Ocena wyników postępowania terapeutycznego chorych leczonych endowaskularnie z powodu tętniaka mózgu

Introduction. Intracranial aneurysm is the most common type of brain vascular defects. Their treatment is based on excluding vascular malformation from circulation. Endovascular methods are being performed more and more often.Aim. Evaluation of the results of therapeutic management of patients treated endovascularly for cerebral aneurysm.Material and Methods. The study involved 49 patients with a diagnosed brain aneurysm qualified for endovascular treatment (embolization, stent). Standardized research tools were used: GCS, H&H, GOS, SWF. The examination was carried out twice on one patient: on the day of admission and discharge from the ward. The collected material was statistically processed.Results. Most of the respondents were women — 74%. Almost 61% of patients had non-cracked aneurysm. In 41% embolization was performed, and in 39% embolization with a stent. The aneurysm site was associated with the GCS score at discharge χ²(8) = 15.64; p < 0.05; V = 0.40. Marital status was associated with SWF in the assessment 2: χ²(9) = 19.18; p < 0.05; V = 0.36. The state of consciousness of the patients had no significant impact on the scope of their functioning: GCS Z = 0.42; p = 0.675 and SWF Z = 0.40; p = 0.689.Conclusions. The clinical condition of patients with cerebral aneurysm varies depending on the stage of treatment, admission mode and type of aneurysm. Only the professional situation and marital status of the examined persons influenced the functional state and the final assessment of patients’ treatment. (JNNN 2020;9(1):3–11)Wstęp. Tętniak tętnic wewnątrzczaszkowych to najczęstszy rodzaj wad naczyniowych mózgu. Leczenie ich opiera się na wyłączeniu malformacji naczyniowej z krążenia. Coraz częściej wykonywane są metody endowaskularne.Cel. Ocena wyników postępowania terapeutycznego chorych leczonych endowaskularnie z powodu tętniaka mózgu.Materiał i metody. W badaniach uczestniczyło 49 pacjentów z rozpoznanym tętniakiem mózgu, zakwalifikowanych do leczenia endowaskularnego (embolizacja, stent). Zastosowano standaryzowane narzędzia badawcze: GCS, H&H, GOS, SWF. Badanie zostało przeprowadzone dwukrotnie u jednego pacjenta: w dniu przyjęcia i wypisu z oddziału. Zebrany materiał opracowano statystycznie.Wyniki. Większość badanych stanowiły kobiety — 74%. Tętniak niepęknięty miało 61% pacjentów. U 41% wykonano embolizację, a u 39% embolizację ze stentem. Miejsce tętniaka było powiązane z oceną GCS przy wypisie χ²(8) = 15,64; p < 0,05; V = 0,40. Stan cywilny był powiązany ze SWF w ocenie 2: χ²(9) = 19,18; p < 0,05; V = 0,36. Stan przytomności chorych nie miał istotnego wpływu na zakres ich funkcjonowania: GCS Z = 0,42; p = 0,675 i SWF Z = 0,40; p = 0,689.Wnioski. Stan kliniczny chorych z tętniakiem mózgu zmienia się w zależności od etapu leczenia, trybu przyjęcia i rodzaju tętniaka. Tylko sytuacja zawodowa i stan cywilny badanych osób wpływały na stan funkcjonalny i końcową ocenę leczenia pacjentów. (PNN 2020;9(1):3–11

Smoking cessation and vaping cessation attempts among cigarette smokers and e-cigarette users in Central and Eastern Europe

Our aim is to assess the smoking cessation and vaping cessation activity, including quit attempts and willingness to quit among university students in Central and Eastern Europe, as well as to investigate personal characteristics associated with smoking cessation and vaping cessation attempts. Data were collected by questionnaire which included 46 questions on cigarette and e-cigarette use. Questionnaires were obtained from 14,352 university students (aged 20.9 ± 2.4 years; cooperation rate of 72.2%). For the purposes of this analysis, only data from exclusive cigarette smokers (n = 1716), exclusive e-cigarette users (n = 129), and dual users (216) were included. Of all cigarette smokers, 51.6% had previously tried to quit smoking and 51.5% declared a willingness to quit cigarette smoking in the near future. Among all e-cigarette users only 13.9% had ever tried to quit using the e-cigarette and 25.2% declared a willingness to give up using e-cigarette in the near future. The majority of the group did not use pharmacotherapy to quit cigarette (87.5%) or e-cigarette (88.9%) use. Our results indicate that while most university students have some desire to quit conventional smoking, those who use e-cigarettes do not have the same desire

The Prevalence of Cigarette and E-cigarette Smoking Among Students in Central and Eastern Europe-Results of the YUPESS Study

Electronic cigarettes (e-cigarettes) are an alternative to traditional tobacco cigarette smoking. The aim of this study was to assess the prevalence of cigarette smoking and e-cigarette use among university students from Central and Eastern Europe and to investigate personal characteristics associated with cigarette and e-cigarette smoking. A questionnaire-based cross-sectional survey was performed between 2017-2018 among university students in five European countries: Belarus, Lithuania, Poland, Russia, and Slovakia. The questionnaire included 46 questions related to the frequency and habits of traditional cigarettes and e-cigarettes use. Completed questionnaires were obtained from 14,352 students (8800 medical; aged 20.9 +/- 2.4 years) with an overall response rate of 72.2%. Two-thirds of the respondents had smoked a traditional tobacco cigarette and 43.7% had used an e-cigarette. Overall current smoking status included 12.3% traditional cigarette smokers, 1.1% e-cigarette users, and 1.8% were dual users with the remainder being non-smokers. Smoking status differed between the research centres (p < 0.001). Females were less likely to try either cigarettes (OR = 0.83) or e-cigarettes (OR = 0.62) and were less likely to be current cigarette (OR = 0.64), e-cigarette (OR = 0.34), or dual users (OR = 0.33) than males. Perception of e-cigarettes significantly differed between smokers and non-smokers (p < 0.001). Among university students, cigarettes are more popular than e-cigarettes