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EN
The paper describes the construction of a tool designed to measure opinions on the menopause. The main assumptions and the process of construction is described step by step. The tool consists of 35 items and allows to evaluate both positive and negative aspects of the menopause (POZ and NEG subscales) on 5-points Likert type scale. It allows also for comparisons of both types of opinions (DIF index). Reliability coefficients (test-retest, Cronbach’s α and Spearman-Brown’s coefficient) are sufficiently high. The temporary norms were calculated based on frequency distribution from a study of 175 women.
EN
Menopause Symptom List was developed in Australia as a tool to depict severity and intensity of symptoms related to menopause. Three scales of the questionnaire – psychological, vasomotor and somatic symptoms – were extracted by factor analysis. The paper gives account of the Polish version of the questionnaire (Moje samopoczucie), its validity and reliability. Factor analysis has confirmed the original 3 factors structure of the questionnaire. Realiability coefficients (test-retest, Cronbach’s and Spearmann-Brown’s coefficient) were sufficiently high. Validity was estimated by comparing the results of the questionnaire and a physician’s evaluation of intensity and severity of menopausal symptoms. Most subjects with high questionnaire scores were also given high scores on medical record. Results of women with different menopausal status were significantly different. The scores changed significantly in women treated with hormone replacement therapy. All these results indicate that Polish version of Menopause Symptom List is a valid tool to be used in studies on menopausal transition.
PL
Celem badań była ocena jakości życia u kobiet w okresie średniej i późnej dorosłości. Zbadano 200 kobiet między 45. a 68. rokiem życia. Badane kobiety zostały podzielone na trzy grupy ze względu na doświadczenia związane z menopauzą. Do badań zastosowano ankietę, kwestionariusz „Zdrowie kobiet” (WHQ) M. Hunter i kwestionariusz WHOQOL-BREF Światowej Organizacji Zdrowia. Zmiany hormonalne oraz objawy z nimi związane okazały się znaczące dla jakości życia kobiet w okresie perimenopauzalnym i postmenopauzalnym. Kobiety po menopauzie są najmniej zadowolone ze swojego zdrowia i najniżej oceniają swój dobrostan społeczny. Kobiety w okresie okołomenopauzalnym w porównaniu z pozostałymi najbardziej negatywnie oceniają swój dobrostan środowiskowy.
EN
The aim of the study was to assess the quality of life of women during middle and late adulthood. The research group consisted of 200 women between 45 and 68 years of age. The women were divided into three groups according to their experiences of menopause (presence and regularity of menstruation). In the study there were used the Women’s Health Questionnaire (WHQ) by M. Hunter, the WHOQOL-BREF Questionnaire prepared by the World Health Organization, and a self-made survey. Hormonal changes and symptoms associated with them appeared to be signifi cant for the quality of life of women in perimenopause and postmenopause. The latter group is the least satisfi ed with their health and their social well-being. Perimenopausal women most negatively evaluate their environmental welfare.
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EN
Introduction. Menopause is the time when the female body goes through substantial endocrine changes resultant from the gradual phasing out of the reproductive activity of the ovaries. Consequently, post-menopausal women face some perimenopausal symptoms. These symptoms affect everyday physical and psychological functioning to various extent, and result in certain limitations. Aim. The aim of this paper was to study which limitations are most difficult for postmenopausal women, and how menopause symptoms affect women’s physical activity and satisfaction with life, as these are important components of quality of life. Materials and methods. The study involved 60 postmenopausal women. We used our own questionnaire. Results. We did not find the remaining relationships enumerated in research questions: the impact of menopausal syndromes on the frequency of physical activity, on its intensity, and on satisfaction with life, nor with the impact of subjective health on intensity of physical effort. Conclusions. We confirmed the relationship between intensity of physical effort and satisfaction with life and the relationship between subjective assessment of one’s health and the frequency of physical activity.
EN
Introduction: Menopause is a normal, natural event—defined as the final menstrual period and usually confirmed when a woman has missed her periods for 12 consecutive months. Purpose: The aim of this study was to examine the climacteric symptoms, and the quality of life of women in the menopausal period. Material and methods: The study was conducted in 241 women in age over 40 years. The Polish version of the MRS scale, the Kupperman index, The Beck Depression Scale and a self-administered questionnaire were used. Results: 83.4% thought that menopause is not a disease, and 34.2% considered that the symptoms of menopause are caused by genetics. The majority of the respondents (91.2%) heard about the hormonal treatment of menopause. According to 60.2% hormone replacement therapy during menopause is not needed, and 43.3% reported that it carries some risk. The average value of the Kupperman index was 14.8 ± 8.6, and the Beck Depression Scale was 10.5 ± 7.9. Almost 40% of the respondents had no depression symptoms. The Menopause Rating Scale score per subscale was as follows psychological symptoms:4.8 ± 3.4, somatic: 4.9 ± 3.0, urogenital and sexual symptoms: 2.5 ± 2.4. The Kupperman index was higher among women were no longer menstruating. Conclusions: Most of the women perceived menopause as a period at which the expiration of ovarian function. Hot flashes, irritability, lack of energy, vaginal dryness and reduced libido were more frequently reported. Most of the respondents assessed positively their quality of life
EN
Introduction. Perimenopausal age is the time in a woman’s life, when her reproductive capacity declines. Characteristic symptoms in the majority of systems accompany this process. Aim. The aim of the study was to determine the symptoms of menopause and investigate the most common health problems in perimenopausal women. Materials and methods. The study involved 180 women in perimenopausal age (45-55 years). The subjects were mainly residents of rural areas (65%) and married (84%). Most of them declared secondary education (57%). A questionnaire developed by the authors was used in the study. Results. Most women observed typical menopausal symptoms mostly between 45 and 49 years of age. Most often, these were hot flushes, the second place was night sweats, and the third place was insomnia. Almost 40% of women are treated for chronic diseases, most of them for hypertension, thyroid disease and diabetes. Conclusions. The changes associated with perimenopausal age in the majority of respondents include genitourinary system, respiratory system, skeletal system and metabolic changes. Level of education influences the level of knowledge among women on the menopause. Women from rural areas used non-pharmacological methods to mitigate the symptoms of menopause to a greater extent.
EN
A lot of midlife women experience a great deal of menopausal symptoms. Their frequency within a given population may vary and depend on several factors such as age, menopausal status, health factors, including obesity. This study aims to investigate the incidence of menopausal symptoms among obese and non-obese midlife women, and to evaluate contribution of obesity as predisposing factor for menopausal symptoms to their manifestation. The studied cohort consisted of 297 women ranging from 39 to 59 years of age. Among them there were 63 women with obesity (body mass index, BMI ≥ 30.0 kg/m2) and of 39 women with abdominal obesity (waist to hip ratio, WHR>0.89). Women were recruited from the western and middle parts of Slovakia. All participants completed a menopause-specific questionnaire. Anthropometric measurements were taken using the standard anthropometric techniques. All statistical computations were performed by the SPSS 17.0 software programme (SPSS Inc., Chicago, IL). Stepwise logistic regression analysis demonstrated that increase in facial hair was influenced by age (p<0.001) and obesity (p=0.015). Low backache was influenced by WHR (p=0.031), obesity (p=0.008) and cardiovascular disease (p=0.024). The significant impact of BMI was recorded on the involuntary urination (p=0.002). The menopausal symptom „more clumsy then usual“ was influenced by marital status (p=0.044), hypertension (p=0.021) and the presence of cardiovascular disease (p=0.023). We investigated the effect of menopausal status (p=0.010) and abdominal obesity (p=0.035) on the loss of sexual interest. Herein we present evidence that obesity could be involved in menopausal symptomatology among Slovak midlife women. We demonstrate that obese women have a higher susceptibility to increase in facial hair and backache, and women with abdominal obesity to loss of sexual interest.
EN
Various changes in body composition and body fat distribution are accompaniments of biological ageing, presented mostly in the middle age and significantly notable during the menopause transition. This study aimed to examine the effect of menopausal status on body composition characteristics in 368 apparently healthy women aged 38-61 years. Bioelectrical parameters were measured with a bioimpedance monofrequency analyser (BIA 101) and bioelectric impedance vector analysis (BIVA) was used to analyse tissue electric properties. Data dealing with menopausal status and symptoms as well as life style variables were obtained by the Menopause specific questionnaire. Statistical analysis adjusted for age did not show differences either in the body composition characteristics or in the nutrition and obesity indices between pre- and post-menopausal women. Regression analyses pointed on statistically significant effect (p<0.05) of physical exercise on Xc (B=2.353), FM % (B=-1.746) and MM % (B=1.201), of hypertension on R (B=-22.381), FM % (B=4.468), MM % (B=-2.306), of smoking on Xc (B=1.835), FM % (B=-1.227), MM % (B=0.767), of muscle and joint ache on the FM % (B=1.923) and on MM % (B=-1.061). The age had impact on Xc (B=-13.468) and on the phase angle (B=-1.320). To conclude, in our study group of pre- and postmenopausal Slovak women, age, health and life style factors seem to have more important effect on the body composition characteristics than menopausal status alone
EN
Menopause is associated with various physiological symptoms which can be related to the most common health problems in menopausal women and a decrease in their quality of life. Determinants of experiencing menopausal symptoms are complex because they include reproductive, environmental, lifestyle and social factors. The aim of this study is to assess whether selected reproductive, lifestyle and health factors are associated with the occurence of hot flushes, night sweats, palpitations, dizzy spells and/or pins and needles in the hands and feet. A total of 346 women aged between 39 and 59 years living in Slovakia were recruited for this cross-sectional survey. Data on menopausal symptoms and potential confounders were collected by questionnaire. Logistic regression analysis revealed an independent effect of peri-/postmenopausal status and depressed mood on the manifestation of hot flushes. Analysis results for night sweats were significant for age, depressed mood and current smoking at p<0.05 while, of all input parameters, only age and depressed mood were significant predictors of palpitations. Logistic regression also revealed the effect of sport and depressed mood on dizzy spells. Depressed women, (B=0.677) and those who did not participate in sporting activities (B= -0.969) suffered more often from dizzy spells. Pins and needles in hands and feet were influenced by peri-/postmenopausal status (B=1.036), by higher numbers of pregnancy (B=0.260) and depressed mood (B=0.505). Potentially modifiable factors, such as current smoking, lack of sport, depressed mood and the number of pregnancies can predispose a woman to a higher prevalence of some of these physiological menopausal symptoms.
EN
The purpose of this study was to test whether the frequencies of vasomotor, somatic, and emotional symptoms at midlife were associated with household composition or workloads. Patrilocal family arrangements are common in Bangladesh and, since mothers-in-law hold a position of power vis-à-vis their daughters-in-law, we hypothesized that living with a mother-in-law would increase the likelihood of symptoms at midlife, while living with a daughter-in-law would decrease likelihood of symptoms. We also hypothesised that women with high levels of household workloads would be more likely to report symptoms associated with midlife. Women aged 35-59 living in Sylhet, Bangladesh, (n=157) participated in interviews and anthropometric measures. Symptom frequencies during the past two weeks were collected. Household workloads were computed as minutes spent in housework, caring for dependents, and cooking. Daily values were multiplied by times per week the activity was carried out. Logistic regression was used to evaluate the association between family composition, workloads, and symptoms. Dizzy spells, nervous tension, lack of energy, aches/stiffness in joints, and trouble sleeping were most frequent. Hot flashes were reported by 46% of participants. Women spent more hours caring for dependents than cooking or doing housework. The likelihood of hot flashes increased with time spent in housework and cooking, with daughters in the household, and with chewing betel nut. Daughters-in-law in the household decreased the likelihood of hot flashes. The likelihood of nervous tension increased with peri-menopausal status, stress, and sons in the household, and decreased with more hours spent caring for dependents. The frequency of somatic symptoms and depressed mood exceeded the frequency of hot flashes. Household composition and workloads were more important than menopausal status in explaining variation in symptom frequencies. After controlling for other variables, the presence of mothers-in-law did not increase the likelihood of reporting symptoms at midlife; however, the presence of a daughter-in-law reduced the likelihood of hot flashes, perhaps because of fewer hours spent on housework and cooking.
Anthropological Review
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2015
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vol. 78
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issue 3
269-287
EN
The movement of the baby boomers into the middle ages made the 45-65 age cohort the largest and the fastest growing segment of population in the first decade of the 21st century. This demographic expansion will have multiple consequences for ageing society. This paper aimed to provide an overview on biology of midlife transition. Physical characteristics, midlife-specific morbidity and mortality were described with focus to sexual dimorphism in physique and gender gap in mortality and morbidity. These characteristics made midlife a separate and unique stage of life. In-depth knowledge of this life stage may be useful in identifying and solving problems of ageing individuals and population.
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Polish Women 50+: How do We Age?

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EN
The article presents women’s ageing in Poland as a biological, psychological, and socio-cultural process. It also points out some of the differences in relation to men’s ageing. The object of a detailed study is the situation of women in the 51–60 age group, i.e. in the period when women of “mature age” become “older.” This period is particularly interesting both because of the women’s feelings and the social pressure to which they are subjected.
EN
Objectives The analysis of the relationship between stress at work and results of cognitive functions amongst women, at peri- and post-menopausal age, performing intellectual work. Material and Methods The study group included women, aged 45–66 years old, employed as intellectual workers. Research instruments were: the Montreal Cognitive Assessment; computer tests of the CNS Vital Signs; the Subjective Work Characteristics Questionnaire, and a questionnaire designed by the author. The results were statistically analyzed. Results Nearly a half of respondents experienced high stress at the place of work; 1/3 – on the average level, on a low level – every fifth. The largest number of respondents experienced stress caused by social contacts. Among a half of the women, stress was caused by the lack of awards at work, followed by the lack of support. Slightly fewer of them experienced stress caused by the feeling of psychological load related to the complexity of work or the feeling of uncertainty caused by the organization of work. Every third woman experienced stress due to the sense of responsibility or the lack of control. The smallest number experienced stress caused by physical arduousness, the sense of threat and unpleasant working conditions. The examined women obtained the best results with respect to simple attention, the worst results – with respect to the reaction time. The results concerning the remaining 9 cognitive functions were ranked in the middle of the aforementioned results. The intensity of stress at work and factors which caused this stress, negatively correlated with simple attention of women in the early peri-menopausal period, while positively correlating with the psychomotor and processing speed of women in the late peri-menopausal period. Among the post-menopausal women, negative correlations were observed between the majority of cognitive functions and the intensity of stress at work, and the majority of factors which caused this stress. Conclusions Cognitive functions of the examined women remained within the range of average evaluations, and were correlated with stress-inducing factors at the place of work. Int J Occup Med Environ Health 2017;30(6):943–961
PL
Rozwój kobiet w średniej dorosłości związany jest z właściwymi dla tego okresu życia zmianami hormonalnymi prowadzącymi do menopauzy. Menopauza, pomimo że stanowi jeden z okresów cyklu płciowego, zwykle łączona jest ze starzeniem się i tym samym oceniana jako niekorzystny dla kobiet „wariant normy” – okres wielu strat. Czynniki psychospołeczne: poczucie kryzysu wieku średniego, niesprzyjające społeczno-kulturowe warunki życia oraz negatywna postawa wobec menopauzy wydają się równie istotnym obciążeniem jak czynniki hormonalne, decydując o przebiegu okresu średniej dorosłości i nasileniu objawów menopauzalnych.
EN
The development of women in middle adulthood is associated with appropriate, for this period of life, hormonal changes leading to menopause. Menopause, although it is one of the natural and inevitable stages in a woman’s life, is usually combined with aging and therefore assessed as an unfavorable “standard variant” – a period of many losses. Psychosocial factors: a sense of middle age crisis, unfavorable socio-cultural conditions of life and the negative attitude towards menopause seem to be as important a burden as hormonal factors, deciding on the course of the middle adulthood period and the intensity of menopausal symptoms.
PL
Wprowadzenie: Nietrzymanie moczu jest globalnym problemem, co pokazują statystyki. Badanie oceniało wpływ nietrzymania moczu na styl i sfery życia u pacjentek przed - i pomenopauzalnych w południowej Polsce. Materiał i metody: W badaniu zastosowano sondaż diagnostyczny w grupie 492 kobiet z wykorzystaniem autorskiej ankiety. Do analizy użyto: współczynniki korelacji rangowej Spearmana i Pearsona, test t-Studenta oraz nieparametryczne testy istotności różnic. Wyniki: Stwierdzono istotne różnice między grupą kobiet przed i po menopauzie w kwestii występowania: parć naglących (p = 0,001), wysiłkowego nietrzymania moczu w stopniu III (p = 0,018), wysiłkowego nietrzymania moczu w stopniu II (p > 0,001) oraz w ilości oddawania moczu w nocy. Stwierdzono także zależność między liczbą objawów a zmianami stylu życia (rs = 0,786; p < 0,001) oraz liczbą sfer życia, na które wpływa choroba (rs = 0,789; p < 0,001). Wnioski: Parcia naglące i wysiłkowe nietrzymanie moczu występują częściej po menopauzie. Kobiety przed menopauzą doświadczają mniejszej liczby objawów nietrzymania moczu i dokonują mniejszych zmian w stylu życia.
EN
Introduction: Urinary incontinence is a global problem, as shown by statistics. This study assesses the impact of urinary incontinence on lifestyle and areas of life in pre- and post-menopausal patients in southern Poland. Material and methods: The study used an original diagnostic questionnaire to survey a group of 492 women. The following tests and coefficients were used for analysis: the Spearman and Pearson rank correlation coefficient, Student’s t-test, and non-parametric tests of the significance of differences. Results: There were significant differences between the group of pre- and post-menopausal women in the occurrence of urinary urgency (p = 0.001), stress urinary incontinence grade III (p = 0.018), stress urinary incontinence grade II (p > 0.001) and in the amount of urination at night. There was also a correlation between the number of symptoms and lifestyle changes (rs = 0.786; p < 0.001) and the number of areas of life affected by the condition (rs = 0.789; p < 0.001). Conclusions: Urge and stress urinary incontinence are more common after menopause. Pre-menopausal women experience fewer incontinence symptoms and make fewer lifestyle changes.
EN
Background The aim of the study was to analyse and present the opinions of women in perimenopause on subjectively perceived symptoms characteristic of the climacteric period, and connected with their professional functioning, as well as to evaluate the effects of selected variables on the incidence and severity of these symptoms and the women’s life satisfaction. Material and Methods The study included 250 professionally active women in perimenopausal age (40–57 years). The study used the Satisfaction with Life Scale (SWLS) to evaluate life satisfaction of women and the Kupperman Index (KI) as quantitative and qualitative self-assessment of climacteric symptoms. The authors also used a questionnaire of their own design that contains an index of defined symptoms of perimenopause, which warrants the use of Pareto-Lorenz analysis. Results The obtained results prove the presence of statistically significant correlations between the occurrence and severity of menopausal symptoms and the place of enployment (p = 0.04912), gynecological care (p = 0.00325), hormone replacement therapy (HRT) (p = 0.01523) and assessment of life satisfaction (p = 0.0325). Among the symptoms particularly influencing effective professional functioning, women pointed out hot flashes, irritability, reduced concentration and coordination, sleep disturbances, and increased sweating. Conclusions There is a statistically significant correlation between the woman’s place of employment, gynecological care, HRT, the evaluation of life satisfaction and the severity of perimenopausal symptoms. A set of symptoms whose presence and severity influence the sense of life satisfaction and evaluation of professional functioning was observed. Among the most frequently reported symptoms that exert an adverse effect on professional functioning of women are: hot flushes, irritability, reduced concentration and coordination, sleep disturbances, and increased sweating. Med Pr 2015;66(3):351–358
PL
Wstęp W pracy przedstawiono analizę opinii kobiet w wieku okołomenopauzalnym o subiektywnie odczuwanych objawach charakterystycznych dla okresu klimakterycznego, które mają związek z funkcjonowaniem zawodowym, oraz ocenę wpływu wybranych zmiennych na występowanie i nasilenie odczuwania tych objawów i poczucie satysfakcji z życia. Materiał i metody Badaniem objęto 250 aktywnych zawodowo kobiet w wieku okołomenopauzalnym (40–57 lat) mieszkających w dużych miastach. W badaniu wykorzystano Skalę Satysfakcji z Życia (Satisfaction with Life Scale – SWLS) do oceny poczucia zadowolenia z życia oraz Indeks Kuppermana (IK) do samodzielnej ilościowej i jakościowej oceny objawów klimakteryjnych. Wykorzystano także opacowany przez prowadzących badanie kwestionariusz zawierający indeks zdefiniowanych objawów okresu okołomenopauzalnego, dzięki któremu można było przeprowadzić analizę Pareto-Lorenza. Wyniki Wyniki świadczą o statystycznie istotnej zależności między występowaniem i nasileniem objawów menopauzalnych (według IK) a miejscem pracy kobiet (p = 0,04912), opieką ginekologiczną (p = 0,00325), stosowaniem hormonalnej terapii zastępczej (HTZ) (p = 0,01523) oraz oceną zadowolenia z życia (p = 0,0325). Po przeanalizowaniu wyników za pomocą analizy Pareto-Lorenza okazało się, że kobiety wskazały uderzenia gorąca, rozdrażnienie, obniżoną koncentrację i koordynację, zaburzenia snu oraz zwiększoną potliwość jako objawy szczególnie wpływające na efektywne funkcjonowanie zawodowe i powodujące dyskomfort. Wnioski Istnieje wyraźna, statystycznie istotna zależność między miejscem pracy kobiet, opieką ginekologiczną, stosowaniem HTZ oraz oceną satysfakcji z życia a nasileniem objawów występujących w okresie okołomenopauzalnym. Zaobserwowano zespół objawów, których obecność i nasilenie wpływają na poczucie zadowolenia z życia i ocenę funkcjonowania zawodowego. Kobiety jako objawy okresu menopauzalnego utrudniające im funkcjonowanie zawodowe najczęściej wskazują uderzenia gorąca, rozdrażnienie, obniżoną koncentrację i koordynację, zaburzenia snu oraz zwiększoną potliwość. Med. Pr. 2015;66(3):351–358
PL
Zgodnie z główną tezą artykułu starość nie daje się jednoznacznie opisać jako fenomen podlegający jedynie procesowi medykalizacji. W zależności od kryteriów, jakie weźmie się pod uwagę, raz wydawać się będzie, że jest zmedykalizowana, a raz – że podlega odmedycznieniu. Przykładowe analizy mają pokazać, iż powinno się raczej mówić o farmaceutykalizacji starości, podkreślając, że w wymiarze obiektywnym proces ten rzeczywiście występuje. Jeśli chodzi o proces umedycznienia i ufarmakologicznienia starości rozpatrywany od strony seniorów, to w znaczący sposób ograniczają go takie czynniki jak zasobność seniorów, dostępność lekarzy i usług medycznych, czas oczekiwania na wizytę czy zabieg. Celem artykułu jest także pokazanie słabości i ograniczeń metodologicznych w odniesieniu do zagadnień medykalizacji jako problemów badawczych i próba wywołania dyskusji, której efektem będzie rekonceptualizacja sposobów badania medykalizacji w Polsce.
EN
According to the main thesis of an article the old age is not easily classified as a solely medicalized phenomenon. Application of various analytical tools shows that the phenomenon can be seen as medicalized and demedicalized. Examples of analyses are to show that one should rather talk about pharmaceuticalization as it really occurs in an objective dimension. Medicalization and pharmaceuticalization considered from the perspective of the elderly is significantly limited by such factors as material status of the old, accessibility of physicians and treatment, time of awaiting for a medical procedure. The aim of an article is also to show methodological weaknesses and limitations in relation to issues of medicalization seen as research questions and a try to evoke a debate which, in effect, would bring reconceptualization of medicalization research in Poland.
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One Body: Overview

31%
PL
W niniejszym artykule proponuję odczytanie mojej książki One Body, dotyczącej chrześci­jańskiej etyki seksualnej, jako przykładu zastosowania wnioskowania do najlepszego wyjaśnienia wspartego przesłankami z zakresu teologii i filozofii.
EN
I offer a reading of my book One Body on Christian sexual ethics as an application of Inference to Best Explanation based on theological and philosophical data.
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One Body: Responses to Critics

31%
Roczniki Filozoficzne
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2015
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vol. 63
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issue 3
155-175
PL
W niniejszym tekście formułuję odpowiedzi na zarzuty kierowane wobec mojej książki One Body.
EN
In this article I respond to a number of powerful criticisms of my book One Body.
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