Search results

1

Detrimental effects of early rural life on blood pressure among urban male migrants in Wrocław, Poland

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Kozieł S., Lipowicz A., Ulijaszek S. J.

Anthropological Review

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2012

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vol. 75

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issue 2

83-91

EN

The purpose of the study was to compare the blood pressure of rural-to-urban migrants and the sedentary population (non-migratory) of the city of Wrocław, Poland. Additionally, the effect of time spent in the rural area on blood pressure was also assessed. The study sample consisted of 2753 males aged 25-75 years, following a medical examination, underwent an interview and anthropometric measurements between 1989-90. Based on the place of origin all males were divided into rural-to-urban migrant inhabitants of Wrocław (N=1222) and sedentary inhabitants of Wrocław (N=921). The percentage of time spent in the rural area [(time spent in rural area/age)*100] was then calculated and was used in analysis. In each age category, the rural-urban migrants were found to be shorter in height. Age, BMI, level of education and time of migration had a significant effect on both the systolic and diastolic blood pressure irrespective of the level of education. It was demonstrated that the time of migration, allowing for age, body size and education level, significantly correlated with blood pressure. The later in time, the males migrated from rural to urban areas, the higher their blood pressure. It was hypothesized that unhealthy behavior could still have continued in a new urban environment, resulting in migrant - sedentary differences in health parameters.

2

Nadciśnienie tętnicze w ujęciu neuropsychologicznym

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Witkowska M., Naumczyk P., Jodzio K.

Psychologia-Etologia-Genetyka

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2015

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vol. 31

7-22

PL

Nadciśnienie tętnicze (hypertension, HTN) jest jednym z najbardziej rozpowszechnionych przewlekłych problemów zdrowotnych wśród osób dorosłych w społeczeństwach uprzemysłowionych. Ponad 68 milionów ludzi na świecie ma zbyt wysokie ciśnienie krwi i jedynie 50% spośród nich znajduje się pod kontrolą lekarską. Na uwagę zasługuje obszerność literatury potwierdzająca wpływ czynników behawioralnych, psychologicznych i społecznych na częstość występowania i utrzymania choroby wieńcowej oraz nadciśnienia tętniczego. W ciągu minionych 50 lat szeroko zakrojone badania udokumentowały wpływ stresu i czynników dyspozycyjnych w etiologii obu chorób. Ponadto, coraz częściej podkreślane są te następstwa nadciśnienia tętniczego, które w sposób bezpośredni oddziałują na ośrodkowy układ nerwowy (OUN), a w konsekwencji na szeroko rozumiane funkcjonowanie poznawcze. Niestety przegląd obszernej literatury przedmiotu skłania do wniosku, że problemy neuropsychologiczne osób z HTN rozpatruje się często w nadmiernie wycinkowy sposób. Artykuły w głównej mierze koncentrują się na tradycyjnych aspektach psychosomatycznych choroby, takich jak emocje czy stres, a pomijają potencjalne konsekwencje poznawcze HTN. Funkcjonowanie ośrodkowego układu nerwowego rozpatruje się wyłącznie na tle chorób naczyniowych mózgu. W rezultacie niedocenia się negatywnego wpływu HTN na funkcjonowanie ośrodkowego układu nerwowego, a tym samym na przedwczesny proces starzenia się mózgu, którego wyrazem są naczyniowe ograniczenia poznawcze. Z tego powodu treść niniejszego artykułu koncentrując się przede wszystkim na współczesnych badaniach, podsumowuje bieżącą wiedzę na temat behawioralnych, psychologicznych i mózgowych korelatów chorób układu sercowo-naczyniowego, ze szczególnym uwzględnieniem nadciśnienia tętniczego.

EN

Hypertension (HTN) is one of the most prevalent chronic health problems among adults in industrialized societies. More than 68 million people worldwide have high blood pressure, and only 50% of them are under medical supervision. Noteworthy is voluminous literature confirming the impact of behavioral, psychological and social factors on the incidence and maintenance of coronary artery disease and hypertension. Over the past 50 years, extensive research has documented the impact of stress and dispositional factors in the etiology of those both diseases. The consequences of high blood pressure, which directly affect the central nervous system, and thus the cognitive functioning, are emphasized. Unfortunately, a comprehensive review of the literature leads to the conclusion that the neuropsychological problems of patients with HTN are insufficiently highlighted. Articles mainly focus on the traditional aspects of psychosomatic issues, such as emotions or stress, and ignore the potential cognitive consequences of HTN. The functioning of the central nervous system is considered in context of various cerebrovascular diseases. Consequently, the negative impact of the HTN on functioning of the central nervous system as well as premature ageing of the brain reflected by vascular cognitive impairment are underestimated. The content of this article focuses primarily on contemporary research. It also summarizes the current knowledge about the behavioral, psychological and brain correlates of dysfunctions of the cardiovascular system, with a particular emphasis on hypertension.

3

HIGH INTENSITY STRENGTH TRAINING IN OVERWEIGHT ADULTS IN THE WORKPLACE: A PILOT STUDY

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Borràs P. A., Vidal-Conti J., Palou P.

Journal of Physical Education & Health - Social Perspective

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2016

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vol. 5

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issue 7

35-42

XX

The aim of this pilot study was to determine (a) the effects of high intensity strength training in the workplace on blood pressure, fat percentage and physical fitness in overweight adults, and (b) the influence of this intervention on the blood pressure in a subsample of hypertensive subjects. Overweight adults (n=15) aged 42.8 years underwent anthropometric assessment (weight, fat percentage, waist circumference, and triceps skinfold), physical fitness assessment (leg extensor power, upper body endurance, hand grip strength and Vo2max) and blood pressure assessment before and after 8 weeks of high intensity resistance training in the workplace. Each training session consisted of 16 sets of 45 repetitions performed at 1 repetition per second, decreasing load at the point of muscular failure starting at 60% of repetition maximum (RM). The effects of the intervention were analyzed by paired sample t-tests. For exploratory purposes, a non-parametric test was also performed (Wilcoxon matched-pair signed-rank) to examine if this decision could affect the results. Weight, body fat percentage, and triceps skinfold decreased significantly with the high intensity resistance training protocol in the workplace (all P<0.05). Performance in physical fitness tests increased significantly with training (all P<0.05), except for handgrip strength. Both systolic and diastolic blood pressure decreased significantly with R-HIRT in the workplace (all P <0.05) in hypertensive subjects (n=10). This protocol performed in the workplace in this pilot study produces health and fitness benefits in overweight and hypertensive people.

4

Some approaches to improving patients’ compliance with antihypertensive pharmacotherapy

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Vdovichenko V., Snezhitskiy V., Kazakiewicz D.

Progress in Health Sciences

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2011

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vol. 1

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issue 1

27-33

EN

Purpose: The purpose of this work was to investigate the impact of usage of a computer program PharmCalculation in the polyclinic on the patients’ compliance. Material and methods: Study group was included 73 AH outpatients whose physicians have been provided with the computer program PharmCalculation. Treatment patterns were observed during two-month period. Afterwards patients were surveyed in order to investigate compliance. Control group consisted of 100 randomly chosen customers of drugstores who were buying antihypertensives. Survey was performed in order to investigate their compliance. Results: 80.8% of patients in the study group were taking antihypertensive drugs regularly. In the Control group, there were 60% of patients who took antihypertensives regularly. Odds' ratio of adherence to treatment was 2.8 in the favor of the study group (95% interval –1.4-5.8). There was an evidence, that usage of antihypertensive drugs in median therapeutic doses raised adherence of patients in the study group to the prescribed pharmacotherapy (p=0.019). Odds' ratio was 4.4 in the favor of usage of median therapeutic doses with 95% confidence interval 1.1-21.8. Conclusion: There is evidence that usage of software PharmCalculation in the polyclinic may improve compliance among hypertensive outpatients.

5

Impedance cardiography – optimization and efficacy evaluation of antihypertensive treatment

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Panasiuk-Kamińska K., Szeliga-Król J., Jaroszyński A.

Family Medicine & Primary Care Review

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2016

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issue 3

321-324

6

Arterial hypertension as a factor in the choice of conflict resolution strategies by elderly persons

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Tikhonova N., Demina N., Klimatckaia L., Osipov A., Kudryavtsev M., Zhavner T., Shpakou A.

Family Medicine & Primary Care Review

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2018

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issue 4

368-372

7

Ocena jakości życia pacjentów z nadciśnieniem tętniczym krwi.

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Dudzic P., Uchmanowicz I., Jankowska-Polańska B., Chudiak A.

Współczesne Pielęgniarstwo i Ochrona Zdrowia

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2015

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issue 1

5-8

PL

Wstęp. Nadciśnienie tętnicze dotyczy 9,5 mln osób między 18. a 79. rokiem życia, co odpowiada 32% populacji ogólnej. Choroba znacznie utrudnia codzienne życie przez ograniczenia związane z nasileniem objawów, procesem leczenia oraz czynnikami zaostrzającymi jej przebieg, wpływając na ocenę jakości życia. Cel pracy. Ocena jakości życia chorych z nadciśnieniem tętniczym krwi oraz zbadanie, jakie czynniki wpływają na jej ocenę. Materiał i metody. Badania przeprowadzono wśród 70 pacjentów (39 kobiet i 31 mężczyzn) 4. Wojskowego Szpitala Klinicznego z Polikliniką we Wrocławiu od stycznia do maja 2014 r. W badaniu wykorzystano analizę dokumentacji medycznej pacjentów oraz kwestionariusz ogólny oceny jakości życia SF-36 (Short Form-36). Wyniki. Z badano k orelacje p oszczególnych g rup z miennych n a w ymiar fizyczny (PCS), mentalny (MCS) oraz ogólny indeks QoL: płeć (PCS – p = 0,716; MCS – p = 0,698; QoL = 0,778), wiek (PCS – R = 0,64; p < 0,001; MCS – R = 0,36; p = 0,002; QoL – R = 0,58; p < 0,001), miejsce zamieszkania (PCS – p = 0,273; MCS – p = 0,767; QoL – p = 0,355), wykształcenie (PCS – R = -0,48; p < 0,001; MCS – R = -0,26; p = 0,032; QoL – R = -0,43; p < 0,001), status zawodowy (PCS – p = 0,02; MCS – p = 0,072; QoL = 0,02), rodzaj wykonywanej pracy (PCS – p = 0,911; MCS – p = 0,902; QoL – p = 0,976), warunki socjalno-bytowe (PCS – R = -0,24; p = 0,044; MCS – R = -0,27; p = 0,023; QoL – R = -0,25; p = 0,039), czas trwania choroby (PCS – R = 0,46; p = 0,005; MCS – R = 0,33; p = 0,056; QoL – R = 0,44; p = 0,008), prowadzenie samokontroli (PCS – p = 0,127; MCS – p = 0,382; QoL – p = 0,113), częstość samokontroli (PCS – R = 0,31; p = 0,010; MCS – R = 0,22; p = 0,070; QoL – R = 0,32; p = 0,006), choroby współistniejące (PCS – p < 0,001; MCS – p = 0,001; QoL – p < 0,001). Wnioski. N adciśnienie t ętnicze n egatywnie w pływa n a o cenę j akości życia. Na ocenę jakości życia wpływają: starszy wiek, wyższe wykształcenie, status zawodowy, warunki socjalno-bytowe, dłuższy czas trwania choroby, częstość pomiaru ciśnienia, choroby współistniejące.

EN

Background. Hypertension refers to 9.5 million people between 18 and 79 years of age, which corresponds to 32% of the population. The disease significantly impedes the daily life of the limitations associated with the severity of symptoms, the treatment process and the factors that influence the quality of life. Objectives. Quality of life assessment of patients with hypertension and to investigate the factors that affect the results. Material and methods. The study was carried out among 70 patients (39 women and 31 men) from January to May 2014. The study used an analysis of medical records of patients and a questionnaire to assess the overall quality of life of the SF-36 (Short Form-36). Results. Examined correlations of individual groups of variables to measure physical component sumary (PCS), mental component sumary (MCS) and general QoL index: gender (PCS – p = 0.716; MCS – p = 0.698; QoL = 0.778), age (PCS – R = 0.64; p < 0.001; MCS – R = 0.36; p = 0.002; QoL – R = 0.58; p < 0.001), place of residence (PCS – p = 0.273; MCS – p = 0.767; p = 0.355; QoL – p = 0.355), education (PCS – R = -0.48; p < 0.001; MCS – R = -0.26; p = 0.032; QoL – R = -0.43; p < 0.001), employment status (PCS – p = 0.02; MCS – p = 0.072; QoL = 0.02), type of work performed (PCS – p = 0.911; MCS, p = 0.902; QoL – p = 0.976), social and living conditions (PCS – R = -0.24; p = 0.044; MCS – R = -0.27; p = 0.023; QoL – R = -0.25; p = 0.039), disease duration (PCS – R = 0.46; p = 0.005; MCS – R = 0.33; p = 0.056; QoL – R = 0.44; p = 0.008), conduct self-control (PCS – p = 0.127; MCS, p = 0.382; QoL – p = 0.113), the incidence of self-control (PCS – R = 0.31, p = 0.010; MCS – R = 0.22; p = 0.070; QoL – R = 0.32; p = 0.006), comorbidities (PCS – p < 0.001; MCS – p = 0.001; QoL – p < 0.001). Conclusions. Hypertension adversely a ffects t he quality of l ife a ssessment. The quality of life is affected by: older age, higher education, professional status, social and living conditions, longer duration of the disease, the frequency of measurement of pressure, comorbidities.

8

Gastrointestinal neuroendocrine cells in various types of hypertension – a review

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Niezgoda M., Kasacka I.

Progress in Health Sciences

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2017

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vol. 7(2)

117-125

EN

Recent years have witnessed a progressive increase in the number of people suffering from hypertension, which is one of the most serious health problems in the world. Hypertension results in changes leading to function disorders, not only of the organs and tissues, but also changes leading to the activation of many defense mechanisms in the cells in order to prevent damage. One of them is the expression of neuroendocrine (NE) hormones and biologically active substances, which has been the focus of extensive research for a number of years. Active involvement of NE cells and the biological and therapeutic properties of various substances synthesized by them have been confirmed in clinical trials and in various experimental models. Results obtained in many research studies indicate intense activity of enteroendocrine cells in the gastrointestinal tract in various pathological conditions, including hypertension. In the present review, we discuss the morphological and functional changes of gastrointestinal neuroendocrine cells under conditions of different types of hypertension.

9

The influence of physiotherapy on blood pressure in children and adolescents with respiratory tract diseases

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Pirogowicz I., Ornat M., Jerczak B., Pachołek K., Domeredzka P., Gojny Ł.

Family Medicine & Primary Care Review

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2017

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issue 1

54-58

10

Cognitive dysfunctions associated with white matter damage due to cardiovascular burden – determinants and interpretations

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Krukow P.

Polish Psychological Bulletin

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2014

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vol. 45

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issue 3

334-345

EN

Although considerable research has been devoted to cognitive functions deteriorating due to diseases of cardiovascular system, rather less attention has been paid to their theoretical background. Progressive vascular disorders as hypertension, atherosclerosis and carotid artery stenosis generate most of all pathological changes in the white matter, that cause specific cognitive disorder: disconnection syndromes, and disturbances in the dynamic aspect of information processing. These features made neuropsychological disorders secondary to cardiovascular diseases different than the effects of cerebral cortex damage, which may be interpreted modularly.

11

The seven-year epidemiological study of legal abortion caused by heart disease, blood disorders, diabetes and hypertension as referred to forensic medicine centers in Fars Province

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Ghodrati F., Saadatmand N., Gholamzadeh S., Akbarzadeh M.

Family Medicine & Primary Care Review

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2019

|

issue 1

23-29

EN

common risk factors for high risk pregnancies and spontaneous or therapeutic abortions. Objectives. To investigate the legal abortion caused by heart disease, blood disorders, diabetes and hypertension as referred to forensic medicine centers in Fars Province from 2007 to 2013. Material and methods. In a retrospective, cross-sectional study, samples consisted of all documents of people referred to forensic medicine centers in Shiraz since 2007 to 2013, comprising of 1664 files. Data collection tools included a demographic forum and the checklist of abortion causes. SPSS.16.0 was applied to analyze the data through descriptive statistical analysis. Results. The most frequent age group was 25–29 years at 31.5% (n = 522) and the lowest was over 40 years old at 4.15% (n = 70). The statistical report of the reasons for legal abortion permission were 19% (n = 63), 24.4% (n = 81), 10.54% (n = 35), and 8.13% (n = 27) due to heart problems, blood disorders, hypertension, and diabetes mellitus, respectively. Most frequent legal abortion permits by forensic medicine due to maternal causes were between the years of 2011–2012 at 17.8–28% (n = 59–93). The relationship between legal abortion permission at The Forensic Medicine Center at different years and maternal ages was statistically significant (p < 0.00001). Conclusions. The most common prevalent reason of abortion was Blood Disorder – 81 patients (24.4%) and heart disease – 63 cases (19%). It is essential that family education and prevention of repeated pregnancies be done with high-risk women. Also, initiation of pregnancy care at lower gestational age in identifying risky pregnancies and timely control of complications must also be undertaken

12

Evaluation of fat mass and its correlation with abnormal blood pressure in children and adolescents

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Pirogowicz I., Ornat M., Pachołek K., Pawelak A., Domeredzka P., Jerczak B., Gojny Ł.

Family Medicine & Primary Care Review

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2017

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issue 3

256-260

13

The prevalence of cardiovascular disease risk factors in normotensive, pre-hypertensive and hypertensive South African colliery executives

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Grace J., Semple S.

International Journal of Occupational Medicine and Environmental Health

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2012

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vol. 25

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issue 4

375-382

EN

Objective: The aim of this study was to establish the prevalence of cardiovascular disease (CVD) risk factors amongst South African colliery executives presenting normal blood pressure (normotensive), pre-hypertension and hypertension. Materials and Methods: Selected CVD risk factors of a non-randomized, available population of 143 Caucasian male executives from fi ve South African collieries situated in Mpumalanga and Gauteng Provinces were recorded. Results: Executives with pre-hypertension and hypertension exhibited a higher prevalence of CVD risk factors, compared to the persons with normal blood pressure levels. The percentage of executives with CVD risk factors, with the exception of BMI, was greater amongst those with pre-hypertension than those with hypertension. Conclusion: The current study showed that a workplace CVD risk screening process was effective in identifying the relatively high prevalence of CVD risk factors amongst SA colliery executives. In addition, out of all the studied risk factors, undesirable body composition (BMI, WHR and fat %) exhibited the highest prevalence amongst pre-hypertensive and hypertensive SA colliery executives.

14

Cadmium and hypertension in exposed workers: A meta-analysis

88%

Caciari T., Sancini A., Fioravanti M., Casale T., Montuori L., Fiaschetti M., Schifano M. P., Andreozzi G., Nardone N., Tomei G., Ciarrocca M., Rosati M. V., Tomei F.

International Journal of Occupational Medicine and Environmental Health

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2013

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vol. 26

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issue 3

440-456

EN

Objectives: In the general population, cadmium seems to be responsible for hypertension, atherosclerosis and an increase in acute coronary events. Therefore, the purpose of this meta-analysis was to analyze controlled studies conducted on cadmium and arterial pressure in occupationally-exposed workers. Materials and Methods: After analyzing all the relevant articles found in the literature, 6 publications were selected. Results: A higher prevalence of hypertension and higher values of systolic and diastolic blood pressure were recorded in the exposed subjects. Conclusions: Cadmium in occupationallyexposed individuals appears to induce an increase in systolic and diastolic blood pressure and an increase in the prevalence of hypertension.

15

Executive self-control in patients with arterial hypertension – cognitive and neuroimaging parameters measured with selected neuropsychological tests and fMRI

88%

Witkowska M. A., Naumczyk P., Jodzio K., Sabisz A., Graff B., Gąsecki D., Szurowska E., Narkiewicz K.

Polish Psychological Bulletin

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2019

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vol. 50

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issue 2

16

Impedance cardiography – Old method, new opportunities. Part I. Clinical applications

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Siedlecka J., Siedlecki P., Bortkiewicz A.

International Journal of Occupational Medicine and Environmental Health

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2015

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vol. 28

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issue 1

27-33

EN

Monitoring of cardiovascular hemodynamic changes requires a very expensive and highly specialized equipment and skilled medical personnel. Up to the present time, an inexpensive, non-invasive and easy-to-use method which, like Doppler echocardiography, magnetic resonance angiography or radionuclide imaging, would assess hemodynamics of the cardiovascular system was not available. A method known as impedance cardiography (ICG) or thoracic electrical bioimpedance cardiography (TEBC) meets those criteria. It is non-invasive, which is of a particular advantage over the conventional methods that require catheterization. As a result, the patient is not at risk of possible complications and the procedure is less expensive and easier. Impedance cardiography, despite its non-invasive character, has not been so far extensively used for monitoring of hemodynamic parameters in hospitalized patients. Various authors report that attempts have been continued to compare the results from ICG and those obtained by other diagnostic methods. This paper presents the use of impedance cardiography in diagnosis of hypertension, cardiac insufficiency, differentiating the causes of acute dyspnea, as well as in assessing the effects of cardiac rehabilitation in patients with heart failure.

17

Zachowania zdrowotne personelu pielęgniarskiego w profilaktyce nadciśnienia tętniczego.

75%

Jankowska-Polańska B., Wijacka K., Lomper K., Uchmanowicz I.

Współczesne Pielęgniarstwo i Ochrona Zdrowia

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2014

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issue 3

67-70

PL

Wstęp. Następstwa nadciśnienia tętniczego są przyczyną przedwczesnych zgonów, zwiększonej zapadalności na inne choroby oraz inwalidztwa. Stanowi to ogromny problem ekonomiczny oraz społeczny w rozwiniętych cywilizacyjnie populacjach, gdzie ludzie prowadzą styl życia, który charakteryzuje się dużym zużyciem energii, sodu, tłuszczów, alkoholu, małym spożyciem potasu, siedzącym trybem życia, co w konsekwencji doprowadza do dodatniego bilansu energetycznego ze wszystkimi jego następstwami. W profilaktyce zachorowań na nadciśnienie tętnicze duże znaczenie mają zachowania zdrowotne, których autorytetem powinni być pracownicy ochrony zdrowia. Cel pracy. Ocena zachowań zdrowotnych pielęgniarek aktywnych zawodowo, mających wpływ na profilaktykę lub rozwój nadciśnienia tętniczego krwi. Materiał i metody. Badaniem objęto grupę 100 pielęgniarek aktywnych zawodowo. Wykorzystano kwestionariusz własnego autorstwa składający się z części socjodemograficznej oraz kwestionariusz Inwentarza Zachowań Zdrowotnych (IZZ). Analizę statystyczną uzyskanych wyników przeprowadzono za pomocą programu STATISTICA v. 9.0 oraz arkusza kalkulacyjnego EXCEL. Wyniki. Badana grupa nie uzyskała zadowalających wyników w zakresie zachowań zdrowotnych dotyczących nawyków żywieniowych, nałogów oraz aktywności fizycznej. Wnioski. Z przeprowadzonych badań wynika, że zwłaszcza młode pielęgniarki nie są w pełni przygotowane do propagowania zdrowego stylu życia oraz zachowań mających istotne znaczenie w profilaktyce nadciśnienia tętniczego krwi.

EN

Background. Results of the arterial hypertension are causing premature deaths, the increased incidence of other illnesses and the disability. The economic and social enormous problem constitutes it in populations developed in terms of civilization, where people are leading a lifestyle which is characterized by a big power consumption, of sodium, fats, alcohol, small eating potassium, the sedentary lifestyle what in consequence is leading to the positive energy balance with all his results. In the prevention of falling ill with the arterial hypertension health behaviours are outweighing, of which employees of the health care should be an authority. Objectives. To asses health behaviours in the prevention or the development of the arterial hypertension in professionally active nurses. Material and methods. We provided a group of 100 professionally active nurses with using a questionnaire of the own authorship of the part of socialdemographics data and questionnaire of the Inwentarz Zachwań Zdrowotnych (IZZ). A statistical analysis of achieved results was conducted with the help of the STATISTICA v. 9.0 program and the spreadsheet EXCEL. Results. We didn’t get satistyficated results in health behaviours concerning eating habits, addictions and the physical activity of examinated group. Conclusions. From conducted examinations it results, that especially young nurses, fully aren’t prepared for propagating the healthier lifestyle and behaviours having material meaning in the prevention of the arterial hypertension of blood.

18

An analysis of selected risk factors for myocardial infarction depending on gender

75%

Bujnowska M.

Zeszyty Naukowe Państwowej Wyższej Szkoły Zawodowej im. Witelona w Legnicy

|

2019

|

issue 2(31)

EN

The risk factors for the ischemic heart disease are divided into two main categories: modifiable and non-modifiable. Among the modifiable factors there are lipid disorders, smoking, overweight, hypertension, diabetes, stress and excessive alcohol consumption. Each of the above-mentioned factors contributes to the development of coronary heart disease and constitutes a serious threat to the public health. Aim. the aim of the study was to analyze the risk factors for myocardial infarction depending on gender. Material and methods. the study involved 315 patients (99 women and 216 men) aged 29 – 91 (with the average of 64), treated with coronary angioplasty. the main analyzed risk factors included: smoking, hypertension, hypercholesterolemia, diabetes, overweight, previous incidents of myocardial infarction, complications during hospitalization, death during hospitalization, type of change: de novo or in place of PCI, the number of hospitalization days. the statistical analysis was carried out using the Pearson nonparametric test, assuming statistical significance of p <0.05000. Results. 18.2% of the female respondents smoked tobacco, for male respondents this value stood at 66.2%. Hypertension occurred in 81.8% of women and in 33.8% of men. Hypercholesterolemia occurred in 60.6% of women and in 30.1% of men. Obesity occurred in 69.7% of women and in 59.3% of men. Diabetes was diagnosed in 77.8% of women and in 43.1% of men. Previous infarction occurred in 23.2% of women and in 22.7% of men. Conclusions. Women tend to have myocardial infarction at an older age. Women have more frequent atrioventricular blocks as a complication of myocardial infarction. Women are more likely to be affected by risk factors such as hypertension, hypercholesterolemia or diabetes. for men, smoking constitutes a more common risk factor of myocardial infarction.

PL

Czynniki ryzyka choroby niedokrwiennej serca dzieli się na dwie główne kategorie: modyfikowalne oraz niemodyfikowalne. Wśród czynników modyfikowalnych wymienia się zaburzenia lipidowe, palenie tytoniu, nadwagę, nadciśnienie tętnicze, cukrzycę, stres oraz nadmierne spożywanie alkoholu. Każdy z wyżej wymienionych czynników przyczynia się do rozwoju choroby wieńcowej i stanowi poważne zagrożenie zdrowia społeczeństwa. Cel pracy. Celem pracy była analiza występowania czynników ryzyka zawału mięśnia sercowego w zależności od płci. Materiał i metody. Badaniu poddano 315 pacjentów (99 kobiet i 216 mężczyzn) w wieku od 29 do 91 (średnia 64) lat, leczonych za pomocą angioplastyki wieńcowej. Głównymi czynnikami, które poddano analizie, były czynniki ryzyka: palenie tytoniu, nadciśnienie tętnicze, hipercholesterolemia, cukrzyca, nadwaga, wcześniej przebyty zawał, powikłania w trakcie hospitalizacji, zgon w trakcie hospitalizacji, rodzaj zmiany: de novo lub w miejscu PCI, ilość dni hospitalizacji. Analizę statystyczną przeprowadzono za pomocą testu nieparametrycznego Pearsona, przyjmując istotność statystyczną p < 0,05000. Wyniki. Wśród kobiet 18,2% badanych paliło tytoń, wśród mężczyzn grupę tę stanowiło 66,2% pacjentów. Nadciśnienie tętnicze występowało u 81,8% kobiet i 33,8% mężczyzn. Hipercholesterolemia występowała u 60,6% kobiet i 30,1% mężczyzn. Otyłość występowała u 69,7% kobiet i 59,3% mężczyzn. Cukrzycę zdiagnozowano u 77,8% kobiet i 43,1% mężczyzn. Wcześniej przebyty zawał występował u 23,2% kobiet i 22,7% mężczyzn. Wnioski. Kobiety w późniejszym wieku chorują na zawał mięśnia sercowego. U kobiet częściej występują bloki przedsionkowo-komorowe jako powikłanie zawału mięśnia sercowego. U kobiet częściej występują czynniki ryzyka takie jak: nadciśnienie tętnicze, hipercholesterolemia czy cukrzyca. U mężczyzn częściej występuje czynnik ryzyka ozw (ostre zespoły wieńcowe) taki jak palenie tytoniu.

19

Ocena poziomu wiedzy na temat czynników ryzyka nadciśnienia tętniczego wśród studentów Uniwersytetu Medycznego we Wrocławiu na kierunku Pielęgniarstwo.

75%

Brzezińska M., Jankowska-Polańska B., Ochyńska O., Okoń E., Olek D., Pieniacka M., Duczak A.

Współczesne Pielęgniarstwo i Ochrona Zdrowia

|

2013

|

issue 4

90-95

PL

Wstęp. Głównym sposobem leczenia nadciśnienia tętniczego, oprócz farmakoterapii, jest odpowiedni styl życia. Edukacja zdrowotna prowadzona przez personel medyczny ma na celu uświadomienie pacjentom istoty stosowania określonych zachowań prozdrowotnych oraz kształtowania odpowiedniego stylu życia i postaw mających pozytywny wpływ na zdrowie.

EN

Background. The main way to treat high blood pressure in addition to pharmacotherapy, is the right way of life. Health education carried out by a medical professional is to educate patients being the use of certain health behaviors, and making appropriate lifestyle and attitudes have a positive impact on health.

20

Non-communicable diseases in the Asia-Pacific region: Prevalence, risk factors and community-based prevention

75%

Low W.-Y., Lee Y.-K., Samy A. L.

International Journal of Occupational Medicine and Environmental Health

|

2015

|

vol. 28

|

issue 1

20-26

EN

Non-communicable diseases (NCDs) lead to substantial mortality and morbidity worldwide. The most common NCDs are cardiovascular diseases (CVD), diabetes, cancer and chronic respiratory diseases. With the rapid increase in NCD-related deaths in Asia Pacific countries, NCDs are now the major cause of deaths and disease burden in the region. NCDs hamper achievement of the Millennium Development Goals (MDG). People in the low socio-economic group are most affected by NCDs as they have poor access to policies, legislations, regulations and healthcare services meant to combat NCDs. This results in loss of productivity by a decreasing labor force with implications at the macroeconomic level. The 3 major NCDs in the Asia Pacific region are CVDs, cancer and diabetes due to the increasing loss of disability adjusted life years (DALYs). The 4 major behavioral risk factors for NCDs are: tobacco use, alcohol consumption, inadequate physical activity and unhealthy diet. The underlying risk factors are urbanization, globalization, sedentary lifestyle, obesity and hypertension. Strategies to combat NCDs in the Asia Pacific region are as follows: population-based dietary salt reduction, health education, psychological interventions, i.e., cognitive behavioral therapy and motivational-interviewing, taxation and bans on tobacco-related advertisements, implementing smoke-free zones and surveillance by the World Health Organization. Control measures must focus on prevention and strengthening inter-sectorial collaboration.

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An analysis of selected risk factors for myocardial infarction depending on gender

Ocena poziomu wiedzy na temat czynników ryzyka nadciśnienia tętniczego wśród studentów Uniwersytetu Medycznego we Wrocławiu na kierunku Pielęgniarstwo.

Non-communicable diseases in the Asia-Pacific region: Prevalence, risk factors and community-based prevention