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1
Content available Ludowe państwo dobrobytu
100%
EN
The article is an attempt to reconstruct the transformation of poor laws in precapitalist England based on Lorie Charlesworth’s work Welfare’s Forgotten Past. The substantial contexts of this reconstruction are the history of enclosures and commons as well as the concept of so-called primitive accumulation, originating from Karl Marx. The major scope of interest is the conjunction of the loss of the poor’s subjective rights and the penalization of the poor according to vagrancy laws.
PL
Artykuł stanowi próbę rekonstrukcji przemian praw ubogich w Anglii w okresie prekapitalistycznym w oparciu o pracę Lorie Charlesworth Welfare’s Forgotten Past. Istotnym kontekstem, w jakim osadzona jest niniejsza rekonstrukcja, jest historia grodzeń i dóbr wspólnych (commons), a także wywodząca się od Karola Marksa koncepcja tak zwanej akumulacji pierwotnej. Szczególną uwagę poświęcam splotowi dwóch zjawisk: utraty podmiotowych praw ubogich i ich penalizacji w formie karania za włóczęgostwo.
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Content available Editorial
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nr 3
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Carving up the world into Global North and Global South has become an established way of thinking about global difference since the end of the Cold War. This binary, however, erases what this paper calls the Global East – those countries and societies that occupy an interstitial position between North and South. This paper problematises the geopolitics of knowledge that has resulted in the exclusion of the Global East, not just from the Global North and South, but from notions of globality in general. It argues that we need to adopt a strategic essentialism to recover the Global East for scholarship. To that end, it traces the global relations of IKEA’s bevelled drinking glass to demonstrate the urgency of rethinking the Global East at the heart of global connections, rather than separate from them. Thinking of such a Global East as a liminal space complicates the notions of North and South towards more inclusive but also more uncertain theorising.
PL
Od zakończenia zimnej wojny dzielenie świata na Globalną Północ i Globalne Południe stało się ogólnie przyjętym sposobem myślenia o globalnej różnicy. Ta opozycja binarna wymazuje jednak istnienie tego, co nazywam Globalnym Wschodem – krajów i społeczeństw, które zajmują pozycję pośrednią, pomiędzy Północą a Południem. Niniejszy artykuł problematyzuje geopolitykę wiedzy powstałą wskutek wykluczenia Globalnego Wschodu, nie tylko z Globalnej Północy i Południa, ale z koncepcji globalności w ogóle. Argumentuje, że w celu odzyskania Globalnego Wschodu dla nauki musimy wykorzystać stanowisko strategicznego esencjalizmu. Analizuje w tym kontekście globalne powiązania kryjące się za szklankami z fazowanego szkła z IKEI, by pokazać konieczność pomyślenia Globalnego Wschodu w sercu globalnych stosunków, a nie poza nimi. Myślenie o Globalnym Wschodzie jako przestrzeni liminalnej problematyzuje pojęcia Północy i Południa na rzecz bardziej inkluzywnego, ale również mniej dookreślonego myślenia teoretycznego.
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Content available Editorial
63%
PL
Wstęp: Wirusowe zapalenie wątroby jest drugą najczęściej stwierdzaną zakaźną chorobą zawodową i rozpoznawaną głównie u pracowników ochrony zdrowia. Ta grupa zawodowa jest najbardziej narażona w miejscu pracy na ryzyko ekspozycji na patogeny krwiopochodne, w tym wirusy HBV i HCV. Celem badania była ocena skuteczności działań ukierunkowanych na bezpieczeństwo pracy w placówkach ochrony zdrowia, częstości incydentów ekspozycji na materiał biologiczny w ostatnich 12 miesiącach poprzedzających badanie oraz ich zgłaszalności. Materiał i metody: Do analizy użyto badania kwestionariuszowego przeprowadzonego w latach 2009-2010 wśród 1138 pracowników ochrony zdrowia. Wyniki: Ekspozycja na materiał biologiczny miała miejsce u 242 pracowników (21% całej grupy). Tylko 146 osób zgłosiło te zdarzenia odpowiednim służbom. Przypadkowe przerwanie ciągłości tkanek miało związek z postrzeganiem pracy jako obarczonej wysokim stopniem narażenia (OR = 3,69, p = 0,0027), zatrudnieniem w ambulatoryjnych (w porównaniu ze stacjonarnymi) placówkach ochrony zdrowia (OR = 1,71, p = 0,0089), przekonaniem o niewystarczającym poziomie przekazywanych przez zakład pracy informacji na temat zakażeń krwiopochodnych oraz brakiem procedur i wiedzy dotyczących raportowania ekspozycji. Wnioski: Mimo prezentowania w różnych publikacjach wytycznych dotyczących postępowania poekspozycyjnego, szczególnie w placówkach nieświadczących usług całodobowych, procedury te są nieznane bądź nieprzestrzegane. Powinien być kładziony większy nacisk na szkolenie pracowników, szczególnie w zakresie ryzyka transmisji zakażeń oraz korzyści płynących z przestrzegania procedur poekspozycyjnych i zgłaszania przypadków ekspozycji. Med. Pr. 2013;64(1):1-10
EN
Objectives: Viral hepatitis is the second most often identified infectious illness acquired at work and it is mostly registered among health care personnel. This group of workers is at greater risk of exposure to blood and bloodborne pathogens, including hepatitis B and C viruses. The aims of this study were to evaluate the efficacy of methods promoting work safety in healthcare settings, to assess the frequency of exposures in the last 12 months prior to the study and to determine a rate of reporting them to appropriate authorities. Methods: A total of 1138 Polish healthcare workers were interviewed during the study period (between 2009 and 2010). Results: Sustaining accidental occupational percutaneous exposure during last 12 months was declared by 242 workers (21% of the whole group). Only in 146 cases these incidents were reported to authorities. Exposure incidents were associated with self-perception of high risk of exposure (OR = 3.69, p = 0.0027), employment in out-patient (vs. hospital-based) healthcare setting (OR = 1.71, p = 0.0089), conviction that the level of information about bloodborne infections conveyed at work was insufficient, lack of both exposure reporting system and knowledge about the ways of reporting. Conclusions: Despite the different established proposals of the post-exposure procedures, it turns out that particularly in small, not providing 24 hours service healthcare settings these procedures are not known or are not respected. More attention should be given to education, especially in regard to the risk of infection, advantages of post-exposure prophylaxis and reporting exposure incidents. Med Pr 2013;64(1):1–10
EN
Objectives: Hepatitis B (HBV) and C viruses (HCV) are among the most frequent blood borne pathogens. According to WHO, 5% of healthcare workers (in central Europe), are exposed to at least one sharps injury contaminated with HBV per year, 1,7% - contaminated with HCV. Aims: The aims of the study were to determine prevalence of HCV and HBV infections, vaccination efficacy against hepatitis B and usefulness of alanine aminotransferase (ALT) testing in prophylactic examinations in healthcare workers (HCWs). Material and Methods: In a group of 520 healthcare workers, a survey, laboratory and serologic tests such as ALT, HBsAg, anti-HBs, anti-HBcT and anti-HCV were carried out. Results: The study revealed a low rate of workers with presence of HBsAg and anti-HCV (1,2% and 0,8% respectively). Anti-HBcT was found in 99 subjects (19%) without a significant association with experiencing an occupational percutaneous injury. Being vaccinated against HBV was declared by 90% of the subjects. There was no relationship between ALT level rise and positive HBsAg, anti-HCV and anti-HBcT tests. Conclusion: A seroprevalence of HBV and HCV markers in HCWs found in the study is low and similar to the one found in general population. Current or past hepatitis B infections were independent of needle stick injuries. Vaccination against HBV coverage, although found to be high, should improve to 100%. Occupational prophylactic medical examinations found performing ALT test (obligatory in Poland for HCWs) not helpful. It seems that determination of anti-HBcT and anti-HCV status would be essential in pre-employment medical examinations.
EN
Objectives The assessment of the prevalence of anti-SARS-CoV-2 antibodies in various professional groups is very important. Hence, the purpose of the following study was to analyze the seroprevalence of anti-SARS-CoV-2 antibodies among employees performing both medical and nonmedical professions before the launch of SARS-CoV-2 vaccination. Material and Methods The study was conducted among employers of 1 of the institutions: The Provincial Specialist Hospital of Władysław Biegański in Łódź, Poland, Radio Łódź and the Border Guards of Łódź Airport. Blood samples were collected in December 2020–February 2021. Patients were screened for the presence of SARS-CoV-2 antibodies. Simultaneously respondents were asked to complete a self-designed questionnaire including demographic data, detailed profession, history of SARS-CoV-2 infection and willingness to be vaccinated against COVID-19. Results Seroprevalence was significantly higher in the group of rural residents (p < 0.012), participants who declared previous COVID-19 infection (p < 0.001) and healthcare workers (HCWs) (p = 0.002), especially nurses (35.5%, p = 0.003) and medics worked in areas dedicated to COVID-19 than in other specialties (38.7% vs. 26.8%, respectively, p = 0.017). There was no association between the presence of antibodies and the gender (p = 0.118), age (p = 0.559) or BMI (p = 0.998). Conclusions Healthcare workers, in particular nurses, are at high risk of contracting COVID-19 in the workplace. Occupational infections can occur during occur not only during contact with the patient, but also with members of the medical team who do not show typical symptoms of the disease. Shortages in medical staff may also increase the number of infections among HCWs. Medical and hospital staff providing health services during the COVID-19 epidemic in Poland, may seek compensation in the event of consequences related to SARS-CoV-2 infection. The effectiveness of education and self-discipline in complying to safety rules among HCWs should also be constantly monitored.
EN
Introduction: The pathogenesis of chronic hepatitis B depends on both, the immune response and oxidative stress. Aim of the study: To assess the hepatic expression of miR-122 and the antioxidant genes: HMOX-1, NQO1 and GFER1, in liver biopsy specimens obtained from patients with chronic hepatitis B, with regard to selected clinical and histological parameters, using RT-PCR. Results: The study group comprised 34 HBV-infected patients. Statistically significant associations were found between lower hepatic expression of HMOX-1 and greater severity of liver inflammation (p=0.04). However, significantly higher expression of NQO1 was observed in patients with advanced liver fibrosis (p=0.035). Hepatic expression of miR-122 in HBV patients was not associated with viral load or liver injury. Conclusion: The hepatic expression of HMOX-1and NQO1 may be associated with liver injuries in chronic hepatitis B. However, hepatic expression of miR-122 does not seem to correspond to progression of the liver disease.
EN
Introduction. Hepatitis C virus (HCV) infection is a global health problem which can lead to liver cirrhosis or hepatocellular carcinoma in one-fifth of chronically infected patients. Materials and methods. The study group consisted of 123 patients: 90 with HCV mono- and 33 with HIV/HCV co-infection, who were treated with pegylated interferon alfa (Peg-IFN-α) and ribavirin. We analyzed selected pretreatment factors: age, sex, HIV/HCV co-infection, grade of inflammation, necrotic changes and fibrosis in histological analysis of liver bioptates, HCV viral load, HCV genotypes, and single nucleotide polymorphisms (SNPs) of IL28B and tried to find out which of them influence sustained virological response (SVR). The IL28B SNP C/T (rs12979860) was analyzed using Custom® SNP Genotyping Assays (Applied Biosystems). Results. Multivariate analysis demonstrated that after adjusting for the other variables three predictors independently influence SVR, namely genotype 3 of HCV, presence of the CC genotype and age >40 years (OR respectively 15.14, 3.62, and 0.36). HCV mono-infected patients were infected with HCV genotype 3 or 4 less frequently (p=0.0001) compared to HIV/HCV co-infected individuals. In patients with HIV/HCV co-infection the CC variant occurred more frequently whereas CT was found less frequently (p=0.001, p=0.0146, respectively). In patients with HIV/HCV co-infection, 3 and 4 genotype of HCV occurred more frequently compared to patients with HCV mono-infection (p=0.0001). Conclusions. These data suggest that age, HCV genotype and IL28B polymorphism are useful for prediction of the response to treatment with Peg-IFN-α and ribavirin. The more frequent occurrence of HCV genotypes 3 or 4 in patients with HIV/HCV co-infection could be associated with the route of transmission.
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