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The future of internal medicine in the United States and Poland

100%

Wilson C. M. , Taylor O. , Prystupa A. , Załuska W.

tom 124

nr 1

49-54

Internal medicine physicians are critical to the health of the population. Internal medicine doctors also bring cost savings in health care because they treat many systems in the body and treat the patients in a holistic manner. However, the popularity of the specialty of internal medicine is declining. This is due to the decreased compensation that internal medicine doctors obtain when compared to their colleagues who specialize in other fields. The decline in number of physicians specializing in internal medicine causes a decrease in the health of the population. Governments and policy makers must look for ways to reverse the trend of doctors not specializing in internal medicine

Complementary and integrative medicines methods used by internal medicine and surgical clinic nurses during the COVID-19 pandemic

70%

Menekli T. , Doğan R.

2021

tom 11(1)

66-74

Purpose: This study is a descriptive study conducted to investigate the use of Complementary and Integrative Medicines (CIM) among internal medicine and surgical clinic nurses in the COVID-19 pandemic period. Materials and methods: The study sample consisted of 1112 nurses working at the internal medicine and surgical clinics of a hospital in eastern Turkey. The data were collected between November 2020 and February 2021 by using a Nurse Identification Form and a Questionnaire Form for Complementary/Integrative Treatment. Ethics board approval and institutional permission were obtained. Results: It was determined that 55.2% of the participants used at least one of the CIM methods, the most frequently used method was herbal treatment-phytotherapy (96.7%), and the least frequently used method was homeopathy (3.1%). On CIM usage, the having received CIM training (β=0.395), high levels of perceived danger regarding the effect of the COVID-19 pandemic on health (β=0.321), high levels of perceived infection probability (β=0.249), high levels of concern about being in crowded places (β=0.187), high levels of concern about getting the infection in oneself and/or family members (β=0.262) and being at the ages of 40-50 (β=0.116) had predictive effects. Conclusions: It was determined that the majority of the nurses used CIM methods in the COVID-19 pandemic process, and they preferred herbal treatment most. To prevent a negative outcome that may potentially be caused by a CIM method that is used, it is recommended to provide nurses with training on CIM use for the COVID-19 pandemic.

The prevalence of dyspnea in the adult Polish population

60%

Undrunas A. , Bandosz P. , Rutkowski M. , Puch-Walczak A. , Kuziemski K. , Zdrojewski T.

nr 6

747-752

Objectives Dyspnea is one of the most predominant symptom in clinical practice. There is a lack of data about incidents of dyspnea among Polish adults therefore it would be important to establish prevalence of this symptom before COVID-19 pandemic to assess the impact of this infection on the functioning of the adult Polish population in the future. The aim of the study was to establish prevalence of dyspnea in adult Polish population. Material and Methods It was an observational-cross-sectional study, with representative sample of adult Poles aged 18–79 years. The 2413 participants were surveyed. Responders were asked if and when dyspnea occurs and what is its severity in relation to one of four categories (A, B, C, and D) describing the impact of dyspnea on reduced exercise tolerance and daily activities. Results The 67.1% of the respondents answered negatively to all question about experiencing dyspnea (females (F) 61% vs. males (M) 74%, p < 0.05). Dyspnea only during intense physical exertion (A), was reported by 22.8% (F 26.2% vs. M 19.2%, p = 0.07). Dyspnea limiting daily activities (B, C and D) was reported by 10.1% (F 13.1% vs. M 7%, p < 0.05). Significant differences in the severity of dyspnea were found between the age groups. People diagnosed with chronic heart failure or lung diseases significantly more often reported dyspnea than people without these conditions. Conclusions Every tenth Pole reported dyspnea limiting performing activities of daily living. Additionally, about 20% of Poles experienced dyspnea considered as "gray area," only during intense physical exertion, that requires deepening and clarifying the medical history.