Maria Bujnowska-Fedak

Wroclaw Medical University

Background. Autism spectrum disorder (ASD) is a neurodevelopmental disorder that manifests itself in early childhood. Early diagnosis of these disorders allows for the initiation of early therapy, which is crucial for the child's further functioning in society. Objectives. This review aims to gather and present the existing ASD screening tools used...

Objective The aim of this scoping review was to investigate the published literature on written assessment of communication skills in health professionals’ education. Methods Pubmed, Embase, Cinahl and Psychnfo were screened for the period 1/1995-7/2020. Selection was conducted by four pairs of reviewers. Four reviewers extracted and analyzed the...

The study aims to determine the impact of low-intensity exercise and psychoeducation on depressive symptoms and self-perceived stress in women with metabolic syndrome (MetS). Seventy-four women (mean age 69.35 ± 7.20) were included in the study. Participants were divided into two groups: those with MetS (n = 33) and those without MetS (n = 41). Sub...

Background: The aim of the study was to compare the emotional state and strength-velocity parameters of patients with frailty and pre-frailty syndrome undertaking a 12-week training programme. Methods: The study was completed by 36 individuals, including 17 with frailty syndrome (FS) and 19 with pre-frailty syndrome (PFS). The age of the subject...

Vaccination is the most effective preventive measure that reduces the risk of influenza and post-influenza complications. It prevents influenza-related hospitalizations and deaths in 50-60% and about 80% of patients aged over 65, respectively. There is the clinical plausibility of the association between serum vitamin D (VIT D) content and viral re...

In Poland, as in many countries around the world, e-health services are becoming more and more popular. Obligatory e-sick leave was implemented, followed by e-prescriptions and e-referrals. Therefore, it is worth considering the introduction of a complete electronic health record (EHR) that can be accessed by doctors and patients. The main aim of t...

The number of Internet users searching for health-related issues increases significantly every year. The aim of this study was to investigate whether and how the information about health and disease obtained from the Internet by patients influenced them and how different e-health services can affect the patients’ choice of the doctor. The research...

Background: Frailty is a multidimensional clinical state that is common in older age and can be managed through intervention. Strategies to manage frailty have not been previously explored with stakeholders in Poland. This may stem from misperceptions about the nature and malleability of frailty, which has resulted in it being viewed as a lower pri...

Background: Age-related frailty is a multidimensional dynamic condition associated with adverse patient outcomes and high costs for health systems. Several interventions have been proposed to tackle frailty. This correspondence article describes the journey through the development of evidence- and consensus-based guidelines on interventions aimed...

The Internet is increasingly used for health-related purposes and evolves with the ever-changing needs of patients. The aim of this study was to assess the level of reliance on the Internet as a health information source, to examine which online communication activities are the most common for health purposes, and to determine the attitudes and nee...

Background: Health and social care interventions show promise as a way of managing the progression of frailty in older adults. Information technology could improve the availability of interventions and services for older adults. The views of stakeholders on the acceptability of technological solutions for frailty screening and management have not...

The aims of this paper are to reflect upon the experiences of researchers involved in a cross-national qualitative study with stakeholders in three European countries (Italy, Poland and UK), within the context of the FOCUS project on frailty management and optimisation (see http://focus-aha.eu/en/home). Six researchers’ reflections were gathered us...

Advances in mobile technology constitute a promising and evolving trend that enables better access to health care especially for the elderly, disabled, and chronically ill. It overcomes geographical, temporal, and organizational barriers at low and affordable costs. The aim of the study was to evaluate the needs and expectations of Polish citizens...

This text referring directly to the diagnosis and treatment of hypertension in elderly patients is a translation of a fragment of REMEDIA NT 65+ GP published in the “Lekarz POZ” (GP Practitioner) journal 4/2018.

Background The objective of this study was to explore the issues surrounding access to health and social care services for frail older adults with Polish stakeholders, including healthy and frail/pre-frail older adults, health care providers, social care providers, and caregivers, in order to determine their views and perspectives on the current sy...

[This corrects the article DOI: 10.1371/journal.pone.0180127.].

Objective To elicit European healthcare policy-makers’ views, understanding and attitudes about the implementation of frailty screening and management strategies and responses to stakeholders’ views. Design Thematic analysis of semistructured qualitative interviews. Setting European healthcare policy departments. Participants Seven European heal...

Understanding frailty: meanings and beliefs about screening and prevention across key stakeholder groups in Europe – CORRIGENDUM - RACHEL L. SHAW, HOLLY GWYTHER, CAROL HOLLAND, MARIA BUJNOWSKA, DONATA KURPAS, ANTONIO CANO, MAURA MARCUCCI, SILVIA RIVA, BARBARA D'AVANZO

Innovative methods to manage frailty are critical to managing the needs of an ageing population. Evidence suggests there are opportunities to reverse or prevent frailty through early intervention. However, little is known about older adults’, families’ and practitioners’ beliefs about the malleability of frailty. This study examined European stakeh...

Frailty is a common condition in older age and is a public health concern which requires integrated care and involves different stakeholders. This meta-synthesis focuses on experiences , understanding, and attitudes towards screening, care, intervention and prevention for frailty across frail and healthy older persons, caregivers, health and social...

CASP-qualitative-research-checklist. (PDF)

Search strategy. (DOCX)

Table of summary of findings and conclusions from included studies. (DOCX)

Table of characteristics of included studies. (DOCX)

PRISMA 2009 checklist. (DOC)

Zespół słabości (ZS) jest dynamicznym stanem charakteryzującym się zmniejszeniem fizjologicznych rezerw organizmu, osłabieniem odporności na czynniki stresogenne oraz zaburzeniami funkcjonowania układów ciała. W ZS dochodzi do zmniejszenia masy ciała i siły mięśniowej, problemów z poruszaniem się, utrzymaniem równowagi oraz do zmniejszenia aktywnoś...

Frailty syndrome is a state of decreased homeostatic capacity against stress. It is an independent risk factor for subsequent mortality , institutionalization, multimorbidity, falls, incontinence, and immobility. Frail people have a significantly reduced quality of life, as well as being the largest users of healthcare services. A proven direct lin...

Objectives: Assessment of clinical communication helps teachers in healthcare education determine whether their learners have acquired sufficient skills to meet the demands of clinical practice. The aim of this paper is to give input to educators when planning how to incorporate assessment into clinical communication teaching by building on the au...

Over the last several decades, the growing number of patients with geriatric problems has become a serious challenge for primary care physicians. Frailty is an often encountered condition in older age. This is a state of increased vulnerability and loss of total physiological reserves, needed to maintain physiological and psychosocial homeostasis....

The goal of FOCUS, which stands for Frailty Management Optimization through EIPAHA Commitments and Utilization of Stakeholders’ Input, is to reduce the burden of frailty in Europe. The partners are working on advancing knowledge of frailty detection, assessment, and management, including biological, clinical, cognitive and psychosocial markers, in...

Background: In Poland, like in other European countries and in accordance with the global trend, the number of computer users and people who have access to the Internet has increased considerably. The study investigates trends and patterns of Polish health-related Internet use over a period of seven years. The main objective of the study was to es...

Background. Telemedicine is the most modern form of the provision of medical services, applicable in situations where the patient and the doctor are not in the same place. Objectives. The aim of the study was to determine the attitudes, knowledge and application of telemedicine applications in the work of doctors and physiotherapists. Material and...

The purpose of our study was to determine the factors affecting the level of services provided in primary health care among patients with chronic respiratory diseases. The study group consisted of 299 adults (median age: 65, min-max: 18-92 years) with mixed chronic respiratory diseases, recruited from patients of 135 general practitioners. In the a...

E-patients 'empowered' by Web information are much more likely to participate in health care decision processes and take responsibility for their own health. The purpose of the study was to determine the influence of Internet use and online health information on the attitude, behavior, and emotions of Polish citizens aged 50+, with special regard t...

Maria Magdalena Bujnowska-Fedak, Urszula Grata-Borkowska Department of Family Medicine, Wroclaw Medical University, Wroclaw, Poland Abstract: Telemedicine-based care provides remote health and social care to maintain people's autonomy and increase their quality of life. The rapidly aging population has come with a significant increase in the preval...

Internet and e-health services have a substantial potential to support efficient and effective care for the elderly. The aim of the study was to investigate the use of Internet for health-related purposes among Polish elderly, the frequency and reasons of use, the importance of e-health services, and factors affecting their use. A total of 242 elde...

Influenza vaccination is recommended to patients from groups at risk and to healthy persons alike. It is not completely clear whether persons vaccinated every year benefit more from the vaccination in any given season in comparison with those who are vaccinated for the first time. The aim of the study was to analyze whether influenza vaccination in...

Background. Polish population is a rapidly aging population. Impairment of cognitive function becomes a growing problem. An early detection of disturbances increases the chance of treatment and facilitates care of the patients. Objectives. The aim of the study is to compare diagnostic sensitivity of the MoCA (Montreal Cognitive Assessment) and MMSE...

Background. The process of the progressive ageing of the population is an inevitable consequence of the extension of life expectancy. Physical activity and overall physical fitness directly affect the reduction of morbidity and mortality, and leads to self-reliance, the ability to participate in society and the family, and substantially influence t...

Background: E-health has a substantial potential to improve access to as well as support efficient and effective care for the elderly. Questions remain and must be addressed, however, regarding the challenges faced by the elderly in the use of this technology. The aim of the study was to assess the attitude (needs) and preferences of the elderly i...

Telemedicine is the most modern form of the provision of medical services using advanced achievements and telecommunications for remote monitoring of patients at a distance. For several years, telemedicine methods have clearly focused and tailored to the problems of the elderly. Telemedicine has been used in virtually all fields of medicine. Its br...

Background. As for years the authors deal with various aspects of rapid diagnosis tests, they decided to see how these tests are useful in the population of elderly patients. Material and methods. The authors analysed a number of diagnostic tests done in a selected population of family doctor practice in Wroclaw in 2012. For the purposes of researc...

Background. Sedentary lifestyle, common in the elderly population, and therefore lack of necessary physical activity, causes deterioration of functional capacity of human aging, increasing the probability of occurrence or worsening disease course, where the main risk factor is lack of exercise. Objectives. The aim of this study was to conduct a com...

Background. In the Department of Family Medicine for 10 years the authors have performed a survey each year to assess the quality of teaching of the subject being taught Family Medicine in the 6th year of study. They include Polish language students, and for 4 years also those from English Division. During training the authors expect the students t...

Telemedicine combines the needs of patients and technological progress, crossing the barriers of traditional health systems. In Poland, telemedicine has not yet been widely available and is not financed by public funds, but there is a growing awareness of its importance and the need to align the level of our telemedicine services with leading Europ...

In the last two influenza seasons - 2009/2010 and 2010/2011 - serotype H1N1 influenza type A took a central place among the strains causing viral illness in our country. Publicity by the media has resulted in an increased interest of patients in diagnosis of flu and flu-like infections. Until recently we had had no tool which could confirm presence...

The knowledge about the relationship between health-related activities on the Internet (i.e. informed citizens) and individuals' control over their own experiences of health or illness (i.e. empowered citizens) is valuable but scarce. In this paper, we investigate the correlation between four ways of using the Internet for information on health or...

Background. In adults as well as in children and young people there is an increase in the number of diagnosed allergic disease. This phenomenon mainly concerns urban environments. According to data provided by various authors increased incidence may be related to air pollution, passive smoking and poor socio-economic conditions. There is rather few...

Backgroud. On a daily basis, family doctors diagnose and treat a variety of diseases and problems. Family practice is general and universal, and the doctor demonstrates competence in many issues and his care covers the whole of human health problems. Objectives. The aim of the study was epidemiological analysis of diseases in general practice, the...

Background. Every educational programme may contain mistakes despite even the most precise theoretical assumptions. Even when the programme is perfectly arranged, its proper implementation relies on the competence and commitment of a team of people working on it. In order not to fall into complacency and routine, we decided to check, by means of an...

Telehome care has been proposed as a solution to the challenges of providing effective and affordable care for patients with diabetes. A total of 100 adult patients with type 2 diabetes-divided between insulin and noninsulin requiring-was enrolled in a randomized, controlled trial aimed at investigating the effects of telehome monitoring. The exper...

Background. Gastric reflux disease very often manifests as cough and coexists with bronchial asthma. Objectives. The aim of this study was to observe patients with asthma and gastric-esophageal reflux. Material and methods. The material consisted of patients (83 patients, 49 men and 34 women) under gastrologist, asthma specialist and physician's ca...

Background. For over 15 years in the Department of Family Medicine at Wroclaw Medical University a specialized training of doctors in family medicine has been conducted. Objectives. The aim of the study was the detailed analysis and evaluation of various forms of education in family medicine training and learning about doctors' opinions as to the c...

Background. Family doctors provide health care services independently and in cooperation with other health care units, depending on current needs and opportunities in the local community they serve. It is estimated that only 10 to 25% of patients reporting to a doctor in primary health care requires specialist treatment. Objectives. The aim of this...

Background. For several years in the Department of Family Medicine at Wroclaw Medical University teaching of English Division (ED) students on the subject of family medicine has been carried out. Objectives. The aim of the study was the detailed analysis and evaluation of different forms of family medicine training and assessment of the attractiven...

Background. Telemedicine is a relatively young way of practising medicine based on data remote transfer. High density ECG (ECG-HD) is the method that allows improving signal resolution according to the standard one. In our department we have found this technique interesting and potentially helpful for family doctors, and we have decided to check it...

In the article the authors report screening tests available in Poland that allow family doctors to set the proper diagnosis and treatment during ongoing medical examination. Those tests are not expensive, not timeconsuming and easy to obtain in Poland. In the article the authors present both urea, blood and feces tests. The maximum time to obtain t...

Use of the Internet for health purposes is steadily increasing in Europe, while the eHealth market is still a niche. Online communication between doctor and patient is one aspect of eHealth with potentially great impact on the use of health systems, patient-doctor roles and relations and individuals' health. Monitoring and understanding practices,...

Chronic diseases cause negative consequences in many spheres of life: decrease the overall fitness and physical and mental condition, influence the rhythm of daily life, reduce the activity of the patient's life, affect relationships with others and even hierarchies of values. New perspectives are offered by telemedicine technology development, whi...

Chronic kidney disease (CKD) is a civilization disease. Despite clear criteria CKD is still undiagnosed as its progress is slow and hidden. We estimate there are 4.5 million patients suffering different stadia of chronic kidney disease, and the number is systematically increasing. In the paper we review most important therapeutic rules important fo...

Background. It is difficult to grasp within statistics a real picture of problems and issues which a family physician is engaged in his daily work. A patient visits his doctor with a great deal of various complaints, which not always have the anatomicopathologic background and mean the disease but always require his careful attention, support and s...

Background. The aim of this study was to establish the prevalence of selected chronic respiratory diseases and diabetes in population covered by the care of General Practitioner from the Health Centre "Medra" in Kecedil;pno. Material and methods. The study involved 2500 patients. The diagnosis of asthma and COPD was based on medical history, physic...

Background. A family doctor holds a continuous and comprehensive care for his patients and his activity is an unique synthesis of many actions. Medical services are made either self-dependently or in a collaboration with other health-service's units, depending on needs and capabilities of local community. Objectives. The aim of this research work w...

Background. For many years diarrhoeas in children have been a significant epidemiological, clinical and social problem both in highly developed and developing countries. In Poland rotaviruses are responsible for 20-50% of acute diarrhoeas in children, and 5.2/1000 children under two years of age are admitted to hospital due to rotavirus infection....

Background. Ultrasound examination in the neck region can be a useful diagnostic tool in primary care, however formally it does not belong to the competence of the family physician. Ultrasound of the neck region can facilitate the confirmation or elimination of many abnormalities. Objectives. The aim of the study was defining the usefulness of ultr...

Background. Abdominal pains are one of the commonest complaints appeared in primary care and regardless of its acute or chronic character, require deep differential diagnosis. Abdominal ultrasound becomes often the first and very useful diagnostic investigation for which the patient with non-specific abdominal pain is referred. Objectives. The aim...

Background. E-Health is rapidly growing branch of medicine, and number of internet users seeking health information is increasing each year. E-Health services include electronic files, electronic health record (EHR), on-line health services, telemedicine services, internet portals offering health information and others. Objectives. The aim of the s...

We investigated the use of the Internet for health-related purposes in Poland. A telephone survey was performed of 1027 people between 15 and 80 years old who were selected from the Polish population by random sampling. The study showed that the Internet was used by 47% of the respondents (n=483) and 37% of the respondents (n=376) had used it at le...

Urinary bladder cancer is the second frequent neoplasm of urinary system and significant cause of morbidity and mortality in the world. Mortality of urinary bladder cancer is especially high in some countries in Eastern Europe, unfortunately including Poland as well. Early diagnosis and proper treatment is crucial for better prognosis. Therefore au...

From the clinical point of view the urinary bladder cancer can be divided into two forms: superficial bladder cancer (not infiltrating a muscular coat) and invasive bladder cancer - infiltrating a muscular coat. In case of superficial bladder cancer the treatment is directed especially into prevention of progression and reoccurrence of the disease....

Background. In epidemiological studies perinatal and infantile mortality may be treated as indicators of health care system status, because lowering those demands not only additional funding but also continuous professional training and excellent job organization among medical personnel. They are also indicators of general consciousness and health...

European citizens are increasingly being offered Internet health services. This study investigated patterns of health-related Internet use, its consequences, and citizens' expectations about their doctors' provision of e-health services. Representative samples were obtained from the general populations in Norway, Denmark, Germany, Greece, Poland, P...

Objective The authors of this study have attempted to develop a noninvasive therapeutic method, which aims to restore proper trophicity within the small pelvis. They made an attempt to assess the efficacy of the physiotherapeutic procedures aimed at moderating the severity of symptoms in patients suffering from benign prostatic hyperplasia (BPH) an...

Purpose of this work was to judge progress of diagnosed bronchial asthma among children and youth that are exposed on tobacco smoke in aspect of number of exacerbation of disease, therapy (doses of corticosteroids) and number of hospitalizations. There were two groups of patients with bronchial asthma under examination, first one were children and...

Background. Pelvic floor muscle training is a very important method in conservative treatment in women with urinary incontinence. The regular training strengthens the skeletal muscles, which support the urinary bladder and the urethra, by means of increasing the number of active motoric units and increasing the muscle volume due to its physiologic...

Background. Pharmacological therapy, alongside physiotherapeutic methods, plays an important role in the treatment of patients with urinary incontinence. The most classical drugs are anticholinergics, including oxybutynine. The anticholinergics are urinary bladder relaxants, inhibit uncontrolled detrusor muscle contractions, are local anaesthetics...

Telemedicine is defined as medicine practised at a distance and, as such, it encompasses both diagnosis and treatment as well as medical education. Telemedicine presents profound opportunities and challenges to general practice. The tele-home care system is able to provide remote consulting and education of the patients by voice and picture (with t...

The concept of patient-centred medicine is not new and patients in primary care strongly want a patient-centred approach. However the method is widely advocated, implementation in general practice is still limited and insufficient. The proper structure of the doctor-patient consultation should consist of four elementary phases: the intake - clarify...

Treatment in health resorts is the organized activity towards prevention, chronic diseases treatment and rehabilitation and stabilization of previously received medical results by triggering action on human body. The fundamental directions of health resorts activity are treatment, rehabilitation, prevention and education. During treatment in the he...

A telemedicine support system for diabetes management was compared with standard monitoring of patients with diabetes. The telemedicine system was composed of two modules: a Patient Unit and a Medical Unit connected by the telecommunication network. The study involved 60 patients of family doctors' practices in the Lower Silesia Region who were dia...

Passive cigarette smoking is an important medical problem; it concerns first of all children as an injurious environmental factor affecting their health. Results of the conducted questionnaire and evaluation of the CO concentration in exhaled air proved the injurious exposure to be the cigarette smoke. The study showed more often allergy, bronchial...

The main goal of the most European telemedicine programs is to increase access to emergency and primary care; however, telemedicine presents both profound opportunities and challenges to general practice/family medicine. The aim of this project is to develop and demonstrate a regional primary care teleconsulting system in Poland linking an academic...

ABSTRACT, РЕЗЮМЕ Paper presents,the short description ofthe,project which,is realizing within the confines of telemedi- cine program for the family doctor. The main idea of this project is constructing intelligent, easy ac- cessible database, which can be helpful for the daily practice of family physician. The section 1 pre- sents idea of our proje...