Self-reliance and self-control in adolescents with Inflammatory Bowel Disease in connection with the necessity to change a gastroenterologist after reaching the age of maturity

Wstęp. Nieswoiste Zapalenie Jelit plasuje się w grupie pięciu najczęściej występujących chorób przewodu pokarmowego i jest najczęstszą przewlekłą chorobą przewodu pokarmowego u dzieci. Dzieci z uwagi na wczesny okres rozpoznania będą chorowały najdłużej i najciężej, ale mają możliwość prowadzenia życia zbliżonego do ich zdrowych rówieśników. Celem podjętych badań było poznanie stopnia samokontroli dorastającej młodzieży z NZJ w związku z koniecznością przejścia pod opiekę poradni gastroenterologicznych dla osób dorosłych po 18 roku życia. Materiał i metody. Badanie przeprowadzono wśród młodzieży od 15 do 18 roku życia ze zdiagnozowanym NZJ, pacjentów Poradni Gastroenterologicznych w Warszawie i Rzeszowie. Wyniki. Rozpoznanie wrzodziejącego zapalenie jelita grubego podało 50,67% dzieci, natomiast chorobę Leśniowskiego- Crohna, 42,67% . Średni wiek zachorowania wśród dzieci wynosił ok. 12,13 ±3,82. Ponad połowa respondentów ocenia zakres posiadanych informacji o jednostce chorobowej za raczej wystarczający. W ogólnej populacji badanej młodzieży znacząca większość potrafi samodzielnie formułować swoje obserwacje i wątpliwości dotyczące terapii. Ponad 90% chorych objętych badaniami deklaruje znajomość nazw oraz dawek przyjmowanych leków, jednak u 1/5 regularność ich stosowania nadal nadzorują rodzice. Podczas wizyt u specjalisty wszystkim respondentom towarzyszą rodzice. Ponad połowa badanych w razie potrzeby nie potrafiłaby samodzielnie skontaktować się ze specjalistą. Tematyka zachowań ryzykownych (palenie, picie, narkotyki) oraz współżycia seksualnego nie jest podejmowana podczas wizyt. Wnioski. 1. Młodzież zna istotę choroby, jednakże tylko w małym zakresie jest włączana w proces samodzielnej kontroli. 2. W poradniach gastroenterologicznych dla dzieci tematyka pozamedyczna, jak: styl życia, płodność, rozwój zawodowy nie jest podejmowana.Inflammatory bowel disease (IBD) is among five most frequent gastrointestinal diseases and is the most common chronic disease of the gastrointestinal tract in children. Although children due to the early diagnosis will suffer the longest and the most acute, they may lead a life similar to their healthy peers. The aim of the study was to investigate the degree of selfcontrol in adolescents with IBD in connection with the necessity of the transition to the care of gastroenterology clinic for adults at the age of 18. Material and methods. The survey was conducted among young people aged 15 to 18 diagnosed with IBD, the patients of Gastroenterological Clinics in Warsaw and Rzeszow. Results. Ulcerative colitis was diagnosed in 50.67% of the children while Crohn’s disease was found in 42.67%. The average age of the onset was approx. 12.13 ± 3.82 among the children. More than a half of the respondents assessed the range of possessed information about the disease entity as rather sufficient. Vast majority of young people in the overall study population could formulate their observations and concerns regarding the treatment independently. Over 90% of patients in the study declared knowing the names and doses of medicines, however, in one fifth of the subjects the regularity of their administration was still supervised by parents. All respondents were accompanied by parents during a visit at a specialist. More than a half of the respondents would not be able to contact a specialist alone if necessary. The subject of hazardous behaviour (smoking, drinking, drugs) and sexual intercourse was not discussed during the visits. Conclusions. 1. Adolescents knew the essence of the disease, but were engaged in the process of self-control only to a limited extend. 2. Nonmedical issues like lifestyle, fertility, professional development were not discussed in the gastroenterological clinics for children

Infekcje HPV – wiedza studentów pielęgniarstwa na przykładzie Polski i Turcji

Introduction. According to the World Health Organization (WHO), Sexually Transmitted Diseases (STD) are the diseases caused by germs transmitted during sex, starting with easy to treat inflammations, ending up with serious deadly infections. Aim. The aim of the study was to compare the knowledge among nursing students in Poland and Turkey about HPV, its etiology and diagnostics. Material and method. The survey was conducted in an academic year 2009/2010. The questionnaire was completed by nursing students from the University of Rzeszów in Poland and nursing students from Ataturk University, in Erzurum, Turkey. The choice of the research population was purposeful. The studies were conducted among the total number of 224 respondents, 120 in Poland and 124 in Turkey. Results. Nursing students have high self-rated knowledge about STD (93.0%). Books and journals (63.5%) were mentioned as the most common source of knowledge about sexual health. Among sexually transmitted diseases the respondents mentioned: AIDS (93.0%), gonorrhea (80.8%), HPV (56.5%), HSV (54.9%). Among the respondents 11.9% have never heard of HPV. Every third student does not have any knowledge about vaccinations against HPV (30.4%). Above 40% of respondents are not aware of the recommended frequency of cytological examinations (43,0%) and nearly 60% of them do not know what a colposcopy is. Conclusions. Students have high self-rated knowledge about STD. Students from Erzurum, Turkey had better knowledge about HPV diagnostics. Students from both countries showed unsatisfactory knowledge about cervical cancer diagnostics. The level of nursing students’ knowledge as future health educators, both in Poland and Turkey about HPV is insufficient, therefore it is necessary to add supplements about STD to nursing education programs in both countries .Wstęp. Według Światowej Organizacji Zdrowia infekcje przenoszone drogą płciową są to choroby/infekcje wywoływane przez drobnoustroje przekazywane podczas kontaktów intymnych, od łatwo wyleczalnych zapaleń do śmiertelnie groźnych infekcji. Cel. Celem pracy było porównanie wiedzy studentów pielęgniarstwa w Polsce i w Turcji na temat infekcji HPV ich etiologii i diagnostyki. Materiał i metoda. Badania ankietowe przeprowadzono w roku akademickim 2009/2010 wśród studentów pielęgniarstwa, w Polsce na Uniwersytecie Rzeszowskim oraz w Turcji na Uniwersytecie Atatürka w Erzurum. Dobór próby badawczej był celowy. Przebadano łącznie 224 osoby – 120 w Polsce i 124 w Turcji. Wyniki. Samoocena wiedzy studentów na temat STD jest wysoka (93.0%). Jako źródła wiedzy o zdrowiu seksualnym ankietowani najczęściej wskazywali: książki i czasopisma (63.5%). Wśród chorób przenoszonych drogą płciową ankietowani wskazali: AIDS (93.0%), rzeżączka (80.8%), HPV (56.5%), HSV (54.9%). Wśród badanych studentów 11.9% nigdy nie słyszało o HPV. Co trzeci student nie posiada wiedzy o szczepieniach przeciwko HPV (30.4%). Ponad 40% badanych nie zna zalecanej częstotliwości wykonywania badań cytologicznych (43.0%), a blisko 60% nie wie co to jest kolposkopia. Wnioski. Studenci mają wysoką samoocenę wiedzy na temat STD. Lepszą wiedzą na temat diagnostyki HPV wykazali się studenci z Erzurum. Studenci z obu krajów wykazują się niezadowalającą wiedzą na temat diagnostyki raka szyjki macicy. Poziom wiedzy studentów pielęgniarstwa jako przyszłych edukatorów zdrowia zarówno w Polsce, jak i w Turcji na temat infekcji HPV nie jest satysfakcjonujący. Niezbędne jest uzupełnienie programów kształcenia pielęgniarek w obu krajach o treści na temat STD

Symptoms of menopause and health of women during perimenopause

Introduction. Perimenopausal age is the time in a woman’s life, when her reproductive capacity declines. Characteristic symptoms in the majority of systems accompany this process. Aim. The aim of the study was to determine the symptoms of menopause and investigate the most common health problems in perimenopausal women. Materials and methods. The study involved 180 women in perimenopausal age (45-55 years). The subjects were mainly residents of rural areas (65%) and married (84%). Most of them declared secondary education (57%). A questionnaire developed by the authors was used in the study. Results. Most women observed typical menopausal symptoms mostly between 45 and 49 years of age. Most often, these were hot flushes, the second place was night sweats, and the third place was insomnia. Almost 40% of women are treated for chronic diseases, most of them for hypertension, thyroid disease and diabetes. Conclusions. The changes associated with perimenopausal age in the majority of respondents include genitourinary system, respiratory system, skeletal system and metabolic changes. Level of education influences the level of knowledge among women on the menopause. Women from rural areas used non-pharmacological methods to mitigate the symptoms of menopause to a greater extent

Symptoms of menopause and health of women during perimenopause

Introduction. Perimenopausal age is the time in a woman’s life, when her reproductive capacity declines. Characteristic symptoms in the majority of systems accompany this process. Aim. The aim of the study was to determine the symptoms of menopause and investigate the most common health problems in perimenopausal women. Materials and methods. The study involved 180 women in perimenopausal age (45-55 years). The subjects were mainly residents of rural areas (65%) and married (84%). Most of them declared secondary education (57%). A questionnaire developed by the authors was used in the study. Results. Most women observed typical menopausal symptoms mostly between 45 and 49 years of age. Most often, these were hot flushes, the second place was night sweats, and the third place was insomnia. Almost 40% of women are treated for chronic diseases, most of them for hypertension, thyroid disease and diabetes. Conclusions. The changes associated with perimenopausal age in the majority of respondents include genitourinary system, respiratory system, skeletal system and metabolic changes. Level of education influences the level of knowledge among women on the menopause. Women from rural areas used non-pharmacological methods to mitigate the symptoms of menopause to a greater extent

Emergence of Klebsiella pneumoniae Coproducing KPC-2 and 16S rRNA Methylase ArmA in Poland ▿

A Klebsiella pneumoniae epidemic strain that coproduced carbapenemase KPC-2 (K. pneumoniae carbapenemase 2) and 16S rRNA methylase ArmA has emerged in Poland. Four nonduplicate isolates from patients in a hospital in Warsaw, Poland, were found to carry the blaKPC-2 and armA genes on ca. 50-kb and 90-kb plasmids, respectively. Tn4401 with a 100-bp deletion in the variable region was detected in all the isolates. XbaI pulsed-field gel electrophoresis (PFGE) revealed 93.2% similarity of the isolates. All the isolates were resistant to carbapenems and 4,6-disubstituted 2-deoxystreptamines

Assessment of Anxiety and Depression in Polish Primary Parental Caregivers of Children with Cerebral Palsy Compared to a Control Group, as well as Identification of Selected Predictors

Background: Taking care of a child with Cerebral Palsy (CP) may be linked with adverse effects in the parents’ physical and mental health. The causes of anxiety and depression symptoms associated with childcare are still not fully understood. Aim: To assess the intensity of anxiety and depression symptoms in parents of children with CP compared to a control group and to identify selected mental health predictors. Design and Methods: Data were collected from 301 respondents, including 190 parents of children with CP (study group) and 111 parents taking care of children developing normally (control group). Intensity of anxiety and depression was rated using the Hospital Anxiety and Depression Scale (HADS) scale. Gross Motor Function Classification System for Cerebral Palsy (GMFCS), Sense of Coherence Scale (SOC-29), Berlin Support Social Scales (BSSS) scales and a specially designed questionnaire were used to assess the predictors. The investigated variables included the children’s and the parents’ characteristics, as well as environmental factors. The analyses applied Spearman’s rank correlation coefficient, M(SD) as well as multiple regression. Results: The level of anxiety and depression was clearly higher in the parents of children with CP–the mean levels of anxiety and depression in the study group and the controls amounted to 8.1 vs. 4.7 and 6.8 vs. 3.7, respectively. The factors associated with intensity of anxiety and depression in the parents of children with CP included lack of social support, mainly perceived and received support, unsatisfying parental health status, poor economic status of the family, as well as difficult living conditions, sense of coherence, loneliness, the parent’s gender, and the child’s intellectual disability. Conclusions: Identification of significant anxiety and depression predictors, understood as modifiable factors, should be considered in determining and planning comprehensive support for a child with CP and his/her primary parental caregiver