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Spatial and temporal variability of bronchiectasis cases in Silesian voivodeship in 2006–2010

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Niewiadomska E., Kowalska M., Zejda J. E.
International Journal of Occupational Medicine and Environmental Health
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2016
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vol. 29
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issue 4
699-708
EN
Objectives Reports on an increasing number of hospitalizations in other European countries and the lack of epidemiological data on the prevalence of bronchiectasis in Poland constituted motivation for the authors to investigate temporal changes of the registered incidence and hospitalization due to bronchiectasis in Silesian voivodeship, and to evaluate spatial variability of the disease in the study region. Material and Methods The study is a descriptive epidemiological project. Temporal and spatial variability of coefficients describing numbers of newly diagnosed cases and first time hospitalizations due to bronchiectasis (code J47 according to International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10)) were evaluated based on the registered data available from the National Health Found (2006–2010) and the data from MZ/Szp-11 reports (2000–2011). The data concerned adults aged ≥ 19 years, inhabitants of Silesian voivodeship. Maps of incidence or hospitalization rates due to bronchiectasis were constructed by the use of a geographical information system ArcGIS. Results The obtained results show a stable trend of reported new diseases, whereas the number of first time hospitalizations is increasing. Values of the standardized incidence were 19.9–25.1/100 000 inhabitants, and values of the standardized first-time hospitalization were 1.2–2.9/100 000 inhabitants. The reported rates of bronchiectasis indicate significant spatial differences in epidemiological situation in the study region. Conclusions The findings showed territorial variability of the incidence and hospitalization of bronchiectasis recorded in Silesian voivodeship. The observed variability might result from regional differences in the availability of specialized medical services.
2
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Spatial and temporal variability of idiopathic pulmonary fibrosis cases in Silesian Voivodeship in years 2006–2010

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Niewiadomska E., Kowalska M., Zejda J. E.
International Journal of Occupational Medicine and Environmental Health
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2017
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vol. 30
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issue 4
593-601
EN
Objectives Idiopathic pulmonary fibrosis (IPF) (J84.1 by the International Statistical Classification of Diseases and Related Health Problems, 10th revision – ICD-10) is a rare disease of unknown cause. Among many risk factors, occupational exposure to metal dust is enumerated. Because of metal industry concentration in the Silesian Voivodeship, Poland, an attempt of spatial and temporal variability of the idiopathic pulmonary fibrosis occurrence evaluation in 2006–2010 is made. Material and Methods The research is a descriptive analysis. Data of the number of new treated cases and firsttime hospitalization due to idiopathic pulmonary fibrosis in the years 2006–2010 was obtained from the National Health Found (Narodowy Fundusz Zdrowia – NFZ). We also assessed spatial and temporal variability of both rates. Data concerned adults aged ≥ 19 years old inhabited the Silesian Voivodeship. Results The standardized incidence rate due to idiopathic pulmonary fibrosis increased in the study period and was in the range of 2.9–3.8/100 000 population. The highest values of incidence were observed in districts localized in the centre of the Silesian Voivodeship. Conclusions Incidence of idiopathic pulmonary fibrosis is not so high in the Silesian Voivodeship but the number of newly treated cases slightly increased in 2006–2010. Spatial and temporal variability of incidence rates for treated registered cases of idiopathic pulmonary fibrosis in the Silesian Voivodeship was observed. It could be an effect of occupational exposure to metal dust, however, final conclusions need more precise studies to the extent of analytical epidemiology. Int J Occup Med Environ Health 2017;30(4):593–601
3
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Construction of multi-state life tables for critical illness insurance – influence of age and sex on the incidence of health inequalities

84%
Dębicka J., Zmyślona B.
Śląski Przegląd Statystyczny
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2016
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issue 14 (20)
41-64
XX
The aim of the paper is twofold. The first one is to present the multi-state life tables associated with the insurance against the risk for lung cancer. Probabilistic structure of the model regarding incidence and mortality rates of lung cancer takes into account many factors such as a patient’s health condition (mild and critical), the probability of remaining in mild state of health and the probability of state of health deterioration. The lifetime in a critical state is analyzed in detail. The probability of death of a patient is also analysed according to the health condition. The analysis of the influence of inequalities in health caused by gender, biological sex and age on the probabilistic structure pose the second aim of paper.
4
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Analiza zapadalności na boreliozę z Lyme w wybranych grupach pracowników leśnictwa w województwie zachodniopomorskim w latach 2005–2014

67%
Stawicki T.
Medycyna Pracy
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2017
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vol. 68
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issue 2
211-220
EN
Background The data collected by sanitary-epidemiological stations in 2005–2014 were analyzed to determine the incidence rates of borreliosis Lyme disease in the West Pomerania group of workers exposed to tick bites. Material and Methods It was assumed that an adequate comparison of official epidemiological data with the data concerning the number of exposed people, is an indispensable condition for assessing properly the trend in Lyme disease incidence rates, concerning at the same time a real scale of occupational exposure. The study covered a selected group of forestry workers, i.e., white-collar staff employed in different units of the State Forests National Forest Holding with their seats in West Pomerania. The aim of the research was to process and analyze the data on workers employed in the forest sector and their positions, requested from district sanitary-epidemiological stations. Results In the years concerned 282 cases of the occupational disease were recorded mainly in the groups of forest rangers, junior foresters and forest service inspectors. The values of the incidence factor exhibit high variability with the major share of cases recorded in the years 2008–2010 that accounted for 61.8% of the total occurrences concerned. The incidence in the years 2008, 2009 and 2010 amounted to 2418, 2828 and 2646 cases per 100 000 employees, respectively. Conclusions The results show that previously published information about the incidence of Lyme disease in the agriculture, forestry and hunting sector, did not fully illustrate a real scale of occupational risk. Med Pr 2017;68(2):211–220
PL
Wstęp Analizie poddano dane ze stacji sanitarno-epidemiologicznych z województwa zachodniopomorskiego z lat 2005–2014 w celu określenia zapadalności na boreliozę z Lyme u pracowników zawodowo narażonych na ukłucia kleszczy. Materiał i metody W metodyce badań przyjęto, że niezbędnym warunkiem poprawności oceny trendu zmian zapadalności na boreliozę z Lyme, jednocześnie uwzględniającym realną skalę narażenia zawodowego, jest właściwe skonfrontowanie oficjalnych danych epidemiologicznych z danymi dotyczącymi liczby osób narażonych. Badaniami objęto wytypowaną grupę pracowników sektora leśnego, tj. zatrudnionych na stanowiskach nierobotniczych w jednostkach organizacyjnych Lasów Państwowych z siedzibami leżącymi w granicach administracyjnych województwa zachodniopomorskiego. Realizacja postulatów badawczych polegała na analizie i opracowaniu danych, o które wnioskowano do powiatowych stacji sanitarno-epidemiologicznych, a które zgodnie z wnioskiem miały dotyczyć zatrudnionych w leśnictwie oraz wskazywać na zajmowane stanowisko pracy. Wyniki W latach objętych badaniami zarejestrowano ogółem 282 przypadki choroby zawodowej, które dotyczyły głównie osób zatrudnionych na stanowiskach leśniczego, podleśniczego i specjalisty służby leśnej. Uzyskane wartości współczynnika zapadalności charakteryzowały się dużą zmiennością, przy wiodącym udziale przypadków z lat 2008–2010, stanowiących łącznie 61,8% ogółu rozpatrywanych zdarzeń. Współczynnik zapadalności w latach 2008, 2009 i 2010 wynosił, odpowiednio: 2418, 2828 i 2646 przypadków na 100 tys. zatrudnionych. Wnioski Wyniki badań wskazują, że dotychczas publikowane informacje o zapadalności na boreliozę z Lyme w sektorze rolnictwa, leśnictwa i łowiectwa mogą nie oddawać w pełni rzeczywistej skali ryzyka zawodowego. Med. Pr. 2017;68(2):211–220
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