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Status społeczno-polityczny kobiety w Indiach na przełomie XX i XXI wieku – konflikt tradycji i prawa

100%
Staniszewska A.
Świat Idei i Polityki
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2013
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issue 12
42-53
EN
Recent media reports about the loud process men accused of the brutal rape of a student started a new discussion about the position of women in Indian society. This status at the turn of the twentieth and twenty-first to a large extent still is the result of tensions caused by the clash of tradition and modernity. The aim of this research work is to show the rank of the issue of socio-political women in India at the turn of the century. Article focuses on the determinants that have shaped the contemporary Indian political system and the description of the contemporary Indian society and discuss the major social problems of India. Moreover, analyzes the determinants of religious and regulating the position of women in society. The article seeks to discuss contemporary media events, and analyze the development of problem in the future
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The analysis of screening costs for hypercholesterolemia and hyperglycemia as part of obligatory examinations of employees

51%
Marcinkiewicz A., Olejniczak D., Śliż D., Staniszewska A.
International Journal of Occupational Medicine and Environmental Health
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2021
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vol. 34
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issue 5
581-589
EN
ObjectivesHigh prevalence of hyperlipidemia and hyperglycemia requires searching for efficient and cost-effective methods of an early detection of these disorders. In Poland, obligatory employee medical check-ups could be a solution.Material and MethodsThe study included a group of university employees who underwent obligatory occupational examinations in 2018. Each employee had an additional lipid (unit cost: EUR 2.56) and blood glucose profile (EUR 0.93) done. The number of respondents involved in the study was 850 (340 males and 510 females), and their average age was 47 years (SD = 11 years). The education distribution was as follows: employees with secondary vocational and general education (physical, frontline and administrative workers): 176 (age: M±SD 50.3±10.3); employees with a university degree (academics with an M.Sc. or/and Ph.D. title and administrative staff): 535 (age: M±SD 43.6±9.8); and academics with a university title (Ass. Prof. and/or Prof.): 139 (age: M±SD 56.2±10.2).ResultsDyslipidemia (elevated total cholesterol ≥190 mg/dl and/or low-density lipoprotein cholesterol ≥115 mg/dl) was reported in 560 workers (65.9%). Hyperglycemia (fasting glucose ≥100 mg/dl) was observed in 256 workers (31%). The total cost of detecting a single case of dyslipidemia and hyperglycemia was EUR 3.88 and EUR 3.09, respectively. Divided by age groups, the costs were as follows: EUR 4.34 and EUR 4.53 in the age group <45 years; EUR 3.56 and EUR 2.42 in the age group ≥45 years. The costs of detecting a single case of dyslipidemia and hyperglycemia in employees aged ≥45 with regard to education were as follows: EUR 3.20 and EUR 2.07 in persons with secondary vocational and general education; EUR 3.40 and EUR 2.80 in persons with a university degree; and EUR 4.38 and EUR 2.28 in persons with a university title.ConclusionsDue to the fact that the reporting rate for screening tests in the framework of occupational medicine is high, the cost of occupational screening tests for dyslipidemia and hyperglycemia can be lower than the cost of screening tests in the general population.
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Aktywność zawodowa chorych na padaczkę

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Staniszewska A., Sobiecki M., Duda-Zalewska A., Religioni U., Juszczyk G., Tatara T., Słoniewski R.
Medycyna Pracy
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2015
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vol. 66
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issue 3
343-350
EN
Background The aim of the study was to determine the occupational activity of epileptic patients. Particular attention was paid to employment of people with epilepsy, the way the workplace is informed about the disease, impact of education on employment opportunities and the relationship between clinical type of epilepsy and professional activity. Material and Methods Patients were recruited from the neurological outpatient clinic in Warszawa and asked to fill in a customized questionnaire, containing questions on their socio-demographic, clinical and employment status. Results The study included 197 adult patients with epilepsy (64 professionally active and 133 inactive). As many as 47.7% of respondents declared that the disease impeded their employment, and 77.2% admitted that the occurrence of seizure at work had negatively affected their comfort. As many as 42.2% professionally active respondents had revealed the disease at work. There was a statistically significant difference between individuals with primarily generalized seizures and those with partial and secondarily generalized seizures (30.61% vs. 2.63%, p < 0.05). Education had also a significant positive impact on employment (47.06% employed with university degree vs. 9.76% with primary education, p < 0.05). No significant correlations between duration of the disease or number of the epileptic seizures, independent of their type and revealing the disease in the workplace, were observed (p > 0.05). Neither current work status had impact on opinions about difficulties in finding a job (p > 0.05). Conclusions Epilepsy is a great obstacle to finding and maintaining employment. Less than 1/2 of patients inform the workplace about their illness, mainly due to previous negative experiences. Since education significantly enables the employment, programs aimed at promoting vocational activation of patients should facilitate access to learning. Med Pr 2015;66(3):343–350
PL
Wstęp Celem badania było poznanie aktywności zawodowej chorych na padaczkę. Badano formy zatrudnienia chorych, sposób informowania o chorobie w miejscu pracy, wpływ wykształcenia na możliwość znalezienia zatrudnienia oraz zależność między kliniczną postacią padaczki a aktywnością zawodową. Materiał i metody Badaniem objęto pacjentów leczonych ambulatoryjnie w warszawskiej poradni neurologicznej. Opracowano ankietę zawierającą pytania charakteryzujące badaną grupę pod względem socjodemograficznym i klinicznym oraz dotyczące zatrudnienia. Wyniki Do badania włączono 197 dorosłych chorych z rozpoznaną padaczką (64 aktywnych i 133 nieaktywnych zawodowo). Spośród badanych 47,7% zdeklarowało, że choroba utrudnia lub utrudniała im podjęcie pracy, a 77,2% przyznało, że wystąpienie napadu padaczkowego w pracy wpłynęło negatywnie na komfort pracy. W grupie czynnych zawodowo 42,2% osób poinformowało w miejscu zatrudnienia o chorobie – istotna statystycznie była różnica między chorymi z napadami pierwotnie uogólnionymi a ogniskowymi i wtórnie uogólnionymi (30,61% vs 2,63%, p < 0,05). Poziom wykształcenia istotnie wypływał na zatrudnienie (47,06% pracujących chorych z wykształceniem wyższym vs 9,76% z wykształceniem podstawowym, p < 0,05). Nie wykazano istotnych zależności między czasem trwania choroby lub liczbą napadów a informowaniem o chorobie w miejscu pracy (p > 0,05). Status zawodowy także nie wpływał na różnice w opiniach dotyczących utrudnień w znalezieniu pracy (p > 0,05). Wnioski Padaczka jest istotną przeszkodą w podejmowaniu i utrzymaniu pracy. Mniej niż 1/2 chorych zatrudnionych (częściej chorzy z łagodniejszą postacią padaczki) mówi o swojej chorobie w miejscu pracy, prawdopodobnie z powodu wcześniejszych negatywnych doświadczeń. Czynnikiem sprzyjającym podjęciu i utrzymaniu pracy zawodowej chorych jest wykształcenie, dlatego programy wspierające zatrudnienie powinny ułatwiać dostęp do edukacji. Med. Pr. 2015;66(3):343–350
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Patients with epilepsy as drivers in Poland

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Staniszewska A., Mąka A., Religioni U., Olejniczak D., Juszczyk G., Gierczyński R., Marcinkiewicz A.
Medycyna Pracy
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2021
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vol. 72
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issue 4
341-350
EN
Drivers suffering from epilepsy are commonly regarded as a threat to road safety. However, inability to use their own means of transport very often implies specific professional effects and lowers the quality of life. The aim of this study was to analyze the driving status of patients with epilepsy in Poland.Material and MethodsThe prospective study was performed using an independent questionnaire developed by the authors, consisting of 4 parts: 1) socio-demographic information, 2) clinical information, 3) driving information, and 4) opinions about patients with epilepsy as drivers. The study was conducted in November 2018–September 2019. A total of 188 patients completed this study.ResultsMore than one-quarter of the patients have a driving license. Among them, 35 individuals (accounting for 18.62% of the whole study group) said that they had received their driving license after the diagnosis of epilepsy. In 10 cases (5.32%), seizures occurred while the patients were driving and in 72 cases (38.30%) while they were traveling as passengers. Among all socio-clinical factors, having a driving license was conditioned by the marital status (p = 0.008) and education (p = 0.007). Other factors did not affect having a driving license or the time of obtaining the license (p > 0.05 for all cases). A relationship was observed between the occurrence of side effects of antiepileptic drugs and the occurrence of seizures while traveling as a car passenger (p = 0.001). Other factors did not affect the occurrence of epileptic seizures while traveling by car, either as a driver or a passenger (p > 0.05).ConclusionsA significant proportion of the respondents were of the opinion that patients with epilepsy should not be allowed to obtain a driving license, which is probably related to concerns about the occurrence of epileptic seizures while driving. It is necessary to conduct a nationwide educational and information campaign on epilepsy in various aspects.
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Hypercholesterolemia and prevention of cardiovascular diseases in the light of preventive medical examinations of employees in Poland

39%
Śliż D., Marcinkiewicz A., Olejniczak D., Jankowski P., Staniszewska A., Mamcarz A., Walusiak-Skorupa J.
International Journal of Occupational Medicine and Environmental Health
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2019
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vol. 32
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issue 6
865-872
EN
Long-term exposure to hypercholesterolemia is the cause of atherosclerosis, which in turn causes cardiovascular and cerebrovascular events. In developed countries, including Poland, vascular diseases are the main cause of death. They affect an ever younger part of the population, including the working population. The authors address the problem of epidemiology of cardiovascular diseases, unsatisfactory detection and treatment, economic consequences for the health care system, and the possibilities of using occupational medicine services in the prevention of this health problem. Due to the fact that the early detection of diseases caused by high blood cholesterol levels is relatively low in Poland, obligatory occupational medicine examinations seem to be a key element of the second-line prevention. Therefore, it seems natural to consider the idea of extending the scope of obligatory examinations and introducing tests that allow lipid disorders to be detected at an early stage. This can contribute to a general improvement of the health of the population, and to economic benefits, such as a decrease in the costs of treatment of the disorders that have been detected too late. Broadening the scope of occupational examinations is also important from the perspective of public health and epidemiology of cardiovascular diseases, thus being an element of prevention of civilization diseases. It means improving health and building health awareness, and it should translate into regular health examinations. The performance of these examinations should result not only from the obligation, but also from the patient’s conviction about the importance of early detection of disorders, including lipid disorders, for an effective therapy. Int J Occup Med Environ Health. 2019;32(6):865–72
6
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Odpady cytostatyczne i cytotoksyczne – zasady postępowania w Polsce

33%
Furtak-Niczyporuk M., Jaroszyński J., Mela A., Staniszewska A., Piotrowska J., Zimmermann A., Czajka-Bełz A., Dreher P., Dąbrowski J., Kapka-Skrzypczak L.
Medycyna Pracy
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2019
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vol. 70
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issue 3
377-391
EN
Poland is one of the European countries with the highest level of production of dangerous medical waste. Although in Europe the volume of produced cytotoxic and cytostatic waste (used in chemotherapy by oncological patients) has been declining for several years, in Poland a reverse trend has been observed. As this waste puts the safety of medical workers and patients at risk, special handling procedures are required to limit the harmful effect of these drugs on human health. In view of the above, the aim of the work was to present the rules of conduct with cytotoxic and cytostatic drugs, and their waste, in Poland. Med Pr. 2019;70(3):377–91
PL
Polska jest jednym z krajów europejskich, w których wytwarza się najwięcej niebezpiecznych odpadów medycznych. Mimo że w Europie ilość produkowanych odpadów cytotoksycznych i cytostatycznych (stosowanych w chemioterapii przez chorych onkologicznie) od kilku lat się zmniejsza, w Polsce – rośnie. Odpady te stanowią zagrożenie bezpieczeństwa dla pracowników medycznych oraz chorych otrzymujących leki. Dlatego wymagane są specjalne procedury postępowania, które pozwalają ograniczyć szkodliwość tych leków dla zdrowia ludzi. Celem pracy było przedstawienie zasad postępowania w Polsce z lekami cytotoksycznymi i cytostatycznymi oraz ich odpadami. Med. Pr. 2019;70(3):377–391
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