In the academic community within Poland, there is an ongoing debate about the optimal strategies for a redesign of PhD programs; however, the views of PhD students in relation to contemporary doctoral study programs are not widely known. Therefore, in this article, we aim to answer the following questions: (1) what are the demands and the resources for doctoral studies at the Jagiellonian University (JU) as experienced by PhD students? (2) how are these demands and resources related to study burnout and engagement? To gain answers to these questions, we conducted an on-line opinion-based survey of doctoral students. As a result, 326 JU PhD students completed a questionnaire measuring 26 demands and 23 resources along with measures of study burnout and levels of engagement. The results revealed that the demands of doctoral studies at the JU (as declared by at least half of the respondents) are: the requirement to participate in classes that are perceived as an unproductive use of time, the lack of remuneration for tutoring courses with students, a lack of information about possible career paths subsequent to graduation, the use of PhD students as low-paid workers at the university, a lack of opportunities for financing their own research projects, and an inability to take up employment while studying for a doctoral degree. In terms of resources, at least half of the doctoral students pointed to: discounts on public transport and the provision of free-of-charge access to scientific journals. Analyzing both the frequency and strength of the relationships between resources/demands and burnout/engagement, we have identified four key problem areas: a lack of support from their supervisor, role ambiguity within University structures for PhD students, the conflict between paid work and doctoral studies, and the mandatory participation in classes as a student.

Background/Aim: Factors influencing the survival of the nursing home population have not yet been clearly defined. The aim of the study was to investigate the impact of nutritional, mental, functional, disease and pharmacological factors on the survival of nursing home residents with severe disabilities.
Material and Methods: A retrospective cohort study was conducted with a 9-year follow-up period among nursing home residents with a Barthel score ≤40. The initial assessment included the following scales: Mini Nutritional Assessment Short-Form (MNA-SF), Abbreviated Mental Test Score (AMTS), the Barthel Index, and blood pressure (BP) measurements. Comorbidities, medications and all-cause mortality were extracted from medical records. The analyzed cohort was divided into two groups: Deceased — residents who died ≤3 years and Survivors — those who survived >3 years of observation.
Results: Survivors (n = 40) and Deceased (n = 48) did not differ significantly in terms of age, sex, systolic and diastolic BP, the Barthel Index, number of diseases and medications used. Survivors had significantly higher scores in MNA-SF (p <0.001) and AMTS (p <0.003) than Deceased. Moreover, Survivors had hyper-tension significantly more often and took aspirin and ACE inhibitors (p <0.05). The multivariable logistic regression analysis showed that the MNA-SF score significantly affected mortality [OR = 0.62, (95%CI, 0.46– 0.84), p <0.001].
Conclusion: Higher MNA-SF scores were a factor that significantly affected the survival of nursing home residents, while functional status assessed using the Barthel Index had no effect on survival. MNA-SF was found to be a useful tool for assessing the risk of death in a nursing home.

A i m: The main purpose of this article is to present the main assumptions of the FRAILTOOLS project and the characteristics of the recruitment process in the Polish part of the study.

M a t e r i a l a n d M e t h o d s: The FRAILTOOLS project is a prospective observational study conducted in 5 European countries. The study included people aged 75 and older. Each participating center was required to recruit 388 patients, which corresponded to 97 subjects in each clinical setting by center. Recruitment took place in clinical settings (hospital geriatric acute care, geriatric outpatient clinic, primary health care) and in social conditions (nursing homes). The frailty syndrome was assessed among study participants using 7 different scales. The follow-up period was 18 months.

R e s u l t s: In Poland, 268 elderly subjects took part in the study, which constituted 69.1% of planned recruitment. The majority of participants were acute care patients (108 participants). A high percentage of people successfully recruited for the study was seen in nursing homes (83.5% of predicted number). The lowest recruitment came from primary healthcare (53 participants) and geriatric outpatient clinic (26). About a quarter of recruited participants were lost during follow-up period. The poorest results of control visits were observed among patients from geriatric wards and geriatric outpatient clinic.

C o n c l u s i o n s: The recruitment process for older people in Poland was satisfactory, mainly in hospitalized and institutionalized patients. The worst enrollment result was observed among outpatients. A detailed analysis of enrollment problems among the older Polish population is necessary to determine the optimal recruitment strategy and retain eligible study participants.