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Biomedical subjects

S Rywik

Publications and source records attributed to S Rywik.

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

[Hypertension--diagnosis, treatment and the effectiveness of the treatment of Polish population participating in the POL-MONICA program].

According to the POL-MONICA program basing on screening studies of random population samples of two Warsaw districts and the Tarnobrzeg provinceip the detectability of arterial hypertension (AH), the AH treatment fact, the effectiveness+ of AH treatment and the populational control of AH has been evaluated. The AH control was better in Warsaw (men 55%, women 73%) than in the Tarnobrzeg province (men 44%, women 65%). In both populations the control was better among women than among men and increased with the age of subjects investigated. In both populations the treatment was introduced only in half of detected AH and increased also with the age of subjects studied. Only 20% men and 25% of women in Warsaw and 35% of men and 42% of women in the Tarnobrzeg province was effectively treated. The AH control in the Warsaw population was twice a lower than in the Tarnobrzeg province (Warsaw: men 5%, women 10%, Tarnobrzeg: men 7%, women 16%). Exceptionally bad control of HT has been stated in the youngest and the middle age men group in Warsaw (2.9%). The patterns studied with the use of MLF functions in both population studied have significant influence on the detectability and the AH treatment fact and remain without the influence of effectivity of treatment.

Adult↗
PubMed1989

Poland and US collaborative study on cardiovascular epidemiology. I. Introduction and baseline findings.

The Poland-US Agreement for Health Cooperation has as its goal the sharing of scientific information in cardiovascular disease epidemiology between the two countries. Patterns of cardiovascular disease and identification of risk factors were investigated through two large epidemiologic studies, the Pol-Monica Study in Poland and the US Lipid Research Clinics Program Prevalence Study in the United States. These two studies are described with regard to methodological issues, comparability of data collection procedures, and demographic and behavioral characteristics of the two populations involved. Mean blood pressure, lipids, and body mass indices of participants in these studies are also compared.

Adult↗
PubMed1989

Poland and US collaborative study on cardiovascular epidemiology. II. Correlates of lipids and lipoproteins in men and women aged 35-64 years from selected Polish rural, Polish urban, and US samples.

Three diverse samples of men and women aged 35-64 years living in urban Poland, rural Poland, and the United States, are described and subsequently analyzed by multiple regression methods. Total cholesterol, low density lipoprotein (LDL) cholesterol, high density lipoprotein (HDL) cholesterol, and the natural logarithm (ln) of triglycerides are treated separately as dependent variables, with several demographic, behavioral, and biologic factors as independent variables. In the analyses of total cholesterol, systolic blood pressure was statistically significant in men and women in all three samples, while Quetelet index, cigarette smoking, age, ethanol consumption, and education were significant in at least one of the samples. In the LDL cholesterol analyses, Quetelet index and cigarette smoking were the predominant variables; in the HDL cholesterol analyses, Quetelet index, cigarette smoking, ethanol consumption, and age were key variables; and in the ln triglycerides analyses, Quetelet index, cigarette smoking, education, and systolic blood pressure were significant.

Adult↗
PubMed1989

Poland and US collaborative study on cardiovascular epidemiology. III. Correlates of systolic and diastolic blood pressure in men and women aged 35-64 years from selected Polish rural, Polish urban, and US samples.

Three diverse samples of men and women aged 35-64 years living in urban Poland, rural Poland, and the United States are described and subsequently analyzed using systolic blood pressure and diastolic blood pressure separately as dependent variables in multiple regression. Several demographic, behavioral, and biologic factors are included in the models as independent variables. Heart rate, Quetelet index, high density lipoprotein cholesterol, and the natural logarithm of triglycerides were statistically significant in accounting for variation in systolic pressure in men in all three samples, whereas only heart rate and Quetelet index were significant in women in all samples. In the analysis of diastolic pressure, Quetelet index, heart rate, and ethanol consumption were statistically significant in men in all three samples, while only Quetelet index and heart rate were significant in women in all samples.

Adult↗
PubMed1989

Ischaemic heart disease risk factors specific for Warsaw population.

This study evaluated ischaemic heart disease risk factors specific for Warsaw's population, including those with the strongest prognostic value for the incidence of myocardial infarction. Out of a population of 5874 men aged 40 - 59 years employed in seven Warsaw enterprises, 4330 men without any symptoms of ischaemic heart disease were followed up for six years. The computed multivariate logistic function finally included five risk factors, among which age, diastolic blood pressure and the number of cigarettes smoked remained statistically significant; serum cholesterol levels and body mass index had no significant influence. This function predicted correctly the myocardial infarction incidence in the general male population of Warsaw aged 35 - 64 years; the ratio of expected to observed cases was 0.93.

Adult↗
PubMed1989

[Basic principles of the prevention of cardiovascular diseases in light of knowledge and opinions of the Polish community. I. Knowledge of the causes of the spreading epidemic of cardiovascular diseases].

The study was carried out in October 1986, using interview method by means of standardized questionnaire. The interview comprised a random sample of the whole country population aged above 15 years and including 2000 subjects. The largest group was formed by respondents aged 20--30 years, representatives of urban population, having education level below secondary, employed as manual workers. About 34% of men and 41% of women were, to a great extent, interested in cardiovascular problems (CVD). The main source of information on CVD were mass media. About 95% of respondents thought that CVD prevalence was very high. Among factors likely to influence CVD mortality, the respondents mentioned environmental contamination, nervous work, obesity, smoking and consumption of alcohol.

Adolescent↗
PubMed1989

[Basic principles of the prevention of cardiovascular diseases in light of knowledge and opinions of the Polish community. II. Knowledge of coronary disease risk factors].

The study was carried out in 1986, by means of two separated questionnaires, each comprising a 1000-person random sample of the whole Polish population aged above 15 years. The interview showed that 54% of men and 28% of women habitually smoked cigarettes, and 6% of men and 4% of women--occasionally. About 85% of men and 80% of women consumed at least 3 meals per day. Dinner was the most frequently consumed meal. Only 30% of respondents informed that they took food regularly. About 65% of the interviewed people informed that they consumed every day white bread, above 90%--potatoes and vegetables and above a half--meat and meat products. Vegetable oils, margarine and fish appeared to be rarely consumed. About 20% of the inquired ones recognized consumption of dark bread, fish, vegetable oils or margarine as favourable from cardiovascular prevention viewpoint.

Adolescent↗
PubMed1989

[Basic principles of the prevention of cardiovascular diseases in light of knowledge and opinions of the Polish community. III. Possibilities of the use of cardiologic services and their quality in the opinion of the Polish community].

In the mentioned in part 1 and 2 work, there were analyzed possibilities of community using of cardiological care as well as community opinions on principles of cardiovascular prevention. Most of the inquired ones informed that they had mainly used health care in clinics organized at their enterprises or they consult with their general practitioners at regional clinics. 14% of men and 20% of women used specialistic counselling. Within the period of last two years most of the interviewed people had taken medical advices at least several times and women did it more often than men. Among different kinds of laboratory investigations, examination, urine analysis and hematologic examination appeared to be most frequently performed. Arterial blood pressure was measured in about 70% of men and 80% of women and E.C.G. investigation was performed in about 50%. Care of a cardiovascular patient was most often taken by general practitioners or internists. The most commonly mentioned difficulties with using specialistic cardiological care are: drug defficiency, long waiting period for an advice at the clinic and queues at pharmacies. Only 7% of men and 3% of women evaluated specialistic health service care as "fairly satisfactory".

Adolescent↗
PubMed1989

Epidemiology of cardiovascular diseases in Warsaw Pol-MONICA area.

In the Warsaw Pol-MONICA area, which is inhabited by 274,000 people of ages 25-64, trends in total mortality showed increases similar to those for the whole of Poland. In Warsaw, mortality from cardiovascular disease in men and from ischaemic heart disease (IHD), myocardial infarction (MI), and cerebrovascular disease in both sexes decreased from 1976 to 1986, whereas trends for these diseases were increasing for the whole of Poland. Within the last 11 years, the MI attack rate and case-fatality rate increased in Warsaw. In the Warsaw male population, an increase in the majority of CHD risk factors was also observed. Age-adjusted mortality rates, MI attack and incidence rates, and stroke attack rates in Warsaw were all higher in men than in women. The mean values of HDL cholesterol and LDL cholesterol, Quetelet's index, and prevalence of hypercholesterolaemia in Warsaw were higher in women than in men, whereas the mean values of triglycerides, diastolic blood pressure, and number of cigarettes smoked as well as prevalence of hypertriglyceridaemia, hypertension, and smoking were higher in men.

Adult↗
PubMed1988

Mortality, morbidity and case fatality from myocardial infarction and the cardiovascular risk profile in the Warsaw population.

The present study, based on the World Health Organization (WHO) MONICA Project design, covers two Warsaw districts inhabited by 274442 people, aged 25-64. In the studied population over the years 1976-1985, no significant time-trends were found of cardiovascular disease (CVD), ischemic heart disease (IHD), myocardial infarction (MI) and cerebrovascular mortality, whereas the hypertension mortality trends increased significantly. The MI attack rate in 1984/85 in men aged 25-64 was 466/100,000 and that of women 173/100,000. Within the last 14-15 years the age-standardized MI attack rates increased by 35% in men aged 35-64 and by 65% in women. The 28-day case fatality was 40% in men and 35% in women. Fatality was highest the first day after the onset of symptoms, and only 66% of men and 72% of women survived the first 3 days after onset. No significant differences in age-standardized mean values of plasma total cholesterol, low-density lipoprotein (LDL)-cholesterol and systolic blood pressure (BP) were found between men and women. Mean values of high-density lipoprotein-cholesterol (HDL) and of the Quatelet index were higher in the female population, whereas the triglyceride level, diastolic BP, and the number of cigarettes smoked daily were higher in the male population. In men, the plasma total cholesterol, LDL-cholesterol and HDL-cholesterol values did not change with age, but the tryglyceride values decreased; in women, the plasma total cholesterol, LDL-cholesterol and triglyceride values increased with age. Mean values of systolic and diastolic BP increased with age in both sexes, whereas the number of cigarettes smoked daily decreased.

Adult↗
PubMed1988

Scientific prognosis of trends in the development of cardiovascular surgery in the socialist countries.

The growing incidence and importance of cardiovascular diseases in a number of countries calls for systematic quest for most efficient methods of treatment, which besides prevention and drug therapy include also surgical treatment. A group of experts from member countries of the Council for Mutual Economic Assistance (CMEA) has worked out a scientific prognosis of trends of the development of cardiovascular surgery, which include surgical treatment of ischaemic heart disease, congenital and acquired heart defects, renovascular hypertension and affection of the aortic arch. The prognosis includes also an estimate of the number of operations which will have to be performed in the mentioned diseases per 1 million inhabitants of the CMEA member countries.

Cardiac Surgical Procedures↗