RESUMEN
Allergies of the respiratory system are very often at children and are a global problem and still increasing. Passive smoking may predispose to allergies. Assuming that anti-smoking education conducted among of the children's parents during each control visit to the Allergy Clinic affects the behavior of the parents, we decided to analyze its effectiveness. Materials and Methods: The study comprised parents of 946 children at the Allergy Clinic, who were diagnosed and treated in years 2005-2014. The anti-nicotine education was applied by whole period of observation during routine medical visits. The outcome of an anti-smoking education achieved nearly 70 % efficiency. Results: Anti-nicotine education of the children's parents diseased on chronic allergic diseases of respiratory system is very good restrictive agent their exposition on smoking the tobacco. Contemporaneously in eftective way influences on decisions of adults about cessation smoking and the healthy style ot life promotes.
Asunto(s)
Hipersensibilidad Respiratoria/etiología , Prevención del Hábito de Fumar , Contaminación por Humo de Tabaco/prevención & control , Adolescente , Adulto , Niño , Preescolar , Femenino , Humanos , Masculino , Padres , Polonia , Contaminación por Humo de Tabaco/efectos adversos , Fumar Tabaco/prevención & controlRESUMEN
INTRODUCTION: Smoking and alcohol consumption are a major public health problem. More and more are mentioned, also, these two drugs, tobacco and alcohol as risk factors for tuberculosis and mycobacteriosis. AIM OF STUDY: Comparative analysis of epidemiological and clinical patients with tuberculosis and mycobacteriosis M.kansasii smoking cigarettes and abuse alcohol. MATERIAL AND METHOD: The study included 2025 patients with tuberculosis and 140 patients with diagnosed lung mycobacteriosis hospitalized in Kuyavian-Pomeranian Center of Pulmonology in the years 2003-2013. Data were obtained from the central database of the hospital on admission to the hospital. RESULTS: There were 1403 smokers (69.3%) of tuberculosis patients and 79 (56.4%) with mycobacteriosis, and alcohol dependence were 534 (26.4%) and 16 (11.4%) respectively. Both of smokers and drinkers, men prevailed. Smokers who have developed tuberculosis were significantly younger than patients with mycobacteriosis, often touched their homelessness and unemployment, and often lived in rural areas. Conversely, smokers with mycobacteriosis are people often married, professionally active. In the group of abusers, patients with tuberculosis were younger, living in the country. side, often unemployed, homeless and single compared to patients with my. cobacteriosis. The clinical picture of patients with tuberculosis and mycobacteriosis did not differ significantly between the groups. CONCLUSIONS: A retrospective study of patients with tuberculosis and my. cobacteriosis showed significantly more use of tobacco and alcohol abuse than in the general Polish population. It should be noted that cigarette smoking and alcohol abuse are major risk and mycobacteriosis. Therefore, it is important to conduct anti-tobacco education and prevention of alcohol abuse.
Asunto(s)
Consumo de Bebidas Alcohólicas/epidemiología , Alcoholismo/epidemiología , Infecciones por Mycobacterium no Tuberculosas/epidemiología , Mycobacterium kansasii , Fumar/epidemiología , Tuberculosis/epidemiología , Adulto , Factores de Edad , Anciano , Alcoholismo/prevención & control , Causalidad , Coinfección/epidemiología , Comorbilidad , Femenino , Educación en Salud , Personas con Mala Vivienda/estadística & datos numéricos , Humanos , Masculino , Estado Civil/estadística & datos numéricos , Persona de Mediana Edad , Polonia/epidemiología , Estudios Retrospectivos , Medición de Riesgo , Salud Rural , Prevención del Hábito de Fumar , Desempleo/estadística & datos numéricosRESUMEN
BACKGROUND: Many observational and randomised studies have suggested that women are referred for invasive diagnostics and treatment of coronary artery disease (CAD) less frequently than men, and the effects of percutaneous coronary intervention (PCI) among women are worse than in men. AIM: To compare direct results of PCI in men and women. METHODS: The study was a retrospective assessment of case records of one thousand consecutive patients treated with PCI because of acute myocardial infarction (AMI) (344 patients), unstable angina (UA) (164 patients) and stable angina (SA) (492 patients). We examined the effects of demographic, angiographic and clinical variables on the duration of hospitalisation and in-hospital mortality separately in men and in women. RESULTS: Women constituted 30.7% of patients treated with PCI because of AMI, 39.6% of those with UA and just 25.8% of those with SA. Women were significantly older than men, had a higher BMI, and more often suffered from hypertension and diabetes. The duration of hospitalisation was the same in men and women if the reason for PCI was SA or UA, however, in case of AMI women were hospitalised significantly longer than men. In the univariate analysis gender had no influence on in-hospital mortality regardless of the reason for PCI treatment. Among the variables subjected to multivariate analysis female gender, age, BMI, diabetes, hypercholesterolaemia, indication for PCI, final TIMI flow in the target vessel and cardiogenic shock as a complication of AMI were shown to affect mortality. Significant effects on in-hospital mortality for women were exhibited only by cardiogenic shock. Among men, indication for PCI, age, diabetes and final TIMI flow in the target vessel also had a significant influence on in-hospital mortality. CONCLUSIONS: Stable angina is a reason for performing PCI more rarely in women than in men. Women with CAD are older than men and have more risk factors. The in-hospital mortality among patients treated with PCI because of SA is independent of gender. Cardiogenic shock appeared to be the only factor that influences in-hospital mortality in women. In the case of men such an influence is also observed for indication for PCI (AMI, UA or SA), diabetes and final TIMI flow in the target vessel.