Wiadomości lekarskie (Warsaw, Poland : 1960)
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We distributed a questionnaire among doctors participating in vocational training in Regional Family Doctors Educational Centre at Family Medicine Department in Wrocław Medical Academy and Family Medicine Department of Collegium Medicum in Jagiellonian University. It included questions concerning co-operation of general practitioners with specialist outpatient clinics and assessment of health service reform. The doctors with the first degree of specialisation in internal medicine as well as in family medicine and those training for specialisation filled in the questionnaires. ⋯ We asked the doctors about the quality of co-operation with specialists, reservations about the co-operation and suggestions on how to improve it. The doctors also expressed their opinions on transformation in medical care, job opportunities for specialist in family medicine and suggestions for family doctors' future improvement. Our paper presents an attempt to evaluate medical care system reform and the state of co-operation of general practitioners with specialists as well as to draw conclusions regarding possibilities of improving this co-operation and raising the standard of comprehensive patient care.
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Authors describe a successful pregnancy outcome after prednisone and aspirin therapy in 19-year-old woman with systemic lupus erythematosus with the history of recurrent urinary tract infections, pericarditis and encephalitis.
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Reports concerning methodology of studies on patients' satisfaction suggest that the way questions are composed may have significant effect on the received answers. For example responses to closed-ended questions are usually positive, while in contrast, the responses to open-ended questions tend to be negative. This is described as "leniency effect". ⋯ Most frequently negative comments were related to short time of consultation, difficulty with obtaining referral to a specialist and lack of holistic approach to a patient. The results of our study suggest that questionnaires are not sufficiently precise tools in a complex evaluation of doctors' care by their patients. In practice this may mean that questionnaire surveys, which are often used because of the ease of administration, may require to be complemented or replaced by other more qualitative research tools, such as in depth interviews and open questions.
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Bystander CPR in first minutes after cardiac arrest appears to be a crucial component of the chain of survival. Failure of the circulation for 5-6 minutes will lead to irreversible cerebral damage and death. The aim of the study was to evaluate the level of knowledge about first aid among Polish society on the example of secondary school students and teachers. ⋯ Higher level of knowledge was presented by those with a driving licence. The knowledge of secondary school students and teachers appears to be insufficient to perform basic life support. Education programs in secondary school should be initiated in terms of extending social safety.
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The results of model study on the health status estimation of poviats and cities with poviats status population of Pomeranian voivodeship based on synthetic measures are presented. The measures were the elements of multidimensional comparative analysis. In the research the health status of population was estimated thoroughly from many points of view depending on different criteria. ⋯ The model study was based on statistical data of poviats and cities with poviats status of Pomeranian voivodeship using prepared scheme of observations. Regarding to the obtained results of synthetic measures estimation, the objects were ranked and belonging to a determined group was defined. In the last part of the research the results of model study are described.