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Legionella pneumophila jest czynnikiem etiologicznym legionelozy przebiegającej pod dwoma postaciami klinicznymi: gorączki Pontiac lub postacią choroby legionistów manifestującej się ciężkim, atypowym zapaleniem płuc. Głównym źródłem zakażenia są: gleba, systemy klimatyzacyjne, domowe instalacje wodne, woda pitna, nawilżacze płuczki, neulizatory. Najważniejszymi metodami zapobiegania zakażeniom bakterią Legionella jest właściwa dystrybucja, dezynfekcja oraz nadzór nad jakością wody.
Background: Cancer, next to cardiovascular disease, obesity, diabetes, accidents, and mental illness, is one of the most common diseases of the 21st century. In the female population, cervical cancer is most often diagnosed at late stages. Aim of the study: The goal of the study is to determine the opinions of women who reside in Bialski poviat about midwife participation in cervical cancer screening and prevention. Material and methods: The study group was recruited from randomly selected patients from two physiotherapy offices in the Bialski poviat, as well as students and employees of the State University Pope John Paul II in Biala Podlaska. The research tool consisted of the author’s questionnaire concerning the role of midwives in cervical cancer prevention and consisted of 25 questions. Results: Almost half of the respondents or 44.2% (76) believe that the role of a midwife in cervical cancer prevention is based on health education given to women about cervical cancer screening and prevention. 27.3% (47) believe that the role of a midwife in prevention is based on the availability of cytological pap smears. Most or 56% (14) respondents from the age group over 55 and 29.2% (7) surveyed in the 18–25 age group knew about the important role of midwives performing cytological pap smear as part of a prevention strategy against cervical cancer. Conclusions: 1. The knowledge base of the women examined, regarding the role of a midwife in the prevention of cervical cancer, is lacking or insufficient. 2. The role of the midwife in the prevention of cervical cancer is unknown to young women in the 18–25 age group.
Background. In the female population, cervical cancer is classified as one of the too late diagnosed cancers. Cervical cancer incidence and mortality rates in Poland are among the highest in the European Union. The aim of the paper is the assessment of women’s knowledge about cervical cancer based on the study of the feminine population in the county of Biała Podlaska. Material and methods. The study covered a group of 172 women living in the county of Biała Podlaska, Lubelskie Voivodeship, Poland. The research tool was an original questionnaire. The statistical analysis was performed using the STATISTICA v 10. program and the Pearson Chisquare test. Results. More than half of respondents (55.8%) indicated the following risk factors of cervical cancer: early onset of sexual life, many partners in a partner, infection of the cervix with HPV and herpes viruses, many deliveries, and smoking. The majority of respondents (62.2%) believe that cytology and gynecological examination are part of the preventive examination. Conclusions. 1. Respondents’ knowledge about the risk factors of cervical cancer is sufficient. 2. Respondents above 26 years of age possess knowledge about human papillomavirus (HPV) vaccination as a means of preventing cervical cancer. 3. Young women’s knowledge about HPV vaccination is insufficient.
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51%
Background. Physical activity is a crucial component of a healthy lifestyle. Thus, it should be diagnosed in students as future elites, especially those in medical faculties, i.e. medical and nursing departments. The aim of the present research is knowledge about the level of physical activity of nurses, including the factors that determine it. Material and methods. The research was carried out in 2017 and involved 279 nurses aged 21-30 (mean 23.5 ± 2.4 years) from the Medical Education Centre in Niort, France. The physical activity was assessed using the International Physical Activity Questionnaire (IPAQ) - long version, supplemented with additional questions. Results. Most nurses (75.4%) demonstrated a high level of physical activity or a moderate one − 18.9%. Only in some persons ( 5.7%), it could be described as low. The total level of physical activity was 6573.0 MET / min-week, and the dominant activity related to work or studying, i.e. 2823.2 MET, which amounted to 43.0% of the total activity. The place of origin − the city, as well as the year of study, the second and third year, turned out to be decisive factors significantly affecting the higher level of physical activity in nurses. Conclusions. Nurses exhibit a high PA (physical activity) level and a correct BMI index, which proves that their lifestyle can be considered as healthy.
Background: Legionella spp. have been found in both natural and manmade water systems, coastal waters, thermal waters, moist soils, clays, and near wastewater discharge sites. Aim of the study: This study aims to report a comparative, retrospective epidemiological analysis of water testing study results indicating the presence of Legionella spp. in Poland between 2009-2013 and 2014-2016. This study is a comparative retrospective epidemiological analysis of individual tests for the presence of Legionella spp. in hotels between two different time periods. The two time periods being compared in this study are between 2009-2013 (n=369 hotels) and 2014-2016 (n=174 hotels). Reporting has been performed in accordance with the STROBE checklist. Material and methods: Hot water samples were collected by employees of the Sanitary and Epidemiological Station in Poland as part of routine water quality monitoring. Samples were taken from the water supply systems of 369 hotels, representing 19.59% of total hotels in Poland, from January 2009 until December 2013. Samples were taken from the water supply systems of 174 hotels, representing 7.51% of total hotels in Poland, from January 2014 until December 2016. Results: The percentage of facilities classified as Group I remained comparable for the period between 2009 and 2013 compared to the period between 2014 and 2016. The percentage of facilities classified as Group II, however, showed a clear upward trend between 2014 and 2016 compared to the time period between 2009 and 2013. The percentage of facilities classified as Group III showed a clear downward trend between 2014 and 2016 compared to the time period between 2009 and 2013. Conclusions: The colonization rates observed in this comparative study indicate that the aquatic environment in these facilities requires constant monitoring to lower the risk of legionellosis. The increased colonization of hotel water networks with Legionella spp. is a serious health problem that requires constant monitoring.
Background. Civilizational changes, including urbanisation and industrialisation, created the conditions for the development of new pathogens colonising water networks which endanger human health and life. The aim of the study was to assess the contamination of water supply systems in public buildings by Legionella spp. a pathogenic group of Gram-negative bacteria. Material and methods. The material samples were taken from the hot water supply systems of 41 buildings: school dormitories, boarding schools, educational centres, student dormitories. Results. In all analysed years, there were samples in which the applicable standards were exceeded, as specified by the regulation on the quality of water intended for human consumption. The highest percentage of negative samples was found in 2012, with as many as 81.1%, and the lowest one in 2011 − 35.3%. Positive samples obtained in the first and subsequent tests were detected in 20.0% of the tested facilities. The change from positive to negative values was found in 30.0% of the tested water networks. There were also cases of negative samples both in the first and subsequent tests, which was detected in 50.0% of the facilities. Conclusions. 1. An excessive amount of the officially permissible value of Legionella was found in 53.9% of the examined hot water samples. 2. The obtained results confirm the necessity of modernising and doing elementary repairs in water supply networks.
Cel pracy: Rejestrowane zakażenia bakteriami z rodzaju Legionella oraz ogniska epidemiczne skłaniają do monitorowania potencjalnych rezerwuarów Legionella, które stanowią źródło zakażenia nie tylko dla osób z obniżoną odpornością, ale i osób zdrowych bez czynników ryzyka. Materiał i metody: Materiałem do przeprowadzonych badań były próbki wody pobrane z instalacji sieci wodociągowej 4 budynków koszarowych oraz 1 szpitala wojskowego. Oznaczenie liczby bakterii Legionella w próbkach wody wykonano zgodnie z obowiązującymi normami. Wyniki: Na podstawie przeprowadzonych badań pobranych próbek wody sieci wodociągowej wszystkich przebadanych obiektów wojskowych wykazano obecność L. pneumophila SG 2-14, ale nie stwierdzono obecności najbardziej zjadliwej L. pneumophila SG 1. Zaobserwowano, że tylko w jednym budynku koszarowym liczba bakterii L. pneumophila przekraczała dopuszczalny poziom >102 CFU/100 ml. W przebadanym szpitalu wojskowym w 77,77% próbek wody, liczba pałeczek L. pneumophila była >102 CFU/100 ml. Wnioski: W celu zmniejszenia ryzyka zakażenia Legionella należy stale monitorować sieć wodociągową, a w przypadku zwiększonej ponad normę liczby bakterii zastosować odpowiednią metodę eradykacji.
The development of civilization, economic growth, urbanization, industrialization and progress in medicine bring to the society an improvement in the quality of life, but at the same time caused changes in lifestyle, environmental conditions, and changes in the natural environment. All of these led to develop civilization diseases which have critical impact and the adverse effect on our health, about what we not always realize. In the past fifty years, about 30 new pathogens appeared causing diseases such as legionellosis, Lyme disease, and increase unexpectedly tuberculosis incidence which in some regions is associated with HIV infections. Also widespread use of antibiotics caused and still causing bacterial resistance increase to most of them. With the development of medicine and surgery, parallel effects of surgical areas and infections associated with implanted cardiac devices in the majority of the life-saving ones appeared. The development of research techniques allowed for the finding of new relationships between ecosystems in the microbiome of the gastrointestinal tract with of obesity in the society. The presence of new health aspects of civilization diseases impose pressure to create new prevention methods and public education.
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