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Moulds – friends or enemies?

88%
EN
Moulds are common in our habitat and play significant role in the economy and household. The aim of the article is the indication of selected benefits and threats of moulds present in human environment. The main benefits are: antibiotic synthesis (e.g β-lactam antibiotics production), moulds application in food industry (e.g. mouldy cheese production) and industrial biotechnology (e.g. organic acids synthesis). Threats which are related with moulds presence in our environment are diseases of respiratory system, skin as well as allergies and also possibility of food contamination by mycotoxins synthesized by moulds which can cause animal and people poisoning. The main factors which increase exposure of people to adverse effects of moulds are high moisture, inefficient room ventilation and incorrect storage of resources for food production. Taking care of living quarters technical condition and appropriate control of quality and food storage conditions as well as raw materials for its production, we can reduce undesirable moulds effects.
EN
Hospital infections result in complications of the original disease, which frequently leads to disabilities or even to death. They also pose a problem for the very medical entities, due to prolonged stays in hospitals and increased costs of the services provided. Therefore, the Supreme Audit Office decided to conduct the first planned coordinated audit in the area. The audit seems to be especially important in the context of increased drug resistance of micro-organisms, which do not react to the available antibiotics, and the growing number of patients infected with pathogens resistant to many drugs, being very difficult to eliminate from hospitals.
EN
Introduction: Studies based on the ISAAC questionnaire suggest a correlation between the use of antibiotics and the prevalence of asthma and allergy in children aged 6-7 years. The number of courses of antibiotic therapy is an important factor. Objectives: To investigate the relationship between the use of antibiotics during the fi rst years of life and the prevalence of allergy and asthma among children (aged 6-8 years) in the urban population of Poland. Materials and Methods: A survey-based study with a self-completed questionnaire. The respondents were parents of children aged 6-8 years living in Warszawa, Poland. 1461 completed questionnaires were collected. Results: Asthma was declared in 4.3% of the children. Wheezing and/or sibilant rhonchi within 12 months before the study was observed in 13.5% of the cases. Asthma medication was taken by 21.8% of the children. Allergic rhinitis was declared in 18.7% of the children. Problems with sneezing, rhinorrhea, and nasal congestion not associated with cold or fever were observed in 40.7% of the children. The a nalysis of the odds ratios between the use of antibiotics and the symptoms of allergic diseases revealed a clear correlation. The highest odds ratio was observed between the completion of over three courses of antibiotic therapy prior to the age of 12 months and the declaration of one of the following: asthma (OR = 5.59, 95% CI: 2.6-12.01), wheezing and/or sibilant rhonchi (OR = 4.68, 95% CI: 3.01-7.27) and taking medicines for breathlessness (OR = 5.12, 95% CI: 3.42-7.68). Conclusions: There is a direct relationship between antibiotic use in the fi rst 3 years of life and asthma and allergy symptoms in children aged 6-8 years old.
IT
L’articolo si propone di rispondere alla domanda se le regolazioni giuridiche adottate a livello dell’UE e a quello nazionale siano utili alla tutela della salute degli animali e se garantiscano l’uso sicuro degli antibiotici nella produzione animale. Nella parte conclusiva, l’autrice afferma che le norme di legge vigenti determinano in modo chiaro le situazioni, d’altronde tassativamente indicate, in cui è ammissibile ricorrere all’uso degli antibiotici, al di là delle quali esso è vietato e può comportare sanzioni specifiche. Tuttavia, le suddette norme non sono rispettate. Non servono, quindi, a proteggere la salute degli animali e non portano a stimolare in misura adeguata il loro impiego sicuro. Sembra che la scarsa efficacia delle regolazioni giuridiche, adottate sia a livello dell’UE che a quello nazionale, sia da correlare alla debolezza dei controlli effettuati e ad un troppo facile accesso agli antibiotici.
EN
The purpose of the considerations is to answer the question whether the legal regulations adopted at the EU and national level serve to protect animal health and allow for safe use of antibiotics in animal production. The authoress concludes that the legal standards currently in force unequivocally determine the admissibility of the use of antibiotics in enumerated situations, outside of which their use is prohibited and carries a risk of a specific sanction. However, these standards are not observed. Thus, they do not serve to protect animal health and only to a limited extent stimulate their safe use in production. It seems that the weakness of controls and an easy access to antibiotics are responsible for the low effectiveness of the legal regulations adopted both at the EU and national level.
PL
Artykuł stanowi odpowiedź na pytanie, czy przyjęte na poziomie unijnym normy prawne służą ochronie zdrowia zwierząt oraz pozwalają na bezpieczne stosowanie antybiotyków w produkcji zwierzęcej. Podjęto w nim także próbę ustalenia i oceny krajowych rozwiązań prawnych w tym zakresie oraz wskazania kierunków koniecznych zmian w realizowanej polityce rolnej UE. W efekcie stwierdzono, że obowiązujące normy prawne jednoznacznie określają dopuszczalność stosowania antybiotyków w enumeratywnie wskazanych sytuacjach, poza którymi ich używanie jest zabronione i grozi sankcją, ale nie zawsze są przestrzegane. Nie służą więc ochronie zdrowia zwierząt i w ograniczonym zakresie są bezpiecznie stosowane w produkcji. Niska skuteczność przyjętej na poziomie unijnym i krajowym regulacji wiąże się prawdopodobnie ze słabością prowadzonych kontroli oraz łatwym dostępem do antybiotyków.
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Wczoraj i dziś ziołolecznictwa

63%
Medical Review
|
2012
|
issue 2
Warszawie Rzeszów 2012, 2,
PL
W pracy przedstawiono historię ziołolecznictwa, od starożytnego Egiptu poczynając, poprzez Chiny, Amerykę Środkową i Południową, Grecję Hipokratesa do polskich herbarzy, Stefana Falimirza i Jana Krzysztofa Kluka. Opisano wpływ, jaki wywarło otrzymanie pierwszego chemioterapeutyku – sulfacetamidu, przez Gerarda Domagka, na intensywny rozwój chemii. Następnie przedstawiono przyczyny odrodzenia się ziołolecznictwa, nowe leki ziołowe, ich działania niepożądane, interakcje występujące pomiędzy produktami przepisanymi na recepty a lekami roślinnymi oraz definicję nowoczesnego leku ziołowego.
XX
This work presents the history of a phytotherapy, beginning from antique Egypt, through China, Central and South America, Greece of Hippocrates, finishing on Polish armorials, like Stefan Falimirz and Jan Krzysztof Kluk. The description of an influence, which an obtainment of a first chemotherapy – sulfacetamidu, by Gerard Domagk, had on an intensive development of chemistry. Afterward are presented the reasons of revival of a phytotherapy, new herbal medicines, their side effects, interactions between products prescribed on a prescription and plant medicines, and also a definition of a modern herbal drug.
PL
Praca ocenia wiedzę pacjentów Uniejowa i okolicy na temat antybiotyków. Metodą ankietową przebadano 100 pacjentów. Przyjmowali oni antybiotyki głównie z powodu infekcji dróg oddechowych. Tylko około połowa ankietowanych wiedziała, że antybiotyki działają na bakterie oraz że ich stosowanie grozi rozwojem bakterii opornych. Co trzecia osoba skłonna jest zastosować antybiotyk w przeziębieniu przebiegającym z gorączką powyżej 3 dni, a prawie połowa przypisuje im działanie jakiego nie mają, tzn. na ból i gorączkę. Wszyscy natomiast doceniają rolę leków osłonowych podczas antybiotykoterapii. Zdecydowana większość przestrzega zaleceń dotyczących antybiotykoterapii, ale około 1/3 zapytanych sugeruje lekarzowi wypisanie antybiotyku i tyle samo konsultuje jego decyzję z innym lekarzem. Głównym źródłem informacji o antybiotykach jest lekarz. Szczególnym zaufaniem, głównie wśród mieszkańców wsi, cieszy się lekarz rodzinny. Pacjenci z Uniejowa odpowiadali podobnie jak z pobliskich wsi. Wiedza pacjentów tego regionu na temat antybiotyków jest w niektórych aspektach wyższa niż w innych regionach Polski. Nie zaobserwowano różnic w odpowiedziach między płciami. Więcej poprawnych odpowiedzi udzielali pacjenci z wyższym wykształceniem
EN
This study aims to assess the knowledge of antibiotics among the health service patients in the commune of Uniejów. For this purpose, a survey of 100 patients was conducted. They were mostly given antibiotics for higher respiratory tract diseases. Only about half of the respondents knew that antibiotics fight bacteria and that their use may cause the development of antibiotic-resistant bacteria. One person in three was inclined to take antibiotics in case of a cold with fever lasting longer than three days, and nearly half of the respondents believed that antibiotics were effective in case of high temperature and pain, which is not true. All of them, though, were aware of the important role of protective drugs during antibiotic therapy. The majority of the patients follow the doctor’s instructions concerning the therapy with antibiotics, but about 30% suggest that the doctor prescribe an antibiotic, and about the same number consult the doctor’s decision with another specialist. The patients in this region, especially in rural areas, place the greatest trust in the family doctor. The respondents from Uniejów answered similarly to those from the nearby villages. No differences were observed between answers given by men and women. Patients with higher education gave more correct answers.
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