Annales Academiae Medicae Stetinensis最新文献

{"title":"[Factors influencing body image in individuals with selected dermatological diseases].","authors":"Aleksandra Zarek","doi":"10.21164/POMJLIFESCI.14","DOIUrl":"https://doi.org/10.21164/POMJLIFESCI.14","url":null,"abstract":"INTRODUCTION\u0000The aim of this work was to examine the relationship between body concept and personality, and sociodemographic, physical and medical factors in der- matological patients with skin lesions localized in socially visible body areas.\u0000\u0000\u0000MATERIAL AND METHODS\u0000The study was carried out in 160 dermatological patients (80 females and 80 males) aged 30-60 years (mean = 48.26; SD = 9.15) whose skin lesions were localized in the area of the face/head and/or hands. Body image was measured with the Body Image Questionnaire based on the Body Cathexis Scale of P.F. Secord and S.J. Jourard. The self concept was measured with the Adjective Check List of H.G. Gough and A.B. Heilbrun, and The Wheel Questionnaire of Ben Shalit.\u0000\u0000\u0000CONCLUSIONS\u0000Body self image of dermatological patients was influenced mostly by personality traits.","PeriodicalId":7883,"journal":{"name":"Annales Academiae Medicae Stetinensis","volume":"50 1","pages":"75-87"},"PeriodicalIF":0.0,"publicationDate":"2016-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80333504","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":"[Women's expectations towards gynaecological examination ].","authors":"K. Szymoniak","doi":"10.21164/POMJLIFESCI.11","DOIUrl":"https://doi.org/10.21164/POMJLIFESCI.11","url":null,"abstract":"INTRODUCTION\u0000It is commonly known that gynaecologi- cal examinations cause a lot of negative emotions in the majority of women. The aim of my work was: 1. Getting to know women's views on the nature of a pelvic examination and their expectations regarding gynaecologists. 2. To determine the correlation between the examined views and independent variables such as the age of the respondents, residence, and place of examination.\u0000\u0000\u0000MATERIAL AND METHODS\u0000The research material consisted of 1200 women living in the region of Western Pomerania and in Lódź. The measurement tool was a survey of my own authorship.\u0000\u0000\u0000CONCLUSIONS\u00001. In the opinion of most women, gynaecological examination is embarrassing and stressful. It has not been proven that this opinion was related to age, residence or place of examination. 2. According to women, the most embarrassing moment of a visit to the gynaecologist is lying down on the gynaecological chair, and the gynecological examination. The most unpleasant aspect is palpation through the vagina and rectum. These feelings differ depending on age, residence and place of taking the examination. 3. The choice of the gynaecologist's gender is dependent on women's age. 4. The frequency of reporting for the gynaecological examination decreases with women's age, and is dependent on their place of residence. 5. A sense of safety and mental comfort during the gynaecological examination is provided by the lack of third parties, except for the presence of a midwife. It is also dependent on the patient's age, her place of residence, as well as the examination site. 6. Women's expectations of a gynaecologist are focused mainly on maintaining a sense of intimacy and safety, getting information about the procedures, as well as a pleasant and individual approach.","PeriodicalId":7883,"journal":{"name":"Annales Academiae Medicae Stetinensis","volume":"68 1","pages":"52-9"},"PeriodicalIF":0.0,"publicationDate":"2016-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86063348","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 evaluation of procedure and treatment outcome in patients with tension pneumothorax.","authors":"J. Lorkowski, I. Teul, W. Hładki, I. Kotela","doi":"10.21164/POMJLIFESCI.4","DOIUrl":"https://doi.org/10.21164/POMJLIFESCI.4","url":null,"abstract":"INTRODUCTION\u0000Tension pneumothorax is a directly criti- cal illness condition. The aim of this study was to evaluate the outcome of tension pneumothorax treatment in trauma patients.\u0000\u0000\u0000MATERIAL AND METHODS\u0000We assessed the results of treat- ment of 22 patients hospitalized for trauma in 2000-2010, in whom at the time of admission tension pneumothorax symptoms were found. This constituted 18% of trauma patients who at the time of admission to the hospital, during the initial examination, were diagnosed with pneumothorax. In the study group there were 17 men and 5 women. The patients' ages ranged from 21 to 85 years (mean 48.8). In 19 cases tension pneumothorax was associated with polytrauma. Traffic accidents were the cause of most cases. Injury to one or both lungs was observed in 16 patients. Typical paradoxi- cal breathing occurred in 2 patients. The number of frac- tured ribs averaged 6.3 per patient. In each of the patients, immediately on admission, after diagnosis based on clini- cal symptoms, tension pneumothorax decompression was performed by pleural drainage. Lung decompression and improvement of the clinical condition of the patient were obtained in a few minutes after pleural drainage. Then, fur- ther diagnostic and therapeutic procedures were continued. Full time of hospitalization due to polytrauma injury was on average 58.6 days. Two patients died during treatment for polytrauma. Pneumothorax was not the cause of death in either of the patients.\u0000\u0000\u0000CONCLUSION\u0000In summary, the therapeutic standard ordering of tension pneumothorax decompression, directly on admission to the hospital, allows the patient to survive in spite of the grave nature of the injury.","PeriodicalId":7883,"journal":{"name":"Annales Academiae Medicae Stetinensis","volume":"68 1","pages":"10-5"},"PeriodicalIF":0.0,"publicationDate":"2016-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79879565","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":"[AN ANALYSIS OF THE INDICATIONS FOR, AND ASSESSMENT OF THE OUTCOMES OF SECONDARY SURGERY AFTER PRIMARY REPAIR OF INJURIES WITHIN THE UPPER LIMB].","authors":"A. Żyluk, A. Mazur","doi":"10.21164/POMJLIFESCI.32","DOIUrl":"https://doi.org/10.21164/POMJLIFESCI.32","url":null,"abstract":"INTRODUCTION\u0000The objective of the study was the analysis of the indications for, and assessment of the outcomes of secondary interventions after primary repair of injuries within the upper limb in the authors' institution--Department of General and Hand Surgery of the Pomeranian Medical University in Szczecin (a tertiary care unit).\u0000\u0000\u0000MATERIAL AND METHODS\u0000Answers on questionnaires (including DASH) mailed to 33 patients were the subject of the analysis. The group consisted of 27 men and 6 women, mean age 36 years, in whom secondary interventions were performed at a mean of 8 months after primary surgery.\u0000\u0000\u0000RESULTS\u0000Injuries were grouped in five categories: tendon lacerations, hand or finger amputations, nerve sections, complex tissue injuries, and isolated finger fractures. The most common cause of secondary intervention was incomplete finger movement and lack of opposition of the thumb. The most common operations included tenolysis, arthrolysis and opponensplasty. The outcomes of secondary surgery from patients' perspective were overall good: 13 (39%) patients reported significant improvement, 16 (48%) moderate, and only 4 (13%) patients had no benefit. Twenty-five patients regained full, or almost full hand function (DASH scores 2-39), and 8 (24%) had moderately to severely impaired function (DASH 40-80). Twenty-eight patients returned to work.\u0000\u0000\u0000CONCLUSIONS\u0000Primary repair of upper limb injuries (even severe) in the tertiary institution was adequate, and secondary interventions rarely necessary. The most common indication was incomplete finger movement caused by ineffective postoperative mobilization. The important role of rehabilitation for the final outcome of the treatment of hand injuries was emphasized.","PeriodicalId":7883,"journal":{"name":"Annales Academiae Medicae Stetinensis","volume":"21 1","pages":"50-4"},"PeriodicalIF":0.0,"publicationDate":"2016-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90786925","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":"Antoni Christian Bryk (1820-1881) - professor of forensic medicine at Jagiellonian University (1852-1860), and director of the surgical clinic of Jagiellonian University in Cracow (1860-1881).","authors":"Tadeusz Zajączkowski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>scientific discipline. In the 19th century two milestones revolutionised surgery: the development of narcosis, which enabled painless surgery, and the introduction of antisepsis and asepsis. The author presents the beginnings of academic surgery in Cracow. Its pioneer surgeons are presented. Extensive research was undertaken to collect the literature and documents in Polish, Austrian and German archives and libraries in order to prepare this study. Biographical details of the director of the Surgical Clinic, Prof. Antoni Bryk, are provided. He was the first person in Poland to introduce antisepsis and galvanocautery as routine procedures in the Cracow Clinic. The introduction of antisepsis contributed to a reduction in infection during surgery, and a reduction in postoperative mortality in Cracow Surgical Clinic. In this way Professor Bryk became the first Polish surgeon to apply Lister's antiseptic method in the treatment of wounds. Thus enlarged, the scope of surgery for intracranial, bone and other procedures became routine. Surgery is the oldest discipline in medicine. Poland's first university chair of surgery was established in the 18th century. Surgery, which until then had been the domain of barbers and bath house attendants, became a clinical,</p>","PeriodicalId":7883,"journal":{"name":"Annales Academiae Medicae Stetinensis","volume":"60 1","pages":"109-17"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32914278","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":"[Corruption risks in relations between doctor and patient ].","authors":"Marcin Kolwitz,&nbsp;Jakub Gąsiorowski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The article describes the problem of corruption occurring in the relationship between doctor and patient. The doctor-patient relationship, including the provision of health services, is one of several potential areas of corruption in the health care system. Among the reasons for the existence of corruption in these relationships are the need to obtain better healthcare for the patient, and higher earnings in the case of a doctor. Indications of corruption are utilitarian (action for personal advantage without ethical aspects), but may also be (actually or in the patient's opinion) the only way to obtain services and save health and even life. Corruption between the doctor and the patient can be limited by better organization of the health care system, including the financing of benefits and education of medical personnel and patients, as well as traditional legal measures, such as prevention or the application of criminal sanctions.</p>","PeriodicalId":7883,"journal":{"name":"Annales Academiae Medicae Stetinensis","volume":"60 1","pages":"134-9"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32914280","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":"An analysis of the feelings of pregnant women at risk of preterm labour.","authors":"Magdalena Sulima,&nbsp;Marta Makara-Studzińska,&nbsp;Magdalena Lewicka,&nbsp;Krzysztof Wiktor,&nbsp;Katarzyna Kanadys,&nbsp;Henryk Wiktor","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of the study was an analysis of the feelings of pregnant women at risk ofpreterm labour.</p><p><strong>Material and method: </strong>313 expectant mothers aged between 18 to 44 years (ranges: 18-25, 26-30 and 31-44 years) with no psychological disorders, hospitalized and treated due to the risk of preterm labour were surveyed. All the examined pregnant women expressed voluntary and informed consent for the participation in the survey. Each of the questionnaires given to the examined pregnant women contained: a questionnaire form devised by the authors, to establish the characteristics of the surveyed expectant mothers, and the following research standardized tool - Negative and Positive Feelings Scale by P. Brzozowski.</p><p><strong>Results: </strong>The value of the mean level of positive feel- ings state in the group of patients aged 31-44 years with higher education was significantly higher (p < 0.05) than the mean value in the group of patients aged 26-30 years with secondary or primary/vocational education. Marital status and place of residence had no effect on the level of positive feelings as a condition of pregnant women in the study group (p > 0.05). There were no significant statistical differences (p > 0.05) between the level of negative feel- ings trait and age. It was found, however, that the level of negative feelings trait was significantly lower (p = 0.0009) in pregnant women with higher education than in pregnant women who had completed secondary education.</p><p><strong>Conclusion: </strong>1. Among pregnant women at risk of pre- term labour, higher levels of positive feelings were found in pregnant women aged 31-44 years with higher education, being married and residents of a provincial city. 2. In order to reduce negative feelings in pregnant women at risk of preterm labour it seems important to implement appropriate psychological and prophylactic management, provide adequate care in the pregnancy pathology department, as well as support from the medical staff and the family. These activities should be targeted particularly at younger women with primary education or vocational training, not being married and living in rural areas.</p>","PeriodicalId":7883,"journal":{"name":"Annales Academiae Medicae Stetinensis","volume":"60 1","pages":"65-74"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32914839","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":"[Preface].","authors":"Kojder Ireneusz","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":7883,"journal":{"name":"Annales Academiae Medicae Stetinensis","volume":"60 1","pages":"5-6"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32916533","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":"FUNCTIONAL DISORDERS OF THE TEMPOROMANDIBULAR JOINTS AS A FACTOR RESPONSIBLE FOR SLEEP APNOEA.","authors":"H. Ey-Chmielewska, I. Teul, J. Lorkowski","doi":"10.21164/pomjlifesci.35","DOIUrl":"https://doi.org/10.21164/pomjlifesci.35","url":null,"abstract":"INTRODUCTION Functional disorders of the temporomandibular joints (TMJ) in the contemporary population are considered by World Health Organization to be the third most frequent dental disease after caries and periodontitis. It is thought to affect 84% of the adult population. In patients aged 65 years and older these disorders become more severe and may affect up to 100% of this age group. MATERIAL AND METHOD We examined 150 patients aged 35-70 years (mean age 46.5 years). All patients were diagnosed in 2006-2010 at the Department of Dental Prosthetics of the Pomeranian Medical University in Szczecin due to suspected more or less advanced functional disorders of the stomatognathic system, particularly TMJ. The severity of the disorders was identified using the Helkimo index. RESULTS Functional disorders of the TMJ and mild sleep apnoea were diagnosed in 112 patients. Findings from the study indicated that the severity of sleep apnoea was positively correlated with the duration and severity of TMD. CONCLUSION Most patients did not link the symptoms of sleep apnoea with dysfunctions of the stomatognathic system.","PeriodicalId":7883,"journal":{"name":"Annales Academiae Medicae Stetinensis","volume":"106 ","pages":"65-8"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72553731","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 education in medicine and surgery, first hospitals development of urology in danzig/Gdańsk.","authors":"Tadeusz Zajączkowski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of the study is to present the development of hospital services and the teaching of medicine, and the development of urology in Danzig (Gdańisk). Well known Danzig surgeons who were interested in surgery of the genitourinary system are also presented. The beginning of urological surgery and its development within the framework of the department of surgery and as an independent facility at the Medical Academy of Gdafisk in the post-war period is also described. Extensive research was undertaken for the collection of literature and documents in German and Polish archives and libraries in order to prepare this study. The history of hospitals in Danzig goes back to the arrival of the Teutonic Knights in 1308. The earliest institution, according to historical sources, was the Hospital of the Holy Spirit, built in the years 1310-1311. It was run by the Hospitalet Order until 1382, and was intended for the sick, elderly and disabled people, orphans and needy pilgrim, and the poor. Later centuries saw the further development of hospital services in Danzig. In the 19th century, the city's increas ing population, the development of the sciences, and rapid advances in medicine subsequently led to the establishment of three more hospitals in Gdafisk: The Hospital for Obstetrics and Gynaecological Disease (1819), the Holy Virgin Hospital (1852), and the Evangelical Hospital of Deaconess Sisters (1857), in addition to the old Municipal Hospital. In 1911, new modern buildings of Municipal Hospital in Danzig were finished. On the basis of the Municipal Hospi- tal, the Academy of Practical Medicine was established in 1935. It was known under the name Staatliche Akademie fiir Praktische Medizin in the Free City of Danzig. Five years later (in 1940) the Academy was developed and changed to the Medical Academy of Danzig (Medizinische Akad- emie Danzig - MAD). The beginning of medical teaching at the middle level in Danzig (Gdafsk) dates back to the 16th century. It had its origins in the Chair of Anatomy and Medicine at Danzig Academic Gymnasium (GA; Sive Illustre), an establishment which lasted for 239 years, from 1584 to 1812. The history of surgery in Danzig has its roots in the centuries-old tradition of the medical practice of surgeons who were associated in the Surgeons Guild, teaching, as well medical and scientific research. The Surgeons Guild existed in Danzig from 1454 to 1820. Over the centuries manual intervention was also in the hands of academically uneducated persons such as bath house attendants, barbers, and wandering surgeons. Until the end of 1946 there was no separate urology department in Danzig. Urological surgery was in the hands of surgeons. Interventions and operations on genitourinary organs were carried out, more or less, in all surgical departments. The end of World War II created a new political situation in Europe. Danzig (now Gdafisk) and Pomerania became part of Poland. In 1945, on the basis of the former MAD, the Polish","PeriodicalId":7883,"journal":{"name":"Annales Academiae Medicae Stetinensis","volume":"60 1","pages":"118-33"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32914279","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}