LEGAL ACTS OPERATING IN POLAND CONCERNING FIRST AID

Patrycja Misztal-Okońska, Mariusz Goniewicz, Kamil Bednarz. LEGAL ACTS OPERATING IN POLAND CONCERNING FIRST AID. Journal of Education, Health and Sport. 2017;7(11):103-109. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1044017 http://ojs.ukw.edu.pl/index.php/johs/article/view/5015 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2017; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 20.10.2017. Revised: 21.10.2017. Accepted: 08.11.2017. LEGAL ACTS OPERATING IN POLAND CONCERNING FIRST AID Patrycja Misztal-Okońska, Mariusz Goniewicz, Kamil Bednarz 1 Medical Rescue Department of Medical University of Lublin Abstract Having knowledge and skills in first aid is extremely important as this has a huge impact on the health and life of the injured person during an emergency. In Poland, the issue of the obligation to provide first aid is governed by a number of legal acts, so that citizens can feel secure in the hope that they will be assisted by witnesses if necessary. The paper presents the legal acts in force in Poland that mention the obligation to provide first aid. Its aim, in addition to discussing the most important laws and regulations, is to emphasize the essential need to acquire and update skills in this area. Keywords: first aid, legal act

Cases of acute coronary syndrome – analysis of interventions of Emergency Medical Services Teams

Rzońca Patryk, Chrzanowska-Wąsik Maja, Goniewicz Mariusz, Bednarz Kamil, Góra Karol. Cases of acute coronary syndrome – analysis of interventions of Emergency Medical Services Teams. Journal of Education, Health and Sport. 2017;7(4):585-595. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.556771 http://ojs.ukw.edu.pl/index.php/johs/article/view/4415 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2017; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 02.04.2017. Revised: 18.03.2017. Accepted: 23.04.2017. Ostre zespoły wieńcowe – analiza wyjazdów zespołów ratownictwa medycznego Cases of acute coronary syndrome – analysis of interventions of Emergency Medical Services Teams Patryk Rzońca¹, Maja Chrzanowska-Wąsik1, Mariusz Goniewicz¹, Kamil Bednarz¹, Karol Góra2 1 Zakład Ratownictwa Medycznego, Wydział Nauk o Zdrowiu, Uniwersytet Medyczny w Lublinie Department of Emergency Medicine, Faculty of Health Sciences, Medical University of Lublin 2 Student Ratownictwa Medycznego, Wydział Nauk o Zdrowiu, Uniwersytet Medyczny w Lublinie Medical Rescue student, Faculty of Health Sciences, Medical University of Lublin Słowa kluczowe: ostry zespół wieńcowy, choroby sercowo-naczyniowe, dusznica bolesna, zawał mięśnia sercowego, zespół ratownictwa medycznego Key words: acute coronary syndrome, cardiovascular diseases, angina pectoris, heart attack, emergency medical services team Streszczenie Od lat najczęstszą przyczyną zgonów osób dorosłych są choroby układu krążenia. Mimo, że statystycznie na przestrzeni lat ich ilość maleje, problemem społecznym i zdrowotnym jest epidemia otyłości i cukrzycy, które wpływają na przyspieszony rozwój choroby niedokrwiennej serca i jej powikłań, którymi są dusznica bolesna oraz zawał serca. Celem niniejszej pracy była analiza przypadków ostrych zespołów wieńcowych, do których zadysponowano zespoły ratownictwa medycznego. Badania przeprowadzono na podstawie dokumentacji medycznej Wojewódzkiego Pogotowia Ratunkowego w Lublinie, z okresu jednego roku (01.01.2014 – 31.12.2014). Badania potwierdziły, iż mieszkający w mieście mężczyźni stanowią najbardziej narażoną grupę na wystąpienie ostrych zespołów wieńcowych. Wśród kobiet objawy występuą w późniejszym wieku. Abstract Diseases of the circulatory system in adults has been the most common cause of death for a long time. Despite the fact that statistically the number of people affected by those diseases is decreasing over the years, the epidemic of obesity and diabetes has a great impact on accelerated developing of atherosclerotic cardiovascular disease and its complications, such as angina pectoris and heart attack. The aim of this paper is to analyse the cases of acute coronary syndrome, which Emergency Medical Services Teams were dispatched to. The study was conducted using medical records collected within the period of one year (01.01.2014 – 31.12.2014) by the Regional Ambulance Service in Lublin. The study confirmed that men living in cites are at the highest risk of developing acute coronary syndrome. Among women the symptoms occur at an older age

History of life suport

Rzońca Patryk, Chrzanowska-Wąsik Maja, Goniewicz Mariusz, Bednarz Kamil, Nowicki Grzegorz. History of life suport. Journal of Education, Health and Sport. 2017;7(3):300-308. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.321710 http://ojs.ukw.edu.pl/index.php/johs/article/view/4279 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2017; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 01.02.2017. Revised 23.02.2017. Accepted: 23.02.2017. Historia zabiegów resuscytacyjnych History of life support Patryk Rzońca¹, Maja Chrzanowska-Wąsik¹, Mariusz Goniewicz¹, Kamil Bednarz¹, Grzegorz Nowicki² 1 Zakład Ratownictwa Medycznego, Wydział Nauk o Zdrowiu, Uniwersytet Medyczny w Lublinie Department of Emergency Medicine, Faculty of Health Sciences, Medical University of Lublin 2 Zakład Medycyny Rodzinnej i Pielęgniarstwa Środowiskowego, Wydział Nauk o Zdrowiu, Uniwersytet Medyczny w Lublinie Department of Family Medicine and Community Nursing, Faculty of Health Sciences, Medical University of Lublin Słowa kluczowe: resuscytacja krążeniowo-oddechowa, historia, automatyczny defibrylator zewnętrzny, zatrzymanie krążenia Key words: cardiopulmonary resuscitation, history, Automated External Defibrillator, cardiac arrest Streszczenie Od zarania dziejów człowiek nie godził się z nieuchronnością śmierci, jednak religijne dogmaty i tradycja podważały możliwość przeciwstawiania się jej. Zasady prowadzenia resuscytacji krążeniowo-oddechowej ulegały znaczącej ewolucji od pierwszych prób ożywiania do aktualnie obowiązujących standardów postępowania. Niniejsza publikacja przedstawia przegląd literatury dotyczącej historii rozwoju czynności resuscytacyjnych. Abstract Since the beginning of time the human being could not accept the inevitability of death, yet religious dogma and tradition undermined the possibility to fight it. Instructions for how resuscitation should be practiced has significantly changed over decades. The given paper presents the review of the literature concerning the history of the development of life support

Poisoning cause analysis among patients hospitalized in an emergency department

Consequences of using psychoactive substances are always negative. They cause not only physical and mental dependence, but also huge damage in the body in case of poisoning. The toxicity of these substances varies and depends on the type of chemical compound. The effects can be difficult to predict and often can pose a direct threat to life and health. The objective of this study was to analyse the causes and consequences of poisoning with psychoactive substances among patients hospitalized in the Emergency Department of Stefan Kardynał Wyszyński Province Specialist Hospital in Lublin within the period of one year (01.01.2016 - 31.12.2016). Our own study results showed that men and people living in urban areas were the patients most frequently admitted to the Emergency Department due to poisoning. Alcohol was the most common psychoactive substance used by the patients in the study group. Poisoning with anti-epileptic, sedative-hypnotic and psychotropic medications predominated among women, whereas alcohol and narcotics and psychodysleptic medications were the most frequent cause of poisoning among men

Implementing Lean Management into service company

Lean Management jest jedną z najnowszych koncepcji zarządzania. Propaguje on wprowadzanie innowacji poprzez zmianę myślenia oraz dokonanie reorganizacji w strukturze pracy w przedsiębiorstwie. Ciągła i wszechobecna globalizacja jak i wynikająca z niej konkurencja na rynku, wymuszają na kadrze menadżerskiej elastyczność w myśleniu i dostosowanie działań do zaistniałych w otoczeniu zmian.Celem tej pracy było wdrożenie do badanej jednostki wyżej wymienionej koncepcji zarządzania oraz dostępnych narzędzi umożliwiających jej wprowadzenie w organizacji. Następnie opisano proces wdrożenia Lean Management w przedsiębiorstwie usługowym, przy wykorzystaniu opisanych wcześniej narzędzi takich jak analiza przepływu wartości, „5 razy dlaczego”, SIPOC oraz diagram Ishikawy.Lean Management is one of the latest management concepts. It promotes innovation by changing thinking and reorganizing the structure of work in the company. Continuous and omnipresent globalization and the following it competition in the market force managers to think in terms of flexibility and adapt their actions to the changing environment.The purpose of this work was to implement into examined organizational unit basis of the aforesaid management concept and the tools allowing it to be incorporated into the organization. The process of implementing Lean Management in a service company was described, using the tools such as Value Stream Mapping, "5 Whys," SIPOC and Ishikawa diagram

First finding of the Eneolithic copper axe from Mazovia

W artykule przedstawiono wyniki studiów archeometalurgicznych dotyczących płaskiej siekiery, odkrytej przypadkowo w 2016 r. na gruntach miejscowości Łady, gm. Iłów, pow. sochaczewski. Zabytek jest pierwszym okazem eneolitycznej siekiery miedzianej z Mazowsza. Przeprowadzono badanie składu surowcowego siekiery (EDXRF) i analizę jej powierzchni (OM). Określono przynależność typologiczną zabytku i poddano pod dyskusję kulturowo- społeczny kontekst siekier płaskich na obszarze ziem polskich. Ustalono, że siekiera została odlana z miedzi arsenowej i nie była najprawdopodobniej użytkowana w pradziejach. Kontekst odkrycia oraz stan zachowania zabytku wskazują, że został on zdeponowany w środowisku mokrym. Na podstawie analizy typologicznej siekierę z Ład zaklasyfikowano do typu Bytyń w wariancie A. Powinno się zatem traktować ją jako pojedynczy skarb akwatyczny, zdeponowany przez wspólnoty kultury pucharów lejkowatych z Kotliny Warszawskiej między 3600/3500–3200/3100 cal.BC.This work presents the archaeometallurgical studies performed on the flat axe discovered accidentally in 2016 near the village Łady, Iłów commune, Sochaczew district. The axe is the first find of such an object reported from Mazovia. The axe is described in terms of raw-material profile (EDXRF) as well as its macrostucture (OM). This has been juxtaposed throughout this work with the results of typological and contextual (sociocultural) analysis of the Bytyń axes, which have also been found on Polish territory. It has been established that the axe was cast from arsenical copper. It is likely that the find from Łady did not serve as a functional tool in the past. The discovery context and the state of preservation indicate that the axe was deposited in an aquatic environment. By means of a typological analysis the find from Łady was classified as a flat axe of Bytyń A type and therefore it should be considered as the single hoard deposited by the Funnel Beaker culture communities from the Warsaw Basin between 3600/3500 and 3200/3100 cal. BC

Recent Advances in Treatment Options for Childhood Acute Lymphoblastic Leukemia

Acute lymphoblastic leukemia is the most common blood cancer in pediatric patients. There has been enormous progress in ALL treatment in recent years, which is reflected by the increase in the 5-year OS from 57% in the 1970s to up to 96% in the most recent studies. ALL treatment is based primarily on conventional methods, which include chemotherapy and radiotherapy. Their main weakness is severe toxicity, which prompts dose reduction, decreases the effectiveness of the treatment, and, in some cases, can lead to death. Currently, numerous modifications in treatment regimens are applied in order to limit toxicities emerging from conventional approaches and improve outcomes. Hematological treatment of pediatric patients is reaching for more novel treatment options, such as targeted treatment, CAR-T-cells therapy, and immunotherapy. These methods are currently used in conjunction with chemotherapy. Nevertheless, the swift progress in their development and increasing efficacity can lead to applying those novel therapies as standalone therapeutic options for pediatric ALL

Human Gut Microbiota in Coronary Artery Disease: A Systematic Review and Meta-Analysis

In recent years, the importance of the gut microbiome in human health and disease has increased. Growing evidence suggests that gut dysbiosis might be a crucial risk factor for coronary artery disease (CAD). Therefore, we conducted a systematic review and meta-analysis to determine whether or not CAD is associated with specific changes in the gut microbiome. The V3–V4 regions of the 16S rDNA from fecal samples were analyzed to compare the gut microbiome composition between CAD patients and controls. Our search yielded 1181 articles, of which 21 met inclusion criteria for systematic review and 7 for meta-analysis. The alpha-diversity, including observed OTUs, Shannon and Simpson indices, was significantly decreased in CAD, indicating the reduced richness of the gut microbiome. The most consistent results in a systematic review and meta-analysis pointed out the reduced abundance of Bacteroidetes and Lachnospiraceae in CAD patients. Moreover, Enterobacteriaceae, Lactobacillus, and Streptococcus taxa demonstrated an increased trend in CAD patients. The alterations in the gut microbiota composition are associated with qualitative and quantitative changes in bacterial metabolites, many of which have pro-atherogenic effects on endothelial cells, increasing the risk of developing and progressing CAD