Preferences of patients with inflammatory bowel disease for receiving specialized health services using technology: the role of Internet and other sources of medical information.

INTRODUCTION: It is notable that patients with inflammatory bowel disease (IBD) have insufficient knowledge about their disease and are willing to be more involved in their treatment. Nowadays medical information is easily available and health-related topics state the third most frequent reason for using the Internet. Therefore, patient's health-related self-awareness and willingness to take part in medical decisions have improved. The possibility of choice of specialized health services may have a positive effect on patient's satisfaction. The aim of the study was to characterize the extent of Internet use for health information among a representative sample of IBD patients and to examine the effects that Internet and other sources of information about specialized health services have on patients' choices of a doctor and hospital department. MATERIALS AND METHODS: In total, 135 IBD patients admitted to the Department of General and Colorectal Surgery at Medical University of Lodz were asked to complete an anonymous questionnaire. Only 123 fully completed questionnaires were included for analysis. The study group involved 68 women and 55 men. RESULTS: A total of 85.4% IBD patients used Internet in order to gather medical information about their disease. Age of those patients was significantly lower than of those patients who did not use Internet. The most reliable source of information about physicians was Internet. Opinions and recommendations gathered from the Internet have a notable influence on patients' preference of hospital department and attending physician. CONCLUSIONS: A majority of patients used Internet as a source of medical information related to IBD. Opinions obtained from the Internet seem to be the most reliable regarding attending physicians treating IBD patients.

Recent Advances of Metallocenes for Medicinal Chemistry.

BACKGROUND: The recent advances for the synthesis and application of different metallocenes for Medicinal Chemistry is reviewed. OBJECTIVE: This manuscript presents the different metallocene scaffolds, with special emphasis on ferrocene derivatives, and their potential pharmaceutical application. Over the last years, the synthesis of new metallocene compounds and their biological and medicinal effects against some types of diseases (e.g. anti-tumoral, antibiotics, anti-viral) have been reported. From the medicinal point of view, the attractive properties of metallocene derivatives, such as their high stability, low toxicity and appealing redox behaviors are particularly relevant. RESULTS: This area has attracted many researchers as well as the pharmaceutical industry due to the promising results of some metallocenes, in particular ferrocene compounds, in breast cancer and malaria.

[Attachment styles, childhood and adult traumatic experiences, mental states and methods of suicide attempts among psychiatrically treated women]. / Style przywiazania, traumatyczne doswiadczenia z okresu dziecinstwa i doroslosci, stany psychiczne oraz metody podejmowania prób samobójczych przez kobiety leczone psychiatrycznie.

AIM: The purpose of this study was to explore any particular personality traits and psychosocial conditions of suicidal attempts among women, especially their adult attachment styles, harmful social experiences in childhood, adult live events and mental states directly leading to suicidal effort and methods of suicide. METHOD: A group of 35 psychiatrically treated women who attempted suicide were submitted to the study. The following measures were used: Attachment Style Test, structured psychological interview. RESULTS: Women, who attempted suicide mainly described their attachment style as avoidant; the types of problems they reported as being significant were: experiences of violence in their childhood, loss of members of their families, suicide of their relatives in their adulthood, being the victims of marital violence; those women mainly felt social rejection and overdosed medications when trying to commit suicide. CONCLUSIONS: Parasuicides were characterised by avoidant attachment style and had a variety of traumatic and harmful experiences during their lifetime, that established their victimisation process and the wish of auto-destruction.

[Psychological femininity and masculinity, self-appeal, attachment styles, coping styles and strategies of self-presentation among women with suicide attempts]. / Psychiczna kobiecosc i meskosc, poczucie wlasnej atrakcyjnosci, style przywiazania, style radzenia sobie i strategie autoprezentacji u kobiet podejmujacych próby samobójcze.

AIM: The aim of this study was to diagnose particular personality characteristics of women with suicide attempts: psychological femininity and masculinity, self-appeal, attachment styles, self-presentation strategies and coping styles. METHOD: A group of 35 adult women who attempted suicide and the control group (35 women) were submitted to a research. The following measures were used: Inventory of Gender Identity (IPP), Strategies of Self-presentation Questionnaire (KSA), Attachment Style Test, Sense of Self-Appeal Scale (SPWA), Coping Inventory of Stressful Situations (CISS). RESULTS: Female suicide-attempters had a lower index of psychological masculinity and a lower sense of self-appeal than women in the control group. They were characterised by an avoidant attachment style, used a strategy of self-depreciation in self-presentation and an emotion-oriented style of coping. The predictors of risk of suicide behaviours that mainly showed: avoidant-attachment style and strategy of self-depreciation in self-presentation. CONCLUSIONS: Parasuicides were characterised by lower self-esteem and weak interpersonal skills, which reduced their ways of coping in difficult situations.