Colorectal cancer is one of the most common cancers in Europe and the world. Cancer treatments have side effects and cause significant deterioration of the patient’s nutritional status. Patient malnutrition may worsen the health condition and prevent the deliberate effects of the therapy. The aim of this review was to describe the available data about clinical nutrition in colorectal cancer patients. A large proportion of colorectal cancer patients suffer from malnutrition, which negatively affects the survival prognosis, quality of life, and oncological therapy. Therefore, monitoring nutritional status during the treatment is essential and can be used to arrange proper nutritional therapy to enhance patient responses, prevent side effects, and shorten recovery time. The principles of nutrition during anticancer therapy should mainly consider light and low-fat foods, the exclusion of lactose and gluten-containing foods in certain cases, or the introduction of special dietary products such as oral nutrition supplements and it should be tailored to patients’ individual needs.

The aim of the report was to determine the effects of soy isoflavones on lumbar spine, femoral neck, and total hip bone mineral density (BMD) in menopausal women. MEDLINE (PubMed), EMBASE, and Cochrane Library databases were searched for articles published in English during 1995–2019. Studies were identified and reviewed for inclusion and exclusion eligibility. Weighted mean differences (WMD) were calculated for each study and were pooled by using the random effects model. Eighteen randomized controlled trials were selected for meta-analysis. Different types of soy phytoestrogens, i.e., genistein extracts, soy isoflavones extracts, soy protein isolate, and foods containing diverse amounts of isoflavones were used in the studies. The analysis showed that daily intake of 106 (range, 40–300) mg of isoflavones for 6–24 months moderately but statistically significantly positively affects BMD, compared with controls: lumbar spine WMD = 1.63 (95% CI: 0.51 to 2.75)%, p = 0004; femoral neck WMD = 1.87 (95% CI: 0.14 to 3.60)%, p = 0.034; and total hip WMD = 0.39 (95% CI: 0.08 to 0.69)%, p = 0.013. Subgroups analyses indicated that the varying effects of isoflavones on BMD across the trials might be associated with intervention duration, racial diversity (Caucasian, Asian), time after menopause, form of supplements (especially genistein), and dose of isoflavones. Our review and meta-analysis suggest that soy isoflavones are effective in slowing down bone loss after menopause.

Background and aim: The aim of the study was to assess the impact of individualized nutritional intervention according to DASH principles (Dietary Approaches to Stop Hypertension) on the nutritional status, blood pressure, and selected biochemical parameters of obese /overweight patients with primary arterial hypertension. Methods: 131 participants were randomized to the DASH intervention group (DIG; n=69, 33 males) or the control group (CG; n=62, 32 males). A three month nutritional intervention was carried out in the DIG, while the control group received only standard recommendations. Body weight, height, waist and hip circumference, body composition, blood pressure, serum glucose, insulin and leptin concentrations were measured at the baseline and after the intervention. Results: 64 (92,8%) participants in the intervention and 62 (100%) in the control group completed the study. A significant decrease in body mass, systolic and diastolic blood pressure, body fat content, fasting glucose, insulin and leptin concentrations along with respective anthropometric and biochemical indices was observed in the DIG group (P < 0.05). Conclusions: The DASH dietary intervention provides significant benefits to overweight/obese patients with primary hypertension. Background and aim: The aim of the study was to assess the impact of individualized nutritional intervention according to DASH principles (Dietary Approaches to Stop Hypertension) on the nutritional status, blood pressure, and selected biochemical parameters of obese /overweight patients with primary arterial hypertension. Methods: 131 participants were randomized to the DASH intervention group (DIG; n=69, 33 males) or the control group (CG; n=62, 32 males). A three month nutritional intervention was carried out in the DIG, while the control group received only standard recommendations. Body weight, height, waist and hip circumference, body composition, blood pressure, serum glucose, insulin and leptin concentrations were measured at the baseline and after the intervention. Results: 64 (92,8%) participants in the intervention and 62 (100%) in the control group completed the study. A significant decrease in body mass, systolic and diastolic blood pressure, body fat content, fasting glucose, insulin and leptin concentrations along with respective anthropometric and biochemical indices was observed in the DIG group (P < 0.05). Conclusions: The DASH dietary intervention provides significant benefits to overweight/obese patients with primary hypertension.

People across the globe are facing increasingly complex public health emergencies that are responsible for the loss of life, economic and social problems with unprecedented damage and costs. For some sociologists, our society is even “a risk society” and our time is highly violative. Emergencies of different origin: stemming from natural environmental disasters, such as floods, hurricanes, intense drought, technical accidents, social unrest and last but not least—outbreaks of infectious diseases. This decade started with one of the most significant pandemics in the history of man-kind—COVID-19. Hence, the problems of resilient health and healthcare systems have become urgent. Especially since SARS-CoV-2 may cause long-term health threats and recurrent crises. It is very important to have a common language. So far, definitions and concepts of health and healthcare resilience differ substantially and are seldom clearly defined. The aim of this paper is to describe how health and healthcare system resilience is defined to either uncover, recall, or in combination, its concept and prepare an introductory conceptual review as a preliminary step for further studies.

Introduction: Patient opinion surveys have become a widely used method for assessing key aspects of the functioning of medical facilities and, thus, of the functioning of the entire health care system. They are a prerequisite for developing patient-centered care and an essential component of quality improvement programs. In many countries, including Poland, patient opinion surveys are written into the accreditation standards of medical institutions. Patient’s readiness to recommend a hospital is a recognized indicator of the quality of patient-centered care. In a report on strategies for improving the quality of health care in Europe published in 2019 by WHO and the OECD (Organisation for Economic Cooperation and Development), patient’s readiness to recommend a hospital was cited as one of the basic indicators of ‘patient centeredness’ along with patient satisfaction. Therefore, as well consideration of the quality of medical care, a patient recommendation index was also used in the study presented in this paper. The index was based on the answers to questions about the patient’s readiness to recommend a hospital ward to family and friends. Aim: The aim of the study was to investigate patients’ opinions on the quality of services in particular hospital wards. A patient opinion survey can be used to improve the quality of services and monitor the effects of health-related activities, identify areas that need improvement, motivate medical staff and prevent their burnout, build a trusting relationship with patients, and compare the quality of health care in various facilities. Material and methods: The study was carried out in March 2022. The patient opinion survey was conducted using the CAWI (Computer-Assisted Web Interview). The sample selection was purposive. The respondents were patients with a history of hospitalization. The sample selection used an algorithm for the random selection of patients who met the criteria for the sample. The inclusion criterion was hospitalization in the 12 months prior to the study. A standardized questionnaire was used that was aimed at the assessment of the quality of medical care and the patient’s rights to information. Additionally, the survey contained questions about the demographic characteristics of the respondents. Results: A total of 38% of patients with a history of hospitalization expressed criticisms. The majority of statistically significant differences were observed when differentiating respondents according to age. Elderly persons significantly more often declared having been treated with respect and interest. They also rated more highly the meals served in the hospital, effective pain treatment, and respect for the patient’s dignity and intimacy during diagnosis and treatment. Younger persons assessed all these aspects of hospitalization less favorably. Conclusions: Variables including age and the level of income had a statistically significant influence on the opinion of the respondents. Elderly persons assessed most aspects of the quality of care in a hospital ward more favorably. There were a similar number of “promoters” (36%) and “detractors” (38%) of the quality of hospital services. Detractors mainly pointed to long waiting times for hospital admission, the poor quality of medical and nursing care, and unappealing meals. The promoters emphasized the high quality of medical and nursing care and the favorable conditions of the accommodation. Regular patient satisfaction surveys are helpful in identifying areas in which the functioning of a medical entity requires changes.