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Problemy związane z nadużyciem substancji odurzających wśród młodzieży. Opis przypadku zatrucia benzydaminą

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Dorota Owsianik D., Elżbieta Mach-Lichota E., Marek Wojtaszek M.
Medical Review
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2014
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issue 4
381–387
PL
Obrót substancjami psychotropowymi w Polsce reguluje ustawa o przeciwdziałaniu narkomanii (Dz.U. 2005 Nr 179 poz. 1485) wraz z jej nowelizacjami. Mimo tego że do listy substancji zakazanych w 2010 r. dołączyło 17 nowych związków, wchodzących w skład tzw. „dopalaczy”, oraz wprowadzono pojęcie środka zastępczego, co dało Państwowej Inspekcji Sanitarnej narzędzie ułatwiające i przyśpieszające proces usuwania z rynku nowych substancji psychoaktywnych, podaż tego typu produktów na rynek polski nie spadła. Wzrasta także zainteresowanie młodzieży możliwością wykorzystania w celach odurzania się substancji występujących w popularnych preparatach, dostępnych w aptekach bez recepty, a które przyjmowane w dawkach znacznie przekraczających terapeutyczne, wykazują działanie psychoaktywne. Rekreacyjne stosowanie benzydaminy – występującej w preparatach ginekologicznych, i dekstrometorfanu – składnika preparatów stosowanych w leczeniu suchego kaszlu, staje się zjawiskiem niepokojącym ze względu na jego skalę. Działanie dysocjacyjne, pobudzenie, silne halucynacje wywoływane przez te leki, a także łączenie ich z alkoholem, kanabinoidami może stanowić zagrożenie dla zdrowia i życia osób je nadużywających. W pracy przedstawiono przypadek ostrego zatrucia benzydaminą u 17-letniego chłopca hospitalizowanego w Ośrodku Toksykologii Szpitala Wojewódzkiego nr 2 w Rzeszowie.
EN
Psychotropic substances market in Poland is regulated by the Drug Abuse Prevention Bill (Dz.U.2005 Nr 179 poz.1485) with amendments. Despite adding 17 new substances, which are typical ingredients in “legal highs”, to the prohibited drug list and introducing the concept of “substitute”, which gave the State Health Inspection a tool to simplify and accelerate the process of removing new psychotropic substances from the market, the supply of products of this kind to the Polish market did not decrease. Also, teenagers’ interest in the possibility of intoxicating themselves using substances found in popular over-the-counter medications which, when ingested in doses significantly exceeding therapeutic levels, cause psychoactive effects, is on the increase. The recreational usage of benzydamine, contained in gynaecological formulations, and dextromethorphane, the ingredient of medications used in dry cough treatment, is becoming alarming because of its scale. Dissociative effects, arousal, strong hallucinations caused by these drugs, and especially their combination with alcohol or cannabinoids may become a threat to the users’ health and life. In this article, we describe a case of acute poisoning due to benzydamine usage of a 17-year-old boy who was treated at the Department of Toxicology at Regional Hospital No 2 in Rzeszów.
2
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Patient’s satisfaction with anesthesia based on the polish version of the of Iowa Satisfaction with Anesthesia Scale. Satisfaction with anesthesia in patients with craniofacial trauma

88%
Dorota Ozga D., Danuta Dyk D., Aleksandra Gutysz-Wojnicka A., Marek Wojtaszek M., Wioletta Mędrzycka-Dąbrowska W.
European Journal of Clinical and Experimental Medicine
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2017
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issue 3
233-239
EN
Purpose. The article presents an assessment concerning patient satisfaction with anesthesia as based on the Polish version of the Iowa Satisfaction with Anesthesia Scale. Material and Methods. The study group consisted of 198 patients with maxillofacial injury admitted to the Clinical Ward of Maxillofacial Surgery. The quality of the anesthesiological care was evaluated with the Polish version of Iowa Satisfaction with Anesthesia Scale. Results. It was stated that the level of satisfaction with the anesthesia in patients operated on due to maxillofacial injury used was average. According to the Polish version of the Iowa Satisfaction with Anesthesia Scale, the average score in the studied population was 0.8 on a scale from -3 to +3, SD 2.41. There were differences observed depending on patient age (18-30 years old (p = 0.0001)) and clinical condition. Conclusion. The level of satisfaction with anesthesia in patients with craniofacial trauma is moderately positive, however, in patients with an injury of the upper face and in patients with ASA scale I and II, the same level of satisfaction is higher. Among the analyzed socio-demographical factors only the age determines the level of satisfaction with anesthesia. The level of satisfaction is higher in older patients.
3
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Evaluation of farmers’ first aid knowledge in most common injuries at work in agriculture – a pilot study

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Grzegorz Kucaba G., Katarzyna Bebło K., Marek Wojtaszek M., Dawid Filip D., Marek Muster M., Maciej Naróg M., Andrzej Włodyka A.
European Journal of Clinical and Experimental Medicine
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2017
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issue 1
2–17
EN
Introduction. According to the International Labour Organisation (ILO), agriculture is one of the most dangerous industries. The rate of fatal accidents in agriculture is about twice the average for other sectors. Aim. The aim of this study was to evaluate the level of knowledge of first aid concerning the most common injuries that occur in agricultural work. The analysis of the types of injuries during work in agriculture and their incidence among Polish farmers in the years 2013–2014 made it possible to define the most common types of injuries and their causes for the selected professional group and to draw up a survey for the farmers in order to achieve the main research goal. Material and methods. The study was conducted in two stages. At first, data from KRUS – Kasa Rolniczego Ubezpieczenia Społecznego (the Polish Agricultural Social Insurance Fund) was analyzed with reference to the incidence and the type of injuries that occurred in agriculture in 2013 and 2014. Then research was carried out by means of a survey based on the data obtained in the first stage. The study was preliminary and it was carried out on a sample of 51 persons. Results. The most common cause of the 41,702 incidents qualified by the Agricultural Social Insurance Fund as an accident in agriculture in Poland in the years 2013 and 2014 was a fall from heights. Every fourth respondent had witnessed or had been directly involved in an accident in agriculture. Despite the fact that everyone declared familiarity with the principles of first aid, over a half of the respondents had never given it. Conclusion. All of the respondents declared having knowledge of the principles of first aid, however, research shows that their knowledge is incomplete and not consolidated. Due to the fact that there are few reports on the research topic, it seems advisable to continue it in a larger study group. With reference to pesticide use, despite having knowledge of the hazard of intoxication by organophosphate compounds, a majority of farmers included in the study did not use any personal protective equipment.
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