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PL
Konstantynów Łódzki jest częścią Łódzkiego Obszaru Metropolitalnego i ma prawie 18 tys. mieszkańców. Jego położenie powoduje, że jest popularnym miejscem osiedlania się osób pracujących w Łodzi. Miasto połączone jest z Łodzią linią tramwajową oraz kilkoma drogami łączącymi je z centrum aglomeracji oraz przenoszącymi ruch w relacji północ–południe. Obecnie infrastruktura drogowa jest najważniejszym elementem dającym możliwość przemieszczania się mieszkańców. Taka sytuacja powoduje szereg problemów transportowych. Celem artykułu jest zaproponowanie rozwiązania problemów logistyki transportu drogowego Konstantynowa Łódzkiego. Na podstawie danych z badań ruchu drogowego oraz analizy istniejącej infrastruktury transportowej dokonano prognozy ruchu drogowego do 2040 r. Prognoza ta oraz szereg innych czynników pozwoliły na nakreślenie niezbędnych zmian w infrastrukturze transportowej, które dają szansę na rozwiązanie istniejących i narastających problemów w obszarze logistyki miejskiej Konstantynowa Łódzkiego.
EN
Konstantynów Łódzki is part of the Łódź Metropolitan Area, with almost 18 thousand residents. Its location causes it to be a popular place of settlement for people working in Łódź. The city is connected by a tram line with Łódź and several roads connecting them with the center of the agglomeration and transferring traffic in the north-south direction. Currently, the road infrastructure is the most important element that gives residents the possibility of moving around. This situation causes a number of transportrelated problems. The aim of the article is to propose a solution to the problems faced by the road transport logistics in Konstantynów Łódzki. Based on data from road traffic studies and analyses of the existing trans-port infrastructure, a forecast relating to traffic until 2040 was made. This forecast and a number of other factors allowed outlining the necessary changes in the transport infrastructure, which give an opportunity
EN
Background Drug-resistant bacteria are one of the main reasons of deaths worldwide. A significant group of these bacteria are carbapenemase producing Enterobacteriaceae (CPE). The goal of this study was to develop a diagnostic and therapeutic model targeted at asymptomatic carriers of CPE. Material and Methods A team of experts from different branches connected to health care, discussing the topic based on the data collected from previous research. Working sessions were dispersed between June and December 2022. The consensus has been reached via repeated discussion and literature search. Results The facility where CPE are detected is required to create an alert pathogen note and to notify sanitary-epidemiological station and National Reference Centre for Antimicrobial Susceptibility of Microorganisms – neither these institutions, nor the patient are required to notify the primary care physician. In primary care clinics, it is possible to work towards breaking the transmission of CPE by educating patients with CPE and persons who were in contact with them, and to undertake actions in order to look for patients with risk factors for CPE colonisation. In order to improve communication between individual levels of the health care system, standardised information could be introduced to the discharge note about a case of CPE, which will be electronically transmitted to the primary care facility. It might contribute to effective combating of the spread of CPE, by serving as a source of knowledge and education for patients and by checking the patient’s risk factors, which will improve the performance of tests for CPE colonisation. Conclusions The established model of good practice requires a change of legal regulations and its implementation, which will reduce the spread of CPE in health care facilities and will enable its future improvement.
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