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Introduction and purpose: the Terminology Guidelines of the American Hippotherapy Association defines Equine Assisted Activities or Therapies (EAA/T) as a collection of different forms of contact between man and horse. EAA/T have become increasingly common interventions in the last decade, demonstrating therapeutic benefits in various areas of mental health. The aim of this report is to identify the forms and programmes of EAA/T that are used and to summarise and assess the latest available evidences of their clinical effectiveness in the treatment of symptoms of mental ilness and disorders such as autism spectrum disorders, post-traumatic stress syndrome or schizophrenia. In order to achieve the above mentioned objectives, a literature review has been conducted to summarise existing evidence relating to the subject matter of the study in a descriptive manner. Description of the state of knowledge: 13 findings were found in autism spectrum disorders (1 review paper and 5 research papers), post-traumatic stress syndrome (1 review paper and 4 research papers), schizophrenia (1 review paper), and children whose parents were addicted (1 research paper). Summary: the results of the research indicate that Equine Assisted Activities and Therapies (EAA/T), including horse riding, may be beneficial for people with mental illnesses and disorders, such as autism spectrum disorders, post-traumatic stress syndrome, schizophrenia, and for people whose parents were addicted.

Introduction: Obesity is definied as having an excess of body weight caused by a chronic caloric imbalance with more calories being consumed than expended each day. There are over 2.1 billion individuals with obesity around the world. Body mass index (BMI), which is weight in kilograms divided by height in meters squared, is used to identify individuals with obesity. For adults, a BMI of 25.0 to 29.9 kg/m2 is defined as overweight and a BMI of 30 kg/m2 or higher is defined as obese.The aim of the study: The purpose of this systemic review was to collect and analyse current and new information on obesity, its impact on mental health and vice versa.Material and method: Standard criteria were used to review the literature data. The search of articles in the PubMed database was carried out using the following keywords: obesity, mental health, diet, depression, anxiety.Description of the state of knowledge: There are numerous studies about obesity and other factors. Obesity can be the cause of depression, often due to stigma and discrimination, however depression could be also a reason of development of obesity. There was found bidirectional relationship – obesity increased the risk of depression by 55% and depression increased the risk of obesity by 58%. Studies show that anxiety or post-traumatic stress disorder (PTSD) may be associated with obesity and considered as its risk factor. Another disorders, such as Seasonal Affective Disorder (SAD) and Premenstrual Syndrome (PMS) may also cause obesity.Summary: Obesity has complicated and multifactorial etiology. Discovered dependencies and conducted research will allow to find new therapeutic paths and isolate people at risk. However more research is needed to fully understand problem of obesity and all its dependencies.

Introduction and purpose: Coronary artery disease (CAD) is a leading cardiological problem in modern society. A special form of CAD is the Chronic Total Occlusion (CTO), which affects about 20% of visible coronary artery lesions. The aim of the study is to present the role of myocardial perfusion scintigraphy performed on patients with CTO, and scintigraphic findings in these patients.Material and method: It was a retrospective study. We analized studies in patients with CTO reported in medical history. We included studies performed between 2016 and 2019. 119 cases were found with the majority of men (M = 95, W = 24). The patients’ mean age was 65 years (M = 65, W = 66). In order to assess ischemia in these patients, the stress test was applied by means of physical exercise (cycloerometer) or pharmacological test. If patient's clinical condition did not allow a stress test, only a rest test was performed.Results: In the analyzed group the most common occluded vessel was the right coronary artery (59%). In this case, mean ischaemia was found to cover 18% of the myocardium. The second most frequent obstructed vessel was the circumflex (16%) with ischaemia of 15%. The next artery was left anterior descending artery with ischaemia of 30% and other vessel - 7%. 9 patients had more than one vessel closed.Conclusions: Myocardial perfusion imaging helps to choose optimal treatment in patients with CTO.

Introduction and purpose: The mass media deal with, among others creating the image of health care. Most often, information published in the media is negative because it aims to show sensation and increase the interest of recipients. To present the perception of the media image of health care in society.Material and method: The research was carried out using the author's questionnaire. 210 responses were collected and analyzed.Results: The study involved men (29%) and women (71%). Majority (89.52%) of respondents were in favor of an unfavorable or neutral overall image of health care created by the media. Information reached almost 70% of respondents on long queues for visits to specialists, half a year or more. The respondents (83.81%) also drew attention to references spreading in publishers about the lack of staff among medical workers. However, most people (69.52%) did not share the healthcare model shaped by the "fourth authority" based on their experience.Conclusions: Based on the analysis, a negative media impact on the healthcare picture was confirmed. The data suggests that society does not quite agree with the media image of healthcare.

Introduction: Restrictions against the COVID-19 pandemic have resulted in a decrease in other contagious diseases. However, their prevention and treatment are still a topical issue. Purpose: To present the public awareness on infectious diseases taking into account the knowledge of people with medical education. Material and method: The study was conducted by means of the author's questionnaire. 158 questionnaires were collected and analysed. Results: Men and women of different age took part in the survey. Half of the respondents had medical education. The analysis showed that as many as 89.2% of the respondents were aware of the pathogenic factor of influenza, which is the virus. Only a small percentage of respondents had information regarding the number of influenza infections in Poland (10.8%) and worldwide (21.5%). Medics were aware of this in 10.0% and 28.8% respectively. Influenza was admitted by 81.0% of the respondents, while for other infectious disease (except COVID-19) the result was 75.3%. The respondents indicated as the most common route of transmission of infectious diseases the droplet route (66.5%), while fever was the typical symptom (81.0%). Washing hands turned out to be the most important prophylactic behaviour of respondents (50.6%) and especially of students (93.7%). Conclusions: Awareness of infectious diseases among Poles is not at the highest level. Those with medical education have slightly higher knowledge, but it is necessary to introduce educational programmes and update knowledge.

Introduction According to the American College of Radiology and the American Cancer Society, CTC has been recognized as a valuable screening method for detecting CRC in people at medium risk as an alternative to endoscopic colonoscopy. The condition for the proper interpretation of this procedure is the patient’s preparation for the examination. The evaluation of the test includes: topogram, transverse images (as reference images), multifaceted reconstructions and three-dimensional images (3D navigator). Materials and methods The literature on the use of CTC in the diagnosis of CRC was analyzed. A review of the scientific literature indexed in the PUBMED database from the last 10 years was carried out. Results The introduction of dual energy computed tomography (DECT) clearly improved the diagnostic accuracy of CTC. The main advantage of DECT is the possibility of obtaining iodine maps and VNC (virtual non-contrast) – a ’’virtual’’ native image (without the use of contrast). DECT allows you to monitor the results and extent of iodine capture on VNC and iodine map images, respectively, without using pre-recorded tomographic images. Pilot tests showed that DECT is an effective tool in CT colonography diagnostics and electronic colon loop cleaning after barium labeling. The use of the Computer Aided Diagnosis (CAD) algorithm in high energy tomography helps in the diagnosis and detection of intestinal tumors. Conclusions The development of modern technologies used in CT colonography proves that it is a safe and acceptable technique for patients. Lack of invasiveness, low radiation dose and high diagnostic efficiency of CTC may encourage more people to undergo colorectal cancer screening in the future.

Wstęp: Aktywność fizyczną definiuje się jako ruch ciała człowieka wykonywany przez mięśnie szkieletowe. Stanowi ona element zdrowego stylu życia i jest związana z celami takimi jak rozwój, zdrowie i dobre samopoczucie. Wykazuje korzystny wpływ na ciało człowieka, jak również jego psychikę. Cel pracy: Przedstawienie opinii społeczeństwa na temat aktywności fizycznej. Materiał i metody: Badania przeprowadzono za pomocą autorskiej ankiety. Uzyskano 198 kwestionariuszy a następnie przeanalizowano. Omówienie wyników: W badaniu wzięli udział kobiety (76,8%) oraz mężczyźni (23,2%). Średni wzrost kobiet wyniósł 169,5 cm, zaś mężczyzn 178,3 cm. Natomiast średnia waga kobiet wynosiła 65,7 kg a mężczyzn 79,2 kg. Z analizy wynika, że codzienną regularną aktywność fizyczną uprawia 61,1% ankietowanych. W odmienny sposób przedstawia się aktywność sezonowa, gdyż jedynie 29,3% badanych ją podejmuje. Najpopularniejszy sport stanowiła jazda na rowerze, którą wybrała blisko 1/3 respondentów. Również popularna była siłownia (29,8%). W sezonie zimowym badani najczęściej jeździli na nartach (19,7%) i łyżwach (19,2%), zaś latem na rolkach (18,6%). Mężczyźni częściej wybierali aktywności wpływające na dobrą kondycję fizyczną, zaś kobiety wolały ćwiczenia kształtujące sylwetkę. Analiza wykazała również, że dla 34,0% respondentów najważniejszym celem jest zdrowie. Stawiali także na sprawność (24,2%) i sylwetkę (23,2%). Prawie wszyscy badani określali swoją motywację jako wysoką (88,9%) oraz wierzą, że osiągną swój cel aktywności fizycznej (81,8%). Wnioski: Dane sugerują, że większość społeczeństwa wie jak ważna jest aktywność fizyczna na co dzień. Rodzaj sportu jest zróżnicowany w zależności od płci, pory roku oraz indywidualnych preferencji. Głównym celem aktywności jest utrzymanie zdrowia.

Introduction: Despite medical advances, the prevention and treatment of tropical diseases continue to be a current problem for communities. Purpose: To present the public awareness of tropical diseases. Material and method: The study was conducted by using an author's questionnaire. 158 questionnaires were collected and analysed. Results: The study included women (55.7%) and men (44.3%) of varying ages, nearly half of whom were studying or are studying a medical profession. The analysis showed that 92.4% of the respondents were aware of the factors causing contagious and parasitic diseases. Only 5.0% of respondents expressed opposition to prevention when travelling to tropical countries. Every fourth person planning a trip would not go to a specialist on this issue. Nearly 90% of respondents wanted to be vaccinated before travelling. On the other hand, only 15.2% of respondents knew that malaria is not currently prevented by a vaccine, but by chemoprophylaxis. One in five respondents said there was no need for hygienic food consumption, while more than half (53.8%) had not heard of the rule "cook, steam, peel or forget". Among the most important preventive measures, respondents most often selected hand washing (50.6%), taking care of hygiene (20.2%) and immunization (17.8%). Conclusions: Most of the respondents, especially those with medical education, demonstrated basic knowledge of tropical diseases. However, there is a great need for education, especially about visiting a doctor before travelling, types of prevention and methods of hygienic food consumption. The possibility of implementing programmes to supplement knowledge should be kept in mind. Keywords: tropical diseases; contagious diseases; awareness; society.

Wstęp: Kompetencje to połączenie wiedzy z konkretnego zakresu, umiejętności i postaw. Grupą zawodową najczęściej podlegającą ocenie w tej kwestii są lekarze. Pacjenci po wyjściu z gabinetu dokonują oceny kompetencji pracownika służby zdrowia w odniesieniu do własnych spostrzeżeń. Cel pracy: Przedstawienie oceny kompetencji lekarzy przez społeczeństwo. Materiał i metody: Badania przeprowadzono za pomocą autorskiej ankiety. Zebrano 210 kwestionariuszy i poddano analizie. Omówienie wyników: W badaniu wzięli udział mężczyźni (29%) oraz kobiety (71%). Analiza wykazała, że według ¼ respondentów, lekarze nie odznaczają się kompetentnością. Zaledwie 45,72% osób wskazało na pozytywne odczucia dotyczące wizyty lekarskiej. Ankietowani w podobny sposób opowiedzieli się w kwestii braku czasu odnośnie przeprowadzenia badania (48,10%). Prawie 40% z nich nie wykazała zaufania do systemu służby zdrowia w odróżnieniu do ufności wobec specjalisty, której nie przejawia 13% respondentów. Wnioski: Dane sugerują, że lekarze w swojej pracy są dość dobrze oceniani przez pacjentów, szczególnie lekarze specjaliści. Istnieją jednak kontrowersje w kwestii sposobu realizacji świadczenia zdrowotnego.

Introduction: Society today is overly overwhelmed with advertisements for attractive products and ways to purchase them. The population is becoming richer and richer, which means they can spend more money on entertainment and their own pleasures. Purpose: To present the role of shopping in human life in 2021 from the perspective of consumers. Material and method: The study was carried out using the author's questionnaire. 260 questionnaires were collected and analyzed. Results: Men (52.3%) and women (47.7%) participated in the study. More than half of them (53.8%) were employed and more than 30% were studying. One in three respondents earned cash income greater than the minimum national gross rate. Nearly 60% rated their material situation as good. The analysis showed knowledge of the term "consumerism" by 83.1% of people. The study showed that the respondents shopped several times a week (69.2%) and even daily (18.5%). In order to buy food products, they usually visited supermarkets (64.6%), and in buying products they were most often guided by quality (47.7%). They are most encouraged by sales (50.8%), as well as recommendations from friends (18.5%) and product ingredients (12.6%). The data shows that as many as 58.5% of respondents used shopping to improve their mood. They were also induced to buy products by advertisements in the media (49.2%). Conclusions: For consumers, apart from the price, the quality of the products is of primary importance. They buy mainly in large supermarkets and via the Internet. The advertisements in media, promotions and the desire to improve one’s mood are the reasons of increasing phenomenon of consumerism.

Introduction and purpose: Breast cancer is the most commonly diagnosed cancer during pregnancy. Women can treat it, but pregnancy has a significant impact on the types and duration of using treatment. Purpose is to present the opinions of women about pregnancy complicated by breast cancer. Material and methods: 206 women participated in the study. We used a survey on the Internet. The average age of the respondents was 31.2. To establish whether an observed frequency distribution differs from a theoretical distribution the chi2 test of goodness-of-fit was used, to estimate relation we use the chi2 test of independence. Results: There were statistically significant differences between the number of women who believe that breast cancer is benign vs. malignant. Most often indicated as a safe method of diagnosis in pregnant women were: biopsy, mammography with lead shield, ultrasound, there was also a relationship between the place of residence and the choice of biopsy and ultrasound. A significant difference was noted between the number of women declaring an attitude forward delay vs starting treatment in pregnancy. There was a significant relationship between the pregnancy experience and the declared decision on the time of beginning of the therapy. Conclusions: The results suggest that women are aware of the malignancy of breast cancer. Many of them incorrectly differentiate the effects of this cancer in pregnant women and not pregnant. Biopsy, mammography with lead shield, ultrasound are perceived as the safest methods of diagnosis. Significantly more respondents claim that they would postpone the therapy until the end of pregnancy. Women who have never been pregnant more often declare that they would decide to postpone treatment. Key words: breast cancer; pregnancy; attitude; knowledge.

Introduction and purpose: Breast cancer is the most commonly diagnosed cancer during pregnancy. Women can treat it, but pregnancy has a significant impact on the types and duration of using treatment. Purpose is to present the opinions of women about pregnancy complicated by breast cancer. Material and methods: 206 women participated in the study. We used a survey on the Internet. The average age of the respondents was 31.2. To establish whether an observed frequency distribution differs from a theoretical distribution the chi2 test of goodness-of-fit was used, to estimate relation we use the chi2 test of independence. Results: There were statistically significant differences between the number of women who believe that breast cancer is benign vs. malignant. Most often indicated as a safe method of diagnosis in pregnant women were: biopsy, mammography with lead shield, ultrasound, there was also a relationship between the place of residence and the choice of biopsy and ultrasound. A significant difference was noted between the number of women declaring an attitude forward delay vs starting treatment in pregnancy. There was a significant relationship between the pregnancy experience and the declared decision on the time of beginning of the therapy. Conclusions: The results suggest that women are aware of the malignancy of breast cancer. Many of them incorrectly differentiate the effects of this cancer in pregnant women and not pregnant. Biopsy, mammography with lead shield, ultrasound are perceived as the safest methods of diagnosis. Significantly more respondents claim that they would postpone the therapy until the end of pregnancy. Women who have never been pregnant more often declare that they would decide to postpone treatment. Key words: breast cancer; pregnancy; attitude; knowledge.