Postępy Nauk Medycznych最新文献

{"title":"Clinically overt infections and markers of inflammation in patients admitted to Emergency Department due to high-energy discharges of implantable cardioverter-defibrillator","authors":"D. Jagielski, D. Zyśko, P. Niewinski, K. Josiak, J. Wizowska, B. Biel, W. Banasiak, P. Ponikowski","doi":"10.25121/pnm.2018.31.6.349","DOIUrl":"https://doi.org/10.25121/pnm.2018.31.6.349","url":null,"abstract":"Introduction. Overt infection is a reversible factor that may contribute to the occurrence of high-energy interventions of implanted cardioverter-defibrillators (ICD). Aim. To assess the incidence of clinically overt infections and the analysis of C-reactive protein (CRP) concentration in patients admitted to Emergency Department (ED) after ICD shock. Material and methods. A total of 167 patients aged 63.2 ± 12.1 admitted to ED due to high-energy therapy from ICD in whom CRP level was measured. A retrospective analysis of the correlation of CRP concentration on admission and the next morning from gender, age, the adequate or inadequate character of the shocks, the number of shocks and clinical overt infections was performed. Results. Infection was recognized in 16 (9.6%) patients. CRP level on admission (CRP-1) was 11.0 ± 34.7 mg/dL and was elevated in 46 patients (27.5%). In the subgroup of 53 patients with the second measurement, CRP significantly increased. In multivariate analysis an increase in CRP was related with 1 electroshock in patients without overt infection or at least 5 electroshocks in patients with ≥ 2 shock. Conclusions. 1. The increased CRP concentration on admission to ED after ICD highenergy intervention is significantly more common than clinically recognized overt infection. 2. The increased level of CRP in patients admitted to ED due to ICD shocks may be related to infection or may be secondary to the multiple shocks.","PeriodicalId":206045,"journal":{"name":"Postępy Nauk Medycznych","volume":"17 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":"128285434","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}

{"title":"Comparison of chest compressions with and without LUCAS3 mechanical chest compression system during resuscitation performed by novice physicians","authors":"Jolanta Majer, P. Zwolinski, Zuzanna Popielarska, Dominika Dunder, O. Aniołek, M. Madziala, A. Madziala, L. Szarpak","doi":"10.25121/pnm.2018.31.6.322","DOIUrl":"https://doi.org/10.25121/pnm.2018.31.6.322","url":null,"abstract":"Introduction. High quality chest compression is one of the basic elements influencing the effectiveness of cardiopulmonary resuscitation and thus the return of spontaneous circulation. In the case of prolonged resuscitation or when the resuscitation is carried out by one person, the quality of chest compressions may decrease. Mechanical chest compression systems may be helpful. Aim. The aim of the study was to compare the quality of manual chest compression and mechanical chest compression system LUCAS3 during simulated cardiopulmonary resuscitation conducted by novice physicians. Material and methods. The study was designed as a prospective, randomized, cross-over simulation study. The study involved 36 novice physicians to perform chest compressions with and without the LUCAS3 chest compression system. The participants performed chest compressions continuously. The study protocol was approved by the Institutional Review Board of the Polish Society of Disaster Medicine (Approval no.: 32.05.2017.IRB). Results. The depth of chest compressions measured in the second minute of resuscitation with and without LUCAS3 was 52 (IQR: 51-53) and 51 (IQR: 45-53) mm, respectively, with chest compression rates of 110 (IQR: 105.2-115.2) and 127 (IQR: 102-133) compressions per minute. For manual chest compressions, incomplete chest recoil was 15 (IQR: 8-21)% and for LUCAS3 0 (IQR: 0-1)%. From 4, through 6 and 8 minutes of resuscitation, LUCAS3 chest compressions were statistically significantly better (p < 0.05) compared to manual chest compressions for all analyzed chest compression parameters (depth and rate of chest compression; degree of chest recoil and point of chest compression). Conclusions. In a simulation study, novice physicians using the LUCAS3 chest compression system performed higher quality chest compressions than manual chest compressions. With prolonged resuscitation, the quality of manual chest compressions decreases significantly.","PeriodicalId":206045,"journal":{"name":"Postępy Nauk Medycznych","volume":"42 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":"125180612","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}

{"title":"Comparison of Airtraq® and Macintosh laryngoscope applied by nurses in manikins with normal and difficult airways: pilot data","authors":"Patrycja Szalast, J. Smereka, K. Ruetzler, E. Makomaska-Szaroszyk, K. Kranc, Kacper Stolarek, Michal aprocki, L. Szarpak","doi":"10.25121/pnm.2018.31.5.248","DOIUrl":"https://doi.org/10.25121/pnm.2018.31.5.248","url":null,"abstract":"Introduction. Endotracheal intubation is currently the gold standard of airway management. In direct laryngoscopy in pre-hospital settings, though, it turns out insufficiently effective. Aim. The study purpose was to compare direct laryngoscopy and videolaryngoscopy for endotracheal intubation performed by nurses in normal and difficult airway conditions. Material and methods. This randomized cross-over study involved 27 nurses. The protocol was approved by the Institutional Review Board of the Polish Society of Disaster Medicine (approval number: 32.04.2018.IRB). The participants performed intubation using a Macintosh laryngoscope (MAC) and an Airtraq® videolaryngoscope (ATQ) in 2 study scenarios: A – normal airway; B – difficult airway. For this latter purpose, the manikin had the cervical spine immobilized with a standard one-piece cervical collar. Results. The effectiveness of the first intubation attempt with MAC and ATQ was varied both in scenario A: 66.7 and 92.6% (p = 0.007) and in scenario B: 14.8 and 70.4% (p = 0.001). The median intubation time in scenario A was 23 s (IQR: 22-33.5) for MAC and 17 s (IQR: 15.5-25) for ATQ (p = 0.031), respectively. In scenario B, this parameter value equaled 53 s (IQR: 48-67) for MAC and 26 s (IQR: 24-49) for ATQ (p < 0.001). Conclusions. In the simulation study, nurses were able to perform endotracheal intubation with the use of ATQ with higher efficacy compared with direct laryngoscopy – this relationship was observed under both normal and difficult airway conditions.","PeriodicalId":206045,"journal":{"name":"Postępy Nauk Medycznych","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133377415","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}

{"title":"History of inguinal hernia surgery","authors":"P. Gołaszewski, Paulina Woźniewska, Justyna Dawidowska, Martyna Wyszynska, H. R. Hady","doi":"10.25121/pnm.2018.31.5.292","DOIUrl":"https://doi.org/10.25121/pnm.2018.31.5.292","url":null,"abstract":"","PeriodicalId":206045,"journal":{"name":"Postępy Nauk Medycznych","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122176683","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}

{"title":"Cardiac arrest – factors affecting the effectiveness of resuscitation","authors":"Paulina Buca, K. Krzyżanowski, Przemysław Żuratyński, P. Jastrzębski, Adam Gorgol, K. Nadolny, D. Ślęzak","doi":"10.25121/pnm.2018.31.5.244","DOIUrl":"https://doi.org/10.25121/pnm.2018.31.5.244","url":null,"abstract":"","PeriodicalId":206045,"journal":{"name":"Postępy Nauk Medycznych","volume":"158 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131792076","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}

{"title":"Surgical treatment of incisional hernia – own material","authors":"H. R. Hady, P. Gołaszewski, Paulina Woźniewska, Maria Sołdatow, J. Lapiński, Mikołaj Czerniawski, Inna Diemieszczyk, L. Szarpak, J. Dadan, J. R. Ladny","doi":"10.25121/pnm.2018.31.5.265","DOIUrl":"https://doi.org/10.25121/pnm.2018.31.5.265","url":null,"abstract":"Introduction. Postoperative hernias are frequent long-term complication of surgical procedures carried out within the abdominal cavity. Hernia occurrence depends on patient general condition and surgical technique. The only one type of incisional hernia treatment is surgery. Aim. The aim of the study was to present and analysis personal experiences in the treatment of postoperative hernias. Operations were carried out in Ist Department of General and Endocrine Surgery, University Hospital in Bialystok and the Surgery Department at the Independent Public Health Care Center in Lapy. Material and methods. 146 patients were included to the research, 61 women and 81 men. The mean age of examined patients was 61.5 years. Factors taken into consideration were: primary operation, the causes of the hernia, clinical symptoms, comorbidities and corrective operation. Results. Cesarean section was the most common primary intervention in group of women, appendectomy was dominant in the group of men. The majority of patients as the main complaint gave the protruding hernia sac and the pain of the hernia area appearing during exercise. The most common comorbidities were respiratory and neoplastic diseases. Patients underwent remedial treatment both in the classic and laparoscopic way. Conclusions. In the pathogenesis of postoperative complications, apart from surgical technique, patient general condition and coexisting diseases also play an important role. Minimally invasive procedures are an important and beneficial way of treating inguinal hernia. They provide lower incidence of local infections, better healing of post-operative wounds, faster return to daily and professional activity.","PeriodicalId":206045,"journal":{"name":"Postępy Nauk Medycznych","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123341921","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}

{"title":"The characteristic and management of inguinal hernias based on the own experience","authors":"H. R. Hady, Paulina Woźniewska, Maria Sołdatow, J. Lapiński, P. Gołaszewski, Inna Diemieszczyk, Dawid Groth, J. Dadan, J. R. Ladny","doi":"10.25121/pnm.2018.31.5.260","DOIUrl":"https://doi.org/10.25121/pnm.2018.31.5.260","url":null,"abstract":"","PeriodicalId":206045,"journal":{"name":"Postępy Nauk Medycznych","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114982330","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}

{"title":"Should we use a guide during endotracheal intubation in normal and difficult airways? A randomized, cross-over, simulation study. Pilot data","authors":"J. Smereka, M. Dąbrowski, M. Puślecki, Mateusz Szarek, Damian Gorczyca, Zuzanna Popielarska, Dominika Dunder, J. R. Ladny, K. Bielski, Szymon Białka, K. Ruetzler, L. Szarpak","doi":"10.25121/pnm.2018.31.5.254","DOIUrl":"https://doi.org/10.25121/pnm.2018.31.5.254","url":null,"abstract":"","PeriodicalId":206045,"journal":{"name":"Postępy Nauk Medycznych","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126719444","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}

{"title":"Selected aspects of anesthesia for inguinal hernia repair sugery","authors":"A. M. Lotowska-Cwiklewska, U. Kosciuczuk, P. Jakubów, A. Siemiatkowski","doi":"10.25121/pnm.2018.31.5.284","DOIUrl":"https://doi.org/10.25121/pnm.2018.31.5.284","url":null,"abstract":"It is possible to perform inguinal hernia surgery by using a variety of anesthesia techniques. The choice of the method is conditioned by a pre-operative assessment of the patient's general condition. Regional techniques (spinal and epidural anesthesia) require special attention to the patient's anti-coagulation therapy or other coagulation disorders for other reasons, but they are the preferred method for inguinal hernia operations. General anesthesia for laparoscopic surgery is used in patients with contraindications for spinal anesthesia, because it is related to the systemic influence of anesthetics and the need for replacement ventilation; it is also preferred method for children, as it is ususally impossible to perform a central block due to the patient's lack of cooperation. Local anesthesia in combination with analgosedation is the technique used the least as it requires full cooperation with the patient. Effective treatment of postoperative pain can be achieved by combining pharmacotherapy with regional anesthetic techniques and local anesthesia, which allows patients to achieve greater satisfaction with the applied treatment, as well as reduces the risk of unfavorable course of the healing process.","PeriodicalId":206045,"journal":{"name":"Postępy Nauk Medycznych","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115304488","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}

{"title":"Hiatal hernia – epidemiology, pathogenesis, diagnostic","authors":"Patrycja Pawłuszewicz, P. Wójciak, Inna Diemieszczyk, P. Gołaszewski, Paulina Woźniewska, H. R. Hady","doi":"10.25121/pnm.2018.31.5.274","DOIUrl":"https://doi.org/10.25121/pnm.2018.31.5.274","url":null,"abstract":"Hiatal hernia is a common pathology in the field of surgery, the frequency of occurrence increases along with age. It is caused by an increase anintra-abdominal pressure and weakening of the diaphragm crura tissues. Sliding hiatal hernia and paraoesophageal hernia are distinguished. Patients with diaphragmatic hernia reveal many non-specific symptoms which causes delay of proper treatment in favors of the treatment due to other diseases. The most frequently, patients present symptoms of gastroesophageal reflux and are treated conservatively with proton pump inhibitors. Epidemiology of hiatal hernia occurrence has been analyzed along with their pathogenesis, symptomatology, the most frequently used diagnostic methods and therapeutic possibilities. The type of applied procedure should depend on the size and type of hernia, preoperative symptoms and co-morbidities and current scientific reports. Surgical treatment brings satisfying therapeutic results and is connected with law risk of complications.","PeriodicalId":206045,"journal":{"name":"Postępy Nauk Medycznych","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114465512","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}