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Introduction: Obesity is a major problem for millions of citizens. The treatment of obesity is a problem of nutritionists, psychologists, physical therapists, internists, surgeons, anesthesiologists, and many other specialists.Purpose:To determine the influence of obesity on: blood pressure (systolic and diastolic), mean pressure (MAP), the scale of the risk of surgery (ASA) and saturation.Materials and methods:The study was conducted among 200 patients. The research was prospective and was carried out in the general operating theatre in the Regional Specialist Hospital in Biała Podlaska between May 2011 and July 2012. The study was based on the anaesthetic documentation – anaesthetic information card, observation and analysis of patient records. For the statistical calculations, we used Statistica 10.0 using NIR test. Differences at p<0.05 were identified as significant.Results:The study did not confirm the significant impact of obesity on the deterioration of blood oxygenation. The surveyed men had significantly been higher preoperative absolute risk compared to women. A close relationship between an increased BMI and an increased risk associated with anesthesia was expressed in the ASA score chart.Conclusion:This study proved that overweight and obesity significantly affected blood pressure (systolic, diastolic), and MAP.
EN
Introduction: Scientific communities are beginning to recognize more and more tension, burden and sometimes joy associated with caring for child with autism. Purpose: To determine the impact of the disease on functioning of a family with an autistic child. Material and Methods: We analyzed 83 families with children diagnosed with autistic disease, including 30 Polish families, 25 families from Belarus and 28 families from France. Parents filled in a questionnaire assessing their knowledge about problems associated with raising an autistic child. Results: Parents from Poland found most difficult to accept the child's health condition, and families from France coped with the problem best. For all parents the dominant impression after hearing the diagnosis was shock, French parents were the least likely to associate the disease as a punishment for their sins, which in turn often occurred among respondents from Poland and Belarus. Parents from Belarus frequently complained about problems their autistic child had with learning (about ¾ of responses). While Polish parents surprisingly often recognized as the most onerous carrying out procedures related to the treatment of the child, they often complained about depression, sadness, insomnia. Respondents from Belarus most frequently could enjoy every day. Among the behaviours of autistic children differentiating the examined countries were: disobedience (by far the least indications in France), persistence (the lowest percentage in Belarus) and lies (parents from Poland most often complained about that). Among the parents' reaction to the annoying and stressful child's behaviour the attempts to admonish and explain were dominant, but these were parents from Poland, who frequently admitted that they shoutat the child. Conclusions: Among parents' reaction to the annoying and stressful child's behavior is an attempt to admonish and explain, moreover, Polish parents frequently admit to shout at the child. There are differences in the perception of the problems of parents of autistic children in selected countries, like Poland, France, and Belarus.
EN
This paper presents issues regarding the administrative and legal aspects of retail trading of the medicinal products. Because one of the most important goods protected by law is health, the regulations included in the branch of administrative law are to serve its protection. Nor can one forget that public authorities must protect public health. The state carries out its tasks, among other things, by introducing restrictions on retail trade of the medicinal products. Such limitations have been inscribed into the essence of the social market economy, which is characterised by parallel economic and social goals. Although all kinds of restrictions on the issue are justified, they are somewhat restrictive.
EN
Introduction: Problems of families with autism are generally not visible or manifested, but without support, they become economically and educationally inefficient. Purpose: To assess the degree of empathic understanding of the child and the degree of emotional control by parents. Materials and methods: The study included 30 families from Poland, 25 from Belarus and 28 from France. We used Empathy Understanding Others questionnaire (KRE) and The Courtauld Emotional Control Scale (CECS). Results: The most common difficulty reported in the care of a child was gaining his/her independence (66.7% in Poland, 84% in Belarus, 78.6% in France). Parents from Poland more often (26.7%) than others (12% in Belarus, 3.6% in France) pointed out that the disability of a child caused that their friends turned their back to them. 40% of parents from Poland, 60% from Belarus and 57.1% from France claimed that the spouses accept the disability of the child. The disability induced in parents mainly fatigue (76.7% from Poland, 44% from Belarus, 71.4% from France). The level of empathy in Polish (64.2 ± 6.2) and French parents (64.8 ± 11.6) was almost identical, and the highest was among Belarusian parents (70.3 ± 8.3). Overall rate of CECS of the surveyed parents was at the average level (from Poland 47.4 ± 4.9; from Belarus 44.8 ± 6.1, from France 48.1 ± 6.0). Conclusions: Nurses evaluated their own preparation for educational activities usually very low. In the majority they would not want to take up the difficult role of educators of parents of autistic children. Due to a potential contact of a nurse with a child with autism and the child’s family, it is advisable to extend the knowledge of nurses in the care of a child with autism.
EN
Purpose: To assess the health-related quality of life (HRQL) in parents of children with autism spectrum disorder (ASD). Materials and methods: The sample consisted of 83 families with children with ASD, including 30 families from Poland, 25 from Belarus, and 28 from France. Parental HRQL was surveyed with the World Health Organization Quality of Life–BREF (WHOQOL–BREF) and KINDLR questionnaires. Results: This study showed that Polish parents reported the lowest quality of life according to the WHOQOL–BREF. Parents from Belarus reported slightly worse HRQL than parents from France, though other aspects of quality of life (e.g, social sphere, somatic sphere) did not differ significantly between these parents. Parents from Poland also reported lower HQOL according to the KINDLR questionnaire, while parents from Belarus had a higher HQRL in the mental, physical, and self-esteem domains compared to parents from Poland and France. Conclusion: Parents from Poland with children with ASD reported lower HRQL both on the WHOQOL–BREF and KINDL R questionnaires compared to parents from Belarus and France.
EN
Introduction: Pneumoconioses (Pc) are interstitial pulmonary diseases of professional genesis, caused by long-term inhalation of high dust concentrations. Pcafflict 26.6-53% of the workers, exposed to dust contamination. The major feature of Pc course is irrevocability and incurability. Purpose: The research of the effect of ethylmethyl hydroxypyridine succinate, possessing antioxidant and antihypoxant characteristics, on the oxygen metabolism, acid-alkaline state, and lipid peroxidation at the background of experimental pneumoconiosis in albino rats. Material and methods: Pneumoconiosis was simulated on 72 albino rats through endotracheal injection of black coal suspension, on our own modification of O. Yu. Nykolenko methodology. Results: Manifestations of experimental pneumo-coniosis depended on the period of dust inhalation. Development of experimental pneumoconiosis was found to result in the decreased partial oxygen pressure in the arterial blood, compensated hyperventilation-induced respiratory alkalosis, and marked increase in lipid peroxidation activity that could be seen in the blood content of malon-dialdehyde, as well as of conjugated dienes and trienes. Conclusions: Application of ethylmethylhydroxy pyridine succinate in experimental pneumoconiosis has been found to improve oxygen metabolism, acid-alkaline state, and lipid peroxidation that is revealed in normalization of the partial oxygen pressure in the arterial blood, oxygen saturation of haemoglobin, index of bases’ deficiency BE (Ваse-Ехсеss), and in 1.6-2.0 decrease in the content of malondialdehyde, as well as of conjugated dienes and trienes.
EN
Purpose: The study was aimed at getting to know students' opinions on abortion, the circumstances that authorize it, and analysis of factors that may influence the views of the studied group. Materials and methods: The study was conducted among 687 students from various regions of Poland. The respondents answered questions about the abortion law and circumstances entitling them to terminate the pregnancy. Results: The majority of respondents (42.1%) are of the opinion that the current law protects the mother and the child well enough. 58.5% of respondents said that abortion in cases permitted by law is not a sin. Referring to the church's prohibition of abortion, 44.5% of respondents voted for its abolition. Considering the answer to this question in terms of religiosity, it turns out that 31.7% of believers taking part in the study would like this ban to be lifted. Conclusions: Factors such as gender, place of residence, having or willingness to have children influence abortion views. Factors such as the field of study and having a permanent partner do not affect abortion views. Faith has a big impact on abortion views, and believers are more likely than non-believers to forbid abortion or restrict the right to abortion, while much less often advocate unrestricted rights to abortion.
EN
Introduction: Rational nutrition is one of the most important factors affecting human development, maintaining good health and prevention of civilization diseases. Purpose: To assess the state of knowledge among students from John Paul II State School of Higher Education in Biala Podlaska in the impact and effectiveness of vitamin A supplementation on the human body. As well as the assessment of students' knowledge concerning the problem of deficits and diseases caused the overdose of vitamin A. Materials and methods: The study was conducted among 70 students of the John Paul II State School of Higher Education in Biala Podlaska in the period March - April 2018. We used the diagnostic survey method based on the original questionnaire. Results: Students have knowledge about dietary supplements; they could indicate the main effect of the preparations. 62.86% of the respondents knew the correct definition of dietary supplements. They had difficulty with the term of vitamin A in the human body and the diseases caused by the lack of it. The problem was a detailed knowledge of the occurrence and impact on the body of vitamin A supplementation. A small percentage (14.29%) students have ever taken supplements. Conclusions: Students have knowledge about dietary supplements
EN
Introduction: Stress experienced by parents of a disabled child can have a negative impact on family relationships. Purpose: Assessment of parents coping with critical situations. Materials and methods: We analyzed 83 families, including 30 families from Poland, 25 families from Belarus and 28 families from France and we used Coping Inventory for Stress Situations (CISS) and The General Self- Efficacy Scale (GSES). Results: After hearing the diagnosis most often parents felt shock (63.3% from Poland, 68% from Belarus and France 85.7%). Main parents' emotions induced by the disability was fatigue (76.7% from Poland, 44% from Belarus and 71.4% from France - p=0.028) and sadness (73.3% from Poland, 40% from Belarus and 28.6% from France - p=0.002). Most often in response to the annoying and stressful child’s behaviour parents tried to admonish (76.7% from Poland, 56% from Belarus and 75% from France) or shout at the child (66.7% from Poland, 24% from Belarus and 17.9% from France p <0.001). The least likely preferred style of coping with stress in all countries was the search for socializing. The highest rate of self-efficiency characterize parents from France, the lowest from Poland. Conclusions: The existence of factors which could significantly affect the level of burn-out syndrome in parents, such as the deterioration of the financial situation (mainly in Belarusian families), sadness, fatigue, insomnia (mainly in Polish families). Parents chose effective strategies of coping, and the predominant style was focused on the task. It has been shown that parents lack the ability to control negative emotions, which in particular affected Polish families (for example, domination of trials to admonish and explain, shouting at the child).
EN
Purpose: To analyse knowledge of patients in the Interventional Cardiology Department in the field of theory of the disease entity, i.e. myocardial infarction and factors predisposing to its occurrence. Materials and methods: The study was carried out at the Interventional Cardiology Department of the Regional Specialist Hospital in BiałaPodlaska between 3.11.2017 and 20.12.2017. Sixty respondents were included, 62% women and 38% men. The largest group were patients between 46 and 60 years of age. The work involved an anonymous questionnaire, which contained 28 questions, including two open ones. Patients participated in the study were informed that the study was voluntary and the questionnaire was anonymous. Results: According to the respondents, the main cause of myocardial infarction is atherosclerosis (43.4%). The respondents indicate that cardiovascular diseases (including myocardial infarction) which are on the third place in Poland, right after cancer and injuries, cause death (63.3%). As the main factor that influences the occurrence of myocardial infarction is overweight and obesity (79.8%). More than half of the respondents assess their knowledge of myocardial infarction on average, while 18.3 % said that they have very good knowledge. Conclusions: Patients with myocardial infarction have quite a good knowledge about the risk factors for this disease. A large group of respondents tries to counteract the risk factors for myocardial infarction. A small part of the respondents undergoes regular blood tests (blood glucose level, total cholesterol and its fractions, measurement of blood pressure).
EN
Introduction: Atrial fibrillation (AF) is one of the most frequent arrhythmias. In Poland, there is a risk of developing AF in about 400,000 people. Atrial fibrillation occurs most frequently as a result of disorders of physiological automatism and afterdepolarization and triggered activity. The treatment strategy of AF is based on pharmacological treatment and procedures such as ablation or cardioversion. The quality of life as defined by the WHO is an individual perception of one's well-being. On the other hand, the assessment of the quality of life in illness is modified regarding health problems. Purpose: The main goal of the study was to get to know the quality of life of people with atrial fibrillation. Materials and methods: The research was carried out using a diagnostic survey, based on a survey among 100 patients diagnosed with AF. The place of the research was the Regional Specialist Hospital in Biała Podlaska, in the Emergency Department. Results: Increased morbidity was observed among women and people over the age of 60. The majority of patients with AF declared the quality of life at the medium level. The respondents most often followed medical recommendations. The majority of respondents did not follow healthy lifestyle rules, because as many as 68% of respondents did not do any physical activity and a significant part of the respondents smoked cigarettes and had an inflated BMI. Conclusion: AF affects the quality life by causing sadness, irritation and insomnia.
EN
Siamese twins have always aroused a lot of emotions in the human world. It is related to the fact that they are simply conjoined to each other. Through their unnatural structure, they challenge not only medical or ethical boundaries, but also legal. Some even say that they pose a threat to rooted social values.
EN
Every year a very large number of children in the world suffer from acute lymphoblastic leukemia, and for years there has been a steady increase in the number of new cases. Acute lymphoblastic leukemia accounts for 75% of leukemia cases in the world. Lymphoblastic leukemia is a cancer disease that originates in B or T cell lymphocytes, which expansion takes place in blood and in the bone marrow. The etiology of the disease is not fully understood because it consists of several factors conditioning its formation. The most important element is the early detection and taking actions resulting in effective disease control through treatment and care of the patient. The nursing process should allow the patient to be involved in and accept the ongoing cancer process, and medical personnel, family and specialists in such fields as psychology and psychiatry should participate.
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