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Krzysztof Krajewski-Siuda

Publications and source records attributed to Krzysztof Krajewski-Siuda.

9 recordsLinked to original sources

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Humans↗

Urgent emergency issue in Poland.

The paper refers to the problem of emergency medical service in Poland, which is the only European Union Member State not having activated the emergency phone number 112. This fact has caused the threat of European Union sanctions. In this context, we try to discuss the chances of finalizing reform of the dramatically inefficient Polish emergency services. Except for the lack of the integrated emergency call centres, there is no appropriate network of emergency hospital departments in Poland and no clear regulations concerning emergency professions. The necessary law was enacted in 2001, but it did not come into force. The threat of European Union sanctions may hasten its implementation; however, the weak position of the present government may cause a further delay of the reform.

Emergency Medical Service Communication Systems↗

Privatisation of hospitals in Poland--barriers and opportunities.

The paper discusses the question of privatisation of the in-patient care sector in Poland. The references to the general reforming processes are made, as well as the legal context of ownership changes is presented. First part of the article describes the forms of privatisation applied in Poland, such as privatisation of the management, partial privatisation, functional privatisation and total privatisation. The basic data concerning legal regulations currently being in force is also included. Legal status is an important obstacle for the process of privatisation, since the regulations are incoherent and ambiguous. The project of Commercialisation and Privatisation of Independent Public Health Care Facilities Law was presented in 2001, but the political situation was unfavourable for such a regulation. The paper discusses also the potential profits that may be gathered during the privatisation, which may be proved by the experiences in the field of out-patient care, as well as the examples of other countries. It is stated that success of privatisation depends on changes in the structure of sources of financing health care system. The last part of the article describes the previous course of privatisation processes of in-patient sector. Presently about 18% of hospitals in Poland are private facilities, but their role in the system is marginal. The case of hospital in Wiecbork, which was the first bankrupt private hospital in Poland, is presented as the example of dangers caused by the invalid law. The final conclusion is that there is an urgent need in Poland to create clear and coherent legal frames for the privatisation of hospitals, as well as harmonisation of the changes with general reforms of the health care system.

Delivery of Health Care↗

[Epidemiology of maxillofacial injuries in athletes].

The general enthusiasm connected with sports activities causes that we often forget about threat connected with careless sports activities. The aim of this paper was the evaluation of causes and frequencies of maxillofacial injuries in hospitalized athletes in the Department of Maxillofacial Surgery in Katowice. Period between 1992-2002 was analyzed. Material consisted of 59 patients in whom injury required hospitalization. In studied material the frequency and causes of maxillofacial injuries in athletes in eleven-year period was examined. Male and female patients were divided in two groups: I--team sports and II--individual sports. In analyzed material injuries of upper part of facial skull were not affirmed. Injuries of upper facial massif overweighed its bottom massif injuries.

Accidents↗

[Influence of different parameters on final height of boys with constitutional delay of growth and puberty].

BACKGROUND: Constitutional delay of growth and puberty (CDGP) is a variant of normal pattern of growth and development with strong familial impact. THE AIM of the study was to assess the influence of birth weight and length, parents' height, boys height and bone age at the age of 14-16 years and mutation age on their final height. MATERIAL AND METHODS: In 69 boys in the mean age of 14.9+/-1.2 years, whose height fell below the 3rd percentile, CDGP was diagnosed. After completion of growth (at the age of 22.6+/-3.5 years) correlations of different parameters with final height were estimated. RESULTS: Statistically significant correlation between birth weight, parents' height, mutation age and final height was observed, but no association between birth length, height and bone age in the age group of 14-16 years and the final height was found. CONCLUSIONS: Adult height of boys with CDGP is directly proportional to birth weight, mutation age and parents' height.

Adolescent↗

[Understanding health by adolescents with diabetes mellitus type 1 assessed by own criteria].

BACKGROUND: The word "health" has different meanings according to gender, age, social and health status as well as value system which points out life goals. OBJECTIVES: To determine the criteria of understanding "health" by adolescents with diabetes type 1 compared to the healthy peers. MATERIAL AND METHODS: Study group comprised 66 adolescents (34 girls and 32 boys) 14-18 years old (mean 15.9+.1.3 years) suffering from diabetes mellitus for more than 2 years (mean 4.3+/-3.4 years). Control group of 60 healthy adolescents (30 girls and 30 toys) was matched for age and gender. The List of Health's Criteria by Juczyński including 24 items of positive descriptions of physical, psychological and social dimensions of health was used. RESULTS: Important differences as well as some similarities between two groups were found. Adolescents with diabetes mellitus understood health in physical and psychological aspects (as proper eating habits, enjoying life, having efficient all parts of the body). Less important value they attribute to processes connected with: being responsible, solving own problems, controlling emotions and impulses. CONCLUSIONS: Diabetic adolescents understand the concept of "being healthy" in a different way than their healthy peers. Criteria the diabetic youngsters choose result probably from their health status and demonstrate the difficulties these children face while following the therapeutic recommendations. Problems understanding, psychological support as well as increased medical information about the disease may improve their quality of their life.

Adolescent↗