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PubMed1976

Women's emancipation and socialsm: the case of the People's Republic of Poland.

Determinants of occupational position in Poland, as elsewhere, include the socialization process, access to education, and the employment structure. The socialization process includes the domestic pattern of division of labor, occupational models encountered in person and in the various media, and parental and social pressures, including vocational counseling. Ecuational access is a critical determinant of the extent and type of participation in the labor force as well as attitudes toward work. Although Poland has made major attempts to improve the socialization process and acces by type of program, disparties are still encountered in pay received for similar work, and for work in positions that cannot be explained by differences in productivity or education. Employment policies being undertaken or considered include measures to improve working conditions and occupational position, to socialize a larger number of "domestic" tasks, and to provide more flexibility via part-time work and longer maternity leaves.

Attitude↗
PubMed1995

Incidence of IDDM in the province of Rzeszów, Poland, 0- to 29-year-old age-group, 1980-1992.

OBJECTIVE: To study the incidence of insulin-dependent diabetes mellitus (IDDM) in the province of Rzeszów, Poland, and to test for differences in incidence by age at diagnosis, time cluster, sex, urban-rural population, and season. RESEARCH DESIGN AND METHODS: A registry was established in 1990 to collect new IDDM cases among people 0-29 years of age, from 1980 to 1992. Data were collected according to the Diabetes Epidemiology Research International Group recommendations. RESULTS: The average age-standardized incidence of IDDM was 5.31/100,000 population (95% confidence interval [CI] 4.67-6.04) for those 0-29 years of age. Among males, it was 5.68/100,000 (CI 4.77-6.77), and among females it was 4.93/100,000 (CI 4.07-5.97). The incidence for children 0-14 years old was 5.11/100,000 (CI 4.27-6.11) and for those 15-29 years old, 5.55/100,000 (CI 4.60-6.68). The incidence of IDDM in autumn (September through November) was the highest (87 of 243 cases) and differed statistically from each of the other seasons. The incidence of IDDM among the urban and rural populations did not differ. There were also no differences between the sexes and the groups divided by 5-year age intervals. CONCLUSIONS: This study documents the low incidence rate and seasonal dependence of IDDM among people 0-29 years of age in the province of Rzeszów, Poland.

Adolescent↗
PubMed1991

Hepatitis C virus antibody in Poland.

To assess the epidemiology of hepatitis C virus (HCV) in Poland, anti-HCV was studied in patients with acute and chronic non-A, non-B (NANB) hepatitis, in healthy adults, and in subjects at risk. Anti-HCV prevalence was 2% in 152 blood donors, 78% in 95 parenteral drug addicts, 21% in 112 alcoholics, and 86% in 42 patients with chronic NANB hepatitis. Among 34 prospectively followed patients with acute NANB hepatitis 17 (50%) developed anti-HCV. It seems that HCV infection is responsible for the majority of NANB hepatitis in Poland and is common in parenteral drug abusers and alcoholics.

Hepacivirus↗
PubMedDate not supplied

Pediatric hematology in Poland: past and present.

Pediatric hematology/oncology gradually developed in Poland in the beginning of the 20th century. The first pediatric hematology books written by M. Erlich were published in 1918 and 1924. In 1939, Jan Raszek-Rosenbusch was the first to use the intramedullary route of injection of living bone marrow cells in children suffering from lymphatic leukemia. The national cooperative chemotherapy group in Poland was formed in 1974. The studies carried out by the group in children with leukemia and lymphoma are documented by publications in international journals.

Child↗
PubMed2005

Public or non-public family medicine--patients perspective of the quality of primary care in Białystok, Poland.

OBJECTIVES: Privatisation of primary healthcare is believed to raise the efficiency and quality of care. Poland offers a good opportunity to study relationships between ownership status and quality of provided services. The aim of our study was to compare patients' opinions concerning family physicians working in a public healthcare centre (owned and managed by local administrative authorities) with those in a non-public practice (property of family physicians). Both institutions work within the obligatory insurance scheme (the National Health Fund) with open and free access for patients. METHODS: A cross-sectional study of patients using mail questionnaires was conducted in Białystok, Poland. Overall 1000 subjects aged 18 and over were randomly selected out of all the patients in two primary healthcare centres distinguished by ownership status (non-public and public health centre). The main measures were physician-patient relations and overall satisfaction with physician care. RESULTS: The response rate was 58% and 560 questionnaires were used for analysis. Respondents from the non-public centre rated family physician care as very good twice as often (21.6%) as those from the public centre (10.6%). Patients from the non-public centre were significantly more frequently informed by doctors about their disease, ways of prevention and therapeutic management, and were also given significantly more support and consolation during visits. The major cause of dissatisfaction with family physicians in het non-public centre was the problem of being referred to a specialist or accessory investigations. CONCLUSION: From the patients perspective, the quality of family physician care in non-public practice is better than in public institutions, especially with regard to communication and work time management. However, the cost-containment enforced by the capitation method of payment may present a threat to doctor-patient relationship.

Adult↗
PubMed1996

The National Poison Information Center in Poland.

OBJECTIVE: To describe the national poison information program in Poland. RESULTS: There are nine regional poison information centers in Poland associated with acute poisoning wards or diagnostic laboratories. The National Poison Information Center in Lodz prepares information materials (ITOX database, books, periodicals, leaflets, posters) on treatment and prevention to regional and other health care units treating acute poisoning cases and to the general public. The staff of the National Poison Information Center together with the physicians of the Clinic of Acute Poisonings provide a 24 h poison information service accessible to health care units, work safety services, and the general public.

Computer Communication Networks↗
PubMed2005

Epidemiological characteristics of inflammatory bowel disease in North-Eastern Poland.

AIM: To provide the clinical and epidemiological data of inflammatory bowel disease (IBD) patients of North-Eastern Poland. METHODS: A total of 248 IBD patients diagnosed and hospitalized in the Department of Infectious Diseases in Bialystok between 1990 and 2003 were included in the study. We analyzed age, sex, education, characteristics of job, type of the environment, discontinuation of employment due to IBD, colitis extent, need of surgical treatment, and coexistence of other diseases. RESULTS: Two hundred and thirty-three IBD patients (94%) were diagnosed as ulcerative colitis (UC), and only 15 (6%) were diagnosed as Crohn's disease (CD). Patients with CD were significantly younger at the time of diagnosis and male predominance was observed. The mean age of the patients at the time UC diagnosis was 44.9+/-1.1 years. Histogram of the age of patients showed the characteristic biphasic distribution with two peaks between 20 and 40 years and between 60 and 70 years. The predominant form of UC was left sided colitis, which affected almost 80% of the studied population. The most extensive form--pancolitis was present in 34 patients (15%). Only 6% of UC patients required surgery, whereas 36% of CD patients underwent surgery (P<0.005). Among coexisting disorders, cholelithiasis was the most prevalent and demonstrated in 35 patients (14%), pulmonary disorders were diagnosed in 2%, and psoriasis in 1.4%. Since 1998, the number of admitted IBD patients has slightly increased. CONCLUSION: Occurrence of UC in Poland is much higher than that of CD. The majority of UC cases are diagnosed in young people (20-40 years) with the predominance of male patients. The most common clinical form of UC is left sided colitis.

Adult↗
PubMedDate not supplied

Poland syndrome (anomaly) with congenital hemangioma: a new association.

Unilateral defect of pectoral muscle and ipsilateral syndactyly constitute Poland syndrome. Absence or hypoplasia of the breast and nipple, axillary hair loss and dermatoglyphic abnormalities have also been reported in this syndrome. The primary defect could be in the development of the proximal subclavian artery with early deficit of blood flow to the distal limb and the pectoral region, resulting in partial loss of tissue in those regions. However, the association of congenital hemangioma with Poland sequence has not been observed so far. Such an association is being reported here in a 1-year-old infant, second-born of nonconsanguineous parents, who also had polydactyly instead of the documented syndactyly.

Arm↗
PubMed1991

Serologic survey for bovine pathogens in free-ranging European bison from Poland.

From 1980 to 1983, blood was taken from 60 selected European bison (Bison bonasus) in Poland. Serum samples were tested for the presence of antibodies against Brucella abortus, 14 serovars of Leptospira interrogans, Chlamydia spp., Coxiella burnetti; foot and and mouth disease virus, bovine leukemia virus and bovine herpes virus-1. In addition, an attempt was made to isolate bovine herpes virus-1 from the prepuce of selected bulls. Serological tests suggested chlamydial infection in 28 bison, subclinical Q-fever of a 2-yr-old heifer, subclinical bovine leukemia virus infection in a 12-yr-old bull and bovine herpes virus-1 infection in five bulls and three cows. Attempts to isolate bovine herpes virus-1 were not successful. These results suggest the possibility of cross transmission of several of these bovine pathogens between free-ranging bison and domestic cattle in Poland.

Agglutination Tests↗
PubMed1996

European brown hare syndrome in free-ranging hares in Poland.

A study of European brown hare syndrome (EBHS) was conducted in Poland (Czempin). From April 1993 until February 1994, 100 blood and 78 spleen samples of European brown hares (Lepus europaeus) were tested for prevalence of EBHS and rabbit hemorrhagic disease (RHDV) antibodies and EBHS virus antigen with two enzyme-linked immunosorbent assay (ELISA) test kits. Thirty-eight of 100 serum samples were positive for EBHS, and six (7.6%) of 78 of the spleen materials were-antigen positive for EBHS virus. Three (3%) of the sera were positive against RHDV, whereas two of these also were seropositive for EBHSV. European brown hare syndrome virus seropositive hares were most frequently found from April to September. Based on negative staining electron microscopy investigations of liver and spleen homogenates of all antigen-positive hares, we observed caliciviruses in only one animal. For histopathological investigations organ specimens were available from 98 hares. Histopathological findings corresponded with the clinical picture of chronic EBHS. A pathohistological picture consistent with EBHS was found in 22 (22%) of investigated hares and corresponded in 50% of the animals which reacted positively in the EBHSV antigen-ELISA and in 29% of the animals which reacted positively in the EBHSV antibody-ELISA. These results from western Poland are the first that caliciviruses are present in European brown hare population in Eastern Europe and may be one of the causes for increased mortality in the Polish hare population over the past 10 years.

Animals↗
PubMed1998

The history of studies on subacute sclerosing panencephalitis in Poland.

The main trends are described in the studies of subacute sclerosing panencephalitis conducted in Poland or abroad with participation of Polish scientists. The history of these studies began in the years 1957-1959 with the works of Wender and Osetowska and ends presently at the end of our century with extinction of SSPE as a result of consistently conducted obligatory vaccinations against measles. The studies of Polish authors involved the problems of clinical diagnosis using immunological, electrophysiological and neurological imaging methods. Neuropathological problems were also studied extensively. Parallely with similar studies in the foremost foreign centres trials of SSPE treatment were undertaken in Poland, in recent years by means of intracerebroventricular administration of interferons. An original Polish method was the treatment with inducers of endogenous interferons. After the introduction of vaccinations against measles epidemiological studies repeated in the whole country were introduced for the assessment of the results of this preventive measure. These studies are regarded as model ones at international level.

Adolescent↗
PubMed1976

[Results of the systematic control of tuberculosis in the People's Republic of Poland according to the development of the epidemiological data till 1975 (author's transl)].

After the second World War a marked improvement of the epidemiological situation in the field of tuberculosis has been achieved in Poland. In 1952 the incidence of tuberculosis amounted to 490 per 1000 000 of the population; the prevalence to 1400. The mortality rate was 105.8 in 1950. In 1974 the incidence rate has been reduced to 81.4 (among them 49.4 excretors of tubercle bacilli), the prevalence rate was only 248.9 (among them 78.3 with excretion of tubercle bacilli and 11.7 with chronic tuberculosis--persons excreting tubercle bacilli for more than 2 years). The mortality rate from tuberculosis amounted to 13.8 at this time. The most sensible reduction of all indices was found among children 0-14 years old. Tuberculosis in Poland is still a problem of medico-social importance in adults and before all in old people, being that part of the population in past times only in a low degree vaccinated or revaccinated and in a higher degree exposed to severe infections with tubercle bacilli. The comprehensive complex programme of tuberculosis control passed by the Sejm of the Polish People's Republic, includes three approaches since 1960: the epidemiological, the integrating and the phthisiopneumological direction. Prerequisites for the scheduled realisation of the programme are the case-finding as early as possible, the quick and correct diagnosis and the immediate onset of a specific treatment, further on the dispensary care of all contacts of the patient (his surroundings) and optimal prophylactic measures against tuberculosis.

Adolescent↗
PubMed1998

[The impact of immunization against measles on epidemiology of measles in Poland].

The measles vaccination has been introduced in Poland in 1975, and the second vaccine dose of measles vaccine in 1991. Mass immunization against measles exerted a significant impact on measles incidence, morbidity rate and mortality. The progressive increase of immunization coverage caused significant decrease of measles incidence rate among children at age below 10 years as well as among not vaccinated children up to 12 months of age. The lengthening of the interepidemic period and significant increase of morbidity rate among older children (over 10 years) and young adults were observed during the period after introduction of mass vaccination against measles. Since 1992 not a single case of death caused by measles was notified. Data on measles incidence and vaccination coverage during the period of observation will be used for development of the mathematical models for measles transmission and choice of optimal immunization strategy in Poland.

Adolescent↗
PubMed1999

[Infectious diseases in Poland in 1997].

Decreasing of number of cases as well as incidence rate of hepatitis type B and type A, and increasing of pertussis, leptospirosis, encephalitis and some other diseases was noted in Poland in 1997. The biggest percentage of deaths was caused by tuberculosis--43.1%, sepsis--over 21.9% and hepatitis--10.6%. Introduction of ICD-10 as well as strikes of health workers in Poland in 1997 caused undernotification especially of deaths.

Adult↗
PubMed1999

An update of the frequency and type of diagnostic x-ray examinations in Poland.

This paper presents the results of a survey concerning x-ray diagnostic examinations in Poland, as the main source of radiation risk to the general population. The methods of data collection and processing were similar to that used for the previous national survey (1986). In 1995, 27,600,000 diagnostic x-ray examinations were performed in Poland (6,200,000 more than in 1986). The number of examinations per 1,000 inhabitants increased from 572 to 715 during those nine years. The age and gender structure of examined patients is discussed extensively, the numbers for 1986 and 1995 are compared. Special attention is paid to the proportion of children and adolescents in the total number of patients examined. The obtained results are also compared with the numerical data concerning other countries.

Adolescent↗
PubMed1999

Breast cancer in Poland syndrome.

A 33-year-old African-American woman with a severe manifestation of Poland syndrome developed breast cancer in the ipsilateral breast. She had a severely hypoplastic upper extremity, including symbrachydactyly, and a hypoplastic forearm and upper arm. In addition, she lacked the sternal origin of the pectoralis muscle. She had a very small nipple-areola complex and no axillary hair. This is the first case report of breast cancer developing in the ipsilateral breast of a patient with Poland syndrome.

Adult↗
PubMed1975

Results of artificial insemination of horses in Poland in the post-war period.

Artificial insemination (A.I.) of mares in Poland has not yet been widely applied. Initial attempts were made by research groups between 1945 and 1955 but A.I. of mares was only introduced into the normal practice of A.I. Centres during 1964-67. Intensive research into methods for preserving stallion semen in liquid nitrogen has been undertaken since 1968. Of the total of 3734 mares artificially inseminated in Poland since 1945, 350 were inseminated with frozen semen. The slow progress of A.I. in horses is imputed to the small numbers of people involved in the work, to the conservation of the authorities responsible for breeding, to the wrong choice of stallions for A.I. Centres and, most importantly, to the lack of a simple and reliable method of preservation of stallion semen.

Animals↗
PubMed1999

Survey on equine cryptosporidiosis in Poland and the possibility of zoonotic transmission.

The present study was undertaken to investigate the prevalence of Cryptosporidium infection in horses used for recreational riding as well as in humans. A total of 106 faecal specimens from horses raised in 4 localities of western Poland and 6 stool samples from 3 persons who had constant or sporadic contact with horses were screened microscopically for oocysts using modified Ziehl-Neelsen staining. Enzyme immunoassay (EIA) was additionally used for the detection of coproantigen in human stool samples as well as in 43 randomly selected horse faecal samples. The overall infection rate of horses determined by microscopic examination was 9.4%. To our knowledge, this is the first report of cryptosporidial infection in horses in Poland. The infection was identified only in adult horses raised on 2 of 4 examined farms. The intensity of equine cryptosporidial infection was light, as a rule. None of the infected horses appeared clinically ill. The real overall infection rate in horses could be higher. Among 43 faecal specimens additionally processed by EIA, 5 samples were positive both for oocysts and coproantigen, whereas in 7 faecal samples only the parasite coproantigen was detected. The morphometric analysis of oocysts indicated that the horses were most probably infected with C. parvum. Of 3 examined persons, cryptosporidial infection was identified in a rider who had sporadic contact with horses.

Animals↗