Wyniki wyszukiwania - Biblioteka Nauki

1

Wplyw magnezu na agregacje plytek krwi u pacjentow z choroba niedokrwienna serca

100%

Konkol K. , Woy-Wojciechowski J. , Modrzejewski W. , Poniatowski B.

Biuletyn Magnezologiczny

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1994

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nr 4

86-88

EN

The effect of oral magnesium chloride /Slow-Mag, 3 tablets daylyl on aggregation of platelets in a group of 29 patients with stable /average age 52.9/ and instable angina pectoris /average age 49.7/ was tested. The results show that Slow-Mag decreases the aggregation of platelets and improves effectively the metabolism of heart muscle in patients with stable and instable angina pectoris.

2

Wartość energetyczna oraz poziom spożycia podstawowych składników odżywczych w grupie mężczyzn w wieku 55-64 lat zamieszkałych w Białymstoku

100%

Charkiewicz A. E. , Poniatowski B. , Szpak A.

Bromatologia i Chemia Toksykologiczna

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2012

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tom 45

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nr 3

3

Effect of an anti-tobacco programme of health education on changes in health behaviours among junior high school adolescents in Białystok, Poland

100%

Kanicka M. , Poniatowski B. , Szpak A. , Owoc A.

Annals of Agricultural and Environmental Medicine

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2013

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tom 20

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nr 1

EN

Introduction. School health education programmes are among the instruments for the prevention of tobacco smoking among children and adolescents. Knowledge obtained in evaluation studies of these programmes indicates the degree of their effectiveness and serves to improve their quality. Objective. Recognition and evaluation of the effect of two-year anti-tobacco programme of health education on the changes in the level of knowledge, attitudes and behaviours of adolescents. Materials and method. An intervention study was originated in May 2007, and covered 859 first-year schoolchildren from eight public junior high schools in Białystok in Poland, from among 3,318 schoolchildren attending 33 schools. The sample was selected by means of two-stage stratified sampling with consideration of two groups: an intervention group covered with educational actions (417 schoolchildren), and a control group (442 schoolchildren), where anti-tobacco education was not carried out. Before the educational programme and after its completion an evaluation of knowledge, attitudes and behaviours of junior high school adolescents was performed with respect to nicotinism, based on a survey. The educational part consisted in conducting within 2 years, 4 educational classes and 2 competitions concerning tobacco-related problems. Results. After two years, in the group of adolescents covered by the educational programme a significant increase was observed – by 11.6% – in the percentage of schoolchildren who were familiar with the negative effects of tobacco smoking, and an increase by 4.4% of those who were convinced that smoking is harmful. With respect to adolescents’ attitudes, the effect of the programme was noted in only one of six components analyzed. After completion of the two-year educational programme, both in the group covered by this programme and the control group, the percentage of smokers significantly increased (by 12.8% and 12.7%, respectively). Conclusions. It is necessary to evaluate the health education programme from the aspect of both the actual hard effects of the anti-nicotine programme (changes in behaviour), and indirect effects – soft (knowledge, skills) which are a basis for the potential verification of the programme in order to increase its effectiveness.

4

Differences in the effects of anti-tobacco health education programme in the areas of knowledge, attitude and behaviour, with respect to nicotinism among boys and girls

100%

Kanicka M. , Poniatowski B. , Szpak A. , Owoc A.

Annals of Agricultural and Environmental Medicine

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2013

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tom 20

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nr 1

EN

Introduction. Health education used for increasing the effectiveness of intervention actions should cover a number of factors which exert an effect on learning. Objectve. Recognition of the extent to which gender may determine the effects of an anti-tobacco health education programme. Material and methods. The intervention study was undertaken in May 2007, and covered 859 first-year schoolchildren in Białystok. The sample was selected by means of two-stage stratified sampling with consideration of two groups: an intervention group and a control group. Results. In the group of girls, the 2-year educational programme resulted in an increase in knowledge concerning the negative effects of cigarette smoking by 21%, and being familiar with anti-tobacco actions and campaigns carried out in Poland by 24.5%. Among boys, an increase was observed only with respect to the knowledge of anti-tobacco actions and campaigns – by 10.7%. Considering the attitudes of girls after the completion of the programme, changes were noted with respect to three from among the six elements analyzed. However, among boys, after completion of the project, no changes were noted in any of the analyzed elements of attitude. In girls who participated in the anti-nicotine programme, the percentage of smokers did not increase, while an increase in this percentage was observed among girls of the control group and boys in both groups. Conclusions. Different effects of the 2-year anti-tobacco programme obtained in the area of knowledge, attitude and behaviour should constitute a premise for the modification of educational programmes from the aspect of the variety of methods, techniques and instruments which would be adequate for adolescents’ predispositions resulting also from their gender.

5

Zawartosc skladnikow mineralnych w diecie mezczyzn zamieszkujacych Bialystok

88%

Charkiewicz A. E. , Szpak A. , Poniatowski B. , Korecki J. , Sawicki Z.

Bromatologia i Chemia Toksykologiczna

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2009

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tom 42

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nr 3

625-628

6

'Mercury eradication in healthcare services'- a health promotion programme

88%

Kuroczycki-Saniutycz S. , Szpak A. , Pawinska M. , Poniatowski B. , Wakuluk A.

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tom 17

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nr 6

981-984

EN

The programme of the State Provincial Sanitary Inspector of Białystok was aimed at gradual elimination of mercury from healthcare facilities, spread out over the years 2003-08. Participation in the programme was voluntary. The programme outlined the preliminary actions to be taken and their realization at each governing level, including technical possibilities for substitution or recycling. It included information on harmful effects of mercury and its compounds on people and the environment, instructions concerning implementation, monitoring and training, information about alternative products, costs and effects of implementing non-mercury devices, and how to collect, store and utilize this metal. The programme of mercury eradication in the Podlasie region was mainly concerned with the withdrawal of Hg-based medical thermometers and sphygmomanometers. Already in 2003, when the programme was commenced, one of the largest hospitals delivered several dozen kilograms of stored mercury for recycling, thus eliminating the risk of staff exposure to this deleterious metal.

7

Zawartość wapnia i żelaza oraz ich główne źródła w diecie mężczyzn w okresie 21-letniej obserwacji

75%

Charkiewicz A. E. , Poniatowski B. , Karpinska M. , Korecki J. , Jamiolkowski J. , Szpak A.

Bromatologia i Chemia Toksykologiczna

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2011

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tom 44

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nr 3

8

Przedszpitalna teletransmisja 12-odprowadzeniowego EKG i bezpośrednia transmisja do ośrodka kardiologii inwazyjnej w celu zmniejszenia opóźnienia leczenia interwencyjnego (PCI) u pacjentów ze STEMI. Doniesienie wstępne

63%

Mężyński G. , Kralisz P. , Nowak K. , Bachórzewska-Gajewska H. , Poniatowski B. , Prokopczuk P. , Gugała K. , Żuk J. , Musiał W. , Dobrzycki S.

Acta Bio-Optica et Informatica Medica. Inżynieria Biomedyczna

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2010

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tom Vol. 16, nr 3

268-271

PL

Wstęp. Wczesne rozpoznanie oraz zastosowanie terapii reperfuzyjnej mają istotne znaczenie w rokowaniu u pacjentów z zawałem serca z uniesieniem odcinka ST (STEMI - ST Segment Elevation Myocardial Infraction). Pierwotna angioplastyka wieńcowa (pPCI - Primary Percutaneous Coronary Intervention) jest obecnie najlepszą metodą leczenia. Większość pacjentów z zawałem serca jest przyjmowanych do szpitali rejonowych i musi być transportowana do ośrodków kardiologii interwencyjnej (OKI), co powoduje znaczne wydłużenie czasu do rozpoczęcia leczenia. Kwalifikacja zaburzenia w oparciu o teletransmisję EKG (tele-EKG), a następnie bezpośredni transport chorego do OKI mogą to opóźnienie zmniejszyć. Cel. Celem pracy jest ocena porównawcza czasu rozpoczęcia leczenia interwencyjnego z wykorzystaniem teletransmisji EKG i bezpośredniego transportu pacjentów z zawałem STEMI do OKI oraz w przypadku przyjęcia pacjentów do szpitali rejonowych. Metody. Pacjentów z podejrzeniem zawału serca poddano ocenie lekarskiej w miejscu zdarzenia. Wykonywano także 12 odprowadzeniowy zapis EKG, który natychmiast transmitowano do OKI przez telefon komórkowy. W oparciu o typowe objawy podmiotowe oraz zapis EKG kardiolog interwencyjny decydował o bezpośrednim transporcie chorego do OKI, z pominięciem dyżurnego szpitala rejonowego. Analizowano czas wystąpienia objawów zawału, pierwszego kontaktu z lekarzem, przybycia do szpitala oraz rozpoczęcia zabiegu pPCI. Odpowiednie przedziały czasowe porównywano z grupą kontrolną, którą stanowili chorzy ze STEMI, transportowani do ośrodka kardiologii interwencyjnej ze szpitali rejonowych w celu wykonania pPCI. Grupę kontrolną dobrano pod względem miejsca zamieszkania. Jako czas pierwszego kontaktu w grupie badanej przyjmowano godzinę transmisji EKG, zaś w grupie kontrolnej - zanotowany czas przybycia karetki do pacjenta. Czas od pierwszego kontaktu do przybycia do ośrodka, w przypadku grupy kontrolnej, zawierał czas transportu do szpitala rejonowego, czas oceny w izbie przyjęć i czas transportu do OKI. Wyniki. Transmisję EKG wykonano u 113 pacjentów. W 74 przypadkach (65,5%) stwierdzono cechy STEMI. Pacjenci ci zostali bezpośrednio przetransportowani do ośrodka. Średnia odległość transportowania wyniosła w grupie badanej 25,3±27,4 km. We wszystkich przypadkach w OKI potwierdzono rozpoznanie zawału STEMI oraz wykonano zabieg koronarografii. Pierwotną angioplastykę wykonano u 72 pacjentów (97,3%). Średni czas od początku zawału do pierwszego kontaktu z lekarzem wyniósł 189,3±162 min w grupie badanej i 154,4±131 min w grupie kontrolnej (p = 0,06), zaś od przybycia do szpitala do rozpoczęcia PCI odpowiednio 27,7±18 min i 30,8±14 min (p=0,13). Istotnie statystycznie skrócił się czas od pierwszego kontaktu do przybycia do OKI 43,8±25 min w grupie badanej i 81,7±63 min w grupie kontrolnej (p<0,001), jak również od pierwszego kontaktu do rozpoczęcia leczenia inwazyjnego 71,6±32 i 112,6±64 min (p<0,001). Wnioski. Teletransmisja 12-odprowadzeniowego EKG jest użytecznym narzędziem do wczesnego rozpoznawania zawału serca z uniesieniem odcinka ST (STEMI). W połączeniu z bezpośrednim transportem pacjenta do ośrodka kardiologii inwazyjnej pozwala na istotne zmniejszenie opóźnienia rozpoczęcia terapii reperfuzyjnej w porównaniu ze strategią transportu pacjenta uwzględniającą przyjęcie do szpitala rejonowego.

EN

Background. Early diagnosis and reperfusion is crucial for outcome in patients with ST elevation myocardial infarction (STEMI). Primary PCI is the best therapy, but majority of patients are admitted to hospitals without PCI facilities. Rerouting patients to PCI center may cause unacceptable delays. Wireless prehospital 12-lead electrocardiographic transmission and direct transfer to interventional centre may reduce treatment delay. Aim. The goal of this study was assessment of delays in patients with prehospital ECG transmission and direct transport to PCI centre compared to patients initially admitted to referring hospitals. Methods. STEMI suspected patients were included into the study. Prehospital clinical diagnosis was established by ambulance physician. Prehospital ECG was transmitted by wireless technology to invasive hospital. Based of typical symptoms of STEMI interventional cardiologist in the PCI center decided on direct transfer for primary PCI. Time intervals for symptoms onset, first medical contact, hospital arrival and primary PCI, were evaluated. Corresponding intervals were compared with controls from database of our previous study on transfer STEMI patients for primary PCI via referring hospitals. Controls were matched according to the place of living. As a first medical contact we regarded time of ECG transmission in study group and time of ambulance on-scene arrival in control group. In control group interval "first medical contact-invasive center" includes time the transfer and evaluation in ER (emergency room) of referring hospital and transfer to PCI hospital. Results: ECG transmission was performed in 113 patients. 74 (65.5%) were STEMI patients and directed to the PCI center. Average distance of transfer was 25,3±27,4 km. In all patients diagnosis of STEMI was confirmed and all patients underwent coronarography. Primary PCI was performed in 72 patients (97,3%). The average time delay from symptoms onset to the first medical contact was equal 189,3±63 min in the study group and 154,4±131 min. in control group (p=0,06). Time from hospital arrival to PCI (door-to-needle) was 27,7±18 min in study group and 30,8±14 min. in control group (p=0,13). In the study group time intervals "first medical contact-invasive center" (43,8±25 min vs. 81,7±63, p<0,001) and "first medical contact-PCI" (71,6±32 min vs. 112,6±64 min p<0,001) were significantly shorter . Conclusion. Wireless 12-lead ECG transmission is useful tool in early diagnosis of STEMI. Application of prehospital ECG transmission with direct transfer to PCI hospital result in reduction in the treatment delay compared to strategy with initial admission to referring hospital.