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Ocena zagrożeń zawodowych oraz ich profilaktyka w pracy techników dentystycznych w czasie pandemii COVID-19

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Karwowska A., Kochanowicz J., Maślach D., Pędziński B., Krzyżak M.
Medycyna Pracy
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2023
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vol. 74
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issue 4
289-299
EN
Background Work of a dental technician is associated with exposure to a number of harmful factors. We can distinguish: chemical, biological, physical and psychophysical factors. They contribute to many diseases, but not all of them are classified as occupational diseases. The main aim of the study was to assess the health hazards that occur in the workplace of a dental technician and their prevention during the COVID-19 pandemic. Material and Methods An epidemiological cross-sectional study was conducted. A self-created questionnaire form containing 28 questions was used. The link to the survey was shared on social groups associating dental technicians. Participation in the study did not require logging in. During the data collection, the respondents' personal data were not collected and processed. Results 148 dental technicians participated in the study. The largest group were participants aged 21-25 (32%), the smallest group were people over 50 (6%). The most frequently occupied position was acrylic and plaster. More than 1/3 of those surveyed reported having allergies, most often to acrylic or metal. More than 20% of technicians reported experience of mechanical injuries several times a week or more. 17% of technicians declared professional burnout. 80% of technicians used protective clothing. Personal protective equipment was always used by only 22% of technicians, and as many as 29% of respondents never used the listed protective equipment. Conclusions Not all dental laboratories were equipped with the necessary personal protective equipment. The most commonly used personal protective equipment included: disposable gloves, disinfectant liquid and extract. The COVID-19 pandemic contributed to a change in disinfection procedures in more than 1/3 of the respondents. 35% of them started using disinfection only after the outbreak of the pandemic, while most of the changes concerned the improvement of existing procedures. The length of work experience of technicians had an impact on exposure to stress and occupational burnout.
PL
Wstęp Praca technika dentystycznego związana jest z ekspozycją na szereg czynników szkodliwych. Wśród nich możemy wyróżnić czynniki: chemiczne, biologiczne, fizyczne oraz psychofizyczne. Przyczyniają się one do powstawania wielu chorób, ale nie wszystkie z nich określane są mianem chorób zawodowych. Głównym celem pracy była ocena zagrożeń zdrowia, które występują na stanowisku pracy technika dentystycznego oraz ich profilaktyki podczas pandemii COVID-19. Materiał i metody Przeprowadzono epidemiologiczne badanie przekrojowe. Wykorzystano formularz ankiety własnego autorstwa. Kwestionariusz zawierał 28 pytań. Link do ankiety był udostępniony na grupach społecznościowych zrzeszających techników dentystycznych. Wzięcie udziału w badaniu nie wymagało logowania. Podczas zbierania danych nie były gromadzone i przetwarzane dane osobowe respondentów. Wyniki W badaniu udział wzięło 148 techników dentystycznych. Najliczniej odpowiadali uczestnicy z przedziału wiekowego 21-25 lat, co stanowi 32% grupy badanej. Najmniejszą grupę stanowiły osoby powyżej 50 roku życia (6%). Najczęściej zajmowanym stanowiskiem był akryl (106 osób) i gipsownia (98 osób). Ponad jedna trzecia ankietowanych zgłosiła występowanie alergii, a najczęściej zgłaszane były alergie na akryl lub metale. Ponad 20% techników zgłosiło, że urazy mechaniczne przytrafiają się im kilka razy w tygodniu lub częściej. 17% techników zdeklarowało wypalenie zawodowe. Korzystanie z odzieży ochronnej zdeklarowało 80% techników. Wymienione środki ochrony osobistej: wyciąg, maski, rękawiczki jednorazowe, dygestorium, płyn do dezynfekcji oraz wkładki przeciwhałasowe, zawsze, gdy wymaga tego wykonywana czynność stosowało jedynie 22% techników, a aż 29% badanych nigdy nie stosowało wymienionych środków ochrony. Wnioski Nie wszystkie pracownie techniki dentystycznej były wyposażone w niezbędne środki ochrony osobistej. Do najczęściej stosowanych środków ochrony osobistej należały rękawiczki jednorazowe, płyn do dezynfekcji oraz wyciąg. Pandemia COVID-19 przyczyniła się do zmiany procedur dezynfekcji u ponad 1/3 badanych. Aż 35% z nich dopiero po wybuchu pandemii zaczęło stosować dezynfekcję, natomiast większość zmian dotyczyła udoskonalania istniejących procedur. Długość stażu pracy techników miała wpływ na narażenie na stres oraz wypalenie zawodowe.
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The Use of the Health Disparities Calculator in Analysis of the Lung Cancer Burden in Urban and Rural Populations in the Świętokrzyskie Province (Poland): 1999–2010

86%
Krzyżak M., Piotrowska K., Maślach D., Sowa P., Pędziński B., Macek P., Karczewski J.
Studies in Logic, Grammar and Rhetoric
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2015
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vol. 43
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issue 1
101-119
EN
The purpose of the study was a comparative analysis of the burden of lung cancer in urban and rural areas in the Świętokrzyskie Province in the years 1999–2010. The material for the study accounted for information about the number of new cases of lung cancer obtained from the Świętokrzyskie Cancer Registration Office in Kielce and data from the Central Statistical Office concerning the number of deaths due to lung cancer in the years 1999–2010. Crude and age-standardized incidence, mortality, and potential years of life lost rates were calculated separately for groups of men and women in urban and rural areas. A comparative analysis of coefficients in urban and rural areas based on Rate Ratio (RR) and Rate Difference (RD) was performed by using the Health Disparities Calculator. The average annual incidence of lung cancer among men was 18% lower in the urban population than in the rural, while the mortality rate was 16% lower. For women, the incidence and mortality rates were higher in urban areas as opposed to rural areas – by 48% and 54% respectively. The comparative analysis of the burden of lung cancer showed great diversity between urban and rural populations in the Świętokrzyskie Province.
3

The Computer-Assisted Web Interview Method as Used in the National Study of ICT Use in Primary Healthcare in Poland – Reflections on a Case Study

86%
Sowa P., Pędziński B., Krzyżak M., Maślach D., Wójcik S., Szpak A.
Studies in Logic, Grammar and Rhetoric
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2015
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vol. 43
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issue 1
137-146
EN
The development and widespread use of ICT in society are reflected by the way research is designed and conducted. The Computer Assisted Web Interview method is becoming more attractive and is a frequently used method in health sciences. The National Study of ICT Use in Primary Healthcare in Poland was conducted using this method. The aim of this paper is to present the major advantages and disadvantages of web surveys. Technical aspects of methodology and important stages of the aforementioned study, as well as key elements for its procedure, are mentioned. The authors also provide reflections based on their analysis of this national study, conducted between January and April 2014.
4

Information and Communication Technologies in Primary Healthcare – Barriers and Facilitators in the Implementation Process

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Pędziński B., Sowa P., Pędziński W., Krzyżak M., Maślach D., Szpak A.
Studies in Logic, Grammar and Rhetoric
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2013
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vol. 35
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issue 1
179-189
EN
Despite the great expansion and many benefits of information and communication technologies (ICT) in healthcare, the attitudes of Polish general practitioners (GPs) to e-health have not been explored. The aim of this study was to determine the GPs’ perception of ICT use in healthcare and to identify barriers to the adoption of EMR (Electronic Medical Records) in the Podlaskie Voivodeship. Online and telephone surveys were conducted between April and May 2013. Responses from 103 GP practices, 43% of all practices in the region, were analysed. The results showed that 67% of the respondents agreed that IT systems improve quality of healthcare services. In the GP group who declared at least partial EMR implementation, 71.4% see the positive impact of IT on practice staff processes and 66.1% on personal working processes. In this group, more than three-quarters of GPs did not see any positive impact of ICT on the average number of patients treated per day, number of patients within the practice or scope of services. The four most common barriers to EMR implementation were: lack of funds, risk of a malfunction in the system, resistance to change, and lack of training and proper information. Although the use of ICT by Polish GPs is limited, their attitude to e-health is generally positive or neutral and resembles the overall pattern in Europe. Barriers identified by GPs need to be taken into account to ensure the effective implementation of e-health across the country.
5

Joinpoint Regression Analysis of Potential Years of Life Lost Due to Main Causes of Death in Poland, Years 2002–2011

72%
Krzyżak M., Maślach D., Skrodzka M., Florczyk K., Szpak A., Pędziński B., Sowa P., Szpak A.
Studies in Logic, Grammar and Rhetoric
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2013
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vol. 35
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issue 1
157-167
EN
The purpose of the study was to analyse the level and the trends of Potential Years of Life Lost due to the main causes of death in Poland in the years 2002-2011. The material for the study was the information from the Central Statistical Office on the number of deaths due to the main causes of death in Poland in the years 2002-2011. The premature mortality analysis was conducted with the use of the PYLL (Potential Years of Life Lost) indicator. PYLL rate was calculated following the method proposed by J. Romeder, according to which premature mortality was defined as death before the age of 70. Time trends of PYLL rate and the average annual percent change (APC - Annual Percent Change) were assessed using jointpoint models and the Joinpoint Regression Program. In the years 2002-2011, PYLL rate for all-cause deaths decreased by 7.0% among men and 8.1% among women. In 2011, the main reasons for PYLL among men were: external causes (27.6%), cardiovascular diseases (24.2%) and cancers (20.3%). Among women the leading causes were: cancers (41.1%), cardiovascular diseases (19.7%) and external causes (12.5%). PYLL rate increased among men for colorectal cancer, and among women for colorectal and lung cancer. The presented epidemiological situation for premature mortality in Poland shows that in the majority of cases it is caused by preventable deaths, which highlights a need to intensify measures in primary and secondary prevention.
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