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Health behaviors and knowledge of birth control methods among students

100%
Kulesza-Bronczyk B., Dobrzycka B., Sobieranska J., Korzeniecka-Kozerska A., Terlikowski S.
Progress in Health Sciences
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2014
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vol. 4
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issue 1
136-143
XX
Introduction: Thanks to preventive medicine and shaping health behaviors such as habits, customs and attitudes towards health, it is possible to control everyday life civilization threats and new outbreaks of diseases. Purpose: To assess health behaviors and level of knowledge of birth control methods among university students in Bialystok. Materials and methods: A total of 222 students of the Bialystok Polytechnic University and Medical University of Bialystok were recruited. The study used a health behavior catalogue by Juczynski and our own questionnaire. Results: The study showed a high percentage of students with poor knowledge of health behaviors. Students of both universities positively assessed their eating habits, mental attitudes, and preventive behaviors. Students of the Bialystok Polytechnic University showed significantly higher scores concerning proper health behaviors. The most common method of contraception were: condoms and contraceptive pills. Students of Medical University were characterized by significantly higher level of knowledge of birth control methods. The vast majority of respondents derived their knowledge of birth control methods from the internet. Conclusions: The results indicate that it is advisable to introduce preventive actions to the study curriculum in order to facilitate formation of proper habits and health behaviors. The level of knowledge among students of the methods of natural birth control is insufficient. It is important to search for various forms and methods to provide young people with objective information according to the latest research.
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Quality of life during the first year after breast cancer resection

86%
Kulesza-Bronczyk B., Dobrzycka B., Piekut K., Terlikowski R., Mackowiak-Matejczyk B., Wojno A., Terlikowski S.
Progress in Health Sciences
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2014
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vol. 4
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issue 1
124-129
XX
Introduction: Quality of life can be determined by a number of factors, including subjective perception of various spheres of health and health-unrelated factors. Purpose: To compare the quality of life of women who had breast cancer one month and one year after mastectomy, and to verify the usefulness of health-related quality of life (HRQoL) scales in early identification of patients having problems in various functional spheres. Materials and methods: The study included the group of 110 mastectomized women. Quality of life of the participants was estimated with EORTC QLQ-C30 and EORTC QLQ-BR23 questionnaires. Results: Global health status (QoL) determined with the aid of the EORTC QLQ-C30 questionnaire turned out to be significantly higher in women surveyed one year after mastectomy than in those examined one month after the surgery (74.23 vs. 58.33, p<0.001). Moreover, the two groups of patients differed significantly in terms of physical, cognitive, social and role functioning scores. Most of the symptoms assessed were resolved within a year after the breast cancer surgery. No significant intergroup differences were revealed with regard to emotional and socioeconomic functioning or future perspective scores. Conclusions: Quality of life of most mastectomized women improves considerably within one year after the surgery. The use of quality of life instruments can be useful in early postoperative identification of patients who score low on functional and symptom scales. Such patients require support and/or psycho-oncological treatment during the early postoperative period. Quality of life of breast cancer patients during the early postoperative period can be a predictor of this parameter in a longer-term perspective.
3
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Quality of life and the level of knowledge and utilization of lymphedema prevention principles among mastectomized patients

86%
Kulesza-Bronczyk B., Dobrzycka B., Chrzanowska M., Terlikowski R., Maćkowiak-Matejczyk B., Stadnicka G., Terlikowski S.
Progress in Health Sciences
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2014
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vol. 4
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issue 1
110-117
XX
Introduction: Breast cancer is the most prevalent female malignancy in Poland. Oncological treatment and its adverse effects diminish quality of life of breast cancer patients, which is determined by a number of somatic, psychological and social factors. Purpose: To assess the quality of life and the level of knowledge and utilization of lymphedema prevention principles among women after surgical treatment of breast cancer. Materials and methods: The study included 145 breast cancer patients after radical mastectomy. The respondents were examined with the validated EORTC QLQ-BR23 questionnaire and a custom-designed survey. Results: Examination with the QLQ-BR23 questionnaire revealed that mastectomized women scored low on the body image scale. The most frequently reported ailments were arm and breast symptoms. While the respondents showed high level of knowledge with regards to lymphedema prevention, they poorly adhered to the prophylactic guidelines. The participants were well aware of the risk factors of lymphedema, and most of them declared avoidance of their harmful effects. Conclusions: Quality of life assessment should constitute an integral component of rehabilitation in every breast cancer patient, as mastectomy exerts significant effect on the outcome of perioperative period. Apart from specialist physiotherapy, also education of patients with regards to principles of lymphedema prevention and autotherapy constitutes an important component of complex management of lymphatic insufficiency.
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