Volume 51 (2017): Issue 1 (September 2017)

Infertility is a huge problem nowadays, not only from the medical but also from the social point of view. A key step to improve treatment outcomes is the possibility of effective prediction of treatment result. In a situation when a phenomenon with more than 2 states needs to be explained, e.g. pregnancy, miscarriage, non-pregnancy, the use of multinomial logistic regression is a good solution. The aim of this paper is to select those features that have a significant impact on achieving clinical pregnancy as well as those that determine the occurrence of spontaneous miscarriage (non-pregnancy was set as the reference category). Two multi-factor models were obtained, used in predicting infertility treatment outcomes. One of the models enabled to conclude that the number of follicles and the percentage of retrieved mature oocytes have a significant impact when prediction of treatment outcome is made on the basis of information about oocytes. The other model, built on the basis of information about embryos, showed the significance of the number of fertilized oocytes, the percentage of at least 7-cell embryos on day 3, the percentage of blasts on day 5, and the day of transfer.

This paper presents several applications of the dimensional analysis method to problems investigated in medical sciences. The method is used to analyze various complex processes without using formal laws governing the same. It is particularly suitable for a general analysis of fluid transfer (liquids and gases) in the human body. This paper mainly serves as an overview of selected applications, mostly those emerging in the recent years, and includes a discussion of the mathematical fundamentals of dimensional analysis together followed by its critical analysis. Containing detailed calculations of two examples, the paper also serves as training material in the area of the computational method of the dimensional analysis algorithm.

Reporting systems based on mobile technologies and feedback from regular citizens are becoming increasingly popular, especially as far as protection of environmental and cultural heritage is concerned. Reporting life-threatening situations, such as sudden natural disasters or traffic accidents, belongs to the same class of problems and could be aided by IT systems of a similar architecture. Designing and developing systems for reporting life-threatening situations is not a trivial task, requiring close cooperation between software developers and experts in different domains, who could possibly find industrially recognized languages and notations difficult. Thus, the question is whether using simplified graphical domain-specific languages (SGDSLs) could help in creating a common communication platform. It has been revealed that domain experts have a preference for such languages as they offer good learnability, readability and ability to focus on the idea of application. The perspective of developers (technical persons) is introduced on the basis of feedback obtained from 84 students of Computer Science at the Lublin University of Technology, who attended comprehensive workshops followed by an anonymous survey. All participants received theoretical and practical training in modeling mobile software using the same set of languages as domain experts. An analysis of the results revealed that opinions expressed by technical and nontechnical persons concerning SGDSLs oriented on defining a flow of actions is consistent. Most respondents claimed that such languages might be valuable as tools for creating a common communication platform.

The process of continuing education of paramedics is based on gaining educational credits during five-year educational periods. One of the forms of self-improvement are Internet-based educational programs. The lack of regulations concerning the organizational and technical aspects of e-learning made the authors attempt to analyze the phenomenon. The aim of the article is to present an initial analysis of the role of online educational programs in comparison with other forms of professional training of paramedics. One in three respondents has recently used one of the methods of distance learning. Despite the low awareness of the effectiveness of e-learning, almost 70% of the interviewees expressed a positive opinion about it and over 50% were willing to use such forms in the future. The respondents preferred online trainings in the asynchronous version, containing audio-visual materials and providing the possibility to obtain a certificate issued to the participant after completing the course. The demand for topics in the area of professional training included mainly the fields of Drug Therapy, electrotherapy, electrocardiogram (ECG) evaluation, medical segregation, and help in delivery in pre-hospital conditions. Modern forms of distance learning do not make it possible to acquire practical skills, yet their role in professional training of paramedics is still significant. According to the authors, online educational programs constitute an effective complement to traditional training through the performance of tasks in a mixed form, known as blended-learning.

Health behaviours of preschool children have a considerable impact on the shaping of habits later on in their lives. Parents’ and guardians’ role is to develop positive health patterns and represent exemplary models to be followed by children. The aim of the paper is to present the use of correspondence analysis for the assessment of the relationship between eating habits of parents and children, as well as for the determination of the most common situations in which preschool children consume fast-food products and to find the relationship between the frequency of fast-food consumption and BMI values in preschool children. The tests were carried out with the use of an own survey carried out in kindergartens in Białystok among parents dropping off and picking up children. 149 correctly filled questionnaires were obtained. The statistical analysis employs the chi-squared test and correspondence analysis. Among the tested children, a statistically significant relationship between body weight and sex was obtained. In the group of children and parents consuming fast-foods, a statistically significant relationship between the frequency of children’s and parents’ consumption of the products in question was noticed. A statistically significant relationship between the age of introduction of fast-food products into the child’s diet and their BMI was found. A situation that was statistically significant as far as contribution to frequent consumption of fast-food products by children, i.e. at least once a week (as compared to sporadic), were children and parents shopping together. The relationship between the frequency of fast-food consumption by parents and children was presented in the form of correspondence maps, as well as the relationship between the child’s BMI and the age when the first fast-food product is served, and the relationship between the child’s BMI and the frequency of their consumption of fast-foods. Unfortunately, despite the high awareness among parents of the harmful effects of fast-food products and the widespread health education programmes, a number of the children in kindergartens were overweight or even obese. For this reason, the quality of the educational programmes in kindergartens, as well as in various media outlets, needs to be improved, with emphasis put on their effectiveness, in order to minimise the problem of the occurrence of overweight and obesity in children. It is also important for parents rearing children to pay special attention not only to their children’s menus, but also to foods consumed in the presence of children.

The aim of this paper is to verify whether step aerobics training (SAT) has an impact on the temperature of deep muscles of the spine of young, healthy subjects and if there exists a relationship between the maximal oxygen uptake (VO2max) and thermal results. The study was conducted in a group of 21 subjects of both sexes, aged 20.2 ± 0.38. The step aerobics training sessions lasted 30 weeks, one training session per week, 60 minutes per session. Thermograms of the spine were taken with the use of an infrared thermographic camera. Instrumental measurements included BMI, vital capacity of the lungs, and maximal oxygen uptake (VO2max). After a 30-weeklong SAT, a statistically significant increase in the average temperature of the muscles of the thoracic and lumbar spine was observed in subjects of both sexes (1.2◦C and 1.28◦C, respectively, p < 0.05). At the same time, VO2max increased from 42.98 ml/kg/min to 43.6 ml/kg/min in male subjects and from 40.4 ml/kg/min to 41.1 ml/kg/min in female subjects (p > 0.05). The relationship between VO2max and temperature of the muscles of the thoracic and lumbar spine after the 30th SAT was not statistically significant (r = - 0.28; p = 0.226; r = - 0.11; p = 0.634, respectively). The study showed that a 30-weeklong step aerobics training (SAT) had a positive impact on thermoregulation of apparently healthy male and female subjects aged 20. Furthermore, it can be safely assumed that thermography may be used as a non-invasive method of examination of the thermoregulation mechanism of SAT participants.

This study was designed to determine the quality of service through the evaluation of hospitalized patients. An analysis of hospitalized patients’ subjective feelings towards service quality was carried out, in the context of the application of the SERVQUAL method. The pilot study was conducted in a Silesian hospital in a group of 29 young patients (women: 16, men: 13, average age: 16) diagnosed with kidney disease. The study used a standard sheet of 22 SERVQUAL statements and an analysis of the significance of the 5 areas of quality material important for the patient. According to the respondents, the most important of the 5 features that influence the quality of life is the ability of the ward staff to provide adequate medical services (24.48%.) The least important were the aesthetics and ergonomics of rooms (15.31%). Service quality gaps were seen in all the five dimensions as well as in the overall service quality. Hence, the following conclusions could be made: 1. The SERVQUAL method helps to identify discrepancies between perceptions of patients’ expectations in all the dimensions of quality of medical services. 2. For patients, the least important is the material dimension, whereas the one most affecting them is the dimension associated with the reliability of medical services. 3. An improvement of the level of satisfaction with the quality of medical services requires proper planning and effectiveness of implementation of health care services. 4. Research should be conducted on a larger population of patients.

Chemotherapy is one of the most common treatments used in cancer therapy despite its serious side effects, which remain a huge concern. To the most common side effects (apart from weight and hair loss) include memory and concentration problems as well as changes in taste. This paper presents a very preliminary study (with only one elderly female subject participating) focusing on cognitive dysfunction after chemotherapy in breast cancer. This phenomenon, called Cancer-Related Cognitive Dysfunction (CRCD), is a frequent occurrence. The obtained results prove the impact of chemotherapy on the participant’s ability to concentrate. The QEEG method and digital data analysis were used as the measurement methods.