Wyniki wyszukiwania - Biblioteka Nauki

1

Challenges in diagnosing odontogenic lesions in maxillary sinuses

100%

Dobroś K. , Zarzecka J.

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2020

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tom 74

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nr 3

12-16

EN

Objectives: The study aimed to identify the patients with pathological lesions in the maxillary sinuses in which the reported symptoms might be indicative of odontogenic origin, as well as to establish specific causative risk factors promoting their development. Methods and Materials: The study covered 44 patients with suspected odontogenic maxillary sinusitis. Dental examination and Cone Beam Computed Tomography were completed. The age of patients ranged between 19 and 69 years, and the mean age was 43 (SD = 13.9) years. Results: Out of 44 patients, 22 (50%) had non-odontogenic lesions in maxillary sinuses, while in 15 (34.1%) dental origin was established. In the remaining 7 (15.9%) patients, no pathological changes were found in the sinuses. The median of reported symptoms was 10 months (Q1 = 4, Q3 = 24). The reported complaints were not associated with the actual cause of pathological lesions. Conclusions: Odontogenic cause of the lesions in the sinuses should primarily be hypothesized, especially in patients with long-term disease symptoms, also regarding any unilateral inflammations.

2

Ageism: A Problem of the Twenty First Century

80%

Michalak P. , Zarzecki A. , Zarzecka J.

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tom 16

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nr 18 (2)

193-207

PL

Starzenie się społeczeństwa jest procesem globalnym i przybierającym na sile, a jakość starzenia się jest istotnym parametrem tego procesu. Prognozuje się, że w latach 2015-2050 dojdzie do podwojenia odsetka ludzi w wieku starszym. Celem pracy była analiza piśmiennictwa dotycząca zachowań dyskryminacyjnych ze względu na wiek tzw. ageizm, ze szczególnym uwzględnieniem zachowań w obrębie ochrony zdrowia, w tym również lekarzy dentystów. Ageizm może być ważnym czynnikiem wpływającym na zdrowie i samopoczucie osób starszych, co powinno być brane pod uwagę przy opracowywaniu strategii wspierania zdrowszego i szczęśliwszego starzenia się. W badaniu ankietowym populacji Polskiej wykazano, że 26% uczestników powyżej 65. roku życia uważa grupę swoich rówieśników za dyskryminowaną, a 8% było świadkami dyskryminacji. Podkreśla się, że niechęć do ludzi starszych i ich dyskryminacja w placówkach medycznych jest częściej obserwowana w sytuacjach presji czasowej i niedoboru personelu medycznego. Starsi ludzie coraz częściej zachowują naturalne uzębienie, w związku z tym rośnie zapotrzebowanie na przeszkolonych lekarzy zajmujących się kompleksową opieką nad pacjentami w starszym wieku. Pomimo to wskazuje się, że sama poprawa wiedzy na temat procesu starzenia nie zmienia postawy wobec pacjentów seniorów. Po analizie piśmiennictwa należy zauważyć znikomą ilość badań poświęconych tematyce ageizmu prowadzonych poza USA. Badania prowadzone w dziedzinie stomatologii odnoszące się do tej tematyki najczęściej ograniczane są do badania postaw studentów. Obecny czas pandemii COVID-19 uwypuklił nieprawidłowe zachowania obarczone ageizmem.

EN

The ageing of society is a global process which is gaining strength. The quality of ageing is an essential parameter of this process. It has been predicted that the percentage of elderly individuals will double during the period 2015-2050. The aim of the present paper was to analyse the literature on discriminatory behaviour due to age, or so-called ageism, with particular emphasis on behaviour within the area of healthcare, including that of dentists. Ageism may constitute an important factor in the health and well-being of elderly people, one which should be considered in the design of strategies to support healthier and happier ageing. A survey of the Polish population showed that 26% of participants aged 65 and over considered that their peers are being discriminated against, whereas 8% had personally witnessed discrimination. It has been emphasised that aversion to the elderly and discrimination against them in medical facilities is observed more frequently in situations involving time pressure and shortage of medical personnel. More and more frequently, elderly people retain their natural teeth; accordingly, there is a growing demand for trained dentists to provide comprehensive care for elderly patients. Nevertheless, it has been indicated that mere improvement of levels of knowledge about the ageing process does not change attitudes towards elderly patients. Following analysis of the relevant literature, it should be noted that the volume of research on ageism conducted outside the US is negligible. Research related to this subject in the field of dentistry is most often limited to students’ attitudes. The current COVID-19 pandemic has highlighted inappropriate behaviours characterised by ageism.

3

Dental environmental stress during the COVID‑19 pandemic at the Jagiellonian University Medical College, Kraków, Poland

70%

Zarzecka J. , Zarzecka-Francica E. , Gala A. , Gębczyński K. , Pihut M.

International Journal of Occupational Medicine and Environmental Health

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2021

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tom 34

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nr 2

211-222

EN

ObjectivesThe burden of stress experienced by dentistry students has been the subject of numerous studies aimed at defining the strongest stressors, and at reducing their intensity to improve the conditions and, consequently, the quality of education. Such studies have never been performed in the conditions of a pandemic caused by a new, unknown coronavirus. Therefore, the objective of the study was to identify the sources of their stress in the course of the studies, with reference to the COVID‑19 pandemic.Material and MethodsA total of 334 dentistry students of the Institute of Dentistry at the Jagiellonian University Medical College were invited to take part in the study. They represented a range from the first to the fifth year of studies in the 2019/2020 academic year. The tool employed in the study was the Dental Environmental Stress (DES) questionnaire and 11 supplementary questions related to the pandemic. The study was carried out on June 1–25, 2020.ResultsThe participation rate was 72%. Academic work presented the highest level of stress. A comparison of the overall levels of stress in particular domains as well as questions included in the DES survey revealed significant differences between students of individual years of studies in the 2019/2020 academic year. The strongest positive relationships between the supplementary questions and the DES domains appeared in the area of clinical factors. These concerned returning to clinical classes and contact with patients with regard to SARS-CoV-2 (rs = 0.50, p < 0.001), contact with patients in connection with SARS-CoV-2 (rs = 0.47, p < 0.001), and a lack of practical classes with patients in connection with the COVID‑19 pandemic (rs = 0.42, p < 0.001).ConclusionsDentistry students were subjected to stress resulting from a conflict between the perceived risk of returning to clinical classes and contact with patients due to SARS-CoV-2, and disruptions in the course of clinical education, which they perceived negatively.