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Krzysztof Kuszewski

Publications and source records attributed to Krzysztof Kuszewski.

13 recordsLinked to original sources
PubMed2006

[Attempt to exclude invasive cardiology services in Poland--rationing, national sovereignty and European Union law].

One of the guiding principles of health policy in many European countries is equitable access to health care services. One of the life saving procedures is percutaneous transluminal coronary angioplasty (PTCA) performed after coronary angiography. Introducing payment for these procedures would limit access for low-income patients. Fortunately, despite political debate, invasive cardiology develops well in Poland. It is important to notice that within the European Union Polish citizens would be able to receive this treatment in other member states and, according to a European Court of Justice ruling, the costs would have to be reimbursed by the National Health Fund. The wider implication is that the 10 new EU member states now have to realise that health care is no longer a matter of national sovereignty - a fact legislators and health care managers in the 15 member states of the pre-accession EU are still struggling with.

Angioplasty, Balloon, Coronary↗
PubMed2005

[Some problems of human gas balance].

The authors have presented gas balance in extracorporeal pulmonary. The diffusion speed by pulmonary membrane alveoli is dependent from: particles metility, surface diffusion of pulmonary alveoli, alveolocapillary thickness, hemoglobin chemical affinity is dependent from blood temperature and pH.

Blood Gas Analysis↗
PubMed2005

[Influenza in Poland in 2003].

Following two years of low influenza incidence in Poland, the activity of this disease markedly increased in 2003. In total 1,216,285 cases of influenza like illness were registered (incidence 3,184.4 per 100,000). Regionally the incidence ranged from 1,195.7 in Zachodniopomorskie to 5,719.7 per 100,000 in Mazowieckie. Children and adolescents under 15 years of age accounted for 41.7% of all cases (507,102 cases, age specific incidence 7,579.0 per 100,000). In this age group the incidence varied regionally from 2,718.1 in Podlaskie to 14,087.6 per 100,000 in Mazowieckie. 3,128 patients (0.26% of all cases) required hospital admission. There were 141 deaths due to influenza (mortality 0.12%) in 2003, in 78.7% these were persons over 70 years of age. Nineteen strains of influenza virus were isolated in 2003 in Poland, including 15 strains of subtype A(H3), 3 strains of subtype A(H1) and one strain of type B. Besides, in other 10 cases influenza A infection was confirmed by direct immunofluorescence test. All isolated influenza strains were antigenically similar to the vaccine strains recommended for the epidemic season 2002/03 and 2003/04.

Adolescent↗
PubMed2005

[Hepatitis B in Poland in 2003].

In 2003 1,812 cases of hepatitis B were registered in Poland, including 118 (6.5%) caused by mixed infections with HBV and HCV. The incidence was 4.7 per 100,000. Compared to the preceding year, the number of cases decreased by 209 cases and the incidence decreased by 0.6 per 100,000. The decreasing trend of HBV continued during the recent years. During the consecutive years of hepatitis B control programme implementation the incidence decreased below 5.0 per 100,000 becoming comparable to the European level.

Adolescent↗
PubMed2005

[Hepatitis C in Poland in 2003].

HCV surveillance in Poland is based on registration of newly detected both acute and chronic cases. The data from 1999 - 2003 demonstrate a slight upward trend with an increase in incidence of 0.1 per 100,000 annually. In 2003 there were 2,255 registered cases (incidence 5.9 per 100,000), including 5.2% mixed HCV/HBV infections. The incidence in the urban areas (7.6 per 100,000) was two times higher then the incidence in rural areas (3.1) and the incidence in men (7.0) was 42% higher then in women (4.9). In men the highest incidence was noted in the age group 20 to 24 years (10.8 per 100,000) and in women in the age group 60 - 64 years (9.4). Geographically, the incidence varied from 0.8 per 100,000 in Podlaskie to 16.6 per 100,000 in Swietokrzyskie voyvodship. In total 80.8% of the cases were hospitalised. In several voyvodships the percentage of hospitalised cases was higher, reaching even 100%. This suggests low surveillance sensitivity to less severe cases in these areas. There were 116 deaths from hepatitis C in Poland in 2003. Deaths attributed to HCV infection accounted for 4.2% of all infectious disease deaths in 2003.

Adolescent↗
PubMed2004

[Influenza in Poland in 2002].

In 2002 the number of cases of influenza and influenza-like illness (ILI) registered in Poland amounted to 228,055. This is 39.5% of the number of cases recorded in 2001. The highest influenza incidence was found in Mazowieckie voivodship (2297.5 per 100,000), while the lowest incidence was registered in Swietokrzyskie voivodship (104.1) and Lubelskie voivodship (117.6). In children aged 0 to 14 years the number of influenza and ILI cases amounted to 104,552 (incidence of 1511.9 per 100,000) and this is 46% of the total number of cases recorded in 2002. The number of patients referred to hospitals amounted to 223, including 92 children aged 0-14 years. There were isolated 10 influenza strains, including 7 strains of subtype A (H3N2) and 3 strains of subtype A (H1N1). Immunofluorescence test carried out in 57 specimens did not confirm infection with influenza virus. Sero-surveys showed the lowest antihemagglutinin antibody levels in the age groups 0-3 and 4-7 years, while the highest in people aged 8-14 and 15-25 years.

Adolescent↗
PubMed2004

[Hepatitis B in Poland in 2002].

Noticeable downward trend of hepatitis B incidence in Poland continued in 2002. In total 2,021 new cases were reported, 84 (4.2%) of which concerned people co-infected with HBV and HCV. The registered incidence, 5.3 per 100,000 population, was 15% lower then in 2001. As in previous years, the incidence in the urban areas (5.7) exceeded the incidence in the rural areas (4.6) and it was higher in men (6.6) then in women (4.0). Comparing the incidence across the regions, the rate ratio between the voivodeship with the highest and the lowest incidence (respectively 13.2 in kujawsko-pomorskie and 2.1 in podkarpackie) was 6.3. In the voivodeships with the highest incidence the age distribution differed significantly from the rest of the country suggesting the necessity of appropriate modifications in the national prevention program. Overall the most affected age groups were the elderly (incidence 8.1 in persons over 74 years of age, 7.9 in 65-74 year olds and 7.3 in 60-64 year olds) and young adults (incidence 6.5 among 20-24 year olds). Approximately 96% of cases were hospitalized. According to preliminary data there were 100 deaths due to acute of chronic hepatitis B in Poland in 2002.

Adolescent↗
PubMed2004

[Hepatitis C in Poland in 2002].

The hepatitis C surveillance in Poland covers both acute and chronic presentation of hepatitis C. Chronic cases are registered only once, at the time of the first notification. In total, 1,987 cases were reported in Poland in 2002, out of which 84 (4.2%) persons were co-infected with HBV. The overall incidence, 5.2 per 100,000, was within the range observed during the preceding three years. As previously the incidence in the cities (6.8) was significantly higher than in rural areas (2.6), and males were more affected then females (incidence 6.1 and 4.3 per 100,000 respectively). Comparing the incidence across the regions, the rate ratio between the voivodeships with the highest and the lowest incidence (respectively 14.0 in świetokrzyskie and 1.5 in podkarpackie) was 9.5. The age distribution of cases was bimodal peaking in the age groups 50-54 years (incidence 7.9) and 20-24 years (incidence 7.0). Approximately 86.5% of cases were hospitalized. According to the preliminary national life statistics data in 2002 in Poland 91 persons died from acute or chronic hepatitis C.

Adolescent↗
PubMed2003

[Influenza in Poland in 2001].

In 2001 the number of cases of influenza and influenza-like illness (ILI) registered in Poland amounted to 576,449. This is 36.1% of the number of cases recorded in 2000. The highest influenza incidence was found in Dolnoślaskie voivodship (3013.4 per 100,000), Mazowieckie voivodship (2688.5 per 100,000) and Zachodniopomorskie voivodship (2132.2 per 100,000). In children aged 0 to 14 years the number of influenza and ILI cases amounted to 275,358 (incidence was 3851.4 per 100,000) and this is 47.8% of the total number of cases recorded in 2001. The number of patients referred to hospitals amounted to 678 and 26 persons died. One influenza strain A(H1N1) was isolated from the patient aged 10. Immunofluorescence tests carried out in over 900 specimens did not confirm infection with influenza virus. Sero-surveys performed in the epidemic season 2001/2002 showed that the levels of antihemagglutinin antibodies were comparable for three antigens: A(H1N1), A(H3N2) and B. The highest antibody titers were recorded in the age group 15-25. Since May 2001 Poland is a member of the European Influenza Surveillance Scheme.

Adolescent↗
PubMed2003

[Hepatitis B in Poland in 2001].

2,394 cases of hepatitis B (including 114 infections with both HBV and HCV) were reported in 2001 in Poland; the incidence rate was 6.2 per 100,000 population. The total number of cases decreased by 431 and incidence rate by 1.1 comparing to 2000. From 1993 to 2001 decline in number of cases was 5.5 times. This decline was mainly the result of vaccination of children and high risk patients though the improvement of sterilisation procedures could be of significance, especially in persons below 60 years of age. About 96.3% of all cases were hospitalised. Regional differences in both, the incidence rate and percentage of hospitalizations were observed. The incidence of hepatitis B per 100,000 was higher in urban (7.0) than in rural (4.9) population. The lowest incidence (0.4) was observed in children aged 0-4 years; in older children (5-9 years of age) the incidence rates were 4.5 in boys and 2.2 in girls. The highest ranging incidence, from 5.5 to 8.2 was found in the age group 15-24 years, especially in boys and young men (from 7.4 to 11.6) living in urban areas.

Adolescent↗
PubMed2002

[Influenza in Poland in 2000].

In 2000 the number of cases of influenza and influenza-like illness (ILI) registered in Poland amounted to 1,596,920 (68.1% of 1999 cases). The highest influenza incidence was reported in Łódzkie voivodship (9,388.8 cases per 100,000). Among children aged 0 to 14 years the number of influenza and ILI cases amounted to 408,495 (incidence 5,518.8 cases per 100,000) and was 25.5% of the total number of cases recorded in 2000. The number of patients referred to hospital was 7,028 and 358 persons died due to influenza and its complications. No influenza strains were isolated in 2000. Immunofluorescence test confirmed infection with influenza type A in 39 patients, while with type B--in 2 patients. Sero-surveys carried out in the epidemic season 2000/2001 showed that the highest antihemagglutinin antibody levels were produced for influenza strain A(H3N2) and B. The highest antibody titers were recorded in the age group 15-25, while the lowest levels--in the age group 0-3 years.

Adolescent↗
PubMed2002

[Hepatitis B in Poland in 2000].

A total of 2,825 (7.3 per 100,000 population) cases of hepatitis B (including 130 co-infections with both HBV and HCV) were reported in 2000 in Poland. Comparing to 1999 the total number of cases decreased by 683 and incidence by 1.8. This decline resulted mainly from vaccination of children and high risk patients though the improvement of sterilization procedures could be also of significance, especially in persons below 60 years of age. The number of hospitalizations in 2000 increased by 15%. Regional differences in both incidence and percentage of hospitalizations were observed. The incidence of hepatitis B per 100,000 was higher in urban (8.3) than in rural (7.4) population. The lowest incidence (0.6) was observed in children aged 0-4 years; in older children (5-9 years of age) the incidence rates were 8.6 in boys and 3.4 in girls. The highest incidence, ranging from 4.5 to 9.1 was found in the age group 14-24 years, especially in boys and young men living in urban areas.

Adolescent↗