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Diabulimia – a diagnostic and therapeutic challenge in the emergency department

100%
Atriham A. R., Kleszczyński J., Sierakowska A., Springer J.
European Journal of Translational and Clinical Medicine
|
2024
|
vol. 7
|
issue 1
57-62
EN
Diabulimia is the intentional omission or reduction of insulin administration in a patient with insulin-dependent diabetes mellitus (IDDM) and coexisting eating disorder in the attempt to reduce or avoid weight gain. Although the true incidence of diabulimia is unknown, it is estimated that between 20-30% of girls and up to 40% young women with IDDM have experienced diabulimia since their diagnosis of IDDM was made. Patients with diabulimia frequently present to the emergency department, therefore early recognition of the eating disorder and prompt psychiatric consultation are essential. The aim of this review article is to summarize the existing literature about diabulimia and to raise awareness amongst emergency physicians about how to identify and treat these patients.
2
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Patient satisfaction with the perioperative care by anesthesiologists: pilot study at four surgical departments

88%
Springer J., Dudzińska K., Nurkowska M., Hasak L., Dylczyk-Sommer A.
European Journal of Translational and Clinical Medicine
|
2019
|
vol. 1
|
issue 2
58-63
EN
Background The aim of this pilot study was to measure the outcomes of perioperative care by anesthesiologists and patient satisfaction at four surgical departments. Methods We designed an original 25–item questionnaire and used it to complete structured interviews of 80 consenting, alert, adult surgical patients during their 1st to 3rd post–operative day. Results Although >70% were satisfied with the information sharing, 43% patients were unsure or not informed about the possible complications of anesthesia. Similarly, >75% positively rated the anesthesiologists' bedside manner; however 69% were either unsure or sure that an anesthesiologist did not visit them after surgery. Interestingly, this lack of continued care had no overall effect on patient satisfaction. Majority reported receiving immediate post–operative analgesia (65%). The Oncological Surgery patients reported highest (and the Orthopedic patients the lowest) satisfaction with their postoperative nausea and pain management. Majority of responders were overall satisfied with their care. Conclusions Our data indicate a high level of patient satisfaction with nearly all aspects of perioperative anesthesiology care. However, anesthesiologists need to more thoroughly inform patients about possible complications of anesthesia. A larger survey is needed to fully assess the patient care and satisfaction trends discussed above.
3
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Patient satisfaction with the perioperative care by anesthesiologists: pilot study at four surgical departments

88%
Springer J., Dudzińska K., Nurkowska M., Hasak L., Dylczyk-Sommer A.
European Journal of Translational and Clinical Medicine
|
2019
|
vol. 1
|
issue 2
58-63
EN
Background: The aim of this pilot study was to measure the outcomes of perioperative care by anesthesiologists and patient satisfaction at four surgical departments. Methods: We designed an original 25–item questionnaire and used it to complete structured interviews of 80 consenting, alert, adult surgical patients during their 1st to 3rd post–operative day. Results: Although >70% were satisfied with the information sharing, 43% patients were unsure or not informed about the possible complications of anesthesia. Similarly, >75% positively rated the anesthesiologists' bedside manner; however 69% were either unsure or sure that an anesthesiologist did not visit them after surgery. Interestingly, this lack of continued care had no overall effect on patient satisfaction. Majority reported receiving immediate post–operative analgesia (65%). The Oncological Surgery patients reported highest (and the Orthopedic patients the lowest) satisfaction with their postoperative nausea and pain management. Majority of responders were overall satisfied with their care. Conclusions: Our data indicate a high level of patient satisfaction with nearly all aspects of perioperative anesthesiology care. However, anesthesiologists need to more thoroughly inform patients about possible complications of anesthesia. A larger survey is needed to fully assess the patient care and satisfaction trends discussed above.
4
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In Memoriam – Prof. Stefan Raszeja MD PhD

76%
Szmuda T., Springer J., Omilian-Mucharska M., Fercho J., Szeibelis-Deskiewicz I., Kozłowski D.
European Journal of Translational and Clinical Medicine
|
2021
|
vol. 4
|
issue 1
7-9
5
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Knowledge of vitamin D and its supplementation among students of northern Poland

64%
Waszak P. M., Mędza A., Springer J., Zgłobicka M., Ogrodnik P., Kalinowska P., Kmieć P., Lizakowska-Kmieć M., Sworczak K., Żmijewski M.
European Journal of Translational and Clinical Medicine
|
2018
|
vol. 1
|
issue 1
48-56
EN
Introduction Vitamin D deficiency is a worldwide public health problem. The objective of this survey was to assess the undergraduate students’ vitamin D status and knowledge about this vitamin. Materials and methods An online multi-choice survey was designed and launched in Northern Poland (Gdańsk region). The first part of the survey assessed diet, supplementation, UV radiation exposure (UVE) and general health of respondents. The second part was a vitamin D knowledge test (vitamin D optimal level, deficiency-related diseases). 1766 student volunteers responded to the survey: 369 male and 1397 female. Data was divided according to the respondents’ sex and university affiliation. Appropriate parametric or non-parametric statistical tests were used with statistical significance set at p<0.05. Results Regular consumption of vitamin D-rich food was high, except for fish (only 18; 22%). High number of participants did not declare any type of supplementation (43; 44%) and only occasionally were exposed to UV (77%; 80%). The most frequently recognized disease linked to vitamin D was osteoporosis. Medical University students obtained higher test scores (4,55), however this did not correlate with healthy vitamin D habits. Conclusion Undergraduate medical and non-medical students have unsatisfactory vitamin D status and poor understanding of its function and impact on health, which implies the need for changes in the educational program.
6
Publication available in full text mode
Content available

Knowledge of vitamin D and its supplementation among students of northern Poland

64%
Waszak P. M., Mędza A., Springer J., Zgłobicka M., Ogrodnik P., Kalinowska P., Kmieć P., Lizakowska-Kmieć M., Sworczak K., Żmijewski M.
European Journal of Translational and Clinical Medicine
|
2018
|
vol. 1
|
issue 1
48-56
EN
Introduction: Vitamin D deficiency is a worldwide public health problem. The objective of this survey was to assess the undergraduate students’ vitamin D status and knowledge about this vitamin. Materials and methods: An online multi-choice survey was designed and launched in Northern Poland (Gdańsk region). The first part of the survey assessed diet, supplementation, UV radiation exposure (UVE) and general health of respondents. The second part was a vitamin D knowledge test (vitamin D optimal level, deficiency-related diseases). 1766 student volunteers responded to the survey: 369 male and 1397 female. Data was divided according to the respondents’ sex and university affiliation. Appropriate parametric or non-parametric statistical tests were used with statistical significance set at p<0.05. Results: Regular consumption of vitamin D-rich food was high, except for fish (only 18; 22%). High number of participants did not declare any type of supplementation (43; 44%) and only occasionally were exposed to UV (77%; 80%). The most frequently recognized disease linked to vitamin D was osteoporosis. Medical University students obtained higher test scores (4,55), however this did not correlate with healthy vitamin D habits. Conclusion: Undergraduate medical and non-medical students have unsatisfactory vitamin D status and poor understanding of its function and impact on health, which implies the need for changes in the educational program.
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