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A comparative analysis of chosen lesions of the uterine cervix in the population of women in Podlasie Province

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Borsuk A., Pryczynicz A., Niewiarowska K., Cepowicz D., Niksa M., Hawryluk M., Korniluk A., Famulski W.
Progress in Health Sciences
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2013
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vol. 3
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issue 1
44-48
EN
Purpose: In Poland, cervical screening tests are performed in the group of women aged 25 to 59 years. The aim of the study was to evaluate the usefulness of the Bethesda System in assessing cervical smears. Methods: Results of gynecological cytologies performed in the UPDC in the period of 01 August 2011 – 31 July 2012 were analyzed. Of the material, cases subjected to histopathological analysis in correlation with cytological outcome were chosen. Results: Of 19,887 patients who underwent cytology, 603 had atypical epithelial cells. In 83/603 cases, histopathological specimens were available for analysis. The level of cytological and histopathological compatibility was the highest in the HSIL group (75%), being the lowest in patients with LSIL (40%). It should be emphasized that in HSIL cases, histological specimens showed no evidence of normality. Conclusions: The level of cytological and histopathological compatibility was the highest in the HSIL group (75%). The compatibility was the lowest in the LSIL group (40%). It should be emphasized that in HSIL cases, histological specimens showed no evidence of normality.
2
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Ocena wiedzy kobiet z Podkarpacia na temat profilaktyki raka szyjki macicy

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Baran W., Kornacka K., Szela S.
Medical Review
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2013
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issue 3
311–318
PL
Wstęp: Rocznie wykrywa się ok. 4 tys. zachorowań na raka szyjki macicy w Polsce. Główną przyczyną rozwoju choroby jest zakażenie wirusem brodawczaka ludzkiego przenoszonym droga płciową. Diagnostyka raka szyjki macicy opiera się na wykonaniu rozmazu cytologicznego, kolposkopii i biopsji celowanej. Leczenie jest uzależnione od stopnia zaawansowania zmian chorobowych potwierdzonych wynikiem badania histopatologicznego. Najskuteczniejszą metodą profilaktyki raka szyjki macicy jest regularnie wykonywana cytologia, stosowanie szczepionek przeciw HPV oraz prowadzenie bezpiecznego życia intymnego. Cel pracy: Ocena wiedzy i zachowań zdrowotnych kobiet z Podkarpacia odnośnie, profilaktyki raka szyjki macicy. Materiał i metody: Materiał stanowiło 108 respondentek z terenu Rzeszowa i okolic. Rekrutacja do badania odbywała się w sposób losowy, po wyrażeniu zgodny ustnej przez zainteresowaną. Metodą zastosowaną w pracy był autorski kwestionariusz ankiety skonstruowany przez członków Studenckiego Koła Naukowego Położnych. Wyniki: Z przeprowadzonych badań wynika, że wiedza kobiet na temat profilaktyki raka szyjki macicy jest nieusystematyzowana, nawet w grupie kobiet zgłaszających się regularnie co roku na badanie cytologiczne (p=0,00036). Wiedzę na temat profilaktyki raka szyjki macicy respondentki pozyskują głównie od lekarza, położnej, z czasopism kobiecych, ulotek/ broszur i prasy (p=0,02200). Wnioski: Wiedza badanych koreluje z częstością zgłaszania się na badania cytologiczne; internet jako źródło wiedzy na temat profilaktyki raka szyjki macicy służy w większej mierze najmłodszym respondentkom w wieku 18–33 lat; poziom wiedzy badanych z zakresu czynników ryzyka oraz objawów raka szyjki macicy jest niezadowalający.
EN
Introduction: Around 4 thousand cases of cervical cancer are detected annually in Poland. The main cause of the disease is the human papilloma virus transmitted sexually. Diagnosis of cervical cancer is based on the execution of smear cytology, colposcopy and guided biopsy. Treatment depends on the severity of the lesion as confirmed by the result of histopathological examination. The most effective way to prevent cervical cancer is a regularly performed Pap test, application of HPV vaccines and maintenance of a safe sex life. Aims: Assessment of the knowledge and health behaviors of women from the Podkarpacie regarding cervical cancer prevention. Material and methods: The study included 108 respondents from the area of Rzeszow and the surrounding region. Recruitment for the study took place in a random fashion, after verbal agreement by the persons concerned. The method used in the study was the author’s questionnaire developed by members of the Student Society for Midwifery Research. Results: The study shows that women’s knowledge on the subject of cervical cancer prevention is haphazard, even among women who report regularly every year for cervical screening (p = 0.00036). The respondents acquire knowledge about cervical cancer prevention mainly from a doctor, midwife, women’s magazines, leaflets / brochures and the press (p = 0.02200). Conclusions: Knowledge of respondents correlated with the frequency of reporting for Pap testing; the internet is used as a source of knowledge about cervical cancer prevention to a greater extent by the youngest respondents, aged 18 – 33 years; the level of knowledge discovered in the area of risk factors and symptoms of cervical cancer is unsatisfactory.
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The role of occupational health services in cancer prevention – which factors determine the implementation of preventive measures?

75%
Wiszniewska M., Marcinkiewicz A., Lipińska-Ojrzanowska A., Kalska-Sochacka K., Walusiak Skorupa J.
International Journal of Occupational Medicine and Environmental Health
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2021
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vol. 34
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issue 6
723-736
EN
ObjectivesEpidemiological data on cancer diseases are alarming. The workplace has become an increasingly important site for disseminating health information and implementing health promotion activities. Occupational medicine physicians (OMPs) have the opportunity to carry out primary and secondary preventive activities focused on civilization diseases, especially cancer. The aim of this study was to evaluate the potential of OMPs in cancer prevention, including the analysis of factors determining the implementation of preventive measures, as part of standard healthcare for employees.Material and MethodsThe study was conducted among 362 OMPs. The interviews were carried out by the computer assisted telephone interview (CATI) method.ResultsOver 60% of the surveyed OMPs are ready to implement cancer preventive activities among employees. The doctors with the longest seniority in occupational health services are more likely to declare unwillingness to implement cancer preventive activities. Patient’s consent, informing women about the program and adjusting the time of the medical visit are the most important conditions for introducing cancer prevention programs by OMPs. Neither seniority nor the number of examinations performed by a physician influenced the currently implemented cancer preventive activities as part of occupational health services (including the evaluation of cancer risk factors occurrence among employees).ConclusionsIn Poland, OMPs are willing to implement cancer preventive activities among employees, but their current activity in this area is limited and needs development. The most specific actions should be addressed to doctors with the longest seniority in occupational health services, who are frequently unwilling to implement cancer preventive activities. Strengthening the preventive potential of Polish occupational health services requires a systemic approach to the scope and way of action of healthcare professionals.
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