Postępy Nauk Medycznych最新文献_第7页

Comparison of two chest compression techniques during infant resuscitation. A randomized, cross-over study 两种胸部按压技术在婴儿复苏中的比较。一项随机交叉研究

Postępy Nauk Medycznych Pub Date : 2018-08-01 DOI: 10.25121/pnm.2018.31.4.211

J. Smereka, L. Szarpak, E. Makomaska-Szaroszyk, A. Rodríguez-Núñez, Sandra Pyda, Izabela Sztybor, Klaudia Wlodarska, Klaudia Kulak, K. Bielski, K. Ruetzler

引用次数: 1

Behavioral aspect of pain in laryngological (ENT) patients 咽喉科(ENT)患者疼痛的行为方面

Postępy Nauk Medycznych Pub Date : 2018-08-01 DOI: 10.25121/pnm.2018.31.4.231

A. M. Lotowska-Cwiklewska, P. Jakubów, U. Kosciuczuk

引用次数: 0

The impact of dialysis therapy on the quality of patients’ life 透析治疗对患者生活质量的影响

Postępy Nauk Medycznych Pub Date : 2018-08-01 DOI: 10.25121/pnm.2018.31.4.221

E. Milewska, Katarzyna Rzatkiewicz, Małgorzata Andryszczyk, Zbysław W. Grajek, E. Kleszczewska, J. R. Ladny, A. Sęk

引用次数: 0

Non-invasive assessment of haemodynamic parameters in pre-hospital care – a preliminary study 院前护理中血流动力学参数的无创评估——初步研究

Postępy Nauk Medycznych Pub Date : 2018-08-01 DOI: 10.25121/pnm.2018.31.4.200

Artur Karpiarz, Lukasz Czyżewski, J. Wyzgał, M. Saran, M. Rusin, Zuzanna Popielarska, B. Krucińska, U. Szewc, L. Szarpak

引用次数: 1

The cost analysis and the assessment of intoxicated patients in the Emergency Unit of the Child Jesus Clinical Hospital in Warsaw in 2013 2013年华沙儿童耶稣临床医院急诊科中毒患者的成本分析与评估

Postępy Nauk Medycznych Pub Date : 2018-08-01 DOI: 10.25121/pnm.2018.31.4.188

J. Marczuk, M. Pruc, Z. Wisniewska, W. Gaweł, H. Olszewski, L. Szarpak

{"title":"The cost analysis and the assessment of intoxicated patients in the Emergency Unit of the Child Jesus Clinical Hospital in Warsaw in 2013","authors":"J. Marczuk, M. Pruc, Z. Wisniewska, W. Gaweł, H. Olszewski, L. Szarpak","doi":"10.25121/pnm.2018.31.4.188","DOIUrl":"https://doi.org/10.25121/pnm.2018.31.4.188","url":null,"abstract":"Introduction. Intoxicated patients are the major diagnostic challenge both in pre-hospital and in-hospital environment. They are also a serious cost burden for the healthcare system due to the necessity of performing the highly specialized diagnostic procedures, including computer tomography. Aim. The aim of our study was the assessment of intoxicated patients who were treated in the Emergency Unit of Child Jesus Clinical Hospital in Warsaw in 2013. Material and methods. The study was based on the medical records of 519 intoxicated patients who were treated in the Emergency Unit of the hospital. The study included: sociodemographic status, the Glasgow Coma Scale (GCS) score, sustained injuries and the per capita cost analysis for an intoxicated patients. Results. Statistical analysis showed a correlation between blood alcohol content and GCS scoring (R = -.339, P < 0.001). 45.9% of intoxicated patients did not have health insurance. People who did not have health insurance had statistically significant higher levels of blood alcohol content than those who had insurance (2.57 ± 1.07 vs. 2.97 ± 1.16 ‰, P < 0.001). The most common diagnosis, among intoxicated people who were treated in the hospital’s Emergency Unit, included blunt head trauma (30.8%), alcohol poisoning (22.7%), and cut wounds of the head (17.2%). Conclusions. Head trauma is the most common diagnosis found in intoxicated patients who are treated in the hospital’s Emergency Unit, requiring costly diagnostic procedures and therefore generating the highest costs for the ward.","PeriodicalId":206045,"journal":{"name":"Postępy Nauk Medycznych","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126474433","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: 1

Blind intubation via iGEL laryngeal mask performed by novice physicians: A randomized, crossover, manikin trial 由新手医师实施iGEL喉罩盲插管:一项随机、交叉、人体模型试验

Postępy Nauk Medycznych Pub Date : 2018-06-01 DOI: 10.25121/pnm.2018.31.3.128

A. Bielski, M. Madziala, K. Bielski, J. Smereka, K. Nadolny, L. Szarpak

引用次数: 0

The role of gastrointestinal hormones in the pathogenesis and the treatment of obesity 胃肠激素在肥胖发病及治疗中的作用

Postępy Nauk Medycznych Pub Date : 2018-06-01 DOI: 10.25121/pnm.2018.31.3.165

Urszula Puchta, Elwira Siewiec, L. Szczerbinski, A. Citko, H. R. Hady, A. Krętowski

{"title":"The role of gastrointestinal hormones in the pathogenesis and the treatment of obesity","authors":"Urszula Puchta, Elwira Siewiec, L. Szczerbinski, A. Citko, H. R. Hady, A. Krętowski","doi":"10.25121/pnm.2018.31.3.165","DOIUrl":"https://doi.org/10.25121/pnm.2018.31.3.165","url":null,"abstract":"Obesity is an increasing problem in the world and affects a growing part of society on everyday basis. Its main causes are disorder of the hunger and satiety centers and metabolic disorders regarding to improper management of fatty acids, bile acids, carbohydrates and lipids. However, the exact mechanisms of the disease development are still poorly understood. In recent years more attention is focused on the role of gastrointestinal hormones in the pathogenesis of obesity, which also delivers new targets for pharmacotherapy. This review aims to present the role of gastrointestinal hormones in the pathogenesis and the treatment of obesity. The abnormalities present in obese patients refer mainly to disturbances in concentration of adiponectin, leptin, peptide YY (PYY) and FGF-19. Controlling and regulating the concentration of circulating gastrointestinal hormones is important in maintaining proper body mass and energy homeostasis. Currently, the most effective methods controlling the concentration of these hormones are pharmacology and bariatric surgery which improve also obesity-related comorbidities.","PeriodicalId":206045,"journal":{"name":"Postępy Nauk Medycznych","volume":"367 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122921291","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

The use of drones in various rescue sectors – an analysis of examples in Poland and in the world 无人机在各种救援部门的使用——波兰和世界实例分析

Postępy Nauk Medycznych Pub Date : 2018-06-01 DOI: 10.25121/pnm.2018.31.3.173

D. Ślęzak, A. Tyrańska-Fobke, M. Robakowska, Joanna Nowak, Przemysław Żuratyński, J. R. Ladny, Jakub Kraszewski, Marzena Domanska-Sadynica, K. Nadolny

引用次数: 1

The current place of intragastric balloon in the treatment of obesity – what should clinicians know? 目前胃内气囊在肥胖治疗中的地位——临床医生应该知道些什么?

Postępy Nauk Medycznych Pub Date : 2018-06-01 DOI: 10.25121/pnm.2018.31.3.158

A. Swidnicka-Siergiejko, E. Wróblewski, H. R. Hady, A. Dabrowski

{"title":"The current place of intragastric balloon in the treatment of obesity – what should clinicians know?","authors":"A. Swidnicka-Siergiejko, E. Wróblewski, H. R. Hady, A. Dabrowski","doi":"10.25121/pnm.2018.31.3.158","DOIUrl":"https://doi.org/10.25121/pnm.2018.31.3.158","url":null,"abstract":"Endoscopic bariatric therapy (EBT), including intragastric balloon (IGB), seem to fill the gap between medical and surgical options of obesity treatment. Currently, there are three IGB systems approved by the FDA: OrberaTM Intragastric Balloon System, ReShape Integrated Dual Balloon System, and the Obalon system. Despite the advantages of IGB such as anatomy preservation, potentially lower risk of serious complications, and costing than bariatric surgery, the achieved weight loss is smaller and often only temporary. The maximum efficacy of IGB therapy is achieved with a comprehensive weight management program including patient education and lifestyle modification. Careful selection of patients for IGB, frequent control visits after balloon placement, and its removal at 6 months on time after insertion are recommended to reduce complications and increase the safety profile of IGB therapy. We discuss the current place of IGBs in the treatment of obesity with particular focus on their efficacy and safety, recent FDA updates, and published data in order to facilitate future decisions on implementing EBT for individual patients.","PeriodicalId":206045,"journal":{"name":"Postępy Nauk Medycznych","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125395936","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

The effectiveness of vertical sleeve gastrectomy (VSG) in obesity – short-term follow-up study 垂直袖胃切除术(VSG)治疗肥胖症的疗效——短期随访研究

Postępy Nauk Medycznych Pub Date : 2018-06-01 DOI: 10.25121/pnm.2018.31.3.150

Elwira Siewiec, L. Szczerbinski, Urszula Puchta, A. Citko, H. R. Hady, A. Krętowski

{"title":"The effectiveness of vertical sleeve gastrectomy (VSG) in obesity – short-term follow-up study","authors":"Elwira Siewiec, L. Szczerbinski, Urszula Puchta, A. Citko, H. R. Hady, A. Krętowski","doi":"10.25121/pnm.2018.31.3.150","DOIUrl":"https://doi.org/10.25121/pnm.2018.31.3.150","url":null,"abstract":"Introduction. Obesity has a great impact on patient’s life quality and on worldwide healthcare. Patients are often exposed to a variety of treatment options for their disease and its associated comorbidities. Laparoscopic sleeve gastrectomy as one of the bariatric surgery methods, seems to provide a beneficial effect on patient’s health. Aim. The objective of performed study is assessment of postoperative body mass alterations in obese patients. Material and methods. A retrospective study was performed on data obtained from 50 patients, who underwent sleeve gastrectomy between September 2015 to January 2017 at University Hospital of Bialystok, Poland. The follow-up consisted of three visits at: 1, 3 and 6 months after the surgery. Body weight and fat mass was measured on each of the visits and %EWL (excess weight loss) and %change in fat mass were calculated for each follow-up time-point. Ethical approval to conduct the study was obtained from the Local Ethics Committee of Medical University of Bialystok (R-I-002/546/2015). Results. In all tested follow-up time-points we have found significant decrease in body weight (p < 10e-06) as well as fat mass loss (p < 10e-06). When compared differences in %EWL, there were no significant differences at any of the follow-up visits. We observed a similar lack of significance for %change in fat mass, except in the 3 months time point (F -23.44% and M -28.19%; p = 0.02). Conclusions. In our study we show that VSG is an effective method of treatment of obesity in our cohort, in short-term follow up, with similar effectiveness of the procedure in men and women.","PeriodicalId":206045,"journal":{"name":"Postępy Nauk Medycznych","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131524649","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