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1
Content available Mammografia i ból – a może da się go uniknąć?
PL
Ostatnie udoskonalenia technologiczne wyznaczyły nowe oczekiwania w zakresie badania skuteczności mammografii i jej wkładu we wczesną diagnozę raka. Na przykład wykonanie cyfrowej tomosyntezy piersi, ocenianej za pomocą kilku badań klinicznych (1, 2), wydaje się potwierdzać jej wartość jako potencjalnego zamiennika dla konwencjonalnej procedury rentgenowskiej 2D. Z drugiej strony korzyści płynące z programu mammografii przesiewowej dla populacji zależą w dużej mierze od poziomu uczestnictwa kobiet w wieku, dla którego są przeznaczone. Można bezspornie uznać, że redukcja śmiertelności populacji jest odwrotnie proporcjonalna do wskaźników uczestnictwa w badaniu przesiewowym.
EN
Vienna University professor J.P. Frank and Berlin University professor Ch.W. Hufeland were pioneers of medical prophylaxis in Europe. Concepts created by them were based on the same ideological grounds (populationism, cameralism) and were in the mainstream of European clinical medicine modernization process. Both authors used the same pathology concept (humoral pathology) explaining diseases origination and their course in organisms. Most of their recommendations in line with prophylaxis were similar. However, there were also differences. J.P. Frank created his public medicine model of prophylaxis as an important factor in Austria where most of its citizens were illiterate at the end of 18th century. He focused on state activities to ensure the efficiency and he recommended police surveillance over it. Ch.W. Hufeland created his prophylaxis concept for the Prussian state where the illiterates were in the minority. He could realistically consider implementation of lifestyle rationalization and personal self-control compliant to clinical medicine in the whole population, not only among the elites. The purpose of the paper is to show the basis of both prophylaxis programmes and context of their creation.
3
Content available remote Profilaktyka i ryzyko zdrowotne w firmach stosujących środki antykorozyjne
PL
Opisano problematykę związaną z profilaktyką medyczną pracowników zatrudnionych w zakładach stosujących środki antykorozyjne.
EN
Medical prophylactic examinations problems in enterprises, in which anticorrosion sollutions are apply, were described.
PL
Przedstawiono stan faktyczny dotyczący zasad działania służb medycyny pracy oraz służb bezpieczeństwa i higieny pracy i zaproponowano model integracji z uwagi na dublowanie się części zadań. Autor przedstawia tu własne koncepcje, uważając, że taki model powinien stać się modelem przyszłościowym.
EN
The author present the current status about of occupational health services and occupational and health safety services in Poland and his own proposals in subject of integration of these two services because of double some part of their activity. The author think that this proposed model should be a future model.
EN
We analyzed occupational exposure to potentially infectious body fluids among health care workers (HCWs). Nurses were the most common exposed category of HCWs. In 73.6% cases needle sticks had been the reason of exposure. Recapping a needle was the cause of exposure in 6.9% accidents. Among 189 registered HCWs, 66 (34.9%) performed invasive procedures without any personal protective equipment. Prophylaxis with antiretroviral drugs was necessary in 43 (22.8%) cases. As many as 60.3% of exposure incidents to potentially infectious material result from non-compliance with the relevant recommendations. Continuous education and training is critically needed to prevent occupational exposure to blood-borne infections among health care workers.
6
Content available remote Najważniejsze zadania wojskowej służby zdrowia w czasie pokoju
EN
The development of military technology makes higher and higher demands both in the area of qualifications and in psychological and physical condition of the career officers and soldiers. The aim of military health service is to keep it on a high level. It can be achieved by effective prophylactics and effective medical help. The improvement of medical - prophylactic system is due to organisational changes and systematic qualifications raise of doctors and medical personnel. In this aspect, the decision to create integrated national health service chambers was very important. They contributed greatly to improve basic medical care and enabled a good organisation of medical support in military units. The number of patients has been growing systematically, medical help is given not only to career soldiers, to conscripts, military families but also to retired soldiers who are authorised to medical health service but also to civil workers working for the army. A special role is ascribed to a doctor of basic health care. Due to his position he is the only one who organises and realises the principle of a patient’s complete and continuous health care in his medical centre, he conducts examinations, uses prophylactics and conducts active counselling.
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