堕胎是不可接受的。
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引用次数: 0
Application of medical standards in the work of professional nurses in a private healthcare facility 医疗标准在私人医疗机构专业护士工作中的应用
Pub Date : 2018-09-28 DOI: 10.17219/pzp/75492
Małgorzata Martewicz
Background. Healthcare facilities are organizations continually striving to improve the quality of services they provide. Medical staff play a vitally important role in healthcare facilities and are largely responsible for the unique character of their services. Nurses are the most valuable resource of any healthcare system. Their skills, dedication, motivation, and professional competencies determine the quality of the service. It would be impossible to ensure the provision of adequate nursing care without defining its methods and guiding principles. Medical standards and procedures are tools helping to manage a healthcare facility effectively. They are a strategic element of the process of continuous improvement of the quality of service as they serve as models in their planning and evaluation. Objectives. To gain a better understanding of service standardization in medical care and to find out whether such solutions are being used in nursing practice and whether they are helpful in the work of professional nurses. Material and methods. The study was conducted on a group of 25 nurses employed in an existing health care facility. They had to answer 32 questions in a questionnaire designed by the author of this paper. The questions concerned the respondents’ familiarity with standards and procedures, their practical application and the impact they have on the quality of service. Results. The results of this research project show that the central question, i.e., “Are medical standards and procedures being followed in the healthcare facility which employs you?” was answered affirmatively. Conclusions. All nurses in the group showed interest in the issue of the quality of healthcare services. They claimed that the introduction and application of procedures and standards of nursing care enables the improvement of the quality of service. Most of the nurses from the study group know what standard of medical care is, and apply and observe in practice the procedures and standards of nursing care, fulfilling the recommendations and requirements set by the employing healthcare facility.
背景医疗机构是不断努力提高服务质量的组织。医务人员在医疗机构中发挥着至关重要的作用,并在很大程度上对其服务的独特性负责。护士是任何医疗系统中最宝贵的资源。他们的技能、奉献精神、动力和专业能力决定了服务的质量。如果不确定其方法和指导原则,就不可能确保提供充分的护理。医疗标准和程序是帮助有效管理医疗机构的工具。它们是持续改进服务质量过程中的一个战略要素,因为它们是规划和评估的典范。目标。为了更好地理解医疗服务标准化,了解这些解决方案是否在护理实践中使用,以及是否对专业护士的工作有帮助。材料和方法。这项研究是对一个现有医疗机构的25名护士进行的。他们必须在本文作者设计的问卷中回答32个问题。这些问题涉及答复者对标准和程序的熟悉程度、它们的实际应用以及它们对服务质量的影响。后果该研究项目的结果表明,核心问题,即“雇佣你的医疗机构是否遵循了医疗标准和程序?”得到了肯定的回答。结论。小组中的所有护士都对医疗服务质量问题表现出了兴趣。他们声称,引入和应用护理程序和标准可以提高服务质量。研究组的大多数护士都知道什么是医疗护理标准,并在实践中应用和遵守护理程序和标准,满足雇用医疗机构制定的建议和要求。
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引用次数: 0
The demand of senior secondary school youth for health education in the field of natural family planning 高中青年对自然计划生育领域健康教育的需求
Pub Date : 2018-09-28 DOI: 10.17219/pzp/84983
Agnieszka Błachno, E. Kobos, G. Bączek
Results. A satisfactory level of knowledge about natural family planning was found in 7% of the subjects. Students from the study group had the lowest level of knowledge on thermal and mucus methods, the highest on cervical observation. Students acquired the information about natural family planning mainly from the Internet, magazines and their colleagues. In the opinion of 81% of the students, implementation of the theme of natural family planning at school is justified. Seventy percent of the students confirm their willingness to participate in natural family planning classes organized at school. In the opinion of nearly half of the surveyed students, natural family planning classes should be conducted by a doctor, a nurse and a school teacher.
结果。7%的调查对象对自然计划生育有满意的认识。研究组学生对热法和黏液法的知识水平最低,对宫颈观察的知识水平最高。学生获取自然计划生育的信息主要来自网络、杂志和同事。81%的学生认为在学校实施自然计划生育主题是合理的。70%的学生表示愿意参加学校组织的自然计划生育课程。近一半的受访学生认为自然计划生育课程应该由医生、护士和学校老师来授课。
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引用次数: 0
Issues faced by parents in taking care of the prematurely born child after hospital discharge 父母在照顾早产婴儿出院后面临的问题
Pub Date : 2018-06-22 DOI: 10.17219/PZP/82941
Agnieszka Kruszecka-Krówka, A. Gniadek, A. Jonas
Background. The nature of health and care-related problems in preterm babies requires specific knowledge, competences and skills from the parents or carers, especially once the child has been discharged from hospital. It is also necessary to ensure that highly-specialised care provided to the child during their stay at the hospital is continued. Objectives. The aim of the the study was to determine the issues of parents in taking care of a prematurely born child after hospital discharge. Material and methods. Study participants were parents of preterm babies examined at the Outpatient Centre at the Neonatology Clinic of the University Hospital in Kraków. The study involved 60 respondents. The research method used was a diagnostic survey with the use of an original questionnaire. Results. Most parents did not feel theoretically or practically prepared to take care of the child after hospital discharge, and at the time of discharge from hospital the respondents usually felt happy and anxious at the same time. The respondents thought that biggest issue with regard to looking after a premature baby was feeding and nursing the child, as well as ensuring continued provision of highly-specialised care, mainly rehabilitation. Conclusions. The concept of holistic care provided to newborns at intensive neonatological care units requires the medical team to develop and implement educational programmes for parents, directed at the individual needs of the child and their parents. Provision of support to the parents at every stage of the child’s hospitalisation, as well as after hospital discharge, should be considered a necessity.
背景。早产儿的保健和护理相关问题的性质要求父母或照料者具备特定的知识、能力和技能,特别是在儿童出院后。还必须确保在儿童住院期间继续向其提供高度专业化的护理。目标。这项研究的目的是确定父母在照顾早产婴儿出院后的问题。材料和方法。研究参与者是在Kraków大学医院新生儿科门诊中心接受检查的早产儿的父母。这项研究涉及60名受访者。使用的研究方法是使用原始问卷的诊断性调查。结果。大多数父母在理论上或实际上都没有准备好照顾出院后的孩子,在出院时,受访者通常同时感到快乐和焦虑。受访者认为,照顾早产儿的最大问题是喂养和护理孩子,以及确保持续提供高度专业化的护理,主要是康复。结论。在新生儿重症监护室为新生儿提供全面护理的概念要求医疗小组制定和实施针对儿童及其父母个人需求的父母教育方案。在儿童住院的每个阶段以及出院后向父母提供支助应被认为是必要的。
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引用次数: 0
Analysis of BMI of the selected group of children aged 4 and 6 years living in the city of Cieszyn Cieszyn市4岁和6岁儿童的BMI分析
Pub Date : 2018-06-22 DOI: 10.17219/pzp/75495
Wioletta Waksmańska, Beata Stolpa
Background. As stated by the WHO, overweight and obesity are increasing health problems of childhood. In Poland, obesity affects 2–12,3% of children, depending on their age and gender. Well-child care is an important element of the control of abnormal values of children’s body mass. Objectives. The aim of this study was an evaluation of the prevalence of abnormal body mass in the group of children aged 6 and a retrospective analysis of the occurrence of abnormal values of body mass in the same group of children when they were 4 years old. Material and methods. The analysis included a study of well-child care cards of 69 children who were under medical care in a GP practice. There were 34 girls and 35 boys in the studied population. The body mass index (BMI) was calculated for each child. The results were compared to the WHO growth charts and the charts of the OLAF and OLA projects. Results. According to the WHO growth charts, in the analyzed group, body mass deficiency was found in 2.9% of children aged 4, overweight was observed in 8.7% of those children and 5.8% of them suffered from the obesity. Body mass deficiency was observed in 2.9% of children at the age of 6, overweight in 14.5% and obesity in 13%. BMI values below the 5th centile were observed more frequently when OLAF and OLA growth charts were used. Conclusions. The abnormal body mass occurred more frequently among girls. Along with the age of the child, the prevalence of excess body mass was increasing. The excess body mass was diagnosed more often when WHO growth charts were used. The abnormal body mass was related not only to weight deficiency, but also to excess body mass.
背景。正如世界卫生组织所说,超重和肥胖正在增加儿童的健康问题。在波兰,肥胖影响着2 - 12.3%的儿童,这取决于他们的年龄和性别。良好的儿童护理是控制儿童体重异常值的重要因素。目标。本研究的目的是评估6岁儿童体重异常的患病率,并回顾性分析同一组儿童4岁时体重异常值的发生情况。材料和方法。该分析包括对69名在全科医生诊所接受医疗护理的儿童的健康护理卡的研究。在研究人群中有34名女孩和35名男孩。计算每个儿童的身体质量指数(BMI)。将结果与世卫组织的增长图表以及OLAF和OLA项目的图表进行了比较。结果。根据世界卫生组织的生长图表,在分析组中,4岁儿童中体重不足的占2.9%,超重的占8.7%,肥胖的占5.8%。6岁儿童中体重不足的比例为2.9%,超重的比例为14.5%,肥胖的比例为13%。当使用OLAF和OLA生长图时,BMI值低于第5百分位的情况更常见。结论。体重异常在女孩中更为常见。随着儿童年龄的增长,超重的患病率也在增加。当使用世卫组织生长图表时,更多地诊断出体重过重。体重异常不仅与体重不足有关,而且与体重过重有关。
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