- Substance Abuse Treatment and Outcomes
- Health Policy Implementation Science
- Pneumonia and Respiratory Infections
- Respiratory and Cough-Related Research
- Cerebrovascular and Carotid Artery Diseases
- Antibiotic Use and Resistance
- Primary Care and Health Outcomes
- Nutritional Studies and Diet
- Health Promotion and Cardiovascular Prevention
- GDF15 and Related Biomarkers
- Obesity and Health Practices
- Cerebrovascular and genetic disorders
- Trace Elements in Health
- Nutrition and Health in Aging
- Nutrition, Genetics, and Disease
- Acute Ischemic Stroke Management
- Vaccine Coverage and Hesitancy
- Telomeres, Telomerase, and Senescence
- School Health and Nursing Education
- Chronic Disease Management Strategies
- Folate and B Vitamins Research
- Cardiovascular Disease and Adiposity
- Contact Dermatitis and Allergies
- Respiratory viral infections research
- Nutrition and Health Studies
Pomeranian Medical University
2012-2023
University of Southampton
2019
Newcastle University
2017
Maastricht University
2017
University of Kent
2017
Linköping University
2017
Neurosciences Institute
2017
Consorci Institut D'Investigacions Biomediques August Pi I Sunyer
2017
Government of Catalonia
2017
Medical University of Warsaw
2017
Lower-respiratory-tract infection is one of the most common acute illnesses managed in primary care. Few placebo-controlled studies antibiotics have been done, and overall effectiveness (particularly subgroups such as older people) debated. We aimed to compare benefits harms amoxicillin for lower-respiratory-tract with those placebo both patients aged 60 years or older.Patients than 18 infections (cough ≤28 days' duration) whom pneumonia was not suspected were randomly assigned (1:1) either...
To test if training and support, financial reimbursement option of referring screen-positive patients to an internet-based method giving advice (eBI) can increase primary health-care providers' delivery Alcohol Use Disorders Identification Test (AUDIT)-C-based screening heavy drinkers.Cluster randomized factorial trial with 12-week implementation measurement period.Primary units (PHCU) in different locations throughout Catalonia, England, the Netherlands, Poland Sweden.A total 120 PHCU, 24...
Background. For preventive interventions in general practice to succeed, patients' points of view must be taken into account addition those GPs. Objective. To explore views and beliefs about the importance lifestyle interventions, assess their readiness make changes willingness receive support from Methods. Cross-sectional survey conducted by EUROPREV primary care practices 22 European countries. Patients were consecutively selected interviewed September 2008 2009. Results. Seven thousand...
<h3>PURPOSE</h3> C-reactive-protein (CRP) is useful for diagnosis of lower respiratory tract infections (RTIs). A large international trial documented that Internet-based training in CRP point-of-care testing, enhanced communication skills, or both reduced antibiotic prescribing at 3 months, with risk ratios (RRs) 0.68, 0.53, 0.38, respectively. We report the longer-term impact this trial. <h3>METHODS</h3> total 246 general practices 6 countries were cluster-randomized to usual care, on...
The European level of alcohol consumption, and the subsequent burden disease, is high compared to rest world. While screening brief interventions in primary healthcare are cost-effective, most countries they have hardly been implemented routine healthcare. In this study, we aim examine effectiveness efficiency three implementation that chosen address key barriers for improvement: training support lack knowledge motivation providers; financial reimbursement compensate time investment;...
Back pain affects specific occupational groups, among which healthcare workers are the most predisposed. Therefore, aim of this study was to determine interdependences between subjective disability and their correlation with intensity quality life assessment professionally active medical workers, taking into account working, socio-demographic health conditions.The cross-sectional enrolled 110 (nurses, midwives, paramedics physiotherapists). The conducted by a diagnostic survey method using 4...
To determine the relation between existing levels of alcohol screening and brief intervention rates in five European jurisdictions role security therapeutic commitment by participating primary healthcare professionals.Health care professionals consisting of, 409 GPs, 282 nurses 55 other staff including psychologists, social workers nurse aids from 120 health centres participated a cross-sectional 4-week survey. The participants registered all activities as part their normal routine. also...
<h3>PURPOSE</h3> We aimed to test whether 3 strategies—training and support, financial reimbursement, an option direct screen-positive patients Internet-based method of giving brief advice—have a longer-term effect on primary care clinicians’ delivery screening advice heavy drinkers operationalized with the Alcohol Use Disorders Identification Test–Consumption (AUDIT-C) tool. <h3>METHODS</h3> undertook cluster randomized factorial trial 12-week implementation period in 120 health units...
The aim of the study was to evaluate zinc levels in three biological compartments (serum, erythrocytes and hair) patients with rheumatoid arthritis (RA) as compared healthy individuals. Zinc serum, hair (in 74 RA 30 individuals) were assessed by atomic absorption spectroscopy. mean content significantly lower individuals (p < 0.001). Moreover, a positive correlation observed patient group between erythrocyte prednisone dose (r s = 0.48, p 0.05), negative found this population serum disease...
In this paper, we test path models that study the interrelations between primary health care provider attitudes towards working with drinkers, their screening and brief advice activity, receipt of training support financial reimbursement. Study participants were 756 providers from 120 units (PHCUs) in different locations throughout Catalonia, England, The Netherlands, Poland, Sweden. Our interventions reimbursement to providers. design was a randomized factorial trial baseline measurement...
<h3>PURPOSE</h3> Imaging may produce unexpected or incidental findings with consequences for patients and ordering of future investigations. Chest radiography in acute cough is among the most common reasons imaging primary care, but data on associated are lacking. We set out to describe type prevalence chest care cough. <h3>METHODS</h3> report from a cross-sectional study 16 European networks 3,105 cough, all whom were undergoing as part research workup. Apart assessment specified signs...
1. Vereczkey A, Demetrovics Z, Szekely Sarkozy P, Antal P Szilagyi et al. Multivariate analysis of dopaminergic gene variants as risk factors heroin dependence. PLoS One. 2013; 8e66592. CrossRef Google Scholar
The human body requires folic acid (FA) to produce blood cells, secure cell division, and growth. Moreover, this vitamin is important in the prevention of cardiovascular disease (CVD). Because results studies on use FA CVD are ambiguous, it seems necessary conduct further research, which will explain cases supplementation effective.To assess impact coagulation, inflammatory, lipid parameters, kidney function subjects with atherosclerosis risk factors, depending content their diet.The study...
The COVID-19 pandemic has lasted for two years as of 2022, and it is common knowledge that vaccines are an essential tool to mitigate the health, economic, social fallout. Unfortunately, vaccine hesitancy still a serious global problem, both in general population among healthcare workers. authors used original questionnaire conduct anonymous survey study University Clinical Hospital Wrocław, Poland, April May 2021 after acquiring consent from Medical Poland Bioethical Committee. results...
Folic acid (FA) may delay the formation of atherosclerotic lesions. Increased plasma levels von Willebrand factor (VWF) are observed in cardiovascular disease, which leads to higher risk thrombosis. Fibrinogen (Fb) is a well-documented disease. The aim this study was analyze effect FA supplementation on Fb, VWF and C-reactive protein (CRP) concentrations subjects with atherosclerosis factors.The enrolled 124 Caucasian individuals (60 M, 64 F) factors--family history premature ischaemic...
Brief interventions in primary healthcare are cost-effective reducing drinking problems but poorly implemented routine practice. Although evidence about implementing brief is growing, knowledge limited with regard to impact of initial role security and therapeutic commitment on intervention implementation.In a cluster randomised factorial trial, 120 units (PHCUs) were eight groups: care as usual, training support, financial reimbursement, the opportunity refer patients an internet-based...
Background: The implementation of primary healthcare-based screening and advice that is effective in reducing heavy drinking can be enhanced with training.Objectives: Undertaking secondary analysis the five-country ODHIN study, we test: extent to which practice, provider patient characteristics affect likelihood patients being screened advised; such moderate impact training increasing advice; mitigates any differences due found at baseline.Methods: A cluster randomized factorial trial...
Abstract Introduction and objective The ODHIN trial found that training support financial reimbursement increased the proportion of patients were screened given advice for their heavy drinking in primary health care. However, impact these strategies on professional accuracy delivering screening brief is underresearched focus this paper. Method From 120 care units (24 each jurisdiction: Catalonia, England, Netherlands, Poland, Sweden), 746 providers participated baseline 12‐week...