1. |
Olszewski R., Obiała J.♦, Obiała K.♦, Owoc J.♦, Mańczak M.♦, Ćwiklińska K.♦, Jabłońska M.♦, Zegarow P.♦, Grygielska J.♦, Jaciubek M.♦, Majka K.♦, Stelmach D.♦, Krupienicz A.♦, Rysz J.♦, Jeziorski K.♦, Lost in Communication: Do Family Physicians Provide Patients with Information on Preventing Diet-Related Diseases? Robert Olszewski,
International Journal of Environmental Research and Public Health, ISSN: 1660-4601, DOI: 10.3390/ijerph191710990, Vol.19, pp.1-7, 2022Abstract: Abstract: BackgroundDiet-related diseases remain leading causes of death in most developed countries around the world. The aim of the study was to compare opinions of patients and family physicians on receiving and providing recommendations about physical activity, diet and use of medication. Methods: The questionnaire study was conducted among patients of 36 primary health care clinics in Poland between September 2018 and February 2019. Patients and physicians were interviewed separately by trained researchers. Data from 509 patients and 167 family doctors were analyzed. Results: The median age of patients was 44 years (interquartile range: 29–55) and 70% were women. The majority of physicians were women (59%) and the median age was 37 years (IQR: 31–50). There was a significant difference between physicians’ declarations on providing recommendations on diet (92% vs. 39%) and activity (90% vs. 37%) versus patients’ declarations on receiving them. Conclusions: The results indicate that there is significant room for improvement in providing patients with proper recommendations on diet and physical activity by their family physicians. Primary care physicians should put more emphasis on clear communication of recommendations on diet and physical activity.
Keywords: diet Affiliations:
Olszewski R. | - | IPPT PAN | Obiała J. | - | National Institute of Geriatrics Rheumatology and Rehabilitation (PL) | Obiała K. | - | National Institute of Geriatrics Rheumatology and Rehabilitation (PL) | Owoc J. | - | National Institute of Geriatrics Rheumatology and Rehabilitation (PL) | Mańczak M. | - | National Institute of Geriatrics Rheumatology and Rehabilitation (PL) | Ćwiklińska K. | - | other affiliation | Jabłońska M. | - | National Institute of Geriatrics Rheumatology and Rehabilitation (PL) | Zegarow P. | - | other affiliation | Grygielska J. | - | other affiliation | Jaciubek M. | - | Medical University of Warsaw (PL) | Majka K. | - | Military Medical Institute (PL) | Stelmach D. | - | other affiliation | Krupienicz A. | - | Medical University of Warsaw (PL) | Rysz J. | - | Medical University of Lodz (PL) | Jeziorski K. | - | National Institute of Geriatrics Rheumatology and Rehabilitation (PL) |
| |
2. |
Majka K.♦, Parol M.♦, Nowicki A., Gambin B., Trawiński Z., Jaciubek M.♦, Krupienicz A.♦, Olszewski R., Comparison of the radial and brachial artery flow-mediated dilation in patients with hypertension,
Advances in Clinical and Experimental Medicine, ISSN: 1899-5276, DOI: 10.17219/acem/144040, Vol.31, No.3, pp.241-248, 2022Abstract: Background. Blood flow-mediated dilation (FMD) is a noninvasive assessment of vascular endothelial function in humans. The study of the FMD in hypertensive (HT) patients is an important factor supporting the recognition of the early mechanisms of cardiovascular pathologies, and also of the pathogenesis related to hypertension. Objectives. To investigate whether FMD measured on the radial artery (FMD-RA) using high-requency ultrasounds can be used asan alternative to FMD assessed with the lower frequency system onthe brachial artery in patients with HT. Materials and methods. The simultaneous measurements of FMD-RA and FMD measurements in the brachial artery (FMD-BA) were performed on 76 HT patients using 20 MHz and 7–12 MHz linear array probes, and were compared to the FMD measured in healthy groups. All quantitative data are presented as mean ± standard deviation (SD); the p-values of the normality and tests for variables comparisons are listed. The agreement of the FMD-RA and FMD-BA in HT patients was assessed with the Bland–Altman method, and using the intraclass correlation coefficient (ICC). In some statistical calculations, the FMD-RA values were rescaled by dividing them by a factor of 2. Results. The mean FMD-RA and FMD-BA in HT patients were 5.16 ±2.18% (95% confidence interval (95% CI): [4.50%, 5.82%]) and 2.13 ±1.12% (95% CI: [1.76%, 2.49%]), respectively. The FMD-RA and FMD-BA values of HT patients were significantly different than those in respective control groups. The p-values of Mann–Whitney–Wilcoxon tests were less than 0.05. The Bland–Altman coefficient for both measurement methods, FMD-RA and FMD-BA, was 3%, and the ICC was 0.69. Conclusions. Our findings show that FMD-RA, supplementary to FMD-BA measurements, can be used to assess endothelial dysfunction in the group of HT patients. In addition, the FMD-RA measurements met the criteria of high concordance with the FMD-BA measurements. Keywords: hypertension, brachial artery, radial artery, endothelial function Affiliations:
Majka K. | - | Military Medical Institute (PL) | Parol M. | - | The John Paul’s II Western Hospital in Grodzisk Mazowiecki (PL) | Nowicki A. | - | IPPT PAN | Gambin B. | - | IPPT PAN | Trawiński Z. | - | IPPT PAN | Jaciubek M. | - | Medical University of Warsaw (PL) | Krupienicz A. | - | Medical University of Warsaw (PL) | Olszewski R. | - | IPPT PAN |
| |
3. |
Majka K.♦, Lejkowski W.♦, Pepłoński A.♦, Grycewicz T.♦, Krupienicz A.♦, Dobrowolski.P.♦, Olszewski R., The use of an electronic stethoscope with dedicated software for cardiovascular screening of patients prepared for hip replacement,
Academia Journal of Scientific Research, ISSN: 2315-7712, DOI: 10.15413/ajsr.2020.0110, Vol.8, No.6, pp.207-217, 2020Abstract: Cardiovascular disease (CVD) is one of the major causes of perioperative complications. Screening of patients referred to major surgery is a costly and time and resources- consuming process. The study aimed to assess the usefulness of an electronic stethoscope with dedicated analytical software operated by a nurse for detecting heart disease in patients prepared for major orthopedic surgery. The study group consisted of 137 patients aged (46 – 91) with defined cardiovascular diseases qualified for hip or knee replacement surgery and 94 healthy age-matched volunteers. Heart auscultation with Littmann lectronic stethoscope using Littmann® StethAssist™ Heart and Lung Sound Visualization Software software was conducted and analyzed by a trained nurse. The signal recorded was analyzed by the blinded researcher using dedicated custom- made algorithm. Finally, 91 signals (52 CVD (+) patients, 39 CVD (-) patients) were analyzed. Eventually a classifier with a sensitivity of 92% and a specificity of 97% was obtained in a group. The global accuracy of the classifier was 95%. Heart auscultation by nursing staff using Littmann® StethAssist™ Heart and Lung Sound Visualization Software with dedicated custom- made can be cheap and noninvasive method of identifying patients with cardiovascular disease made algorithm for arthroplasty. Keywords: electronic stethoscope, heart auscultation, nurse, arthroplasty, cardiovascular disease Affiliations:
Majka K. | - | Military Medical Institute (PL) | Lejkowski W. | - | Centralny Wojskowy Ośrodek Metrologii (PL) | Pepłoński A. | - | Military Medical Institute (PL) | Grycewicz T. | - | Medical University of Lodz (PL) | Krupienicz A. | - | Medical University of Warsaw (PL) | Dobrowolski.P. | - | Military University of Technology (PL) | Olszewski R. | - | IPPT PAN |
| |
4. |
Stasiakiewicz P.♦, Dobrowolski A.P.♦, Olszewski R., Gałązka-Świderek N.♦, Targowski T.♦, Skoczylas A.♦, Majka K.♦, Lejkowski W.♦, Klasyfikacja szmerów oddechowych – badania pilotażowe,
ELEKTRONIKA - KONSTRUKCJE, TECHNOLOGIE, ZASTOSOWANIA, ISSN: 0033-2089, DOI: 10.15199/13.2019.2.1, Vol.2, pp.4-12, 2019Abstract: Układ oddechowy pacjenta jest początkowo diagnozowany przy zastosowaniu stetoskopu. Osłuchowa interpretacja zjawisk fizycznych jest skomplikowana i wymaga od lekarza doświadczenia oraz predyspozycji. W niniejszym artykule zaprezentowano system pomiarowy i oprogramowanie badawcze, a także proces generacji cech dystynktywnych szmerów oddechowych różnicujących przypadki chorobowe od zdrowych. Wybrane reprezentacje stanowią obiecującą podstawę do opracowania systemu klasyfikującego wspierającego proces diagnostyczny Keywords: szmery oddechowe, klasyfikacja, cyfrowe przetwarzanie sygnałów Affiliations:
Stasiakiewicz P. | - | Military University of Technology (PL) | Dobrowolski A.P. | - | Military University of Technology (PL) | Olszewski R. | - | IPPT PAN | Gałązka-Świderek N. | - | Regional Hospital (PL) | Targowski T. | - | National Institute of Geriatrics, Rheumatology and Rehabilitation (PL) | Skoczylas A. | - | National Institute of Geriatrics, Rheumatology and Rehabilitation (PL) | Majka K. | - | Military Medical Institute (PL) | Lejkowski W. | - | Centralny Wojskowy Ośrodek Metrologii (PL) |
| |
5. |
Majka K.♦, Krupienicz A.♦, Olszewski R., Telepielęgniarstwo w ortopedii,
Medycyna Ogólna i Nauki o Zdrowiu, ISSN: 2083-4543, DOI: 10.26444/monz/75509, Vol.23, No.2, pp.94-97, 2017Abstract: Wprowadzenie i cel pracy. Rozwój technologii informacyjno-komunikacyjnej może doprowadzić do poprawy sytuacji w służbie zdrowia. Telepielęgniarstwo pozwoli na rozszerzenie praktyki pielęgniarskiej oraz wielu funkcji takich jak: opiekuńczo-pielęgnacyjna, profilaktyczna, diagnostyczna, rehabilitacyjna i związana z promocją zdrowia. Celem pracy jest ukazanie telepielęgniarstwa w ortopedii, a także zaprezentowanie wielu korzyści, jakie niesie zarówno dla pacjenta, jak i dla personelu medycznego. Skrócony opis stanu wiedzy. Starzejące się społeczeństwo potrzebuje zarówno wykwalifikowanego personelu pielęgniarskiego, jak i możliwości uzyskania szybkiej konsultacji lekarskiej i pielęgniarskiej. Udzielanie wskazówek, porad i opieki pielęgniarskiej przez pielęgniarki specjalistki w swej profesji m.in. za pomocą wideokonferencji przysporzy znaczących korzyści zarówno pacjentom, lekarzom, pielęgniarkom, jak i rehabilitantom. Podsumowanie. Wdrożenie wirtualnych wizyt może doprowadzić do poprawy sytuacji w ochronie zdrowia. Telepielęgniarstwo rozszerzyłoby kompetencje pielęgniarki, a także podniosłoby jakość świadczonych przez nie usług. Być może zatrzymałoby również emigrację zarobkową pielęgniarek w Polsce. Keywords: telepielęgniarstwo, ortopedia, edukacja pacjenta, nowe technologie, kształcenie, niedobór personelu pielęgniarskiego Affiliations:
Majka K. | - | Military Medical Institute (PL) | Krupienicz A. | - | Medical University of Warsaw (PL) | Olszewski R. | - | IPPT PAN |
| |