Temat: patients - Prolib Integro

Skocz do pozycji: 1.

Tytuł:: Surgical treatment of acute appendicitis in older patients
Autorzy:: Dowgiałło-Wnukiewicz, Natalia
Kozera, Piotr
Wójcik, Weronika
Lech, Paweł
Rymkiewicz, Przemysław
Michalik, Maciej
Tematy:: acute appendicitis
older patients
elderly patients
laparoscopic appendectomy; Pokaż więcej
Wydawca:: Index Copernicus International
Powiązania:: https://bibliotekanauki.pl/articles/1392218.pdf Link otwiera się w nowym oknie
Opis:: Introduction: Acute appendicitis (AA) is the most common indication for emergency surgery and it occurs more often in children and young adults than in patients of advanced age. AA in older patients is a challenging surgical problem because of its atypical presentation. This study was performed to determine whether the age of a patient impacts the outcomes and whether laparoscopic appendectomy (LA) is a feasible method for treatment of patients > 65 years. Material and methods: We performed a retrospective study of 355 patients with AA who were admitted to the Department of General, Minimally Invasive and Elderly Surgery in Olsztyn from 2014 to 2017. The patients were divided into three age groups: 18 to 40, 41 to 65 and >65 years. The histopathological diagnoses were divided into three types: simple AA, phlegmonous AA, and gangrenous AA. Results. LA was performed in 96% of young adults and in 67% of older patients. The patients older than 65 years had higher preoperative white blood cell counts, higher C-reactive protein (CRP) levels and had a longer length of stay (LOS) than younger patients (P=0.05, P=0.03, and P=0.03, respectively). We found a positive correlation among the CRP levels, open appendectomy (OA), and gangrenous appendicitis. Conclusions: Patients older than 65 years more frequently underwent OA than LA, had higher preoperative CRP levels and had a longer LOS than younger patients. Higher CRP levels were associated with a greater risk of gangrenous appendicitis. LA is a safe and feasible treatment method for patients older than 65 years.
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 2.

Tytuł:: Conscious and informed patients? : insights into the legal consciousness of patients rights in Poland
Autorzy:: Polak, Paulina
Opis:: This study reflects on the state of legal consciousness surrounding patients rights in Poland. Using a national survey, it investigates the level of knowledge,understanding, and awareness of patients rights in the Polish population, as well as their readiness to take action in cases of violation. In addition, it presents findings from a series of in-depth interviews conducted with patientsrights lawyers to explore the motives and perspectives of patients and their families on legal action. Special focus is given to the role of patients in healthcare. Power relations, rights, emotions, and procedures form a complex framework that is at the root of both action and inaction. The concept of dignity and its place in the legal and social dimensions of healthcare is a primary trigger for possible action. Throughout the discussion, the issue of patient autonomy is raised.
Dostawca treści:: Repozytorium Uniwersytetu Jagiellońskiego

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Skocz do pozycji: 3.

Tytuł:: Results of General Surgical Treatment of Patients Over 80 Years of Age in Single-Site Experience
Autorzy:: Fiszer, Patryk
Pogorzelski, Ryszard
Toutounchi, Sadegh
Szostek, Małgorzata
Krajewska, Ewa
Jakuczun, Wawrzyniec
Tworus, Robert
Skórski, Maciej
Tematy:: surgery of elderly patients
eighty-year-old patients
surgical outcomes; Pokaż więcej
Wydawca:: Index Copernicus International
Powiązania:: https://bibliotekanauki.pl/articles/1396734.pdf Link otwiera się w nowym oknie
Opis:: The aim of the study was to evaluate the results of general surgical treatment of patients over 80 years of age.Material and methods. Three hundred and four patients aged 80 to 105 years with general surgical disorders, treated in 2005-2009, were retrospectively included in the study. The collected information included demographic data, coexisting diseases, the mode of admission, the diagnosis, the method and result of treatment, and also potential complications and 30-day mortality. The data were subjected to statistical analysis.Results. The study group included 186 women and 118 men. Two hundred patients (65.8%) were admitted in an emergency setting. The most common causes of immediate hospitalisation were: mechanical ileus (26.5%), gastrointestinal bleeding (22%), trauma (16%), and gall-bladder disorders (8.5%). The remaining 104 (34.2%) patients were operated upon on an elective basis. An emergency operation was required by 121 (60%) of the patients admitted in an emergency setting; the remaining ones were treated conservatively. Hernia plasties (27.5%), cholecystectomies (15.3%), colorectal resections (13.2%), strumectomies (11.2%) and endoscopies (6.1%) predominated among elective surgeries.The total number of complications and mortality were 19.4% and 14.5%, respectively. The number of complications and mortality were significantly higher in the group of patients admitted in an emergency setting (25.5% and 20.5%, respectively) than in patients admitted on an elective basis (8.7% and 2.9%, respectively), p<0.01.The mean duration of hospitalisation was 9.7 days (1 to 60 days), with a small difference between the groups of patients treated on an elective and emergency basis (8.5 and 10.4 days), p=0.181.Conclusions. The results of surgical treatment of elderly patients do not significantly differ from the results of treatment of the general population. Much worse results, coupled with a significant increase in mortality, are observed in patients admitted and treated on an emergency basis.
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 4.

Tytuł:: IIndications for emergency abdominal surgeries in older patients : 7-year experience of a single centrendications for Emergency Abdominal Surgeries in Older Patients : 7-Year Experience of a Single Centre
Autorzy:: Rapacz, Kamil
Lebowa, Weronika
Kenig, Jakub
Skorus, Urszula
Opis:: The majority of patients undergoing emergency laparotomy are older adults that carry the highest mortality. More research into the development of targeted interventions is required. Therefore, the aim of the study was to analyse the indications for emergency abdominal surgery in patients aged > 65 admitted to the Department of General Surgery. The study included consecutive patients aged > 65 who underwent emergency abdominal surgery within 48 h after admission at one institution. In 2010-2017, 986 patients were enrolled in the study (female 57%, male 43%). Patients were divided into three age groups, 65-70, 71-84 and > 85, with 255 patients (25.9%), 562 patients (57.0%) and 169 patients (17.1%) in each group, respectively. In the first and second age groups, the most common indications for surgery were acute cholecystitis, non-malignant ileus, colorectal cancer complications and acute appendicitis. In the oldest patients, the most common indications were complications of colorectal cancer, acute cholecystitis, nonmalignant ileus and complications of diverticulosis. In the women, the biggest differences in indications between age groups were colorectal cancer (p = 0.025) and peptic ulcer disease complications (p = 0.005); in the men, the biggest difference was seen for complicated diverticulitis (p = 0.001). The most frequent comorbidities were heart diseases (81.0%), followed by endocrine (33.6%) and vascular diseases (22.7%). The three most common indications for emergency surgery in older patients at our institution were acute cholecystitis, colorectal cancer complications and non-malignant bowel obstruction, affecting 59.5% of this group of patients. Elective surgery and endoscopic screening have the potential to prevent major part of these acute diseases. However, further prospective research is necessary on this field, particularly among frail, older patients.
Dostawca treści:: Repozytorium Uniwersytetu Jagiellońskiego

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Skocz do pozycji: 5.

Tytuł:: Evaluation of prognostic factors, symptoms and consequences of dehydration in patients with cancer based on retrospective data analysis of 102 patients treated in the Department of Palliative Medicine at the University Hospital in Cracow - preliminary report
Autorzy:: Kucharz, Jakub
Jezioro, Maciej
Krzyżewski, Roger
Bryniarski, Paweł
Filipczak-Bryniarska, Iwona
Andrysiak, Daniel
Kozlowski, Michael
Dostawca treści:: Repozytorium Uniwersytetu Jagiellońskiego

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Skocz do pozycji: 6.

Tytuł:: Geographic variability of major non-traumatic lower limb amputations in diabetic and non-diabetic patients in Poland
Autorzy:: Wierzba, W.
Krasnodębski, P.
Śliwczyński, A.
Karnafel, W.
Tematy:: diabetes mellitus
diabetic patients
non-diabetic patients
non-traumatic lower limb amputations; Pokaż więcej
Wydawca:: Instytut Medycyny Wsi
Powiązania:: https://bibliotekanauki.pl/articles/2085410.pdf Link otwiera się w nowym oknie
Opis:: Introduction. High amputation of the lower limb not only causes immense physical disability but also the destruction of the patient’s mental state, and helps to shorten life of patients with diabetes. The incidence of amputations in diabetic patients is 10 times higher in comparison to non-diabetic subjects (2.8% vs. 0.29%). The purpose of the study is an analysis of the geographic variability of major non-traumatic lower limb amputation in diabetic and non-diabetic patients in Poland. Materials and method. All major non-traumatic lower limb amputations performed for the first time, in particular data between 1 January 2013 – 31 December 2013, and between 1 January 2014 – December 2014, were identified in the National Health Fund (NHF) database. In the presented study, the patients were grouped in relevant provincial departments of the NHF according to their place of residence, and not according to the hospital where lower limb amputation was performed. Results. In 2013 in Poland, 4,727 major non-traumatic lower limb amputation were performed in diabetic patients, and 4,350 in 2014. On the other hand, in non-diabetic patients, 3,469 major non-traumatic lower limb amputations were performed in 2013, and 3149 in 2014. The mean number indicator of major non-traumatic lower limb amputations in diabetic patients in Poland, compared to the average indicator of amputations in patients without diagnosed diabetes in Poland was 19.9-fold in 2013 and 19.4-fold higher in 2014. Conclusions. In populations of diabetic patients and individuals without diagnosed diabetes major non-traumatic lower limb amputations are performed over 19-fold more frequently.
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 7.

Tytuł:: Zachowania osób bezdomnych w Izbie Przyjęć
Behoviors of homeless patients in Emergency Room.
Autorzy:: Jabłońska, Katarzyna
Opis:: The phenomenon of homelesness, commonly seen as social pathology, is a substantial problem existing on a global scale. The state of homelesness has a negative impact on an individual, both physically and psychologically, which explains the large number of homeless patients being hospitalized. The aim of this research was to find behavioral patterns of such patients in the emergency room, as well as their most common ailments. To gather necessary medical data, the author employed the method of diagnostic survey, using the following techniques: documentation analysis, observation and interview. For this purpose the author used medical history questionnaire and observation sheet as instruments, examining respectively 268 and 25 cases of homeless patients.The most common reason for emergency room visits involving homeless people is alcohol abuse, which consists both the cause and the consequence of the state of homelesness. The largest number of cases involving discussed patients can be observed in July as well as during the autumn, which can be related to the difficult weather conditions. Every third homeless patient in the emergency room requires hospitalisation, mostly in the internal diseases department. The majority of the examined show signs of poor hygiene and are unwilling to interact with the medical personnel.Their behaviour can also be described as agressive, demanding, distrustful, and often demotivated by their current life situation. There is a deficiency in the studies regarding the nursing of homeless patients.
Zjawisko bezdomności, powszechnie uważane za patologiczne społecznie, stanowi poważny problem na skalę światową. Sytuacja bezdomności ma negatywny wpływ na zdrowie fizyczne i psychiczne, dlatego też osoby bezdomne są częstymi pacjentami szpitali. Niniejsza praca ukazuje jak wygląda sytuacja osób bezdomnych w Izbie Przyjęć. Celem przeprowadzonych badań było poznanie sposobu zachowania osób bezdomnych na Izbie Przyjęć oraz ich problemów zdrowotnych. Do zgromadzenia materiału badawczego posłużono się metodą sondażu diagnostycznego, przy użyciu technik: analizy dokumentów, obserwacji, rozmowy. Za narzędzie posłużyły kwestionariusz dokumentacji medycznej oraz arkusz obserwacji. Dzięki danym narzędziom przebadano kolejno 268 i 25 osób w sytuacji bezdomności.Najczęstszą przyczyną pobytu bezdomnych na Izbie Przyjęć jest nadużycie alkoholu, który bywa zarówno przyczyną jak i konsekwencją bezdomności. Największą ilość bezdomnych pacjentów obserwuje się w lipcu oraz miesiącach jesiennych, co może mieć związek ze uciążliwością warunków pogodowych. Co trzeci bezdomny pacjent Izby Przyjęć wymaga hospitalizacji, większość na oddziale wewnętrznym. Większość badanych cechuje zaniedbanie higieniczne, brak chęci nawiązywania kontaktu z personelem medycznym. Bezdomni bywają agresywni, roszczeniowi, nieufni, a ich sytuacja życiowa bywa przyczyną obniżonego nastroju. Istnieje deficyt badań nad osobami bezdomnymi w kontekście ich pielęgnacji.
Dostawca treści:: Repozytorium Uniwersytetu Jagiellońskiego

Inne

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Skocz do pozycji: 8.

Tytuł:: Analiza statusu prawnego Rzecznika Praw Pacjenta – zagadnienia wybrane
Analysis of the legal status of Patient Ombudsman after its six-year operation
Autorzy:: Drozdowska, Urszula
Śliwka, Marcin
Tematy:: patients’ rights
Patient Ombudsman; Pokaż więcej
Wydawca:: Kancelaria Sejmu. Biuro Analiz Sejmowych
Powiązania:: https://bibliotekanauki.pl/articles/6567736.pdf Link otwiera się w nowym oknie
Opis:: Polish Patient Ombudsman (PPO) was established to protect individual and collective patients’ rights. Contrary to original plans, it was established as an organ of central government administration. Therefore, the name may be confusing, as it suggests that PPO belongs to the group of entities similar to traditional ombudsmen. In fact, it implements government policy. This lack of independence is associated with the necessity of giving PPO the power to impose penalties for breach of the so called “collective patients’ rights”. Accordingly, PPO can be considered as a kind of “subtype” of the Ombudsman only from the perspective of competencies in relation to violation of the individual patient’s rights. The article analyzes the origins of the Patient Ombudsman institution in Poland, its place in Polish polity and its legal prerogatives in comparison to other bodies that offer protection of patient’s rights. The authors analyze in detail the competence of the Patient Ombudsman in case of violation of individual and collective patients’ rights.
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 9.

Tytuł:: Doświadczanie choroby nowotworowej. Aspekty psychospołeczne
Autorzy:: Ulaniecka, Natalia
Wydawca:: Wydawnictwo Naukowe Uniwersytetu im. Adama Mickiewicza w Poznaniu
Cytata wydawnicza:: Natalia Ulaniecka (2021) Doświadczanie choroby nowotworowej. Aspekty psychospołeczne, Wydawnictwo UAM.
Opis:: Cancer diseases are a growing problem not only in terms of individuals’ health, but also in terms of society. Statistics show that the experience of oncological disease is becoming more and more common. A serious, potentially fatal disease undeniably affects life and functioning, not only physically but also psychologically and in the dimension of social functioning, an aspect which often seems to be overlooked in the discourse on this problem. In the case of oncological diseases, this impact is extremely significant. There is therefore a large and important body of research and practice in supporting the quality of life and everyday functioning of people suffering from oncological diseases. The author refers to the theory and the results of her research (based on interviews with people suffering from cancer and specialists) and describes the extremely important aspects of living with and, apart from cancer, functioning as a patient, functioning in the family and in society. The monograph consists of five chapters. The first presents the specificity of neoplastic diseases and anticancer treatment, as well as psychosocial aspects of the disease (focused on the psychological coping with cancer, the social perception of oncological diseases and the symbolic meaning given to them). The second chapter outlines the methodology of the research, the results of which are presented in the following chapters. Chapter Three is an attempt to present the specifics of functioning as a patient, with particular emphasis on the factors that affect quality of life during hospitalization and the specialist support needs of cancer patients. The fourth chapter deals with the issue of family functioning, focusing on the impact of the disease on the life of the family, on the parenthood of people struggling with cancer, love relationships and the sexual sphere. Chapter Five focuses on social functioning, which describes the risk of people suffering from oncology (self)social exclusion, and examples of negative reactions related to the disease, as well as social support (with particular emphasis on the forms of support most appreciated by patients), in addition to the aspect of self-help and patient organizations. After the main conclusions, the book ends with recommendations regarding the support for the psychosocial functioning of people suffering from oncological diseases. This publication aims to familiarize readers with the specific difficulties and related needs of cancer patients, which may be the first step to a better understanding and better support for people struggling with cancer.
Dostawca treści:: Repozytorium Centrum Otwartej Nauki

Książka

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Skocz do pozycji: 10.

Tytuł:: Medico /medicastro - considerazioni sulla competenza non solo comunicativa e / o linguistica
Medico / medicastro - considerations on the not only communicative and / or linguistic competence
Autorzy:: Szpingier, Beata
Tematy:: Verbal communications
Patients
Physicians; Pokaż więcej
Wydawca:: Uniwersytet im. Adama Mickiewicza w Poznaniu
Powiązania:: https://bibliotekanauki.pl/articles/1052736.pdf Link otwiera się w nowym oknie
Opis:: The aim of this article is to illustrate the complexities of relations at the level of verbal communication between two separate environments: patients and physicians. Many terms used while addressing physicians are related to and depend on their professional activities. The way of expressing thoughts and the choice of lexical items reflect emotional states and reactions to certain facts and standards of behaviour. We know of many possible linguistic reactions to specific real-life situations and the choice of lexical items depends upon both sociolinguistic factors (level of education of the speaker, place of residence, means of communications) as well as morphological factors (morphological processes) and semantic factors (using metaphoric expressions).
Dostawca treści:: Biblioteka Nauki

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