<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec>
<h3>Background</h3>
<p>The benefits of introducing specific procedures in a company have been proven. They systematize the work, increases the efficiency of the enterprise and employee productivity. They also allow the owners to reduce waste and maximize the company’s profits. The standard for improving quality in the enterprise presented by the International Organization for Standardization is the 9000: 2015 norm, it is the applicable standard. Possible barriers to the implementation of the procedures and quality improvement, such as ISO standards or accreditation for dental clinics, were assessed. The main barriers include the standards’ inadequacy to the size and structure of the facility, and thus the costs of its implementation are disproportionate to the benefits for dental clinics.</p>
</sec>
<sec>
<h3>Objective</h3>
<p>The aim of the study is to assess the demand for a holistic and cross-sectional quality management system in dental clinics in Poland and to create procedures adequate to the needs.</p>
</sec>
<sec>
<h3>Material and methods</h3>
<p>The research was carried out among the owners/managers of dental clinics in the Lodz Voivodeship and their employees: doctors, dental assistants/hygienists, medical recorders/patient caregivers. The tool applied was an anonymous questionnaire in an electronic form, intended for self-completion by respondents. The study began in June 2022 and continued until 215 questionnaires were collected from dental office employees and 39 questionnaires from owners and managers. The data was compiled using the Statistica software.</p>
</sec>
<sec>
<h3>Results</h3>
<p>The presented results clearly show the need for procedures and their standardization as well as quality improvements in dental offices. More than 66.5% of employees and 68.4% of dental offices’ owners point out a positive impact and the need to introduce procedures and improve quality. As many as 72% of employees believe that it would improve work efficiency. They also present the impact of procedures on safety at work, reduction of stress factors, as well as reduction of waste and maximization of profits.</p>
</sec>
<sec>
<h3>Conclusions</h3>
<p>The presented data clearly shows that there is a need for procedures and quality improvement, both among employees as well as owners and managers. Specific procedures allow to increase the level of employees’ security, ensure the quality of services provided and ameliorate the flow of information in the enterprise. All these benefits support the creation of a holistic and cross-sectional tool that would include all procedures and quality improvement that would systematize the work of dental offices.</p>
</sec>
</abstract>

Quality Management in Dental Offices in the Lodz Voivodeship in the Opinion of the Facilities’ Employees and Owners

<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec>
<h3>Background</h3>
<p>Elderly patients using removable dentures experience a number of oral problems associated with mucosal traumatisation and the consequences of poor oral hygiene, which affect the patients’ quality of life.</p>
</sec>
<sec>
<h3>Objectives</h3>
<p>The aim of this study was to assess the quality of life associated with the oral cavity in patients over 65 years of age who use removable dentures.</p>
</sec>
<sec>
<h3>Material and methods</h3>
<p>A group of 98 patients over 65 years of age who use removable dentures were examined with the GOHAI questionnaire. Demographic data, and information on smoking, the duration of denture use and the Fox test were also taken. The dental examination assessed the condition of the oral cavity, especially missing teeth, approximal plaque index API, gingival bleeding index SBI, and prosthetic base.</p>
</sec>
<sec>
<h3>Results</h3>
<p>Sperman correlation analysis showed statistically significant differences in several variables. A statistically significantly lower quality of life was found in patients who were edentulous, smoked cigarettes, had symptoms of dry mouth, prosthetic base inflammation and SBI above 50%.</p>
</sec>
<sec>
<h3>Conclusions</h3>
<p>Patients using removable dentures mostly lack good oral hygiene, which needs to be improved by increasing their awareness of the possible consequences of neglect. Dental care should take into account factors that affect patients’ quality of life.</p>
</sec>
</abstract>

Quality of Life of Patients over 65 Years Old Who Use Removable Dentures

<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec>
<h3>Background</h3>
<p>Society in Poland and other developed countries is aging at an increasing rate, which is also reflected in the frequency of addiction among older people. This has social, health and economic implications, as older people are still active in the labor force today.</p>
</sec>
<sec>
<h3>Objectives</h3>
<p>The aim of this study is to review information on the problem of addiction to drugs, nicotine, alcohol and gambling in the elderly and to present the related difficulties in medical practice.</p>
</sec>
<sec>
<h3>Material and methods</h3>
<p>Review of publications on addiction among seniors included in the PubMed and Google Scholar database. The publications were collected between 2011–2021.</p>
</sec>
<sec>
<h3>Conclusions</h3>
<p>Addictions in older people are slightly different from addictions in younger age groups, so they should be considered separately. The elderly are particularly vulnerable to drug addiction. Seniors suffer from many chronic diseases; polypharmacy is often used to treat them. In addition, older people often struggle with insomnia and pain, which can lead to addiction to benzodiazepines and opioids. The physician plays a key role in the diagnosis and treatment of addiction in elderly patients, regardless of the type of addiction. In all cases of addiction, factors that predispose seniors to addiction should be taken into account. These are often modifiable factors, such as loneliness, a sense of rejection or inappropriate treatment of chronic diseases.</p>
</sec>
</abstract>

Addictions in the Elderly – Review Article

<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec>
<h3>Introduction and objective</h3>
<p>The L-FODMAP diet limits products that contain hard-to-digest carbohydrates and other substances that may affect the symptoms of gastrointestinal diseases. The main objective is to eat foods with a low content of poorly absorbable carbohydrates that undergo fermentation and lead to an increase in osmotic pressure in the small and large intestine. This group includes lactose, fructose, polyhydroxy alcohols (mannitol, xylitol, sorbitol), galactooligosaccharides and fructans. The aim of this work is to review the available studies and to collect information on the use of the L-FODMAP diet in gastroenterological diseases.</p>
</sec>
<sec>
<h3>Abbreviated description of the state of knowledge</h3>
<p>Research results show that there are benefits of using the L-FODMAP diet in patients with irritable bowel syndrome – in the group of patients on a L-FODMAP diet there was a significant improvement in gastrointestinal symptoms as well as an improvement in quality of life. In the remission of inflammatory bowel diseases such as colitis ulcerosa and Crohn’s disease, a reduction of symptoms and an improvement in quality of life were also observed, a reduction of symptoms and an improvement in quality of life were also observed. There have been studies on the use of this diet in gastroesophageal reflux disease, but no hard evidence of its effectiveness has been found yet.</p>
</sec>
<sec>
<h3>Summary</h3>
<p>According to the results of recent studies, we can assume that the L-FODMAP diet can reduce troublesome ailments in some gastroenterological diseases. It is also important to remember that its use can lead to the elimination of many nutrients. There may also be a negative impact on motility and intestinal microbiota. More clinical trials are needed to provide more evidence for the use of the L-FODMAP diet in these disease entities.</p>
</sec>
</abstract>

The Use and Efficacy of the Low FODMAP Diet in the Treatment of Gastrointestinal Diseases

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Journal of Health Study and Medicine

The Journal of Health Study and Medicine (JHSM) is dedicated to publish original scientific articles about all aspects of medicine, covering significant developments in the field of medical sciences, as well as a wide range of issues concerning health study and related research areas. By extending the primary scope, it is an interdisciplinary journal that bridges computer science and medicine. This allows to present the latest scientific achievements together with engineering innovations that drive the progress of medicine, such as healthcare robots, smart wearable devices, intelligent diagnostic systems, telemedicine, and medical applications focusing on artificial intelligence (AI). The AI applications may concern medical image recognition, diagnostics, individually adapted therapies, health risk assessment, virtual nursing assistants, healthcare administration, healthcare analytics, and much more. In addition, the journal covers full spectrum of medical sciences and applied AI methods such as expert systems, artificial neural networks, including deep learning, fuzzy and neuro-fuzzy systems, hybrid intelligent systems, and others. Other relevant fields such as bioinformatics, biocybernetics, and biomedical engineering, are also relevant to the scope of this journal.  Moreover, the journal is open to presenting issues at the intersection of medicine and social sciences, such as psychology, sociology, and management. In particular, we expect articles that will show the current situation of health care in individual countries (such topics as patient satisfaction with the quality of medical services and the work of medical staff, training of professional managers specialising in health care) or selected public health problems (e.g., quality of life with selected diseases, knowledge in the areas of prevention of selected diseases, etc.).   Archiving  Sciendo archives the contents of this journal in Portico - digital long-term preservation service of scholarly books, journals and collections.  Plagiarism Policy  The editorial board is participating in a growing community of Similarity Check System's users in order to ensure that the content published is original and trustworthy. Similarity Check is a medium that allows for comprehensive manuscripts screening, aimed to eliminate plagiarism and provide a high standard and quality peer-review process. 