Analysis of specialist medical rescue team interventions in Sokołów county in 2016

INTRODUCTION: One of the main aims of the Polish Emergency Medical Services (EMS) is to rescue and protect human health and life. The aim of the study is to analyze specialist medical rescue team (S MRT) interventions in the county of Sokołów in 2016. METHODS: A retrospective analysis of 1361 ambulance call reports from the period January 1st to December 31st 2016 of rescue activities performed during interventions by S MRTs in Sokołów county. RESULTS: The mean time of arrival of S MRTs to the patient was 9.42 ± 7.5 min (max time is 49 min, min time is 1 minute). Average departure time was 51.8 ± 23.5 min (max 218 min, min 23.5 min). The highest incidence of S MRTs operations was observed in July (n = 134, 10%) and lowest in February (n = 95, 7%). CONCLUSIONS: Emergency Medical System reaction time for patients in our region does not differ from other data available in the literature

EMPATHY AND BURNOUT SYNDROME IN THE PRACTICE OF EMERGENCY SERVICES — PILOT STUDY

  INTRODUCTION: The burnout syndrome is a result of stress on the work situation and most often concerns pro­fessions requiring emotional and direct contact with another human being. The level of empathy is closely related to the phenomenon of occupational burnout. The aim of the study was to determine the impact of socio-demo­graphic factors of emergency services employees on the level of empathy. METHOD: In the period January–March 2018, a survey was conducted using a questionnaire — Emphatic Sensi­tiveness Scale (ESC) and an anonymous author’s questionnaire containing questions regarding sex, age, length of employment, occupation, marital status and number of hours worked per month. The survey was addressed to 81 employees of emergency services: paramedics (n = 17) and firefighters (n = 23). The control group consisted of 16 nurses and 25 people performing non–medical professions. RESULTS: The average number of hours worked per month by the respondents was 189 ± 49. There were 50 fe­males (62%) and 31 males (38%). The questionnaire showed statistically significant differences in perspective taking domain between the control group composed of people working in non-medical professions (25.6 ± 4.3) and emergency services professionals: firefighter (28.7 ± 3.6) vs. paramedic (29.9 ± 3.5) vs. nurse (31.2 ± 3.0), p < 0.001. It has been shown a statistically significant effect of sex on personal distress domain: male (21.4 ± 4.2) vs. female (24.3 ± 4.7), p = 0.005. CONCLUSIONS: In conclusion, our data indicates that: (1) Nurses were characterised by the highest level of empathy amongst the surveyed professional groups; (2) Females were characterised by a higher level of personal distress; (3) Variables such as sex, age, and length of employment did not affect the level of empathy

Association between Variants on Chromosome 4q25, 16q22 and 1q21 and Atrial Fibrillation in the Polish Population

Genome-wide studies have shown that polymorphisms on chromosome 4q25, 16q22 and 1q21 correlate with atrial fibrillation (AF). However, the distribution of these polymorphisms differs significantly among populations.To test the polymorphisms on chromosome 4q25, 16q22 and 1q21 in a group of patients (pts) that underwent catheter ablation of AF.Four hundred and ten patients with AF that underwent pulmonary vein isolation were included in the study. Control group (n = 550) was taken from healthy population, matched for age, sex and presence of hypertension. All participants were genotyped for the presence of the rs2200733, rs10033464, rs17570669, rs3853445, rs6838973 (4q25), rs7193343 (16q22) and rs13376333 (1q21) polymorphisms.All the polymorphisms tested (except rs17570669) correlated significantly with AF in univariate analysis (p values between 0.039 for rs7193343 and 2.7e-27 for rs2200733), with the odds ratio (OR) 0.572 and 0.617 for rs3853445 and rs6838973, respectively (protective role) and OR 1.268 to 3.52 for the other polymorphisms. All 4q25 SNPs tested but rs3853445 were independently linked with AF in multivariate logistic regression analysis. In haplotype analysis six out of nine 4q25 haplotypes were significantly linked with AF. The T allele of rs2200733 favoured increased number of episodes of AF per month (p = 0.045) and larger pulmonary vein diameter (recessive model, p = 0.032).Patients qualified for catheter ablation of AF have a significantly higher frequency of 4q25, 16q22 and 1q21 variants than the control group. The T allele of rs2200733 favours larger pulmonary veins and increased number of episodes of AF

Pairwise linkage disequilibrium (LD) scores (r2) among 4q25 SNPs.

<p>Pairwise linkage disequilibrium (LD) scores (r2) among 4q25 SNPs.</p

Characteristics of study and control groups.

<p>Data presented as: n (%).</p><p>*mean (SD).</p><p>SD – standard deviation.</p><p>ND – no data; NA – not applicable.</p

Haplotypes found for 4q25 SNPs with independent effects on AF risk (i.e. rs2200733-rs10033464-rs17570669-rs6838973 haplotypes).

<p>Haplotypes found for 4q25 SNPs with independent effects on AF risk (i.e. rs2200733-rs10033464-rs17570669-rs6838973  haplotypes).</p

Correlation of rs2200733 genotype (CC and CT vs. TT) with diameter of pulmonary veins (in millimetres).

<p>For calculation a recessive effect was assumed.</p><p>Data presented as median (1^st–3^rd quartile).</p