Temat: Suicide - Katalog OPAC zbiorów

Skocz do pozycji: 1.

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

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Skocz do pozycji: 2.

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

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Skocz do pozycji: 3.

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

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