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2019
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nr 5 (55)
3–13
EN
Medical law is subject to various approaches and definitions in the jurisprudence. It can be derived from the complexity of the matter, as well as its considerable novelty. Methods applied to define medical law stem from various jurispruden- tial convictions. This article turns attention to such basic problems of defining medical law as ratione materiae of the regulation, social structure underpinning regulation, and theoretical approaches (conceptual approach to law system, derivative concept of interpretation) to building a law system.
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Content available remote Modern Factors of Health and Their Peculiarities for Teenagers
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EN
The work aimed at specifying modern features of civilizational factors influence on the health, revealing peculiarities of young age, establishing reflexion of modern factors of health in methodological approaches to health studying. Changes in understanding health are reflected in its studying methodology. The analysis of sociological research data shows, that the social stress became the main reason of medical-demographic situation deterioration in days of reforms. The mechanism of its influence was the loss of effective labor motivation, social envy, and deterioration of spiritual condition of a society. Material well-being decrease was not a determinative factor. The problem of inequalities in health gets the increasing urgency. It is connected with physical and social living environment; availability of qualitative medical aid; specific features of behavior of people. At a medical aid guarantee, and at teenage age, factors of social living environment, which influence behavior in health sphere by means of stigmatization are especially significant.
EN
Introduction: Georgia faces great challenges at the beginning of the new millennium as a developing country. There are high risk factors for various diseases, often associated with environmental pollution and the significant lack of green eco-cover. The purpose of this research is to study the factors affecting environmental pollution and health deterioration in Georgia. Materials and Methods: Within the quantitative study in-depth survey of respondents and experts were conducted using a pre-structured questionnaire and focus group method. Results: 93% (n=582) of respondents believe that air or arable lands contamination with hazardous waste affects their health. Nevertheless, 46.4% (n=289) of respondents maintain a positive attitude towards future technologies, thinking that modern advances can change the environment so that people's lives become more comfortable and productive. According to experts, their place of residence is contaminated. The majority of respondents (73.4%, n=367) report that in Georgia they are most concerned about the incidence of diseases caused by unhealthy essentials (food, clothing and living environment) and unhealthy conditions. 63.7% (n=319) of the respondents think that agricultural products grown by chemical methods are a major threat, while 69.3% (n=347) of the respondents think that various foodstuffs (sweets, preserves, dairy products, etc.), containing the hazardous substances are not useful, though the alternative is less found in the country. Within the framework of the study, a model of city arrangement as well as the shelves for growing useful plants and micro-greens waves in the rooms of the apartments have been developed. Conclusion: It is advisable to encourage eco-projects by the state and to give people long-term loan at a low interest, that will allow people to live in ecological cities. The content project of application developed, which detects pesticides in foodstuffs and determines how harmful or healthy the goods are, will help people to protect themselves from the risks of negligence.
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EN
Objectives. Post exercise proteinuria (PEP) is found in about 20–40% of sportsmen after intensive exercise. Urinary NGAL is a new marker of tubulointerstitial kidney damage. The relationship between PEP and uNGAL has not been defined yet. In presented study a resting uNGAL as a predictor of PEP was analyzed. The changes of albuminuria after exercise were monitored to estimate a frequency and range of PEP. Methods. 40 amateur healthy runners (mean age 36.65 ±10.61 years) participating in 10-km run took part in the study. Before and after the competition urine was collected. NGAL, albumin and creatinine were subsequently measured in urine. uNGAL to creatinine ratio (NCR) and albumin to creatinine ratio (ACR) were calculated. Results. 28 participants (mean age 37.9 ±11.46, 19 M, 9 F) with uNGAL below 15 ng/ml before competition were analyzed. The increase of ACR was observed in every case. Mean post-exercise ACR was 104.55 ±123.1 mg/g and was significantly higher than pre-exercise ACR 6.33 ±5.86 mg/g (p < 0.0005). The positive correlation was found between resting NCR and post-exercise ACR (r = 0.60, p < 0.05). Conclusions. Resting uNGAL positively correlated with PEP. The possible explanation of these findings is that persons with PEP had some early, occult tubulointersitial kidney damage. It is speculated that those runners have higher risk of chronic kidney disease.
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nr 1
117-125
EN
Health is one of the most important values in every person's life. A healthy lifestyle should be an important element in the value hierarchy of children and adolescents. Health behaviors are one of the most important determinants of human health and are the basis for the correct development of children. The aim of the article is to provide feedback to students at a younger school age on health behavior and health in their personal value hierarchy.
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nr 2
54-59
EN
Introduction: General quality of life, health, and sensation of pain caused by cancer are connected with the physical, mental and social state of a human being. Aim of the study: The aim of the study is self-assessment of life quality, general health, and pain sensations in breast cancer patients after adjuvant therapy with chemo- and radiotherapy. Material and methods: The study was carried out in 2016 at the Professor Franciszek Łukaszczyk Oncology Clinic in Bydgoszcz. 56 women with breast cancer were qualified for the study, upon completion of treatment. Socio-demographic and clinical data was used, questions 29 and 30 from the QLQ C30 questionnaire, and the Memorial Pain Assessment Card. Results: Generally, the average self-assessment of health and life quality was 4.98 and 5.18 points, respectively. Age, education, marital status and the place of residence did not have any influence on the self-assessment of health and life quality (p > 0.05). 46 women (82.1%) did not take analgesics. Those patients who did not take analgesics assessed their health and life quality better, with the average scores of 5.3 and 5.63 points, respectively. The average for pain intensity was 2.05 on a 0–11 scale. Most women – 14 (25%) – assessed their mood as very good. The mood average was 2.91 points. Only the administration of analgesics influenced the mood score (p = 0.001). Conclusions: Women with breast cancer after radical treatment assess their health and life quality as good. Those not taking analgesics assess their health and life quality better and are decidedly in a better mood than those taking such medications. Socio-demographic factors do not influence self-assessment of health, life quality, or pain intensity.
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2022
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tom 58
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nr 2
119-150
EN
Public support for government institutions tends to increase in the face of threats such as armed conflict, terrorism, or natural disasters. This phenomenon, known as the 'rally-'round-the-flag' effect, has also been observed as a response to the Covid-19 pandemic in many countries. Citizens' trust in the government's good intentions and ability to handle a crisis is very important, as it gives government the legitimacy to take strong measures. High trust in government also increases citizens' willingness to comply with these measures. The aim of this study is to examine the 'rally-'round-the-flag' effect in the Czech Republic, analyse the characteristics related to the increase in trust in government, and test the relationship between trust in government and compliance with anti-pandemic measures. The analysis uses data from five waves of the Czech Household Panel Study (2016–2020) and finds a dramatic increase in trust in government in response to the Covid-19 pandemic. A relatively higher increase in trust in government was observed among people with a low level of education and low social trust. Overall, however, the rise in trust in government is more of a general tendency across society than it is an increase in one specific group of the population. Trust in government is also linked to compliance with anti-pandemic measures.
EN
Background: Gender roles have been defined as the roles and responsibilities attributed by the society to women (feminine) and men (masculine) and how the society views, perceives, thinks of them and the expectations of the society about how they should behave. Awareness should be increased in nurses so that they can take a look at their own lives critically. This study was conducted to find out the views of nurses about gender role attitudes. Methods: This descriptive study was conducted with 200 nurses who agreed to participate in the study in a training and research hospital between June 15 and August 15, 2017. The data were collected through face to face interview with a questionnaire form. Questionnaire form consists of descriptive characteristics form and Gender Role Attitudes Scale (GRAS). Descriptive and analytical statistics were used in the assessment of data. Results: Average age of the nurses who participated in the study was found as 30.37±7.28. It was found that 83.5% of the nurses had not received any education for gender roles. It was found that almost half of the nurses thought the best aspect of being a man was “being free”, while the best aspect of being a woman was “being a mother”; it was also found that men should not “show violence” and women should not “be unfaithful”; both genders should be taught to “be respectful” and “not be allowed to be disrespectful”. Nurses’ average GRAS score of 121.18±11.37 showed that they had equalitarian attitude about gender roles. Conclusion: The results that nurses can look at their own lives with a critical eye and have an equalitarian attitude in gender roles are significant in terms of more quality and equality-based health services.
10
Content available Health benefits of black tea
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tom 4
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nr 2
135-143
EN
Tea is the most common beverage in the world. It is consumed mostly as green tea, oolong, or black tea. Depending on the manufacturing process, different varieties of tea can be produced. As tea is one of the most popular beverages, it could be a tremendously important source of polyphenolic constituents. Tea leaves are a source of polyphenols, especially catechins, which are known for their antioxidative activity. Various studies suggest that polyphenolic compounds present in black tea are associated with beneficial effects in prevention of cardiovascular diseases. In addition, anti-aging, antidiabetic and many other health beneficial effects associated with tea consumption have been reported. The review highlights the potential of black tea, its health benefits in terms of antioxidative, antimutagenic and anticarcinogenic properties as well as protective agents against cardiovascular diseases.
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100%
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nr 4
97-105
PL
W artykule omówiono problemy dotyczące poprawy motywacji aktywności dzieci uczęszczających do szkół podstawowych. Dzięki odpowiedniej ilości aktywności fizycznej, dzieci ze wszystkich grup wiekowych mogą osiągnąć optymalny poziom zdrowia i rozwoju fizycznego, nabędą też odpowiednie umiejętności ruchowe. Ważnym problemem naszych czasów jest poprawa stanu zdrowia dzieci. Wyniki przedstawionych w artykule badań świadczą o stosunkowo niskim poziomie zdrowia dzieci w wieku szkolnym, co wiąże się z obniżonym poziomem ich aktywności fizycznej. Badania dowodzą, że u dzieci w wieku 6 i 7 lat liczba godzin, w trakcie których dzieci podejmują aktywność fizyczną na średnim i wysokim poziomie, wykazuje tendencję spadkową. Grupa wiekowa sześciolatków spędza średnio 2 godziny 10 minut (9,1%) na poziomie średnim, 40 minut (2,6%) na poziomie wysokim, a w przypadku siedmiolatków – 1 godzinę 7 minut (7,35%) na poziomie średnim i 20 min. (1,05%) na poziomie wysokim. Największą ilość czasu spędza się na poziomie podstawowym (44,5% w wieku lat 6,i 39,4% w wieku lat 7). W przypadku sześciolatków 88,3% czasu przypada na poziomy podstawowy i niski, natomiast w przypadku siedmiolatków – 91,6%; 11,7% i 8,4% czasu przypisuje się odpowiednio poziomom średnim i wysokim, co wskazuje na siedzący styl życia. Rozwiązanie problemu zachowania zdrowia i zapewnienia harmonijnego rozwoju osobowości w placówkach szkolnych ma ogromne znaczenie. W tym względzie kultura fizyczna, jako podstawa zapewnienia i wzmocnienia zdrowia dzieci, stoi w obliczu wyzwań, które wymagają rozwoju i utworzenia takiego systemu wychowania fizycznego w szkolnictwie podstawowym, który za-pewni poprawę wszystkich elementów składowych zdrowia – umysłowego, społecznego i fizycznego. Jednym z warunków skuteczności w systemie organizacji ćwiczeń sportowych i rekreacyjnych jest wprowadzenie urozmaiconych form pracy, uwzględniających zainteresowania i motywacje dzieci.
EN
The article is about problems in increasing motive activity for children of primary school age, the aim of which is improving their health. Thanks to a sufficient amount of physical activity children of all age groups have an optimum level of health, physical development and will acquire motor skills. One of the important problems of our time is to improve the health of children. The study indicates a relatively low level of health in children of primary school age, which is associated with decreased levels of physical activity. Studies show that for children of 6 to 7 years of age the number of hours on average and high levels of motor activity tend to decrease. At the age of six 2 hours. 10 min (9,1%) are spent at the average level, 40 minutes (2.6 per cent) – at the high level, and at the age of seven – 1 hour. 7 min(7,35%) are spent at the average level, 20 min (1,05%) – at the high level. The greatest number of hours is spent at the basic level (44,5% at the age of 6, 39.4% – at the age of 7). At the age of six 88.3% of the time are given to the base and low level, at the age of seven – 91.6 %, 11.7 % and 8.4 % are given to the average and high levels accordingly, which indicates a sedentary lifestyle. The solution to the problem of preservation of health and ensuring harmonious development of personality in educational institutions is of great practical importance. In this regard physical culture, as the basis of ensuring the strengthening of children's health, has new challenges that require the development and creation of physical education system in secondary schools which provides improvement of all components in health - mental, social, physical. One of the conditions of effectiveness in the system of organization of sports and recreation activities is the introduction of various forms of work, taking into account the interests and motives of the children.
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nr 50
71-82
EN
North Cameroon displays nearly sixty local languages for an estimated 3,500,000 people. Such a multilingualism is offset by the use of a major trade language, Fulfulde or Fula (spoken by Fulɓe or Fulani), which allows basic exchanges to take place in many settings. Owing to increased rates of school attendance, French has been taking on a greater but still limited role in interethnic communication. The question of language comes immediately to the fore in any medical consultation, yet there are also prior cultural factors in play which have a strong impact on the procedure.
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Content available HEALTHY LIFE STYLE AS AN ELEMENT OF SAFETY CULTURE
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EN
Due to WHO – health is a physical, psychical and social welfare. The collapse of health is serious threats of safety. Only healthy man may be liable to education, will participate in organizational processes, actively and creatively incorporate processes aimed at improving safety culture and defense, which serves harmonious development of certain entities and achieving safety in its broad sense. Meanwhile fatigue, caused by unhealthy lifestyle or physico-somatic changes, reduces feeling of welfare which is equivalent of safety. Taking adequate measures to minimize subjective feeling of lack of welfare might contribute to increasing our effectiveness and creativity and, at the same time, to improve conditions to our safety.
15
Content available Let’s discuss the Criteria of Bradford Hill (1965)
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nr 2
56-57
EN
On 10th October 2020, the German Federal Ministry for the Environment had responded to an inquiry concerning causality, as follows: The nine criteria of Hill [1] are a “central pillar for the determination of causality in epidemiology.” The reason of the inquiry was the dramatic press release: “Air pollution is responsible for more than 400,000 premature deaths/year in Europe.” Among others, the “central pillar” agrees e. g. with reference [2]. Applying to expert discussions, a colleague had commented on this matter: “All our environmental epidemiologists refer to the Bradford Hill criteria”. Is this also the case in publications?Whilst reading through numerous epidemiological publications on sport & health respectively environment & health, the author had never come across these criteria – the reason for this letter to the editor.In 1965, HILL had given detailed considerations to the conditions that would have to be fulfilled in the case of epidemiological associations found before they could be used as a reason to “cry causation”.Extensive annually published reports of the EEA (European Environment Agency) deal with air pollution and human health. In 2019 as key message ([3] p. 63): “Air pollution is the single largest environmental health risk in Europe, with around 400 000 premature deaths attributed to air pollution¼ in 2018” ([3] p. 63) and again in 2020: “Air pollution is a major cause of premature death ¼, responsible for around 400 000 premature deaths per year” ([4] p. 10).The corresponding EEA studies are based on epidemiological surveys, collected in the categories urban – suburban – rural ([4] p. 11). The results, often calculated using the DPSEEAModel ([5] to Healthcare Waste Management), are correctly described from a statistical point of view as: “Deaths attributed to” ([2] p. 63), “associated with” ([1] p. 10), “relationship (between exposure to ambient pollutant concentrations and health outcome” [1] p. 106), “Estimates are produced” or: “the impacts attributable to exposure” ([4] p. 106). But then there is a mind jump to causality by complaining: “Air pollution is a major cause of premature death” ([4] p.10) and implicite with “air pollution is currently the most important environmental risk to human health” ([4] p.9): A typical case of “cry causation”, but without prior examination of the Bradford-Hill-criteria. These are neither mentioned in the text nor in the reference list, nor are alternative criteria (e.g. [6]). However, the published conclusions claiming causality led to serious environmental policy consequences. Yet the question of causality should be decisive for avoiding a so-called stork statistic.Therefore: Let’s discuss the Bradford-Hill-criteria! I am interested to find environmental epidemiological studies in which all of the 9 criteria have been thoroughly discussed rather than having to endure serious environmental policy consequences triggered as “cry causation”. An orienting PubMed analysis did not reveal any reference to environmental epidemiology among 79 hits, but in other research fields associations were often evaluated using all 9 Bradford-Hill-criteria, in two cases even resulting in the rejection of a hypothesis.Therefore, if anyone knows of an environmental health epidemiological study in which the 9 Bradford-Hill criteria were discussed individually prior to “cry causation”: Please provide the author with the bibliographical details: ulmer@uni-mainz.de.The Editor in Chief has agreed to publish a corresponding list of entries in issue 3/2021.
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tom 5
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nr 7
35-42
XX
The aim of this pilot study was to determine (a) the effects of high intensity strength training in the workplace on blood pressure, fat percentage and physical fitness in overweight adults, and (b) the influence of this intervention on the blood pressure in a subsample of hypertensive subjects. Overweight adults (n=15) aged 42.8 years underwent anthropometric assessment (weight, fat percentage, waist circumference, and triceps skinfold), physical fitness assessment (leg extensor power, upper body endurance, hand grip strength and Vo2max) and blood pressure assessment before and after 8 weeks of high intensity resistance training in the workplace. Each training session consisted of 16 sets of 45 repetitions performed at 1 repetition per second, decreasing load at the point of muscular failure starting at 60% of repetition maximum (RM). The effects of the intervention were analyzed by paired sample t-tests. For exploratory purposes, a non-parametric test was also performed (Wilcoxon matched-pair signed-rank) to examine if this decision could affect the results. Weight, body fat percentage, and triceps skinfold decreased significantly with the high intensity resistance training protocol in the workplace (all P<0.05). Performance in physical fitness tests increased significantly with training (all P<0.05), except for handgrip strength. Both systolic and diastolic blood pressure decreased significantly with R-HIRT in the workplace (all P <0.05) in hypertensive subjects (n=10). This protocol performed in the workplace in this pilot study produces health and fitness benefits in overweight and hypertensive people.
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Content available remote Starostlivosť o seba: Slovenská verzia dotazníka SUPPH
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tom 6
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nr 1
113-120
EN
Background: Strategies used by patients to promote health (SUPPH), 29-item self-report instrument, is used to measure self-care self-efficacy in patients. The subject is asked to rate the degree of confidence in carrying out specific self-care behavior, mainly psychological side of self-care. Original authors found 3-factor and 4-factor structure. However, no data can be found on its performance in Slovak culture. Hence this study aimed to assess reliability, factor structure and validity of SUPPH in Slovak population. Method: A total of 162 undergraduate students completed interviews that included SUPPH, General Self-efficacy Scale and The Self-Care Self-Regulation Questionnaire. Internal consistency was measured by Cronbach's alfa. The factor structure was made by using exploration factor analysis. The validity was studied by correlations the main instrument with related instruments, which asses self-care and self-efficacy. Results: Cronbach alfa reliability coefficients surpassed the 0.70 criteria. A principal component factor analyses with orthogonal varimax rotation identified new 3-factors (positive attitude – nine items, decision for better life – five items, coping with stress and anxiety – eight items) structure. Seven items were deleted. The General Self-efficacy and The Self-Care Self-Regulation Questionnaire correlated positively to all factors SUPPH. Especially psychological self-care correlated strong positively with all SUPPH subscales. Conclusion: We became new Slovak version of Strategies used by patients to promote health (SUPPH-SK). Finely 22-items are more evenly distributed into new 3-factor structure.
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tom 4
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nr 1
127-136
EN
In this study we present the results of a research aimed at determining the level of acquired science knowledge about health among Roma pupils of younger school age from socially disadvantaged backgrounds. Health Education is not a separate subject in the Slovak education system, but it is implemented in several subjects, especially in primary education, science, physical and sports education, practical learning and in the cross-cutting theme of protection of life and health in primary education. The study was written with the support of the project APVV-17-0075 Health education in the education of Roma pupils from socially disadvantaged backgrounds solved at the University of Prešov, Faculty of Education. One of the sub-objectives of the project is to analyse the effectiveness of pro-health education – Health Education in the school curriculum of the primary level of education in the form of a didactic test.
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Content available remote Stratégie starostlivosti o seba u rizikových profesií
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nr 2
3-15
EN
Taking care of oneself is crucial for maintaining one´s psychical and physical health. In the context of risky profession this topic can play an even more important role, because it can be the source of necessary information for improvement of coping capacity when one is confronted with crisis situations. The aim of the present study is to identify the most common forms of self-care among selected risky professions. In the second part is the attention focused on the comparison of the specificities of risky to non-risky professions in self-care. Methods: For data collection Self-regulation Self-care Questionnaire by authors Hricová and Lovaš (in press) is used. The sample consists of two groups. In the first one participated 156 respondents, who worked in risky professions - namely police officers (60) at the age between 22 to 55 years (average age is 36.88, SD=9.49), fire fighters (46) at the age between 22 to 62 years (average age is 35.13, SD=8.31) and paramedics (50) at the age between 25 to 55 years (average age is 40.3, SD=6.62). 76.2% of the sample are men, 19.0% are women and 4,8% didn´t state their gender. The second sample consists of 161 participants who work in administrative, industry production or IT sphere. They were at the age between 23 to 61 years (average age is 38.01, SD=10.45). 74% of the sample are men and 21.7% are women. Results and discussion: Results confirmed the dominance of psychological self-care above physical among risky professions. To the forefront gets the need to live meaningful life, to fully use one´s skills and to be satisfied with one´s life and decisions. All this needs can be assigned to the necessity of sense, which could be seen as a result of everyday contact with critical and life threaten situations. Equally important sphere of self-care is the necessity of high-quality relationships, which doesn´t mean only relationships with family or friends. It is important to highlight also relationships with colleagues, that can help in dealing with risky situations and therefore shouldn´t be overlooked. In comparison with non-risky professions professionals care significantly more about their physical and psychical health. Closer analysis showed some uniqueness with respect to a particular type of risky profession. Police officers and fire fighters are more interested in their physical condition, which is important for example in rescuing a person from an object in fire or in a situation where physical force needs to be used. In comparison with it, paramedics use more psychical self-care strategies, namely they are trying more to control their negative emotional state, to minimize risky situation and to preserve health. Lastly they are caring more about their personal improvement. This study has several limits. Equality of gender in sample should be taken to account in future researches. We also recommend to involve other risky professions to the analysis (for example soldiers). Results can be used as a basis for trainee or education programs, which could help professionals in dealing with traumatic situations.
EN
The initiative to draw up a Public Health Act deserves support. This draft rightly aims to complement the normative basis of disease treatment with normative basis of preventive medicine. The bill, however, requires further work on: clarifying the title of the Act and its scope and extent, the competence of the minister responsible for health, determine the statutory framework for a National Health Program, public health policy on the international and EU level.
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