Dorota Szosland | Nofer Institute of Occupational Medicine (original) (raw)
Papers by Dorota Szosland
Cellular Signalling, 1995
The signalling mechanisms whereby high-density lipoproteins (HDL) and low-density lipoproteins (L... more The signalling mechanisms whereby high-density lipoproteins (HDL) and low-density lipoproteins (LDL) affect a number of cellular functions in fibroblasts are unclear. This study has analyzed the influence of HDL3 and LDL on the phosphatidylinositol specific phospholipase C pathway in human skin fibroblasts. Exposure of myo-[2-3H]-inositol prelabelled fibroblasts to HDL3 or LDL elicited major increases in IP1 and minor increases in
Medycyna Pracy, 2008
Background: Considering the high incidence of impaired carbohydrate metabolism and the potential ... more Background: Considering the high incidence of impaired carbohydrate metabolism and the potential risk of diabetic complications posed to transport drivers, an attempt was made to assess the prevalence of diabetes among public transport drivers. Material and methods: Medical records of 570 public transport drivers examined at an occupational health unit in one of the Polish towns with a population of 350.000 was the subject of analysis Results and conclusions: The investigation revealed that 47.5% of the study population showed hyperglycemic conditions with the mean fasting glucose concentration of 99.9 mg/dl. A single case of abnormal glucose tolerance was diagnosed and 263 cases were recorded as hyperglycemia without final diagnosis. The diabetes-related morbidity amounted to 1.4%, which was over three times as high as in the general population of the same age. Every four case of diabetes was diagnosed during prophylactic examinations. Moreover, 2.45% of the subjects had glycemia levels classified as diabetic (fasting glucose > or = 126 mg/dl). The subject's age of more than 45 years and hyperglycemia revealed in previous laboratory findings were found to increase the risk of impaired carbohydrate metabolism by three times.
![Research paper thumbnail of [New medical standards for evaluation of driving predispositions of people suffering from diabetes mellitus]](https://attachments.academia-assets.com/113318729/thumbnails/1.jpg)
](PubMed, 2011
As a result of the changed Ordinance of January 7, 2004, issued by the Ministry of Health, new me... more As a result of the changed Ordinance of January 7, 2004, issued by the Ministry of Health, new medical standards for assessing people suffering from diabetes mellitus, in terms of their health contraindications for driving, came into force on June 29, 2011. Thus the medical standards for diabetes and driving have been harmonized with EU regulations. New standards for diabetes and driving define the key terms such as severe and recurrent hypoglycemia, and hypoglycemia awareness. In addition, health contraindications for Group 1 and Group 2 driving license, deadline for subsequent medical check-ups and indications for diabetologic consultation are defined. The regulations also introduce a new tool in the form ofa consultation file produced by the diabetologist. The structure of the consultation file imposes on the diabetologist an obligation to provide the physician, certifying the ability or disability to drive, the key diabetologic information. This guarantees an objective medical opinion based on an individual approach appropriate for each case.
PubMed, 2007
There is in Poland an urgent need to set criteria and recommendations for medical certification o... more There is in Poland an urgent need to set criteria and recommendations for medical certification of individuals working or taking up the job involving public safety, in which diabetes could have a particularly important and dangerous impact. In Europe, many countries have restrictions for diabetic drivers. Diabetes is identified as one of the medical conditions that may impair driving ability and thus drivers with diabetes must meet certain medical standards. The European Union legislation states that diabetic patients taking insulin are excluded from driving trucks, heavy goods vehicles, and buses, except for small trucks in "very exceptional cases". This directive is interpreted differently throughout the European Union. Several aspects should be taken into account when evaluating the current status of the medical certification: e.g., duration of diabetes, type of diabetes treatment, diabetes stability, hypoglycemias in the past, and diabetes complications.
PubMed, 2004
The introduction of new learning technologies and an increasing usage of the Internet have the po... more The introduction of new learning technologies and an increasing usage of the Internet have the potential of changing the image of postgraduate education. A rapid progress in innovative communication systems has lead to essential changes in conditions of acquiring knowledge and professional skills. This has resulted in the development of different educational models and the incorporation of computer-assisted education into training programs. In 2002, the School of Public Health at the Nofer Institute of Occupational Medicine has launched first in Poland the introductory course in occupational medicine specialization in the form of distance education. The course was recognized to be equivalent to the traditional face-to-face education. The training process was based on the use of CD-ROM. E-mail was used as the main means of communication to facilitate the exchange between trainers and trainees. Particularly wide interest in distance education among physicians specializing in occupational medicine indicates the need to consider the possibility of introducing consecutive courses, which are required for specialization or for other professional developments in this form of teaching. The purpose of this paper was to discuss the development and implementation of a distance learning course taking into consideration the academic and educational requirements necessary for effective education and training at the post basic level.
International Journal of Occupational Medicine and Environmental Health, 2010
Objectives: Road transport drivers are one of the professional groups whose activities have a str... more Objectives: Road transport drivers are one of the professional groups whose activities have a strong impact on public safety. In view of the nature of their professional activity, the drivers are at a higher risk of obesity and hypertension, and thus, indirectly, of carbohydrate metabolism disorders such as diabetes mellitus. Materials and methods: Medical documentation was a source of data for the reported study. It derived from medical examinations of truck and bus drivers applying for the new category II driving licence or for prolongation of the one they already had. Results: Excessive body weight was recorded in 62.6% of the study population; 45.3% had overweight and 17.4% were diagnosed with obesity. Hypertension was noted in the medical records of 36.7% drivers. The prevalence of abnormal BP values was increasing with age. Overweight was found to be a risk factor for hypertension. Hyperglycaemia was found in 47.5% of the drivers and was also increasing with age. Conclusion: In road transport drivers, the high prevalence of excessive body weight and elevated arterial blood pressure as the risk factors for diabetes indicates a need to undertake multidimensional actions targeted on this particular profession and involving various health care sectors. Prophylactic and detailed pre-placement examinations should be considered, depending on the rate and intensity of the disorders diagnosed. This should be coupled with an introduction of primary and secondary prophylactic activities and monitoring of relevant treatment. A close collaboration with the patient's GP is necessary.
International Journal of Occupational Medicine and Environmental Health, 2008
Introduction: The discussion on the relationship between diabetes and driving has continued in re... more Introduction: The discussion on the relationship between diabetes and driving has continued in recent years all over the world. The issue of diabetes, its treatment models, the risk of hypoglycaemia and license to drive are receiving considerable attention. Driving ability is controlled by specific regulations. Polish legislation does not provide standard procedures for dealing with the question of diabetic drivers and driver candidates. The aim of study was to draw attention to some problems that may emerge when attempting to certify medical fitness of drivers or driver candidate to drive public service vehicles. Materials and Methods: Data were obtained from standardised prophylactic examination forms of public transport drivers employed in a small company between 2001 and 2007. Fasting capillary blood was collected to be analysed with a blood glucose meter. Results: Diabetes and its diagnosing during obligatory preemployement or periodic medical examinations constitutes a serious problem. Abnormal fasting glucose levels were noted in 23 drivers (21.7%). Discussion: Our study shows that the occupational physician must take into account the possibility of glucose metabolism disturbances. The results demonstrate that an unified approach to diagnosing of diabetes mellitus during such medical examinations is not available currently in Poland. Conclusions: It is necessary to develop standard procedures to be used by occupational physicians for diagnosis diabetes mellitus and intermediate hyperglycaemia. Fasting capillary blood glucose measurement with a blood glucose meter may be used for screening, because it is easier, less expensive and less invasive than venous blood tests. Screening tests must be followed by oral glucose tolerance test using standard criteria in order to make the diagnosis. Frequency of periodic medical assessments in case of diagnosed diabetes mellitus or any intermediate hyperglycaemia must be determined. Specific situations must be identified when the consultation of diabetes specialist is mandatory with respect to therapy, risk of hypoglycaemia and hypoglycaemia awareness.
DOAJ (DOAJ: Directory of Open Access Journals), Feb 1, 2014
Medycyna Pracy, 2009
There is in Poland an urgent need to set criteria and recommendations for medical certification o... more There is in Poland an urgent need to set criteria and recommendations for medical certification of individuals working or taking up the job involving public safety, in which diabetes could have a particularly important and dangerous impact. In Europe, many countries have restrictions for diabetic drivers. Diabetes is identified as one of the medical conditions that may impair driving ability and thus drivers with diabetes must meet certain medical standards. The European Union legislation states that diabetic patients taking insulin are excluded from driving trucks, heavy goods vehicles, and buses, except for small trucks in "very exceptional cases". This directive is interpreted differently throughout the European Union. Several aspects should be taken into account when evaluating the current status of the medical certification: e.g., duration of diabetes, type of diabetes treatment, diabetes stability, hypoglycemias in the past, and diabetes complications.
Medycyna Pracy, Jan 2, 2014
Choroby układu oddechowego są istotną przyczyną długotrwałej absencji chorobowej, a nawet częścio... more Choroby układu oddechowego są istotną przyczyną długotrwałej absencji chorobowej, a nawet częściowej lub całkowitej niezdolności do pracy zawodowej. Artykuł jest pierwszym w Polsce opracowaniem zasad dobrych praktyk w opiece profilaktycznej nad osobami z chorobami układu oddechowego. Omówiono w nim zagadnienia związane z orzekaniem o zdolności do pracy u tych osób oraz przedstawiono kluczowe elementy opieki profilaktycznej nad pracownikiem z obturacyjnymi i śródmiąższowymi chorobami układu oddechowego, ze szczególnym uwzględnieniem kontroli czynników ryzyka. Zwrócono również uwagę na możliwe przeciwwskazania do wykonywania pracy w przypadku tych schorzeń oraz zadań lekarza sprawującego opiekę profilaktyczną.
Medycyna Pracy, 2010
Background: Our paper presents the problem of exposure to potentially infectious material among h... more Background: Our paper presents the problem of exposure to potentially infectious material among health care workers, and also in police officers, prison guards, cleaning service personnel and ordinary citizens. Materials and Method: In the study period, 200 patients were admitted to the Infectious Diseases Clinic after exposure to potentially infectious materials in order to evaluate the risk of HBV, HCV and HIV infections and initiate post exposure prophylaxis. HBsAg, a-HCV and a-HIV were carried out on the day of admission, a-HBs was measured in patients who had been vaccinated against hepatitis B virus. Clinical evaluation of HBV, HCV, HIV infections was performed in the source patients’ plasma. Results: The study population consisted of 93 health-care workers (63 nurses, 25 physicians, and 5 medical students), 30 policemen, 23 prison guards, 42 cleaning service workers employed in health-care centers. The remaining 12 patients were inhabitants of the Łodź region who had not been...
![Research paper thumbnail of [New medical standards for evaluation of driving predispositions of people suffering from diabetes mellitus]](https://attachments.academia-assets.com/79669541/thumbnails/1.jpg)
](Medycyna pracy, 2011
As a result of the changed Ordinance of January 7, 2004, issued by the Ministry of Health, new me... more As a result of the changed Ordinance of January 7, 2004, issued by the Ministry of Health, new medical standards for assessing people suffering from diabetes mellitus, in terms of their health contraindications for driving, came into force on June 29, 2011. Thus the medical standards for diabetes and driving have been harmonized with EU regulations. New standards for diabetes and driving define the key terms such as severe and recurrent hypoglycemia, and hypoglycemia awareness. In addition, health contraindications for Group 1 and Group 2 driving license, deadline for subsequent medical check-ups and indications for diabetologic consultation are defined. The regulations also introduce a new tool in the form ofa consultation file produced by the diabetologist. The structure of the consultation file imposes on the diabetologist an obligation to provide the physician, certifying the ability or disability to drive, the key diabetologic information. This guarantees an objective medical o...
The rapid development of science, technology, economy and the society has one along with the wide... more The rapid development of science, technology, economy and the society has one along with the wide recognition of lifelong education and learning society concepts. Scientific centres worldwide conduct research how the access to the information and multimedia technology could bring about positive changes in our lives including improvement in education and the learning environment. Mankind development in conformity with social progress and sustainable development faces a new educational concept of learning society and open education in the information age, supported with multimedia and data processing technology. Constrains in resources availability for broadening the access to education had led to search for alternative, more time and cost-effective systems of education. One of them is distance learning, applied with success in many countries. The benefits of distance learning are well proven and can be extended to occupational medicine. Major advantages include: the integration of st...
International journal of occupational medicine and environmental health, 2010
Shift work is affecting 20% to 25% employees and is becoming increasingly prevalent in contempora... more Shift work is affecting 20% to 25% employees and is becoming increasingly prevalent in contemporary life all over Europe and USA. It is associated with several health problems, such as e.g. metabolic syndrome, diabetes mellitus and cardiovascular disease. These diseases are possibly due to an impairment of biological rhythm. The metabolic syndrome is a complex of interrelated risk factors for cardiovascular disease and diabetes. Higher prevalence of the metabolic syndrome has been demonstrated among shift workers. Rotating shift work has an impact on each component of metabolic syndrome. Shift work might also have an impact on metabolic variables, and be a risk factor for type 2 diabetes. Only a few studies reported prevalence of impaired glucose metabolism and diabetes mellitus in relation to shift work. There is rather strong evidence in favour of association between shift work and coronary heart disease and that has been repeatedly demonstrated during over 20 years of research. R...
Wiadomości lekarskie (Warsaw, Poland : 1960), 2002
Diabetes is one of the most costly and burdensome chronic diseases of our time and is reaching pa... more Diabetes is one of the most costly and burdensome chronic diseases of our time and is reaching pandemic proportions throughout the world. Diabetes is frequently associated with long-term complications causing damage or failure of various organs such as the eyes, kidneys and nerves. Premature disability in this group of patients results in the loss of productivity, increased morbidity and mortality rates, and higher health care costs. Health care costs of diabetes rise because of increasing number of newly diagnosed cases of diabetes and its complications. Preventive measures in diabetes especially type 2 accounting for 90% of cases worldwide can be properly applied because most of the risk factors are well known. Prevention is less costly financial resources than the treatment, but the measurable economic and social profits will be seen in the future. The management of diabetes should be changed from traditional medical to the activity of public health. Public health messages, healt...
Medycyna Pracy, Feb 1, 2007
There is in Poland an urgent need to set criteria and recommendations for medical certification o... more There is in Poland an urgent need to set criteria and recommendations for medical certification of individuals working or taking up the job involving public safety, in which diabetes could have a particularly important and dangerous impact. In Europe, many countries have restrictions for diabetic drivers. Diabetes is identified as one of the medical conditions that may impair driving ability and thus drivers with diabetes must meet certain medical standards. The European Union legislation states that diabetic patients taking insulin are excluded from driving trucks, heavy goods vehicles, and buses, except for small trucks in "very exceptional cases". This directive is interpreted differently throughout the European Union. Several aspects should be taken into account when evaluating the current status of the medical certification: e.g., duration of diabetes, type of diabetes treatment, diabetes stability, hypoglycemias in the past, and diabetes complications.
Medycyna pracy
There is in Poland an urgent need to set criteria and recommendations for medical certification o... more There is in Poland an urgent need to set criteria and recommendations for medical certification of individuals working or taking up the job involving public safety, in which diabetes could have a particularly important and dangerous impact. In Europe, many countries have restrictions for diabetic drivers. Diabetes is identified as one of the medical conditions that may impair driving ability and thus drivers with diabetes must meet certain medical standards. The European Union legislation states that diabetic patients taking insulin are excluded from driving trucks, heavy goods vehicles, and buses, except for small trucks in "very exceptional cases". This directive is interpreted differently throughout the European Union. Several aspects should be taken into account when evaluating the current status of the medical certification: e.g., duration of diabetes, type of diabetes treatment, diabetes stability, hypoglycemias in the past, and diabetes complications.
Cellular Signalling, 1995
The signalling mechanisms whereby high-density lipoproteins (HDL) and low-density lipoproteins (L... more The signalling mechanisms whereby high-density lipoproteins (HDL) and low-density lipoproteins (LDL) affect a number of cellular functions in fibroblasts are unclear. This study has analyzed the influence of HDL3 and LDL on the phosphatidylinositol specific phospholipase C pathway in human skin fibroblasts. Exposure of myo-[2-3H]-inositol prelabelled fibroblasts to HDL3 or LDL elicited major increases in IP1 and minor increases in
Medycyna Pracy, 2008
Background: Considering the high incidence of impaired carbohydrate metabolism and the potential ... more Background: Considering the high incidence of impaired carbohydrate metabolism and the potential risk of diabetic complications posed to transport drivers, an attempt was made to assess the prevalence of diabetes among public transport drivers. Material and methods: Medical records of 570 public transport drivers examined at an occupational health unit in one of the Polish towns with a population of 350.000 was the subject of analysis Results and conclusions: The investigation revealed that 47.5% of the study population showed hyperglycemic conditions with the mean fasting glucose concentration of 99.9 mg/dl. A single case of abnormal glucose tolerance was diagnosed and 263 cases were recorded as hyperglycemia without final diagnosis. The diabetes-related morbidity amounted to 1.4%, which was over three times as high as in the general population of the same age. Every four case of diabetes was diagnosed during prophylactic examinations. Moreover, 2.45% of the subjects had glycemia levels classified as diabetic (fasting glucose > or = 126 mg/dl). The subject's age of more than 45 years and hyperglycemia revealed in previous laboratory findings were found to increase the risk of impaired carbohydrate metabolism by three times.
PubMed, 2011
As a result of the changed Ordinance of January 7, 2004, issued by the Ministry of Health, new me... more As a result of the changed Ordinance of January 7, 2004, issued by the Ministry of Health, new medical standards for assessing people suffering from diabetes mellitus, in terms of their health contraindications for driving, came into force on June 29, 2011. Thus the medical standards for diabetes and driving have been harmonized with EU regulations. New standards for diabetes and driving define the key terms such as severe and recurrent hypoglycemia, and hypoglycemia awareness. In addition, health contraindications for Group 1 and Group 2 driving license, deadline for subsequent medical check-ups and indications for diabetologic consultation are defined. The regulations also introduce a new tool in the form ofa consultation file produced by the diabetologist. The structure of the consultation file imposes on the diabetologist an obligation to provide the physician, certifying the ability or disability to drive, the key diabetologic information. This guarantees an objective medical opinion based on an individual approach appropriate for each case.
PubMed, 2007
There is in Poland an urgent need to set criteria and recommendations for medical certification o... more There is in Poland an urgent need to set criteria and recommendations for medical certification of individuals working or taking up the job involving public safety, in which diabetes could have a particularly important and dangerous impact. In Europe, many countries have restrictions for diabetic drivers. Diabetes is identified as one of the medical conditions that may impair driving ability and thus drivers with diabetes must meet certain medical standards. The European Union legislation states that diabetic patients taking insulin are excluded from driving trucks, heavy goods vehicles, and buses, except for small trucks in "very exceptional cases". This directive is interpreted differently throughout the European Union. Several aspects should be taken into account when evaluating the current status of the medical certification: e.g., duration of diabetes, type of diabetes treatment, diabetes stability, hypoglycemias in the past, and diabetes complications.
PubMed, 2004
The introduction of new learning technologies and an increasing usage of the Internet have the po... more The introduction of new learning technologies and an increasing usage of the Internet have the potential of changing the image of postgraduate education. A rapid progress in innovative communication systems has lead to essential changes in conditions of acquiring knowledge and professional skills. This has resulted in the development of different educational models and the incorporation of computer-assisted education into training programs. In 2002, the School of Public Health at the Nofer Institute of Occupational Medicine has launched first in Poland the introductory course in occupational medicine specialization in the form of distance education. The course was recognized to be equivalent to the traditional face-to-face education. The training process was based on the use of CD-ROM. E-mail was used as the main means of communication to facilitate the exchange between trainers and trainees. Particularly wide interest in distance education among physicians specializing in occupational medicine indicates the need to consider the possibility of introducing consecutive courses, which are required for specialization or for other professional developments in this form of teaching. The purpose of this paper was to discuss the development and implementation of a distance learning course taking into consideration the academic and educational requirements necessary for effective education and training at the post basic level.
International Journal of Occupational Medicine and Environmental Health, 2010
Objectives: Road transport drivers are one of the professional groups whose activities have a str... more Objectives: Road transport drivers are one of the professional groups whose activities have a strong impact on public safety. In view of the nature of their professional activity, the drivers are at a higher risk of obesity and hypertension, and thus, indirectly, of carbohydrate metabolism disorders such as diabetes mellitus. Materials and methods: Medical documentation was a source of data for the reported study. It derived from medical examinations of truck and bus drivers applying for the new category II driving licence or for prolongation of the one they already had. Results: Excessive body weight was recorded in 62.6% of the study population; 45.3% had overweight and 17.4% were diagnosed with obesity. Hypertension was noted in the medical records of 36.7% drivers. The prevalence of abnormal BP values was increasing with age. Overweight was found to be a risk factor for hypertension. Hyperglycaemia was found in 47.5% of the drivers and was also increasing with age. Conclusion: In road transport drivers, the high prevalence of excessive body weight and elevated arterial blood pressure as the risk factors for diabetes indicates a need to undertake multidimensional actions targeted on this particular profession and involving various health care sectors. Prophylactic and detailed pre-placement examinations should be considered, depending on the rate and intensity of the disorders diagnosed. This should be coupled with an introduction of primary and secondary prophylactic activities and monitoring of relevant treatment. A close collaboration with the patient's GP is necessary.
International Journal of Occupational Medicine and Environmental Health, 2008
Introduction: The discussion on the relationship between diabetes and driving has continued in re... more Introduction: The discussion on the relationship between diabetes and driving has continued in recent years all over the world. The issue of diabetes, its treatment models, the risk of hypoglycaemia and license to drive are receiving considerable attention. Driving ability is controlled by specific regulations. Polish legislation does not provide standard procedures for dealing with the question of diabetic drivers and driver candidates. The aim of study was to draw attention to some problems that may emerge when attempting to certify medical fitness of drivers or driver candidate to drive public service vehicles. Materials and Methods: Data were obtained from standardised prophylactic examination forms of public transport drivers employed in a small company between 2001 and 2007. Fasting capillary blood was collected to be analysed with a blood glucose meter. Results: Diabetes and its diagnosing during obligatory preemployement or periodic medical examinations constitutes a serious problem. Abnormal fasting glucose levels were noted in 23 drivers (21.7%). Discussion: Our study shows that the occupational physician must take into account the possibility of glucose metabolism disturbances. The results demonstrate that an unified approach to diagnosing of diabetes mellitus during such medical examinations is not available currently in Poland. Conclusions: It is necessary to develop standard procedures to be used by occupational physicians for diagnosis diabetes mellitus and intermediate hyperglycaemia. Fasting capillary blood glucose measurement with a blood glucose meter may be used for screening, because it is easier, less expensive and less invasive than venous blood tests. Screening tests must be followed by oral glucose tolerance test using standard criteria in order to make the diagnosis. Frequency of periodic medical assessments in case of diagnosed diabetes mellitus or any intermediate hyperglycaemia must be determined. Specific situations must be identified when the consultation of diabetes specialist is mandatory with respect to therapy, risk of hypoglycaemia and hypoglycaemia awareness.
DOAJ (DOAJ: Directory of Open Access Journals), Feb 1, 2014
Medycyna Pracy, 2009
There is in Poland an urgent need to set criteria and recommendations for medical certification o... more There is in Poland an urgent need to set criteria and recommendations for medical certification of individuals working or taking up the job involving public safety, in which diabetes could have a particularly important and dangerous impact. In Europe, many countries have restrictions for diabetic drivers. Diabetes is identified as one of the medical conditions that may impair driving ability and thus drivers with diabetes must meet certain medical standards. The European Union legislation states that diabetic patients taking insulin are excluded from driving trucks, heavy goods vehicles, and buses, except for small trucks in "very exceptional cases". This directive is interpreted differently throughout the European Union. Several aspects should be taken into account when evaluating the current status of the medical certification: e.g., duration of diabetes, type of diabetes treatment, diabetes stability, hypoglycemias in the past, and diabetes complications.
Medycyna Pracy, Jan 2, 2014
Choroby układu oddechowego są istotną przyczyną długotrwałej absencji chorobowej, a nawet częścio... more Choroby układu oddechowego są istotną przyczyną długotrwałej absencji chorobowej, a nawet częściowej lub całkowitej niezdolności do pracy zawodowej. Artykuł jest pierwszym w Polsce opracowaniem zasad dobrych praktyk w opiece profilaktycznej nad osobami z chorobami układu oddechowego. Omówiono w nim zagadnienia związane z orzekaniem o zdolności do pracy u tych osób oraz przedstawiono kluczowe elementy opieki profilaktycznej nad pracownikiem z obturacyjnymi i śródmiąższowymi chorobami układu oddechowego, ze szczególnym uwzględnieniem kontroli czynników ryzyka. Zwrócono również uwagę na możliwe przeciwwskazania do wykonywania pracy w przypadku tych schorzeń oraz zadań lekarza sprawującego opiekę profilaktyczną.
Medycyna Pracy, 2010
Background: Our paper presents the problem of exposure to potentially infectious material among h... more Background: Our paper presents the problem of exposure to potentially infectious material among health care workers, and also in police officers, prison guards, cleaning service personnel and ordinary citizens. Materials and Method: In the study period, 200 patients were admitted to the Infectious Diseases Clinic after exposure to potentially infectious materials in order to evaluate the risk of HBV, HCV and HIV infections and initiate post exposure prophylaxis. HBsAg, a-HCV and a-HIV were carried out on the day of admission, a-HBs was measured in patients who had been vaccinated against hepatitis B virus. Clinical evaluation of HBV, HCV, HIV infections was performed in the source patients’ plasma. Results: The study population consisted of 93 health-care workers (63 nurses, 25 physicians, and 5 medical students), 30 policemen, 23 prison guards, 42 cleaning service workers employed in health-care centers. The remaining 12 patients were inhabitants of the Łodź region who had not been...
Medycyna pracy, 2011
As a result of the changed Ordinance of January 7, 2004, issued by the Ministry of Health, new me... more As a result of the changed Ordinance of January 7, 2004, issued by the Ministry of Health, new medical standards for assessing people suffering from diabetes mellitus, in terms of their health contraindications for driving, came into force on June 29, 2011. Thus the medical standards for diabetes and driving have been harmonized with EU regulations. New standards for diabetes and driving define the key terms such as severe and recurrent hypoglycemia, and hypoglycemia awareness. In addition, health contraindications for Group 1 and Group 2 driving license, deadline for subsequent medical check-ups and indications for diabetologic consultation are defined. The regulations also introduce a new tool in the form ofa consultation file produced by the diabetologist. The structure of the consultation file imposes on the diabetologist an obligation to provide the physician, certifying the ability or disability to drive, the key diabetologic information. This guarantees an objective medical o...
The rapid development of science, technology, economy and the society has one along with the wide... more The rapid development of science, technology, economy and the society has one along with the wide recognition of lifelong education and learning society concepts. Scientific centres worldwide conduct research how the access to the information and multimedia technology could bring about positive changes in our lives including improvement in education and the learning environment. Mankind development in conformity with social progress and sustainable development faces a new educational concept of learning society and open education in the information age, supported with multimedia and data processing technology. Constrains in resources availability for broadening the access to education had led to search for alternative, more time and cost-effective systems of education. One of them is distance learning, applied with success in many countries. The benefits of distance learning are well proven and can be extended to occupational medicine. Major advantages include: the integration of st...
International journal of occupational medicine and environmental health, 2010
Shift work is affecting 20% to 25% employees and is becoming increasingly prevalent in contempora... more Shift work is affecting 20% to 25% employees and is becoming increasingly prevalent in contemporary life all over Europe and USA. It is associated with several health problems, such as e.g. metabolic syndrome, diabetes mellitus and cardiovascular disease. These diseases are possibly due to an impairment of biological rhythm. The metabolic syndrome is a complex of interrelated risk factors for cardiovascular disease and diabetes. Higher prevalence of the metabolic syndrome has been demonstrated among shift workers. Rotating shift work has an impact on each component of metabolic syndrome. Shift work might also have an impact on metabolic variables, and be a risk factor for type 2 diabetes. Only a few studies reported prevalence of impaired glucose metabolism and diabetes mellitus in relation to shift work. There is rather strong evidence in favour of association between shift work and coronary heart disease and that has been repeatedly demonstrated during over 20 years of research. R...
Wiadomości lekarskie (Warsaw, Poland : 1960), 2002
Diabetes is one of the most costly and burdensome chronic diseases of our time and is reaching pa... more Diabetes is one of the most costly and burdensome chronic diseases of our time and is reaching pandemic proportions throughout the world. Diabetes is frequently associated with long-term complications causing damage or failure of various organs such as the eyes, kidneys and nerves. Premature disability in this group of patients results in the loss of productivity, increased morbidity and mortality rates, and higher health care costs. Health care costs of diabetes rise because of increasing number of newly diagnosed cases of diabetes and its complications. Preventive measures in diabetes especially type 2 accounting for 90% of cases worldwide can be properly applied because most of the risk factors are well known. Prevention is less costly financial resources than the treatment, but the measurable economic and social profits will be seen in the future. The management of diabetes should be changed from traditional medical to the activity of public health. Public health messages, healt...
Medycyna Pracy, Feb 1, 2007
There is in Poland an urgent need to set criteria and recommendations for medical certification o... more There is in Poland an urgent need to set criteria and recommendations for medical certification of individuals working or taking up the job involving public safety, in which diabetes could have a particularly important and dangerous impact. In Europe, many countries have restrictions for diabetic drivers. Diabetes is identified as one of the medical conditions that may impair driving ability and thus drivers with diabetes must meet certain medical standards. The European Union legislation states that diabetic patients taking insulin are excluded from driving trucks, heavy goods vehicles, and buses, except for small trucks in "very exceptional cases". This directive is interpreted differently throughout the European Union. Several aspects should be taken into account when evaluating the current status of the medical certification: e.g., duration of diabetes, type of diabetes treatment, diabetes stability, hypoglycemias in the past, and diabetes complications.
Medycyna pracy
There is in Poland an urgent need to set criteria and recommendations for medical certification o... more There is in Poland an urgent need to set criteria and recommendations for medical certification of individuals working or taking up the job involving public safety, in which diabetes could have a particularly important and dangerous impact. In Europe, many countries have restrictions for diabetic drivers. Diabetes is identified as one of the medical conditions that may impair driving ability and thus drivers with diabetes must meet certain medical standards. The European Union legislation states that diabetic patients taking insulin are excluded from driving trucks, heavy goods vehicles, and buses, except for small trucks in "very exceptional cases". This directive is interpreted differently throughout the European Union. Several aspects should be taken into account when evaluating the current status of the medical certification: e.g., duration of diabetes, type of diabetes treatment, diabetes stability, hypoglycemias in the past, and diabetes complications.