E. Grochans’s research while affiliated with Pomeranian Medical University and other places

(1) The specificity of a nurse’s work, apart from performing medical procedures, is characterized by intensive contacts with other people. Stress is an inevitable part of a nurse’s job and can affect their physical and mental health. Thus, strategies for coping with stress play an important role in improving health or well-being by reducing the level of stress. (2) The aim of the study was to evaluate the impact of coping strategies in predicting the overall health of nurses. The study also assessed the impact of personality traits and emotional control (anger, depression, anxiety) on the choice of coping with stress among nurses. (3) The study included 811 nurses from the West Pomeranian Voivodeship, with an average age of 40 (SD = 9.8), working mainly in hospitals (82%). The research was carried out with a diagnostic survey method, using the Coping Inventory for Stressful Situations questionnaire, NEO-Five Factor Inventor, Courtland Emotional Control Care Scale, General Health Questionnaire 30, and a demographic questionnaire. (4) Among the surveyed nurses, the dominant style of coping with stress was the style focused on emotions (MT 0.43), followed by the style focused on avoidance (MT 0.42). There were mental problems among 46.1% of the respondents. Nurses with mental problems according to GHQ-30 were characterized by a high intensity of coping styles focused on emotions (30.2%), avoiding (18.7%), and engaging in alternative activities (32.3%) (p = 0.000). (5) Most of the surveyed nurses have a tendency to cope with stress through an emotional-focused style, which may be associated with a higher level of occupational stress.

Objective: Nutritional treatment is an integral part of patient management, as meeting nutritional needs significantly contributes to improving treatment outcomes and reducing complications and length of hospitalization. The aim of this study was to analyze the laboratory results of the patients enrolled in the Nutritional Therapy Program. Patients and methods: This study involved 103 subjects, aged 18-88. It was based on analysis of medical documentation of patients under the care of the Enteral Nutrition Clinic. Nutritional status was assessed by biochemical tests (urea, creatinine, AST, ALT, ALP, CRP, total cholesterol, triglycerides, INR, Na, K, Cl, Mg, Ca, P, Fe, total protein, albumin, and fasting glucose). Results: After six and twelve months, the groups with malnutrition and neurological diseases had higher levels of erythrocytes and albumin, and significantly lower CRP. The mean glucose level after six months was significantly lower compared to the first measurement, and a downward trend was observed. Calcium showed an upward trend. In cancer patients, a decline in erythrocytes was observed after six months compared to the initial measurement. Conclusions: There were significant differences in the results of laboratory tests between patients with cancer and those with malnutrition and neurological diseases. These were mainly lower levels of lymphocytes and glucose, and higher levels of platelets and CRP. Furthermore, the greatest effect of nutritional treatment was observed in patients with malnutrition and neurological diseases.

Objective: Vitamin D deficiency is a significant problem that affects the population living in most countries. This issue is independent by place of residence, sex, age or skin color. It is mainly influenced by the environment we live in and by an unhealthy lifestyle, including bad eating habits. The aim of this study was to evaluate lipid profile, glucose levels, and vitamin D levels, considering sociodemographic variables, smoking and alcohol consumption in perimenopausal women. Depressive mood was also assessed considering sociodemographic variables and vitamin D levels. Patients and methods: The study was conducted on a group of 191 women and performed in two stages. The first of them was carried out using a diagnostic survey with the use of a technique questionnaire. The applied research instruments were the author's questionnaire (concerning sociodemographic and selected medical data), and the Beck Depression Inventory. The second stage of the study involved the collection of peripheral blood from each respondent, in order to determine lipid profile, glycemia and serum vitamin D levels. Results: The age of the female respondents ranged from 45 to 65 years, mean age was 53.1 ± 5.37 years, median 53 years. Vitamin D levels were below normal in 78%; 77% had elevated total cholesterol levels; 91.6% of the respondents had high density lipoprotein (HDL) cholesterol levels within the normal range; 64.4% was characterized by too high (low-density lipoprotein) LDL cholesterol, and 84.8% of the women showed normal triglyceride levels. Among the respondents, 91.1% had normal glycemic levels. Analysis of the collected data showed a weak negative correlation between serum vitamin D levels and the levels of total cholesterol (rho=-0.14; p=0.05), LDL cholesterol (rho=-0.16; p=0.026), and triglycerides (rho=-0.22; p=0.002). Only in the case of HDL cholesterol (p=0.067), there was no statistically significant correlation. There were also no statistically significant correlations between serum vitamin D levels and glycemia or severity of depression. Conclusions: 1. The majority of the women did not manifest depressive disorders. Of all factors analyzed, only education was associated with the severity of depressiveness. 2. Smoking adversely affected serum vitamin D levels in the studied women. 3. The cessation of menstruation affected carbohydrate metabolism and vitamin D levels. Blood glucose levels increased with the age of the studied women. 4. Relationships were found between the levels of vitamin D and the levels of total cholesterol, LDL cholesterol, and triglycerides. Therefore, it is important to maintain normal vitamin D levels.

Objective: The aim of this study was to compare psychosocial functioning as well as the quality of life of young adults after orthognathic procedures and healthy individuals. Materials and methods: The study included 124 respondents aged between 16 and 25 years, 65 of whom had undergone orthognathic surgeries, and 59 healthy individuals. The study was carried out using a diagnostic poll method with both standardized tools and the author's own questionnaires: Authors own questionnaire, 'How do you cope?' Questionnaire, Emotional Intelligence INTE Questionnaire, The List of Personal Values (LOPV), The Satisfaction with Life Scale (SWLS), and The Short Form Health Survey (SF-36 v2). Results: Patients after orthognathic procedures more frequently actively dealt with problems and sought social support rather than concentrating on emotions in terms of dispositional ways of coping with difficult situations. A statistically significant difference was established in the concentration on emotions subscale (CoE) for which lower average value was observed in the study group. Study and control groups differed in terms of the ability to recognise, understand, and control their own and other's emotions. Conclusions: Respondents from both groups similarly perceived personal values pointing to love and friendship, health, intelligence as well as happiness as the most important ones. Both patients after orthognathic procedures and healthy ones assessed their life satisfaction on an average level. A link between the choice of the strategy of coping with difficult situations and the fact of having undergone an orthognathic procedure exists. Patients after surgical procedures, in comparison with healthy individuals, less frequently opted for the concentration on emotions (CoE) strategy.

Objective: An assessment of the scale of Internet addiction among young adults and seeking relationships between Internet addiction and chosen sociodemographic variables, perceived social support, prevalence of depressiveness, and excessive daytime sleepiness. Patients and methods: The study was carried out using a diagnostic poll method with author's own questionnaire as well as standardized diagnostic tools: The Internet Addiction Test (IAT), the Beck Depression Inventory (BDI), The Epworth Sleepiness Scale (ESS), as well as The Multidimensional Scale of Perceived Social Support (MSPSS). Results: The study was conducted on 567 individuals. Pathological Internet use was identified in 1.41% of the surveyed. Perceived social support was significantly lower in the group of respondents who pathologically used Internet in comparison with ones who used Internet in the proper way. Severity of depressiveness symptoms and daytime sleepiness was significantly higher in respondents who were addicted to Internet in comparison with not addicted individuals. Conclusions: The scale of pathological Internet use among surveyed was low. Problematic Internet use refers to women and men to the same degree, as well as to single people and individuals in relationships. Persons who work and do not study as well as residents of large and medium cities more frequently use Internet in a more pathological way than individuals who study and live-in small cities and in the countryside. Internet addiction creates a significant relationship with the prevalence of more severe symptoms of depressiveness and excessive daytime sleepiness, whereas pathological pattern of Internet use more often concerns individuals whose perception of social support is low.

OBJECTIVE: Craniofacial defects are functional imbalances of their structures. Impaired speech and facial deformities hinder adolescents’ ability to fulfill social roles. The optimal age for a patient to be qualified for or- thognathic surgery is between 16 and 30 years. PATIENTS AND METHODS: The study sample consisted of 65 patients after bimaxillary orthog- nathic surgery performed in the Head and Neck Surgery Department with Craniofacial Surgery Subdivision in Provincial Specialist Children’s Hospital in Olsztyn. The research tools used in the study were: the author’s questionnaire con- cerning sociodemographic data, and the follow- ing standardized questionnaires: the ‘How Do You Cope?’ questionnaire, the Emotional Intelli- gence Questionnaire (INTE), the List of Person- al Values (LOPV), the Short Form Health Survey (SF-36), the Satisfaction With Life Scale (SWLS). RESULTS: The study demonstrated a positive correlation between the levels of QoL and gener- al life satisfaction according to the SWLS. A neg- ative relationship was observed between QoL and dispositional coping according to the ‘How do you cope?’ questionnaire. The emotion-fo- cused coping strategy in the category of dispo- sitional coping negatively correlated with eight of the SF-36 domains. CONCLUSIONS: Young adults after bimaxil- lary orthognathic procedures show a high lev- el of QoL. The level of QoL depends, among oth- ers, on the level of emotional intelligence. Better ability to recognize emotions is associated with higher QoL in the domain of general health.

Objective: When speaking of behavioral addictions (especially to the Internet and social media), it is emphasized that it is not the environment that is the main contributor to addiction, but rather certain behaviors and personality traits. The aim of this study was to assess the level of Internet and social media addiction on the example of Facebook with regard to psychological and social factors. Subjects and methods: This survey-based study involved a group of women representing the female population in the West Pomeranian Voivodeship, Poland (N = 556). Research instruments were a self-developed questionnaire concerning sociodemographic data, the De Jong Gierveld Loneliness Scale, the Beck Depression Inventory, the Internet Addiction Test, and the Bergen Facebook Addiction Scale. Results: Age, depressive symptoms, loneliness were the variable contributing to Internet and Facebook addiction among the studied. Available studies confirm the results of their own research. Conclusions: Depressive symptoms and dependence on the Internet and Facebook were more common among single women. In the employed women, we only observed higher levels of Internet and Facebook addiction. The level of dependence on the Internet and Facebook was higher among younger women. Loneliness correlated with Internet and Facebook addiction, and more severe depressive symptoms entailed higher levels of Internet and Facebook addiction.

Maxillofacial fractures (MFF) belong to the major modern medicine and public health concerns. The recovery from MFF is associated with a number of social problems. The patient’s mood may be affected by the change in self-image and lack of satisfaction with life, in many cases leading to a deepening of mental health disorders, resulting in alcoholism, loss of job or conflicts in the area of family life. The aim of this study was to evaluate the quality of life of patients with MFF, with respect to demographic and medical variables. The mean age of the 227 patients was 36 years. The mandible was the most frequent MFF location (52.9%), followed by the zygomatic bone (30.8%) then the maxilla (16.3%). Bone fracture displacement occurred in 79.3% of patients. A comminuted fracture was found in 71% of patients. The quality of life of patients with MFF was significantly better in all analyzed domains 3 months after the end of hospitalization compared to the initial survey carried out shortly after implementation of the treatment. Among the demographic variables, older age had a statistically significant but weak positive association with the improvement of the quality of life of respondents in General health perception domain.

Health behaviours are actions taken by a person in the field of health. Risky behaviours are those that pose a threat to health. Bioelements are essential for the proper functioning of every organism. Their trace amounts are necessary for life and health. The aim of this study was to determine the relationship between health behaviours and the levels of bioelements in the blood serum of secondary school students. This survey-based study was carried out on a sample of 376 secondary school students aged 13-16 years. It was performed using the HBSC questionnaire (Health Behaviour in School-aged Children: A WHO Collaborative Cross-national Study). Next, cubital vein blood was collected for laboratory tests, and the levels of bioelements (Mg, Ca, Cu, Fe, Zn) in blood serum were determined. The analysis of the research material did not demonstrate substantial differences in the mean serum levels of Ca, Mg, Zn, Cu, Fe between smokers and non-smokers, alcohol consumers and non-consumers, drug users and non-users. There were no statistically significant correlations between the levels of bioelements and the frequency of drinking beer and vodka (p > 0.05). A statistically significant correlation was observed between Cu levels and drinking wine (p ≤ 0.05). Subjects showing aggressive behaviours (getting into scuffles) had lower Mg and Zn levels than other secondary school students. There were weak but statistically significant correlations between Cu levels and the frequency of wine consumption, and between serum Zn levels and smoking marijuana among the subjects. © 2016, Polish Society Magnesium Research. All rights reserved.