The problem of poor quality of traffic accident data assembled in national databases has been addressed in European project InDeV. Vulnerable road users (pedestrians, cyclists, motorcyclists and moped riders) are especially affected by underreporting of accidents and misreporting of injury severity. Analyses of data from the European CARE database shows differences between countries in accident number trends as well as in fatality and injury rates which are difficult to explain. A survey of InDeV project partners from 7 EU countries helped to identify differences in their countries in accident and injury definitions as well as in reporting and data checking procedures. Measures to improve the quality of accident data are proposed such as including pedestrian falls in accident statistics, precisely defining minimum injury and combining police accident records with hospital data.

The aim of this research was to evaluate the microbiological indoor air contamination level in chosen facilities of the primary health-care for adults and children. The total numbers of mesophilic bacteria, staphylococci, coli-group bacteria and moulds in both surgery rooms and patients’ waiting rooms were determined. Air samples were collected with a MAS 100 impactor and the concentration of microorganisms was estimated by a culture method. The microbiological air contamination level was diverse: the number of mesophilic bacteria ranged from 320 to 560 CFU/m3, number of staphylococci - 10-305 CFU/m3, coli group bacteria - 0-15 CFU/m3 and moulds - 15-35 CFU/m3. The bacteriological contamination level of the air in examined community health centers was higher than described in the literature for hospitals and exceeded the acceptable values proposed for the surgery objects.

Congestive heart failure (CHF) is the fi nal stage in several heart diseases. The diagnosis of CHF in older patients is a challenge. Preserved left ventricular systolic function is a characteristic type of CHF in seniors. The purpose of the study was to characterize elderly patients with CHF and to highlight specific features of the conditions in seniors. The most common etiology of HF in this group of patients is hypertension and coronary heart disease. In seniors atypical presentations of chronic heart failure is much more common than in younger patients. Malnutrition, limitations of exercise and sedentary lifestyles or comorbid diseases have an influence on asymptomatic, early stage of HF. Th ere are better outcomes of treatment in obese individuals. It is called the obesity paradox. Open communication with a patient and his/her family may improve their response to therapy. When heart failure becomes an incurable disease and aggressive treatment is ineffective, palliative care should be considered in end-of-life heart failure patients. The goal of treatment in the remaining moments of life last moments of life should be maximizing the patient’s comfort.

Dr. Zofia Szweda-Lewandowska of the Warsaw School of Economics discusses the situation of the elderly and their caregivers in Poland.

Stem structure strongly influences the drought response across a diverse group of temperate and tropical tree species. The stem of Salvadora persica (miswak), used as a chewing stick in the Islamic world, has a number of distinctive xeromorphic characteristics adapting it to arid or semi-arid conditions. The thick periderm is interrupted at points around the stem by transversely oriented lenticels to moderate exchange of vital gases. On the stem surface are 3-dimensional epicuticular crystals of various shape and size, present to protect against UV exposure, insects and pathogens. The secondary xylem contains groups of xylem fibers which consist of thickwalled narrow cells. Vessels are axially oriented without branching for interconnection. The xylem is also composed of parenchyma cells, which are characterized as ray parenchyma and wood parenchyma. The woodparenchyma become crushed in the middle, forming a chamber which is later filled with amorphous inclusions or rhombohedral crystals. SEM-EDX analysis revealed sulphur in wood parenchyma cells, likely a defense against pathogenic microorganisms. Apart from its adaptive value, the sophisticated stem anatomy of Salvadora persica, in combination with its chemistry, makes it an effective tool for oral hygiene.

This article explores caring through feeding as an important aspect of transnational family life, and analyzes the practices connected to sending food products home, supervising what the family eats, and changing consumption patterns. It focuses on Filipino migrants to the United States who maintain transnational ties with their families. With a history of colonial encounter, the United States has been a popular migration destination, and has also strongly influenced food consumption.

The study shows the ways in which packages from abroad (balikbayan boxes) express love and care, and how they allow migrants to control food consumption of the family in the country of origin. By looking at the goods the immigrants put in the packages, and the way these are received, it is possible to uncover the dynamics of love, care, and intimacy in transnational families, which often translate into power, tensions, and control among family-members. The article analyses how food products sent in the packages work, bringing with them new ideas and practices, creating imaginaries of migration, and building the social prestige of the immigrant. Using the concept of “social remittances”, the article also shows the changing patterns of food consumption in the Philippines.

An useful electrochemical sensing approach was developed for norepinephrine (NE) detection based on semiconducting polymer (9-nonyl-2,7-di(selenophen-2-yl)- 9H-carbazole) and laccase modified platinum electrode (Pt). The miniature Pt biosensor was designed and constructed via the immobilization of laccase in an electroactive layer of the electrode coated with thin polymeric film. This sensing arrangement utilized the catalytic oxidation of NE to norepinephrine quinone. The detection process was based on the oxidation of catecholamine in the presence of enzyme – laccase. With the optimized conditions, the analytical performance demonstrated selectivity in a wide linear range (0.1–200x10-6 M) with a detection limit of 240 nM and a quantification limit of 365 nM. Moreover, the method was successfully applied for selective NE determination in the presence of interfering substances.

The aim of this paper is to analyse whether the medical rehabilitation segment is an important part of the entire Polish healthcare system, and if the medical rehabilitation services are provided with adequate levels of financing and management. The study reviews published literature and legal acts, and undertakes an analysis of data acquired from international and national health data repositories. In Poland there exists no coordination between medical, vocational and social rehabilitation or between the rehabilitation delivered by the health resort facilities. There is an observed lack of coordination among public fund payers. The described lack of coordination influences not only patient treatments (it is difficult to measure outputs and outcomes), but also makes summarizing the total expenditures on curative rehabilitation more difficult. Even though numerous countries spend a smaller or comparable amount of money on rehabilitation (per patient), funds allocated to rehabilitation in Poland (expressed in PPS) are over seven times lower than in France, about five times lower than in Austria and Belgium, and three times lower than in the Netherlands.

Present study examines nonfinancial support granted for older people in Poland and other European countries in order to understand the relationships between family structures and that support and to diagnose the challenges that the Polish population may face in this respect in the nearest future. The analysis is based on the data from the Survey on Health, Aging and Retirement in Europe (SHARE). The study attempts also to answer the question about the need for informal support in future generations of older Poles. The study is focused on the population of individuals aged at least 50+, because they will decide about the situation of older people in the near future. The author considers, in addition to personal care, help in running a household and help with paper work. The most frequently received type of support is the help in running a household, received primarily from neighbors and family members, which reduces the need for institutional care. Personal care is provided to the minority of the examined population, even in the highest age group, and, apart from household members, it concerns usually biological children.

For many years, people’s perceptions of wolves had nothing to do with actual knowledge about wolf biology and ecology. What can close observations of wolf families teach us about these mammals? Should we give wolves names? And why don’t they need our empathy?

Elusive phenomena such as the parental care habits of prehistoric animals would seem to be forever inaccessible to paleontological research. However, new spectacular finds offer some deeper insight into such behavior.

Providing informal care to adults, especially elderly people, may affect many aspects of caregivers’ life, such as: physical and mental health, financial situation, social contacts, etc. Supporting dependent seniors is associated to a higher level of stress, burden and depression as well as higher mortality. The main purpose of this paper is to analyse the relationship between caregiving for adults and the subjective quality of life among Poles aged 50–69. We took into account not only the fact of providing care to adult people, but also its beginning, continuation and ending between waves. We assumed that subjective quality of life may be expressed by two variables: one describing life satisfaction, and the second one – loneliness. We used the panel subsample from the Generation and Gender Surveys (GGS) carried out in Poland in 2010/2011 and in 2014. We found a negative effect of stopping caregiving between waves on wellbeing of women-carers, which may be related to the loss of a close person. Moreover, providing care for a longer period of time increases loneliness, which confirms that providing support to others may lead to isolation and smaller social networks.

O b j e c t i v e s: Patient-centered care (PCC) is associated with better doctor-patient relationships, resulting in a decrease in symptoms, hospitalizations and health costs. However, studies analyzing factors infl uencing patient-centered attitudes show ambiguous results. The purpose was to assess the impact of the Clinical Communication Course (CCC) in Jagiellonian University, Cracow and other factors on Patient-Centered Attitudes (PCA) and Attitude toward Clinical Skills Learning (CSLA).

M e t h o d s: We retrospectively compared Polish-speakers (CCC+, n = 160), English-speakers (CCCen+, n = 55) aft er the CCC and upperclassmen Polish-speakers without it (CCC–, n = 122). Validated questionnaires to measure PCA (Leeds Attitude Toward Concordance II and Patient-Practitioner Orientation Scale (PPOS)) and for CSLA (Communication Skills Attitude Scale with negative subscale (CSAS-N)) were used. The higher the scores, the more PCA, and negative CSLA respectively. Students completed questionnaires and answered questions regarding age, sex, motivation to study (coded as humanitarian — MotHUM, financial — MotFIN, combination — MotMIX) and considered specialization — coded as with more human contact (family medicine, psychiatry, pediatrics — SpecHUM) and others (SpecNHUM). Statistics were prepared in R.

R e s u l t s: CCC+ scored higher in PPOS (2.91 vs. 2.74; p = 0.003) than CCC– and higher in CSAS-N than CCCen+ (31.22 vs. 28.32; p = 0.004). In CCC+ SpecHUM scored lower than SpecNHUM in PPOS (2.65 vs. 2.94, p = 0.012). MotFIN scored higher then MotMIX in PPOS (3.01 vs. 2.7, p = 0.036). Correlations were statistically significant.

C o n c l u s i o n: CCC improved PCA in CCC+. Th ey showed more negative CSLA than CCCen+. Among CCC+, surprisingly, SpecNHUM presented more PCA than SpecHUM as well as MotFIN compared to MotMIX.

It is nearly impossible to study behaviour effectively without any reference to its context. This is because it is generally known in the psychological literature that behaviour is partially a product of its environment. This suggests that many behavioural processes may be universal but there are significant variations in their manifestations. For instance, love may be a universal process but its manifestation varies from one society to another. Given that ethical decision-making is a behavioural process, it stands to reason that its manifestation will vary from one culture to another. It is against this premise that this paper seeks to demonstrate that despite the existence of the ‘universal’ normative ethical principles, ethical decisions will be expected to vary across cultural space and even evolve with time. This paper achieves this objective by employing typical ethical dilemmas that Ghanaian psychologists and other health professionals encounter to show how and why what is ethical in one culture becomes unethical in the Ghanaian context and what is unethical in the Ghanaian context becomes ethical in another culture.

This Paper takes in consideration the Social teaching of the Church, particularly expressed in the Encyclical Letter of Pope Francis Laudato si’ and in other documents of the Magisterium. The article presents the basic characteristics of „Culture of Care” and „Culture of Waste”, of biopower, of positive biopolitics and of negative biopolitics (thanatobiopolitics) with some alarming examples (legalization of abortion, selective abortions of females, destruction of supernumerary frozen embryos, lobbying for the legalization of euthanasia). Subsequently, it introduces the contribution of the Christian faith to these debates, from the biblical, theological and moral point of view, and invites the reader to respond to the urgent challenges in biopolitics by the responsible creativity in the social, moral and political fields. The „Culture of Care” is a culture of acceptance of the other, shaped by Christian hope and love, a culture of presence and of interest in the other, following the example of Jesus Christ.