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Celem pracy była analiza zachowań i zwyczajów żywieniowych będących pochodną stylu życia, antyzdrowotnych przyzwyczajeń oraz wskazań obyczajowych w grupie młodych kobiet zdobywających wykształcenie wyższe oraz średnie. Badaniami objęto 890 kobiet, w tym 450 studentek kierunków medycznych CMUJ (wiek-23,0±2,6 lat; wzrost - 166,6±6,3 cm; masa ciała - 57,9±8,5 kg) oraz 440 licealistek z klas drugich i trzecich krakowskich liceów ogólnokształcących (wiek-18,5±2,3 lat; wzrost - 167,6±5,3 cm; masa ciała- 55,8±6,4 kg). Przy użyciu wystandaryzowanego kwestionariusza oceniano zachowania w trzech kategoriach: reakcja na głód i dojadanie między posiłkami głównymi (max. do godz. 22); nocne dojadanie (po godzinie 22) oraz częstość i przyczyny stosowania preparatów wspomagających przemianę materii oraz diet zmierzających do redukcji masy ciała. Analiza odpowiedzi wykazała pewne różnice w natężeniu stopnia zaburzeń w poszczególnych typach zachowań, nie mniej jednak w obu grupach stwierdzono liczne nieprawidłowości. Licealistki częściej niż studentki sięgały po pokarm (nawet bez fizjologicznego uczucia głodu, w celu poprawienia nastroju w sytuacjach stresotwórczych), natomiast dla studentek większym problemem było dojadanie przy nauce. Kobiety z obu grup miały zwyczaj dojadania między posiłkami głównymi, zaznaczył się również problem nocnego dojadania (54,7% studentek oraz 33,9% licealistek - p<0,05%). 58% studentek oraz 62% licealistek stosowały diety, głównie dietę łatwo strawną i dietę niskotłuszczową oraz preparaty wspomagające przemianę materii, w celu redukcji masy ciała. Wśród nich 40% licealistek i 30% studentek stosowały również inne metody: środki przeczyszczające, wymioty i głodzenie się. Wnioski: Wśród uczących się kobiet, oprócz wcześniej opisywanych typowych zaburzeń odżywiania, zaznaczył się mało jeszcze zbadany problem dojadania nocnego, mogącego być prekursorem rozwoju syndromu nocnego dojadania. Konieczne są dalsze działania informacyjne i interwencyjno-promocyjne z zakresu prawidłowego odżywiania, realizowane w ramach programu nauczania.
The number of people who suffer from eating disorders is still growing (1). Eating disorders like bulimia nervosa and anorexia nervosa may alter all people but in most danger are young women and some sportsmen. The aim of presented studies was to gain some information about physical condition and mental life of polish medical students for estimation a range of danger of bulimia nervosa and anorexia nervosa for them. By using a questionnaire “Woman Self Image and Social Ideals” there were 348 students examined: 181 students of medicine, 77 students of dentistry and 90 nursery students. According this questionnaire underweight students (BMI < 20 kg/m2 accept their physical appearance and none of them feel fat. More important for them are psychological problems than problems with figure. On the contrary, overweight students do not accept own appearance and almost half of them would prefer to be slim but without any restrictive methods like for example induced vomiting or excessive exercises. The other part of questionnaire entitled “My Own Image of Perfect Society” shows that in the opinion of all examined students the most important for people who live in perfect society are: professional competence, professional self-achievement and simultaneously a perfect figure. The last desirable attribute is to make career without any scruples. All results allowed the conclusion, that questionnaired medical students are awaken to the danger of bulimia nervosa and anorexia nervosa, but social and medical importance of eating disorders call for future research in order to determine groups with particular risk factors of eating disorders.
Reaction of the airways to inhaled Berodual was evaluated in two groups of metallurgists surveilled by systematic, complex medical examinations for appx. 25 years: 31 coke oven and 31 cold-rolling mill workers. All subjects under examination were active smokers, smoking more than 20 cigarettes a day. The frequency of ventilatory disorders: central bronchi obturation, small bronchi obturation and emphysemal changes, as well as microclimatic conditions of their living places, even mean anthropometric indices were similar. The main differentiating factor was presence of air pollutants in their workshops. Employees of coke owen division were exposed to variety of noxious substances: CO, NOx, SO2, benzene, its derivatives, HCN and policyclic aromatic hydrocarbons. In cold rolling division concentration of air pollutions was much smaller and virtually devoided of BaP. As revealed by Berodual provocation test in coke owen workers irreversible obturation and fixed emphysemal changes were far more frequent than in workers of cold rolling mill performing their job in favorable microclimatic conditions.
In assessing the meaningful cognitive-behavioural dimensions in anorexia nervosa and bulimia nervosa the Eating Disorder Inventory Questionnaire plays an important role. In the group of 401 medical students of Jagiellonian University (group I) and 459 pupils (group II) from the secondary schools in Krakow the eight subscales of EDI Questionnaire were performed. The six steps frequency score scale was applied. Mean scores for two compared groups were differentiated in particular subscales: Drive for thinness (3.2 - gr. I / 3.05 - gr. II), Bulimia (1.48 - 1 / 1.27 - II), Body dissatisfaction (7.7 -1 / 6.98 - II), Ineffectiveness ( 3.76 - 1 / 3.27 - II), Perfectionism (4.58 -1 / 4.11 - II), Interpersonal distrust ( 4.46 - 1 / 4.56 - II), Intercepts awareness ( 3.72 - I / 3.35 - II) and Maturity fears ( 5.03 - gr. I / 5.82 - gr. II).
The aim of this study was to evaluate the prevalence and kind of disordered eating attitudes depending on BM1 values among 401 medical students and 459 pupils from secondary schools in Krakow by using the Eating Disorder Inventory (EDI) Questionnaire. Underweight (BMI <18.5kg/m2) was stated in 12.72% of students group (I) and 19.50 % of pupils group (II), normal weight-height proportions in 77.3% (I) and 76.427% (II), overweight and obesity (BMI >25 kg/m2) in 9.98% (I) and 4.08% (II). EDI Questionnaire consists of eight subscales: Drive for thinness, Bulimia, Body dissatisfaction, Ineffectiveness, Perfectionism, Interpersonal distrust, Interceptive awareness and Maturity fears. The level of intensity of improper individual behaviour analysed in Eating Disorders Inventory was not statistically dependent on individual BMI values. The greatest intensity of the problem concerned the following subscales: Body dissatisfaction and Drive for thinness and it concerned overweight women.
For a couple of years a number of inhabitants living in immediate vicinity of municipal dumping ground for Cracow reported repeatedly symptoms which could be related to disfunction of airways. During 2 days of hospitalisation thoroughful medical examination was provided for 50 persons living not further than 300 meters from edge of dumping-ground. In frames of the study FVC, FEV1, FEV25/75, RV%TLC and Raw were measured. Significantly higher number of subjects from vicinity of dumping ground than from the control group suffered chronic cough and expectorations. Significantly higher numbers of inhabitants had emphysemal changes and had worser patency of central bronchi. Obtained results confirm opinion that in humans lungs are not only way opened widely to all kinds of toxic substances present in inhaled breath, but also it is an organ very sensitive and vulnerable, easily damaged by asorted toxins present in air in even smaller concentration than regarded at present as safe. It should be postulated that major dumping grounds must have resonably wide protective zones.
As metabolic and multiorgan distempers arising from alcohol and medicines abuse predispose to nutritional state disorders, a simple method of nutriture assessment of hospitalized intoxicated patients is searched in order to help to improve the treatment effects. One hundred and thirten patients hospitalized in the Department of Clinical Toxicology, including 65 chronic alcoholics and 48 intoxicated with medicines were examined for the nutritional state. The Mini Nutritional Assessment (MNA) method was applied parallely with anthropometry; the examination was performed twice: on admittance and on discharge of each patient. On the basis of anthropometry, the nutritional state of alcohol and medicines intoxicated patients was unsatisfactory in 76% of examined group, with the cases of malnutrition and risk of malnutrition obviously more prevalent than overnutrition, especially in the cases of alcohol abusers. Proportions of the subjects qualified to specific groups of nutriture were dependent on the method used for nutritional assessment, and the MNA method tended to overestimate the nutritional state when compared with anthropometry but did not regard the cases of overnutrition. The MNA has to be completed with selected anthropometric measures in order to be useful in nutriture assessment of young adults.
Introduction: Acrylamide is used for wide range of industry purposes and it is produced in food during heating process. Foods with high acrylamide concentration include French fries, chips, bread crust, cereal, different baked goods. The electrophilic nature of acrylamide allows to interact with biological molecules. It is easily absorbed via the ingestion, inhalation or through the skin. Objective: Evaluation of dietary exposure to acrylamide in chosen population with respect to different age groups in South Poland and assessment of health risk. Material and Methods: Food consumption survey was conducted among 3 southern provinces in Poland. Studies involved 1470 participants. A semi-Quantitative Food Frequency Questionnaire was used. Consumption data of individuals were calculated into μg/kgbw/day. Statistics was calculated for both whole group and different age groups. MOE values were calculated. Results: Average acrylamide intake was 0.85 ± 0.82 μgacrylamide/kgbw per day and calculated 95th percentile was 1.70 μgacrylamide/kgbw/day. In general total dietary exposure decreased with age from 1.51 μgacrylamide/kgbw/day for the youngest group (6–12 years old) to 0.67 μgacrylamide/kgbw/day for the oldest one (42–60 years old). The main contributor of acrylamide in diet in all age groups are bakery products. The MOE values calculated for average acrylamide exposure in diet was 212 and 365 for BMDL10 0.18 and 0.31 mg/kgbw/day. Conclusions: Young population consume the highest amount of acrylamide thus any efforts should be done to rise their nutritional knowledge and to decrease intake of high acrylamide products (crisps and French fries). The need for promotion of knowledge how to decrease acrylamide level especially in home-made food regardless of age is necessary.
Objective: The aim of this study was to evaluate the frequency of subclinical symptoms of eating disorders and accompanying factors in the representative group of Polish medical students. Material and Methods: Examination included 1759 students attending five Medical Academies. The symptoms of eating attitudes and behaviour were assessed by using the Eating Attitudes Test 26. The student diets were analysed using the questionnaire with menu score by Starzyńska. Results: 150 (8.5%) of all examined students - 141 women (94%) and 9 men (6%) with evaluated BMI ranges: underweight (20.7%), normal (64%) and overweight (15.3%) were predisposed towards eating disorders. Fear of becoming overweight found the patients permanently thinking of being thinner. Fortunately nearly none of them vomited after meals. Conclusion: Medical students are not protected against the danger of developing nutritional status disturbances. Most students' daily menu was not in accordance with proper nutrition criteria.
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