Active Case Finding among Homeless People as a Means of Reducing the Incidence of Pulmonary Tuberculosis in General Population

The incidence of tuberculosis (TB) declined more than two-fold, compared with the national average, in the northeastern region of Poland in the period of 2003-2012. During that time, four programs of active case finding of TB were conducted as part of which a total of 944 homeless individuals were examined and 21 cases of active TB were detected. 

The objective of the present study was to find out whether the observed beneficial epidemiological trend could be a result of those programs. We addressed the issue of how the active case finding programs in the homeless community affected the TB incidence in the general population using a modified crisscross SIS-type (Susceptible - Infected - Susceptible) model which describes the dynamics of TB spread between the homeless and non-homeless populations. The values calculated from our model proved highly congruent with the actual epidemiological data. 

Our analysis showed a significant decline in TB incidence within 1 year of completion of each active case finding program. The model shows that each identified and cured case in the homeless community reduced the number of new cases in the general population by 3-4 within 1 year and by up to 20 within 5 years.

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By:  Romaszko J1, Siemaszko A2, Bodzioch M2, Buciński A3, Doboszyńska A4.

• 1Family Medicine Unit, University of Warmia and Mazury in Olsztyn, 30 Warszawska St, 10-082, Olsztyn, Poland. [email protected].
• 2Faculty of Mathematics and Computer Science, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland.
• 3Department of Biopharmacy, Nicolaus Copernicus University in Torun, Collegium Medicum in Bydgoszcz, Bydgoszcz, Poland.
• 4Pulmonary Department, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland. 
• Adv Exp Med Biol. 2016 Mar 19. 

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The Mediating Role of Romantic Desolation and Dating Anxiety in the Association Between Interpersonal Competence and Life Satisfaction among Polish Young Adults

This study investigates the role of romantic desolation on life satisfaction in young adulthood. 

Using data from a Polish sample of 330 (205 females and 125 males) young adults aged 20–30, who completed Polish versions of the Satisfaction With Life Scale, Dating Anxiety Scale, Interpersonal Competence Questionnaire-Revised, and Social and Emotional Loneliness Scale for Adults-Short Form, romantic desolation (romantic loneliness and lack of a romantic partner) and dating anxiety were tested as mediators of the association between interpersonal competence and life satisfaction. 

Results revealed that single individuals reported lower life satisfaction and higher romantic loneliness than did partnered individuals. At the same time, no differences emerged between single and partnered individuals in dating anxiety or interpersonal competence. Structural equation modeling results showed that low interpersonal competence has an indirect effect on romantic desolation through higher levels of dating anxiety. Also, dating anxiety had an indirect effect on lower life satisfaction through increased romantic desolation. 

These results highlight the important role of dating anxiety and romantic desolation for explaining why low interpersonal competence is associated with diminished life satisfaction in young adults.

Below:  Structural model of interpersonal competence, dating anxiety, romantic desolation, and life satisfication. Note For ease of presentation, error terms have omitted from the model. *p < .05; **p < .01; ***p < .001

Full article at:   https://goo.gl/1VcHhg

By:  Katarzyna Adamczyk and Chris Segrin

Institute of Psychology, Adam Mickiewicz University, ul. A. Szamarzewskiego 89/AB, 60-568 Poznan, Poland

Department of Communication, University of Arizona, Tucson, AZ 85721 USA

Katarzyna Adamczyk, Phone: 48 61 829 23 11, Email: [email protected].

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Breaking the Taboo: Illicit Drug Use among Adolescents with Type 1 Diabetes Mellitus

Background. 

The aim of the study was to explore the prevalence of illicit drug use in a group of Polish adolescents with type 1 diabetes (DM1) in comparison with a national cohort of their healthy peers. 

Methods. 

Two hundred and nine adolescents with DM1, aged 15-18 years, were studied in 2013 with an anonymous questionnaire prepared for the European School Survey Project on Alcohol and Other Drugs (ESPAD). The control group was a representative sample of 12114 students at the same age who took part in ESPAD in 2011. Metabolic control was regarded as good if self-reported HbA1c was <8% or poor if HbA1c was ≥8%. 

Results. 

Lifetime prevalence of illicit drug use was lower among adolescents with DM1 than in the control group [58 (28%) versus 5524 (46%), p = 10(-5)]. Cannabis preparations were the most frequently used substances [38 (18.3%) versus 3976 (33.1%), p = 10(-5)], followed by tranquilizers, sedatives, and amphetamine. Lifetime and last 12-month use of cannabis were associated with poorer glycemic control (HbA1c ≥ 8%), p < 0.01 and 0.02, respectively. 

Conclusions. 

Adolescents with DM1 report using illicit drugs to a lesser extent than their healthy peers. The use of cannabis is associated with a poorer metabolic control in teens with DM1.

Below:  The proportion of patients who tried or did not try marijuana, according to HbA1c levels, p = 0.03; response rate to that question was 189/209.

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By:  Hogendorf AM1, Fendler W1, Sieroslawski J2, Bobeff K3, Wegrewicz K3, Malewska KI3, Przudzik MW3, Szmigiero-Kawko M4, Sztangierska B4, Mysliwiec M4,Szadkowska A1, Mlynarski W1.

• 1Department of Pediatrics, Oncology, Hematology and Diabetology, Medical University of Lodz, 91-738 Lodz, Poland.
• 2Department of Studies on Alcoholism and Other Dependencies, Institute of Psychiatry and Neurology, 02-957 Warsaw, Poland.
• 3Students' Scientific Circle at the Department of Pediatrics, Oncology, Hematology and Diabetology, Medical University of Lodz, 91-738 Lodz, Poland.
• 4Department of Pediatrics, Diabetology and Endocrinology, Medical University of Gdańsk, 80-211 Gdańsk, Poland.
• J Diabetes Res. 2016;2016:4153278. doi: 10.1155/2016/4153278. Epub 2015 Dec 29. 

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