Medical Review T. 14, z. 4 (2016)

URI dla tej Kolekcjihttp://repozytorium.ur.edu.pl/handle/item/2653

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Application of the log-linear analysis to choose determinants of disability among the elderly residents of south-eastern Poland
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2016) Ćwirlej-Sozańska, Agnieszka; Sozański, Bernard; Wilmowska-Pietruszyńska, Anna
Introduction: Many variables in research in the area of medical and health sciences are qualitative in nature. A common statistical tool used to analyze them is the χ2 test. However, it does not allow us to assess the relationship between a number of variables and distinguish the factors determining the investigated phenomenon. A more accurate tool is the log-linear analysis, which enable the researcher to evaluate the dependences and interactions between the studied variables. Purpose: Description of the use of log-linear analysis on the example of the cross-sectional study on disability of the elderly. Material and methods: The assessment of disability and the choice of the factors that determine it was carried out on the results of a survey of 800 randomly selected people aged 71-80 years from the area of south-eastern Poland. The research tool was a WHODAS 2.0 questionnaire and a respondent’s particulars. The log-linear model was used for the analysis. In order to evaluate the fitting of the model, the Pearson’s χ2 and the χ2 maximum likelihood statistics, R2 and A coefficients were used . Results: Education, adjustments of a house / flat, physical exercises have a significant impact on the prevalence of disability in the study group . Conclusions: The log-linear analysis allows us to determine the effect not only of individual variables on the formation of an independent variable, but also their interactions and the determination the odds occurrence of a dependent variable according to different qualitative categories of dependent variables. The information obtained in this way is a valuable clue to take practical action to decrease or increase the severity of the studied phenomenon.
Assessment of functional capacity and the risk of falls in the elderly with mild and moderate stage dementia
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2016) Skubal, Anna; Sudoł, Izabela; Ciąpała, Gabriela; Ćwirlej-Sozańska, Agnieszka; Wiśniowska-Szurlej, Agnieszka; Wilmowska-Pietruszyńska, Anna
Introduction: Dementia is a common problem among the elderly. Cognitive impairments may cause difficulty in performing basic activities of daily living. The deterioration of physical and / or mental capacity can lead to the necessity of institutional care over patients. Aim: To assess functional capacity and the risk of falls in the elderly with mild and moderate dementia. Material and Methods: The study group included 146 people aged 60-90 residing in the Residential Home as well as Care and Treatment Centre in the south-eastern Poland. Cognitive and functional capacity, balance, and the risk of falls were assessed using the following scales and clinical tests: the Mini-Mental State Examination (MMSE), Geriatric Depression Scale (GDS), Activities of Daily Living (ADL), Time Up & Go test, Tinetti test, Berg Balance Scale. Results: It has been demonstrated that individuals with dementia were characterized by reduced capacity in performing basic activities of daily living. More than half of the patients with mild and moderate dementia presented 5-times higher risk of falls than those without dementia. Moderate risk of falls was observed in 76.1% of patients with moderate dementia. Conclusions: Cognitive impairments decrease the capacity to perform basic activities of daily living. The higher the stage of dementia, the worse the balance and the greater the risk of falling. It is necessary to develop simple rehabilitation programs allowing to maintain the highest possible level of functional capacity in the elderly patients with dementia under institutional care.
Leisure Time Physical Activity of 11-year-old Children from the District of Rzeszow
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2016) Milewska, Natalia; Wiśniowska-Szurlej, Agnieszka; Rejman, Ewelina; Ćwirlej-Sozańska, Agnieszka; Wilmowska-Pietruszyńska, Anna
Introduction: Physical activity is an integral part of human life. Younger school age is a period in which child’s development is conditioned by their activity. Physical stimulation during this period is important from a medical and psychological perspective. The aim of the study was to evaluate the influence of sociodemographic factors on the level of physical activity and ways of spending leisure time by 11-year-old children from the district of Rzeszow. Material and methods: The study group consisted of 313 primary school children from the district of Rzeszow, 75 pupils from the city and 238 from rural areas, 164 girls and 149 boys aged 11. The study was conducted by means of a diagnostic survey in a form of a questionnaire prepared by the researchers. Results: In the study group, no significant statistical differences between a place of residence and a number of days devoted to physical activity by children were found. The most common form of activity in their leisure time were classes at the swimming pool and table tennis. The most popular passive form of leisure was watching TV. Statistically significant differences between gender and the amount of time spent at the computer were found. Boys spent more time at the computer than girls. Conclusions: There was no relationship between social environment and the level of physical activity and the way of spending leisure time in the tested children. Boys spent more time on passive forms of recreation. Statistically significant correlation between gender and time spent at the computer was found.

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Przeglądanie Medical Review T. 14, z. 4 (2016) według Autor "Ćwirlej-Sozańska, Agnieszka"