Samotność, lęk i depresja wśród pacjentów z padaczką

Introduction. Epilepsy is one of the most common neurological disorders. The unpredictability of epileptic seizures can lead to feelings of loneliness, social isolation and stigmatisation. Due to the nature of this syndrome, patients may also show symptoms of depression. Aim. The aim of the study was to determine the prevalence of anxiety, depression and loneliness, and the relationship between loneliness and depression among adult patients with epilepsy. Material and Methods. This was a cross-sectional, observational study. A total of 206 patients with epilepsy participated in the study. The study was conducted using a website dedicated for persons with epilepsy. Data was collected from November 2021 to March 2022. Two research tools were used in the study: DeJong Gierveld Loneliness Scale (DJGLS) and the Hospital Anxiety and Depression Scale (HADS-M) and an author-developed demographic questionnaire to characterise the study group. Results. The prevalence of depressive symptoms and borderline abnormalities was 51.5%, 22.8%, respectively. In the depression subscale, 48.1% of the respondents had depressive symptoms and 22.1% had borderline abnormalities. The anxiety and irritability subscales showed disorders in 34.5% and 69.4% of the respondents, respectively. A very high and high level of loneliness was found in 17% and 26% of respondents, respectively. A moderate level of loneliness was reported by 40% of respondents. In terms of emotional loneliness, severe and moderate loneliness affected 52% and 21% of respondents, while severe and moderate social loneliness was reported by 41% and 28% of respondents. Conclusions. The study showed relatively high levels of loneliness and depressive symptoms. A significant correlation was found between the level of loneliness and the intensity of depressive symptoms. (JNNN 2023;12(1):34–43)Wstęp. Padaczka jest jednym z najczęstszych schorzeń neurologicznych. Nieprzewidywalność napadów epilepsji może doprowadzić do poczucia samotności, izolacji społecznej oraz stygmatyzacji. Ze względu na charakter tego zespołu chorobowego pacjenci mogą manifestować objawy depresji. Cel. Celem badania było określenie częstości występowania lęku, objawów depresji i poczucia samotności oraz zależności pomiędzy samotnością a depresją wśród dorosłych pacjentów z padaczką. Materiał i metody. Było to przekrojowe badanie obserwacyjne. W badaniu wzięło udział 206 osób cierpiących z powodu padaczki. Badanie było zrealizowane przy użyciu strony internetowej, w grupie zrzeszającej pacjentów z padaczką. Dane zbierano od listopada 2021 r. do marca 2022 r. Do przeprowadzenia badania wykorzystano dwa standaryzowane narzędzia badawcze: skalę pomiaru poczucia samotności autorstwa de Jong Gierveld (DJGLS) oraz Szpitalną Skala Lęku i Depresji (HADS-M) — Hospital Anxiety and Depression Scale i metryczkę własnego autorstwa charakteryzującą badaną grupę. Wyniki. Częstość występowania objawów depresji wśród badanych wynosiła 51,5%, u 22,8% stwierdzono stany graniczne. W podskali depresji u 48,1% badanych występowały objawy depresji, u 22,1% stany graniczne. W podskali lęku występowanie zaburzeń zanotowano u 34,5% badanych, natomiast w podskali rozdrażnienia u 69,4% osób. Bardzo poważny i poważny poziom samotności odczuwało (17%, 26%) badanych. U 40% zaobserwowano umiarkowany poziom samotności. W zakresie samotności emocjonalnej z powodu poważnej i umiarkowanej samotności cierpiało (52%, 21%) badanych, natomiast z powodu poważnej i umiarkowanej samotności społecznej (41%, 28%) osób. Wnioski. W badaniu uzyskano dość wysokie wyniki w zakresie poziomu samotności i częstości występowania objawów depresji. Stwierdzono istotną zależność pomiędzy poziomem samotności a natężeniem objawów depresji. (PNN 2023;12(1):34–43

Barriers to cervical cancer screening exist despite integrating HIV and gynaecological services for HIV-positive women in Poland

Objectives: HIV-positive women are at increased risk of HPV infection and cervical cancer. European and national guidelines advise yearly screening for cervical cancer, however due to the lack of a central registration of HIV infected persons there is a gap in offering such care through general healthcare services in many countries, including Poland. Material and methods: In response to the above limitations, integrated gynaecological care (IGC) was established at the HIV Out-Patient Clinic in Warsaw. We analysed data from January 2007 to May 2014. Logistic regression models were used to identify factors associated with not using IGC by patients. Results: Two hundred and forty women were registered in the observation period:59.6% infected through sexual contact, 18.7% through IDUs, 19.2 % through unknown causes and 2.5% by other (two were vertically infected). The median follow-up time was 2.35 (IQR 0.9–4.5) years and 78.3% were on combination antiretroviral therapy (cART). In total 145 of the women (60.4%) used IGC, from 72.1% of those registered in 2007 to 27.3% registered in 2014. There were in total 1075 gynaeco­logical visits and 254 cervical cytology tests performed. Seventy-five (51.7%) women were tested for HPV infection. Fac­tors decreasing the odds of not using IGC identified by multivariate regression models were being on cART (OR 0.25 [IQR: 0.10–0.59]; p = 0.003) and longer time of observation (0.69 [0.58–0.83]; p = 0.0001). Conclusions: The utilisation of IGC was very high, but with a delay in commencing the IGC. Women on cART and with longer periods of follow-up had lower odds of not using IGC. A screening approach for women not yet on cART, or newly registered in the clinics, needs special attention

Goosefoot pollen in the air of selected Polish cities in 2011

W pracy przedstawiono przebieg sezonu pylenia komosy w 2011 roku. Badania prowadzono w Sosnowcu, Szczecinie, Wrocławiu, Krakowie, Warszawie, Lublinie, Bydgoszczy, Piotrkowie Trybunalskim, Drawsku Pomorskim i Łodzi z zastosowaniem metody wolumetrycznej przy użyciu aparatów typu Burkard i Lanzoni. Sezon pyłkowy wyznaczono metodą 98% rocznej sumy ziarn pyłku. Najwcześniej pyłek komosy zarejestrowano w Szczecinie (31 maja), najpóźniej w Lublinie (13 czerwca). Najwyższe stężenie pyłku komosy, wynoszące 63 z/m3, zanotowano w Szczecinie 3 lipca.This paper presents the course of goosefoot pollen season in selected cities of Poland in 2011. The measurements were performed in Sosnowiec, Szczecin, Kraków, Wrocław, Warszawa, Lublin, Bydgoszcz, Piotrków Trybunalski, Drawsko Pomorskie and Łódź, use of volumetric method with Burkard and Lanzoni Spore Trap. The duration of the pollen seasons was defined as the period in which 98% of the annual total catch occurred. The pollen seasons of goosefoot started first in Szczecin (31th May), the latest in goosefoot 63 pollen grains/m3, was recorded in Szczecin on the 3th of July

Ash pollen count in the air of selected Polish cities in 2014

Celem pracy było porównanie sezonu pyłkowego jesionu w 2014 r. w Szczecinie, Drawsku Pomorskim, Zielonej Górze, Bydgoszczy, Sosnowcu, Krakowie, Łodzi, Piotrkowie Trybunalskim, Olsztynie, Warszawie i Lublinie. Badania koncentracji pyłku w powietrzu prowadzono metodą objętościową z zastosowaniem aparatu Burkard lub Lanzoni. Długość sezonu pyłkowego wyznaczono metodą 95%. W badanych punktach pomiarowych początek sezonu pyłkowego jesionu zarejestrowano w pierwszej dekadzie kwietnia. Długość sezonów pyłkowych wynosiła 21–26 dni. Najwyższe dobowe stężenie pyłku obserwowano w Lublinie (415 z/m3), a najmniejsze w Krakowie (42 z/m3). Ryzyko wystąpienia alergii z powodu utrzymywania się w powietrzu wysokich stężeń pyłku jesionu było największe w Warszawie (17 dni) i Lublinie (14 dni). Najwyższą sumę roczną ziaren pyłku jesionu zanotowano w Lublinie (2413) i była ona ponad 10 razy wyższa niż w Krakowie (230).The aim of the study was to compare the pollen season of ash in Szczecin, Drawsko Pomorskie, Zielona Gora, Bydgoszcz, Sosnowiec, Cracow, Lodz, Piotrkow Trybunalski, Olsztyn, Warsaw and Lublin. Measurements of pollen concentration were performed by the use of volumetric method (Burkard or Lanzoni pollen sampler). The length of season was defined with the 95% method. The pollen season of ash started in all measurement sites in the first week of April. The length of pollen season amounted of 21–25 days. The highest concentration of 415 pollen grains x m3 was noted in Lublin, and the lowest of 42 pollen grains x m3 in Cracow. The risk of pollen allergy because of the presence in the air the high concentrations of ash pollen grains was the biggest in Warsaw (17 days) and in Lublin (14 days). The highest annual sum of ash pollen grains was recorded in Lublin (2413) and it was over 10 times higher than in Cracow (230)

Ból i cierpienie

Praca recenzowana / peer-reviewed pape

Transmigration of the left mandibular canine observed during 2 years in cone-beam computed tomography examination

Transmigration is considerably a rare preeruptive dislocation of an affected tooth across the midline. Cone-beam computed tomography (CBCT) is a relatively new technology in dentomaxillofacial radiology. The aim of the study is to present a case report of progressing transmigration in an 11-year-old girl examined by means of CBCT. A 9-year-old girl was referred for CBCT twice before and during orthodontic treatment. In the baseline examination, the impacted lower left canine was impacted and incorrectly positioned, but 9 months later, the canine had already crossed the midline. In conclusion, to the authors' best knowledge, this is the first case of observation of mandibular canine transmigration by means of CBCT that allows precise evaluation of the transmigrating tooth

Plastic plasma as a compressor of aluminum plasma at the PALS experiment

abstractEN: In our earlier papers, we demonstrated that plasma pressure decreases with the growing atomic number of the target material. That experimentally confirmed fact brought about a question whether it would be possible to collimate the Al plasma outflow by using plastic plasma as a compressor. To prove that idea we used in our next experiments a plastic target with an Al cylindrical insert of 400 µm in diameter. The measurements were carried out at the Prague Asterix Laser System iodine laser facility. The laser provided a 250 ps (full width at half maximum (FWHM)) pulse with energy of 130 J at the third harmonic frequency (λ3 = 0.438 µm). The focal spot diameters (ΦL) 800, 1000, and 1200 µm ensured predominance of the plastic plasma amount high enough for the effective Al plasma compression. To study the Al plasma stream propagation and its interaction with plastic plasma a three-frame interferometric system and an X-ray camera were used. The experiment provided a proof that creation of the collimated Al plasma jet by action of outer plastic plasma is feasible. In order to discuss of the experimental results a thorough theoretical analysis was carried out.score: 35collation: 1-