214 research outputs found

    Wprowadzenie

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    Prof. zw. dr hab. Joanna Sieńczyło-Chlabicz Kierownik Katedry Prawa Własności Intelektualnej Wydziału Prawa Uniwersytetu w BiałymstokuUniwersytet w Białymstoku9-1

    Perceptions of an older patient on the role of the family doctor in health promotion : a qualitative case study

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    Introduction: Health promotion and disease prevention are important aspects of primary health care. However, limited data are available concerning the opinions of older patients towards the respective services offered by family doctors. The aim of the present study was to evaluate an older patient's perception of the role of the family doctor in promoting his health, and identify those components that are difficult to examine in quantitative research. Methods: A qualitative case study of an 80-year-old man using an in-depth interview was carried out. The interview transcript was analyzed thematically. Our patient was an 80-year-old university-educated man, with stable social and financial circumstances, living with his wife. He had retired early on grounds of ill health (tuberculosis) and had received a disability pension prior to formal retirement. At the time of the interview, his medical problems included mild prostatic hypertrophy, scoliosis and hypertension. He considered his health status to be satisfactory. He had changed family doctor five years prior to the interview, as he had been dissatisfied with the care provided. Results: We found that our patient expected the family doctor to be aware of, and to discuss, the following issues: physical activity, diet, management of stress and mental health, use of alcohol and tobacco, personal hygiene, health screening, use of medication, and social activity. At the same time, our patient perceived the doctor's role as supplementary to his own in terms of the appraisal and maintenance of his health. Conclusions: Our findings provide evidence of what is important in the promotion of health among older people

    Antybiotyki dla osób podróżujących

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    W niniejszym artykule omówiono najczęstsze zakażenia bakteryjne u osób podróżujących, a także możliwości stosowania antybiotyków w profilaktyce oraz leczeniu tych zakażeń. Do najczęściej spotykanych należą zakażenia przewodu pokarmowego. W leczeniu empirycznym biegunki podróżnych zaleca się przede wszystkich fluorochinolony, azytromycynę oraz rifaksyminę. W sytuacji, gdy potrzebny jest antybiotyk skuteczny w większości zakażeń przewodu pokarmowego, skóry oraz układu oddechowego, można zastosować azytromycynę lub nowe fluorochinolony

    Management of cancer pain in Primary Care in Poland

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    Cancer pain remains a big challenge to modern medicine. General Practitioners (GPs) supported by Palliative Care teams play a key role in the care of terminally ill cancer patients. The quality of pain management depends very much on GPs’ knowledge and skills. The aim of this study was to assess GPs’ knowledge about pain management. The questionnaire with clinical situations based on recommended guidelines connected with pain management was sent to all GPs within the Kujawsko-Pomorski and Podlaski provinces. The response rate was 51%. The GPs in Kujawsko-Pomorski province had better access to palliative care for their patients. In the whole sample, the median of appropriate responses to eight questions equalled 4. The biggest percentage of correct answers (85.6%) was given to question concerning the characteristic of neuropathic pain. Besides, more than 50% of correct answers were given to questions which concerned the breakthrough pain (54.4%) and pain management of an unconscious patient (56.9%). The lowest percentage of correct answers (24.6%) concerned the conversion of oral to subcutaneous opioids in case of vomiting and reappearance of intensive pain. The results of this study indicate a considerable difference between the official guidelines and every day practice of pain management. The results underline also the need for changes in vocational training of general practitioners, with special emphasis on pain management in terminally ill patients.Cancer pain remains a big challenge to modern medicine. General Practitioners (GPs) supported by Palliative Care teams play a key role in the care of terminally ill cancer patients. The quality of pain management depends very much on GPs' knowledge and skills. The aim of this study was to assess GPs' knowledge about pain management. The questionnaire with clinical situations based on recommended guidelines connected with pain management was sent to all GPs within the Kujawsko-Pomorski and Podlaski provinces. The response rate was 51%. The GPs in Kujawsko-Pomorski province had better access to palliative care for their patients. In the whole sample, the median of appropriate responses to eight questions equalled 4. The biggest percentage of correct answers (85.6%) was given to question concerning the characteristic of neuropathic pain. Besides, more than 50% of correct answers were given to questions which concerned the breakthrough pain (54.4%) and pain management of an unconscious patient (56.9%). The lowest percentage of correct answers (24.6%) concerned the conversion of oral to subcutaneous opioids in case of vomiting and reappearance of intensive pain. The results of this study indicate a considerable difference between the official guidelines and every day practice of pain management. The results underline also the need for changes in vocational training of general practitioners, with special emphasis on pain management in terminally ill patients

    Działanie w interesie publicznym jako decydujące kryterium rozstrzygania konfliktu: wolność prasy a ochrona prywatności osób wykonujących działalność publiczną

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    Zdigitalizowano i udostępniono w ramach projektu pn. Rozbudowa otwartych zasobów naukowych Repozytorium Uniwersytetu w Białymstoku, dofinansowanego z programu „Społeczna odpowiedzialność nauki” Ministra Edukacji i Nauki na podstawie umowy SONB/SP/512497/2021Uniwersytet w Białymstoku22924

    Geneza i rozwój prawa do prywatności

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    Zdigitalizowano i udostępniono w ramach projektu pn. Rozbudowa otwartych zasobów naukowych Repozytorium Uniwersytetu w Białymstoku, dofinansowanego z programu „Społeczna odpowiedzialność nauki” Ministra Edukacji i Nauki na podstawie umowy SONB/SP/512497/2021.1149116
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