Psychosocial characteristics of men and women as perpetrators of domestic violence

The presented study aims to compare men and women (N = 227), perpetrators of domestic violence in terms of psychosocial characteristics, present conditions of socialization in which the perpetrator grew and the motives for committing violent act against partners. The population of violence offenders under study and its sub-groups (women and men) did not differ from the norm group in terms of personality traits and temperament. The differences were noticed only in two KSP scales: secure style and avoidance style. The comparison of women and men revealed differences, in three variables: openness for experience, emotional intelligence and avoidance-ambivalence style. Moreover, study showed that despite the good relationship between the subjects’ parents, some perpetrators suffered violence from the loved ones. It should be noted that women were more affected by physical and psychological aggression in childhood. Analysis of motives to commit acts of violence indicated that they are associated with three factors: advantage over your partner, influence and control

The need of belonging and sense of belonging versus effectiveness of coping

The aim of this research was to describe the dependence between the need for and sense of belonging and symptoms of depression vs. one’s capacity to cope effectively. Using path analysis of our data (N = 178), we found direct patterns, in which both depression symptoms and life satisfaction depend to a considerable degree on the sense of belonging. The belonging need influences, in a direct way, the coping focused on the search for social support. Undertaking active techniques of coping, including confrontation with a stressful situation and its negative controlling impact, depends on having a high level of the sense of belonging. In contrast, individuals who cope by means of taking psychoactive drugs show the symptoms of depression

The Impact of Physical Abuse & Exposure to Parental IPV on Young Adolescents in Poland: a Clinical Assessment and Comparison of Psychological Outcomes

This study explores characteristics of youth who experienced domestic violence in Poland. Specifically, young adolescents who were victims of physical abuse perpetrated by parents and young adolescents who were exposed to parental intimate partner violence (IPV) were studied to determine whether the groups had similar or different psychological outcomes. Additionally, the study looked into ways by which these youth cope with stress and demonstrate self-efficacy. Data were collected from 90 youth aged 11 to 14 years using quota sampling; 30 were victims of physical abuse, 30 were victims of exposure to parental IPV, and 30 were members of a comparison group. Parents gave written consent for participation while adolescents provided verbal assent and subsequently completed questionnaires. Analyses revealed that adolescents who experienced physical abuse showed higher levels of trait anxiety and outwardly directed anger, and a lower sense of self-efficacy, than adolescents exposed to IPV. In contrast, those exposed to parental IPVexhibited a lower level of trait anxiety, a higher level of inwardly directed anger, and a greater sense of strength and perseverance. No statistically significant differences existed between groups in terms of coping with stress. The findings suggests that adolescents experiencing different types of family violence victimizationmay have different outcomes, which could call for differential treatment. Future research should more closely examine victims of physical abuse and exposure to IPV in Poland to see if findings hold. This would help clinicians recognize outcomes associated with different experiences and tailor appropriate strategies

Kręte ścieżki pomiaru zdrowia - prace nad konstrukcją kwestionariusza do oceny zdrowia

The article centres around the problem of a subjective measurement of the sense of health. The authors present the stages of the construction of a self‑ descriptive health evaluation tool, taking into account its positive aspects. The work on the very tool was composed of three stages. Stage one, with the use of a questionnaire based on a socio‑ ecological health model collected the opinions of the subjects (166 in total), concerning the understanding of the notion of health and formed the categories people use when evaluating their own health. The study was qualitative in nature. The second stage constituted a construction of an initial version of the tool — a Health Perception Questionnaire (HPQ). Treating the categories of health gathered in the first stage as a starting point, test items were prepared and semantically analysed, and, subsequently, a factor analysis (499 in total) was conducted. As a result, 5 scales of the tool were created: optimism and energy, mental condition, vitality, sensitivity to others and daily duties. Stage three was devoted to the validation and reconstruction of the questionnaire scales. In the beginning, the factor analysis was remade on the basis of the results collected from different unrelated empirical studies with the use of HPQ (612 altogether). In consequence, a decrease of number of items, an increase of a percentage of explained variance (for each factor), lowering an inter‑ correlation between subscales and change of the scale name were introduced. The scale that was formed included positive thinking, mental discomfort, physical activity, sensitivity to others and efficiency of action. The last step was to analyse the relations described in questionnaire categories of health with other constructs from the field of the psychology of health (among others the sense of coherence, coping with stress). The correlations between the tool scales and selected variables that are often used in health context, seem to initially confirm the theoretical validity of HPQ, however, the work on the tool has not been finished yet

Current trends and procedural outcomes in the era of rotational atherectomy expansion in Poland in the period 2014-2017 (based on the nationwide ORPKI registry)

Introduction: The availability of rotational atherectomy (RA) has recently increased in Poland, which was followed by an increase in the rate of RA procedures and catheterization laboratories performing RA. Aim: To assess current trends regarding the rapid increase in the number of RA procedures and catheterization laboratories performing RA. Material an methods: We analyzed patients treated with percutaneous coronary intervention (PCI) in the years 2014–2017 available in the nationwide ORPKI dataset. From the overall 431,467 patients treated with PCI, we extracted 1,873 treated with RA. We analyzed the relationship between frequency of RA usage, its distribution between low and high volume centers and procedural outcomes, procedural-related complications and the PCI effectiveness expressed as the target vessel patency rate after PCI. Results: The number of RA procedures increased from 181 in 2014 (0.19%) to 698 in 2017 (0.61%), with an over two-fold increase in the number of catheterization laboratories performing RA from 25 (15.5%) in 2014 to 55 (34.1%) in 2017. Besides the fact that patient characteristics have changed in the most recent years, the rate of procedural success expressed as procedure-related complications remained stable in the 3 years 2015–2017 and was around 3%, while the procedural effectiveness expressed as patent target coronary artery after PCI was stable and over 98% in all of the analyzed years. Conclusions: Along with the increasing number of RA procedures and catheterization laboratories performing RA in Poland, the procedural effectiveness remained stable during an observational period of 4 years

Radial versus femoral access in patients treated with percutaneous coronary intervention and rotational atherectomy

Background: The association between periprocedural complications and the type of vascular access in patients treated with percutaneous coronary intervention (PCI) and rotational atherectomy (RA) has not been investigated as frequently as in an overall group of patients treated with PCI. Aims: The aim of this study was to assess the associations between the type of vascular access and selected periprocedural complications in a group of patients treated with PCI and RA. Methods: ased on a nationwide Polish registry (National Registry of Percutaneous Coronary Interventions [ORPKI]), we analyzed 536 826 patients treated with PCI between the years 2014 and 2018. The study included 2713 patients (0.5% of the overall group of patients treated with PCI [n = 536 826]) treated with PCI and RA. Among them, 1018 (37.5%) were treated via femoral access, and 1653 (60.9%) via radial access. Subsequently, these patients were subject to comparison, which was proceeded by propensity score matching. Results: Following propensity score matching, multiple regression analysis revealed that patients undergoing PCI via femoral access experienced coronary artery perforation significantly less frequently than those managed via radial access (odds ratio, 0.29; 95% CI, 0.08–0.92; P = 0.04). We did not observe any significant associations between the type of vascular access and the periprocedural mortality rate (P = 0.99), cardiac arrest (P = 0.41), puncture‑site bleeding (P = 0.99), allergic reaction (P = 0.32), myocardial infarction (P = 0.48), no‑reflow phenomenon (P = 0.82), or the overall complication rate (P = 0.31). Conclusion: In patients treated with PCI and RA, femoral access is associated with a lower rate of coronary artery perforations as compared with radial access

Out-of-hospital cardiac arrest: Do we have to perform coronary angiography?

Out-of-hospital cardiac arrest (OHCA) remains a leading cause of global mortality, while survivors are burdened with long-term neurological and cardiovascular complications. OHCA management at the hospital level remains challenging, due to heterogeneity of OHCA presentation, the critical status of OHCA patients reaching the return of spontaneous circulation (ROSC), and the demands of post ROSC treatment. The validity and optimal timing for coronary angiography is one important, yet not fully defined, component of OHCA management. Guidelines state clear recommendations for coronary angiography in OHCA patients with shockable rhythms, cardiogenic shock, or in patients with ST-segment elevation observed in electrocardiography after ROSC. However, there is no established consensus on the angiographic management in other clinical settings. While coronary angiography may accelerate the diagnostic and therapeutic process (provided OHCA was a consequence of coronary artery disease), it might come at the cost of impaired post-resuscitation care quality due to postponing of intensive care management. The aim of the current statement paper is to discuss clinical strategies for the management of OHCA including the stratification to invasive procedures and the rationale behind the risk-benefit ratio of coronary angiography, especially with patients in critical condition