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المؤلفون: Robert Gałązkowski, Patryk Rzońca, Agnieszka Bień, Grażyna Bączek, Ewa Rzońca, Michał Filip
المصدر: International Journal of Environmental Research and Public Health; Volume 18; Issue 23; Pages: 12305
International Journal of Environmental Research and Public Health
International Journal of Environmental Research and Public Health, Vol 18, Iss 12305, p 12305 (2021)مصطلحات موضوعية: Adult, Emergency Medical Services, vaginal bleeding, Health, Toxicology and Mutagenesis, Medical procedure, miscarriage, Psychological intervention, Article, Emergency Medical Service, women, Miscarriage, Pregnancy, Health care, medicine, Emergency medical services, Humans, Vaginal bleeding, Retrospective Studies, business.industry, Public Health, Environmental and Occupational Health, Emergency Medical Dispatch, medicine.disease, Abortion, Spontaneous, Parity, Health promotion, Medicine, Female, Medical emergency, medicine.symptom, business
الوصف: Vaginal bleeding and abdominal pain are symptoms indicative of a threat to pregnancy that prompt women to seek assistance from health care professionals. The purpose of the study was to present the characteristics of Emergency Medical Services (EMS) team interventions in cases of suspected miscarriage. The study involved a retrospective analysis of EMS team interventions in cases of suspected miscarriage carried out between January 2018 and December 2019 in Poland. Data obtained from Poland’s National Monitoring Center of Emergency Medical Services included emergency medical procedure records and EMS team dispatch records in electronic format. The mean patient age was 30.53 years. Most were primiparous (48.90%) and up to the 13th gestational week (76.65%). The most commonly reported symptom was vaginal bleeding (80.71%). EMS teams were most commonly dispatched in the winter (27.03%), between 7 A.M. and 6:59 P.M. (51.87%), in urban areas (69.23%), with urgency code 2 (55.60%), and in most cases, they transferred the patient to a hospital (97.53%). The present study addresses very important issues concerning the characteristics of Polish suspected miscarriage cases handled by different EMS team types, in different locations (urban vs. rural areas), and concerning patients in a different obstetric situation (gestational week, gravidity, parity). Our findings suggest a need for further studies in this field and for gestational health promotion activities to be implemented, specifically including actions to reduce the risk of vaginal bleeding during pregnancy.
وصف الملف: application/pdf
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bd0cd87d2c830f4fe5d773d02023c405Test
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المؤلفون: Robert Gałązkowski, Patryk Rzońca, Adam Fronczak, Stanisław Paweł Świeżewski, Grzegorz Opolski, Piotr Leszczyński, Anna Wojak, Arkadiusz Wejnarski, Tomasz Darocha
المصدر: Kardiologia Polska. 78:284-291
مصطلحات موضوعية: Male, Emergency Medical Services, medicine.medical_specialty, Aircraft, business.industry, Glasgow Coma Scale, Sudden cardiac arrest, Middle Aged, Revised Trauma Score, medicine.disease, Level of consciousness, Emergency medicine, Humans, ST Elevation Myocardial Infarction, Medicine, ST segment, In patient, Poland, Myocardial infarction, Rural area, medicine.symptom, Cardiology and Cardiovascular Medicine, business, Aged, Retrospective Studies
الوصف: Background: In patients with acute phase of ST‑segment elevation myocardial infarction (STEMI), quick transportation to a specialist therapeutic center is of utmost importance to increase the chances of surviving. Aims: The objective of this study was to characterize the missions of the Polish Helicopter Emergency Medical Service (HEMS) to patients with STEMI in urban and rural areas and to assess the utilization of air ambulance support as part of an early stage of the therapeutic process. Methods: This retrospective analysis included 6099 patients with STEMI treated by the Polish HEMS crews from January 2011 to December 2018. Results: The study group included mainly men (68.9%) and persons aged 60 to 79 years (53.9%). The mean (SD) age of the entire group was 64.8 (11.9) years. The level of consciousness measured by the Glasgow Coma Scale score ranged from 13 to 15 (84.8% of patients), the mean (SD) Revised Trauma Score was 11.4 (1.9) points, and the mean (SD) number of points on the National Advisory Committee for Aeronautics scale was 4 (1). In rural areas, the Polish HEMS crews were more frequently dispatched to medical emergencies (99.3% vs 59.6%). Sudden cardiac arrest occurred more often in those areas (6% vs 3.8%), which resulted in the death of the patient (2.4% vs 0.4%; P < 0.05 for both). Conclusions: There were differences in utilization of the Polish HEMS in patients with STEMI in urban and rural areas. The results demonstrated a positive impact of the utilization of HEMS in the early stages of the therapeutic process of these patients.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::043663b0f2ccac5a3c399e3347eaf112Test
https://doi.org/10.33963/kp.15190Test -
3
المؤلفون: Piotr Leszczyński, Grzegorz Michalak, Robert Gałązkowski, Stanisław Paweł Świeżewski, Mariusz Gujski, Mariusz Panczyk, Adam Fronczak, Patryk Rzońca
المصدر: Medical Science Monitor : International Medical Journal of Experimental and Clinical Research
مصطلحات موضوعية: Adult, Male, Emergency Medical Services, Adolescent, Aircraft, MEDLINE, Crew, 030204 cardiovascular system & hematology, Young Adult, 03 medical and health sciences, 0302 clinical medicine, medicine, Helicopter emergency medical service, Emergency medical services, Humans, Thrombolytic Therapy, Glasgow Coma Scale, Child, Patient transfer, Stroke, Aged, Retrospective Studies, Aged, 80 and over, business.industry, Retrospective cohort study, Air Ambulances, General Medicine, Middle Aged, medicine.disease, Special Reports, 030220 oncology & carcinogenesis, Regression Analysis, Female, Poland, Medical emergency, business
الوصف: BACKGROUND A stroke is a serious life-threatening emergency that requires immediate intervention in an appropriate therapeutic center. The aim of this study was to analyze the time of medical procedures at the scene and changes in the state of stroke patients during transport by HEMS in Poland. The presented research is the first nationwide study covering such a large group of stroke patients, for whom aerial support was used in the therapeutic process. MATERIAL AND METHODS A retrospective cross-sectional study of 48553 missions performed by Polish Medical Air Rescue (PMAR) during the 5-year study period resulted in 3906 stroke patients who, after medical rescue operations by HEMS crew, were transported by helicopters to hospitals. RESULTS Helicopters in 3475 (88.97%) cases were utilized as a support for Ground Emergency Medical Service (GEMS). The maximum duration of HEMS operation from activation to patient transfer to the hospital did not exceed 108 min and the median was 60 min. Over 87% of patients with HEMS reported stroke symptoms and arrived at the medical center with the possibility of implementing thrombolytic therapy. The factor that affected the deterioration of patients' condition was the drawing out of the extent of time spent by the crew at the scene. CONCLUSIONS The use of HEMS in Poland in the case of patients with stroke symptoms ensures fast and professional assistance at the site of the medical emergency as well as safe transport to specialized centers, shortening the time of proper treatment implementation.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::837f653361698d513d59b2d2dc2cf3c8Test
https://doi.org/10.12659/msm.915759Test -
4
المؤلفون: Arkadiusz Wejnarski, Patryk Rzońca, Arkadiusz Kosowski, Marta Jarzębowska, Joanna Gotlib, Ewa Rzońca, Robert Gałązkowski, Agnieszka Bień
المصدر: International Journal of Environmental Research and Public Health
Volume 18
Issue 4
International Journal of Environmental Research and Public Health, Vol 18, Iss 1442, p 1442 (2021)مصطلحات موضوعية: Adult, endometriosis, medicine.medical_specialty, Adolescent, Health, Toxicology and Mutagenesis, Endometriosis, lcsh:Medicine, Article, outpatient clinics, 03 medical and health sciences, Young Adult, 0302 clinical medicine, appointments, Outpatients, medicine, Retrospective analysis, International Statistical Classification of Diseases and Related Health Problems, Outpatient clinic, Humans, 030212 general & internal medicine, Specialist care, Retrospective Studies, National health, 030219 obstetrics & reproductive medicine, Obstetrics, business.industry, lcsh:R, Public Health, Environmental and Occupational Health, medicine.disease, Polycystic ovary, polycystic ovary syndrome, delivery of healthcare, Female, Poland, business
الوصف: This study aimed at presenting selected aspects of outpatient specialist care for women diagnosed with polycystic ovary syndrome (PCOS) or endometriosis. The study was carried out using a retrospective analysis of the services provided under Outpatient Specialist Care (AOS) for women, based on data from the National Health Fund (NFZ). The study included data on women with PCOS or endometriosis based on the International Statistical Classification of Diseases and Related Health Problems (ICD-10) in Poland from 2016 to 2018. The average age of women in the study group with PCOS was 25.31 (±7.02) years and, for those with endometriosis, 38.21 (±10.79). AOS patients with diagnosed PCOS most often made 2–3 visits (34.60%) to a specialist doctor, and those with diagnosed endometriosis most often made one visit (39.95%). Significant differences between patients with PCOS and endometriosis using AOS were found concerning the women’s age, the year, season, place of treatment, type of clinic, mode of admission, number of visits, and their place of residence or macroregion. With increasing age, women with PCOS made more visits to AOS, and women with endometriosis made fewer visits to the AOS specialist.
وصف الملف: application/pdf
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bc6fbcbc761e11dfed78ea08c7f435f8Test
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المصدر: Annals of Agricultural and Environmental Medicine, Vol 26, Iss 2, Pp 355-360 (2019)
مصطلحات موضوعية: Adult, Male, Rural Population, Emergency Medical Services, medicine.medical_specialty, Adolescent, Aircraft, Urban Population, Advisory committee, rural and urban areas, lcsh:Agriculture, Young Adult, 03 medical and health sciences, 0302 clinical medicine, medicine, Helicopter emergency medical service, Retrospective analysis, Humans, In patient, 030212 general & internal medicine, Child, Waste Management and Disposal, Stroke, lcsh:Environmental sciences, Ecology, Evolution, Behavior and Systematics, Aged, Retrospective Studies, lcsh:GE1-350, business.industry, Helicopter Emergency Medical Service, lcsh:S, Public Health, Environmental and Occupational Health, Glasgow Coma Scale, 030208 emergency & critical care medicine, Sudden cardiac arrest, Air Ambulances, Middle Aged, medicine.disease, prehospital care, Emergency medicine, Female, Poland, Rural area, medicine.symptom, business
الوصف: Introduction Mortality due to various causes, despite continuous efforts to improve the quality of medical services, is a serious problem for modern healthcare systems. Ischaemic heart disease and stroke are the cause of over 15 million deaths annually, and are therefore known as the world’s number one killer. Objective The aim of this study is to characterise the missions and the most common reasons for dispatching Helicopter Emergency Medical Service (HEMS) crews, with special emphasis on the differences between urban and rural areas. Material and methods The study was conducted using a retrospective analysis of HEMS missions, including flights to accidents and diseases carried out by HEMS crews in Poland from January 2014 – December 2018. The final analysis included 35,213 cases of HEMS missions. Results The study group consisted mainly of male patients (66.40%), aged 50–64 (22.06%), mean age of the entire analysed group – 47.71 (SD: 25.96). The main reason for HEMS missions were strokes (21.63%). Analysis of patients’ clinical status revealed that the clinical status of patients treated in rural areas was more severe, which was indicated by the Glasgow Coma Scale – GCS (12.03 vs 12.35) and the Revised Trauma Scale – RTS (10.14 vs 10.60) scores. When assessed by the National Advisory Committee for Aeronautics (NACA) score, body injuries and fatal diseases were observed more often in patients in rural areas (NACA 7 6.12% vs 3.46%) (p
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::15759c585bbc70153ed62a4cf9a25244Test
https://doi.org/10.26444/aaem/106223Test -
6
المؤلفون: Robertn Gałązkowski, Piotr Tomaka, Patryk Rzońca
المصدر: Wiadomości Lekarskie. 72:500-505
مصطلحات موضوعية: Male, Emergency Medical Services, medicine.medical_specialty, Adolescent, Aircraft, medicine.medical_treatment, 030204 cardiovascular system & hematology, Arrival time, 03 medical and health sciences, 0302 clinical medicine, Health care, Retrospective analysis, medicine, Helicopter emergency medical service, Humans, Burn centres, Retrospective Studies, Rehabilitation, business.industry, Public health, 030208 emergency & critical care medicine, Air Ambulances, General Medicine, medicine.disease, Poland, Medical emergency, Burns, Opioid analgesics, business
الوصف: OBJECTIVE Introduction: Burns are a huge problem for public health and a challenge for healthcare systems all around the world. They are responsible for 180.000 deaths worldwide each year. In order to ensure high quality treatment and rehabilitation of these patients burn centres are established in many countries. Another vital factor influencing the prognosis of patients with burns is quick transport that in many countries, including Poland is carried out by Helicopter Emergency Medical Service (HEMS). The aim: To describe the operations carried out by HEMS with particular stress put on the target medical facility. PATIENTS AND METHODS Materials and methods: The research was conducted with the method of retrospective analysis of operations performed by HEMS crews. All missions from January 2011 to December 2018 were included in the study and 2534 cases were qualified for the final analysis. RESULTS Results: The study group was predominantly male (72.72%) aged 18 years old and less (36.65%). Nearly two thirds of the patients were transported to hospitals with a burn ward (61.88%). Opioid analgesics as well as crystalloids were the most commonly administered drugs (respectively 68.55% and 64.76%). Statistical analysis showed that HEMS arrival time (20.77 minutes vs 18.60 minutes) and duration of the transport to designated hospital (40.11 minutes vs 19.66 minutes) were significantly higher in the cases of deciding to transport the patient to the hospital with the burns department (p
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8dd76d0fc6fcd9af5e3a5b1fba8220cdTest
https://doi.org/10.36740/wlek201903133Test -
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المؤلفون: Robert Gałązkowski, D. Lewandowska, Patryk Rzońca, Aleksandra Tomaszek, Roman Danielewicz, Dariusz Kosson, Maciej Kosieradzki, Aleksandra Wróblewska, Elżbieta Zdankiewicz-Ścigała, Jolanta Gozdowska
المصدر: International Journal of Environmental Research and Public Health
Volume 18
Issue 4
International Journal of Environmental Research and Public Health, Vol 18, Iss 2164, p 2164 (2021)مصطلحات موضوعية: Coping (psychology), Health, Toxicology and Mutagenesis, media_common.quotation_subject, lcsh:Medicine, kidney transplantation, psychology, Kidney, Article, 03 medical and health sciences, Toronto Alexithymia Scale, 0302 clinical medicine, Alexithymia, Cadaver, medicine, Humans, Affective Symptoms, resilience, Kidney transplantation, media_common, medicine.diagnostic_test, Posttraumatic growth, business.industry, lcsh:R, Public Health, Environmental and Occupational Health, Cadaveric donor, Questionnaire, medicine.disease, 030227 psychiatry, post-traumatic growth, Psychological resilience, alexithymia, business, Posttraumatic Growth, Psychological, 030217 neurology & neurosurgery, Clinical psychology
الوصف: The aim of this study was to determine the role of resilience and alexithymia in the post-traumatic growth as a response to extreme stress in patients after kidney transplantation and to determine whether there are differences in the level of posttraumatic growth in patients after living and cadaveric donor kidney transplantation. The relationships between these variables were also evaluated. The questionnaire survey of 91 kidney recipients took place in 2018 and 2019. The following tools were used: authorial post-transplant questionnaire for recipients and validated questionnaires, Post Traumatic Growth Inventory (PTGI-R), Resilience Coping Scale Questionnaire, and Toronto Alexithymia Scale Questionnaire (TAS20). The results obtained showed significant differences between the group of kidney recipients from living donors and recipients from cadaveric donors, in terms of overall post-traumatic growth, as well as changes in self-perception and a greater appreciation for life. Post-traumatic growth in both groups was related to the level of resilience and the level of alexithymia. Resilience is an accurate predictor of posttraumatic growth in general and for each of the groups of recipients separately.
وصف الملف: application/pdf
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d8b739e1d1bd43df26dbb53bc8938c0eTest
https://doi.org/10.3390/ijerph18042164Test -
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المؤلفون: Robert Galazkowski, Patryk Rzońca, Marcin Podgorski
المصدر: Disaster and Emergency Medicine Journal. 2:64-68
مصطلحات موضوعية: Service (business), Emergency Medical Services, business.industry, Aviation, Psychological intervention, Critical Care and Intensive Care Medicine, medicine.disease, humanities, Medical gas supply, Emergency Medicine, Helicopter emergency medical service, Emergency medical services, Medicine, Medical emergency, business
الوصف: Great technological progression, as well as the development of motorization in the past decades, has caused an intensification of danger to health and life for contemporary societies. The increasing amount of HEMS (Helicopter Emergency Medical Service) units interventions underline that the significance of the Polish Medical Air Rescue service within the structures of National Medical Rescue System is increasing. Polish Medical Air Rescue is the one and only organization in Poland which uses helicopters while performing emergency medical services and conducting the transport of patients. The history of medical aviation, and later the Polish Medical Air Rescue service shows the great work and effort that has been put into the development and functioning of this organization.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_________::5b6195f3d87a951669750d65cad17fdcTest
https://doi.org/10.5603/demj.2017.0013Test -
9
المؤلفون: Magdalena Młynarska, Kamil Bednarz, Grzegorz Nowicki, Katarzyna Naylor, Andrzej Prystupa, Ewa Rudnicka-Drożak, Patryk Rzońca
المصدر: Journal of Pre-Clinical and Clinical Research. 9:115-119
مصطلحات موضوعية: Geriatrics, medicine.medical_specialty, education.field_of_study, business.industry, Population, Epidemiology, medicine, Emergency department, Medical emergency, education, Social issues, medicine.disease, business
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_________::96dac11ad6d9b4079e51f5c635a7dfd5Test
https://doi.org/10.5604/18982395.1186490Test -
10
المؤلفون: Joanna Gotlib, Patryk Rzońca, Robert Gałązkowski, Rakesh Jalali, Stanisław Paweł Świeżewski
المصدر: International Journal of Environmental Research and Public Health
Volume 16
Issue 9
International Journal of Environmental Research and Public Health, Vol 16, Iss 9, p 1532 (2019)مصطلحات موضوعية: Adult, Male, Rural Population, Emergency Medical Services, medicine.medical_specialty, Adolescent, Aircraft, health care facilities, manpower, and services, Health, Toxicology and Mutagenesis, education, rural region, lcsh:Medicine, health of rural populations, Article, Young Adult, 03 medical and health sciences, 0302 clinical medicine, sudden cardiac arrest, medicine, Humans, acute coronary syndromes, 030212 general & internal medicine, Myocardial infarction, Stroke, Aged, Retrospective Studies, Aged, 80 and over, business.industry, Helicopter Emergency Medical Service, Medical record, lcsh:R, Public Health, Environmental and Occupational Health, Glasgow Coma Scale, 030208 emergency & critical care medicine, Sudden cardiac arrest, Retrospective cohort study, Air Ambulances, Middle Aged, Revised Trauma Score, medicine.disease, cardiovascular diseases, prehospital care, Emergency medicine, Female, Poland, Rural area, medicine.symptom, business
الوصف: The aim of the study was to identify the characteristics of missions performed by HEMS (Helicopter Emergency Medical Service) crews and the analysis of health problems, which are the most common cause of intervention in rural areas in Poland. The study was conducted using a retrospective analysis based on the medical records of patients provided by the HEMS crew, who were present for the emergencies in rural areas in the period from January 2011 to December 2018. The final analysis included 37,085 cases of intervention by HEMS crews, which accounted for 54.91% of all the missions carried out in the study period. The majority (67.4%) of patients rescued were male, and just under a quarter of those rescued were aged between 50&ndash
64 years. Injuries (51.04%) and cardiovascular diseases (36.49%) were the main diagnoses found in the study group. Whereas injuries were significantly higher in the male group and patients below 64 years of age, cardiovascular diseases were higher in women and elderly patients (p <
0.001). Moreover, in the group of women myocardial infarction was significantly more frequent (30.95%) than men, while in the group of men head injuries (27.10%), multiple and multi-organ injuries (25.93%), sudden cardiac arrest (14.52%), stroke (12.19%), and epilepsy (4.95%) was significantly higher. Factors that are associated with the most common health problems of rural patients are: gender and age, as well as the seasons of the year and the values of the Glasgow Coma Scale (GCS), Revised Trauma Score (RTS), and National Advisory Committee for Aeronautics (NACA) used to assess the clinical status of patients.وصف الملف: application/pdf
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::926b7ab6854690a89a8a5ace1ea7eefdTest
https://doi.org/10.3390/ijerph16091532Test
