Humanitarian aid of the European Union and United Nations: actions, responsibilities, and finances

This work attempts to underline that motivating and managing change in the mentality of its environment, and being in tune with society's changing needs is the basis of successful strategic planning. Our aim is to highlight planning as a way of learning, that is, planning implies changing ways of thinking, not making plans. Strategic learning requires releasing the mind in order to slip flexibly into the continuous line and to achieve the creation of possible action courses from a fertile dialogue between thought and action. Using our insights from the two literatures, we propose a dynamic, integrative conceptual model of change based on organizational learning. This practice has been analysed in three Spanish cities where important events have taken place

Bariatric patient from the point of view of a nutritionist

Nowadays obesity is one of the biggest worldwide problem. The predominant factor that may result in obesity is an excesive amount of energy and low physical activity. At the present time there are two overwhelming methods to fight obesity- conservative treatment and bariatric surgery. The second one is regarded as the most effective way to reduce body weight of the people suffering from the morbid obesity. Surgical treatment can only be efficient when it is followed by introducing dietary indications, both before and after the surgery. The bariatric patients have to be monitored by medical staff including the dietician to help them change eating habits. The dietician’s support is also crucial to avoid nutrient deficiency and digestive system ailments

Effect of Television on Obesity and Excess of Weight and Consequences of Health

The epidemic nature of obesity in industrialized countries is a serious health and social concern. The number of obese people has significantly increased in the past 20 years. In Poland excess weight and obesity are a serious epidemiological concern. In terms of the number of overweight people, Poland is a leader in Europe. Therefore, indicating many serious health concerns that are the natural consequences of this phenomenon has become important from the point of view of public health. This work identifies numerous diseases which are a direct consequence of obesity due to bad eating habits and lack of physical exercise among Poles. It discusses the negative effect of television and food commercials contributing to an increase in obesity, not only among adults but also among children. This is an overview forming grounds for further studies into ways of preventing the development of diseases due to obesity, both in Poland and in the world

Analysis of Factors Influencing Patient Satisfaction with Hospital Treatment at the Surgical Department

The aim of the study was to determine factors responsible for patient satisfaction after treatment at the surgical department.Material and methods. The study was conducted in six health care units, which were divided into two groups: Group I: 3 hospitals with the number of beds exceeding 400, and Group II: 3 hospitals with the number of beds below 400. The study group comprised 180 patients, 30 from each of the hospitals. The authors' used the Servqual method and questionnaire with 30 questions relating to five areas characteristic of medical service. Apart from the above-mentioned we also took into consideration hospital personnel: their qualifications and salary, hospital equipment, patient hospitalization costs, and indicated by the patient - the reason for his/her satisfaction or dissatisfaction with hospitalization. Results were subject to statistical analysis.Results. The results indicated that the factors pertaining to costs, especially those related to living conditions and also those related to empathy, personnel competence, and their communication with the patient had very significant influence on patient satisfaction with his/her hospitalization. Fulfilling the patient's needs considering the functional quality increases the patient's comfort, and as a consequence translates into satisfaction with the hospitalization.Conclusions. Considering both groups of hospitals the surgical departments did not entirely fulfill the patient's expectations, and there is a need for improvement in this area. The main reason for the negative feelings of patients included worse than expected living conditions, sporadic contact with physicians and lack of information concerning the course of therapy

Rzadki przypadek rzekomego tętniaka tętnicy wątrobowej

Tętniaki tętnicy wątrobowej należą do rzadkich, ale potencjalnie zagrażających życiu patologii naczyniowych. Są one zwykle wykrywane przypadkowo podczas badań obrazowych w trakcie diagnostyki z innych powodów. W pracy przedstawiono bardzo rzadki przypadek tętniaka rzekomego gałęzi tętnicy wątrobowej z przetoką do lewej gałęzi żyły wrotn

Bispectral index and cerebral oximetry in low-flow and high-flow rate anaesthesia during laparoscopic cholecystectomy – a randomized controlled trial

Introduction: The need to reduce pollution emissions in the operating room and to reduce treatment costs motivatesmore frequent use of general anaesthesia with a small or minimal fresh gas flow rate. Nevertheless, the reduction ofthe delivery of fresh gases should not influence the quality and safety of the anaesthesia. Material and methods: A total of 105 elective laparoscopic cholecystectomy patients were included in the study. Therewere 72 female (68.6%) and 33 male (31.4%) patients. Patients were randomized by a ‘closed envelope’ method intotwo groups. Group I included patients with low-flow anaesthesia and group II included patients with high-flow anaesthesia.In all patients the cerebral oximetry was measured separately for each cerebral hemisphere; the bispectralindex (BIS), heart rate, blood pressure, end-tidal carbon dioxide concentration and haemoglobin oxygen saturationwere monitored. Results: Heart rate, blood pressure, end-tidal carbon dioxide concentration and saturation were similar in both groupsand the differences between them were statistically insignificant. The BIS values were similar in both groups and indicatedthat patients who underwent low-flow anaesthesia were not exposed to a higher risk of awakening during theprocedure than the high-flow anaesthesia patients. The changes in brain oximetry values were similar in both lowflowand high-flow anaesthesia. Conclusions: Use of both low-flow and high-flow rate general anaesthesia provided patients undergoing laparoscopiccholecystectomy proper oxygenation of the central nervous system, adequate sleep depth and haemodynamic stability

Rare case of hepatic artery pseudoaneurysm

Hepatic artery aneurysms are rare, but potentially life-threatening vascular pathologies. They are usually discovered incidentally during imaging diagnostics of different pathologies. The study presented a rare case of hepatic artery pseudoaneurym with a fistula to the left branch of the portal vein