Tomasz Saran - Academia.edu (original) (raw)

Papers by Tomasz Saran

Research paper thumbnail of Coping with the Stress of Chronic Disease and the Occurrence of Depressive Symptoms in Patients with Rheumatoid Arthritis

Research paper thumbnail of Satysfakcja z opieki pielęgniarskiej a nasilenie dolegliwości bólowych pacjentów hospitalizowanych w klinikach neurochirurgii

Research paper thumbnail of Wizerunek starości w percepcji młodych dorosłych Prezentacja własności psychometrycznych Skali postaw wobec seniorów (SPWS)

Research paper thumbnail of Effect of pesticides on kynurenic acid production in rat brain slices

Annals of agricultural and environmental medicine : AAEM, 2005

Kynurenic acid (KYNA) is a broad spectrum antagonist of ionotropic glutamate receptors, preferent... more Kynurenic acid (KYNA) is a broad spectrum antagonist of ionotropic glutamate receptors, preferentially active at the strychnine-insensitive glycine allosteric site of the N-methyl-D-aspartate (NMDA) receptor, and a noncompetitive antagonist of alpha7 nicotinic receptor. Animal studies showed that it possesses anticonvulsant and neuroprotective properties. Its involvement in the pathophysiology of various brain disorders was suggested. In this study, the effect of pesticides on KYNA production in brain cortical slices was investigated. Pyrethroids, deltamethrin and fenpropathrin significantly lowered KYNA production. Methomyl, bensultap, fipronil, diquat and MCPA were ineffective in this regard. In view of this data, the inhibition of KYNA synthesis appear to merit further investigation as a potential factor contributing to the toxicology of pyrethroids.

Research paper thumbnail of Telemedyczne podtrzymywanie aktywności ruchowej za pomocą smartfonów – system telemonitorujący w Instytucie Medycyny Wsi

Improved overall physical activity is an essential precondition for the maintenance of the effect... more Improved overall physical activity is an essential precondition for the maintenance of the effects of rehabilitation conducted. In order to encourage patients who complete stationary rehabilitation to maintain increased physical activity, the technical capabilities of serial smartphones and software for Android 2.0–4.x prepared for this purpose – the Instrument for Measurement of Physical Activity were used. The software is freely available, and uses data from the accelerometer built into your smartphone that are processed according to the original measurement algorithm. This algorithm has been calibrated by measuring repeated functional experiments. The data concerning patient’s activity are transmitted to the physician in charge of treatment who, at any time, via hospital server and network software has the possibility to perform a detailed and summary analysis of patient’s behaviour. Simultaneously, through the pictogram of the filling heart, the user is motivated to perform indi...

Research paper thumbnail of Influence of regular climbing on depression, generalized anxiety and lower back pain

Annals of Agricultural and Environmental Medicine, 2020

Influence of regular climbing on depression, generalized anxiety and lower back pain. Ann Agric E... more Influence of regular climbing on depression, generalized anxiety and lower back pain. Ann Agric Environ Med.

Research paper thumbnail of The significance of physical activity in the prevention of depressive disorders

Psychiatria Polska, 2020

Owing to the complex etiology of depression taking into account the psychosocial and biological i... more Owing to the complex etiology of depression taking into account the psychosocial and biological interactions in its formation and course, a comprehensive and integrated approach to this health issue is essential, one that would take into account additional forms of therapeutic interventions besides traditional methods, and increase in physical activity as one of them. The objective of the present paper is to present the significance of physical activity in the prevention and treatment of depressive disorders, based on the results of research carried out in 2014-2019. The review of empirical works indicates that physical activity adjusted to the individual's needs and health situation can play a role in the prevention and complementary treatment of depressive disorders, including those that occur in the course of somatic diseases. It should be noted that hasty recommendation of physical training to the patients with a severe form of the disorder may cause provocative thoughts, their guilt because of the inability to face the challenge or suicidal behavior.

Research paper thumbnail of Impact of the comprehensive outpatient rehabilitation on reducing intensification of depressive symptoms in people over 60 years of age

Polish Journal of Public Health, 2018

Introduction. The provision of adequate health care for a successively growing group of geriatric... more Introduction. The provision of adequate health care for a successively growing group of geriatric patients requires taking into account many factors in order to preserve and/or improve their overall health and the related functional capacity. Its crucial aspects include the ability to safely change position and locomotion, as well as the severity of discomfort from the osteoarticular system. Aim. The objective of the present study was to assess the impact of comprehensive ambulatory rehabilitation including tailored endurance training, preceded by an ergospirometry test, on indicators showing the risk of falls and the severity of pain symptoms of patients aged 60 and over, receiving health services at the Outpatient Healthcare Home (DDOM). Material and methods. The study involved 60 seniors during their rehabilitation cycle implemented as part of the services provided to patients at DDOM of the W. Chodźko Institute of Rural Health in Lublin. The tests were carried out in the test-re...

Research paper thumbnail of Psychometric properties of the Scale for Evaluating Attitudes towards Seniors (SEAS)

Annals of Agricultural and Environmental Medicine, 2018

Research paper thumbnail of Personality correlates in the tendency to incur debt in patients with and without osteoarthritis

European Journal of Clinical and Experimental Medicine, 2019

Research paper thumbnail of Follow-up monitoring of physical activity after rehabilitation by means of a mobile application: Effectiveness of measurements in different age groups

Advances in Clinical and Experimental Medicine, 2018

Background. Active monitoring of the level of daily physical activity seems to be a useful elemen... more Background. Active monitoring of the level of daily physical activity seems to be a useful element for secondary prevention in public health. Low physical activity increases the incidence of cardiovascular diseases, obesity, diabetes, musculoskeletal diseases, and causes loss of the previously achieved effects of rehabilitation. Objectives. The purpose of this study was to assess the level of physical activity in different age groups of adults with the use of the telemedical system based on a mobile application. Material and methods. The research covered data collected remotely from 927 individuals of both genders, aged 20−80 years (group I: 20−40 years, group II: 41−60 years, group III: 61−80 years). A monitoring system (Activity Measurement Tool) developed in the Department of General Rehabilitation at the Witold Chodźko Institute of Rural Health (Lublin, Poland) was used to measure home physical activity in the examined group. The system uses a dedicated mobile application, cellular data transmission and web data-showing software. Home physical activity was assessed using the International Physical Activity Questionnaire-Short Form (IPAQ-SF) and simultaneous processing of data from a smartphone accelerometer. Results. The mean level of physical activity in the group of active application users (≥2 days, n = 494), expressed as Metabolic Equivalent of Task (MET)-min/week (IPAQ-SF), was as follows: group I (female participants (F): 5,767.9, n = 73; male participants (M): 4,888.4, n = 251), group II (F: 3,468.7, n = 24; M: 4,053.5, n = 119) and group III (M: 5,769.3, n = 27; no female participants were involved). In 72.3% of users, the registered physical activity was smaller in relation to IPAQ-assessed/7 days physical activity (sign test: n = 494; percentage of negative differences: 72.3%; Z = 9.9; p = 0.00). Conclusions. The research findings indicate a high level of self-reported physical activity among the users in all age and gender groups, although it is not reflected in the level of registered activity. Although the level of daily physical activity was evaluated, it was mainly among young and middle-aged men who gladly and regularly made use of the measurement possibilities offered by mobile technology.

Research paper thumbnail of Influence of environment on residence and selected demographic and clinical parameters of preschool children with IgE-dependent asthma

Annals of Agricultural and Environmental Medicine, 2019

Research paper thumbnail of Interpersonal correlates of the tendency to seek help in the situation of indebtedness in healthy people and in patients with impaired mobility, related to chronic disorders of the locomotor system – Pilot study

Annals of Agricultural and Environmental Medicine, 2019

correlates of the tendency to seek help in the situation of indebtedness in healthy people and in... more correlates of the tendency to seek help in the situation of indebtedness in healthy people and in patients with impaired mobility, related to chronic disorders of the locomotor system-Pilot study. Ann Agric Environ Med.

Research paper thumbnail of Validation of the Polish language version of the Patient Health Questionnaire-9 in a population of adults aged 35–64

Annals of Agricultural and Environmental Medicine, 2018

Research paper thumbnail of Sweat iron concentration during 4-week exercise training

Annals of Agricultural and Environmental Medicine, 2018

Research paper thumbnail of Impact of spinal pain on daily living activities in postmenopausal women working in agriculture

Annals of agricultural and environmental medicine : AAEM, Jan 22, 2017

Postmenopausal women working in agriculture suffer from spinal pain for two overlapping reasons, ... more Postmenopausal women working in agriculture suffer from spinal pain for two overlapping reasons, the first is related to the menopause and the second to the specificity of rural work, which includes lifting heavy objects and changing weather conditions. Spinal pain affects the daily life of women as well as their ability to work. The objective of the study was to analyse the impact of spinal pain on activities of daily life in Polish postmenopausal women performing agricultural work. The study was conducted in 2016 in Poland and included 1,119 post-menopausal women living in rural areas and working in agriculture. The women assessed the severity of spinal pain in 3 sections: neck, thorax and lumbar. Neck Disability Index (NDI) and Oswestry Low Back Disability Index (ODI) questionnaires were used to assess the impact of spinal pain on daily life activities. Generalized linear models were estimated in statistical analyses. Postmenopausal women working in agriculture suffered most ofte...

Research paper thumbnail of Work conditions in agriculture as risk factors of spinal pain in postmenopausal women

International Journal of Occupational Safety and Ergonomics, 2017

The aim of the study was to evaluate the risk factors for spinal pain in Polish postmenopausal wo... more The aim of the study was to evaluate the risk factors for spinal pain in Polish postmenopausal women working in agriculture. The study included 1751 randomly selected postmenopausal women aged 45-65 years. The women were exposed to hazardous work conditions, in particular the use of force and heavy lifting, often more than 10 kg and with frequency of at least once a day. Two-thirds of them suffered from spinal pain, mostly in the lumbar spine and less frequently in the cervical and thoracic spine. The prevalence of spinal pain depended on exposure to health risks associated with overwork, early onset of menopause and increasing age. The prevalence of pain in the lumbar spine correlated positively with higher frequency of heavy lifting and using excessive force during agricultural work. The severity of spinal pain correlates positively with the age of pain onset and negatively with level of education.

Research paper thumbnail of Use of the IPAQ questionnaire in the form of a mobile application in monitoring physical activity of patients with cardiovascular diseases

Annals of Agricultural and Environmental Medicine, 2017

Research paper thumbnail of Telemedical assessment of the level of energy expenditure in overweight and obese individuals

Videosurgery and Other Miniinvasive Techniques, 2017

Research paper thumbnail of Gender, age, social disadvantage and quitting smoking in Argentina and Uruguay

Annals of Agricultural and Environmental Medicine, 2018

Introduction. Cessation of tobacco use has the potential to provide the greatest immediate benefi... more Introduction. Cessation of tobacco use has the potential to provide the greatest immediate benefits for tobacco control. Understanding the social determinants of smoking cessation is an essential requirement for increasing smoking cessation at the population level. The purpose of this study was to analyze the socioeconomic dimensions associated with cessation success among adults in Argentina and Uruguay. Materials and methods. Data from the Global Adult Tobacco Survey (GATS), a cross-sectional, population-based, nationally representative survey conducted in Argentina (n=5,383) and Uruguay (n=4,833) was utilized. Univariable and multivariable logistic regression analyses with results being presented as odds ratios (OR) with 95% confidence intervals were applied to study differences among those respondents who sustained smoking abstinence (≥1 year) and those who continued smoking. Results. The GATS study revealed that social gradients in tobacco quitting exist in Argentina and Uruguay. Being aged 25-34, particularly men in Uruguay, women in Argentina, low educated men in Argentina and having a lower asset index were associated with reduced odds for quitting. Conclusion. Factors that are driving differences in smoking cessation between diverse social groups in Latin America countries need to be considered when implementing relevant interventions to ensure tobacco control strategies work effectively for all population segments.

Research paper thumbnail of Coping with the Stress of Chronic Disease and the Occurrence of Depressive Symptoms in Patients with Rheumatoid Arthritis

Research paper thumbnail of Satysfakcja z opieki pielęgniarskiej a nasilenie dolegliwości bólowych pacjentów hospitalizowanych w klinikach neurochirurgii

Research paper thumbnail of Wizerunek starości w percepcji młodych dorosłych Prezentacja własności psychometrycznych Skali postaw wobec seniorów (SPWS)

Research paper thumbnail of Effect of pesticides on kynurenic acid production in rat brain slices

Annals of agricultural and environmental medicine : AAEM, 2005

Kynurenic acid (KYNA) is a broad spectrum antagonist of ionotropic glutamate receptors, preferent... more Kynurenic acid (KYNA) is a broad spectrum antagonist of ionotropic glutamate receptors, preferentially active at the strychnine-insensitive glycine allosteric site of the N-methyl-D-aspartate (NMDA) receptor, and a noncompetitive antagonist of alpha7 nicotinic receptor. Animal studies showed that it possesses anticonvulsant and neuroprotective properties. Its involvement in the pathophysiology of various brain disorders was suggested. In this study, the effect of pesticides on KYNA production in brain cortical slices was investigated. Pyrethroids, deltamethrin and fenpropathrin significantly lowered KYNA production. Methomyl, bensultap, fipronil, diquat and MCPA were ineffective in this regard. In view of this data, the inhibition of KYNA synthesis appear to merit further investigation as a potential factor contributing to the toxicology of pyrethroids.

Research paper thumbnail of Telemedyczne podtrzymywanie aktywności ruchowej za pomocą smartfonów – system telemonitorujący w Instytucie Medycyny Wsi

Improved overall physical activity is an essential precondition for the maintenance of the effect... more Improved overall physical activity is an essential precondition for the maintenance of the effects of rehabilitation conducted. In order to encourage patients who complete stationary rehabilitation to maintain increased physical activity, the technical capabilities of serial smartphones and software for Android 2.0–4.x prepared for this purpose – the Instrument for Measurement of Physical Activity were used. The software is freely available, and uses data from the accelerometer built into your smartphone that are processed according to the original measurement algorithm. This algorithm has been calibrated by measuring repeated functional experiments. The data concerning patient’s activity are transmitted to the physician in charge of treatment who, at any time, via hospital server and network software has the possibility to perform a detailed and summary analysis of patient’s behaviour. Simultaneously, through the pictogram of the filling heart, the user is motivated to perform indi...

Research paper thumbnail of Influence of regular climbing on depression, generalized anxiety and lower back pain

Annals of Agricultural and Environmental Medicine, 2020

Influence of regular climbing on depression, generalized anxiety and lower back pain. Ann Agric E... more Influence of regular climbing on depression, generalized anxiety and lower back pain. Ann Agric Environ Med.

Research paper thumbnail of The significance of physical activity in the prevention of depressive disorders

Psychiatria Polska, 2020

Owing to the complex etiology of depression taking into account the psychosocial and biological i... more Owing to the complex etiology of depression taking into account the psychosocial and biological interactions in its formation and course, a comprehensive and integrated approach to this health issue is essential, one that would take into account additional forms of therapeutic interventions besides traditional methods, and increase in physical activity as one of them. The objective of the present paper is to present the significance of physical activity in the prevention and treatment of depressive disorders, based on the results of research carried out in 2014-2019. The review of empirical works indicates that physical activity adjusted to the individual's needs and health situation can play a role in the prevention and complementary treatment of depressive disorders, including those that occur in the course of somatic diseases. It should be noted that hasty recommendation of physical training to the patients with a severe form of the disorder may cause provocative thoughts, their guilt because of the inability to face the challenge or suicidal behavior.

Research paper thumbnail of Impact of the comprehensive outpatient rehabilitation on reducing intensification of depressive symptoms in people over 60 years of age

Polish Journal of Public Health, 2018

Introduction. The provision of adequate health care for a successively growing group of geriatric... more Introduction. The provision of adequate health care for a successively growing group of geriatric patients requires taking into account many factors in order to preserve and/or improve their overall health and the related functional capacity. Its crucial aspects include the ability to safely change position and locomotion, as well as the severity of discomfort from the osteoarticular system. Aim. The objective of the present study was to assess the impact of comprehensive ambulatory rehabilitation including tailored endurance training, preceded by an ergospirometry test, on indicators showing the risk of falls and the severity of pain symptoms of patients aged 60 and over, receiving health services at the Outpatient Healthcare Home (DDOM). Material and methods. The study involved 60 seniors during their rehabilitation cycle implemented as part of the services provided to patients at DDOM of the W. Chodźko Institute of Rural Health in Lublin. The tests were carried out in the test-re...

Research paper thumbnail of Psychometric properties of the Scale for Evaluating Attitudes towards Seniors (SEAS)

Annals of Agricultural and Environmental Medicine, 2018

Research paper thumbnail of Personality correlates in the tendency to incur debt in patients with and without osteoarthritis

European Journal of Clinical and Experimental Medicine, 2019

Research paper thumbnail of Follow-up monitoring of physical activity after rehabilitation by means of a mobile application: Effectiveness of measurements in different age groups

Advances in Clinical and Experimental Medicine, 2018

Background. Active monitoring of the level of daily physical activity seems to be a useful elemen... more Background. Active monitoring of the level of daily physical activity seems to be a useful element for secondary prevention in public health. Low physical activity increases the incidence of cardiovascular diseases, obesity, diabetes, musculoskeletal diseases, and causes loss of the previously achieved effects of rehabilitation. Objectives. The purpose of this study was to assess the level of physical activity in different age groups of adults with the use of the telemedical system based on a mobile application. Material and methods. The research covered data collected remotely from 927 individuals of both genders, aged 20−80 years (group I: 20−40 years, group II: 41−60 years, group III: 61−80 years). A monitoring system (Activity Measurement Tool) developed in the Department of General Rehabilitation at the Witold Chodźko Institute of Rural Health (Lublin, Poland) was used to measure home physical activity in the examined group. The system uses a dedicated mobile application, cellular data transmission and web data-showing software. Home physical activity was assessed using the International Physical Activity Questionnaire-Short Form (IPAQ-SF) and simultaneous processing of data from a smartphone accelerometer. Results. The mean level of physical activity in the group of active application users (≥2 days, n = 494), expressed as Metabolic Equivalent of Task (MET)-min/week (IPAQ-SF), was as follows: group I (female participants (F): 5,767.9, n = 73; male participants (M): 4,888.4, n = 251), group II (F: 3,468.7, n = 24; M: 4,053.5, n = 119) and group III (M: 5,769.3, n = 27; no female participants were involved). In 72.3% of users, the registered physical activity was smaller in relation to IPAQ-assessed/7 days physical activity (sign test: n = 494; percentage of negative differences: 72.3%; Z = 9.9; p = 0.00). Conclusions. The research findings indicate a high level of self-reported physical activity among the users in all age and gender groups, although it is not reflected in the level of registered activity. Although the level of daily physical activity was evaluated, it was mainly among young and middle-aged men who gladly and regularly made use of the measurement possibilities offered by mobile technology.

Research paper thumbnail of Influence of environment on residence and selected demographic and clinical parameters of preschool children with IgE-dependent asthma

Annals of Agricultural and Environmental Medicine, 2019

Research paper thumbnail of Interpersonal correlates of the tendency to seek help in the situation of indebtedness in healthy people and in patients with impaired mobility, related to chronic disorders of the locomotor system – Pilot study

Annals of Agricultural and Environmental Medicine, 2019

correlates of the tendency to seek help in the situation of indebtedness in healthy people and in... more correlates of the tendency to seek help in the situation of indebtedness in healthy people and in patients with impaired mobility, related to chronic disorders of the locomotor system-Pilot study. Ann Agric Environ Med.

Research paper thumbnail of Validation of the Polish language version of the Patient Health Questionnaire-9 in a population of adults aged 35–64

Annals of Agricultural and Environmental Medicine, 2018

Research paper thumbnail of Sweat iron concentration during 4-week exercise training

Annals of Agricultural and Environmental Medicine, 2018

Research paper thumbnail of Impact of spinal pain on daily living activities in postmenopausal women working in agriculture

Annals of agricultural and environmental medicine : AAEM, Jan 22, 2017

Postmenopausal women working in agriculture suffer from spinal pain for two overlapping reasons, ... more Postmenopausal women working in agriculture suffer from spinal pain for two overlapping reasons, the first is related to the menopause and the second to the specificity of rural work, which includes lifting heavy objects and changing weather conditions. Spinal pain affects the daily life of women as well as their ability to work. The objective of the study was to analyse the impact of spinal pain on activities of daily life in Polish postmenopausal women performing agricultural work. The study was conducted in 2016 in Poland and included 1,119 post-menopausal women living in rural areas and working in agriculture. The women assessed the severity of spinal pain in 3 sections: neck, thorax and lumbar. Neck Disability Index (NDI) and Oswestry Low Back Disability Index (ODI) questionnaires were used to assess the impact of spinal pain on daily life activities. Generalized linear models were estimated in statistical analyses. Postmenopausal women working in agriculture suffered most ofte...

Research paper thumbnail of Work conditions in agriculture as risk factors of spinal pain in postmenopausal women

International Journal of Occupational Safety and Ergonomics, 2017

The aim of the study was to evaluate the risk factors for spinal pain in Polish postmenopausal wo... more The aim of the study was to evaluate the risk factors for spinal pain in Polish postmenopausal women working in agriculture. The study included 1751 randomly selected postmenopausal women aged 45-65 years. The women were exposed to hazardous work conditions, in particular the use of force and heavy lifting, often more than 10 kg and with frequency of at least once a day. Two-thirds of them suffered from spinal pain, mostly in the lumbar spine and less frequently in the cervical and thoracic spine. The prevalence of spinal pain depended on exposure to health risks associated with overwork, early onset of menopause and increasing age. The prevalence of pain in the lumbar spine correlated positively with higher frequency of heavy lifting and using excessive force during agricultural work. The severity of spinal pain correlates positively with the age of pain onset and negatively with level of education.

Research paper thumbnail of Use of the IPAQ questionnaire in the form of a mobile application in monitoring physical activity of patients with cardiovascular diseases

Annals of Agricultural and Environmental Medicine, 2017

Research paper thumbnail of Telemedical assessment of the level of energy expenditure in overweight and obese individuals

Videosurgery and Other Miniinvasive Techniques, 2017

Research paper thumbnail of Gender, age, social disadvantage and quitting smoking in Argentina and Uruguay

Annals of Agricultural and Environmental Medicine, 2018

Introduction. Cessation of tobacco use has the potential to provide the greatest immediate benefi... more Introduction. Cessation of tobacco use has the potential to provide the greatest immediate benefits for tobacco control. Understanding the social determinants of smoking cessation is an essential requirement for increasing smoking cessation at the population level. The purpose of this study was to analyze the socioeconomic dimensions associated with cessation success among adults in Argentina and Uruguay. Materials and methods. Data from the Global Adult Tobacco Survey (GATS), a cross-sectional, population-based, nationally representative survey conducted in Argentina (n=5,383) and Uruguay (n=4,833) was utilized. Univariable and multivariable logistic regression analyses with results being presented as odds ratios (OR) with 95% confidence intervals were applied to study differences among those respondents who sustained smoking abstinence (≥1 year) and those who continued smoking. Results. The GATS study revealed that social gradients in tobacco quitting exist in Argentina and Uruguay. Being aged 25-34, particularly men in Uruguay, women in Argentina, low educated men in Argentina and having a lower asset index were associated with reduced odds for quitting. Conclusion. Factors that are driving differences in smoking cessation between diverse social groups in Latin America countries need to be considered when implementing relevant interventions to ensure tobacco control strategies work effectively for all population segments.