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1
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Whipple’s disease as a systemic infectious disease – a case presentation

100%
Maciorkowska M., Ustymowicz W., Zakrzewski M., Pryczynicz A., Markowski A., Romatowski J., Guzińska-Ustymowicz K.
Progress in Health Sciences
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2018
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vol. 8(1)
212-218
EN
Introduction: Whipple’s disease is a chronic systemic infectious disorder with Tropheryma whipplei as an etiologic agent, occurring rarely and affecting numerous organs and systems. The variety of symptoms and a non-typical course make it difficult to establish a proper diagnosis. Purpose: In this study, etiopathogenesis, diagnostics and treatment of Whipple’s disease were presented based on the case report of 60-year-old man diagnosed with Whipple’s disease. Case presentation: Persistent diarrhoea with weight loss, lymphadenopathy in the abdominal cavity and moderate microcytic anemia predominated in the clinical picture. Diagnosis was put based on the clinical picture and macroscopic assessment of the small intestine and the presence of macrophages filled with a PAS-positive substance in the lamina propria. To deepen diagnostics, samples collected were assessed showing macrophages with the damaged mucosa, containing numerous elongated micro-organisms whose ultrastructure corresponded to Tropheryma whipplei. The patient’s clinical conditions improved after antibiotic therapy. Conclusions: It is vital to remember about Whipple’s disease in patients with chronic diseases due to a non-specific clinical picture and difficulties in establishing a proper diagnosis. When the disease is diagnosed unequivocally, proper and effective antibiotic therapy should be instituted immediately.
2
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Recognition COVID-19 as an occupational disease in Poland – definition, criteria and recommendation

75%
Wiszniewska M., Rybacki M., Lipińska-Ojrzanowska A., Szkiela M., Walusiak-Skorupa J.
Medycyna Pracy
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2023
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vol. 74
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issue 5
435-442
EN
A major challenge over the pandemic period was to establish the criteria for recognizing COVID-19 as an occupational disease. The European Center for Disease Prevention and Control has attempted to estimate the incidence of COVID-19 in individual occupational groups and economy sectors in the European Union and the United Kingdom, and to identify possible factors increasing the transmission of the virus at workplaces. Legal regulations of various countries in the world allow COVID-19 to be recognized as an accident at work and/or an occupational disease. In Poland, an occupational disease is defined as a disease caused by harmful factors occurring in the work environment or connected with performing a given job, included in the official list of occupational diseases. When assessing occupational exposure in the healthcare sector, it should be considered that healthcare workers include all persons in contact with patients or their biological material, as well as employees who are not medical professionals but who share a common space with patients due to the nature of their work. The latter group includes administrative and technical employees, control and rescue service workers, people supporting medical staff, and employees of nursing homes. In the case of non-medical occupations, the decision to recognize COVID-19 as an occupational disease should be made on an individual basis, after confirming a significant risk of contracting a SARS-CoV-2 virus infection at the workplace and in the absence of evidence of a non-occupational source of infection. An assessment of occupational exposure should always include evaluating the possibility of SARS-CoV-2 transmission.
3
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Zapobieganie zagrożeniom epidemiologicznym na przestrzeni wieków

63%
Lisiecki A.
Zeszyty Naukowe Państwowej Wyższej Szkoły Zawodowej im. Witelona w Legnicy
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2016
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issue 1(18)
PL
W artykule omówiono działania podejmowane w celu zapobiegania zagrożeniom epidemiologicznym na przestrzeni wieków. Jako narzędzia wykorzystano metodę analizy literatury przedmiotu. Cykliczne mutacje istniejących patogenów jak i powstawanie nowych mogących powodować zakażenie u ludzi, zwierząt czy roślin wymuszają ciągłą zdolność do adaptacji istniejących lub tworzenia nowych rozwiązań, służących efektywnej walce z tym zjawiskiem. W pracy przedstawiono na wybranych przykładach przebieg, opis ochrony ludności oraz zmianę podejścia do chorób zakaźnych wraz z rozwojem medycyny w kraju i na świecie
EN
The article discusses the actions taken to prevent epidemiological risks over the centuries. A method of reference books analysis was used as a tool. Cyclic mutations of existing pathogens, and the emergence of the new ones that could cause infections in humans, animals or plants, impose a continuous ability to adapt exisiting solutions or to create new ones that help fight the above mentioned phenomenon efficiently. The work presents the process, description of civil protection and change in the approach to infectious diseases together with the development of medicine in the country and all over the world in the selected examples.
4
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Przeciwdziałanie zakażeniom i chorobom zakaźnym w podmiotach leczniczych w kontekście zwolnienia z obowiązku zachowania tajemnicy lekarskiej

63%
Pacian J.
Studia Prawnicze KUL
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2017
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issue 3
91-106
EN
The aim of the paper is to present the legal regulations and the positions of the doctrine and the judicature concerning exemption of a physician from a duty of maintaining doctor-patient confidentiality with respect to prevention and combating of contagious diseases and infections. Pursuant to the Act of 05.12.1996 on the Professions of a Doctor and a Dentist, a physician is obliged to maintain doctor-patient confidentiality. Article 40 section 1 of the Act provides that a physician has a duty to keep confidential patient-related information obtained in connection with practising the profession. On the other hand, section 2 provides that the regulation contained in section 1 is not applied when: maintaining confidentiality can pose a danger to life or health of the patient or other people. The statutory guarantees pertaining to exemption from doctor-patient confidentiality should effectively serve to combat contagious diseases and infections. Moreover, possible legal responsibility that a physician can bear for breaking these regulations seems to support exemptions and restrictions of these rules.
PL
Celem artykułu jest przedstawienie unormowań prawnych oraz stanowiska doktryny i orzecznictwa dotyczących zwolnienia lekarza z obowiązku zachowania tajemnicy lekarskiej w zakresie zapobiegania oraz zwalczania chorób zakaźnych i zakażeń. Zgodnie z ustawą z dnia 5.12.1996 r. o zawodach lekarza i lekarza dentysty lekarz zobowiązany jest do zachowania tajemnicy lekarskiej. Artykuł 40 ust. 1 stanowi, że lekarz ma obowiązek zachowania w tajemnicy informacji związanych z pacjentem, a uzyskanych w związku z wykonywaniem zawodu. Ustęp 2 natomiast głosi m.in., że przepisu ust. 1 nie stosuje się, gdy zachowanie tajemnicy może stanowić niebezpieczeństwo dla życia lub zdrowia pacjenta lub innych osób. Gwarancje ustawowe dotyczące zwolnienia z obowiązku zachowania tajemnicy lekarskiej powinny skutecznie służyć zwalczaniu chorób zakaźnych i zakażeń. Także możliwość poniesienia odpowiedzialności prawnej przez lekarza za złamanie tych obwarowań prawnych, wydawać by się mogło, sprzyja ich wykluczaniu i ograniczaniu.
5
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COVID-19 – czas na wnioski. Istniejące budynki a możliwość izolowania ludzi

63%
Wieczorek A.
MAZOWSZE Studia Regionalne
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2023
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issue 44
113-117
EN
The aim of the article is to draw the attention of policy makers that the existing buildings in Poland are not suitable for the isolation of people as recommended during the COVID-19 pandemic. This applies not only to the buildings in which one lives or works, but also to healthcare facilities.
PL
Celem artykuł jest zwrócenie uwagi decydentom, że istniejące w Polsce budynki nie są przystosowane do izolowania od siebie ludzi, zalecanego w stanie epidemii COVID-19. Dotyczy to nie tylko budynków, w których się mieszka czy pracuje, ale i obiektów służby zdrowia.
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