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  1. Article ; Online: Factors associated with the use of public eHealth services in Poland - a 2022 nationwide cross-sectional survey.

    Płaciszewski, Krzysztof / Wierzba, Waldemar / Ostrowski, Janusz / Pinkas, Jarosław / Jankowski, Mateusz

    Annals of agricultural and environmental medicine : AAEM

    2023  Volume 30, Issue 1, Page(s) 127–134

    Abstract: Introduction and objective: Poland is an example of a European country that has made significant progress in digitizing healthcare during the last 5 years. There is limited data on the use of eHealth services by different socio-economic groups in Poland ...

    Abstract Introduction and objective: Poland is an example of a European country that has made significant progress in digitizing healthcare during the last 5 years. There is limited data on the use of eHealth services by different socio-economic groups in Poland during the COVID-19 pandemic The aim of the study was to characterize public attitudes towards the use of e-Health services in Poland, as well as to identify factors associated with the use of e-Health services among adults in Poland.
    Material and methods: A questionnaire-based survey was carried out during 9-12 September 2022. A computer-assisted web interview methodology was used. A nationwide random quota sample of 1,092 adult Poles was selected. Questions on the use of 6 different public eHealth services in Poland and soci-economic characteristics were addressed.
    Results: Two-thirds of participants (67.1%) had received an e-prescription in the last 12 months. More than half of the participants used the Internet Patient Account (58.2%) or the patient.gov.pl website (54.9%). One-third of the participants had teleconsultation with a doctor (34.4%), and approximately one-quarter of participants had received electronic sick leave (26.9%) or used electronic information about treatment dates (26.7%). Of the ten different socio-economic factors analyzed in this study, educational level, and place of residence (p<0.05) were the most important factors associated with the use of public eHealth services among adults in Poland.
    Conclusions: Living in rural areas or small cities is associated with a lower level of public eHealth services utilization. A relatively high interest in health education through eHealth methods was observed.
    MeSH term(s) Adult ; Humans ; Poland ; Cross-Sectional Studies ; Pandemics ; COVID-19/epidemiology ; Telemedicine ; Surveys and Questionnaires ; Internet
    Language English
    Publishing date 2023-01-16
    Publishing country Poland
    Document type Journal Article
    ZDB-ID 1215115-4
    ISSN 1898-2263 ; 1232-1966
    ISSN (online) 1898-2263
    ISSN 1232-1966
    DOI 10.26444/aaem/158027
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Factors Associated with Attitudes towards Preventing Head and Neck Cancer through HPV Vaccination in Poland: A Nationwide Cross-Sectional Survey in 2021.

    Pinkas, Wojciech / Jankowski, Mateusz / Wierzba, Waldemar

    Vaccines

    2022  Volume 10, Issue 4

    Abstract: Human papillomavirus (HPV) infection is a risk factor for head and neck cancers (HNC). HPV-related head and neck cancers are preventable through vaccination. This study aimed to assess the attitudes towards HPV vaccination among adults in Poland, with ... ...

    Abstract Human papillomavirus (HPV) infection is a risk factor for head and neck cancers (HNC). HPV-related head and neck cancers are preventable through vaccination. This study aimed to assess the attitudes towards HPV vaccination among adults in Poland, with particular emphasis on preventing HPV-related HNC, as well as identifying factors associated with a willingness to vaccinate children against HPV. This cross-sectional survey was carried out in November 2021 on a nationwide, representative sample of 1082 adults in Poland. The computer-assisted web interview (CAWI) technique was used. Only 42.5% of respondents were aware that HPV infection is a sexually transmitted disease. Less than one fourth of respondents (23.8%) indicated vaccination as an HPV infection prevention method and 51.9% of respondents correctly indicated HPV vaccine-eligible populations. Only 48.1% of respondents declared positive attitudes towards HPV vaccinations and declared that they would vaccinate their child against HPV. Males (OR: 1.43, 95% CI: 1.11−1.85; p < 0.01), respondents who did not have children (OR: 1.50, 95% CI: 1.04−2.14; p < 0.05), as well as those who had received a higher education (OR: 1.43, 95% CI: 1.11−1.85; p < 0.01), had greater odds of indicating positive attitudes towards HPV vaccinations. This study revealed a low level of public awareness of HPV vaccination as a cancer prevention method in Poland.
    Language English
    Publishing date 2022-04-18
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2703319-3
    ISSN 2076-393X
    ISSN 2076-393X
    DOI 10.3390/vaccines10040632
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Awareness of Head and Neck Cancers: A 2021 Nationwide Cross-Sectional Survey in Poland.

    Pinkas, Wojciech / Jankowski, Mateusz / Wierzba, Waldemar

    Journal of clinical medicine

    2022  Volume 11, Issue 3

    Abstract: Head and neck cancers (HNC) are the seventh most common cancers worldwide. Early diagnosis of HNC is associated with better outcomes. This study aimed to assess public awareness of HNC among adults in Poland, with particular emphasis on awareness of HNC ... ...

    Abstract Head and neck cancers (HNC) are the seventh most common cancers worldwide. Early diagnosis of HNC is associated with better outcomes. This study aimed to assess public awareness of HNC among adults in Poland, with particular emphasis on awareness of HNC symptoms and risk factors for HNC. This cross-sectional study was carried out in November 2021 on a nationwide, representative sample of 1082 inhabitants of Poland aged 18 years and over. The computer-assisted web interview (CAWI) technique was used. Most of the respondents rated their knowledge of head and neck cancers as "a little" (40.8%) or "nothing at all" (30%). The most identified symptoms were a lump in the neck (57.9%) and swelling or a lump in the throat (51.8%). The most identified risk factor for HNC was smoking cigarettes/tobacco (63.1%). Excessive alcohol consumption and HPV infection were correctly identified as risk factors by about one-third of respondents. Public awareness of selected symptoms of HNC and risk factors for HNC differed by sociodemographic factors, of which the educational level was the most important factor associated with awareness of head and neck cancers (
    Language English
    Publishing date 2022-01-21
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm11030538
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Use of the Internet for Health Purposes-A National Web-Based Cross-Sectional Survey among Adults in Poland.

    Płaciszewski, Krzysztof / Wierzba, Waldemar / Ostrowski, Janusz / Pinkas, Jarosław / Jankowski, Mateusz

    International journal of environmental research and public health

    2022  Volume 19, Issue 23

    Abstract: The Internet is one of the most popular information sources. This study aimed to assess the public attitudes towards the use of the Internet for health purposes as well as to identify factors associated with the use of the Internet for health purposes ... ...

    Abstract The Internet is one of the most popular information sources. This study aimed to assess the public attitudes towards the use of the Internet for health purposes as well as to identify factors associated with the use of the Internet for health purposes among adults in Poland. A web-based cross-sectional survey was carried out between 9 and 12 September 2022 on a nationwide random-quota sample of 1092 adults in Poland. The study questionnaire included 10 questions on Internet use for health purposes. The most common reason for the use of the Internet for health purposes was searching for information on drugs and their effects (69.9%). Almost two-thirds of participants used the Internet for searching for health information (64.9%), for doctors/medical services (63.4%), or for medical facilities (65.3%). Over half of the participants used the Internet for checking online reviews of doctors (55.2%) and 43.5% of the participants ordered drugs or dietary supplements online. Out of 9 different socioeconomic factors analyzed in this study, having higher education, being female, as well as living in cities from 100,000 to 499,999 residents were the most important factors (p < 0.05) associated with the use of the Internet for health purposes. This study confirmed a high level of adoption of medical Internet in Poland.
    MeSH term(s) Adult ; Humans ; Female ; Male ; Cross-Sectional Studies ; Surveys and Questionnaires ; Socioeconomic Factors ; Internet ; Poland
    Language English
    Publishing date 2022-12-06
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph192316315
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  5. Article: Cost-effectiveness analysis of COVID-19 vaccination in Poland.

    Orlewska, Katarzyna / Wierzba, Waldemar / Śliwczynski, Andrzej

    Archives of medical science : AMS

    2021  Volume 18, Issue 4, Page(s) 1021–1030

    Abstract: Introduction: The aim of our study was to assess the potential value of the Comirnaty vaccine (BNT162b2) in Poland. A model was used to estimate patient events, direct medical costs, utilities, and cost-effectiveness for 1 year with and without ... ...

    Abstract Introduction: The aim of our study was to assess the potential value of the Comirnaty vaccine (BNT162b2) in Poland. A model was used to estimate patient events, direct medical costs, utilities, and cost-effectiveness for 1 year with and without implementation of the vaccine.
    Material and methods: The Markov model with 1-week cycles was used to estimate patient events, direct medical costs, utilities, and cost-effectiveness for 1 year with and without implementing the Comirnaty vaccine in Poland. The incremental cost per quality-adjusted life-year (QALY) gained vs. no vaccine was calculated for the general population and selected age-groups. All costs are reported in PLN (average exchange rate in 2020: 1 EUR = 4.44 PLN).
    Results: In the base case analysis the incremental cost per QALY gained associated with vaccinating the whole population is 6249 PLN. For individuals aged 60-69 years and > 80 years vaccination is less costly and more effective than no vaccination. The incremental cost per QALY gained when vaccinating individuals aged 40-49 and 30-39 years is 28,135 PLN and 67,823 PLN, respectively. In the general population and in younger subpopulations the incremental cost-effectiveness ratio is most sensitive to the vaccine effectiveness, vaccine price, and SARS-CoV-2 infection rates.
    Conclusions: When prioritization is required due to supply constraints, vaccination of the elderly is justified because it gives the highest number of QALY gained and generates savings for the health care system. Continual updates of the model concerning vaccine real-life effectiveness and epidemic course are required to refine the prioritisation scheme in the future.
    Language English
    Publishing date 2021-12-18
    Publishing country Poland
    Document type Journal Article
    ZDB-ID 2203781-0
    ISSN 1734-1922
    ISSN 1734-1922
    DOI 10.5114/aoms/144626
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  6. Article ; Online: Liver damage profile in COVID-19 pregnant patients.

    Januszewski, Marcin / Ziuzia-Januszewska, Laura / Kudan, Michal / Pluta, Kamil / Klapaczyński, Jakub / Wierzba, Waldemar / Maciejewski, Tomasz / Jakimiuk, Alicja A / Jakimiuk, Artur J

    Cell communication and signaling : CCS

    2024  Volume 22, Issue 1, Page(s) 5

    Abstract: Introduction: SARS-CoV-2 unsparingly impacts all areas of medicine. Pregnant women are particularly affected by the pandemic and COVID-19 related liver damage seems to be another threat to maternal and fetal health. The aim of this study is to define ... ...

    Abstract Introduction: SARS-CoV-2 unsparingly impacts all areas of medicine. Pregnant women are particularly affected by the pandemic and COVID-19 related liver damage seems to be another threat to maternal and fetal health. The aim of this study is to define liver damage profile including bile acids serum levels in COVID-19 pregnant patients and to determine predictors of disease aggravation and poor obstetrics outcomes.
    Methods: This study has been carried out in the Obstetrics and Gynecology Department, at the National Medical Institute in Warsaw, Poland between 01.02.2021 and 01.11.2022 The study cohort comprises 148 pregnant patients with COVID-19 and 102 pregnant controls who has been tested negative for SARS-CoV-2.
    Results: COVID-19 pregnant patients presented liver involvement at admission in 41,9%. Hepatotoxic damage accounted for 27 (19.85%), cholestatic type was diagnosed in 11 (8.09%) and mixed type of liver injury was presented in 19 (13.97%) of patients. Higher serum levels of AST, ALT, GGT, total bilirubin and bile acids as well as mixed type of liver injury at admission were correlated with severe form of an illness. AST and ALT above upper reference limit as well as hepatotoxic type of liver damage predisposed pregnant patients with COVID-19 to poor obstetrics outcomes.
    Conclusion: Hepatic damage in pregnant women with COVID-19 is a common, mild, transaminase-dominant, or mixed type of injury, and often correlates with elevated inflammatory markers. SARS-CoV-2 test should be performed as a part of differential diagnosis in elevated liver function tests. Although bile acids serum levels were commonly elevated they seems to be clinically irrelevant in terms of pregnancy outcomes. Video Abstract.
    MeSH term(s) Humans ; Female ; Pregnancy ; COVID-19 ; SARS-CoV-2 ; Liver Diseases ; Liver ; Bile Acids and Salts
    Chemical Substances Bile Acids and Salts
    Language English
    Publishing date 2024-01-02
    Publishing country England
    Document type Video-Audio Media ; Journal Article
    ZDB-ID 2126315-2
    ISSN 1478-811X ; 1478-811X
    ISSN (online) 1478-811X
    ISSN 1478-811X
    DOI 10.1186/s12964-023-01285-z
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  7. Article: Predicting Mortality for COVID-19 Patients Admitted to an Emergency Department Using Early Warning Scores in Poland.

    Rzońca, Patryk / Butkiewicz, Sławomir / Dobosz, Paula / Zaczyński, Artur / Podgórski, Marcin / Gałązkowski, Robert / Wierzba, Waldemar / Życińska, Katarzyna

    Healthcare (Basel, Switzerland)

    2024  Volume 12, Issue 6

    Abstract: COVID-19 disease is characterised by a wide range of symptoms that in most cases resemble flu or cold. Early detection of infections, monitoring of patients' conditions, and identification of patients with worsening symptoms became crucial during the ... ...

    Abstract COVID-19 disease is characterised by a wide range of symptoms that in most cases resemble flu or cold. Early detection of infections, monitoring of patients' conditions, and identification of patients with worsening symptoms became crucial during the peak of pandemic. The aim of this study was to assess and compare the performance of common early warning scores at the time of admission to an emergency department in predicting in-hospital mortality in patients with COVID-19. The study was based on a retrospective analysis of patients with SARS-CoV-2 infection admitted to an emergency department between March 2020 and April 2022. The prognostic value of early warning scores in predicting in-hospital mortality was assessed using the receiver operating characteristic (ROC) curve. Patients' median age was 59 years, and 52.33% were male. Among all the EWS we assessed, REMS had the highest overall accuracy (AUC 0.84 (0.83-0.85)) and the highest NPV (97.4%). REMS was the most accurate scoring system, characterised by the highest discriminative power and negative predictive value compared to the other analysed scoring systems. Incorporating these tools into clinical practice in a hospital emergency department could provide more effective assessment of mortality and, consequently, avoid delayed medical assistance.
    Language English
    Publishing date 2024-03-19
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2721009-1
    ISSN 2227-9032
    ISSN 2227-9032
    DOI 10.3390/healthcare12060687
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  8. Article ; Online: Demand for Water-Soluble Vitamins in a Group of Patients with CKD versus Interventions and Supplementation-A Systematic Review.

    Kędzierska-Kapuza, Karolina / Szczuko, Urszula / Stolińska, Hanna / Bakaloudi, Dimitra Rafailia / Wierzba, Waldemar / Szczuko, Małgorzata

    Nutrients

    2023  Volume 15, Issue 4

    Abstract: Background: Increasingly, chronic kidney disease (CKD) is becoming an inevitable consequence of obesity, metabolic syndrome, and diabetes. As the disease progresses, and through dialysis, the need for and loss of water-soluble vitamins both increase. ... ...

    Abstract Background: Increasingly, chronic kidney disease (CKD) is becoming an inevitable consequence of obesity, metabolic syndrome, and diabetes. As the disease progresses, and through dialysis, the need for and loss of water-soluble vitamins both increase. This review article looks at the benefits and possible risks of supplementing these vitamins with the treatment of CKD.
    Methods: Data in the PubMed and Embase databases were analyzed. The keywords "chronic kidney disease", in various combinations, are associated with thiamin, riboflavin, pyridoxine, pantothenic acid, folates, niacin, cobalamin, and vitamin C. This review focuses on the possible use of water-soluble vitamin supplementation to improve pharmacological responses and the overall clinical condition of patients.
    Results: The mechanism of supportive supplementation is based on reducing oxidative stress, covering the increased demand and losses resulting from the treatment method. In the initial period of failure (G2-G3a), it does not require intervention, but later, especially in the case of inadequate nutrition, the inclusion of supplementation with folate and cobalamin may bring benefits. Such supplementation seems to be a necessity in patients with stage G4 or G5 (uremia). Conversely, the inclusion of additional B6 supplementation to reduce CV risk may be considered. At stage 3b and beyond (stages 4-5), the inclusion of niacin at a dose of 400-1000 mg, depending on the patient's tolerance, is required to lower the phosphate level. The inclusion of supplementation with thiamine and other water-soluble vitamins, especially in peritoneal dialysis and hemodialysis patients, is necessary for reducing dialysis losses. Allowing hemodialysis patients to take low doses of oral vitamin C effectively reduces erythropoietin dose requirements and improves anemia in functional iron-deficient patients. However, it should be considered that doses of B vitamins that are several times higher than the recommended dietary allowance of consumption may exacerbate left ventricular diastolic dysfunction in CKD patients.
    Conclusions: Taking into account the research conducted so far, it seems that the use of vitamin supplementation in CKD patients may have a positive impact on the treatment process and maintaining a disease-free condition.
    MeSH term(s) Humans ; Niacin ; Renal Dialysis ; Vitamin B Complex/metabolism ; Thiamine ; Ascorbic Acid ; Folic Acid ; Vitamin B 12 ; Kidney Failure, Chronic/therapy ; Renal Insufficiency, Chronic ; Dietary Supplements ; Water
    Chemical Substances Niacin (2679MF687A) ; Vitamin B Complex (12001-76-2) ; Thiamine (X66NSO3N35) ; Ascorbic Acid (PQ6CK8PD0R) ; Folic Acid (935E97BOY8) ; Vitamin B 12 (P6YC3EG204) ; Water (059QF0KO0R)
    Language English
    Publishing date 2023-02-08
    Publishing country Switzerland
    Document type Systematic Review ; Journal Article ; Review
    ZDB-ID 2518386-2
    ISSN 2072-6643 ; 2072-6643
    ISSN (online) 2072-6643
    ISSN 2072-6643
    DOI 10.3390/nu15040860
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  9. Article ; Online: Recommendations for the Development of Telemedicine in Poland Based on the Analysis of Barriers and Selected Telemedicine Solutions.

    Furlepa, Kamila / Tenderenda, Anna / Kozłowski, Remigiusz / Marczak, Michał / Wierzba, Waldemar / Śliwczyński, Andrzej

    International journal of environmental research and public health

    2022  Volume 19, Issue 3

    Abstract: Technological development around the world has led to the digitalisation of the health system. Along with the digitalisation of the health sector, financial, legal, awareness-related, technological and IT barriers appeared. The aim of the article is to ... ...

    Abstract Technological development around the world has led to the digitalisation of the health system. Along with the digitalisation of the health sector, financial, legal, awareness-related, technological and IT barriers appeared. The aim of the article is to present recommendations for the development of telemedicine services in Poland on the basis of a list of implementation barriers and ways of resolving them in the USA and selected European countries. A literature review was conducted in accordance with the PRISMA-ScR, using the PubMed and Google Scholar databases, Scopus and the OECD iLibrary. A total of 59 literature positions were used, which constituted the references. The article presented the implemented and effective solutions in selected countries. Based on these solutions, recommendations for the development of telemedicine in Poland were presented, as well as successes in the form of telemedicine startups, which can inspire other countries. The analysis of the publications discussed in the article shows that the implementation of telemedicine services should begin with the elimination of barriers limiting the development of telemedicine systems. An important issue in their elimination is to analyse their interconnections and implement such solutions which would have a multi-area coverage.
    MeSH term(s) Europe ; Poland ; Telemedicine
    Language English
    Publishing date 2022-01-22
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph19031221
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  10. Article ; Online: Smoke-free homes in Poland during the COVID-19 pandemic - a nationwide cross-sectional survey.

    Ostrowska, Aurelia / Pinkas, Jarosław / Giermaziak, Wojciech / Wierzba, Waldemar / Gujski, Mariusz / Jankowski, Mateusz

    International journal of occupational medicine and environmental health

    2022  Volume 36, Issue 1, Page(s) 84–95

    Abstract: Objectives: Secondhand smoke exposure causes serious health problems. Banning smoking in public venues decreases exposure to secondhand smoke. However, the implementation of smoke-free rules in a private setting (including homes) is largely voluntary. ... ...

    Abstract Objectives: Secondhand smoke exposure causes serious health problems. Banning smoking in public venues decreases exposure to secondhand smoke. However, the implementation of smoke-free rules in a private setting (including homes) is largely voluntary. This study aimed to assess the prevalence and characteristics of voluntary smoke-free home rules in Poland during the COVID-19 pandemic as well as to identify factors associated with the voluntary implementation of smoking bans at home.
    Material and methods: This cross-sectional survey was conducted in March 2022 with a nationally representative sample of 1090 individuals aged ≥18 years in Poland. Data were collected using a computerassisted web interviewing (CAWI) technique. The research tool was an original questionnaire developed for the purpose of this study.
    Results: Nationally, 60.6% of individuals had total ban on smoking in home (100% smoke-free home rules), 34.0% had implemented a partial smokefree home rule and 5.4% had not implemented any smoke-free home rules. Over three-quarters of non-smokers (76.8%) and only one-fifth of smokers (20.7%) had adopted a full smoke-free home rule. In multivariate logistic regression analysis, males (OR = 1.65, 95% CI: 1.22-2.22, p < 0.01), non-smokers (OR = 13.78, 95% CI: 9.80-19.38, p < 0.001), respondents who had higher education (OR = 1.57, 95% CI: 1.15-2.14, p < 0.01) as well as those who lived alone (OR = 2.44, 95% CI: 1.52-3.90, p < 0.001) had higher odds of having a 100% smoke-free home rule.
    Conclusions: This study demonstrated the negative impact of the COVID-19 pandemic on the implementation of smoke-free home rules in Poland. Less than two-thirds of the Polish population has adopted a total smoke-free home rule, with significant gaps between smokers and nonsmokers. Information on current voluntary smoke-free rules will be useful for further implementation of the smoke-free law in Poland. Int J Occup Med Environ Health. 2023;36(1):84-95.
    MeSH term(s) Male ; Humans ; Adolescent ; Adult ; Tobacco Smoke Pollution ; Cross-Sectional Studies ; Poland/epidemiology ; Pandemics ; COVID-19/epidemiology ; Smoke-Free Policy
    Chemical Substances Tobacco Smoke Pollution
    Language English
    Publishing date 2022-12-27
    Publishing country Poland
    Document type Journal Article
    ZDB-ID 1199049-1
    ISSN 1896-494X ; 0867-8383 ; 1232-1087
    ISSN (online) 1896-494X
    ISSN 0867-8383 ; 1232-1087
    DOI 10.13075/ijomeh.1896.02002
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