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Biomedical subjects

J G Gostomzyk

Publications and source records attributed to J G Gostomzyk.

At least 55 records · Page 3Linked to original sources
PubMed1990

[Long-term use of narcotics in pain therapy].

From 1. 1. 1976 to 30. 6. 1987, a total of 25,611 prescriptions for narcotics were obtained from pharmacies by 4131 persons living in a town of 250,000 inhabitants in the Federal Republic of Germany. 2412 patients (58.4%) had been prescribed narcotics on only one occasion, 3178 patients (76.9%) over a limited period of six months, presumably for acute pain. Only 520 patients (12.6%) received, over a period of at least six months, five or more narcotic prescriptions per six months. Reasons for the latter prescriptions were malignant tumours in 273 (6.6%) and chronic pain due to benign diseases in 144 (3.5%). In 21 patients (0.5%) the narcotic dosage had risen over two years, presumably because of the development of tolerance. 19 patients had been on narcotics for at least eight years, without their doctor diagnosing addiction. The data suggest that, in prescribing narcotics for patients with incurable disease, the risk of addiction should play no role.

Aged↗
PubMed1989

[HIV tests as preventive responsibility of public health offices].

4,382 blood samples were examined for HIV antibodies between August 1985 and the end of December 1988 at the Public Health office of the city of Augsburg. The prevalence of positive tests was 0.57% (n = 25). The rate at which various consultation offers were made use of was calculated for 1988. From 1985 to 1988 approximately 200 registered female prostitutes were regularly tested for HIV. It was only in 1985 that the HIV antibody test was positive in two women. Compared with 1984-1986 as basis there was a marked drop in the incidence of gonorrhoea to 71.7% and in 1988 to 6.5%.

AIDS Serodiagnosis↗
PubMed1988

Smoking habits and attitude to smoking in the study population of the MONICA Project Augsburg.

Data concerning smoking habits were derived from the first MONICA-Augsburg survey 1984/85 based on a random two stage cluster sample of the 25-64 year old population of the city of Augsburg and the two surrounding rural districts (n = 5312). Data were gathered by a standardized interview. Response was 79%. Overall, about 36% of men and 18% of women are regular cigarette smokers (i.e. smoking more than one cigarette per day). In both sexes smoking decreases with increasing age. In men 43% of the 25-34 year old participants are regular smokers and 29% in the age group 55-64. In women 29% of the youngest age group but only 9% aged 55-64 are current regular smokers. In male regular cigarette smokers the mean amount of cigarettes consumed per day is 21, in women 14 cigarettes. The mean amount of nicotine and tar consumed per day is 17 mg and 277 mg in men, 10 mg and 159 mg in women. On the average men start smoking at the age of 18 and women at the age of 21. In both sexes the percentage of regular smokers, who are willing to change their smoking habits, is very high. In each age and sex group about 60% of all regular smokers affirmed their willingness to quit smoking in the future. It is hoped, that this willingness of the population to change their smoking behavior will be supported by suitable education and intervention programs.

Adult↗
PubMed1988

The cardiovascular risk factor profile in the study area Augsburg. Results from the first MONICA survey 1984/85.

The main objective of the first survey was the investigation of the prevalence and distribution of hypertension, hypercholesterolemia and cigarette smoking in the study area. The data-collection phase lasted from October 1984 to May 1985. A two-stage cluster sample of 5312 persons of German nationality was drawn from a population of 282,279 inhabitants, aged 25-64. The data were gathered through interview, physical examination and self-administered questionnaire. A response of 79% was achieved. Sixteen percent of men and 10% of women had high blood pressure (BP) values (greater than or equal to 160/95 mmHg). Only 16% of male and 34% of female hypertensives had controlled BP values. The prevalence of hypercholesterolemia (greater than or equal to 6.72 mmol/L = greater than or equal to 260 mg/dl) was 26% in men and 22% in women. Forty percent of men and 22% of women reported they were current cigarette smokers. Among participants, aged 25-44, cigarette smoking was the most prevalent risk factor in men and women. Thirty-seven percent of men and 52% of women, aged 25-64, had none of the three major risk factors.

Adult↗
PubMed1988

B-scan ultrasound examination of the carotid arteries within a representative population (MONICA Project Augsburg).

As part of the MONICA project carried out in Augsburg, 1388 male and female subjects, aged 25 to 65 years, participated in a B-scan ultrasound examination of the carotid arteries. The segments of the carotid arteries examined on both sides of the neck were the A. carotis communis, the A. carotis interna, and A carotis externa. As a result plaques were found in 330 subjects (23.9%). The presence of plaques in subjects is strongly correlated to age (increasing trend in both sexes, P less than 0.001) and the process of establishing plaques starts in men earlier than in women (P less than 0.01). For both sexes a different correlation structures is found for the relationship of cardiovascular risk factors to presence of plaques as well as to number of plaques in the carotid arteries. In men, total cholesterol (P less than 0.05) and personal history of diabetes, myocardial infarction, and stroke (P less than 0.01) were positively correlated with the presence of plaques while HDL/total cholesterol ratio shows a negative correlation (P less than 0.01). In women, none of the analyzed risk factors is found to correlate significantly with the presence of plaques. Regarding the number of vessels with plaques, a consistent and significant relationship with both hypertension and total cholesterol is seen in males and with hypertension in females. Comparing the different factors analyzed, age is obviously much more related to the occurrence of plaques than all the other risk factors together. Age is followed by a decrease in HDL cholesterol and, at a much lower level, by hypertension and smoking.

Adult↗
PubMed1976

[Child abuse].

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Battered Child Syndrome↗