Postępy Nauk Medycznych最新文献_第4页

Ischemic heart disease – definition, epidemiology, pathogenesis, risk factors and treatment 缺血性心脏病——定义、流行病学、发病机制、危险因素和治疗

Postępy Nauk Medycznych Pub Date : 2018-12-01 DOI: 10.25121/pnm.2018.31.6.358

M. Kasprzyk, Beata Wudarczyk, R. Czyż, L. Szarpak, B. Jankowska-Polańska

{"title":"Ischemic heart disease – definition, epidemiology, pathogenesis, risk factors and treatment","authors":"M. Kasprzyk, Beata Wudarczyk, R. Czyż, L. Szarpak, B. Jankowska-Polańska","doi":"10.25121/pnm.2018.31.6.358","DOIUrl":"https://doi.org/10.25121/pnm.2018.31.6.358","url":null,"abstract":"Ischemic heart disease (IHD) is the result of a limited blood supply to the heart muscle. In more than 95% of cases, the cause of IHD is coronary blood flow reduction caused by coronary artery atherosclerosis, therefore the term “coronary heart disease” is often used to describe this syndrome. Ischemic heart disease in assessment of the World Health Organization is still the most common causes of death in Poland and in the world. Due to chronic ischemic heart disease in Poland, 2.5% of the population suffers, i.e. about 1 million people, of whom 100,000. She has a heart attack every year. Over the last two decades in Poland, mortality from ischemic heart disease has increased in people under 65 years of age. In spite of wide prevention, there is a problem between the current guidelines and the patient's continuing of recommendations. Good communication between medical staff and patient with ischemic heart disease and increasing the pressure on education is a guarantee of therapeutic success, which will be reflected in the health, social and economic sphere. The aim of the article is to summarize the issues of definition, epidemiology, pathogenesis, risk factors and treatment of ischemic heart disease.","PeriodicalId":206045,"journal":{"name":"Postępy Nauk Medycznych","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115676283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

The influence of emergency medical procedures and event circumstances on the acute effectiveness of resuscitation in out-of-hospital sudden cardiac arrest in adults 急诊医疗程序和事件环境对成人院外心脏骤停急性复苏效果的影响

Postępy Nauk Medycznych Pub Date : 2018-12-01 DOI: 10.25121/pnm.2018.31.6.308

K. Nadolny, J. R. Ladny, D. Ślęzak

{"title":"The influence of emergency medical procedures and event circumstances on the acute effectiveness of resuscitation in out-of-hospital sudden cardiac arrest in adults","authors":"K. Nadolny, J. R. Ladny, D. Ślęzak","doi":"10.25121/pnm.2018.31.6.308","DOIUrl":"https://doi.org/10.25121/pnm.2018.31.6.308","url":null,"abstract":"Introduction. Sudden cardiac arrest is a serious medical event that may occur unexpectedly. It is a serious medical and social issue. Aim. The aim of the study is an analysis of the relationship between the type of medical rescue actions taken and return of spontaneous circulation (ROSC) in adults. Material and methods. The case-control study was based on the medical documentation of the Rescue Service in Katowice collected in 2017. The results have been presented by means of proportions (sample size and sampling rate), median and IQR. Non-parametric methods (Pearson’s chi-squared test or Mann-Whitney U test) were used to compare the group of ROSC-patients with the group of no-ROSCpatients. The default statistical significance adopted for the purpose of all analyses was 0.05. Results. The analysis covered 1713 out-of-hospital sudden cardiac arrest (SCA) cases. Male patients constituted 63.68% (N = 1091) of the group, whereas female patients constituted only 34.5% (N = 591) of the cases. Women were older than men (69.5 vs. 62.9; p = 0.000). However, defibrillation was more frequently applied in men than in women (p = 0.000). In a majority of cases, SCA occurred in domestic conditions (p = 0.000) during the day (p = 0.000). ROSC was reported in 591 cases (34.51%). The ROSC rate was higher in cases when witnesses provided first aid to patients (35.6 vs. 31.41%; p = 0.08). The rate was also higher in patients with ventricular fibrillation than in patients with asystole (56.27 vs. 24.95%; p = 0.000). Conclusions. ROSC depends on the emergency medical procedures actions performed at the place of incident. The ROSC rate in patients is significantly higher when procedures are performed according to the current medical knowledge.","PeriodicalId":206045,"journal":{"name":"Postępy Nauk Medycznych","volume":"117 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128712257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mass spectrometry as a potential technique for clinical medicine 质谱分析技术在临床医学中的应用前景广阔

Postępy Nauk Medycznych Pub Date : 2018-12-01 DOI: 10.25121/pnm.2018.31.6.366

Damian Gorczyca, E. Makomaska-Szaroszyk, L. Szarpak, K. Kranc

引用次数: 0

Leriche syndrome – the analysis of 502 cases. Novel or already known issues? 利氏综合征502例分析。是新问题还是已知问题?

Postępy Nauk Medycznych Pub Date : 2018-12-01 DOI: 10.25121/pnm.2018.31.6.328

P. Kaźmierski, M. Pająk, Justyna Kruś-Hadała, M. Jęckowski

引用次数: 0

The use of digital technologies in stroke management in the world: an analysis of examples 数字技术在世界中风管理中的应用:实例分析

Postępy Nauk Medycznych Pub Date : 2018-12-01 DOI: 10.25121/pnm.2018.31.6.361

Natasza Blek, L. Szarpak, M. Drejza

引用次数: 2

Epidural lipomatosis of the thoracic spine as the cause of a rapid progression of neurological symptoms after applying spine manual therapy 胸椎硬膜外脂肪增生是应用脊柱推拿治疗后神经症状快速进展的原因

Postępy Nauk Medycznych Pub Date : 2018-12-01 DOI: 10.25121/pnm.2018.31.6.370

B. Tyzo, W. Czyżewski, Dominik Ziemianek, Karolina Thum-Tyzo, J. Litak, A. Hermanowicz, I. Luszczewska-Sierakowska, A. Charuta, Piotr Konrad Leszczyński

引用次数: 0

Quality of chest compressions during cardiopulmonary resuscitation performed by physicians: do we need to use mechanical chest compression devices? A multicenter, randomized, crossover study 医生在心肺复苏过程中胸外按压的质量:我们是否需要使用机械胸外按压装置?一项多中心、随机、交叉研究

Postępy Nauk Medycznych Pub Date : 2018-12-01 DOI: 10.25121/pnm.2018.31.6.314

Jolanta Majer, J. Smereka, J. R. Ladny, M. Dąbrowski, M. Puślecki, A. Dąbrowska, M. Czekajlo, Dominika Dunder, L. Szarpak

引用次数: 1

Focused Assessment with Sonography in Trauma as a diagnostic procedure in prehospital medicine 超声在院前医学创伤诊断中的重点评估

Postępy Nauk Medycznych Pub Date : 2018-12-01 DOI: 10.25121/pnm.2018.31.6.353

Maciej Dudek, L. Szarpak, K. Kranc, M. Pruc, M. Dąbrowski, Beata Zwolinska

{"title":"Focused Assessment with Sonography in Trauma as a diagnostic procedure in prehospital medicine","authors":"Maciej Dudek, L. Szarpak, K. Kranc, M. Pruc, M. Dąbrowski, Beata Zwolinska","doi":"10.25121/pnm.2018.31.6.353","DOIUrl":"https://doi.org/10.25121/pnm.2018.31.6.353","url":null,"abstract":"Ultrasonography is a diagnostic tool used in emergency medicine, intensive care or surgery. Technological progress and the minimization of portable devices has made it possible to perform ultrasound examinations outside the hospital, including in emergency medical teams. The ability to diagnose internal bleeding in patients with injuries is one of the key diagnostic elements. Performing ultrasound based on F.A.S.T., BLUE or FEEL protocols in the conditions of medical rescue teams can significantly shorten the time of diagnostics by directing the patient directly to the emergency room. Thanks to the progress in medical technology it is possible to perform ultrasonography with the use of mobile devices. In an increasing number of medical rescue teams, portable ultrasound devices are available. In order to use these devices effectively, it is necessary to know the protocol of examination and interpretation of ultrasound image. This article describes the F.A.S.T. procedure. The purpose of the procedure is to detect free fluid in the peritoneal cavity and pericardium. When we observe hemodynamic instability with signs of anemia, we may assume that there has been internal hemorrhage. Thanks to this examination, the patient can be quickly diagnosed and transported directly from the ambulance or emergency department to the operating theatre, where he or she will be operated on immediately, without wasting unnecessary time, which is so important for the patient's health and life. Performing the F.A.S.T. examination in the practice of the emergency medical team may speed up decisions regarding transporting the patient to the trauma center, thus increasing the chances of the patient in the case of internal bleeding.","PeriodicalId":206045,"journal":{"name":"Postępy Nauk Medycznych","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131085780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Psychophysical burden of connections with work in the State Emergency Medical Services System in the light of the Public Health strategy 根据公共卫生战略，与国家紧急医疗服务系统工作联系的心理生理负担

Postępy Nauk Medycznych Pub Date : 2018-12-01 DOI: 10.25121/pnm.2018.31.6.338

Katarzyna Zackiewicz, Maria Dorota Kwika, Halina Slizewska, B. Wieczorek, J. R. Ladny

引用次数: 0

The relation between hyperhomocysteinemia and the intima-media complex thickness in common carotid artery, as risk factors for ischemic stroke 高同型半胱氨酸血症与颈总动脉内膜-中膜复合体厚度作为缺血性卒中危险因素的关系

Postępy Nauk Medycznych Pub Date : 2018-12-01 DOI: 10.25121/pnm.2018.31.6.334

M. Chorąży, Dominika Jakubowicz-Lachowska, M. Szczepański, K. Snarska, A. Krajewska, M. Wojewódzka-Żeleźniakowicz, Robert Jerzy Ladny, S. Lawicki, J. Kochanowicz, A. Kułakowska

{"title":"The relation between hyperhomocysteinemia and the intima-media complex thickness in common carotid artery, as risk factors for ischemic stroke","authors":"M. Chorąży, Dominika Jakubowicz-Lachowska, M. Szczepański, K. Snarska, A. Krajewska, M. Wojewódzka-Żeleźniakowicz, Robert Jerzy Ladny, S. Lawicki, J. Kochanowicz, A. Kułakowska","doi":"10.25121/pnm.2018.31.6.334","DOIUrl":"https://doi.org/10.25121/pnm.2018.31.6.334","url":null,"abstract":"Introduction. Cerebrovascular events are the third most frequent cause of death globally and the most common cause of disability in the general population. There may be other, rarer disorders predisposing to cardiovascular complications, besides traditional risk factors of ischemic stroke, as the data prove, one of them is hyperhomocysteinemia. Aim. Relation between intima-media complex thickness (IMT) and homocysteine level in patients with ischemic stroke. Material and methods. The study group consisted of 32 patients with first-ever ischemic stroke diagnosed. The control group contained of 28 healthy people matched in terms of gender and age. The concentration of homocysteine was measured in the blood serum using the IMX immunoassay ABBOTT analyzer. Evaluation of intima-media thickness of carotid arteries was performed with Sonoline ELEGRA using a 7.5 L 40 line probe at 9 MHz. Results. The average homocysteine concentration in patients with ischemic stroke was 16.55 umol/L. Elevated values of homocysteine were found in 20 patients. In Doppler examination of the carotid arteries, the mean IMT in patients with stroke was 0.88. The correlations between the homocysteine level and the IMT were evaluatedin the control group and in patients with stroke. Conclusions. There is relationship between hyperhomocysteinemia and increased thickness IMT in young patient with ischemic stroke.","PeriodicalId":206045,"journal":{"name":"Postępy Nauk Medycznych","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131816704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0