Pharmaceutical Care in NICUs in Australia and Poland: Attitudes and Perspectives of Doctors and Nurses

© 2019 Lippincott Williams and Wilkins. All rights reserved. A multidisciplinary and collaborative team network is essential in ensuring positive health outcomes for critically ill neonatal patients. The objective of this study was to investigate the perceptions of neonatal intensive care unit (NICU) doctors and nurses in Australia and Poland toward pharmaceutical care services in the NICU. A cross-sectional, anonymous, electronic-based survey was distributed between January and April 2017 among a sample of NICU doctors, nurses, and midwives. A total of 77 participants from Australia and 93 from Poland completed the survey. Overall, from the perspectives of medical and nursing staff, it is apparent that clinical pharmacy practice on the NICU is more established in Australia than in Poland. Only 8.6% of Polish participants reported that a pharmacist worked directly on the NICU in comparison with 87% of Australian participants (P <.001). The main roles performed by pharmacists in Polish NICUs related to the provision of medicines, whereas Australian pharmacists were highly involved in all aspects of pharmacotherapy, particularly in the clinical and education domains. Future efforts should focus on how practice is structured in each country and what support can be implemented from educational, cultural, and legislative levels to enable better pharmacist integration into the NICU therapeutic team

Aktywność fizyczna dziewcząt w okresie dojrzewania = Physical activity in girls at puberty

Pilewska–Kozak Anna B., Łepecka–Klusek Celina, Stadnicka Grażyna, Dobrowolska Beata, Pawłowska–Muc Agnieszka K., Kozak Łukasz A., Ulan Agnieszka, Wagner Emilia. Aktywność fizyczna dziewcząt w okresie dojrzewania = Physical activity in girls at puberty. Journal of Education, Health and Sport. 2015;5(9):305-316. ISSN 2391-8306. DOI10.5281/zenodo.30805http://dx.doi.org/10.5281/zenodo.30805http://ojs.ukw.edu.pl/index.php/johs/article/view/2015%3B5%289%29%3A305-316https://pbn.nauka.gov.pl/works/623257Formerly 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: 25.08.2015. Revised 05.09.2015. Accepted: 08.09.2015. Aktywność fizyczna dziewcząt w okresie dojrzewaniaPhysical activity in girls at puberty Anna B. Pilewska–Kozak1, Celina Łepecka–Klusek1, Grażyna Stadnicka2, Beata Dobrowolska3, Agnieszka K. Pawłowska–Muc4, Łukasz A. Kozak5, Agnieszka Ulan6, Emilia Wagner6 1Katedra i Klinika Ginekologii i Endokrynologii Ginekologicznej Wydział Nauk o Zdrowiu, Uniwersytet Medyczny w Lublinie2Samodzielna Pracownia Umiejętności Położniczych Wydział Nauk o Zdrowiu, Uniwersytet Medyczny w Lublinie3Katedra Rozwoju Pielęgniarstwa Wydział Nauk o Zdrowiu, Uniwersytet Medyczny w Lublinie4Ośrodek Kształcenia Podyplomowego Pielęgniarek i Położnych Radomski Szpital Specjalistyczny im. dr Tytusa Chałubińskiego w Radomiu5Oddział Chirurgii Urazowo – Ortopedycznej z Chirurgią Kręgosłupa, Samodzielny Publiczny Zakład Opieki Zdrowotnej w Puławach6Studentka III roku kierunku położnictwo, Studenckie Koło Naukowe przy Katedrze i Klinice Ginekologii i Endokrynologii Ginekologicznej, Wydział Nauk o Zdrowiu Uniwersytet Medyczny w Lublinie Streszczenie Wstęp         Sprawność fizyczna ukształtowana w wieku młodzieńczym ma swoje odzwierciedlenie w życiu dorosłym. Wpływa na ogólny dobrostan, na elastyczne przystosowywanie się do ról w życiu zawodowym, na równowagę emocjonalną i większą odporność na stres. Warunkuje odpowiedzialność, wytrwałość w dążeniu do wyznaczonych celów oraz zdyscyplinowanie, a także pozwala na podtrzymanie dobrej kondycji w wieku dojrzałym i w okresie starości.Cel pracy         Sprawdzenie, czy dziewczęta w okresie dojrzewania ćwiczą na lekcjach wychowania fizycznego i są aktywne ruchowo poza szkołą oraz czy ma to związek z miejscem ich zamieszkania.Materiał i metoda         Badaniami ankietowymi objęto 169 uczennic gimnazjów (80 mieszkających w mieście i 89 na wsi) w województwie lubelskim. Wiek dziewcząt wahał się w granicach od 11 lat do 17 lat (Mediana = 15 lat). Kryterium włączenia było wystąpienie menarche. Na prowadzenie badań uzyskano zgody Komisji Bioetycznej Uniwersytetu Medycznego w Lublinie nr KE-0254/224/2013 z dnia 26 września 2013r. oraz nr KE-0254/246/2013 z dnia 24 października 2013r.Wyniki badań         Większość uczennic, zarówno ze wsi, jak i z miasta (odpowiednio 66; 74.1% i 59; 73.8%), oświadczyła, że prowadzi aktywny tryb życia. Innych - analogicznie 10 (11.2%) i 8 (10.0%) było przeciwnego zdania, a co piąta (19; 21.3%) dziewczynka z terenów wiejskich i 13 (16,3%) z miejskich nie potrafiła tego ocenić. Regularne uczęszczanie na lekcje wychowania fizycznego potwierdziły 94 (55,6%) badane. Pozostałe oświadczyły, iż czynią to nieregularnie (68; 40.2%) lub mają zwolnienie lekarskie z tych zajęć (7; 4.1%).  Stwierdzono istotną statystycznie zależność między uczęszczaniem na lekcje wychowania fizycznego a miejscem zamieszkania uczennic (p&lt;0,05), na korzyść mieszkanek miast, które częściej czyniły to regularnie. Ponadto stwierdzono istotne statystycznie zależności pomiędzy preferowanymi formami wypoczynku w okresie szkolnym i wakacyjnym (p&lt;0,001). Różnice zarysowały się także, gdy wzięto pod uwagę miejsce zamieszkania badanych – w okresie zajęć szkolnych formy czynne istotnie częściej, niż bierne preferowały mieszkanki miast niż wsi (p=0.005), a w okresie wakacji odwrotnie (p&lt;0.001).WnioskiWiele dziewcząt w okresie dojrzewania nie ćwiczy regularnie na lekcjach wychowania fizycznego, przy czym częściej mieszkanki wsi niż miast.Aktywne formy wypoczynku w okresie szkolnym preferują częściej mieszkanki miast niż wsi, a w okresie wakacji odwrotnie. Słowa kluczowe: aktywność fizyczna, dojrzewanie, dziewczęta. Summary Introduction         Fitness formed in adolescence is reflected in adulthood. It affects general wellbeing, flexibility to adapt to future roles in professional life, emotional balance and greater resistance to stress. It determines responsibility, persistent pursuit of targets and discipline, and also allows to maintain good health through adulthood and old age.Objective         To verify that girls at puberty do physical exercises at physical education (PE) classes and are physically active outside school, and to establish whether it is related to their place of residence.Material and Methods         The survey was conducted in 169 junior high school students, 80 living in the urban area and89 inthe rural region, aged 11 -17 years (median = 15 years) in The Lublin Province. The inclusion criterion was the occurrence of menarche. The  research was approved by the Bioethics Committee of the Medical University of Lublin No. KE-0254/224/2013 of 26 September 2013 and No. KE-0254/246/2013 of 24 October 2013.Results         Most of the students, both from the country as well as from the city (respectively 66, 74.1% and 59; 73.8%) admitted to leading an active lifestyle. The others, respectively 10 (11.2%) and 8 (10.0%) respondents were of the opposite opinion;  in the group of country girls, one girl in five (19; 21.3%), and 13 girls from the town group (16.3%) were unable to evaluate that. Regular attendance at PE classes was confirmed by 94 (55.6%) respondents. Others stated that they did not do it regularly (68; 40.2%) or were exempted from PE classes due to medical reasons (7; 4.1%). A statistically significant correlation between attending PE and place of residence of students was found (p &lt;0.05) in favor of the inhabitants of the cities who more often did exercise regularly. In addition, statistically significant relationship was determined between preferred forms of rest during the school year and in the summer (p &lt;0.001). Differences also emerged when the place of respondents’ residence was taken into account, i.e. in the period of school, the girls from towns preferred active forms to passive significantly more frequently in comparison to the girls from rural areas (p = 0.005); the situation reversed during the holiday period (p &lt;0.001).ConclusionsMany girls at puberty do not exercise regularly at physical education classes, it is more frequent among the girls from rural regions compared to the girls living in town.During the period of school year, the girls living in urban areas more often prefer active forms of recreation compared to the girls from rural regions and the situation is reversed  during the holiday period. Key words: physical activity, girls, puberty

Evaluation of the Safety of Neauvia Stimulate Injectable Product in Patients with Autoimmune Thyroid Diseases Based on Histopathological Examinations and Retrospective Analysis of Medical Records

The aim of this study was to test the effect of hyaluronic acid cross-linked with polyethylene glycol containing micronized portions of calcium hydroxyapatite (Neauvia Stimulate) on both local tissue and systemic consequences, which are crucial from the perspective of long-term safety, in patients suffering from Hashimoto's disease. This most common autoimmune disease is a frequently mentioned contraindication to the use of fillers based on hyaluronic acid as well as biostimulants based on calcium hydroxyapatite. Broad-spectrum aspects of histopathology were analyzed to identify key features of inflammatory infiltration before the procedure and 5, 21, and 150 days after the procedure. A statistically significant effect on the reduction of the intensity of the inflammatory infiltration in the tissue in relation to the state before the procedure was demonstrated, combined with a reduction in the occurrence of both antigen-recognizing (CD4) and cytotoxic (CD8) T lymphocytes. With complete statistical certainty, it was demonstrated that the treatment with Neauvia Stimulate had no effect on the levels of these antibodies. All this corresponds with the risk analysis that showed no alarming symptoms during the time of observation. The choice of hyaluronic acid fillers cross-linked with polyethylene glycol should be considered justified and safe in the case of patients suffering from Hashimoto's disease

Zespół napięcia przedmiesiączkowego – mit czy rzeczywistość = Premenstrual syndrome – myth or reality

Pałucka Klaudia, Łepecka-Klusek Celina, Pilewska-Kozak Anna B., Pawłowska-Muc Agnieszka K., Stadnicka Grażyna. Zespół napięcia przedmiesiączkowego – mit czy rzeczywistość = Premenstrual syndrome – myth or reality. Journal of Education, Health and Sport. 2016;6(6):478-490. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.56315 http://ojs.ukw.edu.pl/index.php/johs/article/view/3636 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, Poland Open 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: 05.05.2016. Revised 25.05.2016. Accepted: 16.06.2016. Zespół napięcia przedmiesiączkowego – mit czy rzeczywistość Premenstrual syndrome – myth or reality Klaudia Pałucka ¹, Celina Łepecka-Klusek ², Anna B. Pilewska-Kozak ², Agnieszka K. Pawłowska-Muc ³, Grażyna Stadnicka 4 ¹ doktorantka w Katedrze i Klinice Ginekologii i Endokrynologii Ginekologicznej Wydział Nauk o Zdrowiu UM w Lublinie ² Katedra i Klinika Ginekologii i Endokrynologii Ginekologicznej Wydział Nauk o Zdrowiu UM w Lublinie ³ Powiatowe Centrum Medyczne w Grójcu Sp. z o. o 4 Zakład Podstaw Położnictwa Wydział Nauk o Zdrowiu UM w Lublinie mgr Klaudia Pałucka ¹, dr hab. n. med. Celina Łepecka-Klusek ², dr n. med. Anna B. Pilewska- Kozak ², mgr Agnieszka K. Pawłowska-Muc ³, dr n. med. Grażyna Stadnicka 4 Adres do korespondencji: Klaudia Pałucka Katedra i Klinika Ginekologii i Endokrynologii Ginekologicznej UM w Lublinie Al. Racławickie 23 20-049 Lublin, Poland tel./fax. 81-7183286 [email protected] Kierownik kliniki: prof. dr hab. n. med. L. Putowski Streszczenie Wprowadzenie. W drugiej fazie cyklu miesiączkowego u większości kobiet pojawiają się dość specyficzne objawy natury somatycznej i psychicznej, które uznawane są za fizjologię. U 20-40% z nich mogą jednak świadczyć o patologii. Cel pracy. Celem pracy było wyjaśnienie, czym jest zespół napięcia przedmiesiączkowego, jak go rozpoznać oraz na czym polega pomoc chorej kobiecie. Materiał i metoda. Przy użyciu haseł przedmiotowych przeszukano uniwersytecką bazę danych, PubMed i MEDLINE. Przeszukanie elektroniczne ograniczono do prac w języku polskim i angielskim, opublikowanych w latach 2005-2015. Wyłoniono ogółem 55 pozycji (głównie lekarskich), z czego wykorzystano 34 oraz jedną ze strony internetowej Amerykańskiego Towarzystwa Położników i Ginekologów. Opis zebranego materiału. Z przeglądu piśmiennictwa wynika, że zespół napięcia przedmiesiączkowego to nie mit, lecz realny problem osobisty i medyczny. Zaburza funkcjonowanie kobiet w życiu społecznym i zawodowym. Rozpoznanie wymaga minimum dwumiesięcznej obserwacji objawów oraz wykluczenia innych chorób. Modyfikacja stylu życia i ewentualne leczenie farmakologiczne poprawiają samopoczucie i jakość życia kobiet. Przegląd piśmiennictwa ukazał dużą rozbieżność stanowisk autorów w omawianych kwestiach oraz zasugerował kierunki dalszych dociekań. Słowa kluczowe: cykl miesiączkowy, zespół napięcia przedmiesiączkowego, dysforyczne zaburzenia przedmiesiączkowe. Summary Introduction. Specific symptoms of somatic and psychological nature appear in the second phase of the menstrual cycle of many women. These symptoms are considered to be physiological, however, 20-40 % of them may indicate pathology. Aim of the study. The aim of this study was to explain what the premenstrual syndrome is, how to recognize it and treat a sick woman. Material and methods. The university database, Pubmed and MEDLINE was searched, using subject headings. The electronic search was limited to the Polish and English papers, published in the period 2005-2015. A total of 55 items (mostly medical) was selected and 34 of them were used. One of the sources was the website of American College of Obstetricians and Gynecologist. Description of the collected material. A review of the literature shows that the premenstrual syndrome is not a myth, but a real personal and medical problem. It impairs the functioning of women in the social and professional lives. The diagnosis requires a minimum of two-month observation of symptoms and the exclusion of other diseases. The lifestyle modification and possible pharmacological treatment improve the well-being and quality of women’s lives. The reviewed literature revealed a large discrepancy in the views of the authors on these issues and suggested directions for the future research. Key words: menstrual cycle, premenstrual syndrome, premenstrual dysphoric disorder

Public perception and awareness of waste management from Benin City

Poor waste management is increasingly becoming a major challenge for municipalities, globally. Unlike previous waste management studies in Nigeria, this study examines the implications of waste management to regional greenhouse gas emissions based on awareness levels and perception of urban inhabitants. Benin City was divided into four residential zones: core, intermediate, suburban, and planned estates. Blocking was utilized to collect data from a total of 2720 randomly selected inhabitants through a self-administered survey. Results reveals low awareness level in terms of indiscrimination dumping of waste, thereby promoting sustainable mitigation and adaptation measures region-wide. It is imperative to integrate various aspects of regional government services such as infrastructure, urban planning and development, socioeconomics, public health, and regulation enforcement. Waste management policy is strengthened via working groups, community, and regional authorities

Phase-space dependence of particle-ratio fluctuations in Pb+Pb collisions from 20A to 158A GeV beam energy

A novel approach, the identity method, was used for particle identification and the study of fluctuations of particle yield ratios in Pb+Pb collisions at the CERN Super Proton Synchrotron (SPS). This procedure allows to unfold the moments of the unknown multiplicity distributions of protons (p), kaons (K), pions ($\pi$) and electrons (e). Using these moments the excitation function of the fluctuation measure $\nu_{\text{\text{dyn}}}$[A,B] was measured, with A and B denoting different particle types. The obtained energy dependence of $\nu_{\text{dyn}}$ agrees with previously published NA49 results on the related measure $\sigma_{\text{dyn}}$. Moreover, $\nu_{\text{dyn}}$ was found to depend on the phase space coverage for [K,p] and [K,$\pi$] pairs. This feature most likely explains the reported differences between measurements of NA49 and those of STAR in central Au+Au collisions

Production of deuterium, tritium, and 3^3He in central Pb+Pb collisions at 20A, 30A, 40A, 80A, and 158A GeV at the CERN SPS

Production of $d$, $t$, and $^3$He nuclei in central Pb+Pb interactions was studied at five collision energies ($\sqrt{s_{NN}}=$ 6.3, 7.6, 8.8, 12.3, and 17.3 GeV) with the NA49 detector at the CERN SPS. Transverse momentum spectra, rapidity distributions, and particle ratios were measured. Yields are compared to predictions of statistical models. Phase-space distributions of light nuclei are discussed and compared to those of protons in the context of a coalescence approach. The coalescence parameters $B_2$ and $B_3$, as well as coalescence radii for $d$ and $^3$He were determined as a function of transverse mass at all energies.Comment: 22 pages, 29 figures, 8 tables, for submission to Phys. Rev.

Measurements of π±\pi^\pm, K±^\pm, p and pˉ\bar{\textrm{p}} spectra in proton-proton interactions at 20, 31, 40, 80 and 158 GeV/c with the NA61/SHINE spectrometer at the CERN SPS

Measurements of inclusive spectra and mean multiplicities of $\pi^\pm$, K$^\pm$, p and $\bar{\textrm{p}}$ produced in inelastic p+p interactions at incident projectile momenta of 20, 31, 40, 80 and 158 GeV/c ($\sqrt{s} =$ 6.3, 7.7, 8.8, 12.3 and 17.3 GeV, respectively) were performed at the CERN Super Proton Synchrotron using the large acceptance NA61/SHINE hadron spectrometer. Spectra are presented as function of rapidity and transverse momentum and are compared to predictions of current models. The measurements serve as the baseline in the NA61/SHINE study of the properties of the onset of deconfinement and search for the critical point of strongly interacting matter

Measurements of π±\pi^\pm, K±K^\pm, KS0K^0_S, Λ\Lambda and proton production in proton-carbon interactions at 31 GeV/cc with the NA61/SHINE spectrometer at the CERN SPS

Measurements of hadron production in p+C interactions at 31 GeV/c are performed using the NA61/ SHINE spectrometer at the CERN SPS. The analysis is based on the full set of data collected in 2009 using a graphite target with a thickness of 4% of a nuclear interaction length. Inelastic and production cross sections as well as spectra of $\pi^\pm$, $K^\pm$, p, $K^0_S$ and $\Lambda$ are measured with high precision. These measurements are essential for improved calculations of the initial neutrino fluxes in the T2K long-baseline neutrino oscillation experiment in Japan. A comparison of the NA61/SHINE measurements with predictions of several hadroproduction models is presented.Comment: v1 corresponds to the preprint CERN-PH-EP-2015-278; v2 matches the final published versio

Pion emission from the T2K replica target: method, results and application

The T2K long-baseline neutrino oscillation experiment in Japan needs precise predictions of the initial neutrino flux. The highest precision can be reached based on detailed measurements of hadron emission from the same target as used by T2K exposed to a proton beam of the same kinetic energy of 30 GeV. The corresponding data were recorded in 2007-2010 by the NA61/SHINE experiment at the CERN SPS using a replica of the T2K graphite target. In this paper details of the experiment, data taking, data analysis method and results from the 2007 pilot run are presented. Furthermore, the application of the NA61/SHINE measurements to the predictions of the T2K initial neutrino flux is described and discussed.Comment: updated version as published by NIM