Search results

1

Attitudes towards euthanasia among health workers, students and family members of patients in hospice in north-eastern Poland

100%

Mickiewicz I., Krajewska-Kułak E., Kułak W., Lewko J.

Progress in Health Sciences

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2012

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vol. 2

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issue 1

81-88

EN

Purpose: To assess attitudes towards euthanasia among medical staff (hospice workers and nurses not working in hospice), nursing students and family members of patients in hospice. Materials and methods: The study group included 565 persons: 175 nursing students, 183 professio-nally-active nurses not working in hospice, 103 hospice workers and 104 family members of patients in hospice. We used the original questionnaire survey. Results: Nearly half of the nurses, 49.6% of the students, 71.8% of the hospice workers and 45.2% of the family members were opposed to active euthanasia, whereas, 24.6% of the nurses, 32.4% of the students, 19% of the family members and 9% of the hospice workers supported euthanasia. Nurses supported the following forms of euthanasia: stopping resuscitation (47.5%), discontinuing life-support equipment (24%), and lethal injection (12%). In the student group, 43.6% supported stopping resuscitation, 34.4% supported the withdrawal of life-support equipment, and 12.6% supported lethal injection. Almost 46% of family members of patients in hospice accepted discontinuing life-support equipment and 21.2% supported stopping resuscitation. Nearly 37% of hospice workers accepted stopping resuscitation and 28.6% supported the withdrawal of life-support equipment. Most hospice workers were opposed to active euthanasia while most of the nursing students supported it. Conslusion: The legalization of euthanasia was favored by most of the students; however, in contrast, it was rarely favored by the hospice workers

2

Factors determining satisfaction of elderly people's caregivers with the home care they provide

88%

Sierakowska M., Doroszkiewicz H., Markowska A., Lewko J., Krajewska-Kułak E.

Progress in Health Sciences

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2014

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vol. 4

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issue 2

82-87

EN

Introduction: Family is the basic institution providing informal care to elderly and disabled individuals. Purpose: To present care situations encountered by persons providing home care to an elder, the caregivers’ needs for support and the factors determining their satisfaction with the care they provide. Materials and methods: The study was conducted at the Geriatric Ward of the Hospital of the Ministry of Interior in Bialystok among 105 home caregivers of the elderly. A diagnostics survey was based on an original survey questionnaire and the COPE Index. Functional capacity in the elderly (N=100) was determined based on the Barthel ADL (activities' in daily living) Index and the category of nursing care (category, I-III). The analysis covered also the pressure sore risk assessment (the Norton Scale). Results: The analysis based on the Barthel ADL Index showed that over 30.0% of the elderly individuals were given up to 40 points in the nursing assessment (seriously disabled). Almost all patients – 97.0% qualified to the 3rd category of nursing care. 64.0% of the elderly had an increased risk of pressure sore development (the Norton Scale). The problems connected with providing home care listed by caregivers included the lack of time, disability of the elder and locomotion difficulties. The analysis based on the Cope Index showed a positive relationship between the caregiver’s age (r=0.216), education (r=0.196), the distance from the elder’s home (r=0.216), the quality of received support (r=0.554), and the satisfaction in the care provided. Conclusions: Caregivers reported the need for different forms of support. Higher education, longer distance from home and the quality of received support were significantly associated with higher satisfaction with caregiving.

3

Students oppinions on DNA banking. Preliminarny report.

88%

Krajewska-Kułak E., Kułak W., Van Damme-Ostapowicz K., Rozwadowska E., Lewko J.

Progress in Health Sciences

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2011

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vol. 1

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issue 2

102-105

EN

Introduction: DNA banking is popular in many countries in the world but is little known in Poland. Purpose: Determine the knowledge and opinions of students of the Faculty of Health Sciences of the Medical University of Białystok about DNA banking. Material and methods: The study comprised 108 students who volunteered to participate. Data were collected on a questionnaire that was developed by researchers. Results: Most of the students (72%) had heard of DNA banking; 53.0% from TV, 32.4 % from the Internet, 14.3% from newspapers, and 11% at the University. Of the responding students, 53.4% answered that DNA banking is ethical and beneficial. Nearly 26% decided to bank their own DNA. According to 33.5% of the students, a DNA sample is venous blood. Only 27.2% of the respondents knew that DNA banking is conducted in Poland, but none of them could name the city where the bank operates. Nearly half of the students (53.5%) reported that DNA banking is a molecular backup. Almost all the respondents (92.8%) wanted to increase their knowledge about DNA banking. Conclusion: The students' knowledge about DNA banking is poor, however almost all the respondents wanted to increase their knowledge about DNA banking. The main source of students’ knowledge about DNA banking was TV and the Internet. Nearly one-fourth of the respondents wanted to bank their own DNA.

4

Relationship between sociodemographic factors and depression symptoms and level of diabetes acceptance

88%

Cyuńczyk A., Misiak B., Lewko K., Dziekońska M., Lewko J.

Progress in Health Sciences

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2019

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vol. 2

21-28

EN

Introduction: Diabetes is a disease whose course is strongly determined by self-monitoring and self-care. Ensuring metabolic control of diabetes is not only important for the current state of health, it also allows to maintain the body in the best condition despite the existing chronic disease. Purpose: To assess the relationship between sociodemographic factors and depression symptoms and the level of disease acceptance in diabetes. Materials and methods: The study used a diagnostic survey method with a questionnaire, the Beck Depression Inventory, and the Acceptance of Illness Scale. The study group consisted of 43 women (51%) and 41 men (49%). A total of 67% of respondents had diagnosed type 2 diabetes, 24% type 1 diabetes, and 6% LADA. Average disease duration was 15 years. Results: In the studied group, 15% of patients had diagnosed symptoms of depression; while according to the Beck Depression Inventory, depressive episodes occurred more often in mild (30%) and moderate (23%) severity. They were observed more often in people over 50 years old. Depression symptoms were significantly more common in the group of overweight and obese people (p=0.022, r(X,Y)=0.2490). Conclusions: The problem of depression increases with disease duration. People diagnosed with type 2 diabetes have lower levels of disease acceptance. Disease acceptance is a factor that eliminates the occurrence of depressive disorders of varying severity.

5

Operative treatment of pressure ulcers using pedicled flaps

88%

Bielecki M., Bielecki P., Żebrowski P., Misiak B., Lewko J.

Progress in Health Sciences

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2018

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vol. 8(2)

105-111

EN

Purpose: To present the results of surgical treatment concerning pressure ulcers. Materials and methods: All patients underwent surgical treatment at the Orthopedics and Traumatology Clinic from 1997 to 2016. One operator performed the procedures. A total of 28 pressure ulcers were operated (25 patients). The clinical material consisted of 15 pressure ulcers located in the lower back area, six pressure ulcers located in the ischial area, three pressure ulcers located in the trochanteric area and four pressure ulcers located in the heel area. Results: One conducted the result evaluation based on the criteria of complications proposed by Seiler. In case of all surgically treated patients, pressure ulcers appeared after 2-5 weeks after the surgery. One patient experienced hematoma below the slide piece. One could observe seroma in case of 5 patients. In this situation, it was required to apply a local postoperative puncture. Four patients experienced marginal skin necrosis (2 of them required resection of dead skin edges in operating block conditions which were later re-stitched using “side to side” technique). During the 3-year follow-up, there was no recurrence of operated pressure ulcers. Conclusions: Deep septic pressure ulcers, according to the division introduced by Seiler, connected with bone infection require the application of muscular-skin pieces. This procedure is aimed at improving local tissue blood supply. Proper preoperative preparation of the patient, careful planning of the surgery and suitable postoperative treatment of the patient are as significant as the surgery itself.

6

Aggression in children and adolescents in rural Poland - where to look for the cause?

76%

Malesińska M., Lewko J., Roszko-Kirpsza I., Marcinkiewicz S., Olejnik B., Maciorkowska E.

Progress in Health Sciences

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2015

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vol. 5

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issue 2

185-192

EN

The aim of this study was to analyze the causes of aggressive behaviors among children from rural areas, including the role of the environment. We used Pub Med and Google Scholar electronic databases for a literature review. Publications written in English and Polish were included in the analysis. The following keywords were used: aggression, children and adolescents, rural areas. Aggression is a type of negative behavior with the intent to harm or destroy. It usually arises as a direct or delayed effect of frustration or deprivation. The place of residence strongly affects the determinants of risky behaviors in children and adolescents. The most common risk factors for violence among rural children and adolescents include improper parental conduct, failures at school, health-threatening behaviors, violent scenes seen by young people in television programs and films. The changes currently transpiring in rural areas to the traditional family model and increased access to media determine the adoption of behaviors with elements of aggression; although it seems that in rural areas, these phenomena occur much more slowly than in cities. Thus far only a few studies indicated that aggression occurred more frequently among children and adolescents from rural areas. This phenomenon requires further research.

7

Health protection in tropics. A safe journey to Ghana

76%

Van Damme-Ostapowicz K., Krajewska-Kułak E., Olszański R., Nahorski W., Łukaszuk C., Lewko J., Sierakowska M.

Progress in Health Sciences

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2012

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vol. 2

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issue 1

147-152

EN

A significant increase in the number of Polish citizens travelling abroad, including tropical areas, has been noted in recent years. However, tourists are often not interested in prophylaxis before their journey, they are not vaccinated properly or ask for advice at the clinic of tropical medicine. Therefore, concerns about the health of travellers from temperate climatic zone heading for countries where the sanitary level is low, are justified. The study presents the principles of good preparation for a journey, considering a trip to Ghana, West-Africa.

8

The Health Related Quality of Life aspects in chronic rheumatic diseases

76%

Sierakowska M., Sierakowski S., Lewko J., Van Damme - Ostapowicz K., Łukaszuk C., Baranowska A., Krajewska-Kułak E.

Progress in Health Sciences

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2011

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vol. 1

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issue 1

73-80

EN

Purpose: The aim of the study is comparative analyze the Health Related Quality of Life (HRQOL); effect of social-demographic factors on quality of life also taking into account four domains and effect of the duration of disease on quality of life. Material and Methods: The evaluation of the quality of life in patients with rheumatoid arthritis (RA)(n=64), ankylosing spondylitis (AS) (n=60) and systemic sclerosis (SSc) (n=63) was conducted with the use of a standardized research tool - WHOQOL Bref. Results: The conducted general analysis of particular life quality domains showed that for RA patients the weakest domain was the one related the environment (11.3) and physical health (11.6), with the strongest social domain (14.7). The respondents with AS had the lowest score for physical health (12.2), also with the strongest social domain (14.2). The results obtained from SSc patients are slightly better than for RA and AS patients as regards physical health (12.6) and the environment (13.9). Conclusions: It seems that, taking into account the patient’s own opinion about the treatment and its consequences by means of QOL evaluation, makes the patient a partner in the process of treatment and nursing, which leads to a greater humanization of medicine.

9

The first School of Nursing at the Medical Academy in Bialystok – in memory of Franciszka Bakun

64%

Krajewska-Kułak E., Lewko J., Łukszauk C., Radziejewski P., Karczewski J., Maciorkowska E., Terlikowski S., Szczepański M., Ładny J.

Progress in Health Sciences

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2012

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vol. 2

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issue 2

190-194

EN

Nursing education began at the Medical University of Białystok in 1956, when the Medical Academy in Białystok began its Public School of Nursing. It was organized by the Health Division and Social Care of the Provincial Council in Białystok in agreement with the Academy’s authorities. The aim of the school was the education of a specialist staff of nurses and instructors for the new developing departments of the Medical School. The school conducted its activities until 1959. In 1999, it began a nursing education program at the Medical Academy in Białystok and the Department of Nursing was created at the Medical Faculty. At present, these educational programs are serving the licensing studies of nurses and midwives and the studies for the master’s degree in nursing.

10

Perceptions of nurses as health educators held by children and adolescents based on their artwork

64%

Krajewska-Kułak E., Van Damme-Ostapowicz K., Kułak W., Humienik-Dworakowska U., Lewko J., Łukaszuk C., Lankau A., Rozwadowska E., Cybulski M., Guzowski A.

Progress in Health Sciences

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2012

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vol. 2

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issue 1

122-128

EN

Purpose: To evaluate perceptions of nurses as health educators held by children and adolescents aged 4 to 17 years based on their artwork. Materials and methods: 514 children's drawings were analyzed. Titled "With a Nurse for Health," drawings were submitted from all over Poland, coming from hospital recreation centers, schools, art studios, sick children, children with special needs, and healthy children. Results: Children created images of nurses engaged in a detailed range of professional duties, including delivering care to children and attending to children’s personal hygiene. The drawings portrayed the nurses delivering first aid care for cases of injury, bleeding, and fractures, as well as applying or changing dressings. Nurses were depicted in hospital rooms, nurse’s offices, and emergency rooms. Conclusion: We believe that the analysis of children's artworks can help in the planning of health programs aimed at children

11

Evaluation of the students’ knowledge about sunbed and solar radiation

64%

Krajewska-Kułak E., Kułak W., Van Damme-Ostapowicz K., Łukaszuk C., Lewko J., Lankau A., Kowalewska B., Kowalczuk K., Rozwadowska E.

Progress in Health Sciences

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2012

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vol. 2

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issue 1

28-32

EN

Introduction: In Poland, the incidence of malignant melanoma increases each year. Purpose: To assess the students’ knowledge about sunbed use and side effect of solar radiation. Materials and methods: The study was carried out among 577 students of the Medical University of Białystok based on a ‘sunbed survey’. Results: Of the 577 students, 390 (67.6%) had used a sunbed. Tanning 273 (70%) and preparation for sunny holidays 201 (51.6%) were the main reasons for sunbed use. Almost 61% of respondents were against the sunbed use by children or youths. SPF abbreviation was known by 64.4% of students. Most respondents 73.9% used the UVR-protection cosmetics in summer usually (66.9%). They avoided sun tanning between Noon - 15 o’clock (43.1%). Tanorexia as “an addiction to tanning” was defined by 27.4% of the respondents. The main sources of knowledge on sunbeds and side-effects of solar radiation were: magazines (34.6%) the Internet (29.5%) and TV (28.1%). Conclusions: The students’ knowledge about sunbed use and side-effect of solar radiation was varied. The majority of respondents knew that tanning to be a health risk, and they were against sunbeds could be used by children and youths. Most the surveyed did not know tanorexia term

12

Perception of disabled persons held by children and adolescents based on their artwork

64%

Krajewska-Kułak E., Kułak W., Humienik-Dworakowska U., Łukaszuk C., Lewko J., Van Damme-Ostapowicz K., Lankau A., Rozwadowska E., Guzowski A., Cybulski M.

Progress in Health Sciences

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2012

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vol. 2

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issue 2

116-124

EN

Purpose: To evaluate perceptions of disabled persons held by children and adolescents aged 4 to 15 years based on their artwork. Materials and methods: 192 children's drawings were analyzed. These were submitted from all of Poland, from hospital recreation centers, schools, art studios, sick children, children with special needs, and healthy children in the "My disabled friend” contest. Results: Most artworks were from children aged from 8 to 10 years old (40.6%), 4 to 7 (33.9%) and 11 to 14 (17.2%). The remaining artwork was completed by adolescents from 15 to 20 years old - 16 (8.3%) persons (including the oldest with intellectual disabilities). The artworks were divided into four age groups: 4-7, 8-10, 11-14, and over 15. Various techniques were used: torn paper collage, collage, wax scratch, coloring pages, painting using poster paints and watercolors. Conclusions: The children's drawings show their positive attitude towards people with disabilities. Children are aware of the need to help and support people with disabilities. In the imagination of children, a disabled person can fully participate in society

13

The perception of violence in children’s drawings

64%

Krajewska-Kułak E., Kułak W., Stelcer B., Jasiński M., Kowalczuk K., Łukaszuk C., Guzowski A., Cybulski M., Lewko J., K., Van Damme-Ostapowicz

Progress in Health Sciences

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2016

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vol. 6(1)

78-85

EN

The aim of the paper is to evaluate the perception of violence held by children and adolescents aged 8 to 16 years based on their artworks. 163 children’s drawings submitted from across Poland on "Children against violence." were analyzed. These pictures were analysed according to their contents. The artworks were made using various techniques: torn paper collage, collage, wax scratch, coloring pages, painting using poster paints and watercolors. Drawings have been classified in twelve thematic groups: "aggression against things", "peer violence","violence and addiction", "family violence", "workplace violence", "on-line violence," verbal violence", the continuity of violence", difficult choices" ,and " help ". Children and adolescents are good observers and they see various forms of violence, especially signs of bullying, and the impact of addictions on their development. Children know how to avoid and reduce violence.

14

Healthy behaviors in Polish children and adolescents based on their artwork

52%

Krajewska-Kułak E., Kułak W., Lewko J., Jankowiak B., Van Damme-Ostapowicz K., Łukaszuk C., Rolka H., Kowalczuk K., Klimaszewska K., Sierakowska M., Baranowska A.

Progress in Health Sciences

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2011

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vol. 1

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issue 2

113-120

EN

Introduction: Health behaviors are generally regarded as behaviors, which are related to the health status of the individual. Purpose: To evaluate children knowledge and healthy behaviors based on the drawings. Material and methods: 605 children’s drawings were analyzed. The artworks were made using various techniques: torn paper collage, collage, wax scratch, coloring pages, painting using poster paints and watercolors. Results: Most artworks presented sports. The remaining artworks focused eating fresh fruits and vegetables, drinking of milk, spending a lot of time in the fresh air, hand washing, fruit washing, brushing teeth, and street safety. The children's drawings show their positive attitude towards healthy behaviors, including good eating habits; physical activity and personal hygiene. Conclusion: The artworks suggest that children know healthy behaviors.

15

Validation of the Polish version of the Anderson and Dedrick Trust in Physician scale

46%

Krajewska-Kułak E., Kułak W., Łukaszuk C., Lewko J., Sengupta P., Cybulski M., Guzowski A., Kowalczuk K., Jankowiak B., Kowalewska B., Kondzior D., Rolka H., Baranowska A., Lankau A., Klimaszewska K., Sierakowska M., Krajewska-Ferishah K., Szyszko-Perłowska A.

Progress in Health Sciences

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2018

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vol. 8(1)

27-35

EN

Purpose: The aim of this study was to validate the Trust in Physician Scale (TPS) for Polish patients. Materials and Methods: The validation of a Polish-language version of Anderson and Dedrick’s TPS was performed with a group of 849 patients. Validation consisted of the translation and evaluation of the psychometric properties of the Polish TPS and its application among Polish-speaking patients. We also explored the TPS with the patient’s sex, age, education, income, marital status, and number of physician visits. Results: The internal consistency of the Polish TPS was high (Cronbach’s alpha = .891). In our study, the TPS is positively associated with age, education, income, marital status, and number of physician visits. Also, we have found that the TPS is negatively associated with sex and place of residence. Conclusions: The Polish-language scale fulfills all the criteria of psychometric and functional validation with the original version of the Trust in Physician Scale.

Refine search results

Attitudes towards euthanasia among health workers, students and family members of patients in hospice in north-eastern Poland

Factors determining satisfaction of elderly people's caregivers with the home care they provide

Students oppinions on DNA banking. Preliminarny report.

Relationship between sociodemographic factors and depression symptoms and level of diabetes acceptance

Operative treatment of pressure ulcers using pedicled flaps

Aggression in children and adolescents in rural Poland - where to look for the cause?

Health protection in tropics. A safe journey to Ghana

The Health Related Quality of Life aspects in chronic rheumatic diseases

The first School of Nursing at the Medical Academy in Bialystok – in memory of Franciszka Bakun

Perceptions of nurses as health educators held by children and adolescents based on their artwork

Evaluation of the students’ knowledge about sunbed and solar radiation

Perception of disabled persons held by children and adolescents based on their artwork

The perception of violence in children’s drawings

Healthy behaviors in Polish children and adolescents based on their artwork

Validation of the Polish version of the Anderson and Dedrick Trust in Physician scale