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Tytuł:
Poczucie koherencji w grupie ratowników medycznych w kontekście wybranych zmiennych socjodemografiznych
The sense of coherence in a group of paramedics in the context of selected socio-demographic variables
Autorzy:
Rębak, Dorota
Głuszek, Stanisław
Powiązania:
https://bibliotekanauki.pl/articles/437706.pdf
Data publikacji:
2012
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
SOC
zmienne socjodemografizne
ratownik medyczny
demographic factors
social characteristics
paramedic
Opis:
Wprowadzenie. Poczucie koherencji (SOC) zdefiiowane zostało jako względnie stała orientacja, wyznaczająca okre- ślony sposób spostrzegania świata, jako przewidywalnego, sterowalnego oraz wartego wysiłku i zaangażowania. Materiał i metodyka. Przebadano 336 ratowników medycznych czynnych zawodowo, pracujących w wyjazdowych zespołach ratownictwa medycznego na terenie Polski. Badania realizowano w Stacjach Pogotowia Ratunkowego i Szpitalnych Oddziałach Ratunkowych. Poczucie koherencji oceniono za pomocą kwestionariusza SOC – 29. cel pracy. Celem pracy było ustalenie czy zmienne socjodemografizne różnicują poczucie koherencji i jej składowe w grupie ratowników medycznych. Wyniki. Ogólne poczucie koherencji nie różnicowało kobiet i mężczyzn w grupie ratowników medycznych. Istotna róż- nica zaznaczyła się w podskali zrozumiałości, przy p = 0,020. Z analizy pozostałych danych demografiznych przy użyciu r Spearmana, przy p < 0,05, wynika, że wiek i staż pracy ankietowanych w sposób istotny statystycznie różnicował zrozumiałość. Średni poziom poczucia koherencji dla ratowników medycznych z wykształceniem policealnym wynosił 141,64, przy N = 259 i był nieco niższy w stosunku do grupy z wykształceniem licencjackim, gdzie uzyskano 144,17, przy N = 77. Wnioski. Poczucie koherencji okazało się być stałą zmienną osobowościową u ratowników medycznych. Mniej stabilne było poczucie zrozumiałości.
Introduction. The sense of coherence (SOC) has been defied as relatively constant orientation determining a specifi way of perceiving the world as something predictable, controllable, worth effrt and commitment. Material and methodology. 336 paramedics who lead active working lives have been examined. They all work in paramedical teams reaching patients in need in Poland. The research has been conducted in Ambulance Stations and Hospital Emergency Services. The sense of coherence has been established with the use of SOC-29 Questionnaire. The aim of the study. The aim of the study was to establish whether socio-demographic variables diversify the sense of coherence and its components in a group of paramedics. The results. The general sense of coherence has not been diffrent among women and men in a group of paramedics. A signifiant diffrence has been noticeable on the comprehensibility subscale, with p = 0,020. On the basis of the analysis of the rest of the demographic data, with the use of r Spearman, with p < 0,05, it has appeared that the respondents’ age and work experience has diversifid comprehensibility in a way signifiant statistically. The average level of the sense of coherence in paramedics with college education has amounted to 141,64, with N = 259 and has been slightly lower in comparison with the group with undergraduate education, where the level has amounted to 144,17, with N = 77. conclusion. The sense of coherence has turned out to be a constant variable of a paramedic’s personality. The sense of comprehensibility has been less constant.
Źródło:
Medical Review; 2012, 4; 465-473
2450-6761
Pojawia się w:
Medical Review
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Effect of complicated thyroid surgical procedures on personal and professional life of patients
Autorzy:
Sławeta, Norbert
Głuszek, Stanisław
Powiązania:
https://bibliotekanauki.pl/articles/1396740.pdf
Data publikacji:
2012-10-01
Wydawca:
Index Copernicus International
Tematy:
thyroid surgical
vocal cord paralysis
post-operative hypoparathyroidism
Opis:
Thyroid resection procedures are the most common endocrine surgery procedures in Poland; an estimated 25 000 procedures are performed annually. Long term patient outcomes are rarely analyzed. The aim of the study was to assess effect of complicated thyroid burgery procedur es on personal and Professional life of patients. Material and methods. Follow-up of patients with complications was conducted according to a predetermined protocol involving survey and biochemistry. Results. Unilateral and bilateral vocal cord paralysis accounted for 69% and 8% of complications, respectively. The complications resolved unilaterally in 58% of patients with bilateral vocal cord paralysis. Persistent hypoparathyroidism accounted for 26% of cases of postoperative hypoparathyroidism. Following thyroid resection procedures all patients received supplementation of thyroid hormones and were monitored by an endocrinologist until their follow-up examination. Eighty eight percent patients with vocal cord paralysis were treated at an outpatient department of laryngology and/or speech therapy. Physical therapy resulted in improvement irrespective of final nature of the complications. Vocal cord paralysis or both complications concurrently result in marked prolongation of absence from work and resulted in disability pension in 15% of professionally active patients. Low level of adaptation to diseas e was found in 19% patients in the study group, while low score on Satisfaction with Life Scale (SWLS) was found in 17% patients in the study group, irrespective of the type of complication. Conclusions.Acceptance of complications after thyroid surgical procedures is difficult for patients and worsens their life satisfaction in the long term follow-up and adversely modifies their professional and personal life. In the long term perspective, persistent hypoparathyroidism is more burdensome for patients than recurrent laryngeal nerve injury. Chronic deficit of innervations does not require chronic substitution or specialist therapy that are necessary in the persistent hypoparathyroidism.
Źródło:
Polish Journal of Surgery; 2012, 84, 9; 437-444
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Free gas in the peritoneal cavity after colonoscopy. Indication for immediate action or incidental finding in imaging tests after uncomplicated colonoscopy? Literature review
Autorzy:
Znamirowski, Przemysław
Głuszek, Stanisław
Powiązania:
https://bibliotekanauki.pl/articles/1391696.pdf
Data publikacji:
2020
Wydawca:
Index Copernicus International
Tematy:
asymptomatic pneumoperitoneum
colonoscopy
complications
dissection
mucosectomy
perforation
Opis:
Colonoscopy is a routine diagnostic and therapeutic procedure. Along with the increase in the complexity of the procedures performed, the risk of complications increases. In 2017, WSES (World Society of Emergency Surgery) published the principles of safe colonoscopy. Intestinal perforation is one of the most common complications. The risk of perforation in treatment procedures such as mucosectomy or endoscopic dissection is significantly greater than the risk of diagnostic colonoscopy. The basic rule of the procedure in case of suspected perforation is close supervision over the patient’s condition and the soonest possible repair of damage. The role of the endoscopist is not only early recognition, but also early treatment of damage. Immediate endoscopic treatment of lesions is an effective, final and acceptable management strategy. In patients who have undergone imaging diagnostics for another reason, free gas in the peritoneal cavity can be recognized. It does not have to mean the need for urgent surgical intervention. Patients with asymptomatic pneumoperitoneum after colonoscopy should, however, be treated as patients with suspected perforation of the large intestine and undergo careful clinical observation in accordance with WSES recommendations. Colonoscopy is a procedure with a risk of complications, which should be reported to patients qualified for endoscopy, but appropriate management reduces the risk of morbidity and mortality associated with this procedure.
Źródło:
Polish Journal of Surgery; 2020, 92, 3; 44-50
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Wolny gaz w jamie otrzewnej po kolonoskopii. Wskazanie do natychmiastowego działania czy przypadkowe znalezisko w badaniach obrazowych po niepowikłanej kolonoskopii? Przegląd piśmiennictwa
Autorzy:
Znamirowski, Przemysław
Głuszek, Stanisław
Powiązania:
https://bibliotekanauki.pl/articles/1391702.pdf
Data publikacji:
2020
Wydawca:
Index Copernicus International
Tematy:
bezobjawowa odma otrzewnowa
dysekcja
kolonoskopia
mukozektomia
powikłania
przedziurawienie
Opis:
Kolonoskopia jest rutynową procedurą diagnostyczną i terapeutyczną. Wraz ze wzrostem złożoności wykonywanych procedur zabiegowych, rośnie ryzyko wystąpienia powikłań. WSES (World Society of Emergency Surgery) w 2017 roku opublikowało zasady bezpiecznego wykonywania kolonoskopii. Do najczęstszych powikłań należy przedziurawienie przewodu pokarmowego. Ryzyko przedziurawienia w przypadku zabiegów leczniczych, takich jak mukozektomia czy dysekcja endoskopowa, jest znacząco większe od ryzyka kolonoskopii diagnostycznej. Podstawową zasadą postepowania w sytuacji podejrzenia przedziurawienia jest ścisły nadzór nad stanem chorego oraz możliwe szybkie zaopatrzenie uszkodzenia. Rola endoskopisty nie sprowadza się tylko do rozpoznania, ale także do wczesnego zapatrzenia uszkodzenia. Natychmiastowe leczenie endoskopowe uszkodzeń jest skuteczną, ostateczną i akceptowalną strategią postepowania. U pacjentów po kolonoskopii, których poddano diagnostyce obrazowej z innego powodu, można rozpoznać wolny gaz w jamie otrzewnej. Nie musi to jednak oznaczać konieczności pilnej interwencji chirurgicznej. Chorych z bezobjawową odmą otrzewnową po kolonoskopii należy traktować jak pacjentów z podejrzeniem przedziurawienia jelita grubego i poddawać starannej obserwacji klinicznej, zgodnie z zaleceniami WSES. Kolonoskopia jest zabiegiem obarczonym ryzykiem powikłań, o czym należy informować chorych kwalifikowanych do endoskopii, jednak właściwe postępowanie zmniejsza ryzyko zachorowalności i śmiertelności związanych z tą procedurą.
Źródło:
Polish Journal of Surgery; 2020, 92, 3; 44-50
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Prevalence and Progression of Acute Pancreatitis in the Świętokrzyskie Voivodeship Population
Autorzy:
Głuszek, Stanisław
Kozieł, Dorota
Powiązania:
https://bibliotekanauki.pl/articles/1397025.pdf
Data publikacji:
2012-12-01
Wydawca:
Index Copernicus International
Opis:
Acute pancreatitis (AP) is a significant clinical problem. There have been no prospective epidemiological data on AP in Poland. The aim of this study is to estimate prevalence, etiology and severity of acute pancreatitis in the Świętokrzyskie Voivodeship population, involving risk factors of this disease. Material and methods. In 2011 prospective observation was conducted in all departments of surgery of the Świętokrzyskie Voivodeship. The inclusion criterion of the study, a definite diagnosis of AP, was met in 1044 hospitalized patients. According to our assumption that repeated hospitalization is considered as a new case if occurred more than 60 days after the previous one, 1004 patients were included in the further analysis. Results. The incidence rate was 99.96/100,000. Incidence rate among woman was 72/100,000 and incidence among men was 130.24/100,000 (p < 0.05). Median age of AP patients was 53 years. Median age among woman (65 years) was significantly (p < 0.005) higher than among man (47 years). Incidence rate for the first episode was 79.7/100,000 citizens. Main causes of AP included cholelithiasis (30.1%), alcohol (24.1%), coexisting cholelithiasis and alcohol abuse (2.9%), pancreatic cancer (1%), AP after ERCP (0.7%). Basing on modified Atlanta criteria, severe AP was diagnosed in 7%, moderate in 12.3%, and mild in 80.7% of patients. Mean duration of hospitalization of patients with severe AP was 14.8, moderate - 16,7, mild - 7.1 days. Mortality rate for AP was 3.9%. Mean age of deceased women was 74 years and was significantly higher than in the group of men (61 years). Mortality rate in severe AP was 52.9% and was significantly (p < 0.05) higher than mortality in moderate (no deaths) or mild AP (0.2%). Conclusions. Incidence rate of AP in the Świętokrzyskie Voivodeship population is among the highest in Poland. Our study indicates that new Atlanta classification, that differentiates between moderate and severe AP, needs to be implemented to the clinical practice, since the latter carries high mortality in severe cases.
Źródło:
Polish Journal of Surgery; 2012, 84, 12; 618-625
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Does neuromonitoring affect voice quality in patients subjected to a complete thyroidectomy ?
Autorzy:
Bryk, Piotr
Głuszek, Stanislaw
Powiązania:
https://bibliotekanauki.pl/articles/23203211.pdf
Data publikacji:
2021-05-12
Wydawca:
Index Copernicus International
Tematy:
intraoperative neuromonitoring
recurrent laryngeal nerve
vocal cord
thyroidectomy
voice assessment
voice quality
Opis:
Introduction: Voice dysfunction is the most common complication of thyroid surgery. The use of intraoperative neuromonitoring (IONM) is to protect the recurrent laryngeal nerves, the damage of which causes voice dysfunction. Aim: The aim of the study was to evaluate voice quality in patients who underwent complete thyroidectomy operated on with the application of IONM as well as a group of patients operated on with only macroscopic nerve visualization. In the analysis, clinical voice assessment was performed with particular focus on voice efficiency using the Voice Handicap Index (VHI), Vocal Tract Discomfort (VTD) and GRBAS scale. Material and methods: The study group consisted of 205 patients operated on with IONM. The control group consisted of 162 patients subjected to surgery only with macroscopic visualization of recurrent laryngeal nerves, without IONM. During the follow-up period from 2 to 10 years after surgery, checkups were performed. Each patient who came for a checkup was subjected to perceptual voice evaluation with the use of the GRBAS scale, indirect laryngoscopy procedure and voice selfevaluation with two questionnaires (VHI and VTD). Results: The frequency of vocal fold palsy did not differ significantly statistically in the study group and the control group. Both in the study group and in the control group, patients with vocal fold paralysis had statistically significantly higher results in the VHI and VTD questionnaires as well as in the GRBAS study. Conclusion: Patients with recurrent laryngeal nerve injury show significant differences in the scope of voice handicap, both in the voice quality assessment with the use of the GRBAS scale, and self-evaluation questionnaires: VHI and VTD. All voice disorders evaluated with self-assessment are medium voice disability
Źródło:
Polish Journal of Otolaryngology; 2021, 75, 5; 16-23
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Clinical and Metabolic Changes Following Complicated Thyroid Resection Procedures
Autorzy:
Sławeta, Norbert
Głuszek, Stanisław
Heciak, Jacek
Powiązania:
https://bibliotekanauki.pl/articles/1396347.pdf
Data publikacji:
2013-05-01
Wydawca:
Index Copernicus International
Tematy:
thyroid surgery
thyroid surgery complications
hypoparathyroidism
vocal cord paralysis
Opis:
Clinical and metabolic consequences of complicated thyroid resection procedures are rarely an object of complex analysis, and teams participating in treatment may have a very limited knowledge of them. The aim of the study was to assess clinical and metabolic consequences of complicated thyroid surgical procedures. Material and methods. In the years 2002-2007, 756 patients underwent surgery due to non-neoplastic thyroid diseases. Sixty-nine (9.1%) patients experienced complications manifesting as vocal cord paralysis and/or hypoparathyroidism. Follow-up examination was conducted in a group of 42 persons, which amounted to 61% of patients who experienced complications following thyroid surgical procedures. Follow-up examination, comprising assessment of morphotic blood elements, electrolyte, lipid and parathormone blood concentrations, thyroid hormone activity, respiratory function, vocal cord mobility, bone mineralization and ultrasound examination of the pocket left after thyroid resection, was conducted after the mean period of 43 months following surgery. Results. In the analyzed group, no significant differences in plasma electrolyte content were found (sodium, potassium, magnesium, calcium and phosphorus ions). In the group of patients with chronic hypoparathyroidism, no hypophosphatemia was observed, and there were no reports of concomitant nephrolithiasis or cataract. Increased cholesterol concentration was observed in the group of patients with chronic hypoparathyroidism and without hypoparathyroidism (p = 0.07). In 35% of patients with chronic vocal cord paralysis, abnormal results of spirometry tests were obtained. In the group of patients with chronic hypoparathyroidism, densitometry examination revealed higher T-score values compared with patients with transient hypoparathyroidism and vocal cord paralysis (p = 0.07). No bone mineralization disorders manifesting as pathological fractures were noted. Conclusions. The knowledge of clinical and metabolic consequences of complicated thyroid surgical procedures, due to their complexity, may be very limited among the members of both surgical teams and teams involved in management of complications. Development of a complication following thyroid surgery may be associated with significant homeostasis disorders, especially as regards calcium-phosphate metabolism, the skeletal system and the respiratory system. Such disorders can manifest long after the disease onset, only properly intensified and long-term management allows limitation of their extent.
Źródło:
Polish Journal of Surgery; 2013, 85, 5; 235-246
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Prevalence of metabolic syndrome in normal weight individuals
Autorzy:
Suliga, Edyta
Kozieł, Dorota
Głuszek, Stanisław
Powiązania:
https://bibliotekanauki.pl/articles/989634.pdf
Data publikacji:
2016
Wydawca:
Instytut Medycyny Wsi
Tematy:
metabolic syndrome
risk factors
body mass index
Opis:
Introduction and objective. The prevalence of metabolic syndrome and overweight in individuals with normal body weight is connected with higher exposure to type 2 diabetes and cardiovascular diseases. The aim of the study was to evaluate the risk and frequency of occurrence of metabolic syndrome and each of its components among individuals with normal weight. Materials and method. Data were obtained by structured interview, and by measurements of anthropometric factors and blood analyses among 13,172 individuals aged 37–66. The risk of occurrence of metabolic syndrome was analysed in tertiles within the normal range of BMI (18.5–24.9 kg/m2). Results. Metabolic syndrome was diagnosed in 17.27% of individuals with normal weight. A significant increase in the risk of occurrence of metabolic syndrome in females was observed within the second (OR = 2.22; 95% CI: 1.63–3.05) and the third (OR = 3.97; 95% CI: 2.97–5.36) tertiles of normal BMI values. In males, a significantly higher risk of occurrence of metabolic syndrome was noted only in the highest BMI tertile (OR = 2.16; 95% CI: 1.26–3.83), compared to the reference level. Conclusions. A high frequency of occurrence of metabolic syndrome risk factors was observed among individuals with BMI close to the upper cut-off point of the normal range. In order to early diagnose metabolically obese individuals with normal weight it is necessary to check the waist circumference when BMI ≥ 22.5 kg/m2 in females, and BMI ≥ 23.8 kg/m2 in males, where abnormal values should be a signal that further examinations should be performed to determine other risk factors of metabolic syndrome.
Źródło:
Annals of Agricultural and Environmental Medicine; 2016, 23, 4
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The prevelance of metabolic syndrome on the sample of paramedics
Autorzy:
Rębak, Dorota
Suliga, Edyta
Grabowska, Urszula
Głuszek, Stanisław
Powiązania:
https://bibliotekanauki.pl/articles/2162030.pdf
Data publikacji:
2018-12-20
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
metabolic syndrome
paramedics
prevalence
criterion
IDF/2005
IDF/2009
Opis:
Objectives The term metabolic syndrome (MetS) refers to the coexistence of interlinked risk factors of metabolic origin, contributing to the development of arteriosclerotic cardiovascular diseases as well as type 2 diabetes and their cardiovascular complications. The aim of the study is the assessment of the prevalence of MetS among paramedics of the Świętokrzyskie Center of Emergency Medical Services, depending on the adopted diagnostic criteria. Material and Methods The study included 140 paramedics (2 women and 138 men), aged 23–60 years old (median = 43 years, average age = 41.5 years, standard deviation = 10.8 years). The age distribution of the subjects was significantly different from the normal distribution (p-value < 0.0001). The oldest age group (50 years old and above) was overrepresented by nearly a half compared to the youngest group (up to 29 years old). Metabolic syndrome was defined on the basis of the International Diabetes Federation (IDF) criteria from 2005 and IDF in agreement with the American Heart Association/National Heart, Lung and Blood Institute (AHA/NHLBI) from 2009. Results According to the IDF/2005 criteria, in which the necessary condition is the diagnosis of central obesity, MetS was recorded in 26.4% of the subjects (37 people). This is statistically significantly less often than the IDF/AHA/NHLBI/2009 definition of p = 0.001 – 35%. The frequency of the MetS occurrence was statistically significantly related to the age of the subjects and the age groups. Conclusions The prevalence of the MetS in the subject group is evaluated to be significant. The prevalence of MetS is diversified by the applied diagnostic criteria with age being the factor increasing its frequency. The most common factor influencing the prevalence of MetS is blood pressure and waist circumference. Int J Occup Med Environ Health 2018;31(6):741–751
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2018, 31, 6; 741-751
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The Influence of Splenectomy Performed Simultaneously with Gastrectomy on Postoperative Complications in Patients with Gastric Cancer Undergoing Surgery with the Intention to Treat
Autorzy:
Głuszek, Stanisław
Kot, Marta
Kuchinka, Jakub
Matykiewicz, Jarosław
Powiązania:
https://bibliotekanauki.pl/articles/1395800.pdf
Data publikacji:
2014-07-01
Wydawca:
Index Copernicus International
Tematy:
splenectomy
gastrectomy
surgical complications
general complications
gastric cancer
Opis:
Despite the growing understanding of the pathophysiological processes in the perioperative period and significant advancements in surgical techniques, operative treatment for gastric cancer remains a challenge for surgeons, especially because the primary procedure of total or nearly total gastrectomy must at times be extended by the resection of other organs. The aim of the study was to asses the influence of concomitant splenectomy in patients undergoing curative surgery for gastric cancer on postoperative complications. Material and methods. The study population consisted of 258 patients who underwent surgical treatment for gastric cancer with the intention to treat. The study assessed the influence of extending the surgical intervention by splenectomy on postoperative complications, both general and surgical, including the most severe of these, i.e. oesophago-gastric anastomotic leakage, duodenal stump leakage and peritoneal fluid infections. Results. Among the 258 gastric cancer patients receiving curative surgical treatment, the most common simultaneous intervention was splenectomy: 42/258 (16.3%), which was also accompanied by partial pancreatectomy in 8 cases. The number of surgical postoperative complications, major and minor, was similar in both subgroups: with and without splenectomy. Minor general complications, such as pyrexia with no clinically apparent reason, atelectasis, pneumonia and pleural effusion were statistically significantly more common in the subgroup with splenectomy (p=0.0001). Conclusion. Splenectomy performed concomitantly with gastrectomy for gastric cancer increases the risk of minor general complications. However, it does not increase the risk of severe surgical complications, such as oesophago-intestinal anastomotic leakage and does not increase the risk of death
Źródło:
Polish Journal of Surgery; 2014, 86, 7; 312-318
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Niebezpieczeństwa cholecystektomii laparoskopowej
Autorzy:
Głuszek, Stanisław.
Kot, Marta.
Czerwaty, Marek.
Herian, Leszek.
Powiązania:
Lekarz Wojskowy 1996, Suplement I, s. [32]-34
Data publikacji:
1996
Tematy:
Kamica żółciowa leczenie chirurgia materiały konferencyjne
Woreczek żółciowy choroby leczenie chirurgia materiały konferencyjne
Laparoskopia stosowanie materiały konferencyjne
Chirurgia
Materiały konferencyjne
Opis:
Bibliogr.; Materiały IV Sympozjum Sekcji Viscero-Syntezy Towarzystwa Chirurgów Polskich. Kazimierz Dolny 4-6 maja 1995.
Dostawca treści:
Bibliografia CBW
Artykuł
Tytuł:
The Risk of Surgical Treatment in Patients Aged 85+, with Special Consideration of Colorectal Cancer
Autorzy:
Stępień, Renata
Głuszek, Stanisław
Kozieł, Dorota
Kaczmarczyk, Małgorzata
Powiązania:
https://bibliotekanauki.pl/articles/1395734.pdf
Data publikacji:
2014-03-01
Wydawca:
Index Copernicus International
Tematy:
operative risk
age 85+
colorectal cancer
Opis:
The increase in prevalence of chronic diseases in old age is concomitant with increasing risk of neoplasms requiring surgical treatment. The aim of the study was to assess the indications, treatment outcomes, complications and mortality associated with surgical treatment of patients aged 85 or more, with special consideration of colorectal cancer. Material and methods. The retrospective analysis involved a group of 94 patents (x = 88.9) aged 85 or more and treated surgically in the years 2006-2011. The results were compared with a randomly selected control group of 91 patients aged 45-75 (x = 56,4) and treated surgically in the same period. Results. Neoplastic diseases in the study group (85 ≥), compared with the control group (< 75), were a significantly more frequent indication for surgical treatment (p < 0.01). In the group of patients aged 85 or more, the most frequent indications for elective surgery were neoplasms of the skin and subcutaneous tissue (26.4%) and gastrointestinal neoplasms, mainly colorectal cancer (23.5%). Postoperative complications were significantly more frequent (p < 0.01) among patients aged 85 or more (n = 27; 34.8%) than in the younger group (n = 17; 18.7%). Postoperative mortality among patients undergoing emergency surgery was significantly higher (p < 0.05) in the senior group than in the group of younger patients. Conclusions. Surgical procedures in patients aged 85 or more are most frequently performed in the emergency setting, and their most common cause are neoplastic diseases. Emergency surgical treatment in patients aged 85 or more is associated with a significantly higher risk, compared with younger age groups, of developing multi-organ postoperative complications, usually leading to death. Elective surgical treatment in patients aged 85+ after appropriate preoperative preparation and in the group of younger patients shows similar early outcomes.
Źródło:
Polish Journal of Surgery; 2014, 86, 3; 132-140
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Severe vascular complications of acute pancreatiti
Autorzy:
Głuszek, Stanisław
Nawacki, Łukasz
Matykiewicz, Jarosław
Kot, Marta
Kuchinka, Jakub
Powiązania:
https://bibliotekanauki.pl/articles/1394278.pdf
Data publikacji:
2015
Wydawca:
Index Copernicus International
Tematy:
Acute pancreatitis
complications
bleeding into the pancreatic tumour
Opis:
Acute pancreatitis (AP) develops as a result of the imbalance of the mechanisms inhibiting the activity of enzymes in the pancreatic cells, which causes their autoactivation in the pancreas. The incidence of AP ranges from 10 up to 100 cases per 100,000 population per year in different parts of the world. The overall mortality rate for acute pancreatitis is 10- 15%. The mortality rate in patients diagnosed with the severe form of acute pancreatitis is up to 30- 40%. Material and methods. The study included 10 patients treated due to acute pancreatitis in two surgical departments run by one of the authors (S.G.) in the years 2004-2014, who developed a serious complication in the form of haemorrhage into the inflammatory tumour/pancreatic cyst or an adjacent organ. Haemorrhage was diagnosed based on the clinical picture, most often a sudden drop in blood pressure, peritonitis symptoms and imaging findings – abdominal ultrasound and abdominal computed tomography. Therapeutic methods included conservative treatment, endovascular embolisation and, in the absence of efficacy of the above mentioned methods, surgical treatment. Patients age and gender, the etiological factor, comorbidities, Atlanta Classification, treatment outcomes and mortality rate were assessed. Results. Alcohol was the most common etiological factor in the investigated AP cases. The patients received conservative treatment, interventional radiology treatment (endovascular embolisation) or surgical treatment. In the study group, 6 patients required surgical treatment, 3 patients received invasive radiology treatment, and conservative treatment was used in one patient. The mortality rate in the study group was 30%. Conclusions. Haemorrhages into the inflammatory cisterns or adjacent organs (stomach, transverse colon mesentery) secondary to AP are the most severe complications, which are difficult to manage. The successful use of interventional radiology methods to inhibit and prevent the recurrence of bleeding in some of the patients is a significant milestone.
Źródło:
Polish Journal of Surgery; 2015, 87, 10; 485-490
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł

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