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PL
Juraszek Karolina, Hagner-Derengowska Magdalena, Hoffmann Magdalena, Kalisz Zdzisława, Zukow Walery. Wpływ pracy zawodowej na występowanie zespołów bólowych kręgosłupa na przykładzie pielęgniarek województwa kujawsko – pomorskiego = The impact of work on the occurrence of back pains on the example of nurses in the Kujawsko-Pomorskie voievodeship. Journal of Education, Health and Sport. 2016;6(8):504-521. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.60944http://ojs.ukw.edu.pl/index.php/johs/article/view/3788   The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015).755 Journal of Education, Health and Sport eISSN 2391-8306 7© The Author (s) 2016;This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, PolandOpen Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium,provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License(http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercialuse, distribution and reproduction in any medium, provided the work is properly cited.The authors declare that there is no conflict of interests regarding the publication of this paper.Received: 01.08.2016. Revised 08.08.2016. Accepted: 25.08.2016.  Wpływ pracy zawodowej na występowanie zespołów bólowych kręgosłupa na przykładzie pielęgniarek województwa kujawsko – pomorskiegoThe impact of work on the occurrence of back pains on the example of nurses in the Kujawsko-Pomorskie voievodeship Karolina Juraszek2, 4, Magdalena Hagner-Derengowska1, 2, Magdalena Hoffmann3, Zdzisława Kalisz2, Walery Zukow5 1. Katedra Neuropsychologii Klinicznej Collegium Medicum w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu2. Bydgoska Szkoła Wyższa w Bydgoszczy3. Uniwersyteckie Centrum Kliniczne w Gdańsku, Klinika Nadciśnienia Tętniczego i Diabetologii4. Centrum Onkologii im. prof. F. Łukaszczyka w Bydgoszczy, Zakład Rehabilitacji5. Uniwersytet Kazimierza Wielkiego w Bydgoszczy  Słowa kluczowe: praca, zespoły bólowe kręgosłupa, pielęgniarkiKey words: work, back pain, nurses StreszczenieZdrowie człowieka w dużym stopniu determinują czynniki środowiskowe, wśród których ogromny wpływ na prawidłowe funkcjonowanie wywiera charakter wykonywanej pracy i obciążenia jakie za sobą niesie. Obecnie jedną z głównych schorzeń pracowników podmiotów leczniczych są przeciążenia układu mięśniowo-szkieletowego, wśród których zespoły bólowe kręgosłupa stanowią drugą pod względem częstości przyczynę absencji w pracy. Grupę badawczą stanowiło 205 zawodowo czynnych pielęgniarek z różnych grup wiekowych.W grupie badanych pielęgniarek badania wykazały niepokojąco mały odstetek osób posiadająych wiedzę na temat norm dźwiagania cieżarów u kobiet. Również nie wszystkie pielęgniarki znają i przyjmują prawidłową pozycję podczas dźwiagania pacjentów. Mimo to są zdania, że posiadają potrzebną wiedzę odnośnie ergonomii i profilaktyki w pracy.Analiza występowania zespołów bólowych kręgosłupa w grupie pielęgniarek potwierdziła niekorzystny wpływ pracy na organizm, jak również nakreślila podłoże problemu związane nie tylko ze specyfiką wykonywanych czynności w pracy, ale również z niedostatecznym przeszkoleniem odnośnie bezpieczeństwa i profilaktyki przeciążenia narządu ruchu na stanowisku pracy. Abstract Human health is largely determined by the environmental factors, among which the nature of the work and load that it carries has a huge impact on the proper functioning of the body. Currently one of the major diseases of health service employees is overload of the musculoskeletal system, including back pain as a second most common cause of absenteeism. The study group consisted of 205 professionally active nurses from different age groups.In the surveyed group of nurses studies showed an alarmingly small percentage of people aware of lifting standards for women. Also, not all nurses know and assume the correct position when lifting patients. The occurrence of back pains in the group of nurses confirmed the negative impact of work on the body. It outlined the base of the problem related not only to the specific nature of activities performed at work, but also to insufficient training for health and safety of musculoskeletal overload in the workplace.
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Content available Suicidal behaviour issues – crisis intervention
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Introduction. Suicide is a serious problem globally. More and more people are dying because of taking their lives. This tragic act is an expression of helplessness and loneliness of a man who did not receive help in a timely manner. Suicide is a process of intertwined thoughts and deeds. This process lasts for several weeks to several months or even years, and the sequence of reactions taking place during that time is called suicidal behavior. This process can be interrupted at any time through crisis intervention saving human life.Aim. The aim of this work is to analyze the suicidal crisis and the phenomenon of suicide, as well as to familiarize the reader with risk factors that may indicate the possibility of committing suicide. Moreover, the aim of the work is to present effective crisis intervention to people threatened with a suicidal act.Summary. Human life is the most important value. Each saved life is a great success for both the suicide, his relatives and the whole society. That is why prevention and education are so important. If the society is sensitive to risk factors that may indicate a threat of committing suicide, it will be able to react at the right time by helping a person who is in a suicidal crisis.
EN
A doctor’s adaptation to medical activity has a great influence on the effectiveness of his professional activity. The objective: to explore individual psychological predictors of the formation of maladaptation states of internship doctors for the development of a system for their diagnosis, correction and psychoprophylaxis. A comprehensive clinical-psychological, psychodiagnostic and clinical-anamnestic examination of 213 internship doctors of the first year of training atKharkovNationalMedicalUniversity, 116 women and 97 men, aged 22-25 years old had been conducted. It had been established that internship doctors are characterized by feelings of internal tension and dissatisfaction, decreased mood, irritability, anxiety, long-term uncertain negative emotions, unmotivated fears, self-doubt, doubts about making decisions, decline in intellectual activityin conjunction with increased exhaustion and withdrawal mercurial attention. We have developed a system of medical and psychological support during the professional training period depending on the type of disadaptation. The psychotherapeutic complex in the internship doctors included the use of rational psychotherapy, autogenous training (psychotonic version of Shogham-Mirovsky), art therapy, progressive muscle relaxation by Jacobson, cognitive-behavioral therapy of Beck, autogenous training in the modification of Lebedinsky - Bortnik, etc. were used. The results of a three-year catamnestic study proved the effectiveness of the proposed system of psychotherapeutic correction of disorders of adaptation, positive dynamics of the mental state was noted, the maladaptive states were reduced; 92.6% of the examined recurrences of the violations of adaptation did not occur.
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IntroductionPatient’s confidence is very important in patient – doctor communication. It is very vital when we talk about efficient medical care because it can improve this care significently. It is particularly important for people who can not contact with it easily. Thanks to watching relations between patient and doctor we can get to know the way the patient judges references of the doctor during his professional activities.The aim of the thesisThe aim of these studies was to estimate the level of patient’s confidence after the last medical appointment. The studies were made with the help of Anderson and Dedrick scale. ResultsPatients were satisfied after the appointment when during the examination they could see a telephone and a computer on the desk, medical equipment and other medical things. The doctor was closer than 61 cm from them and patients could not see any physical barriers. During the examination the position of the doctor was open, he used gestures and he was sitting face to face to the patient (angle 180° or 90°). His eyes were at the same level as patient’s eyes. ConclusionsThe ability of proper communication with the patient is a very important element of medical care. However, it is often underestimated. But efficiency of therapy and efficiency of diagnostics depend on these factors.
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Ciechańska Beata, Olejniczak Dominik, Skonieczna Joanna, Dykowska Grażyna. Zagrożenia zdrowia mieszkańców wsi, w tym dzieci, w kontekście prac wykonywanych w gospodarstwie rolnym = Threats to the health of villagers, including children, in the context of the work carried out on the farm. Journal of Education, Health and Sport. 2016;6(4):181-192. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.50070http://ojs.ukw.edu.pl/index.php/johs/article/view/3462 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015).755 Journal of Education, Health and Sport eISSN 2391-8306 7© The Author (s) 2016;This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, PolandOpen Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium,provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License(http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercialuse, distribution and reproduction in any medium, provided the work is properly cited.The authors declare that there is no conflict of interests regarding the publication of this paper.Received: 20.03.2016. Revised 17.04.2016. Accepted: 17.04.2016.  Zagrożenia zdrowia mieszkańców wsi, w tym dzieci, w kontekście prac wykonywanych w gospodarstwie rolnymThreats to the health of villagers, including children, in the context of the work carried out on the farm Beata Ciechańska1, Dominik Olejniczak2, Joanna Skonieczna2, Grażyna Dykowska2 1Studenckie Koło Naukowe Zdrowia Publicznego, sekcja Promocji Zdrowia, Warszawski Uniwersytet Medyczny 2Zakład Zdrowia Publicznego, Warszawski Uniwersytet Medyczny  Słowa kluczowe: zagrożenia zdrowia, środowiskowe uwarunkowania zdrowia, ludność wiejska.Key words: health threats, health determinants, rural population. lic zdr. publ. Beata Ciechańska1dr n. med. Dominik Olejniczak2mgr Joanna Skonieczna2dr n. o zdr. Grażyna Dykowska2 StreszczenieStopień narażenia na choroby i urazy wśród ludności wiejskiej jest inny, niż w przypadku mieszkańców miast. Wynika to z uwarunkowań środowiskowych, a także ze specyfiki pracy. Wart podkreślenia jest fakt, iż, nadal duża liczba dzieci narażona jest na uszczerbek na zdrowiu w wyniku angażowania ich do prac niebezpiecznych lub przekraczających ich możliwości. W 2012 roku 168 mln dzieci na świecie wykonywało pracę, a 85 mln dzieci angażowanych było do prac niebezpiecznych. Gałęzią działalności gospodarczej, w której najczęściej pracują dzieci, jest rolnictwo [1]. W Polsce praca dzieci w rodzinnym gospodarstwie rolnym jest społecznie akceptowalna. Pomimo, iż udział dzieci w tych zajęciach niewątpliwie może mieć pozytywny wpływ na ich zdrowie praca na wsi często wiąże się z licznymi groźnymi dla zdrowia i życia urazami.Istnieje szereg instytucji, które prowadzą działania, mające na celu zminimalizowanie ryzyka zdrowotnego wśród mieszkańców wsi. Działania te polegają między innymi na realizowaniu programów zdrowotnych, opartych na edukacji. Te inicjatywy, choć słuszne, wymagają jednak zintensyfikowania, by objąć swoim zasięgiem jak największą grupę ludności wiejskiej, szczególnie dzieci i młodzieży. Threats to the health of villagers, including children, in the context of the work carried out on the farm AbstractThe degree of exposure to disease and injuries among the rural population is different in the case of urban residents. This is due to environmental conditions, as well as the specifics of the work. It is worth emphasizing that, still a large number of children are exposed to bodily harm as a result of engaging their use for dangerous workor exceeding their capabilities. In 2012, 168 million children worldwide involved in jobs, and 85 million children were involved hazardous work. Branch of economic activity in which children usually work, is agriculture. [1]In Poland, the work of children in a family farm is socially acceptable. Although the share of children in these classes can undoubtedly have a positive impact on their health work in the countryside it is often associated with numerous dangerous to life and limb injuries.There are a number of institutions that carry out activities aimed at minimizing health risks among the villagers. These measures consist, inter alia, implementation of health programs based on education. These initiatives, though correct, however, intensify the need to embrace its reach as the largest group of rural population, especially children and adolescents.
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Prusik Katarzyna, Ossowski Zbigniew, Bielawa Łukasz, Wiech Monika, Kortas Jakub, Konieczna Seweryna, Prusik Krzysztof. Zróżnicowane programy aktywizujące a sprawność funkcjonalna kobiet w wieku 60+ = Diverse activation programs and the efficiency of functional women aged 60+. Journal of Education, Health and Sport. 2016;6(3):113-124. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.47867http://ojs.ukw.edu.pl/index.php/johs/article/view/3425https://pbn.nauka.gov.pl/works/721251 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015).755 Journal of Education, Health and Sport eISSN 2391-8306 7© The Author (s) 2016;This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, PolandOpen Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium,provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License(http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercialuse, distribution and reproduction in any medium, provided the work is properly cited.The authors declare that there is no conflict of interests regarding the publication of this paper.Received: 05.01.2016. Revised 12.02.2016. Accepted: 27.02.2016.  Zróżnicowane programy aktywizujące a sprawność funkcjonalna kobiet w wieku 60+ Diverse activation programs and the efficiency of functional women aged 60+ Katarzyna Prusik1, Zbigniew Ossowski1, Łukasz Bielawa1, Monika Wiech1, Jakub Kortas1, Seweryna Konieczna2, Krzysztof Prusik1 1Academy of Physical Education and Sport in Gdansk2Medical University of Gdansk Keywords: Nordic Walking, health training, occupational therapy.Słowa kluczowe: Nordic Walking, trening zdrowotny, terapia zajęciowa. AbstractOne of the many forms of activity may be physical activity dressed in costume popular in Poland and in the world of Nordic Walking. Another way to stimulate the occupational therapy, which involves the realm of the physical, mental and social man usually less active in general. The objectives of occupational therapy are similar to the general objectives underlying any form of physical activity, and that is the behavior of self-reliance, independence and efficiency.The aim of the study is to analyze different activation programs in relation to the functional capacity of women aged 60+.We analyzed two fundamentally different activation programs seniors: occupational therapy program implemented in the Daily Nursing Home for the Elderly in Gdansk and health training program in the form of Nordic Walking realized within statutory research. The material tested is 48 women over the age of 60, after 24 people training Nordic Walking 3 times a week for 60 minutes, and 24 people participating in occupational therapy.Physical activity is an effective means to maintain physical for a long time, it can also be an effective means of shaping it during aging. Physical activity should begin early. Then you can expect spectacular effects of training, and thus a high physical translates directly to high levels of positive physical health. You can expect to achieve in this area, the leader among his peers. You can go ahead and prepare for old age, efficient, independent and self.
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In the general-somatic network there is a steady increase in the number of patients with psychosomatic disorders. Problems of providing adequate psychiatric and psychotherapeutic assistance to this category of patients are related to the motivation of patients to participate in psychological measures and the readiness of the medical system to provide comprehensive care on the basis of the biopsychosocial approach. Mental factors are involved both in the occurrence and course of a metabolic syndrome in the form of a patient's lifestyle and behavior patterns of healthy functioning, and is a consequence of somatic pathology. Mental factors are involved both in the occurrence and course of a metabolic syndrome in the form of a patient's lifestyle and behavior patterns of healthy functioning, and is a consequence of somatic pathology. So mental disorders of metabolic syndrome are manifested in the form of psychosocial maladaptation, neurotic, affective, personality, and organic disorders. Desynchronosis which is a factor of the development of a metabolic syndrome and characterizes the complex chronobiological component of the regulation of psychophysiological functions in norm and under the influence of stress, deserves special attention.Addressing the diagnosis of mental disorders associated with metabolic syndrome is precisely aimed at determining chronobiological disorders of psychosomatic integrated areas and is supposed to improve diagnostic and treatment process and to shorten the treatment of these disorders.
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Introduction. Morphological changes of the cerebellar lobules are found in many congenital and acquired diseases of the cerebellum, but the information on the normal structure of the cerebellar lobules do not take into account the peculiarities of individual anatomical variability, sex and age characteristics.Aim – to investigate anatomical variability and fractal dimension of the white matter of the human cerebellar hemispheres.Material and methods. The study involved 100 cerebella of people of both sexes, who died of causes unrelated to brain pathology (20–99 years old). Parasagittal sections of the cerebellar hemispheres were investigated.Results. On parasagittal sections number of main branches of white matter is very varied and depends on peculiarities of structure of the hemispheric lobules. It was found that there is individual variability of the structure of the human cerebellar hemispheres, namely white matter branching features. We described variants of the branching of the main branches of white matter of the human cerebellar hemispheres.Fractal dimension of the white matter was determined. The white matter of the cerebellum is typical quasi-fractal structure that can be objectively described using fractal dimension. Fractal index of the white matter of the cerebellar hemispheres varies from 1.119 to 1.519; average fractal index is 1.370. Fractal analysis can be used as an objective morphometric criterion for the diagnosis of various diseases of the cerebellum and other structures of the central nervous system.Conclusions. Described variants of the cerebellar lobules and fractal dimension can be used as criteria for modern diagnostic imaging techniques for the diagnosis of various diseases of the CNS. The data can be used as the basis for atlases of serial sections of the cerebellum.
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Voloshyna O., Zbitnieva V., Busel S., Chaika A., Samorukova V., Dychko T. The role of additional correction methods of insufficient adherence to treatment for effective blood pressure control in patients with resistant arterial hypertension. Journal of Education, Health and Sport. 2016;6(12):857-865. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.252818http://ojs.ukw.edu.pl/index.php/johs/article/view/4184   The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 754 (09.12.2016).754 Journal of Education, Health and Sport eISSN 2391-8306 7© The Author (s) 2016;This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, PolandOpen Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium,provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License(http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercialuse, distribution and reproduction in any medium, provided the work is properly cited.The authors declare that there is no conflict of interests regarding the publication of this paper.Received: 05.12.2016. Revised 20.12.2016. Accepted: 25.12.2016. УДК 616.12-008.331.1-036.8 THE ROLE OF ADDITIONAL CORRECTION METHODS OF INSUFFICIENT ADHERENCE TO TREATMENT FOR EFFECTIVE BLOOD PRESSURE CONTROL IN PATIENTS WITH RESISTANT ARTERIAL HYPERTENSION O. Voloshyna, V. Zbitnieva, S. Busel, A. Chaika, V. Samorukova, T. Dychko Odessa National Medical University, Ukraine AbstractThe article considers the results of applying the different correction methods of insufficient adherence to treatment in patients with resistant and pseudo-resistant arterial hypertension on the background of the optimization of antihypertensive therapy in the effective blood pressure control by a doctor and a patient.Keywords: resistant hypertension, pseudo-resistant hypertension, uncontrolled blood pressure, adherence
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Shafran L. M., Sidorenko S. G., Golikova V. V., Zukow W. Role of fumigation in labour conditions characteristic of the grain transport conveyor workers = Роль фумигации в характеристике условий труда рабочих зернового транспортного конвейера. Journal of Education, Health and Sport. 2015;5(10):350-362. ISSN 2391-8306. DOIhttp://dx.doi.org/10.5281/zenodo.45341http://ojs.ukw.edu.pl/index.php/johs/article/view/3355https://pbn.nauka.gov.pl/works/709979Formerly Journal of Health Sciences. ISSN 1429-9623 / 2300-665X. Archives 2011–2014http://journal.rsw.edu.pl/index.php/JHS/issue/archive Deklaracja.Specyfika i zawartość merytoryczna czasopisma nie ulega zmianie.Zgodnie z informacją MNiSW z dnia 2 czerwca 2014 r., że w roku 2014 nie będzie przeprowadzana ocena czasopism naukowych; czasopismo o zmienionym tytule otrzymuje tyle samo punktów co na wykazie czasopism naukowych z dnia 31 grudnia 2014 r.The journal has had 5 points in Ministry of Science and Higher Education of Poland parametric evaluation. Part B item 1089. (31.12.2014).© The Author (s) 2015;This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland and Radom University in Radom, PolandOpen Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium,provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License(http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercialuse, distribution and reproduction in any medium, provided the work is properly cited.The authors declare that there is no conflict of interests regarding the publication of this paper.Received: 25.09.2015. Revised 25.10.2015. Accepted: 31.10.2015.   UDC - УДК 613.6+616-099-057:656.6-083 ROLE OF FUMIGATION IN LABOUR CONDITIONS CHARACTERISTIC OF THE GRAIN TRANSPORT CONVEYOR WORKERS  РОЛЬ ФУМИГАЦИИ В ХАРАКТЕРИСТИКЕ УСЛОВИЙ ТРУДА РАБОЧИХ ЗЕРНОВОГО ТРАНСПОРТНОГО КОНВЕЙЕРА L. M. Shafran*, S. G. Sidorenko**, V. V. Golikova*, W. Zukow***Л. М. Шафран, С. Г. Сидоренко, В. В. Голикова, В. Жуков *Ukrainian Scientific and Research Institute of Transport Medicine, Odessa, Ukraine**Main State Sanitary and Epidemiological Service in Kirovograd region of Ukraine***Kazimierz Wielki University, Bydgoszcz, Poland AbstractComplex investigations of working conditions of specialists, involved in the export of grain in Ukraine at all stages of the transport conveyor (elevators - freight transport - rail - enterprises for the primary processing of grain and seeds - grain terminals at sea and river ports - ships for grain transportation in bulk (bulkers)) is made. Under supervision there were 755 people, males, aged 27-56 years, with the occupational experience  3-35 years. All workers were divided into 6 groups: 1.- workers of elevators and grain terminals; 2 - workers of the enterprises for processing of grain and seeds; 3. - workers of fodder industries; 4. – truck drivers; 5 - specialists of fumigation units;  6 – workers without any contact with grain cargoes, control. The research included: analysis of occupational activities by professiografic methods (multimoment observations and self-made checking of working operations and time), assessment of hazards in the volume requirements for certification of workplaces (microclimate parameters, noise, vibration, the definition of dust, germs and fungi, chemicals in the air, including phosphine, indicators of severity and intensity of labor), the study of morbidity with temporary disability according to the company’s data and symptoms of health disorders mentioned in a specially designed questionnaire. The results showed that the surveyed workers are exposed to general and specific hazards types of the working environment. It established the important role of residual amounts of phosphine and airborne dust generated during overload, moving under fumigation of grain and seeds at grain elevators, port terminals, as well as containing the germs and fungi bioaerosol as sources of harmful effects on the operators and truck drivers, which plays an important role in the etiology and pathogenesis of occupationally  caused diseases in participants of grain transport conveyer. Concentrations of vegetable dust in grain elevators and terminals exceed the permissible exposure limit (4 mg / m3) in 2-6 times, and the phosphine concentration in the breathing zone of fumigation specialists - up to 15 times. The surveyed groups of workers also greatly differ in severity and intensity of labor. On the basis of integrated work assessment of elevators, grain terminals personnel and specialists in fumigation assigned to class 3.2, animal feed mills workers of and truck drivers – to class 3.1, and workers of the enterprises for processing of grain and seeds - to the 3.1 - 2nd classes in accordance with the current hygienic classification. It is designed and implemented a range of preventive measures to improve working conditions and of the health preservation of workers the grain transportation conveyor. Further researches are needed to differentiate hygienic assessment of employees grain processing industries and the transport conveyor. The necessity for correction of grain dust PEL considering content of not deposited fractions of pesticide residues primarily fumigants.Keywords: grain, transportation, fumigation, phosphine, workers, working conditions. StreszczenieROLA FUMIGACJI W CHARAKTERYSTYCE WARUNKÓW PRACY RUROCIĄGU DO TRANSPORTU ZBÓŻ. Kompleksowe badania warunków pracy zaangażowanych w eksport zboża na Ukrainie na wszystkich etapach przenośnika transportu (windy - transportu towarowego - kolejowe - przedsiębiorstwa do pierwotnej obróbki zbóż i nasion - terminale zbożowe w portach morskich i rzecznych - statki do przewozu luzem ziarna (bulkers)). Pod obserwacją były 755 osoby, mężczyźni w wieku 27-56 lat, z doświadczeniem w zawodach studiował 3-35 lat. Wszyscy badani zostali podzieleni na 6 grup: 1 - pracownicy windy roboczych i terminali zbożowych; 2 - pracownicy przedsiębiorstw do przetwórstwa zboża i nasion; 3 - pracownicy RSS gałęzi przemysłu; 4 - kierowcy ciężarówek; 5 - eksperci w fumigacji; 6 – pracownicy nie kontaktujący się z ładunkiem zboża, kontroli. Badaniami objęto: analiza działań produkcyjnych professjograficznych metod multimomentnych obserwacji i samofotografii czasu pracy, ocena zagrożeń w wymogami głośności dla certyfikacji zakładów pracy, badania zachorowalności o czasowej niezdolności do pracy, zgodnie z firm i objawów zaburzeń zdrowia specjalnie zaprojektowany kwestionariusz. Wyniki wykazały, że badani eksperci są narażone na ogólnych i szczególnych zagrożeń w środowisku pracy. Ustalono ważną rolę resztkowych ilości fosfinie i unoszącego się w powietrzu pyłu wytwarzanego podczas przeciążenia, przemieszczają się w ramach fumigacji ziarna i nasion w elewatorów zbożowych, terminalach portowych, a także zawierający bakterie i grzyby bioaerozolu jako źródeł szkodliwego wpływu na operatorów i kierowców pojazdów, który odgrywa ważną rolę w etiologii i patogenezie chorób spowodowanych u pracowników profesjonalnych ziarnotransportowych rurociągów eksportowych. Stężenia pyłu roślin w elewatorach zbożowych i ziarnoterminalach przekraczały maksymalnego dopuszczalne (4 mg / m3) w 2-6 razy, a stężenie fosfina w strefie oddychania odpowiedniej fumigacji - do 15 razy. Grupy pracowników ankietowanych również znacząco różniły się w nasileniu i intensywności pracy. Na podstawie zintegrowanej oceny pracy ekspertów w fumigacji przypisane do klasy 3.2, pracownicy elewatorów zbożowych, terminale zboża, produkcji pasz, kierowcy ciężkich pojazdów - do klasy 3.1 i pracownicy przedsiębiorstw do przetwórstwa zbóż i nasion - do 3,1-2.0 klasom obecnej klasyfikacji higienicznej. Zaprojektowaliśmy i wdrożyliśmy szereg środków mających na celu poprawę warunków pracy i ochronę zdrowia pracowników ziarnotransportowego przenośnika. Konieczne są dalsze badania, aby odróżnić ocenę higieniczną przemysłu przetwórstwa zboża i pracownicy rurociągu transportowego. Konieczność korekty RPP ziarna pyłu biorąc pod uwagę jej treść zawisu i frakcji pozostałości pestycydów głównie fumigacji. Słowa kluczowe: zboża, transport, odgrzybianie, fosfin, pracownicy, warunki pracy. РефератПроведены комплексные исследования условий труда работников, участвующих в операциях по экспорту зерна в Украине на всех этапах транспортного конвейера (элеваторы – грузовой автотранспорт – железнодорожный транспорт – предприятия по первичной переработке зерна и семян – зерновые терминалы в речных и морских портах – суда для перевозки зерна насыпью (балкеры)). Под наблюдением находилось 755 человек, лица мужского пола, в возрасте 27-56 лет, со стажем работы в изучаемых профессиях 3-35 лет. Все обследуемые были разделены на 6 групп: 1.- рабочие элеваторов и зерновых терминалов; 2. – работники предприятий по переработке зерна и семян; 3. – работники комбикормовых производств; 4. – водители грузовых автомобилей; 5. – специалисты по фумигации; 6 – не контактирующие с зерновыми грузами, контроль. Исследования включали: профессиографический анализ производственной деятельности методами мультимоментных наблюдений и самофотографии рабочего времени, оценка вредных и опасных факторов в объеме требований к аттестации рабочих мест, изучение заболеваемости с временной утратой трудоспособности по данным предприятий и симптоматики нарушений в состоянии здоровья по специально разработанным анкетам. Результаты исследований показали, что обследованные специалисты подвергаются действию общих и специфичных вредных факторов производственной среды. Установлена важная роль остаточных количеств фосфина и витающей пыли, образующейся при перегрузке, перемещении фумигированного зерна и семян на элеваторах, портовых терминалах, а также содержащего микробы и грибы биоаэрозоля, как источников вредного воздействия на организм операторов и водителей автотранспорта, что играет важную роль в этиологии и патогенезе профессионально обусловленной заболеваемости участников экспортного зернотранспортного конвейера. Концентрации растительной пыли на элеваторах и зернотерминалах превышали предельно допустимые (4 мг/м3) в 2-6 раз, а концентрации фосфина в зоне дыхания специалистов по фумигации – до 15 раз. Группы обследованных рабочих существенно отличались также по тяжести и напряженности труда. На основе интегральной оценки труд работников элеваторов, зерновых терминалов, специалистов по фумигации отнесен к классу 3.2,  комбикормового производства, водителей большегрузных автомобилей – к классу 3.1, а работников предприятий по переработке зерна и семян – к 3.1-2-му классам по действующей гигиенической классификации. Разработан и внедрен комплекс мероприятий по оздоровлению условий труда и сохранению здоровья работников зернотранспортного конвейера. Необходимы дальнейшие исследования по дифференциации гигиенической оценки труда работников зерноперерабатывающих производств  и транспортного конвейера. Показана необходимость коррекции ПДК зерновой пыли с учетом содержания в ней витающих фракций и остаточных количеств пестицидов, прежде всего, фумигантов. Ключевые слова: зерно, транспорт, фумигация, фосфин, рабочие, условия труда.
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IntroductionAging stands for the changes in the human body, which are recognized as natural processes that concern every person and are related to the passage of time. Despite ‘normalness’ of the process, a tendency is emerging to treat aging as a pathology requiring proper diagnostics. Consequently, an ‘anti-aging’ medicine has been established - defined as study of preventing and slowing down the process of aging.Aim of the studyThe aim of this study is to summarize and present the current knowledge, based on the overview of writing on the properties and effectiveness of the use of PRP in anti-aging therapy.  Description of knowledge Autologous platelet-rich plasma is a concentrate of human blood platelets suspended in a small amount of plasma, wherein concentration of thrombocytes is higher than initial concentration. For autologous plasma to have high healing properties, platelet levels should be at least 1 million in 5 ml of plasma.The basic condition for initiating repair and regenerative processes in vivo is the formation of a blood clot. Also, by degranulating, platelets release many growth factors, such as PDGF, TGF-β, EGF, FGF, VEGF and others, which are involved not only in blood coagulation, but also in immune response and tissue healing.The large variety of PRP-obtaining methods and the range of concentration levels of growth factors in PRP may lead to ambiguity in the literature, as to the extent to which formulation was actually used in a variety of preclinical and clinical studies. Some of those studies are presented in this article. Summary Platelet-rich treatments are part of the growing popularity of regenerative medicine, which is beginning to be recognized as the medicine of the future. However, without proper control methods or optimization of numerous variables (e.g. concentration or ratio of growth factors) during PRP preparation, it is not known which ingredients are needed and preferred, and which are harmful for tissue regeneration.However, numerous studies show PRP injection as a promising method of rejuvenating the skin, therefore platelet-rich treatments are an important part of the growing popularity of regenerative medicine.
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 Aim: The comparison the level of aggression of women and men in the judo population, against the background of the average aggression of the Polish societyMaterial and Methods: A group of 77 former and still practicing judokas (30 women and 47 men) were tested using a questionnaire to determine the aggression level of "Aggression Questionnaire" Buss, Perry, Amity Institute in Polish adaptation.Results: Women had lower levels of physical aggression than men. Reduced feelings of hostility among women and men made the judo environment different from the average Polish population.Conclusions: Only the lower level of physical aggression in women is discriminating against the judo environment. The lower level of sense of hostility is a significant distinctive for the entire judo community.
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The problem of the development concerns green areas of the city of Bydgoszcz. It determines the extent to which the urban greenery and its functioning in the city pursue the principles of sustainable development. The paper identifies the influence of urban green on important elements of urban life, ie on the society, microclimate and biodiversity of Bydgoszcz.
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It was described features of use the bronchial valves in patients with pneumoempyema,techniques of procedure. We described the complications as sociated with using of bronchial valves, and methods of their elimination.
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Olejniczak Dominik. Praktyczne wykorzystanie health literacy - alfabetyzmu zdrowotnego, jako narzędzia osiągania celów zdrowotnych = Practical use of health-literacy as a tool for achieving health goals. Journal of Education, Health and Sport. 2016;6(2):238-243. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.46654http://ojs.ukw.edu.pl/index.php/johs/article/view/3383https://pbn.nauka.gov.pl/works/717109  The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015).755 Journal of Education, Health and Sport eISSN 2391-8306 7© The Author (s) 2016;This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, PolandOpen Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium,provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License(http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercialuse, distribution and reproduction in any medium, provided the work is properly cited.The authors declare that there is no conflict of interests regarding the publication of this paper.Received: 05.01.2016. Revised 12.02.2016. Accepted: 21.02.2016.  Praktyczne wykorzystanie health literacy - alfabetyzmu zdrowotnego, jako narzędzia osiągania celów zdrowotnychPractical use of health-literacy as a tool for achieving health goals Dominik Olejniczak Zakład Zdrowia Publicznego, Warszawski Uniwersytet Medyczny    dr n. med. Dominik OlejniczakZakład Zdrowia PublicznegoWarszawski Uniwersytet Medycznyul. Banacha 1a, blok F02-097 WarszawaTel: 22 599 21 80   Streszczenie Alfabetyzm zdrowotny jest to stosunkowo nowy termin we współczesnej promocji zdrowia. Powstał on w wyniku zapotrzebowania na nazwanie pewnego zbioru uwarunkowań i kompetencji, determinujących zdrowie jednostek i populacji. Można go definiować jako zbiór kompetencji i umiejętności, w zakresie szeroko rozumianego zdrowia, pozyskanych na drodze właściwego wykorzystania źródeł informacji, pozwalający na minimalizowanie występowania i wpływu czynników ryzyka zdrowotnego na jednostkę i środowisko, w którym funkcjonuje, w celu poprawy i utrzymania dobrego stanu zdrowiaBudowanie tej kompetencji stanowić winno jedno z podstawowych zadań promocji zdrowia. Wysoki poziom alfabetyzmu zdrowotnego wiąże się z większym potencjałem zdrowotnym, co znacznie zwiększa szanse na poprawę stanu zdrowia jednostek i populacji. Słowa kluczowe: alfabetyzm zdrowotny, edukacja zdrowotna, promocja zdrowia. Abstract Health literacy is a relatively new term in contemporary health promotion. It was created as a result of the demand for naming a set of conditions and competencies that determine the health of individuals and populations. It can be defined as a set of competencies and skills, in terms of the wider health, obtained through the proper use of sources of information, allowing you to minimize the occurrence and impact of risk factors on individual health and the environment in which it operates, in order to improve and maintain good health.              Building health literacy should be the one of the fundamental tasks of health promotion. The high level of health literacy is associated with greater potential for health, which greatly increases the chances of improving the health of individuals and population. Key words: health literacy, health education, health promotion.
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Introduction. Fear of death  is the fear of ending one’s own existence. While a man grows up he/she is aware that his/her life will be ended with death. Nevertheless, the awareness does not reduce the fear. An individual can see, hear, experience. He/she is surrounded by loved people, is determined in pursuin his/her goals and death ends it all, it is the absolete end. Therefore, everyone is more or less affraid of it.Aim. The aim of the study is to verify if there are any differences in the level of fear of death among chosen age groups. What affects and conditions them.Materials and methods. The study involved 60 men divided on two age groups. The first one were 30 men in their early adulthood aged 23 – 28. The secong one were 30 men in their late adulthood aged 60 and more. The research tools were two questionnaires FTVS – Fear of death and dying inventory by R. Oschmann and NEO-PI-R Five Factor Model (FFM).Results. Men in their early and late adulthood experience fear of death in similar manner, fear of facing death, fear of mortality, fear of ending one’s existence, fear of physical destruction, fear of live after death and fear of dying proces. Personal characteristics relate with fear of death differently in gropus of men in early and late adulthood.Keywords: fear, personality, death,  
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Gevorkyan A. R. Хронобиологические особенности влияния экзогенного мелатонина на гормональную активность щитовидной железы у молодых крыс = Chronobiological features of the effect of exogenous melatonin on hormone thyroid activity in young rats Journal of Education, Health and Sport. 2016;6(10):547-556. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.167878http://ojs.ukw.edu.pl/index.php/johs/article/view/4010    The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015).755 Journal of Education, Health and Sport eISSN 2391-8306 7                                                                                                                                     © The Author (s) 2016;This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, PolandOpen Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium,provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License(http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercialuse, distribution and reproduction in any medium, provided the work is properly cited.The authors declare that there is no conflict of interests regarding the publication of this paper.Received: 02.09.2016. Revised 24.09.2016. Accepted: 30.10.2016. ХРОНОБИОЛОГИЧЕСКИЕ ОСОБЕННОСТИ ВЛИЯНИЯ ЭКЗОГЕННОГО МЕЛАТОНИНА НА ГОРМОНАЛЬНУЮ АКТИВНОСТЬ ЩИТОВИДНОЙ ЖЕЛЕЗЫ У МОЛОДЫХ КРЫС А. Р. Геворкян  ГУ «Институт проблем эндокринной патологии им. В. Я. Данилевского HАМН Украины», г. Харьков РезюмеУ молодых самцов крыс популяции Wistar изучено влияние 10-дневных вечерних инъекций мелатонина в физиологическом диапазоне доз на функциональное состояние щитовидной железы с учетом ее активности в разное время суток. Показано, что курсовое введение мелатонина молодым крысам репродуктивного возраста с нормально функционирующими пинеальной и щитовидной железами вызывает дозозависимое снижение тиреоидных гормонов в крови как днем, так и ночью. Результаты данной  работы доказывают антитиреоидный эффект экзогенного мелатонина в репродуктивном возрасте и указывают на то, что дополнительная мелатониновая терапия даже в физиологических дозах в молодом репродуктивном возрасте противопоказана.Ключевые слова: щитовидная железа, тиреоидные гормоны, мелатонин, суточные ритмы.CHRONOBIOLOGICAL FEATURES OF THE EFFECT OF EXOGENOUS MELATONIN ON HORMONE THYROID ACTIVITY IN YOUNG RATS A. R. Gevorkyan SI ”V. Danilevsky Institute of Endocrine Pathology Problems of the NAMS of Ukraine”, Kharkiv Abstract               The effect of 10-day-long evening injection of melatonin in a physiological dose range on the functional state of the thyroid gland considering its activity at different times of the day was studied in young male Wistar rats population. It is shown that the course injection of melatonin to young rats of reproductive age with normal functioning of the pineal and thyroid causes the dose-dependent reduction of thyroid hormones in the blood of both day and night. The results of this study demonstrate the antithyroid effect of exogenous melatonin in the reproductive age and suggest that additional melatonin therapy, even at physiological doses in young reproductive age is contraindicated.            Key words: thyroid gland, thyroid hormones, melatonin, circadian rhythms
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Golovatyuk K. P. Role of polymorphisms TNF.- alpha gene in the development of recurrent miscarriage after in vitro fertilization in the residentS of Odessa region of Ukraine. Journal of Education, Health and Sport. 2017;7(1):323 - 332. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.265805http://ojs.ukw.edu.pl/index.php/johs/article/view/4218    The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 754 (09.12.2016).754 Journal of Education, Health and Sport eISSN 2391-8306 7© The Author (s) 2017;This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, PolandOpen Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License(http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.The authors declare that there is no conflict of interests regarding the publication of this paper.Received: 02.01.2017. Revised 16.01.2017. Accepted: 24.01.2017. UDK 618.177-089.888.11:618.39-0796:575.162 ROLE OF POLYMORPHISMS TNF- alpha GENE IN THE DEVELOPMENT OF recurrent miscarriage after in vitro fertilization in THE  residentS of Odessa region of Ukraine K. P. Golovatyuk Odessa National medical University, Ukraine; nosenko.olena@gmail.com;  info@gameta.od.ua SummaryThe frequency of genotypes and allelic variants of the TNF-α gene (-238 G> A, -308 G> A, -1031 T > C), depending on the reproductive status and evaluation of its association with recurrent miscarriage (RM) in cycles in vitro fertilization (IVF) has been studied. The residents of the Odessaregion of Ukrainehave been under examination. It has been revealed that typing of SNPs of genes of the immune response TNF-α (rs1799964) and TNF-α (rs1800629) may be used as an early diagnostic method and pregravida prediction of reproductive losses in infertile women with RM after IVF. Genotypes AA -308G> A, (GA + AA) -308G> A and TC-1031C, (TC + CC) -1031C TNF-α gene were statistically significant associated with an increased risk of RM after IVF.Key words: recurrent miscarriage, in vitro fertilization, tumor necrosis factor-α r, inheritance, polymorphism, genotype, polymerase chain reaction.
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The article discusses the issues of pathogenesis and diagnostics of different variants of dizziness, as one of the main symptoms of traumatic brain injury. Along with traumatic brain injury raises concussion of the labyrinth benign paroxysmal positional vertigo and others described a range of diagnostic assessment techniques and differential diagnosis of post-traumatic nystagmus, as well as the adequacy of the practical application of a number of vestibulometric studies, caloric tests, tests, medical maneuvers, and their effectiveness from a position of evidence-based medicine.
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Content available Male infertility and human environmental pollution
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Introduction. Man is the only being that has created an artificial environment, or civilization. The development of civilization entails changes in the environment. The rapid growth of the impact of human economic activity has led to such changes that are able to threaten not only other living creatures but also themselves. Increasing environmental pollution are well-known factors negative influencing on human environment. Is now a global problem. Anthropogenic pollution contribute to the unfavorable demographic changes and grooving number of health problems of the population. Unfavourable demographic changes manifest themselves as not only increment in the number of deaths and malformations (defects in the reproductive organs), but also as decrement in the fertility rates being the consequence of increasing the growing problem of couples infertility. There is observed the increasing role of male factor in the couple infertility problem. In some developed countries its participation rate reaches 50%.Objective. The aim of the study is to assess the impact of environmental pollution on human development and reproductive function of male gonads.Material and methods. The study was carried out using the method of data analysis published in the works and scientific reports.Current state of knowledge. The paper presents information on identified environmental pollution with proven adverse effects on the development of the gonads and the their reproductive function. There are also known possible negative impacts of environmental pollution on carcinogenesis in male gonads.Wider awareness of the negative impact of environmental pollution and attempts put emphasis on primary prevention can give better long-term effects than increasing spending on the therapies of developmental disorders as well as gonadal dysfunctions symptoms including fertility problems.Conclusions.Among the environmental pollutants there are many chemicals adversely affecting the organogenesis as well as reproductive function of testicles.Many of these contaminants are pesticides or chemicals currently approved for use in agriculture and industry, including the food and cosmetics industry.Those chemicals, adversely affecting organogenesis and testicular generative function, are present in air, water and foods, packaged foods and everyday objects - including clothes (ingredients sponges), perfumes, creams and detergents.The increase in environmental pollution coincides with the deterioration of sperm quality and reduction in male infertility in highly civilized countries.Striving for continuous reduction of the environmental seems to be necessary to stop the growing problem of couples infertility.
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