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Assessment of the knowledge and application of the Mediterranean diet among students of dietetics

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Nikołajuk P., Zujko K., Zujko K., Zujko, M.E
Progress in Health Sciences
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2018
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vol. 8(2)
40-45
EN
Purpose: To assess the knowledge of young adults (students of dietetics) of the health benefits of the Mediterranean diet (MedDiet) and the practical application of the principles of this diet. Materials and methods: The study was performed on 97 women, students of dietetics. Research on general information about the respondents and knowledge about the MedDiet was carried out using a questionnaire with 29 questions. To assess the nutritional value of the diet, a 3-day nutritional diary and computer programme Diet 5.0 were used. Adherence to the MedDiet was appraised according to the 9-point scale of aMED (alternate Mediterranean Diet Score). Results: The most students responded that they have high knowledge of the MedDiet, but do not use the MedDiet recommendations in their daily nutrition. Better adherence to MedDiet was significantly associated with the lower waist circumference of the women, higher intake of mono- and polyunsaturated fatty acids, omega3 fatty acids, fiber, vitamin C, folate, vitamin B1, vitamin E and magnesium, and the knowledge of participants of the diet and nutritional value of foods. Conclusions: The adherence to the MedDiet is significantly associated with the participants' knowledge about the diet, the higher nutritional value of the daily diet and lower waist circumference
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Signing up is not yet mindfulness practice: a systematic review of adherence to eHealth and mHealth mindfulness-based programs in the pre-pandemic period

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Liptáková S., Světlák M., Hytych R., Matis J., Slezáčková A., Šumec R.
Československá psychologie (Czechoslovak Psychology)
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2022
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vol. 66
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issue 3
233-254
EN
Information and communication technology are promising channels in delivering the mindful-ness-based intervention. A common problem in these interventions is the lack of study of treat-ment adherence. The current article summarizes the state of measuring and reporting adherence, the rate of adherence, and possible predictors of adherence in the form of a systematic review following the PRISMA statement. A database search of PubMed, Web of Science, Medline, Scopus, and PsychINFO identified 3104 poten-tially relevant articles published up to the end of December 2019. The review focuses only on the SARS-CoV-2 pre-pandemic time because the accelerated development of the eHealth Mind-fulness-based interventions and a vast amount of newly published interventions in the follow-ing years was expected. A total of 69 studies met all the eligibility criteria. Out of these studies, 61% reported some measure of adherence and 36% reported the adherence rate. The adherence rate in clinical populations ranged from 41% to 92%; in non-clinical populations, it ranged from 1% to 85%. Predictors of adherence were inves-tigated in 48% of the studies; however, the ma-jority of assessed variables had mixed findings about predicting adherence. There was a huge variety in the definitions and measurements of adherence. A standardized system of measuring and reporting adherence and further investiga-tion of its predictors is needed.
CS
Informační a komunikační technologie předsta-vují nové a slibné kanály, jak lze k uživatelům doručit intervence založené na Mindfulness pří-stupu. Běžným problémem v této oblasti apliko-vaného výzkumu je nedostatek evidence o adhe-renci ke zmíněným programům. Aktuální článek ve formě systematické review podle PRISMA protokolu shrnuje informace o tom, jaká je ad-herence k intervencím ve studiích zabývajících se eHealth Mindfulness programy, jak je adhe-rence měřena a co jsou její možné prediktory. V databázích PubMed, Web of Science, Medline, Scopus a PsychINFO bylo do konce roku 2019 identifikováno 3104 potenciálně relevantních článků. Vzhledem k očekávanému nárůstu im-plementace eHealth programů na podporu du-ševního zdraví pro zdravou i klinickou populaci v důsledku pandemie SARS-CoV-2, se stávající review zabývala jen studiemi před začátkem pandemie. 69 z nich splnilo všechna vstupní kri-téria pro systematickou review. 61 % studií ve svých výsledcích prezentovalo různé parametry adherence, 36 % pak prezentovalo základní tzv. adherence rate. Míra adherence v klinických populacích se pohybovala od 41 % do 92 %; v neklinických populacích se pohybovala od 1 % do 85 %. Prediktory adherence byly zkoumány ve 48 % studií, většina hodnocených proměn-ných však přinesla značně heterogenní výsled-ky. Velká heterogenita byla pozorována také v samotné definici adherence a ve způsobech a nástrojích jejího měření. Aktuální systematická review jednoznačně dokládá potřebu standardi-zovaného systému měření adherence a dalšího výzkumu v oblasti jejích prediktorů.
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Gender, Language and Indian Reality Television: Locating Social Stereotypes and Linguistic Sexism

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Alam S., Haque S. A.
Journal of Education Culture and Society
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2021
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vol. 12
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issue 2
482-492
EN
Aim. The reality genre has gained much popularity in last few years across the globe. In India too, this genre has reportedly surpassed other genres in recognition and acceptance. However, its format and content intrigue controversies at both social and academic level, but its mass appeal gets bigger each day. The study examines gender, language and issues of gendered language in Indian reality show Bigg Boss. While keeping in view the format and claim of the genre, the study observes how under thorough surveillance, housemates negotiate with their real self and grapple with their language practice. Influence of neoliberalism on society, culture and identity has been very much discussed, the paper attempts to highlight how this transitions in gender identity is depicted in a show taking non-actors and common people. Concept. For the purpose of the study, scripted transcription of Bigg Boss (Season 11) has been used, wherein all the episodes of have been watched back and forth carefully, and detailed notes prepared for the analysis. Housemates’ language practice, voice pattern and preference of words and statements have been observed. Results and conclusion. The study finds that game reality show Bigg Boss substantially adheres to social stereotypes and standards and while doing so, it also imitates the language practice prevalent everywhere. Although active participation of women in the show is visible butt while exhibiting their true self, sometimes gender prejudice embedded deep inside also comes out, which in case of men is very frequent. The study concludes that as a globally acclaimed genre, reality show, like other genres, is very much commercialized and consumer oriented.   Originality. A number of studies related to reality shows have been conducted, but in Indian context, this genre has been inadequately explored. Also, it is very difficult to find studies focusing any specific season of an Indian reality show, so it would not be incorrect to mention that the present study is one of the primary works on this subject, which aims at making some significant contribution related to this genre, in academia.
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Compliance and satisfaction with treatment as a success of therapy effectiveness in the group of patients with ischemic heart disease: a cross-sectional study

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Piwowar A., Czwojdziński E., Marchewka Z., Adamczuk A., Świątoniowska-Lonc N., Jankowska-Polańska B.
International Journal of Occupational Medicine and Environmental Health
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2023
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vol. 36
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issue 4
465-476
EN
Objectives Non-adherence and non-compliance to pharmaceutical treatment is one of the most common causes of not effective management of patients suffering from ischemic heart disease (IHD). It is crucial to understand the reasons behind it but studies on this subject performed in the Polish population are still lacking. Material and Methods The 329 patients (160 male and 169 female) diagnosed with IHD who reported for follow-up appointments are examined. The following standardized questionnaires were used: Treatment Satisfaction with Medicines Questionnaire (SATMED-Q) and Adherence to Refills and Medication Scale (ARMS), which evaluates the patient’s compliance and adherence level, respectively. Results Patients with IHD showed moderate compliance with pharmacological recommendations and average satisfaction with treatment. Anemia, drugs side effects, and SATMED-Q total score were significant predictors of the overall ARMS score in the univariate analysis, whereas the male gender and satisfaction with treatment improves this results. In multivariate analysis, significant predictors of lower adherence included family history of IHD, anemia and drugs side effects, while higher education and SATMED-Q overall score increased adherence. Conclusions Treatment satisfaction is a significant predictor of increased overall treatment adherence as well as adherence in terms of drug intake and drug and prescription refills. Raising patient awareness should be an important goal of future educational activities.
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Ocena stopnia przestrzegania zaleceń terapeutycznych wśród uczestników Uniwersytetu Niegasnącej Młodości i szkoleń dla pacjentów i ich rodzin

75%
Milaniak I.
Państwo i Społeczeństwo
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2014
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issue 1
9-22
EN
Non-adherence regarding pharmacotherapy and lifestyle – is aware non-adherence of the therapeutic team recommendations (total or partial, permanent or temporary). This phenomenon presents many dangers, particularly in the treatment of chronic diseases. Appropriate treatment of diseases requires compliance with recommendations for lifestyle. The objective of the study was assessment of adherence among the participants of the Undying Youth University and training for patients and their families. The study was conducted among 66 participants in the of Undying Youth University and training for patients and their families in John Paul II Hospital in Krakow. To conduct a study there were used a Modifi ed Morisky Scale and authorship questions concerning lifestyle, causes of non-compliance and methods to improve adherence. The study group comprised 14 M and 52 F. Respondents rated their level of compliance on average 7.78 on a scale of 0 to 10. 66.66% of the study group forgot to take medication, 51.51% wasn’t adhere to the hours of medication, 28.71% skips a dose, if it feels good and 31.81% when feel bad. 66.66% were informed about the action of drugs and 81.81% do not forget to renew prescription for medication. BMI of the study group averaged 26.24. 50% at least once a week practicing physical activity. The majority reasons for non-adherence were: difficult contact with the doctor, concern about the adverse effects of the drug, concern about interactions with other drugs, the high price of the drug, lack of understanding of the principles of treatment. For better compliance the group would make: training for patients, personal beliefs, cheaper drugs. The study group had a low level of motivation (forgetfulness, failure to hours, and interruption of treatment) with a high level of knowledge. Therefore there is a need to change behaviour through training to patients for the scope of treatment compliance.
PL
Niestosowanie się do zaleceń dotyczących farmakoterapii i trybu życia – to świadome nieprzestrzeganie zaleceń zespołu terapeutycznego (całkowite lub częściowe, stałe lub okresowe). Zjawisko to stwarza wiele niebezpieczeństw, szczególnie w leczeniu chorób przewlekłych. Właściwe leczenie chorób cywilizacyjnych wymaga również przestrzegania zaleceń dotyczących stylu życia. Celem badania była ocena stopnia przestrzegania zaleceń terapeutycznych wśród uczestników Uniwersytetu Niegasnącej Młodości i szkoleń dla pacjentów i ich rodzin. Badania przeprowadzono wśród 66 uczestników Uniwersytetu Niegasnącej Młodości i szkoleń dla pacjentów i ich rodzin w Krakowskim Szpitalu Specjalistycznym im. Jana Pawła II. Do ich przeprowadzenia wykorzystano Zmodyfikowaną Skalę Morisky’ego oraz pytania własnego autorstwa dotyczące stylu życia, przyczyn nieprzestrzegania zaleceń oraz metod poprawiających przestrzeganie zaleceń. Badaną grupę stanowiło 14 mężczyzn i 52 kobiet. Badani ocenili stopień przestrzegania zaleceń średnio na poziomie 7,78. 66,66% zapominało przyjąć leki, 51,51% nie przestrzegało godzin przyjmowania leków, 28,71% pomijało dawkę leku, jeżeli czuli się dobrze, a 31,81% kiedy czuli się źle. 66,66% zostało poinformowanych o działaniu leków; 81,81% nie zapominało o przedłużeniu recepty na leki. BMI badanej grupy wyniosło średnio 26,24. 50% przynajmniej raz w tygodniu uprawia aktywność fizyczną. Wśród przyczyn nieprzestrzegania zaleceń najczęściej wskazywano utrudniony kontakt z lekarzem, obawę o niepożądane działanie leku, obawę o interakcje z innymi lekami. Do przestrzegania zaleceń badaną grupę skłoniłyby: szkolenia dla pacjentów, osobiste przekonania, tańsze leki. W badanej grupie stwierdzono niski poziom motywacji (zapominanie, nieprzestrzeganie godzin, przerywanie leczenia) przy jednocześnie dużej wiedzy. Istnieje zatem potrzeba zmiany zachowań przez szkolenia dla pacjentów za zakresu przestrzegania zaleceń terapeutycznych.
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