Wiadomości lekarskie (Warsaw, Poland : 1960)
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Based on the status of buildings and conditions to keep them clean, the situation in all types of schools has been investigated within seven years interval (1995-2001). Observed dynamics of changes was related to the background of political system transformations. In the primary schools, improvement was observed within each of the following analyzed aspects: sanitary conditions, use of unadjusted buildings, technical conditions of the buildings, access of pupils to sanitary arrangements. ⋯ A dozen or so percent of pupils and students used in schools desks unadjusted to their height. This situation has to be improved. Data from sanitary-epidemiological stations concerning keeping proper standards of hygienic conditions of educational process in schools should find broader employment, they should be helpful in creating national education policy.
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In the article, the author conducts a reasoning which results in a moral consent to perform an act of euthanasia on oneself. However, the problem of our times is the demand for the right to assisted euthanasia, particularly the doctor-assisted euthanasia. It is argued that the only situation in which an assistance in performing euthanasia finds a moral justification is a situation of a complete physical incapability to terminate a patient's own life. It is also argued that an assistant cannot be a doctor because in such a case we would be forced to acknowledge euthanasia as the final stage of the treatment process.
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Claude Bernard in the late 19th century, was one of the first who recognized that acute injury was associated with the development of hyperglycemia. In 1942 David Cutherbertson introduced the terms ebb and flow to describe the phases of hypo- and hypermetabolism, which follow traumatic injury. Hyperglycemia during the ebb phase is promoted by hepatic glycogenolysis secondary to catecholamine release, as well as by direct sympathetic stimulation of glycogen breakdown. ⋯ In general, the degree of hyperglycemia and insulin resistance are directly proportional to the severity of the stress response. Hyperlactatemia and oxygen consumption also increase concurrently with the severity of stress. Modest hyperglycemia during stress may be of potential benefit by promoting cellular glucose uptake, however, severe hyperglycemia may be associated with complications, this in turn could result in organs dysfunction.
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Psychosocial stressors are common problem affecting social functioning and health in many social groups. A great variety of stressors affect people working in auxiliary professions. Those stressors may induce professional burnout. ⋯ It also gives the literature review concerning job stressors in teachers. A wider view on teaching profession from the perspective of social sciences aims at deepened diagnosis and therapy in the context of psychiatric disturbances and constitutes the basis for planing and implementing environmental programmes of health promotion for this profession. Such perspective is consistent with the latest decisions of European Union.
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We distributed a questionnaire among doctors participating in vocational training in Regional Family Doctors Educational Centre at Family Medicine Department in Wrocław Medical Academy and Family Medicine Department of Collegium Medicum in Jagiellonian University. It included questions concerning co-operation of general practitioners with specialist outpatient clinics and assessment of health service reform. The doctors with the first degree of specialisation in internal medicine as well as in family medicine and those training for specialisation filled in the questionnaires. ⋯ We asked the doctors about the quality of co-operation with specialists, reservations about the co-operation and suggestions on how to improve it. The doctors also expressed their opinions on transformation in medical care, job opportunities for specialist in family medicine and suggestions for family doctors' future improvement. Our paper presents an attempt to evaluate medical care system reform and the state of co-operation of general practitioners with specialists as well as to draw conclusions regarding possibilities of improving this co-operation and raising the standard of comprehensive patient care.