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    Wyświetlanie 1-5 z 5
    Tytuł:
    Positive and negative effects of trauma in patients after myocardial infarction: the role of type D personality
    Autorzy:
    Ogińska-Bulik, N.
    Gurowiec, P.J.
    Powiązania:
    https://bibliotekanauki.pl/articles/2087937.pdf
    Data publikacji:
    2020
    Wydawca:
    Uniwersytet Opolski. Instytut Nauk o Zdrowiu
    Tematy:
    trauma
    posttraumatic stress
    posttraumatic growth
    type D personality
    myocardial infarction
    Opis:
    Background: Experiencing a myocardial infarction threatens the health and life of the patient; therefore, it can be perceived as a traumatic event. Indeed, myocardial infarction may result in negative consequences, including symptoms of posttraumatic stress disorder (PTSD). However, it is also possible to experience positive effects from traumatic events, which is expressed as posttraumatic growth. Personality characteristics, including type D (i.e., distressed) personality, are among several factors that have been shown determine the occurrence of negative and positive consequences after exposure to trauma. Aim of the study: The aim of the present study was to establish the role of distressed personality in the occurrence of negative and positive effects of trauma resulting from myocardial infarction. Material and methods: The study included a total of 80 patients after myocardial infarction. Sixty-three patients aged 43–85 years (M=67, SD=10.76) were included in the final analysis. The majority of respondents were men (61.9%). Patients completed a survey with three standardized measurement tools: the PTSD Checklist for DSM-5 (PCL-5), the Posttraumatic Growth Inventory (PTGI), and the Type D Scale (DS-14). Results: Negative affectivity was positively associated with PTSD symptoms, and this association was strongest for negative changes in cognition or mood. Social inhibition was not associated with PTSD symptoms, except for increased arousal and reactivity. Both dimensions of type D personality were positively related to one factor of posttraumatic growth: changes in the spiritual sphere. Conclusions: Reducing the severity of negative affectivity may decrease PTSD symptoms and thus contribute to improved psychosocial functioning among patients who have experienced myocardial infarction.
    Źródło:
    Medical Science Pulse; 2020, 14, 2; 49-54
    2544-1558
    2544-1620
    Pojawia się w:
    Medical Science Pulse
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Corrective factors of intestinal microflora disorders in the perinatal period
    Autorzy:
    Pisaniak, P.
    Huflejt, M.
    Gurowiec, P.J.
    Ozga, D.
    Powiązania:
    https://bibliotekanauki.pl/articles/2088221.pdf
    Data publikacji:
    2019
    Wydawca:
    Uniwersytet Opolski. Instytut Nauk o Zdrowiu
    Tematy:
    caesarean section
    intenstial microflora
    vaginal seeding
    breastfeeding
    probiotics
    Opis:
    Intestinal microflora is found at approximately 10⁴ bacteria per ml of intestinal fluid. Although this ecosystem is very diverse with dynamic changes taking place within it, there is a certain stability in the type and number of species, referred to as the core microbiome, found in 95% of the human population. Genetic variation of microorganisms is relatively small, and their functions are strictly defined and highly conservative. The microbiome exists symbiotically with the host, protecting it against colonization by pathogenic microorganisms, providing essential metabolites, and stimulating the immune system. Colonization begins prenatally and its development is greatly influenced by the course of pregnancy, method of delivery, food supplied to the child during the first moments of life, and post-birth environment. The appropriate intestinal microflora composition is a key determinant of health and homeostasis, and any intestinal dysbiosis can be associated later in life with the development of obesity, diabetes, allergies or cancer. Due to the increasing number of hospitalised pregnancies and deliveries, affecting the intestinal microflora of a newborn, efforts are being made to minimize this process and restore the newborn’s microbiome. The use of the Vaginal seeding procedure raises up great hopes, but also some fears concerning its safety. Some very simple and most natural factors have been recently also appreciated and promoted, such as breastfeeding or direct contact of the baby’s skin with the mother’s skin, which are allies to probiotic bacteria. The purpose of this paper is to emphasize the importance of microbial colonization of the human body and to present the latest and most effective procedures that are designed to correct the existing dysbiosis or to reduce the risk of its occurrence. The literature for the compilation of this study has been obtained from databases such as PubMed, Google Scholar, Web of Science.
    Źródło:
    Medical Science Pulse; 2019, 13, 3; 68-71
    2544-1558
    2544-1620
    Pojawia się w:
    Medical Science Pulse
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Selected risk factors for ischemic heart disease and the success of treatment in patients with STEMI myocardial infarction treated with percutaneous coronary intervention
    Autorzy:
    Jędrzejczyk-Cwanek, M.
    Gurowiec, P.J.
    Ozga, D.
    Powiązania:
    https://bibliotekanauki.pl/articles/2087710.pdf
    Data publikacji:
    2020
    Wydawca:
    Uniwersytet Opolski. Instytut Nauk o Zdrowiu
    Tematy:
    myocardial infarction
    risk factors
    ischemic heart disease
    Opis:
    Background: Coronary heart disease is one of the most common causes of hospitalization and premature deaths in Europe. ST-segment elevation myocardial infarction (STEMI) has been a clinical problem for many years, particularly in the aspect of choosing the optimal treatment method. The success of treatment is determined by many factors, including risk factors for ischemic heart disease, time between onset of symptoms and initiation of treatment, number and degree of coronary stenosis, and many more. Aim of the study: The aim of the study was to identify risk factors for ischemic heart disease affecting the success of STEMI patients treated with percutaneous coronary intervention (PCI). Material and methods: A retrospective analysis was carried out on data from medical records of patients treated in the Department of Acute Coronary Syndromes of St. Hedvig Provincial Hospital No. 2 in Rzeszow between 2009 and 2014. The research tool used in this paper was the author’s questionnaire. A total of 508 patients with STEMI myocardial infarction treated in the Department of Acute Coronary Syndromes (ACS) between 2009 and 2013 were included in the analysis. The inclusion criteria were the complete and clear files of patient treatment in the ACS department between 2009 and 2013 due to acute coronary syndrome treated invasively by the PCI method. Results: Majority of the study group, 334 subjects, (65.7%) had hypertension. The most common risk factors for ischemic heart disease were found to be dyslipidemia in 176 subjects (34.6%) and smoking in 163 subjects (32.1%). This paper presents the results of the analysis of the success of treatment in relation to risk factors for ischemic heart disease. There was a statistically significant relationship between hypertension and successful treatment (p=0.0425). More cases in which treatment was unsuccessful were observed in the group of patients who had no previous treatment for lipid disorders (20.2% vs. 4.0%) (p = 0.0000). Significantly more cases of treatment failure were found among people who denied smoking (17.4% vs. 8.6%; p = 0.0087). Conclusions: Among the analyzed behavioral and somatic risk factors for failure in patients subjected to treatment were untreated hypertension, hyperlipidemia and a negative history of cigarette smoking.
    Źródło:
    Medical Science Pulse; 2020, 14, 3; 49-54
    2544-1558
    2544-1620
    Pojawia się w:
    Medical Science Pulse
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Knowledge of neurologists and gynaecologists regarding reproductive and maternity issues in women with epilepsy
    Autorzy:
    Janos, I.
    Cieslik, A.
    Wanot, J.
    Sejboth, J.
    Szurlej, D.
    Gurowiec, P.
    Powiązania:
    https://bibliotekanauki.pl/articles/1802.pdf
    Data publikacji:
    2018
    Wydawca:
    Uniwersytet Opolski. Instytut Nauk o Zdrowiu
    Opis:
    Background: Epilepsy is one of the most common neurological disorders, with more than 400,000 individuals in Poland (about 1% of the population) affected. Epilepsy complicates approximately 0.5% of pregnancies. Aim of the study: To determine the level of knowledge that neurologists and gynaecologists have about reproductive and maternity issues for women with epilepsy. Material and methods: This study included 141 neurologists and physicians undergoing specialist training in neurology as well as 72 gynaecologists and physicians undergoing specialist training in gynaecology. A validated questionnaire was used to survey these neurologists and gynaecologists, who worked in Silesia Province. Results: In the group of physicians advising on contraception, significantly (p = 0.003) more gynaecologists than neurologists recommended hormonal birth control. Significantly more (p = 0.031) neurologists than gynaecologists believed that monotherapy with antiepileptic medications should be aimed for before a planned pregnancy in women with epilepsy. More than a half of the surveyed physicians (56.8%) believed that pregnant women with epilepsy can have a natural delivery. Conclusions: On the basis of these results, we have concluded that gynaecologists and, to a lesser extent, neurologists should have more extensive knowledge regarding reproductive and maternity issues for women with epilepsy. We further propose that close collaboration between neurologists and gynaecologists in the care of epileptic women is necessary.
    Źródło:
    Medical Science Pulse; 2018, 12, 3
    2544-1558
    2544-1620
    Pojawia się w:
    Medical Science Pulse
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Airway management - a review of current methods, guidelines and equipment
    Autorzy:
    Bargiel, D.
    Sejboth, J.
    Jurkiewicz-Spiewak, A.
    Szurlej, D.
    Gurowiec, P.
    Romanska, A.
    Dabrowski, M.
    Powiązania:
    https://bibliotekanauki.pl/articles/1737.pdf
    Data publikacji:
    2018
    Wydawca:
    Uniwersytet Opolski. Instytut Nauk o Zdrowiu
    Tematy:
    human health
    airway patency
    medicine
    emergency medicine
    anesthesia
    intensive care
    laryngeal mask
    laryngeal tube
    intubation
    cardiopulmonary resuscitation
    Opis:
    Maintaining airway patency is an essential issue in many fields of medicine. The modern approach to CPR, which focuses on maintaining airway, breathing, and circulation was finally established by Peter Safar in his book ABC of Resuscitation (1950). At present, along with the development of evidence-based medicine, techniques which are proven to be clinically effective are regularly published in a convenient form – as bundles and guidelines. Regarding airway management, ERC and DAS guidelines are the most reliable and useful sources of knowledge and practical clinical advice. Among the medical staff, there is emphasis put on the mastery of AB C techniques. Airway management is the first step in the resuscitation algorithm. It consists of a variety of procedures ranging from simple and non-invasive to more complex, requiring professional training and experience. Currently, the most clinically effective and life-saving actions are incorporated into whole procedures and bundles, such as ERC or DAS guidelines, which are evenly checked, evaluated and, eventually, modified. This method of regular revision allows us to keep all medical professionals at the same level of competence. The aim of the study was to describe basic and advanced techniques, methods, and devices which are currently used to provide it. Currently applicable guidelines regarding CPR and airway management were reviewed and summarized.
    Źródło:
    Medical Science Pulse; 2018, 12, 1
    2544-1558
    2544-1620
    Pojawia się w:
    Medical Science Pulse
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-5 z 5

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