Journal of Public Health, Nursing and Medical Rescue http://jchc.eu/index.php/jphnmr <p><strong>Journal of Public Health, Nursing and Medical Rescue (JPHNMR)</strong> is an English-language scientific and educational quarterly covering the subject of Health Sciences.</p><p>Assuming that Health Sciences can be treated as a group of non-medical scientific disciplines, whose knowledge and research carried out within, contribute to the proper practice and development of nursing, medical rescue, obstetrics, physiotherapy and other related medical professions, the journal focuses on the improvement, promotion, protection and restoration of health of the population in the scope of development and proper practice of non-medical professions.</p><p>The JPHNMR publishes peer-reviewed articles, original research papers, case reports and editorial comments.</p><p>The journal is a forum for the exchange of views and presentation of the scientific achievements of the Polish and foreign scientific community operating in the field of health sciences.</p> en-US Tue, 31 Mar 2020 00:00:00 +0000 OJS 3.2.0.0 http://blogs.law.harvard.edu/tech/rss 60 Analysis of medical procedures performed in the hospital emergency department with respect to the priority of rescue assistance http://jchc.eu/index.php/jphnmr/article/view/59 <p>Introduction. The tasks performed by hospital emergency departments (HED) are still an undefined area of the State Medical Emergency System. There are no clear regulations specifying the scope of health services to be provided as part of the implementation of the statutory provisions on assistance in emergencies, which prompted the authors to undertake their own research.<br>The aim of the study. Evaluation of medical procedures performed in HED taking into account clinical profile of received patients in the range of state suddenness, determined on the basis of priority of patients admissions - Triage and examination of influence of these procedures on HED functioning.<br>Materials and Methods. The retrospective analysis of the documentation of the hospital emergency department of the 5th Military Clinical Hospital in Cracow concerning the period from 1 January to 31 December 2017 was performed.<br>Results. Medical activities in the hospital emergency department were dominated by diagnostic procedures performed in patients with low priority of admission to HED. This situation resulted, among others, in prolonged stay of patients in HED and increased workload of HED staff.<br>Conclusions. Changes are necessary to clarify the tasks performed by HED, taking into account the urgency of emergency actions resulting from the clinical condition of patients admitted and actions aimed at improving access to diagnostics for patients requiring services other than emergency actions and enabling comprehensive treatment in outpatient conditions.</p> Małgorzata Sulej, Piotr Puc, Marta Kwiatoń, Zbigniew Kopański, Magdalena Żurowska-Wolak, Stanisław Dyl, Gregory Sianos Copyright (c) http://jchc.eu/index.php/jphnmr/article/view/59 Thu, 21 May 2020 21:49:24 +0000 Forms of care organisation for people with mental disorders http://jchc.eu/index.php/jphnmr/article/view/56 <p>Introduction: Mental disorders are among the diseases associated with the greatest negative impact on social functioning and quality of life. In psychiatry, the study of quality of life has the advantage that it draws the therapist's attention to the entire situation of the patient, forcing him or her to turn away from focusing solely on psychopathological symptoms. Quality of life testing is a separate element of the patient's situation and does not correlate directly with the presence and intensity of disease symp-toms.<br>Aim of the study. The aim of the study was to present selected forms of organization of care for people with mental disorders.<br>Selection of material. The search was conducted in the Scopus database using the terms mental illness, social functioning, quali-ty of life 1966-2018. The literature found in the Google Scholar database was analysed for the highest number of citations. The literature selected in this way was used as the material for this work.<br>Conclusions. Social disability often affects people with schizo-phrenia, depression, anxiety, personality or nutrition disorders, so the assessment of their quality of life plays an important role in their case. Subjective assessment of quality of life is strongly related to the needs considered by the patient as indispensable for his or her proper social functioning, therefore the satisfaction of these needs should be the basis for health care planning.</p> Elżbieta Wójcik, Zbigniew Kopański, Małgorzata Machota, Dana Zrubcová Copyright (c) 2020 Journal of Public Health, Nursing and Medical Rescue http://jchc.eu/index.php/jphnmr/article/view/56 Thu, 21 May 2020 21:45:18 +0000 Selected mental disorders - symptoms, diagnosis http://jchc.eu/index.php/jphnmr/article/view/54 <p>Introduction: Explaining the nomenclature and interpreting the symptoms of mental disorders is not possible without knowing the culture and social context, because what will be seen as a disease in some societies can be described as possession in others. One can be tempted to state that mental illness is not only an objective state, but can be a social label given to people who break accepted norms in a given society.<br>Aim of the study. The aim of this study was to present the symptoms and diagnosis of selected mental disorders.<br>Selection of material. The search was conducted in the Scopus database using the terms depression, schizophrenia, bipolar affective disorder, neurological disorders (anxiety disorders), symptoms, diagnosis 1982-2018. The literature found in the Google Scholar database was analysed for the highest number of citation. The literature selected in this way was used as the material for this study.<br>Conclusions. Due to the similarity of somatic symptoms of many mental disorders, these states should be differentiated very carefully. This applies first and foremost to rescue/rescue departments - especially in cases of first-time/beginning symptoms.</p> Elżbieta Wójcik, Zbigniew Kopański, Monika Mazurek, Dana Zrubcová Copyright (c) 2020 Journal of Public Health, Nursing and Medical Rescue http://jchc.eu/index.php/jphnmr/article/view/54 Thu, 21 May 2020 21:43:04 +0000 Migraine - selected aspects of pathophysiology and diagnostics http://jchc.eu/index.php/jphnmr/article/view/52 <p>Introduction. Headache is caused by stimulation of peripheral nociceptive devices. This stimulation can be induced by various factors. In the case of primary pain, it should first be determined whether the pain is caused by migraine. You can use the knowledge of the typical symptoms accompanying migraine.<br>The aim of the study. The aim of this study was to present the characteristics of migraine pain and differential diagnostics.<br>Selection of material. The search was conducted in the Scopus database using the terms migraine, pathophysiology, diagnostics 2005-2018. The literature found in the Google Scholar database was analysed for the highest number of citations. The literature selected in this way was used as a material for the preparation of this paper.<br>Conclusions. Headaches usually require specialist help. The treatment offered must be safe and effective. Particularly important in the case of headaches is the consideration of contrain-dications to therapy and appropriate communication with the patient during therapy. Warning symptoms must be taken into account in the entire interpretation of the disease.</p> Borys Gusz, Zbigniew Kopański, Robert Suszko, Andreja Solgajová Copyright (c) 2020 Journal of Public Health, Nursing and Medical Rescue http://jchc.eu/index.php/jphnmr/article/view/52 Thu, 21 May 2020 21:40:39 +0000 Secondary headaches http://jchc.eu/index.php/jphnmr/article/view/51 <p>Introduction. Introduction. Secondary headaches can result from many dangerous and life-threatening diseases. It may occur in the course of, among others, brain tumour, intracranial haematoma, meningitis, neuroborreliosis, systemic vasculitis, an aneurysm of the dissecting carotid artery, etc. The basis for the differentiation of these ailments are prerequisites for appropriate rescue measures at the site of the incident as well as for appropri-ate specialist treatment.<br>The aim of the study. The aim of the study was to present charac-teristics of secondary headaches.<br>Selection of material. The search was conducted in the Scopus database using the terms secondary headache, diagnostics 2004-2018. The literature found in the Google Scholar database was analysed for the highest number of citations. The literature se-lected in this way was used as the material for this study.<br>Conclusions. The most dangerous factors associated with second-ary headaches include head or neck vascular diseases, which include atherosclerosis of the neck arteries, hypertension and strokes. Proper initial diagnosis determines the therapeutic suc-cess, e.g. in ischemic strokes, it is important to use the so-called therapeutic window (for the used rt-PA - time up to 4 and a half hours from the first symptoms or mechanical thrombectomy - time up to 6 hours).</p> Borys Gusz, Zbigniew Kopański, Marek Liniarski, Reinhard Kitzberger Copyright (c) http://jchc.eu/index.php/jphnmr/article/view/51 Thu, 21 May 2020 21:38:56 +0000 Patients with headaches in the practice of a paramedic http://jchc.eu/index.php/jphnmr/article/view/50 <p>Introduction: Headache is a very diverse and common condition. Headache is a common cause of intervention by Emer-gency Medical Services Teams. It can be generally described as any pain that occurs within the skull. The headache can be sud-den as well as gradually increasing. They may occur for a short period of time or be long-lasting, they may manifest themselves cyclically or in a specific situation (e.g. effort, stress) and they may be single episodes.<br>Aim of the study. The aim of the study was to present the most common forms of primary and secondary headache, selected issues from the epidemiology of these ailments.<br>Selection of material. The search was conducted in the Scopus database using the terms primary and secondary headache, epi-demiology of headache, migraine, tension type pain 1996-2018. The literature found in the Google Scholar database was analysed for the highest number of quotations. The literature selected in this way was used as a material for the development of this paper.<br>Conclusions. Headache is usually caused by more than one fac-tor. In the case of primary pain, the trigeminal system, i.e. the innervation of intracranial vessels and the dura mater by the tri-geminal nerve, has the greatest influence on the discomfort experienced</p> Borys Gusz, Zbigniew Kopański, Jan Rowiński, Gregory Sianos Copyright (c) http://jchc.eu/index.php/jphnmr/article/view/50 Thu, 21 May 2020 00:00:00 +0000 Pharmacotherapy in the practice of a paramed-ic in primary headache http://jchc.eu/index.php/jphnmr/article/view/53 <p>Introduction. There are analgesics and diastolic drugs that can be administered by a paramedic on their own, without a medical descriptio.<br>The aim of the study. The aim of the study was to present the characteristics of drugs that can be coordinated by a paramedic in the treatment of pain.<br>Selection of material. The search was conducted in the Scopus database using the terms of analgesic therapy, paramedic 2001-2018. The literature found in the Google Scholar database was analysed for the highest number of citations. The literature selected in this way was used as the material for this work.<br>Conclusions. Competent behaviour of a paramedic at the place of the incident in a patient with headache requires the paramedic to know the mechanisms of action of drugs that the paramedic can administer on his/her own and to be able to assess the effectiveness of the analgesic treatment provided.</p> Borys Głusz, Zbigniew Kopański, Wojciech Uracz, Reinhard Kitzberger Copyright (c) http://jchc.eu/index.php/jphnmr/article/view/53 Thu, 21 May 2020 00:00:00 +0000 Social functioning of people with mental disorders http://jchc.eu/index.php/jphnmr/article/view/55 <p>Introduction. Each chronic disease has a significant impact on an individual's current picture of life, interferes with his or her social roles, threatens basic values, life and health. The process of adaptation to a new situation in the conditions of the disease is treated as a new, difficult adaptation. In this context, special attention should be paid to mental disorders, in which the feeling of losing control over one's life, state of mind, vision of uncertain future, can be a significant obstacle demotivating the individual to take up the effort of struggling with the illness, which would consequently be very helpful in regaining health.<br>Aim of the study. The aim of the study was to present selected issues from the social functioning of people with mental disorders.<br>Selection of material. The search was conducted in the Scopus database using the terms mental illness, man, society, beliefs 1960-2018. The literature found in the Google Scholar database was analysed for the highest number of citation. The literature selected in this way was used as the material for this work.<br>Conclusions. The level of social functioning is the result of social skills, which are possessed and used in everyday life, consisting in expressing their positive and negative emotional states in a socially acceptable way.</p> Elżbieta Wójcik, Zbigniew Kopański, Grażyna Tomiak, Milan Laurinc Copyright (c) http://jchc.eu/index.php/jphnmr/article/view/55 Thu, 21 May 2020 00:00:00 +0000 Elderly patients in a dentist's office – falls http://jchc.eu/index.php/jphnmr/article/view/57 <p>Introduction. Elderly people represent a significant and growing group of patients using dental treatment. Ageing is associated with the deterioration of the balance control system and reduced ability to compensate in situations leading to the destabilization, which results in falls. Injuries associated with falls can cause physical impairment, disability, and even death.<br>Aim of the study. The aim of the present study was to draw attention to the problem of falls in the specific setting of the dental surgery.<br>Selection of material. The authors have reviewed the literature for the period 1993-2018. concerning falls of elderly people in the dental office.<br>Conclusions. Falls suffered by elderly patients treated in dental surgeries can be prevented through: 1.Creating a well-organized, friendly environment, and taking into consideration architectural solutions in the immediate surroundings of the surgery and all rooms available to elderly patients. 2. Gathering detailed information on the current health status of the patient, and his/her impairments and used medications, with particular consideration of risk factors for loss of balance. 3.Reducing stress associated with visits to the dentist. 4.Ensuring professional comprehensive medical care at each stage of dental treatment.</p> Hanna Hὒpsch-Marzec, Agnieszka Gorzkowska Copyright (c) http://jchc.eu/index.php/jphnmr/article/view/57 Thu, 21 May 2020 00:00:00 +0000 Nursing and emergency medical rescue stu-dents’ knowledge and perception of anaphylaxis: a cross-sectional study http://jchc.eu/index.php/jphnmr/article/view/58 <p>Introduction. Anaphylaxis is a life-threatening condition which requires immediate and accurate management. Available data from the literature show that the level of knowledge of anaphylaxis among nursing and emergency medical rescue students is still insufficient.<br>The aim of the study. This study assessed the knowledge of anaphylaxis, its treatment, with emphasis on the role of epinephrine, among the nursing and emergency medical rescue students from the three-year cycle programme of the Faculty of Health Science, Medical University of Warsaw.<br>Materials and Methods. The prospective, cross-sectional survey study was conducted among second- and third-year Faculty of Health Science students. Nursing and emergency medical rescue students completed an anonymous MCQ questionnaire of 20 closed questions.<br>Results. 200 students (102 men, 51%), out of 488 eligible to the study (response rate=41%) completed a questionnaire. One hundred respondents were nursing students. A significantly higher proportion of nursing than emergency medical rescue students defined anaphylaxis properly (72% vs. 28%, p&lt;0,0001). Intramuscular epinephrine was defined as the first line of therapy by 99% of nursing vs. 97% emergency medical rescue students (p=NS), but correct dose for adults was indicated only in 75% vs. 79% respectively (p=NS). Only 61% of the respondents knew the pharmacokinetics of epinephrine and 79% properly defined risk factors for anaphylaxis. As first-line equipment, 97% nursing vs. 94% emergency medical rescue students chose epinephrine autoinjector (p=NS).<br>Conclusions. Our study showed some lack of knowledge among surveyed students. Significant differences between the two study courses were observed in defining anaphylaxis, indication for epinephrine and its mechanism of action. Further support, such as appropriate training during studies and their completion, is needed for Nursing and Emergency medical rescue students.</p> Joanna Lange, Marta Rocka, Katarzyna Krenke, Joanna Peradzyńska Copyright (c) http://jchc.eu/index.php/jphnmr/article/view/58 Thu, 21 May 2020 00:00:00 +0000