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    Wyświetlanie 1-8 z 8
    Tytuł:
    Cardiogenic shock induced by a high dose of intravenous morphine
    Autorzy:
    Sein Anand, Łukasz
    Korolkiewicz, Paweł K.
    Sein Anand, Jacek
    Powiązania:
    https://bibliotekanauki.pl/articles/2086176.pdf
    Data publikacji:
    2021-01-07
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    suicide
    toxicology
    opioids
    cardiogenic shock
    pharmacology
    morphine
    Opis:
    Morphine is an opiate alkaloid characterized by various clinical effects, among which the most prominent are its analgesic and psychoactive effects. It also has a prominent depressive effect on the respiratory and cardiovascular system. Because of its psychoactive effect, morphine is very addictive and often used as a recreational narcotic. As a medication, it has found its use as an analgesic agent in chronic pain treatment, in hemorrhagic shock, and in acute heart failure with pulmonary edema. Albeit, morphine use in heart failure is controversial, based on many observational studies showing the negative effect on the outcomes of the patients treated with morphine during acute cardiovascular incidents. In this report, the authors present a case of cardiogenic shock (CS) with transient left ventricular ejection fraction reduction, occurring in a patient attempting suicide using a high dose of intravenous morphine sulphate administration. Other CS causes were ruled out. To the best of the authors’ knowledge, this is the second case of a morphine-related CS reported in literature.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2021, 34, 1; 133-138
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Self-poisonings before and during the initial year of the COVID-19 pandemic in northern Poland
    Autorzy:
    Sein Anand, Łukasz
    Sein Anand, Jacek
    Powiązania:
    https://bibliotekanauki.pl/articles/2152964.pdf
    Data publikacji:
    2022
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    psychiatry
    suicide attempts
    toxicology
    self-poisoning
    COVID-19
    pandemic
    Opis:
    Objectives The objectives of this study included evaluating and reporting on the initial impact of the COVID-19 pandemic and preventive measures in the form of a lockdown on self-poisoning tendencies in northern Poland. Material and Methods The authors retrospectively analyzed medical records of all patients (N = 2990) admitted to the Pomeranian Center of Toxicology in 2018–2020. Of those, further analysis included 2140 patients who had been admitted because of a suicide attempt by self-poisoning. The authors also selected a group of 40 patients on the basis of a self-reported direct relationship of the suicide attempt with the COVID-19 pandemic or the imposed lockdown. Results The rates of suicide attempts in toxicological patients over the years ranged 68.18–75.3%. The patients were predominantly female, with age between M±SD 33.2±16.9 and 36.0±16.4. Each year, over 60% of patients were admitted during their first attempt and were treated psychiatrically prior to their attempt, with differences observed in the COVID-19-related group. The alcohol intoxication during the suicide attempt was confirmed in 37.40–43.53% of the patients, with a higher rate of 52.50% observed in the COVID-19-related group. The main self-reported reason for the suicide was a romantic relationship conflict or breakup, and a conflict and/or violence in the family. The most frequent agents were over-the-counter painkillers, antidepressants, antipsychotics and benzodiazepines or Z-drugs. Conclusions During the initial year of the COVID-19 pandemic, there was a fall of suicide attempts by self-poisonings in northern Poland, significant only in the case of women. The self-reported reasons were similar in all years, with mainly minor changes. There was also an increase in attempts made using benzodiazepines or Z-drugs seen in 2020 and in the COVID-19-related group. The authors believe that there is a need for multi-center, large-scale prospective studies that would provide better insight into the pandemic-related suicidal trends.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2022, 35, 5; 527-535
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Pesticide poisonings in 2004−2014 in Łódź, Poland − an analysis of selected clinical and sociodemographic parameters
    Autorzy:
    Krakowiak, Anna
    Zajdel, Radosław
    Kobza-Sindlewska, Katarzyna
    Krakowiak, Michał
    Piekarska-Wijatkowska, Anna
    Powiązania:
    https://bibliotekanauki.pl/articles/2164012.pdf
    Data publikacji:
    2019-12-03
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    epidemiology
    suicide attempt
    pesticides
    logistic regression
    intoxication
    acute poisonings
    Opis:
    Background Acute pesticide poisonings constitute an important toxicological problem in numerous countries. This report refers to patients treated for poisonings at the Toxicology Unit, Łódź, Poland, in the period 2004−2014. Material and Methods Data to be analyzed were obtained from medical records of hospitalized people. A group of 24 301 patients aged ≥ 15 were selected. In the group of 149 people poisoned with pesticides (0.61% of all poisoning cases), there were 40 women and 109 men. Logistic regression analysis was used to evaluate the impact of age on suicide attempts using pesticides. Results Suicide attempts significantly more frequently concerned younger people. In this type of behavior, coumarin derivatives were significantly more often used than organophosphorus compounds or pesticides classified as “others.” The patients with suicidal pesticide poisonings stayed in the ward significantly longer than those poisoned unintentionally. Conclusions In the analyzed population inhabiting an area with a high degree of urbanization, in terms of the place of residence and employment, pesticide poisonings were more common in men than in women. Suicide attempts using pesticides more frequently concerned younger people. Information found in this study may prove useful for education purposes, and also in informing clinicians. Med Pr. 2019;70(6):655–67
    Źródło:
    Medycyna Pracy; 2019, 70, 6; 655-667
    0465-5893
    2353-1339
    Pojawia się w:
    Medycyna Pracy
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Authors’ response (March 5, 2019) to the letter to the Editor concerning the paper “Impact of air pollution on depression and suicide”
    Autorzy:
    Gładka, Anna
    Rymaszewska, Joanna
    Zatoński, Tomasz
    Powiązania:
    https://bibliotekanauki.pl/articles/2161978.pdf
    Data publikacji:
    2019-06-14
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    air pollution
    climate change
    global warming
    suicide
    depression
    particulate matter
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2019, 32, 3; 415-416
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Impact of air pollution on depression and suicide
    Autorzy:
    Gładka, Anna
    Rymaszewska, Joanna
    Zatoński, Tomasz
    Powiązania:
    https://bibliotekanauki.pl/articles/2162032.pdf
    Data publikacji:
    2018-12-20
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    depression
    suicide
    Mental Health
    air pollution
    air quality
    mood disorders
    Opis:
    Air pollution is one of the greatest public health threats worldwide. All substances appearing in excessive quantities in the atmosphere, such as particulate matter, nitrogen oxides or sulphur oxides may be its ingredients. Depending on their size and nature, these compounds may cause greater risk of suffering from respiratory or cardiovascular diseases for exposed people as well as exacerbation and increased mortality due to these illnesses. Smaller particles may penetrate the brain’s blood barrier and thus affect the central nervous system. In many studies, they have been shown to have negative effects on brain structure, like diminishing white matter or neuronal degeneration, leading to the earlier onset of Alzheimer or Parkinson disease. Nevertheless, there are reports of association of air pollution with mood disorders, depression, and even suicide. There are many risk factors for these conditions, most important of which are the social situation or chronic diseases. However, it has also been confirmed that the environment may affect mental health. This article will present experimental, clinical and epidemiological studies on exposure to air pollution and its impact on depressive disorders and suicide. Our goal is to determine the relationship between air pollution and incidence of depression and suicides. Int J Occup Med Environ Health 2018;31(6):711–721
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2018, 31, 6; 711-721
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Letter to the editor (January 1, 2019) concerning the paper “Impact of air pollution on depression and suicide”
    Autorzy:
    Chirico, Francesco
    Magnavita, Nicola
    Powiązania:
    https://bibliotekanauki.pl/articles/2161980.pdf
    Data publikacji:
    2019-06-14
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    air pollution
    climate change
    epidemiology
    global warming
    Mental Health
    suicide
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2019, 32, 3; 413-414
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Clinical pattern of poisoning among patients declared as taking novel recreational drugs
    Autorzy:
    Krakowiak, Anna
    Bąk, Marek
    Politański, Piotr
    Piekarska-Wijatkowska, Anna
    Powiązania:
    https://bibliotekanauki.pl/articles/2116595.pdf
    Data publikacji:
    2020-06-16
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    acute poisoning
    clinical symptoms
    novel psychoactive substances
    designer drugs
    suicide attempt
    xenobiotic
    Opis:
    ObjectivesIntoxication with novel psychoactive drugs poses a significant challenge for medicine due to diagnostic difficulties, complex clinical patterns resulting from the polyethiology of poisoning, and the risk of fatal complications.Material and MethodsThe authors of the present work have made a retrospective review of medical records of the patients hospitalized at the Toxicology Unit (TU), diagnosed with poisoning by novel recreational drugs.ResultsIn 2008–2013, 576 patients diagnosed with that type of poisoning were admitted to the TU. Of those, 192 (33.3%) patients were positive for ethanol in addition to the most popular toxins found in the material collected from the patients, such as tetrahydrocannabinol (50 [8.6%] patients) and amphetamine (35 [6.1%] patients). The most frequent clinical symptoms observed on admission were: anxiety (433 [75.1%] patients), agitation (275 [47.7%] patients), and complaints associated with the circulatory system (225 [39.1%] patients). In the subgroup of 104 (18.0%) psychiatrist-interviewed people, a relationship was found between the suicidal ideation reported during history-taking and the following factors: earlier psychiatric treatment (p = 0.000), financial problems (p = 0.015) and prolonged unemployment (p = 0.022).ConclusionsThe observed clinical pattern may be associated with sympathomimetic syndrome due to poisoning by novel psychoactive substances. Preliminary results of this research show that financial problems and a history of psychiatric treatment may enhance suicidal ideation in patients after acute poisoning by psychoactive substances.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2020, 33, 4; 445-455
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Zatrucia paracetamolem leczone w Pomorskim Centrum Toksykologii w latach 2010–2015
    Acetaminophen poisonings hospitalized at the Pomeranian Center of Toxicology in 2010−2015
    Autorzy:
    Garczewski, Bartłomiej
    Wiśniewski, Marek
    Waldman, Wojciech
    Sein Anand, Jacek
    Powiązania:
    https://bibliotekanauki.pl/articles/2162641.pdf
    Data publikacji:
    2019-12-03
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    epidemiologia
    próba samobójcza
    płeć
    zatrucie
    paracetamol
    nastolatkowie
    epidemiology
    attempted suicide
    sex
    poisoning
    acetaminophen
    adolescents
    Opis:
    Wstęp Paracetamol to powszechnie dostępny lek przeciwbólowy i przeciwgorączkowy. Mimo że reklamuje się go jako bezpieczny, w krajach rozwiniętych jest przyczyną > 50% przypadków polekowego uszkodzenia wątroby i najczęstszą przyczyną ostrej niewydolności tego narządu. Do 2000 r. częstość zatruć paracetamolem była w Polsce relatywnie niska. W ostatnich latach zaobserwowano jednak wyraźną tendencję wzrostową. Celem pracy była analiza danych demograficznych pacjentów zatrutych paracetamolem leczonych w Pomorskim Centrum Toksykologii (PCT) w latach 2010–2015. Materiał i metody Pomorskie Centrum Toksykologii w Gdańsku jest Regionalnym Ośrodkiem Toksykologii Klinicznej obejmującym opieką > 3,5 mln osób zamieszkujących województwo pomorskie i warmińsko-mazurskie. Analizowano dane wszystkich pacjentów hospitalizowanych w PCT w latach 2010–2015. Wybrano przypadki, w których rozpoznanie zasadnicze lub współistniejące zostało zakodowane jako T39.1 według Międzynarodowej Klasyfikacji Chorób ICD-10. Do analizy statystycznej wykorzystano testy χ2 oraz McNemara. Wyniki W badanym okresie hospitalizowano 7754 zatrutych pacjentów (4163 mężczyzn i 3591 kobiet). Odnotowano 667 przypadków zatrucia paracetamolem (231 mężczyzn i 436 kobiet) – stanowiły 8,6% wszystkich hospitalizacji. Stwierdzono istotny statystycznie wzrost odsetka zatruć paracetamolem pomiędzy 2010 a 2015 r. (6,5% i 10,8%, p < 0,01). W grupie wiekowej < 18 r.ż. zatrucie paracetamolem rozpoznano u 217 pacjentów (37 mężczyzn i 180 kobiet). Odsetek zatruć paracetamolem w tej grupie (17,2%) okazał się istotnie wyższy niż wśród chorych ≥ 18 r.ż. (6,9%, p < 0,01). Proporcja mężczyzn do kobiet w grupie ≥ 18 r.ż. wynosiła 0,75, a w grupie < 18 r.ż. – 0,21 (p < 0,01). Wnioski W latach 2010–2015 obserwowano stały wzrost liczby osób leczonych w Pomorskim Centrum Toksykologii z powodu zatrucia paracetamolem. W grupie pacjentów < 18 r.ż. częstość zatruć była większa niż wśród chorych pełnoletnich. W obu grupach wiekowych odsetek zatruć paracetamolem był wyższy wśród kobiet. Med. Pr. 2019;70(6):733–738
    Background Acetaminophen is a widely available analgesic and antipyretic medication. Although it is advertised as safe, it is responsible for more than 50% of drug-induced hepatotoxicity cases and the most common cause of acute liver failure in developed countries. Until 2000 the frequency of acetaminophen overdoses in Poland was relatively low, but a significant increase has been seen in recent years. The aim of the study was to perform a demographic analysis of the acetaminophen overdose cases hospitalized at the Pomeranian Center of Toxicology (PCT) in Gdańsk, Poland, in 2010–2015. Material and Methods The Pomeranian Center of Toxicology in Gdańsk is the Regional Clinical Toxicology Center for a population of more than 3.5 million people from the Pomeranian and the Warmian-Masurian Voivodeships. All the patients hospitalized at PCT in 2010–2015 were analyzed. Cases in which the primary or secondary diagnosis was encoded as T39.1, according to the International Classification of Diseases ICD-10, were selected. Statistical analysis was performed using the χ2 and McNemara tests. Results In the reference period, 7754 poisoned patients were hospitalized, including 4163 men and 3591 women. There were 667 cases of acetaminophen overdose (231 men and 436 women). There was a significant increase in the percentage of acetaminophen overdoses in 2010–2015 (6.5% and 10.8%, p < 0.01). In the group aged < 18 years, there were 217 cases of acetaminophen overdose (37 men and 180 women). The share or acetaminophen overdose cases in this group (17.2%) was significantly higher than among patients aged ≥ 18 years (6.9%, p < 0.01). The male to female ratio in the group aged ≥ 18 years was 0.75, and in the group aged < 18 years it was 0.21 (p < 0.01). Conclusions There was a significant increase in the number of acetaminophen overdose cases hospitalized at the Pomeranian Center of Toxicology in 2010–2015. The share of acetaminophen overdoses was significantly higher in the group aged < 18 years than in the adult group. In both age groups, acetaminophen overdose was more frequent in women. Med Pr. 2019;70(6):733–8
    Źródło:
    Medycyna Pracy; 2019, 70, 6; 733-738
    0465-5893
    2353-1339
    Pojawia się w:
    Medycyna Pracy
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-8 z 8

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