Monika Prokurat, K. Grudnik, Stanisław Niemczyk, Wojciech Niemczyk, K. Lau, Janusz Kasperczyk
In the 21st century, we are experiencing the widespread use of new technologies that are designed to make work and daily life easier. The emergence of unmanned aerial vehicles (UAVs) has also opened up new opportunities for medical rescue support. This paper explores the various aspects of using medical drones to aid rescue operations. These devices can move at high speeds, traverse difficult terrain that ground vehicles cannot, and have many capabilities depending on their equipment. Currently, the use of UAVs is limited to rescue operations of an extreme nature, such as searching for missing individuals in dangerous or vast areas, or providing support during mass events.The paper describes the potential possibilities of using drones in rescue operations, such as delivering critical medicines, first aid equipment, or collecting information on hazards relevant to rescue planning. It is important to note that UAVs are still a relatively new technology that requires reliable safety systems, especially in the context of medical use. Possible threats, such as hacking attacks, collision risks in different environments, and the level of training of personnel involved in UAVs management, were also presented. Additionally, the paper addresses current legal and systemic issues in Poland and the European Union. Lastly, the results of public opinion polls on confi¬dentiality and consent to the use of medical drones were mentioned.
{"title":"The use of drones in emergency medicine","authors":"Monika Prokurat, K. Grudnik, Stanisław Niemczyk, Wojciech Niemczyk, K. Lau, Janusz Kasperczyk","doi":"10.36740/emems202302109","DOIUrl":"https://doi.org/10.36740/emems202302109","url":null,"abstract":"In the 21st century, we are experiencing the widespread use of new technologies that are designed to make work and daily life easier. The emergence of unmanned aerial vehicles (UAVs) has also opened up new opportunities for medical rescue support. This paper explores the various aspects of using medical drones to aid rescue operations. These devices can move at high speeds, traverse difficult terrain that ground vehicles cannot, and have many capabilities depending on their equipment. Currently, the use of UAVs is limited to rescue operations of an extreme nature, such as searching for missing individuals in dangerous or vast areas, or providing support during mass events.The paper describes the potential possibilities of using drones in rescue operations, such as delivering critical medicines, first aid equipment, or collecting information on hazards relevant to rescue planning. It is important to note that UAVs are still a relatively new technology that requires reliable safety systems, especially in the context of medical use. Possible threats, such as hacking attacks, collision risks in different environments, and the level of training of personnel involved in UAVs management, were also presented. Additionally, the paper addresses current legal and systemic issues in Poland and the European Union. Lastly, the results of public opinion polls on confi¬dentiality and consent to the use of medical drones were mentioned.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129351375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Robakowska, A. Tyrańska-Fobke, Maciej Walkiewicz, M. Tartas, D. Ślęzak, Wioleta Tomczak, Ł. Balwicki, K. Zorena, Sylwia Jałtuszewska
Aim: To discover the relationship between adaptive and maladaptive perfectionism and professional burnout in laboratory diagnosticians in the Pomorskie [Pomeranian] Voivodship, Poland. Material and methods: The Oldenburg Burnout Inventory (OLBI) and the Adaptive and Maladaptive Perfectionism Questionnaire (PAD) were used in the descriptive cross-sectional study. Results: Previous research suggests that the phenomenon of occupational burnout among the professional group of laboratory diagnosticians seems to have a specific nature, different from burnout in other medical professionals. It is believed that extremely high job demands, insufficient personal resources, as well as certain personality characteristics (which can alter the perceptions and responses to job demands as well as the perception and use of resources), are essential to the development of professional burnout. Conclusions: In the age of the SARS-CoV-2 coronavirus pandemic, strict compliance with safety procedures when performing tests for virus infection through laboratory diagnostics is of especially great importance to the entire epidemiological situation.
{"title":"PERFECTIONISM AND BURNOUT IN HEALTH CARE PROFESSIONALS","authors":"M. Robakowska, A. Tyrańska-Fobke, Maciej Walkiewicz, M. Tartas, D. Ślęzak, Wioleta Tomczak, Ł. Balwicki, K. Zorena, Sylwia Jałtuszewska","doi":"10.36740/emems202104103","DOIUrl":"https://doi.org/10.36740/emems202104103","url":null,"abstract":"Aim: To discover the relationship between adaptive and maladaptive perfectionism and professional burnout in laboratory diagnosticians in the Pomorskie [Pomeranian] Voivodship, Poland.\u0000Material and methods: The Oldenburg Burnout Inventory (OLBI) and the Adaptive and Maladaptive Perfectionism Questionnaire (PAD) were used in the descriptive cross-sectional study.\u0000Results: Previous research suggests that the phenomenon of occupational burnout among the professional group of laboratory diagnosticians seems to have a specific nature, different from burnout in other medical professionals. It is believed that extremely high job demands, insufficient personal resources, as well as certain personality characteristics (which can alter the perceptions and responses to job demands as well as the perception and use of resources), are essential to the development of professional burnout.\u0000Conclusions: In the age of the SARS-CoV-2 coronavirus pandemic, strict compliance with safety procedures when performing tests for virus infection through laboratory diagnostics is of especially great importance to the entire epidemiological situation.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116752753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The aim of the study is to present the process of diagnosis and treatment of the patients poisoned with toxic alcohols. Furthermore, the suicide risk assessment was presented. The role of supportive cure and the importance of the treatment with alcohol dehydrogenase blockade with fomepizole or ethanol hemodialysis for severe intoxicated patients were presented. The differences in the treatment of poisoning with particular toxic alcohols were presented. Moreover, the important psychological factors in the management of this group of patients were also discussed. The paper was illustrated with typical case studies of patients suffering from methanol and ethylene glycol intoxication. Conclusions: 1. The recognition of toxic alcohol poisoning remains a challenge for the clinician, because nonspecific symptoms are similar in many other conditions. 2. Proper management of the poisoned patients requires thorough analysis of many aspects: circumstances of the event, laboratory findings, response to the treatment, and the patient’s psychological problems.
{"title":"MANAGEMENT OF THE EMERGENCY DEPARTMENT PATIENT WITH TOXIC ALCOHOL POISONING","authors":"Barbara Porębska, M. Kaczmarek-Fojtar","doi":"10.36740/emems202104108","DOIUrl":"https://doi.org/10.36740/emems202104108","url":null,"abstract":"The aim of the study is to present the process of diagnosis and treatment of the patients poisoned with toxic alcohols. Furthermore, the suicide risk assessment was presented. The role of supportive cure and the importance of the treatment with alcohol dehydrogenase blockade with fomepizole or ethanol hemodialysis for severe intoxicated patients were presented. The differences in the treatment of poisoning with particular toxic alcohols were presented. Moreover, the important psychological factors in the management of this group of patients were also discussed. The paper was illustrated with typical case studies of patients suffering from methanol and ethylene glycol intoxication. Conclusions: 1. The recognition of toxic alcohol poisoning remains a challenge for the clinician, because nonspecific symptoms are similar in many other conditions. 2. Proper management of the poisoned patients requires thorough analysis of many aspects: circumstances of the event, laboratory findings, response to the treatment, and the patient’s psychological problems.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121178546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"AWARENESS OF LEGAL REGULATIONS ON SELF-DEFENCE AMONG PARAMEDICS AND THEIR USEFULNESS IN PROFESSIONAL WORK","authors":"Marcin Łubek, Robert Gałązkowski","doi":"10.36740/emems201902104","DOIUrl":"https://doi.org/10.36740/emems201902104","url":null,"abstract":"","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115070351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Robakowska, A. Tyrańska-Fobke, D. Ślęzak, Michał Rogowski, A. Basiński, Sylwia Jałtuszewska
Increase in demand for health services in HED (Hospital Emergency Department) and their increasing this greater overcrowding is known from the English language as overcrowding. The concept of overcrowding is also inherently related to the notion of frequent use of assistance in the SOR. However, no uniform criterion for defining this concept has been developed so far. The aim of this study is to present the causes of the phenomenon of overcrowding and the related issues of patients’ functioning in the health care system. The main reasons for this phenomenon are the demographic aspect, i.e. the extension of the average age of many societies, but also the tendency of patients to omit medical assistance at the primary health care level and go directly to the HED as facilities with greater diagnostic and therapeutic possibilities. The consequences of the overcrowding phenomenon are, above all, an increase in the costs of HED functioning, longer waiting times for health services provided in the HED and excessive workload of the staff employed there. Currently, overcrowding has been recognized as a global public health problem.
{"title":"Increased demand for services provided in hospital emergency departments","authors":"M. Robakowska, A. Tyrańska-Fobke, D. Ślęzak, Michał Rogowski, A. Basiński, Sylwia Jałtuszewska","doi":"10.36740/emems202201107","DOIUrl":"https://doi.org/10.36740/emems202201107","url":null,"abstract":"Increase in demand for health services in HED (Hospital Emergency Department) and their increasing this greater overcrowding is known from the English language as overcrowding. The concept of overcrowding is also inherently related to the notion of frequent use of assistance in the SOR. However, no uniform criterion for defining this concept has been developed so far. The aim of this study is to present the causes of the phenomenon of overcrowding and the related issues of patients’ functioning in the health care system. The main reasons for this phenomenon are the demographic aspect, i.e. the extension of the average age of many societies, but also the tendency of patients to omit medical assistance at the primary health care level and go directly to the HED as facilities with greater diagnostic and therapeutic possibilities. The consequences of the overcrowding phenomenon are, above all, an increase in the costs of HED functioning, longer waiting times for health services provided in the HED and excessive workload of the staff employed there. Currently, overcrowding has been recognized as a global public health problem.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115614788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Szymon Wit, Paweł Więch, Marta Kłęk, Marek Muster, Grzegorz Kucaba
Aim: The aim of the study was to evaluate the effectiveness of supraglottic airways management by paramedics using selected methods in simulated conditions. Material and methods: The study included a group of 115 professionally active paramedics working in various health care facilities in the Podkarpackie Province. Each subject was asked to open the airways using a laryngeal mask airway (LMA) and a disposable laryngeal tube (LT-D) in simulated conditions. The study assessed the effectiveness of the airway opening taking into account: average tidal volume of a single breath in ml, average minute tidal volume in ml, time of insertion in seconds, the need for a second attempt, pressure on incisors in N. The obtained results were statistically analysed, p<0.05 was considered statistically significant. The calculations were performed with the SPSS 20 software. results: The study showed that the time of inserting of LT-D is the same as the time of LMA (LT-D: 25.95s ± 7.89s vs. LMA: 24.78s ± 8.32s; p>0.05). The mean tidal volume of a single breath was significantly higher with the LMA com-pared to LT-D (LMA 633.24 ml vs. LT-D 579.68 ml, p<0.05). During LMA insertion, the pressure on incisors of 11.41N ± 6.22N was used, while in case of LT-D this pressure amounted to 13.15N ± 3.68N. Every fourth examined paramedic had problems with correct insertion of LT-D tube in accordance with the adopted algorithm. Conclusions: The supralottic LMA and LT-D tools seem to be an effective and safe alternative of the airway management in case of life emergency
目的:本研究的目的是评估在模拟条件下护理人员使用选定方法对声门上气道管理的有效性。材料和方法:该研究包括在Podkarpackie省各卫生保健机构工作的115名专业活跃护理人员。每个受试者被要求在模拟条件下使用喉罩气道(LMA)和一次性喉管(LT-D)打开气道。本研究评估气道开放的有效性，考虑单次呼吸平均潮气量(ml)、平均分钟潮气量(ml)、插入时间(秒)、第二次尝试的需要(秒)、门牙压力(n)。所得结果进行统计学分析，p0.05)。LMA组的平均单次潮气量明显高于LT-D组(LMA 633.24 ml vs LT-D 579.68 ml, p<0.05)。LMA置入时门牙压力为11.41N±6.22N, LT-D置入时门牙压力为13.15N±3.68N。每四分之一接受检查的医护人员在按照采用的算法正确插入LT-D管方面存在问题。结论:声压过高LMA和LT-D工具似乎是生命紧急情况下气道管理的有效和安全的选择
{"title":"Effectiveness of Supraglottic Airways Management Among Paramedics","authors":"Szymon Wit, Paweł Więch, Marta Kłęk, Marek Muster, Grzegorz Kucaba","doi":"10.36740/emems202103105","DOIUrl":"https://doi.org/10.36740/emems202103105","url":null,"abstract":"Aim: The aim of the study was to evaluate the effectiveness of supraglottic airways management by paramedics using selected methods in simulated conditions.\u0000Material and methods: The study included a group of 115 professionally active paramedics working in various health care facilities in the Podkarpackie Province. Each subject was asked to open the airways using a laryngeal mask airway (LMA) and a disposable laryngeal tube (LT-D) in simulated conditions. The study assessed the effectiveness of the airway opening taking into account: average tidal volume of a single breath in ml, average minute tidal volume in ml, time of insertion in seconds, the need for a second attempt, pressure on incisors in N. The obtained results were statistically analysed, p<0.05 was considered statistically significant. The calculations were performed with the SPSS 20 software.\u0000results: The study showed that the time of inserting of LT-D is the same as the time of LMA (LT-D: 25.95s ± 7.89s vs. LMA: 24.78s ± 8.32s; p>0.05). The mean tidal volume of a single breath was significantly higher with the LMA com-pared to LT-D (LMA 633.24 ml vs. LT-D 579.68 ml, p<0.05). During LMA insertion, the pressure on incisors of 11.41N ± 6.22N was used, while in case of LT-D this pressure amounted to 13.15N ± 3.68N. Every fourth examined paramedic had problems with correct insertion of LT-D tube in accordance with the adopted algorithm.\u0000Conclusions: The supralottic LMA and LT-D tools seem to be an effective and safe alternative of the airway management in case of life emergency","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128087037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aim: To assess the retention of lifeguards’ knowledge after Qualified First Aid Course and its recertification in 3 essential categories: airway management, ventilation and oxygen administration. Material and methods: The study was performed from August 2020 to November 2020. The online survey addressed to lifeguards from 16 provinces of Poland was used as the evaluation method. Analysis of knowledge retention depending on the time that has passed since Qualified First Aid Course or its recertification was carried out on basis of 312 collected questionnaires. Results: Participants obtained the mean score of 7.9 ± 2.5 out of 15 points. Statistically significant difference was found between mean scores achieved by respondents who attended in the full course (n = 171) and those (n = 141) who have taken part in at least 1 recertification (respectively 7.6 ± 2.53 vs. 8.3 ± 2.7 points; p = 0.018). Although data analysis did not show a statistically significant downward trend depending on the time that has passed since Qualified First Aid Course, mean scores obtained by the study group in specific periods of time that has passed since recertification differ significantly (p = 0.026). The study identified 6 areas of knowledge least assimilated by lifeguards respectively: 2 in airway management, 3 in ventilation and 1 in oxygen administration category. Conclusions: Significant downtrend over time after Qualified First Aid Course recertification and detected areas of insufficient knowledge relating to key issues of life support indicates that the lifeguards’ training should be reanalyzed and redesigned carefully.
{"title":"LIFEGUARDS’ KNOWLEDGE RETENTION FOLLOWING AIRWAY MANAGEMENT, VENTILATION AND OXYGEN ADMINISTRATION TRAINING","authors":"Jakub Bieliński, Filip Jaśkiewicz","doi":"10.36740/emems202104104","DOIUrl":"https://doi.org/10.36740/emems202104104","url":null,"abstract":"Aim: To assess the retention of lifeguards’ knowledge after Qualified First Aid Course and its recertification in 3 essential categories: airway management, ventilation and oxygen administration.\u0000Material and methods: The study was performed from August 2020 to November 2020. The online survey addressed to lifeguards from 16 provinces of Poland was used as the evaluation method. Analysis of knowledge retention depending on the time that has passed since Qualified First Aid Course or its recertification was carried out on basis of 312 collected questionnaires.\u0000Results: Participants obtained the mean score of 7.9 ± 2.5 out of 15 points. Statistically significant difference was found between mean scores achieved by respondents who attended in the full course (n = 171) and those (n = 141) who have taken part in at least 1 recertification (respectively 7.6 ± 2.53 vs. 8.3 ± 2.7 points; p = 0.018). Although data analysis did not show a statistically significant downward trend depending on the time that has passed since Qualified First Aid Course, mean scores obtained by the study group in specific periods of time that has passed since recertification differ significantly (p = 0.026). The study identified 6 areas of knowledge least assimilated by lifeguards respectively: 2 in airway management, 3 in ventilation and 1 in oxygen administration category.\u0000Conclusions: Significant downtrend over time after Qualified First Aid Course recertification and detected areas of insufficient knowledge relating to key issues of life support indicates that the lifeguards’ training should be reanalyzed and redesigned carefully.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"2014 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125690062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aim: To present the clinical spectrum of the Emergency Department (ED) patients with presumed electrical shocks. Material and methods: The electronic recordings of the patients admitted to the ED of Unversity Hospital in Wroclaw between April 2020 and June 2021 were searched for the words: discharge, electrical storm, syncope, con¬vulsions. The received patients recordings were checked and all patients with electrical shocks from implantable cardioverter defibrillators (ICDs) both real and presumed were included into the study. Patients were divided into three groups: patients hospitalized due to adequate ICD discharges, patients hospitalized for other reason who had adequate interventions in the ICD memory and patients with incorrectly diagnosed ICD interventions. Results: The study group consisted of 26 patients. There was 18 men aged 65.9±10.9 and 8 women aged 68.1±12.4 (p=0.66). A total of 20 patients had electrical shocks confirmed by ICD memory checking and 6 patients had no ICD shocks. Conclusions: ED visits due to discharges of ICDs are rare. The medical history of ICD discharge could be misleading, because some patients interpret different symptoms or acoustic signals of the ICDs as a discharge. The ICD patients with syncope, unconsciousness, history of seizures should have their ICD checked for the possible discharges.
{"title":"The clinical characteristics of patients admitted to the emergency department because of implantable cardioverter defibrillator shock","authors":"P. Skoczyński","doi":"10.36740/emems202201103","DOIUrl":"https://doi.org/10.36740/emems202201103","url":null,"abstract":"Aim: To present the clinical spectrum of the Emergency Department (ED) patients with presumed electrical shocks. \u0000Material and methods: The electronic recordings of the patients admitted to the ED of Unversity Hospital in Wroclaw between April 2020 and June 2021 were searched for the words: discharge, electrical storm, syncope, con¬vulsions. The received patients recordings were checked and all patients with electrical shocks from implantable cardioverter defibrillators (ICDs) both real and presumed were included into the study. Patients were divided into three groups: patients hospitalized due to adequate ICD discharges, patients hospitalized for other reason who had adequate interventions in the ICD memory and patients with incorrectly diagnosed ICD interventions. \u0000Results: The study group consisted of 26 patients. There was 18 men aged 65.9±10.9 and 8 women aged 68.1±12.4 (p=0.66). A total of 20 patients had electrical shocks confirmed by ICD memory checking and 6 patients had no ICD shocks. \u0000Conclusions: ED visits due to discharges of ICDs are rare. The medical history of ICD discharge could be misleading, because some patients interpret different symptoms or acoustic signals of the ICDs as a discharge. The ICD patients with syncope, unconsciousness, history of seizures should have their ICD checked for the possible discharges.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130187852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Endometriosis is a chronic hormone-dependent inflammatory condition whose growth and maintenance depends on oestrogen. Treatment options are limited until its aetiology is established. The following literature review provides an extensive discussion of the relationship between diet and endometriosis and iden¬tifies the importance of nutrition in relation to symptoms. An extensive manual search of the main electronic databases (PubMed, EMBASE, Web of Science and Google Scholar) was conducted in March 2023 to identify relevant studies published on the relationship between diet and endometriosis. The anti-inflammatory properties of a plant-based diet may be beneficial for women with endometriosis. The Mediterranean diet shows similar properties in reducing many persistent symptoms. Dairy products, on the other hand, are a source of calcium, vitamin D, oestrogens, progesterone and anti-cancer and anti-inflammatory components. A decrease in endometrial implants can be observed in women supplementing with omega 3 and 6 acids. Vitamins D, C and E are also essential dietary components, as they are sources of antioxidants that strongly reduce free radicals. An inverse correlation was observed with red meat consumption. The treatment of endometriosis requires a holistic approach focused on reducing bothersome symptoms and inflammation, and therefore the inclusion of a dietitian in the treatment may be of great benefit to endometriosis patients. Further research is needed, especially randomised clinical trials to clarify the role of diet in endometriosis.
子宫内膜异位症是一种慢性激素依赖性炎症，其生长和维持依赖于雌激素。在病因确定之前，治疗选择是有限的。下面的文献综述对饮食和子宫内膜异位症之间的关系进行了广泛的讨论，并确定了营养在症状方面的重要性。我们于2023年3月对主要电子数据库(PubMed、EMBASE、Web of Science和Google Scholar)进行了广泛的人工检索，以确定已发表的有关饮食与子宫内膜异位症关系的相关研究。植物性饮食的抗炎特性可能对患有子宫内膜异位症的女性有益。地中海饮食在减轻许多持续性症状方面显示出类似的特性。另一方面，乳制品是钙、维生素D、雌激素、黄体酮以及抗癌和抗炎成分的来源。在补充omega - 3和omega - 6酸的妇女中可以观察到子宫内膜植入物的减少。维生素D、C和E也是必不可少的饮食成分，因为它们是抗氧化剂的来源，可以有效地减少自由基。与食用红肉呈负相关。子宫内膜异位症的治疗需要一个整体的方法，重点是减少令人烦恼的症状和炎症，因此在治疗中纳入营养师可能对子宫内膜异位症患者有很大的好处。需要进一步的研究，特别是随机临床试验来阐明饮食在子宫内膜异位症中的作用。
{"title":"Nutrition in the prevention and management of endometriosis symptoms - a current literature review","authors":"Aleksandra Kuć, Wojciech Szymanek","doi":"10.36740/emems202302106","DOIUrl":"https://doi.org/10.36740/emems202302106","url":null,"abstract":"Endometriosis is a chronic hormone-dependent inflammatory condition whose growth and maintenance depends on oestrogen. Treatment options are limited until its aetiology is established. The following literature review provides an extensive discussion of the relationship between diet and endometriosis and iden¬tifies the importance of nutrition in relation to symptoms. An extensive manual search of the main electronic databases (PubMed, EMBASE, Web of Science and Google Scholar) was conducted in March 2023 to identify relevant studies published on the relationship between diet and endometriosis. \u0000The anti-inflammatory properties of a plant-based diet may be beneficial for women with endometriosis. The Mediterranean diet shows similar properties in reducing many persistent symptoms. Dairy products, on the other hand, are a source of calcium, vitamin D, oestrogens, progesterone and anti-cancer and anti-inflammatory components. A decrease in endometrial implants can be observed in women supplementing with omega 3 and 6 acids. Vitamins D, C and E are also essential dietary components, as they are sources of antioxidants that strongly reduce free radicals. An inverse correlation was observed with red meat consumption. The treatment of endometriosis requires a holistic approach focused on reducing bothersome symptoms and inflammation, and therefore the inclusion of a dietitian in the treatment may be of great benefit to endometriosis patients. Further research is needed, especially randomised clinical trials to clarify the role of diet in endometriosis.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130546398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aim: To examine the level of knowledge on new psychoactive substances (NPS) among health care profesionals (HCPs) working within the Emergency Medical Services (EMS) system in Poland, and to assess how they would like to improve it. Material and methods: The study involved 602 HCPs working within the EMS system and was carried out using a survey questionnaire. Both online and paper-copy surveys were utilized. The collected data were statistically analyzed using the STATISTICA 12.5PL computer program (StatSoft, Inc., USA). Results: Most responders perceived themselves as having a “sufficient” (49%) or a “weak” level (40.5%) of knowledge of NPS, while only 10.5% as “good”. The Internet was a main source of information on NPS. In the 4-year period covered by the study, only less than 22% of HCPs took part in any training courses on NPS. Most participants expressed a need to learn more about “pharmacological treatment”, “legal provisions” and “qualification for hospital treatment”. Conclusions: An inadequacy in essential knowledge of NPS by HCPs working within the EMS system highlights the need for education on these novel molecules.
{"title":"SELF-ASSESSMENT OF KNOWLEDGE OF EMERGENCY MEDICAL SERVICES SYSTEM EMPLOYEES ON NEW PSYCHOACTIVE SUBSTANCES – CURRENT STATUS AND DEVELOPMENT PROSPECTS","authors":"Łukasz Kacprzak, J. Zawilska","doi":"10.36740/emems202104105","DOIUrl":"https://doi.org/10.36740/emems202104105","url":null,"abstract":"Aim: To examine the level of knowledge on new psychoactive substances (NPS) among health care profesionals (HCPs) working within the Emergency Medical Services (EMS) system in Poland, and to assess how they would like to improve it.\u0000Material and methods: The study involved 602 HCPs working within the EMS system and was carried out using a survey questionnaire. Both online and paper-copy surveys were utilized. The collected data were statistically analyzed using the STATISTICA 12.5PL computer program (StatSoft, Inc., USA).\u0000Results: Most responders perceived themselves as having a “sufficient” (49%) or a “weak” level (40.5%) of knowledge of NPS, while only 10.5% as “good”. The Internet was a main source of information on NPS. In the 4-year period covered by the study, only less than 22% of HCPs took part in any training courses on NPS. Most participants expressed a need to learn more about “pharmacological treatment”, “legal provisions” and “qualification for hospital treatment”.\u0000Conclusions: An inadequacy in essential knowledge of NPS by HCPs working within the EMS system highlights the need for education on these novel molecules.","PeriodicalId":433523,"journal":{"name":"Emergency Medical Service","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133968439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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