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2nd V4 Conference
on Public Health 2015
Health for public, public for health
Abstracts2nd V4 Conference
on Public Health 2015
Health for public, public for health
Abstracts
Editors:
Piotr Romaniuk
Kamil Maciąg
Lublin 20152nd V4 Conference on Public Health 2015
Health for public, public for health
Abstracts
Zabrze, Poland, 17th-18th September 2015
Editors:
Piotr Romaniuk
Kamil Maciąg
Head of the Organizing Committee
Krzysztof Kaczmarek
Secretary of the Organizing Committee
Magdalena Syrkiewicz-Świtała
Members of the Organizing Committee
Kinga Kropiwiec
Monika Olszówka
Kamil Maciąg
Mirosław Szala
Katarzyna Brukało
Miroslav Bartak
Joanna Głogowska-Ligus
Katarzyna Lar
Zsófia Kollányi
Zuzana Katreniak
Layout and Cover Design:
Marcin Szklarczyk
Typesetting and Page Makeup:
Ilona Żuchowska
© Copyright by Fundacja na rzecz promocji nauki i rozwoju TYGIEL
ISBN 978-83-65272-14-0
Publisher:
Fundacja na rzecz promocji nauki i rozwoju TYGIEL
ul. Głowackiego 35/348, 20-060 Lublin
www.wydawnictwo-tygiel.plHead of the Scientific Committee: Prof. Andrzej M. Fal MD, PhD, MBA, FAAAAI Members of the Scientific Committee: Prof. dr hab. n. med. Małgorzata Muc-Wierzgoń Prof. dr hab. n.med. Przemysław Nowak Prof. dr hab. n. med. Barbara Zubelewicz-Szkodzińska Prof. dr hab. n. med. Maria Gańczak Prof. dr hab. inż. Joanna Wyka Dr hab. n. przyr. Ewa Marchwińska-Wyrwał Dr hab. n. med. Joanna Kasznia Kocot Dr hab. n. med. Ryszard Braczkowski Doc. Ing. mgr. Martin Dlouhý, Dr., MSc. Dr Iveta Nagyova Dr n. hum. Piotr Romaniuk Dr Zsófia Kollányi Dr hab. n. med. Ewa Nowakowska-Zajdel
Honorary Patronage
President of the Zabrze City
Rector of Medical University
of Silesia in Katowice
Patronage
Monthly Information Journal
Rynek Zdrowia
Portal www.rynekzdrowia.pl
Medical Publisher Borgis
Portal www.biotechnologia.pl
Organizers:
Foundation for the promotion of
science and development TYGIEL
Medical University
of Silesia in Katowice
Silesia Division of Polish Public
Health Association (PTZP)Partners
University of Jan Evangelista
Purkyne, Usti nad Labem, Czech
Republic
Eötvös Loránd University, Faculty
of Social Sciences, Department of
Health Policy and Health
Economics
Pavol Jozef Ńafárik University,
Kosice, Slovakia
Slovak Public Health Association
(SAVEZ)
Śląska Izba Lekarska
International Visegrad Fund
Medical Publisher MedPharm
Polska
Polish Society of Public Health
(PTZP)
Stasiak Medical Team
Journal Ogólnopolski Przegląd
Medyczny (OPM)
Journal Ogólnopolski System
Ochrony Zdrowia (OSOZ)Table of content
Oral presentation
Analysis of the Presidency Czech, Hungarian and Polish
in the Council of the European Union in the field of health....................... 12
Changes of oxidative status markers, interleukins levels
and somatic parameters after 12-week program of healthy training
of middle-aged women ............................................................................... 14
Climate related diseases in Poland:
evidence and projections to the year 2100 ................................................. 16
Death certification and mortality reporting across EU countries ............... 18
Differences in health behaviours of lower secondary school youth
from the selected schools of the district of Biała Podlaska ........................ 20
Do primary and middle school students can appropriately respond to heart
attack in another person? ............................................................................ 21
Effects of amphizoic amoeba spread in human environments
– emerging threat for public health in Poland ............................................ 23
Effects on quality of communicable diseases notification achieved by
provision of access to the EU case definitions for primary care physicians
in Tuzla, Bosnia and Herzegovina ............................................................. 25
Fitness level and anthropometric indicators
in adult men and women exercising regularly ............................................ 27
Health system as a co-producer of health inequities
– the example of Hungary .......................................................................... 29
Involving citizens in setting public health agenda in Europe based
on the example of the European citizens’ initiative. Evidence
from V4 countries compared to other EU countries ................................... 31
Knowledge and attitudes of Medical University of Warsaw nursing
students towards expanding professional competences of nurses
and midwifes .............................................................................................. 33
Knowledge and attitudes of nurses with respect to Evidence-Based
Medicine and Evidence-Based Nursing Practice ...................................... 35
Leadership and entrepreneurship in medical organizations
and clinical medicine .................................................................................. 37
Lessons from China’s Pharmaceutical price regulation:
A Political Economy Analysis ................................................................... 39
8Long-term care in Poland: policy and practice........................................... 40
Methods of Analysis and Evaluation of Health Systems and Policies ....... 41
Needs for training in notifiable diseases surveillance in healthcare workers,
Matuga sub-county, Kenya......................................................................... 42
Nutritional behaviour of young people in the Polish province of Silesia ... 44
Opinion of the patients on the use of e-Health in primary care institutions 46
Physical and mental health of the participants of the Third Age Universities
as a prognostic factor of weakness/fragility syndrome .............................. 48
Polish and US medical students' exposure to pharmaceutical industry
marketing – consequences for Public Health ............................................ 50
Programming of modernization of the public space in a hospital taking into
account Evidence-based Design in architectural designing ....................... 52
Selected logit models in analyzing
the causes of leaving the nursing profession .............................................. 54
The EU Directive on the application of patients’ rights in cross-border
healthcare and its impact on provision of healthcare services – experience
learned from a survey of Polish providers.................................................. 56
The implementation of council directive 2010/32/eu, recommending the use
of safe injection protection features in Poland ........................................... 58
The importance of health information obtained via Internet in the opinion
of Generation Y in terms of possibility of using social media marketing to
promote health services .............................................................................. 60
The physical activity differentiation of students of humanistic fields of
studies in Ukraine ....................................................................................... 61
The use of tax base estimation methods for income tax purposes
in the health institutions ............................................................................. 62
Training health workers providing health care to patients with HIV
in the region Kwale .................................................................................... 63
9Posters
Assessment of the toxic potential of graphene oxide (GO) ....................... 66
Changes and opportunities for publicly financed healthcare system ......... 68
Clusters as a tool for system modernization.
The features of health policy of Polish local governments ........................ 70
Evaluation of The Health Programmes and The Health Promotion
in Siemianowice Śląskie............................................................................. 71
Health problems of children and adolescents in the last decade
in Silesian voivodeship............................................................................... 73
Psychological factors affecting the health status of middle school girls
from Wroclaw (POLAND) ......................................................................... 74
Role of press in health promotion .............................................................. 75
Role of the local government units in realization of health programs in
Poland ......................................................................................................... 77
The shortage of physicians and their education process in Poland ............ 78
Tuberculosis prevalence before and after political transformation
in Upper Silesia (Poland) ........................................................................... 80
Violence against women and children: the "Code Pink" ............................ 82
10ORAL PRESENTATIONS
2nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
Analysis of the Presidency Czech,
Hungarian and Polish in the Council
of the European Union in the field of health
Wojciech Boratyński, wojciech.boratynski@wum.edu.pl, Medical University of Warsaw
Aneta Cyndrowska, aneta.cyndrowska@gmail.com, Medical University of Warsaw
Anna Marszałek, marszalek.an@gmail.com, Medical University of Warsaw
Paulina Mularczyk, mularczyk.paulina@gmail.com, Medical University of Warsaw
Czech Republic, Hungary, Poland and Slovakia belong to the countries
of the former Eastern bloc. These countries stand out against the other
members of the group of similar foreign policy priorities and possibilities
of their implementation. That was the basis for the start of the cooperation
in the international area in the form of the Visegrad Group in 1991.
In this study we analyze the states of the Council of Presidency of the
European Union (EU) in terms of health with the exception of Slovakia,
which will cover its six-month presidency in July 2016. During the
Presidency of the EU country Chairperson shall designate courses of action,
acts as management, mediation, representational and symbolic, exposing
the positive attributes of the country in the international arena, which
is especially important in the case of the Visegrad Group countries, which
differ from other EU countries its history and experience.
From 1 January 2009 to 30 June 2009 the EU Council presidency chaired
Czech Republic, which focused on the financial implications
of demographic change and on improving the quality and accessibility
of health services provided.
Hungary took over the presidency at the January 1, 2011 and served this
function until 30 June 2011. They have chosen as a priority to ensure
sustainability of health systems in the face of an aging population and
growing inequalities in health.
Immediately after the end of the Hungarian Presidency Polish presidency
began lasting until 31 December 2011, whose main aim was to alleviate
inequality in access to health services.
122nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
A common priority in the field of free movement of persons was
to exchange information and experiences and to increase understanding
between EU member states, that while maintaining their distinctive
identities under the Directive cross-border are required to ensure equal
access and high quality medical services to all citizens.
Keywords: Visegrad, Group, Presidency, Council, EU
132nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
Changes of oxidative status markers,
interleukins levels and somatic parameters
after 12-week program of healthy training
of middle-aged women
Wanda Pilch, wfpilch@poczta.onet.pl, Department of Physiotherapy, University
of Physical Education, Cracow, Poland
Łukasz Tota, lukasztota@gmail.com, Department of Physiology and Biochemistry,
University of Physical Education, Cracow, Poland
Anna Piotrowska, piotrowskaa@onet.eu, Department of Physiotherapy, University
of Physical Education, Cracow, Poland
Roxana Zuziak, roxanazuziak@gmail.com, PhD Student Department
of Physiotherapy, University of Physical Education, Cracow, Poland
It's commonly known that physical activity influences the fitness and
maintenance or enhance lean body mass. The most important parameters
of physical activity is its structure, duration and intensity. Training with too
heavy load leads to enhance damage of skeletal cells with all symptoms
of inflammation state. It was noticed that individual with low calcidiol
status develop higher levels of inflammation markers.
The aim of the study was to analyse parameters of body composition,
inflammation state, antioxidant status and calcidiol level before and after
12-week program of physical activity in middle-aged women.
The study was conducted on 12 women aged 42,7±4,5 which took part
in 12-week program (March-June). They participated in 90 min gymnastic-
dance classes (Hi/Low intensity) once a week. The classes started with
a warm-up followed by the main part (duration: 60 min). At the end women
perform three different exercises repeated 8 times in 3 series, that is 72 reps
for every group of muscles (arms, legs, stomach and back). Numbers
of series was gradually increased up to 120 reps. Intensity of the main part
was 50±1,2% HRmax in March, next months: 60±2,3% HRmax. During
each training session the examined maintained appropriate hart rate what
was monitored by Sport Tester.
142nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
Before the beginning of the program of physical activity and after it was
completed, the participants underwent examination of their body
composition applying the bioelectrical impedance method. A day before
and a day after it was completed a blood samples was taken. Plasma was
used to assess total antioxidant capacity (TAC) and total oxidative status
(TOS), levels of Il-1β, Il-6 and vitamin 25(OH)D.
After 12-weeks we noticed statistically important changes in body mass
(65,0±5,8 before, 61,2±5,5 after), and fat mass (20,0±3,5 and 14,4±3,5).
Levels of interleukins has changed: ∆=1,39 [pg·ml-1] for Il-1β,
∆=16,5[pg·ml-1] for Il-6. Changes of antioxidant status and 25(OH)D level
was also observed.
12-week training program induced body mass reduction mainly through
reducing of body fat content. Reduction of oxidative stress was observed,
as total antioxidant capacity (TAC) was increased, products of lipid
peroxydation was decreased. The training program has changed levels
of interleukins Il-1β and Il-6 in a statistically important manner. We noticed
decreased concentration of pro-inflammatory interleukins together with
increased concentration of anti-inflammatory ones.
Keywords: calcidiol, oxidative stress, healthy training, interleukine-6, interleukine-1β
152nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
Climate related diseases in Poland:
evidence and projections to the year 2100
Krzysztof Błażejczyk, k.blaz@twarda.pan.pl, Institute of Geography and Spatial
Organization Polish Academy of Sciences
Jarosław Baranowski, j.bar.twarda.pan.pl, Institute of Geography and Spatial
Organization Polish Academy of Sciences
Anna Błażejczyk, anna@blazejczyk.eu, Bioklimatologia, Laboratory
of Bioclimatology and Environmental Ergonomics
Climate and weather can influence human’s health in direct and indirect
ways. Direct influences bases on simple reaction of human’s organism on
atmospheric stimuli (e.g. heat stroke, overcooling, weather related
incidents). However, indirect impacts refers to the climate related changes
in human’s environment (e.g. water scarcity, ticks population) which
influence health status. There is well defined list of so called “climate
related diseases” (CRD, e.g. heat stroke, vector borne diseases, influenza,
skin melanoma etc.).
The aim of the paper is to present evidence of CRD (Salmonellosis
intoxications, Lyme boreliosis, skin cancer, influenza, weather related
fatalities as well as respiratory and cardiovascular mortality) and their
relation to climate parameters and indices in Poland.
Methodology applied in the research consisted of two stages: 1) statistical
modelling based on past data, 2) future scenarios. Medical data used in the
first stage were adapted from national and European epidemiological data
bases. The basic period of data cover the years 1973-2014. Historical
meteorological data consist of daily values of air temperature and humidity,
wind speed and precipitation from the period 1973-2014, taken from
NOAA database. Multiplicative regression analysis was used for statistical
modelling of CRD distribution in Poland.
In the second stage future projections of climate parameters were applied.
They were calculated for A2, A1B and B1 emission scenarios using
METEONORM 7.2. software package. Statistical models of CRD
distribution (developed in stage 1) were the base to assess the changes of
studied climate related diseases in the consecutive decades of 21st century.
162nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
During the studied period significant changes and fluctuations of particular
CRD were observed. The greatest increase was noticed in case of skin
cancers (including melanoma) and Lyme boreliosis infections. On the other
hand decrease in Salmonellosis intoxications was registered. For other
studied CRD (cold related fatalities, and influenza, respiratory and
circulatory mortality) significant, periodic fluctuations were found.
Statistically significant models were found to explain the changes of
particular CRD caused by combinations of climate variables.
As the result of future scenarios stage we have found significant increase in
Lyme boreliosis infections and circulatory mortality as well as decrease in
cold related deaths in the end of 21st century.
Keywords: climate related diseases, climate change, public health projections
172nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
Death certification and mortality reporting
across EU countries
Alexandra Brazinova, alexandra.brazinova@gmail.com, Faculty of Health
Sciences and Social Work, Trnava University, Trnava, Slovak Republic
Veronika Rehorcikova, rehorcikova@gmail.com, Faculty of Health Sciences
and Social Work, Trnava University, Trnava, Slovak Republic
Introduction
The accuracy of death and cause of death certification and reporting
is of great importance for any epidemiological (or other) analysis. Survival
is the basic outcome of any illness progress or treatment course. In case
of death, this is certified by a specialized physician and reported through
a particular document (Death Certificate) and procedure to relevant
institution and eventually to national statistics office – the procedure varies
in individual EU countries. Within the international project on traumatic
brain injury (CENTER-TBI - Collaborative European NeuroTrauma
Effectiveness Research in TBI) we explored, analyzed and described the
death certification and reporting procedure in all countries of European
Union with a special emphasis on potential spots of data error, loss
or misinterpretation.
Methods
We examined the procedure of death certification and reporting through the
consultations with death certification experts in all EU countries.
Results
We have identified potential weak points in the process of death
certification and reporting: lack of training of death examining and
certifying physicians; no control mechanism in place to monitor the
performance of the examining physicians/coroners, namely the accuracy
of cause of death ascertainment and their referral of the body of the
deceased to the autopsy; inconsistency in nomenclature and coding
of examining physicians/coroners and statistical officers
Conclusions
182nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
Certain inaccuracy of mortality data needs to be pointed out, caused by lack
of monitoring and quality control of death certification and reporting
procedure. Therefore, the mortality data need to be used with caution.
Keywords: death certification, death certificate, mortality reporting, mortality rate,
epidemiology
192nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
Differences in health behaviours of lower
secondary school youth from the selected
schools of the district of Biała Podlaska
Marta Mandziuk, martamandziuk@o2.pl; Państwowa Szkoła Wyższa im. Papieża
Jana Pawła II, ul. Sidorska 95/97, 21-500 Biała Podlaska
Introduction
Health for most people is the most precious value, but not every one
of us acts so as to enjoy it to the late years of his/her life. The work, which,
among others, education, the maintenance of good health should begin
at an early age of the child and continue especially in adolescence. The aim
of the study was to find differences in behaviour towards health of girls and
boys in a lower secondary school.
Methods
The study was carried out by diagnostic survey with the use of a questionnaire.
The survey included questions regarding, among others, subjective assessment
of the state of health and physical activity, the attitude to following the
principles of a healthy lifestyle and diet. There were questioned 393 lower
secondary school pupils from the district of Biała Podlaska.
Results
The boys statistically significantly are more likely than girls to evaluate
better both their health status (p = 0.013) and the level of physical activity
(p = 0.001). The analysis showed the existence of statistical differences
between the number of meals consumed by the subjects in favour of boys.
In contrast, girls rarely eat the fast-food type of meal.
Conclusions
The research results showed that education to a healthy lifestyle should be
continued in lower secondary school. Adolescence is the second period,
after the growth, in which great changes occur in the physical, mental and
social development, and neglecting the health education may result in many
diseases later in life.
Keywords: zachowania zdrowotne, młodzież, zdrowie
202nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
Do primary and middle school students can
appropriately respond to heart attack
in another person?
Agnieszka Sarnecka, John Paul II Hospital, Department of Cardiac and Vascular
Diseases, Krakow, Poland, e-mail: a.sarnecka@szpitaljp2.krakow.pl
Grzegorz Kopeć, John Paul II Hospital, Department of Cardiac and Vascular
Diseases, Krakow, Poland
Klaudia Knap, John Paul II Hospital, Department of Cardiac and Vascular
Diseases, Krakow, Poland
Aleksandra Lenart, John Paul II Hospital, Department of Cardiac and Vascular
Diseases, Krakow, Poland
Natalia Palka; John Paul II Hospital, Department of Cardiac and Vascular
Diseases, Krakow, Poland
Mateusz Podolec; John Paul II Hospital, Department of Coronary Artery Disease
and Heart Failure, Krakow, Poland
Marcin Waligóra; John Paul II Hospital, Department of Cardiac and Vascular
Diseases, Krakow, Poland
Anna Puczka
Piotr Podolec, John Paul II Hospital, Department of Cardiac and Vascular
Diseases, Krakow, Poland
Introduction
Early recognition of the symptoms of heart attack and immediate calling for
an ambulance are crucial parts of the survival chain with myocardial
infarction. It is important that not only subjects at risk but also persons
from their environment know how to respond to heart attack symptoms.
Aim of the study
To assess the knowledge about heart attack and appropriate respond to its
appearance in another person among primary and middle school students.
212nd V4 Conference on Public Health 2015 Health for public, public for health. Abstracts Methods The anonymous standardized questionnaire was conducted among students from randomly selected primary and middle schools in Malopolska from September to December 2014. We used open-ended question about emergency phone number and close-ended questions to assess their knowledge of the heart attack symptoms and appropriate response when their appear in another person. Results The study included 971 students of primary (368, 37.9%) and middle (603, 62.1%) schools, aged 13.0±1.7 (from 11 to 16 years old). Males accounted for 492 (50.7%) participants and 558 (57.5%) of the students were rural residents. Only 505 (52%) respondents indicated appropriate definition of heart attack, more often middle than primary school students (337 [55.9%] vs 168 [45.7%], p
2nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
Effects of amphizoic amoeba spread
in human environments
– emerging threat for public health in Poland
Witold Pawłowski, Department of Disaster Medicine, Warsaw Medical University,
Poland, Department of Medical Biology, Medical University of Warsaw, 73
Nowogrodzka Str., 02- 018 Warsaw;
Wanda Baltaza, Department of Medical Biology, Medical University of Warsaw,
73 Nowogrodzka Str., 02- 018 Warsaw;
Bohdan Starościak, Department of Pharmaceutical Microbiology, Medical
University of Warsaw, 3 Oczki Str., 02-007 Warsaw;
Marcin Padzik, Department of Medical Biology, Medical University of Warsaw,
73 Nowogrodzka Str., 02- 018 Warsaw;
Paweł Zawadzki, Clinic of Cranio-Maxillo-Facial and Oral Surgery and
Implantology, 4 Lindleya Str., 02-005 Warsaw;
Ilona Pilich, Department of Medical Biology, Medical University of Warsaw, 73
Nowogrodzka Str., 02- 018 Warsaw;
Monika Dybicz, Chair and Department of General Biology and Parasitology,
Medical University of Warsaw, 5 Chałubinskiego Str., 02-004 Warsaw;
Lidia Chomicz, Department of Medical Biology, Medical University of Warsaw,
73 Nowogrodzka Str., 02- 018 Warsaw;
Introduction
Different strains of Acanthamoeba species are free-living organisms known
from many parts of the world including Poland. They occur in soil, in fresh,
sea, chlorinated, mineral and tap-water, in air, dust, fruits, vegetable and in
animal bodies; the protists have been isolated even from hospital
environments, they develop as vegetative trophozoites and dormant cysts.
The amoebae developing as vegetative trophozoites and dormant cysts
complete their life cycles in the outer environment, without entering a
human or animal bodies. However, in predisposing circumstances, some
Acanthamoeba species are able to enter the human body from different
environmental sources and exist as pathogens, thus they are believed to be
amphizoic organisms. Some strains of the organisms present a serious risk
to human health as causative agents of a vision-threatening corneal
232nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
infection, Acanthamoeba keratitis (AK), that develops in more than 85% in
contact lens wearers.
Aim of the study
In this study, we present and analyze several difficult to treat incidences of
Acanthamoeba keratitis in persons-contact lens wearers.
Methods
AK cases were evaluated by us at parasitology and microbiology levels.
Results
The severe pain, epithelial inflammations and reduced visual acuity
appeared in affected eyes of all patients. It was revealed that several of the
infection cases were earlier improper treated due to the misdiagnosis with
Herpes simplex, Fusarium spp. or keratitis caused by Pseudomonas
aeruginosa and proper treatment was delayed.
Conclusions
We analyzed selected data in terms of the usefulness of in vivo and in vitro
investigations for better diagnosis, an efficacy of therapeutic management
and prophylaxis. An increasing number of vision-threatening. The amoebae
may act as carriers for more than 20 bacterial species pathogenic for
humans from genera Legionella, Pseudomonas, Mycobacterium,
Escherichia, that are able not only to survive but even proliferate within the
amoebae, thus mixed cornel infections are frequent. The widely distribution
of the amoebae in natural and the man-made environments, a high
resistance of amoeba cysts to disinfectants and drugs Human infections
with Acanthamoeba strains are serious new medical problem, that should
be taken into consideration as emerging threats of the public health.
Keywords: Acanthamoeba amphizoic strains, threats of the public health
242nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
Effects on quality of communicable diseases
notification achieved by provision of access
to the EU case definitions for primary care
physicians in Tuzla, Bosnia and Herzegovina
Denisa Jakubcová, denisa.jakubcova@gmail.com , Trnava University in Trnava,
Faculty of Health Sciences and Social Work, Department of Public Health,
Slovakia
Martin Rusnák, rusnakm@truni.sk , Trnava University in Trnava, Faculty of
Health Sciences and Social Work, Department of Public Health, Slovakia
Viera Rusnáková, viera.rusnakova@truni.sk , Trnava University in Trnava,
Faculty of Health Sciences and Social Work, Department of Public Health ,
Slovakia
Predrag Đurić, duricp@gmail.com , Department of Epidemiology, Faculty of
Medicine, University of Novi Sad, Vojvodina, Serbia
Introduction
The Public Health Reform II project was implemented in Bosnia and
Herzegovina from December 2011 till December 2013 and funded by
European Union. Principal aim of the project was to strengthen public
health services in the country through improved control of public health
threats. One out of three components of the project dealt with enhancing
and improving assessment of global public health and the system of
communicable diseases notification. Trainings for family primary care
physicians were organized to improve the situation and increase
notification rates in eight selected primary care centers. The training
comprised assessment of primary care physician’s knowledge level
on disease reporting, presentation of standard case definitions and
a discussion panel. Expected outcome of the training is to improve primary
care physician’s knowledge and skills in disease notification and
to increase effectiveness of surveillance system.
Aim of the study
The main aim was to increase notifications by trainings provided for
primary care physicians. In this report we share results from evaluation of
training effects on data quality.
252nd V4 Conference on Public Health 2015 Health for public, public for health. Abstracts Methods We compared quality of notifications from physicians in Tuzla before and after training, which took place on 15th of March 2013. The timeliness was used as indicator of quality. Timeliness reflects the speed between steps in a public health surveillance system. It means time interval between the first symptoms of diseases and reporting. We compared medians of timeliness before and after training by Wilcox test using R project with level of significance p
2nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
Fitness level and anthropometric indicators
in adult men and women exercising regularly
Joanna Wyrostek, Third cycles, Academy of Physical Education, Krakow
Jadwiga Pałosz, Department of Physiotherapy, Department of Anatomy,
University of Physical Education, Krakow
Wanda Pilch, Department of Physiotherapy, Department of Cosmetology,
the Academy of Physical Education, Krakow
Anna Piotrowska, Department of Physiotherapy, Department of Cosmetology,
the Academy of Physical Education, Krakow
Wioleta Cieślak, Department of Physiotherapy, Department of Anatomy,
University of Physical Education, Krakow
Introduction
The physical activity for adults is closely related to their leisure time and
the desire to rest and pleasure. Modern lifestyle, convenience and sedentary
nature of the work cause that physical activity is eliminated from everyday
life. The physical activity is a crucial part of our life that impact on good
physical condition and human psyche as well as has a positive effect on the
functioning of the whole organism and is an effective way of health
prevention in the future.
Aim of the study
The aim of this study was evaluation of physical fitness level and body type
in randomly selected adult women and men exercising in the Club Fitness.
Material and methods
The study group consisted of 25 women and 25 men, who were divided
into two subgroups: women from 18-25 years of age - I group, women aged
26-35 years - II group, men aged 22-25 years – I group and men aged 26-40
- the II group. Anthropometric measurements were based on : height and
weight, and waist and hip circumference and the calculated indicators:
BMI, Rohrer, slenderness, WHR and WHtR. Fitness level was determined
on the basis Zuchora Physical Fitness Index, made up of six skill tests
evaluating the speed, jumping ability, strength shoulders, flexibility,
endurance and strength of the abdominal muscles. The intensity of the
272nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
exercise was determined using a questionnaire: Timing, frequency and
number of hours per week of physical activity at week.
Results
Weight-height ratios in most subjects were normal and depended on
mobility, particularly jumping and endurance test in men. Physical fitness
adult in all age groups was very good, and its level depend on the time
interval training, the amount and frequency of physical activity a week.
Conclusions
The high level of physical fitness determined by age of male respondents
had an impact on their normal weight and type of body, whereas women
low fitness level was influenced by an incorrect weight and body
composition, and worse flexibility. On a very good physical fitness of
adults had an impact systematic and prolonged physical activity
Keywords: physical activity, anthropometric indicators, test Zuchora
282nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
Health system as a co-producer of health inequities
– the example of Hungary
Zsófia Kollányi, zsofia.kollanyi@tatk.elte.hu, Assistant Lecturer, Department of Health
Policy and Health Economics, Eötvös Loránd University, Budapest, Hungary
In my paper I examine and describe how structural, financial and political
arrangements and circumstances, and the resulting practice of health care
and public health system in Hungary might have contributed to a modest
increase in life expectancy while the health gradient between groups with
different social status became much steeper during the past decades.
Since the political, economic and social transition in 1989-1990 there was
an enermous growth to observe in health inequalities between different
groups of the society in Hungary, while overall health status has also
improved, though to a much more modest extent. These changes are the
result of complex mechanisms rooted deeply in structures and values of the
society and the wider context of public policy forming, health policy being
one of the impacting public policies. Health interventions, however
succesful they would be in terms of overall health outcome, inevitably bear
the possibility of widening health inequalities at the same time. This
is mostly because any health intervention affects different social groups
differently.
I build my analysis on the model described in White et al (2009) using
mostly the methods of institutional analysis and political economy and
presenting empirical results when available. I examine possible effects
of different areas of public health and health care, such as:
- Health promotion programs provided by agents out of the narrowly
defined health care system
- Health prevention services provided by the health care system (health
promotion provided by GPs, screening programs)
- Curative health care services offered by any level of the health care
system with special focus on issues of equity in access and quality.
I also describe the determining macro-level circumstances of health system
regarding the domain’s relative position among other public policy
292nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
domains, the often opportunistic features of policy forming, and the
resulting financial arrangements, problems of employment shortage and
overall scarcity of resources – and the effects of these factors on different
groups of the society.
References
White, M. – Adams, J. – Heywood, P. (2009): How and why do interventions
that increase health overall widen inequalities within populations?
In: Babones, S. J. (ed.): Social Inequality and Public Health. Policy Press,
Bristol.
Keywords: social inequality,health inequality, health policy, public health
intervention
302nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
Involving citizens in setting public health
agenda in Europe based on the example
of the European citizens’ initiative.
Evidence from V4 countries compared
to other EU countries
Maja Miłkowska, maja.milkowska.um@gmail.com
Introduction
The public of public health, people, lie at the heart of health systems, either
as health services consumers, financial contributors, health workforce or
actors through their health choices influencing the form of health policies.
What is more, over recent years, active citizens involvement in public
health through advocacy and empowerment is increasingly being
recognized as essential element of health systems strengthening and is of
crucial importance in the development of civil society, especially in the
context of European integration. Introduced in 2012, the European
Citizens’ Initiative (ECI), an instrument of participatory democracy, strives
for giving a stronger voice to citizens by proposing new legislation at EU
level. Interestingly, to date, 3 out of 28 initiatives, all representing public
health field, successfully gathered the required one million signatures:
Right to Water, One of Us and Stop Vivisection.
Aim of the study
The aim of this study is to present the application of the European Citizens’
Initiative to the field of public health and its relevance in influencing health
policy formulation at European level. The potential of the ECI in designing
public health policy particularly in V4 countries is discussed.
Methods
Qualitative approach to data analysis was chosen to investigate the research
problem, with the three initiatives constituting case studies. SWOT analysis
as well as Kingdon's model of agenda-setting were used to evaluate the
initiatives. The study is based on a literature review and an analysis of the
campaigns materials and the European Commission communication.
312nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
Results
The notion of citizens’ initiative exists in most of the members states and
V4 countries. However, the legal solutions adopted differ essentially. The
application of the ECI in the field of public health was found to be limited
due to indirect nature of health policy formulation at the EU level.
Moreover, weaker identification with the EU in V4 countries resulted in
significantly lower, compared to other EU member states, involvement in
the campaigns.
Conclusions
Civil participation of V4 citizens in European initiatives is substantially
lower than in stable democracies, such as Germany, Austria or France. This
poses additional challenges to the application of the ECI in the field of
public health in V4 countries. However, its supranationality provides
opportunities to initiate public debates on health issues
on an unprecedented scale.
Keywords: civil involvement, participatory democracy, health policy, agenda-
setting, European Citizens’ Initiative
322nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
Knowledge and attitudes of Medical University
of Warsaw nursing students towards
expanding professional competences
of nurses and midwifes
Aleksander Zarzeka, aleksander.zarzeka@wum.edu.pl, Students’ Scientific Group
of Medical Law, Medical University of Warsaw, Department of Teaching and
Education Outcomes, Faculty of Health Science, Medical University of Warsaw
Sabina Handzel, sabinahandzel@gmail.com, Students’ Scientific Group of
Medical Law, Medical University of Warsaw
Mariusz Panczyk, mariusz.panczyk@wum.edu.pl, Department of Teaching and
Education Outcomes, Faculty of Health Science, Medical University of Warsaw
Jarosława Belowska, jaroslawa.belowska@wum.edu.pl, Department of Teaching
and Education Outcomes, Faculty of Health Science, Medical University of
Warsaw
Joanna Gotlib, joanna.gotlib@wum.edu.pl, Department of Teaching and
Education Outcomes, Faculty of Health Science, Medical University of Warsaw
Introduction
From 1st January 2016, due to amendment, certain groups of nurses and
midwifes (N&M) will be entitled to prescript some drugs and issue
referrals for certain diagnostic tests. Level of competences will depend
on level of education of nurse or midwife.
The aim of study
Assess knowledge and attitudes of Medical University of Warsaw (MUW)
nursing students towards expanding professional competences of nurses
and midwifes
Methods
106 nursing students of MUW: 50 bachelor students and 56 master students;
103 females and 3 males. The mean age was equal 25 years (min. 21, max.
55, mode and median 23, SD=7,27). Voluntary and anonymous study;
questionnaire prepared by authors and assessed using Cronbach α-coefficient.
13 questions concerning knowledge with one correct answer; 26 statements
concerning attitudes assessed in Likert scale (1-5).
332nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
Results
Cronbach α-coefficient: 0,782. 50% of students knows when the amendment
will come into force, and 21% knows the criteria for independent nurse
prescriber. 57% of fespondents thinks, that the amendment is needed in Poland.
65% of students claims, that new competences seems to be only new duty
to N&M.
Conclusions
1. The value of Cronbach α-coefficient shows, that the questionnaire is
valid and can be apply in further research.
2. In the research group, knowledge concerning the amendment
is unsatisfactory and needs urgent improvement, particularly since new
competences will directly affect respondents after graduation.
3. The research group have generally positive attitude to amendment, but
they concern about rising amount of duties.
4. Due to fact, that research have a preliminary character, further studies in
wider group of nursing students shall be conducted.
Keywords: nurse prescribing, professional competences, amendment, nurses
and midwifes
342nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
Knowledge and attitudes of nurses with respect
to Evidence-Based Medicine
and Evidence-Based Nursing Practice
Jarosława Belowska, Division of Teaching and Outcomes of Education, Faculty
of Health Sciences, Medical University of Warsaw, Poland
Aleksander Zarzeka, Division of Teaching and Outcomes of Education, Faculty
of Health Sciences, Medical University of Warsaw, Poland
Mariusz Panczyk, Division of Teaching and Outcomes of Education, Faculty
of Health Sciences, Medical University of Warsaw, Poland
Halina Żmuda-Trzebiatowska, Division of Teaching and Outcomes of Education,
Faculty of Health Sciences, Medical University of Warsaw, Poland, Center
of Postgraduate Education for Nurses and Midwives
Barbara Kot-Doniec, Center of Postgraduate Education for Nurses and Midwives
Joanna Gotlib, Division of Teaching and Outcomes of Education, Faculty
of Health Sciences, Medical University of Warsaw, Poland
Background
The awareness of benefits resulting from the use of the latest research
findings in the professional practice of modern nurses is a prerequisite
to ensuring safe nursing care satisfying the highest standards.
Objective
The aim of the study was to analyse the knowledge and attitudes of nurses
with respect to Evidence-Based Medicine (EBM) and Evidence-Based
Nursing Practice (EBNP).
Material and methods
225 nurses taking a state examination organized by the Centre for
Postgraduate Education of Nurses and Midwives in summer semester 2014
(6 male), mean age of the study population 42 years (min. 26, max. 66,
SD=8,45); the length of service among the study participants amounted
to 16.5 years (min. 4, max. 35, SD=5.25). Voluntary, anonymous survey,
standardized Evidence-Based Practice questionnaire from University
of South Australia: 7 domains (5 based on Likert’s scale, 2 nominal scales),
352nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
74 questions; quantitative analysis of research findings. Statistical analysis:
Cronbach’s alpha coefficient, STATISTICA version 10.
Results
Cronbach’s alpha coefficient for reliability analysis of the questionnaire
evaluating the internal consistency of given results was high (α=0,867),
α coefficient for domains based on Likert’s scale alike was high: α=0,892,
(α=0,806 / α=0,927, α=0,686. 53,7% of nurses (n=121) intend to develop
knowledge about Evidence Based Practice and skills in accessing,
acquiring and appraising evidence relevant to their area of practice and read
relevant literature to update knowledge (66,21%, n=149). For 57,7%
(n=130) literature and research findings were useful in their day-to-day
work however in making decisions about professional work 39,5% value
clinical/field experience more than scientific studies (n=89). The main
barriers to implement EBM into practice is the access to the computer
(38,2%, n=86), workload (37,7%, n=85) and a lack of time (35%, n=80).
Conclusions
1. The questionnaire used to measure the level of knowledge and attitudes
with respect to Evidence-based Nursing Practice among nurses was an
efficient and reliable method.
2. The awareness of benefits resulting from using EBMP was high. The
attitudes towards evidence-based nursing practice were positive, even
though the supplementation of knowledge about EBNP is recommended.
3. It is necessary to expand the skills of nurses with reference to search
for scientific evidence.
Keywords: evidence-based medicine, nursing, education
362nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
Leadership and entrepreneurship in medical
organizations and clinical medicine
Dr Marzena Mamak-Zdanecka, Wydział Humanistyczny, Katedra Socjologii
Gospodarki i Komunikacji Społecznej, Akademia Górniczo-Hutnicza im.
Stanisława Staszica, Kraków, Polska
Prof. nadzw. dr hab. n. med.Maciej Machaczka,Wydział Medyczny, Uniwersytet
Rzeszowski, Rzeszów, Polska, Hematology Center Karolinska, Karolinska
University Hospital Huddinge, Sztokholm, Szwecja
Activities undertaken by the state in the area of health care are among its
top priorities. Despite the fact that the Poles increasingly declare strong
health, reports confront these declarations with the actual incidence rate
of of cancer, coronary disease and musculoskeletal system diseases.
Because of population ageing and the accompanying multi disease the
demand for specialist medical services will definitely increase.
The aim of this article is to present an overview of theoretical assumptions
as well as practical experiences related to the leadership and management
of employees whose responsibilities require creating and using knowledge
in hospitals and other health facilities. It compares the Polish and Swedish
experience. The subject of consideration is management practice,
autonomy, solving problems and the rules governing doctor's visits
in Polish and Swedish medical organizations. A more detailed analysis
of medical organizations looks at them from three perspectives: functional
(such as the unique kind of activities based on knowledge and
entrepreneurship), institutional and process-related (providing efficient and
coordinated patient care). When focusing on the issue of medical nursing
homes management it is important to consider the problem of leadership
and management of knowledge workers in medical organizations.
It requires a multi-faceted approach, among other things putting
an emphasis on keeping doctors' skills up-to-date, promoting intellectual
entrepreneurship (critical thinking and independence), the development
of leadership skills (which refers to manging a medical organization,
occupying senior positions in hospitals and other health facilities).
Medical organizations, which are directly responsible for patient
satisfaction, just as any other type of organization are forced to modernize
372nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
and to introduce endogenous and exogenous changes. One can make an
assumption that it is more probable when they have leaders, innovators and
entrepreneurs.
Keywords: leadership, entrepreneurship, medical organization, clinical medicine
382nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
Lessons from China’s Pharmaceutical price
regulation: A Political Economy Analysis
Xuefeng Liang, x.f.liang@126.com, Harbin Institute of Technology, Chiba
Institute of Technology
Hongtao Shen, h.t.shen@163.com, Harbin University of Science and Technology
Yujia Liang, liangyujia003@gmail.com, The Chinese University of Hong Kong
Xiuzhen Wang, wangxzhit@126.com, Harbin Institute of Technology
The mark-up between ex-factory and the retail pharmaceutical price has
been a common concern issue in China even if the government has
implemented strict regulation practices on pharmaceutical price between
mid 1990s and June 1 of 2015. This paper will investigate the Chinese
government’s regulation motives, regulation framework, and regulation
outcomes from a political economy perspective. The paper consists of five
sections. Section 1 refers to the theoretical demonstration of pharmaceutical
price regulation and the context reasons why China reregulated
pharmaceutical price in mid 1990s; Section 2 describes the governance
structure and control methods in China’s pharmaceutical price regulation;
Section 3 evaluates the regulation outcomes with the HAI methodology;
Section 4 is a political economy explanation to the regulation failures. The
paper will end with policy recommendations and concluding remarks.
Keywords: pharmaceutical price regulation, HAI methodology, China context,
political econmy analysis
392nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
Long-term care in Poland: policy and practice
Oliwia Beck, Department and Clinic of Geriatrics, Department of Public Health,
Collegium Medicum UMK, oliwia_b@o2.pl
The number of the elderly, the chronically ill and the disabled in modern
communities is currently becoming an economic and organizational
challenge for the state social policy. Modern demographic,
epidemiological, social, and cultural trends have been gradually changing
the traditional patterns of care, leading to the need and demand for home
care. In spite of that notion, some countries – including Poland – have not
yet established comprehensive national long-term care programs, relying
on informal caregivers combined with a fragmented mix of formal services
that varies in quality and by location. From the public health perspective,
the development of long-term care is currently one of the main problems
to be solved.
Keywords: long-term care, ageing, disability
402nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
Methods of analysis and evaluation
of health systems and policies
Martin Dlouhy, dlouhy@vse.cz, University of Economics Prague, 4 Winston
Churchill Sq., 130 67 Prague 3, Czech Republic
In order to describe and compare health systems and policies, various
methodologies can be used. One successful approach was developed by the
European Observatory on Health Systems and Policies that produced HiT
health systems reviews. The comprehensive attempt to evaluate
performance of health systems was The World Health Report 2000 that
presented an index of national health system’s attainment and an index
of performance relative to potential. An example of approach designed
specifically for mental health is the WHO Assessment Instrument
for Mental Health Systems. The System of Health Accounts is a standard
framework for producing comprehensive, consistent and internationally
comparable accounts to meet the needs of health analysts, policy-makers,
and the general public. There is also a large amount of studies evaluating
efficiency of health systems by DEA, FDH, SFA methods.
Keywords: health systems, health policy, international comparison, efficiency
evaluation
412nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
Needs for training in notifiable diseases
surveillance in healthcare workers, Matuga
sub-county, Kenya
Denisa Jakubcová, denisa.jakubcova@gmail.com , Trnava University in Trnava,
Faculty of Health Sciences and Social Work, Department of Public Health, Slovakia
Viera Rusnáková, viera.rusnakova@truni.sk , Trnava University in Trnava, Faculty
of Health Sciences and Social Work, Department of Public Health, Slovakia
Hannah Kache, hannan1930@gmail.com , Ministry of Health, Kwale County, Kenya
Introduction
Reporting of communicable diseases in Kenya is mandatory within the
Integrated Disease Surveillance and Response. Based on quality analysis of
notified data in the year 2014 from selected health facilities in Matuga sub-
county, Kenya and consultations with surveillance sub-county coordinator,
the needs for training of healthcare workers involved in the notification of
communicable diseases in the scope of individual health facilities were
identified.
Aim of the study
The study objective was to determine the education needs for healthcare
workers in Matuga-subcounty, Kenya and to define priorities for a design
of effective training.
Methods
Questionnaire and interview was used as a tool for data collection. The
questionnaire was focused on evaluating the level of healthcare workers
knowledge on communicable disease reporting and to identify the barriers
for the reporting of communicable diseases in the adequate time response
and necessary quality. Questionnaires were fulfilled by the health
worker/technician, responsible for reporting communicable diseases in a
given health facility. Authors visited healthcare facilities in Matuga-
subcounty during March 2015.
Results
422nd V4 Conference on Public Health 2015
Health for public, public for health. Abstracts
Study group consisted of 23 (100%) healthcare workers. From all
healthcare workers, 55% participated at some training and remaining 45%
of workers carry out notifications without any appropriate training.
Priorities and objectives of the surveillance were not clear for 30%
of healthcare workers. 45% of those interviewed were unable to describe
the process of reporting and its individual steps and 40% of them were not
aware of steps comprising the process of reported data analysis. All
approached acknowledged the need for training focused on communicable
diseases surveillance. They also agreed on further needs for training
focused on computers work skills (55%), reporting process and data entry
(30%), understanding general principles of surveillance (15%), updates
in the Integrated Disease Surveillance and Response (IDSR) system (15%)
and standard case definitions.
Conclusion
Based on results from education needs assessment a training curriculum
will be developed for those who perform notifications of communicable
diseases. Expected outcome of the training implementation is increased
knowledge and skills of health workers in reporting data and using
communication technology as a condition for providing information in
timely and efficient way.
Keywords: communicable diseases, surveillance, training, Kenya
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