Wyniki wyszukiwania - Biblioteka Nauki

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Public health physicians and dentists in Poland: results from public health workforce pilot study

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Cianciara D. , Lewtak K. , Piotrowicz M. , Gajewska M. , Urban E. , Brukalo K.

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nr 4

EN

Background. Monitoring public health workforce is one of the essential functions of the public health system. Objective. The aim of the study was to identify the specialities for physicians and dentists related to public health in the years 1951-2013, and analyse of available data on physicians and dentists certified as public health specialists (PHS) in 2003-2015. Material and Methods. The historical analysis covers a relevant regulations of a minister in charge of health. The data on PHS were obtained from the Centre of Medical Exams and included: the number of specialists and their demographic characteristics, professional background, spatial distribution. Density was also calculated. Results. The public health specialty was introduced in 1999. Before there were specialties in disciplines related to public health. In the years of 2003-2015, 360 physicians and dentists were certified as PHS. The majority of them had former background in another discipline, mostly related to clinical medicine. The average age of specialists was 47.2. Currently, the average age of specialists is ca. 57.6 years, with a prevalence of people aged 61-70 years (36.9%). PHS tend to be older than specialists in other disciplines. Over three fourths of PHS were certified in 2004. With the exception of that year, the public health specialist title was annually obtained by an average of 9 persons. The density of PHS in Poland was 0.94 per 100 thousand inhabitants, ranging between 0.16 and 3.12 in a given voivodeship. Conclusions. The analysis has revealed numerous obstacles in estimation of the number of PHS and indicated a lack of relevant mechanisms aimed at workforce development. A relevant policy for developing public health workforce is urgently needed.

PL

Wprowadzenie. Monitorowanie zasobów kadrowych zdrowia publicznego (ZP) stanowi jedną z podstawowych funkcji systemu ZP. Cel. Analiza specjalizacji przeznaczonych dla lekarzy i lekarzy dentystów w dziedzinach związanych ze zdrowiem publicznym w latach 1951-2013 oraz danych dotyczących lekarzy i lekarzy dentystów specjalistów ZP w latach 2003-2015. Materiał i metody. Historyczna analiza rozwoju objęła przegląd rozporządzeń ministra właściwego ds. zdrowia, które regulowały tę kwestię. Aktualne dane dotyczące lekarzy uzyskano z Centrum Egzaminów Medycznych (CEM). Uwzględniono: liczbę lekarzy i lekarzy dentystów specjalistów ZP oraz ich demograficzną charakterystykę, doświadczenie zawodowe, dystrybucję przestrzenną oraz liczbę specjalistów na 100 tys. mieszkańców. Wyniki. Szkolenie specjalizacyjne w zakresie ZP dla lekarzy dostępne jest od 1999 r. W latach wcześniejszych lekarze mogli uzyskiwać specjalizacje w dziedzinach pokrewnych. W okresie 2003-2015 tytuł specjalisty ZP uzyskało 360 lekarzy i lekarzy dentystów. Większość lekarzy i lekarzy dentystów specjalistów ZP posiadała wcześniejsze doświadczenie zawodowe i inne specjalizacje, głównie kliniczne. Średni wiek, w którym lekarze uzyskali tytuł specjalisty w tej dziedzinie wyniósł 47,2 lat. Obecnie średni wiek lekarza specjalisty ZP wynosi 57,6 lat, dominują osoby w grupie wieku 61-70 lat (36,9%). Lekarze specjaliści ZP są starsi niż specjaliści w innych dziedzinach medycyny. Ponad trzy czwarte specjalistów zdało egzamin specjalizacyjny w 2004 r. Wyłączając ten rok, tytuł specjalisty ZP uzyskuje każdego roku przeciętnie 9 lekarzy. W przeliczeniu na 100 tys. mieszkańców liczba lekarzy specjalistów ZP wyniosła 0,94 i wahała się w granicach 0,16-3,12 w poszczególnych województwach. Wnioski. Uzyskane wyniki dowodzą licznych trudności w oszacowaniu liczby lekarzy zajmujących się szeroko rozumianym zdrowiem publicznym i wskazują na brak mechanizmów rozwoju kadry. Niezbędne jest pilne opracowanie polityki rozwoju zasobów kadrowych ZP.

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Prevalence and characterization of Helicobacter pylori [H. pylori] infection and colonization in dentists

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Loster B. W. , Czesnikiewicz-Guzik M. , Bielanski W. , Karczewska E. , Loster J. E. , Kalukin J. , Guzik T. J. , Majewski S. , Konturek S. J.

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nr 8

13-18

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Dental Ergonomics to Combat Musculoskeletal Disorders: A Review

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Gupta A. , Ankola A. V. , Hebbal M.

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tom Vol. 19, No. 4

561--571

EN

Musculoskeletal disorders (MSDs) are significant workplace problems affecting occupational health, productivity and the careers of dental professionals. The prevalence of MSDs is on the rise for all types of dental workers. In spite of different patterns of work culture, there are parallel levels of symptoms in dentists across nations. Risk factors for MSDs are multifactorial. Symptoms appear very early in careers, with higher prevalence of MSDs even during educational training. Ergonomics improvements, health promotion and organizational interventions are necessary to reduce the risk. An interdisciplinary approach with progressive efforts should be taken to address MSDs in dental professionals.

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Development of Personal Protection Equipment for Medical Staff: Case of Dental Surgeon

67%

Tran T. A. D. , Arnold M. , Schacher L. , Adolphe D. C. , Reys G.

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2015

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tom Vol. 15, no. 4

280--287

EN

During daily oral health care, dental surgeons are in contact with numerous potentially infectious germs from patients’ saliva and blood. Appropriate personal protection equipment should be chosen to mitigate these risks, but the garment must also be comfortable and not hamper activities. This paper presents our research work on optimised working clothing for dentists and discusses some important points in the functional design. Following a consumer study on how users wear the garment and what are their expectations, three main functions were investigated: protection, ergonomics and thermal comfort. Aesthetic appearance was also taken into consideration as it is necessary that the wearer should feel appropriately and attractively dressed in the context of health care. Concerning protection, spray tests in real conditions helped us to localise the potential contamination areas on the garment and led us to select a three-layered material that is protective and breathable enough. However, this part of the garments made from these fabrics exhibited low thermal comfort and the wearer felt some discomfort. In terms of ergonomics, instrumented garments were worn and pressure measurements were taken. The results highlight that a special shape and raglan sleeves should be selected for a better dynamic comfort. Concerning thermal comfort, an infrared camera was used to detect warm zones of the garment where heat and moisture transfers should be enhanced. Breathable, stretchable and shape-retaining knitted fabric that is usually used for sportswear was selected. These fabrics were strategically placed as low and high vents to promote a chimney effect, which minimises retention of heat and humidity inside the garment. The usual PES/cotton fabric was selected for the rest of the gown. Based on these results, a new gown has been proposed. Through fitting tests conducted in a hospital on 25 dentists, it was revealed that the new design was highly appreciated, particularly on the ergonomic structure of the sleeves and thermal comfort of breathable zones. However, some points can be further improved, such as durability of the PES/cotton fabric, the neck length or the shape of ‘breathable zones’. The final product will be produced based on necessary improvements.