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Article ; Online: Body Composition and Biological Functioning in Polish Perimenopausal Women with Type 2 Diabetes.

Zimny, Małgorzata / Starczewska, Małgorzata / Szkup, Małgorzata / Cybulska, Anna / Grochans, Elżbieta

International journal of environmental research and public health

2021 Volume 18, Issue 21

Abstract: Background and objectives: The aim was to compare body composition and levels of biochemical blood parameters and identify relationships between biochemical parameters and body composition of women with type 2 diabetes and healthy ones, both in ... ...

Abstract	Background and objectives: The aim was to compare body composition and levels of biochemical blood parameters and identify relationships between biochemical parameters and body composition of women with type 2 diabetes and healthy ones, both in perimenopausal period (172 women aged between 45 and 65 come from the West Pomeranian Voivodeship, Poland). Materials and methods: The study consisted of an interview, body composition analysis with Jawon Medical IOI-353 (Yuseong, South Korea) analyser and venous blood biochemical analysis (lipid profile, levels of glucose, insulin, CRP, glycated haemoglobin). Results: The vast majority of body composition measurements varied between study and control groups in a statistically significant way ( Conclusions: Body composition of women suffering from type 2 diabetes significantly varied from body composition of healthy women. Results of the first group were characterised by higher values, especially in case of general parameters, abdominal area, content of adipose tissue and soft tissues. Relationship between body composition and biochemical results may be observed, especially in level of triglycerides, CRP and insulin. Higher concentrations of these parameters were associated with increased values of majority of body composition measurements regardless of type 2 diabetes incidence.
MeSH term(s)	Aged ; Blood Glucose ; Body Composition ; Body Mass Index ; Diabetes Mellitus, Type 2/epidemiology ; Female ; Humans ; Insulin ; Middle Aged ; Perimenopause ; Poland/epidemiology
Chemical Substances	Blood Glucose ; Insulin
Language	English
Publishing date	2021-10-30
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph182111422
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Incidence and Sociodemographic Correlates of Psychological Health Problems among Residents of the West Pomeranian Voivodeship during the COVID-19 Outbreak.

Cybulska, Anna Maria / Rachubińska, Kamila / Starczewska, Małgorzata / Zair, Labib / Panczyk, Mariusz

Medicina (Kaunas, Lithuania)

2022 Volume 58, Issue 2

Abstract: Background and ... ...

Abstract	Background and Objectives
MeSH term(s)	Anxiety/epidemiology ; Anxiety/psychology ; COVID-19 ; Cross-Sectional Studies ; Depression/epidemiology ; Depression/psychology ; Disease Outbreaks ; Humans ; Incidence ; SARS-CoV-2 ; Stress, Psychological/epidemiology
Language	English
Publishing date	2022-01-27
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2188113-3
ISSN	1648-9144 ; 1010-660X
ISSN (online)	1648-9144
ISSN	1010-660X
DOI	10.3390/medicina58020196
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Correlations between Problematic Mobile Phone Use and Depressiveness and Daytime Sleepiness, as Well as Perceived Social Support in Adolescents.

Nowak, Marta / Rachubińska, Kamila / Starczewska, Małgorzata / Kupcewicz, Ewa / Szylińska, Aleksandra / Cymbaluk-Płoska, Aneta / Grochans, Elżbieta

International journal of environmental research and public health

2022 Volume 19, Issue 20

Abstract: 1) The aim of this study was to estimate the scale of mobile phone addiction among young adults as well as to establish whether the low level of perceived social support is related to problematic smartphone use, and whether an addictive pattern of ... ...

Abstract	(1) The aim of this study was to estimate the scale of mobile phone addiction among young adults as well as to establish whether the low level of perceived social support is related to problematic smartphone use, and whether an addictive pattern of mobile phone use is related to the prevalence of depressiveness and excessive daytime sleepiness. (2) The study was carried out using the diagnostic poll method via the questionnaire technique. Both the author's own questionnaire and the following standardized research tools were used: the Mobile Phone Problem Use Scale for Adolescents (MPPUSA), the Beck Depression Inventory (BDI), the Epworth Sleepiness Scale (ESS), and the Multidimensional Scale of Perceived Social Support (MSPSS). (3) Perceived social support was significantly lower in the group of respondents who problematically used their mobile phones in comparison with the ones who used them in a proper way. Severity of depressive symptoms and daytime sleepiness was significantly higher in respondents addicted to their mobiles compared to nonaddicted ones. (4) Conclusions: An important correlation between phone addiction and the prevalence of depressive symptoms and excessive daytime sleepiness exists. Problematic mobile phone use concerns individuals with low levels of perceived social support.
MeSH term(s)	Young Adult ; Adolescent ; Humans ; Cell Phone Use ; Disorders of Excessive Somnolence/epidemiology ; Behavior, Addictive/epidemiology ; Behavior, Addictive/diagnosis ; Surveys and Questionnaires ; Social Support ; Cell Phone
Language	English
Publishing date	2022-10-19
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph192013549
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Analysis of Nurses' Attitudes toward Patient Death.

Cybulska, Anna Maria / Żołnowska, Monika Anna / Schneider-Matyka, Daria / Nowak, Marta / Starczewska, Małgorzata / Grochans, Szymon / Cymbaluk-Płoska, Aneta

International journal of environmental research and public health

2022 Volume 19, Issue 20

Abstract: 1) The aim of the study was to analyze nurses' attitudes toward a patient's death, taking into account the emotions they experience and the general perception of death. (2) The study involved 516 nurses from the West Pomeranian Voivodeship in Poland. ... ...

Abstract	(1) The aim of the study was to analyze nurses' attitudes toward a patient's death, taking into account the emotions they experience and the general perception of death. (2) The study involved 516 nurses from the West Pomeranian Voivodeship in Poland. The research was carried out using the diagnostic survey method using The Death Attitudes Profile Revisited (DAP-R-PL), the Scale of Fear and Fascination with Death, and a demographic questionnaire. (3) Research has shown that nurses accept the phenomenon of death as a natural process of human life; however, they adopt the attitude of fear of death. Most of the respondents experienced: sadness (73.4%), helplessness (58.5%), and regret (43.6%) due to the patient's death. (4) Both age, sex, marital status, and place of residence significantly influenced the attitudes of nurses toward the patient's death. Therefore, it is important to provide psychological support or special education in the case of dealing with the fear of death.
MeSH term(s)	Humans ; Attitude to Death ; Terminal Care/psychology ; Attitude of Health Personnel ; Surveys and Questionnaires ; Nurses
Language	English
Publishing date	2022-10-12
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph192013119
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Article ; Online: Analysis of the Impact of Type 2 Diabetes on the Psychosocial Functioning and Quality of Life of Perimenopausal Women.

Zimny, Małgorzata / Starczewska, Małgorzata / Szkup, Małgorzata / Karakiewicz-Krawczyk, Katarzyna / Grochans, Elżbieta / Sipak-Szmigiel, Olimpia

International journal of environmental research and public health

2020 Volume 17, Issue 12

Abstract: Menopause is a natural period resulting from the decrease in hormonal activity of the ovaries. Growing hormonal deficiencies and changes in the body influence a variety of functions in women, leading to depression and decreased quality of life. The ... ...

Abstract	Menopause is a natural period resulting from the decrease in hormonal activity of the ovaries. Growing hormonal deficiencies and changes in the body influence a variety of functions in women, leading to depression and decreased quality of life. The relationship between body composition, the severity of depressive and climacteric symptoms and the quality of life of women with type 2 diabetes and healthy women in the perimenopausal period was studied. Statistically significant differences were observed between the study and control groups regarding all body composition parameters except for protein and the content of torso soft tissues (
MeSH term(s)	Body Composition/physiology ; Depression/physiopathology ; Depression/psychology ; Diabetes Mellitus, Type 2/physiopathology ; Diabetes Mellitus, Type 2/psychology ; Female ; Humans ; Overweight/physiopathology ; Overweight/psychology ; Perimenopause/physiology ; Perimenopause/psychology ; Psychology ; Quality of Life
Language	English
Publishing date	2020-06-17
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ISSN	1660-4601
ISSN (online)	1660-4601
DOI	10.3390/ijerph17124349
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Article ; Online: Anaesthesia in patients with liver disease.

Starczewska, Malgorzata H / Mon, Wint / Shirley, Peter

Current opinion in anaesthesiology

2017 Volume 30, Issue 3, Page(s) 392–398

Abstract: Purpose of review: The purpose of this review is to summarize the most recent up to date research data and recommendations regarding anaesthetic management of patients with liver disease undergoing surgery. The incidence of chronic liver disease (CLD) ... ...

Abstract	Purpose of review: The purpose of this review is to summarize the most recent up to date research data and recommendations regarding anaesthetic management of patients with liver disease undergoing surgery. The incidence of chronic liver disease (CLD) continues to rise and perioperative mortality and morbidity remains unacceptably high in this group. Meticulous preoperative assessment and carefully planned anaesthetic management are vital in improving outcomes in patients with liver disease undergoing surgery. Recent findings: The presence of cirrhosis is associated with a significantly increased risk of postoperative morbidity and mortality in patients undergoing elective surgery. The Child--Pugh--Turcotte scale and model for end-stage liver disease (MELD) score remain the most commonly applied scoring systems in preoperative risk assessment, but new MELD-based indices and novel scoring systems might offer better prognostic value. Propofol and new inhalational agents (sevoflurane, desflurane) are recommended hypnotic agents. The titration of opiates in the perioperative period is recommended because of their altered metabolism in patients with liver disease. Perioperative management should include close haemodynamic monitoring and admission to a critical care area should be considered. Summary: Patients with liver disease undergoing anaesthesia pose significant challenges and advanced planning and preparation are required in order to improve perioperative outcomes in this group. VIDEO ABSTRACT: http://links.lww.com/COAN/A43.
Language	English
Publishing date	2017-06
Publishing country	United States
Document type	Journal Article
ZDB-ID	645203-6
ISSN	1473-6500 ; 0952-7907
ISSN (online)	1473-6500
ISSN	0952-7907
DOI	10.1097/ACO.0000000000000470
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Prognostic scoring systems for mortality in intensive care units--the APACHE model.

Niewiński, Grzegorz / Starczewska, Małgorzata / Kański, Andrzej

Anaesthesiology intensive therapy

2014 Volume 46, Issue 1, Page(s) 46–49

Abstract: The APACHE (Acute Physiology and Chronic Health Evaluation) scoring system is time consuming. The mean time for introducing a patient's data to APACHE IV is 37.3 min. Nevertheless, statisticians have known for years that the higher the number of ... ...

Abstract	The APACHE (Acute Physiology and Chronic Health Evaluation) scoring system is time consuming. The mean time for introducing a patient's data to APACHE IV is 37.3 min. Nevertheless, statisticians have known for years that the higher the number of variables the mathematical model describes, the more accurate the model. Because of the necessity of gathering data over a 24-hour period and of determining one cause for ICU admission, the system is troublesome and prone to mistakes. The evolution of the APACHE scoring system is an example of unfulfilled hopes for accurately estimating the risk of death for patients admitted to the ICU; satisfactory prognostic effects resulting from the use of APACHE II and III have been recently studied in patients undergoing liver transplantations. Because no increase in the predictive properties of successive versions has been observed, the search for other solutions continues. The APACHE IV scoring system is helpful; however, its use without prepared spreadsheets is almost impractical. Therefore, although many years have passed since its original publication, APACHE II or its extension APACHE III is currently used in clinical practice.
MeSH term(s)	APACHE ; Hospital Mortality ; Humans ; Intensive Care Units ; Prognosis
Language	English
Publishing date	2014-03-07
Publishing country	Poland
Document type	Journal Article ; Review
ISSN	1731-2531
ISSN (online)	1731-2531
DOI	10.5603/AIT.2014.0010
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Will transoesophageal echocardiography become a standard tool for anesthetists to assess haemodynamic status during non-cardiac surgeries? Case report and literature review.

Starczewska, Małgorzata H / Stach, Orest / Kański, Andrzej

Journal of ultrasonography

2014 Volume 14, Issue 59, Page(s) 435–441

Abstract: A 53-year-old male, with no history of cardiovascular diseases, underwent elective extended right hemihepatectomy for large metastatic tumor. Approximately 2 hours after the start of procedure sudden onset of severe hypotension associated with profound ... ...

Abstract	A 53-year-old male, with no history of cardiovascular diseases, underwent elective extended right hemihepatectomy for large metastatic tumor. Approximately 2 hours after the start of procedure sudden onset of severe hypotension associated with profound desaturation and significant fall in end-tidal carbon dioxide pressure was noted. Transoesophageal echocardiography was performed and massive air embolism was confirmed. Patient was turned into Trendelenburg position, inspired oxygen was increased to 100% and positive end-expiratiory pressure turned up to 10 cm H20. Patient was further resuscitated with iv fluids, blood products and vasopressors under surveillance of transoesophageal echocardiography. In this report we present a case in which intraoperative use of transoesophageal echocardiography by trained anaesthetist helped to immediately identify the cause of sudden hypotension and hypoxaemia. Transoesophageal echocardiographywas also a valuable tool for direct monitoring of efficacy of instituted treatment.
Language	English
Publishing date	2014-12-30
Publishing country	Poland
Document type	Case Reports
ZDB-ID	2843824-3
ISSN	2084-8404
ISSN	2084-8404
DOI	10.15557/JoU.2014.0046
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Usability of ultrasound assessment of gastric content. Case reports.

Stach, Orest / Starczewska, Małgorzata H / Kański, Andrzej

Journal of ultrasonography

2014 Volume 14, Issue 59, Page(s) 442–446

Abstract: The paper presents the use of ultrasound assessment of gastric content in anesthesiological practice. Factors influencing pulmonary aspiration of gastric content and the risk of a complication in the form of aspiration pneumonia are discussed. The ... ...

Abstract	The paper presents the use of ultrasound assessment of gastric content in anesthesiological practice. Factors influencing pulmonary aspiration of gastric content and the risk of a complication in the form of aspiration pneumonia are discussed. The examination was performed on two patients hospitalized in a state of emergency who required surgical intervention. The first patient, a 46-year-old male with a phlegmon of the foot, treated for type 2 diabetes, ischemic heart disease and renal insufficiency, required urgent incision of the phlegmon. The second patient, a 36-year-old male with a post-traumatic pericerebral hematoma, qualified for an urgent trepanation. Interviews with the patients and their medical documentation indicated that they had been fasting for the recommended six hours before the surgery. However, during a gastric ultrasound examination it was found that food was still present in the stomach, which caused a change in the anesthesiological procedure chosen. The authors present a method of performing gastric ultrasound examination, determining the nature of the food content present and estimating its volume.
Language	English
Publishing date	2014-12-30
Publishing country	Poland
Document type	Case Reports
ZDB-ID	2843824-3
ISSN	2084-8404
ISSN	2084-8404
DOI	10.15557/JoU.2014.0047
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Article ; Online: Perioperative bleeding in patients undergoing liver transplantation.

Starczewska, Małgorzata H / Giercuszkiewicz, Dorota / Niewiński, Grzegorz / Kański, Andrzej

Anaesthesiology intensive therapy

2015 Volume 48, Issue 1, Page(s) 34–40

Abstract: Liver transplantation (LT) remains one of the most challenging surgical procedures. For many years uncontrolled bleeding and catastrophic haemorrhages were one of the major causes of perioperative mortality and morbidity. During the past fifty years or ... ...

Abstract	Liver transplantation (LT) remains one of the most challenging surgical procedures. For many years uncontrolled bleeding and catastrophic haemorrhages were one of the major causes of perioperative mortality and morbidity. During the past fifty years or so, significant progress in surgical techniques and perioperative management has led to a marked change in transfusion practice over time, where up to 79.6% of LTs in experienced transplant centers are performed without any blood product transfusion. Despite this, perioperative bleeding and transfusion requirements remain potent predictors of patient's mortality, as well as postoperative complications and graft survival. The major impact of blood product transfusion on LT recipient outcomes implies that all patients on waiting lists should be carefully screened for the presence of risk factors of perioperative bleeding. Although multiple predictors of transfusion requirements during LT have been identified, no predictive model validated across centers has been constructed. The most suitable strategies to reduce intraoperative blood loss in this group should be employed on a case-to-case basis. This paper aims to summarize the most up-to-date evidence in the management of haemostasis in LT recipients.
MeSH term(s)	Antifibrinolytic Agents/therapeutic use ; Blood Loss, Surgical/prevention & control ; Blood Transfusion ; Factor VIIa/therapeutic use ; Fibrinogen/therapeutic use ; Humans ; Liver Transplantation/adverse effects ; Postoperative Hemorrhage/therapy
Chemical Substances	Antifibrinolytic Agents ; Fibrinogen (9001-32-5) ; Factor VIIa (EC 3.4.21.21)
Language	English
Publishing date	2015-04-01
Publishing country	Poland
Document type	Journal Article
ISSN	1731-2531
ISSN (online)	1731-2531
DOI	10.5603/AIT.a2015.0020
Database	MEDical Literature Analysis and Retrieval System OnLINE

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