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Mariusz Goniewicz
Interfaculty Centre for Didactics, Department of Emergency Medicine, Medical University of Lublin, 20-093 Lublin, Poland

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Journal article
Published: 19 July 2021 in International Journal of Environmental Research and Public Health
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Introduction: Geriatric patients account for a large proportion of interventions of medical emergency teams (METs). The aim of this study was to analyse medical emergency interventions in the Biała Podlaska and Chełm (Poland) between 2016 and 2018 in a group of patients ≥ 65 years of age. Materials and Methods: We analysed medical records of 1200 older patients treated by METs in Biała Podlaska and Chełm (Lublin Province, Poland). The research was conducted from June 2019 to March 2020 at the Emergency Medical Service Station in Biała Podlaska and the Medical Rescue Station in Chełm (Independent Public Complex of Health Care Facilities). Results: A total of 92.5% of medical emergency service interventions took place at the patient’s home. The mean time of stay at the scene was 20 min. The highest number of interventions occurred between 8:00 p.m. and 8:59 p.m. There were no statistically significant differences in the type of ambulance used depending on the patient’s sex, while there was a statistically significant relationship between priority code and sex. Cardiovascular diseases were diagnosed in 40% of patients, and the symptoms were not precisely classified in almost the same percentage of patients. Mortality cases accounted for 3.1% of the 1200 interventions analysed. Ambulance dispatch resulted in the patient being transported to the hospital emergency department in 69.1% of cases. Conclusions: METs were called for a variety of diseases due to the fact that geriatric patients are not able to distinguish a life-threatening condition. Medical procedures performed by METs from Biała Podlaska and Chełm were closely related to the initial diagnoses made by these teams. It was irrelevant whether a specialist or non-specialist medical emergency service was used. Paramedics are very well trained to practice their profession and are able to provide treatment to older patients in a state of sudden life threat.

ACS Style

Mariusz Celiński; Mateusz Cybulski; Joanna Fiłon; Marta Muszalik; Mariusz Goniewicz; Elżbieta Krajewska-Kułak; Anna Ślifirczyk. Analysis of the Interventions of Medical Emergency Teams in Older Patients in Selected Polish Cities with County Status: A Retrospective Cohort Study. International Journal of Environmental Research and Public Health 2021, 18, 7664 .

AMA Style

Mariusz Celiński, Mateusz Cybulski, Joanna Fiłon, Marta Muszalik, Mariusz Goniewicz, Elżbieta Krajewska-Kułak, Anna Ślifirczyk. Analysis of the Interventions of Medical Emergency Teams in Older Patients in Selected Polish Cities with County Status: A Retrospective Cohort Study. International Journal of Environmental Research and Public Health. 2021; 18 (14):7664.

Chicago/Turabian Style

Mariusz Celiński; Mateusz Cybulski; Joanna Fiłon; Marta Muszalik; Mariusz Goniewicz; Elżbieta Krajewska-Kułak; Anna Ślifirczyk. 2021. "Analysis of the Interventions of Medical Emergency Teams in Older Patients in Selected Polish Cities with County Status: A Retrospective Cohort Study." International Journal of Environmental Research and Public Health 18, no. 14: 7664.

Review
Published: 14 June 2021 in Annals of Agricultural and Environmental Medicine
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According to the World Health Organization (WHO), ethyl alcohol occupies the third place among health risks for the general population, causing damage to health as well as social damage. Ethanol is also considered the greatest risk factor in injuries. Both alcohol and its main metabolite, acetaldehyde, are directly toxic to tissues and lead to several systemic pathologies. Alcohol abuse may also lead to mental health disorders. Although one-in-eight adult Poles abstains from drinking alkohol, 10-20% of adult Poles drink alcohol regularly. It is estimated that this group includes about 900,000 addicts, and over 2,000,000 people who drink alcohol at a risky or harmful level. It affects their occurrence and their consequences Drink- driving is one of the problems most often raised, although alcohol is a documented risk factor in pedestrian accidents. It is also an important risk factor for suicidal behaviour with people under the influence of alcohol choosing more radical and effective methods of committing suicide, such as hanging or 'throwing themselves under a moving vehicle.' Only properly selected and consistently taken preventive actions can improve the tragic statistics related to ethanol stimulating risky and auto-aggressive behaviours. It is also necessary to improve the system for reporting such events because only reliable statistics enable proper assessment of the scale of the problem, and the effectiveness of these activities.

ACS Style

Dorota Lasota; Witold Pawłowski; Dagmara Mirowska-Guzel; Krzysztof Goniewicz; Mariusz Goniewicz. Ethanol as a stimulus to risky and auto-aggressive behaviour. Annals of Agricultural and Environmental Medicine 2021, 28, 220 -223.

AMA Style

Dorota Lasota, Witold Pawłowski, Dagmara Mirowska-Guzel, Krzysztof Goniewicz, Mariusz Goniewicz. Ethanol as a stimulus to risky and auto-aggressive behaviour. Annals of Agricultural and Environmental Medicine. 2021; 28 (2):220-223.

Chicago/Turabian Style

Dorota Lasota; Witold Pawłowski; Dagmara Mirowska-Guzel; Krzysztof Goniewicz; Mariusz Goniewicz. 2021. "Ethanol as a stimulus to risky and auto-aggressive behaviour." Annals of Agricultural and Environmental Medicine 28, no. 2: 220-223.

Journal article
Published: 19 April 2021 in Sustainability
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Traditional healthcare services have demonstrated structural shortcomings in the delivery of patient care and enforced numerous elements of integration in the delivery of healthcare services. Integrated healthcare aims at providing all healthcare that makes humans healthy. However, with mainly chronically ill people and seniors, typically suffering from numerous comorbidities and diseases, being recruited for care, there is a need for a change in the healthcare service structure beyond direct-patient care to be compatible in peacetime and during public health emergencies. This article’s objective is to discuss the opportunities and obstacles for increasing the effectiveness of healthcare through improved integration. A rapid evidence review approach was used by performing a systematic followed by a non-systematic literature review and content analysis. The results confirmed that integrated healthcare systems play an increasingly important role in healthcare system reforms undertaken in European Union countries. The essence of these changes is the transition from the episodic treatment of acute diseases to the provision of coordinated medical services, focused on chronic cases, prevention, and ensuring patient continuity. However, integrated healthcare, at a level not yet fully defined, will be necessary if we are to both define and attain the integrated practice of both global health and global public health emergencies. This paper attains the necessary global challenges to integrate healthcare effectively at every level of society. There is a need for more knowledge to effectively develop, support, and disseminate initiatives related to coordinated healthcare in the individual healthcare systems.

ACS Style

Krzysztof Goniewicz; Eric Carlström; Attila Hertelendy; Frederick Burkle; Mariusz Goniewicz; Dorota Lasota; John Richmond; Amir Khorram-Manesh. Integrated Healthcare and the Dilemma of Public Health Emergencies. Sustainability 2021, 13, 4517 .

AMA Style

Krzysztof Goniewicz, Eric Carlström, Attila Hertelendy, Frederick Burkle, Mariusz Goniewicz, Dorota Lasota, John Richmond, Amir Khorram-Manesh. Integrated Healthcare and the Dilemma of Public Health Emergencies. Sustainability. 2021; 13 (8):4517.

Chicago/Turabian Style

Krzysztof Goniewicz; Eric Carlström; Attila Hertelendy; Frederick Burkle; Mariusz Goniewicz; Dorota Lasota; John Richmond; Amir Khorram-Manesh. 2021. "Integrated Healthcare and the Dilemma of Public Health Emergencies." Sustainability 13, no. 8: 4517.

Journal article
Published: 07 April 2021 in International Journal of Environmental Research and Public Health
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Sudden cardiac arrest is one of the leading causes of death globally. The recommended clinical management in out-of-hospital cardiac arrest cases is the immediate initiation of high-quality cardiopulmonary resuscitation (CPR). Training mannequins should be combined with technology that provides students with detailed immediate feedback on the quality of CPR performance. This study aimed to verify the impacts of the type of feedback (basic or detailed) the responders receive from the device while learning CPR and how it influences the quality of their performance and the motivation to improve their skills. The study was conducted at the Medical University of Lublin among 694 multi-professional health students during first aid classes on basic life support (BLS). The students first practiced on an adult mannequin with a basic control panel; afterward, the same mannequin was connected to a laptop, ensuring a detailed record of the performed activities through a projector. Next, the participants expressed their subjective opinion on how the feedback provided during the classes, basic vs. detailed, motivated them to improve the quality of their CPR performance. Additionally, during the classes, the instructor conducted an extended observation of students’ work and behavior. In the students’ opinion, the CPR training with detailed feedback devices provided motivation for learning and improving CPR proficiency than that with a basic control panel. Furthermore, the comments given from devices seemed to be more acceptable to the students, who did not see any bias in the device’s evaluation compared to that of the instructor. Detailed device feedback motivates student health practitioners to learn and improve the overall quality of CPR. The use of mannequins that provide detailed feedback during BLS courses can improve survival in out-of-hospital cardiac arrest.

ACS Style

Patrycja Misztal-Okońska; Krzysztof Goniewicz; Mariusz Goniewicz; Jamie Ranse; Attila Hertelendy; Lesley Gray; Eric Carlström; Jarle Løwe Sørensen; Amir Khorram-Manesh. Importance of Immediate Electronic-Based Feedback to Enhance Feedback for First-Time CPR Trainees. International Journal of Environmental Research and Public Health 2021, 18, 3885 .

AMA Style

Patrycja Misztal-Okońska, Krzysztof Goniewicz, Mariusz Goniewicz, Jamie Ranse, Attila Hertelendy, Lesley Gray, Eric Carlström, Jarle Løwe Sørensen, Amir Khorram-Manesh. Importance of Immediate Electronic-Based Feedback to Enhance Feedback for First-Time CPR Trainees. International Journal of Environmental Research and Public Health. 2021; 18 (8):3885.

Chicago/Turabian Style

Patrycja Misztal-Okońska; Krzysztof Goniewicz; Mariusz Goniewicz; Jamie Ranse; Attila Hertelendy; Lesley Gray; Eric Carlström; Jarle Løwe Sørensen; Amir Khorram-Manesh. 2021. "Importance of Immediate Electronic-Based Feedback to Enhance Feedback for First-Time CPR Trainees." International Journal of Environmental Research and Public Health 18, no. 8: 3885.

Journal article
Published: 16 October 2020 in Journal of Clinical Medicine
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With an increasing number of natural and man-made disasters, the need for preparedness in all levels of management is obvious. Among healthcare professionals responding to these emergencies, physicians are of particular importance due to their significant roles as leaders and frontline workers in minimizing morbidity and mortality of the affected population. This study analyses the preparedness of 549 physicians from all medical centers in Lublin, Poland to formulate their observations, suggestions, and recommendations concerning the improvement of the chain of response in disaster management. The results of this study show that the perceived preparedness of physicians for disaster management and response is not as high as it should be, and the majority of the respondents perceived their disaster preparedness insufficient. Training of physicians in disaster management and principles of disaster medicine is needed, by focusing on the specificity of rescue response to emergencies following disasters, and medical and non-medical aspects of the response with particular emphasis on a management approach covering all hazards.

ACS Style

Krzysztof Goniewicz; Mariusz Goniewicz; Frederick M. Burkle; Amir Khorram-Manesh. The Impact of Experience, Length of Service, and Workplace Preparedness in Physicians’ Readiness in the Response to Disasters. Journal of Clinical Medicine 2020, 9, 3328 .

AMA Style

Krzysztof Goniewicz, Mariusz Goniewicz, Frederick M. Burkle, Amir Khorram-Manesh. The Impact of Experience, Length of Service, and Workplace Preparedness in Physicians’ Readiness in the Response to Disasters. Journal of Clinical Medicine. 2020; 9 (10):3328.

Chicago/Turabian Style

Krzysztof Goniewicz; Mariusz Goniewicz; Frederick M. Burkle; Amir Khorram-Manesh. 2020. "The Impact of Experience, Length of Service, and Workplace Preparedness in Physicians’ Readiness in the Response to Disasters." Journal of Clinical Medicine 9, no. 10: 3328.

Journal article
Published: 24 September 2020 in International Journal of Environmental Research and Public Health
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Suicide is one of the ten most common causes of death in the world. Of all deaths from suicide, 22% can be attributed to the use of alcohol, which means that every fifth suicide would not occur if alcohol were not consumed by the population. People under the influence of alcohol choose more radical and effective methods of dying by suicide, e.g., throwing themselves under a moving vehicle, such as a train. The presented analysis aimed to determine important risk factors affecting railway suicide in Poland and their relation to the state of alcohol intoxication of the victims, and the relationship between ethyl alcohol consumption and the phenomenon of suicide. Documentation obtained from the Department of Forensic Medicine at the Medical University of Warsaw, in the form of death registers and forensic medical records concerning examination and autopsy, was analyzed. This made it possible to identify suicide victims from among pedestrian victims of railway accidents recorded during the period under study. The research was carried out using unidimensional and multidimensional statistical analyses with IBM SPSS Statistics, version 25. Sober suicide victims were statistically significantly older than victims under the influence of alcohol; alcohol concentration was correlated with the age of the victims—the older the victims were, the higher the alcohol concentration. A significantly higher number of deaths attributed to suicide by sober victims was observed in autumn compared to other seasons. Multidimensional analysis showed a statistically significant effect of age and season on the probability of dying by suicide under the influence of alcohol—this probability decreases with the age of the victims and is also significantly lower in autumn. The observed relationship between age and the presence of alcohol in suicide victims can be the cause of railway suicides. Knowledge of the mechanisms of seasonal variability of suicidal behavior can help to develop effective strategies to prevent railway suicides. It is necessary to improve the system of reporting railway suicides, as only reliable statistics provide the possibility of assessing both the scale of the problem and the effectiveness of actions taken.

ACS Style

Dorota Lasota; Ahmed Al-Wathinani; Paweł Krajewski; Dagmara Mirowska-Guzel; Krzysztof Goniewicz; Attila J. Hertelendy; Riyadh A. Alhazmi; Witold Pawłowski; Amir Khorram-Manesh; Mariusz Goniewicz. Alcohol and the Risk of Railway Suicide. International Journal of Environmental Research and Public Health 2020, 17, 7003 .

AMA Style

Dorota Lasota, Ahmed Al-Wathinani, Paweł Krajewski, Dagmara Mirowska-Guzel, Krzysztof Goniewicz, Attila J. Hertelendy, Riyadh A. Alhazmi, Witold Pawłowski, Amir Khorram-Manesh, Mariusz Goniewicz. Alcohol and the Risk of Railway Suicide. International Journal of Environmental Research and Public Health. 2020; 17 (19):7003.

Chicago/Turabian Style

Dorota Lasota; Ahmed Al-Wathinani; Paweł Krajewski; Dagmara Mirowska-Guzel; Krzysztof Goniewicz; Attila J. Hertelendy; Riyadh A. Alhazmi; Witold Pawłowski; Amir Khorram-Manesh; Mariusz Goniewicz. 2020. "Alcohol and the Risk of Railway Suicide." International Journal of Environmental Research and Public Health 17, no. 19: 7003.

Brief report
Published: 09 July 2020 in Healthcare
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In the event of a crisis, rapid and effective assistance for victims is essential, and in many cases, medical assistance is required. To manage the situation efficiently, it is necessary to have a proactive management system in place that ensures professional assistance to victims and the safety of medical personnel. We evaluated the perceptions of students and graduates in public health studies at the Medical University of Lublin, Poland, concerning their preparation and management skills for crises such as the COVID-19 pandemic. This pilot study was conducted in March 2020; we employed an online survey with an anonymous questionnaire that was addressed to students and graduates with an educational focus in healthcare organization and management. The study involved 55 people, including 14 men and 41 women. Among the respondents, 41.8% currently worked in a healthcare facility and only 21.7% of them had participated in training related to preparation for emergencies and disasters in their current workplace. The respondents rated their workplaces’ preparedness for the COVID-19 pandemic at four points. A significant number of respondents stated that if they had to manage a public health emergency, they would not be able to manage the situation correctly and not be able to predict its development. Managers of healthcare organizations should have the knowledge and skills to manage crises. It would be advisable for them to have been formally educated in public health or healthcare administration. In every healthcare facility, it is essential that training and practice of performing medical procedures in full personal protective equipment (PPE) be provided. Healthcare facilities must implement regular training combined with practical live scenario exercises to prepare for future crises.

ACS Style

Patrycja Misztal-Okońska; Krzysztof Goniewicz; Attila Hertelendy; Amir Khorram-Manesh; Ahmed Al-Wathinani; Riyadh Alhazmi; Mariusz Goniewicz. How Medical Studies in Poland Prepare Future Healthcare Managers for Crises and Disasters: Results of a Pilot Study. Healthcare 2020, 8, 202 .

AMA Style

Patrycja Misztal-Okońska, Krzysztof Goniewicz, Attila Hertelendy, Amir Khorram-Manesh, Ahmed Al-Wathinani, Riyadh Alhazmi, Mariusz Goniewicz. How Medical Studies in Poland Prepare Future Healthcare Managers for Crises and Disasters: Results of a Pilot Study. Healthcare. 2020; 8 (3):202.

Chicago/Turabian Style

Patrycja Misztal-Okońska; Krzysztof Goniewicz; Attila Hertelendy; Amir Khorram-Manesh; Ahmed Al-Wathinani; Riyadh Alhazmi; Mariusz Goniewicz. 2020. "How Medical Studies in Poland Prepare Future Healthcare Managers for Crises and Disasters: Results of a Pilot Study." Healthcare 8, no. 3: 202.

Journal article
Published: 17 June 2020 in Sustainability
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The preparedness of a hospital for mass-casualty incident and disaster response includes activities, programs and systems developed and implemented before the event. These measures are designed to provide the necessary medical care to victims of disasters, and to minimize the negative impact of individual events on medical services. Up until now, there has been no systematic survey in Poland concerning the readiness of hospitals, as well as medical personnel, to deal with mass-casualty incidents. Consequently, little is known about the knowledge, skills, and professional competences of healthcare workers. The objective of this pilot study was to start an exploration and to collect data on the competences of healthcare workers, in addition to assessing the preparedness of hospitals for mass-casualty incidents. Utilizing an anonymous survey of a random sample, 134 healthcare providers were asked to respond to questions about the competencies they needed, and hospital preparedness during disaster response. It turned out that the test subjects evaluate their own preparedness for mass-casualty incidents and disasters better than the preparedness of their current place of work. The pilot study demonstrated that a properly designed questionnaire can be used to assess the relationship between hospital and staff preparedness and disaster response efficiency. Evaluation of the preparedness and effectiveness of disaster response is a means of finding and removing possible gaps and weaknesses in the functioning and effective management of a hospital during mass-casualty incidents.

ACS Style

Krzysztof Goniewicz; Mariusz Goniewicz. Disaster Preparedness and Professional Competence Among Healthcare Providers: Pilot Study Results. Sustainability 2020, 12, 4931 .

AMA Style

Krzysztof Goniewicz, Mariusz Goniewicz. Disaster Preparedness and Professional Competence Among Healthcare Providers: Pilot Study Results. Sustainability. 2020; 12 (12):4931.

Chicago/Turabian Style

Krzysztof Goniewicz; Mariusz Goniewicz. 2020. "Disaster Preparedness and Professional Competence Among Healthcare Providers: Pilot Study Results." Sustainability 12, no. 12: 4931.

Review
Published: 19 May 2020 in Disaster Medicine and Public Health Preparedness
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Technical and technological progress in the 21st century, especially emerging geographic information system (GIS) technology, offers new and unprecedented opportunities to counteract the impact of crisis situations and emergencies. Computerization and development of GIS enabled the digital visualization of space for interactive analysis of multiple data in the form of models or simulations. Additionally, computerization, which gives rise to a new quality of database management, requires continuous modernization of computer hardware and software. This study examines selected examples of the implications and impact of the GIS commonly used in Poland.

ACS Style

Krzysztof Goniewicz; Maciej Magiera; Dorota Rucińska; Witold Pawłowski; Frederick M. Burkle; Attila J. Hertelendy; Mariusz Goniewicz. Geographic Information System Technology: Review of the Challenges for Its Establishment as a Major Asset for Disaster and Emergency Management in Poland. Disaster Medicine and Public Health Preparedness 2020, 1 -6.

AMA Style

Krzysztof Goniewicz, Maciej Magiera, Dorota Rucińska, Witold Pawłowski, Frederick M. Burkle, Attila J. Hertelendy, Mariusz Goniewicz. Geographic Information System Technology: Review of the Challenges for Its Establishment as a Major Asset for Disaster and Emergency Management in Poland. Disaster Medicine and Public Health Preparedness. 2020; ():1-6.

Chicago/Turabian Style

Krzysztof Goniewicz; Maciej Magiera; Dorota Rucińska; Witold Pawłowski; Frederick M. Burkle; Attila J. Hertelendy; Mariusz Goniewicz. 2020. "Geographic Information System Technology: Review of the Challenges for Its Establishment as a Major Asset for Disaster and Emergency Management in Poland." Disaster Medicine and Public Health Preparedness , no. : 1-6.

Review
Published: 08 May 2020 in Sustainability
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COVID-19 has proven to be a formidable challenge for many countries in the European Union to manage effectively. The European Union has implemented numerous strategies to face emerging issues. Member States have adopted measures such as the closure of borders and significant limitations on the mobility of people to mitigate the spread of the virus. An unprecedented crisis coordination effort between Member States has facilitated the ability to purchase equipment, personal protective equipment, and other medical supplies. Attention has also been focused on providing substantive money for research to find a vaccine and promote effective treatment therapies. Financial support has been made available to protect worker salaries and businesses to help facilitate a return to a functional economy. Lessons learned to date from COVID-19 in the European Union are many; the current crisis highlights the need to think about future pandemics from a population-based management approach and apply outside the box critical thinking. Due to the complexity, intensity, and frequency of complex disasters, global leaders in healthcare, government, and business will need to pivot from siloed approaches to decision-making to embrace multidisciplinary and transdisciplinary levels of cooperation. This cooperation requires courage and leadership to recognize that changes are necessary to avoid making the same mistakes we have planned countless times on avoiding. This study focuses on the European Union’s initial response to the COVID-19 pandemic, starting with how the European Union first learned and processed the global information arising out of China, followed by the incremental population-based medicine/management decisions made that currently are defining the European Union’s capacity and capability. The capacity to organize, deliver, and monitor care to a specific clinical population under a population-based management target includes strict social distancing strategies, contact testing and tracing, testing for the virus antigen and its antibodies, isolation, and treatment modalities such as new mitigating medications, and finally, a vaccine.

ACS Style

Krzysztof Goniewicz; Amir Khorram-Manesh; Attila J. Hertelendy; Mariusz Goniewicz; Katarzyna Naylor; Jr. Frederick M. Burkle. Current Response and Management Decisions of the European Union to the COVID-19 Outbreak: A Review. Sustainability 2020, 12, 3838 .

AMA Style

Krzysztof Goniewicz, Amir Khorram-Manesh, Attila J. Hertelendy, Mariusz Goniewicz, Katarzyna Naylor, Jr. Frederick M. Burkle. Current Response and Management Decisions of the European Union to the COVID-19 Outbreak: A Review. Sustainability. 2020; 12 (9):3838.

Chicago/Turabian Style

Krzysztof Goniewicz; Amir Khorram-Manesh; Attila J. Hertelendy; Mariusz Goniewicz; Katarzyna Naylor; Jr. Frederick M. Burkle. 2020. "Current Response and Management Decisions of the European Union to the COVID-19 Outbreak: A Review." Sustainability 12, no. 9: 3838.

Journal article
Published: 18 March 2020 in Prehospital and Disaster Medicine
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Considering climate change, the risk of natural disasters requires a comprehensive approach on the part of all entities dealing with crisis management. Despite the advanced technologies available to predict weather phenomena, it is often unmanageable to take remedial measures, and the best solution is to suitably prepare for, and efficiently operate after, the occurrence of any given crisis. Nevertheless, it is imperative to implement the latest techniques and solutions which will allow for better preparation and responsiveness in the event of natural disasters. This manuscript presents results of initial analysis concerning the currently tested project, which is aimed at, among other things, improving safety in the event of natural disasters in Poland. There were two reasons for creating the manuscript. First, to present the potential of the system currently being built in Poland, which aims to reduce the risks associated with natural disasters and minimize the problems related to crisis management in Poland. And second, to open discussions and create grounds for information exchange between countries implementing similar solutions, especially neighboring countries, with which joint actions could be taken in the event of disasters in border areas.

ACS Style

Krzysztof Goniewicz; Maciej Magiera; Frederick M. Burkle; Mariusz Goniewicz. Prospective Study on the Potential Use of Satellite Data for Disaster Prevention, Preparedness, and Mitigation in Poland. Prehospital and Disaster Medicine 2020, 35, 331 -334.

AMA Style

Krzysztof Goniewicz, Maciej Magiera, Frederick M. Burkle, Mariusz Goniewicz. Prospective Study on the Potential Use of Satellite Data for Disaster Prevention, Preparedness, and Mitigation in Poland. Prehospital and Disaster Medicine. 2020; 35 (3):331-334.

Chicago/Turabian Style

Krzysztof Goniewicz; Maciej Magiera; Frederick M. Burkle; Mariusz Goniewicz. 2020. "Prospective Study on the Potential Use of Satellite Data for Disaster Prevention, Preparedness, and Mitigation in Poland." Prehospital and Disaster Medicine 35, no. 3: 331-334.

Brief report
Published: 09 March 2020 in International Journal of Environmental Research and Public Health
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Medical facilities, while providing both essential and demanding health care to society’s most vulnerable populations, also belong to the most demanding category of risk to human life if and when a crisis event occurs within its walls. The development of a safe evacuation plan for these facilities is extremely complicated, as the evacuation of medical facilities is much more complex than for other critical infrastructure. In this category, the evacuated patients constitute a specific risk group requiring specialized medical care. Hospitalized persons may be dependent on life-saving measures, are unconscious or immobile, are significantly restricted in movement or mentally unbalanced, being dependent on the continued assistance of trained third parties. Additionally, the medical transport of evacuated patients becomes more difficult due to the limited capacity of ambulances and available health care facilities to transport them to, which are increasingly limited due to their overcrowded census. The study aimed to analyze the requirements which are placed on hospitals in Poland to ensure the safety of patients in case of an evacuation. The research method used in the paper was retrospective analysis and evaluation of the media and literature. We have found, that Polish law imposes an obligation on the administrator of a medical facility to ensure the safety of both patients and employees. The regulations cover issues of technical conditions to be met by buildings and their location, prevention, and fire protection requirements, and the determination of which staff is responsible for the evacuation. However, available documents fail to describe what the hospital evacuation process itself should entail under emergency evacuation. Taking into account the complexity of the hospital evacuation process, health care facilities should have a well-developed plan of action that must be implemented at least once a year in the form of facility-wide training. Evacuation drills should not be avoided. Only trained procedures offer the possibility of later analysis to identify and eliminate errors and provide the opportunity to acquire skill sets and habits which promote the behaviors expected in real-life emergencies.

ACS Style

Krzysztof Goniewicz; Patrycja Misztal-Okońska; Witold Pawłowski; Jr. Frederick M. Burkle; Robert Czerski; Attila J. Hertelendy; Mariusz Goniewicz. Evacuation from Healthcare Facilities in Poland: Legal Preparedness and Preparation. International Journal of Environmental Research and Public Health 2020, 17, 1779 .

AMA Style

Krzysztof Goniewicz, Patrycja Misztal-Okońska, Witold Pawłowski, Jr. Frederick M. Burkle, Robert Czerski, Attila J. Hertelendy, Mariusz Goniewicz. Evacuation from Healthcare Facilities in Poland: Legal Preparedness and Preparation. International Journal of Environmental Research and Public Health. 2020; 17 (5):1779.

Chicago/Turabian Style

Krzysztof Goniewicz; Patrycja Misztal-Okońska; Witold Pawłowski; Jr. Frederick M. Burkle; Robert Czerski; Attila J. Hertelendy; Mariusz Goniewicz. 2020. "Evacuation from Healthcare Facilities in Poland: Legal Preparedness and Preparation." International Journal of Environmental Research and Public Health 17, no. 5: 1779.

Journal article
Published: 22 February 2020 in Alcohol and Alcoholism
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Aims An integral part of the World Health Organization (WHO) plan to reduce suicide by 10% by 2020 is to identify areas and demographic groups, which should be priority target groups for preventive activities. This study aimed to present the demographic differences between victims of suicide by hanging in the Warsaw metropolitan area, in Poland, by examining the sobriety of victims. Methods Data for analysis were obtained from the documentation of the Department of Forensic Medicine (DFM) at the Medical University of Warsaw (MUW). The retrospective analysis included 358 out of 466 victims of suicides by hanging in the Warsaw metropolitan area, in Poland, recorded in the DFM documentation covering 2011–2013. The data gathered included age, gender, the cause of death, a post-mortem examination as well as the level of ethanol in the blood and muscles of victims. Results In both groups, men accounted for a larger percentage of victims than women, P = 0.068. In the no-alcohol group, the victims were older than in the alcohol group (47.52 ± 19.21 vs. 40.88 ± 12.77) (P < 0.001). The majority of the studied population were victims aged 25–34 (22.90%), mainly men (20.95%). Young men were also the largest group among victims in the alcohol group (28.33%). The most numerous age group among no-alcohol group were older victims aged 55–64 (19.10%), especially men (16.29%). Conclusion Regardless of sobriety, men were the largest group of suicide victims in the study population, which means that men die suicide more often than women. Differences in gender proportions are related to age. In the studied population, it was primarily young victims, mainly men. These are the groups that should be priority target groups for preventive activities aimed at reducing the number of suicides. The presence of ethanol in more than half of the victims of suicide in the study population indicates that alcohol is an important suicidal risk factor.

ACS Style

Dorota Lasota; Witold Pawłowski; Paweł Krajewski; Anna Staniszewska; Krzysztof Goniewicz; Robert Czerski; Mariusz Goniewicz. Alcohol Intoxication and Suicide by Hanging in Poland. Alcohol and Alcoholism 2020, 55, 278 -283.

AMA Style

Dorota Lasota, Witold Pawłowski, Paweł Krajewski, Anna Staniszewska, Krzysztof Goniewicz, Robert Czerski, Mariusz Goniewicz. Alcohol Intoxication and Suicide by Hanging in Poland. Alcohol and Alcoholism. 2020; 55 (3):278-283.

Chicago/Turabian Style

Dorota Lasota; Witold Pawłowski; Paweł Krajewski; Anna Staniszewska; Krzysztof Goniewicz; Robert Czerski; Mariusz Goniewicz. 2020. "Alcohol Intoxication and Suicide by Hanging in Poland." Alcohol and Alcoholism 55, no. 3: 278-283.

Articles
Published: 16 September 2019 in International Journal of Injury Control and Safety Promotion
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The dominant cause of injuries in traffic crashes. A significant portion of them affects victims under the influence of ethyl alcohol. The goal of the studies was to assess the correlation between the state of sobriety and the severity of injuries expressed by injury severity scales in fatal pedestrian victims of traffic crashes. Research Material and Method: The data were obtained from the Warsaw Medical University's Department of Forensic Medicine. The analysis covered the data for 2009-2013 and included 200 fatal pedestrian victims hit by passenger cars. The assessment of the effect of risk factors on injury severity expressed in terms of injury severity scales such as Life Threat Indicator (LTI), International Classification based Injury Severity Score (ICISS), Injury Severity Score (ISS) and New Injury Severity Score (NISS), was made using adequately selected methods of statistical analysis. As alcohol concentration increases in women, the values of LTI, ICISS-10 and ICISS-15 decrease, which denotes more severe injuries. In the ISS and NISS, the effect of alcohol concentration on the severity of injuries turned out to be negligible. However, these injuries are significantly heavier in women than in men. According to all the scales used, the older the victims, the milder injuries cause their death. The studies show that ethyl alcohol concentration may harm injury severity, especially in the case of women. The assessment of the severity of injuries in traffic crash victims is significantly influenced by their age and gender. The more risk factors the scale takes into consideration, the more precise is the assessment.

ACS Style

Dorota Lasota; Mariusz Goniewicz; Dariusz Kosson; Andrzej Ochal; Paweł Krajewski; Sylwia Tarka; Krzysztof Goniewicz; Dagmara Mirowska-Guzel. Effects of ethyl alcohol on injuries severity according to injury severity scales in pedestrian fatal injury in traffic crashes. International Journal of Injury Control and Safety Promotion 2019, 27, 112 -120.

AMA Style

Dorota Lasota, Mariusz Goniewicz, Dariusz Kosson, Andrzej Ochal, Paweł Krajewski, Sylwia Tarka, Krzysztof Goniewicz, Dagmara Mirowska-Guzel. Effects of ethyl alcohol on injuries severity according to injury severity scales in pedestrian fatal injury in traffic crashes. International Journal of Injury Control and Safety Promotion. 2019; 27 (2):112-120.

Chicago/Turabian Style

Dorota Lasota; Mariusz Goniewicz; Dariusz Kosson; Andrzej Ochal; Paweł Krajewski; Sylwia Tarka; Krzysztof Goniewicz; Dagmara Mirowska-Guzel. 2019. "Effects of ethyl alcohol on injuries severity according to injury severity scales in pedestrian fatal injury in traffic crashes." International Journal of Injury Control and Safety Promotion 27, no. 2: 112-120.

Research article
Published: 10 September 2019 in PLOS ONE
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A substantial percentage of traffic crashes involve people under the influence of ethyl alcohol. In such circumstances, we speak of the possible effect of ethanol upon trauma outcomes. The present research aimed to assess the state of sobriety fatal pedestrian victims and the correlation between the level of sobriety and the severity of injuries. The data was obtained from the Warsaw Medical University's Department of Forensic Medicine. The analysis covered the data for the period of 2009-2013; it encompassed 158 fatal pedestrian victims hit by passenger cars. The appropriate methods of statistical analysis were applied. The majority of the fatal pedestrian victims were individuals under the influence of ethyl alcohol (72.15%). Significant correlations were observed between the concentration of ethyl alcohol and the victims' gender (p<0.0001) and age (p = 0.0026). The analysis showed that pedestrians under the influence of ethyl alcohol more often died on the scene (78.95%). Pedestrians under the influence of ethyl alcohol are a significant group of victims of traffic crashes. Ethyl alcohol is not an independent factor affecting the severity of injuries. A higher percentage of pedestrian victims die on the scene, especially in rural areas.

ACS Style

Dorota Lasota; Mariusz Goniewicz; Dariusz Kosson; Andrzej Ochal; Paweł Krajewski; Sylwia Tarka; Krzysztof Goniewicz; Dagmara Mirowska-Guzel. The effect of ethyl alcohol on the severity of injuries in fatal pedestrian victims of traffic crashes. PLOS ONE 2019, 14, e0221749 .

AMA Style

Dorota Lasota, Mariusz Goniewicz, Dariusz Kosson, Andrzej Ochal, Paweł Krajewski, Sylwia Tarka, Krzysztof Goniewicz, Dagmara Mirowska-Guzel. The effect of ethyl alcohol on the severity of injuries in fatal pedestrian victims of traffic crashes. PLOS ONE. 2019; 14 (9):e0221749.

Chicago/Turabian Style

Dorota Lasota; Mariusz Goniewicz; Dariusz Kosson; Andrzej Ochal; Paweł Krajewski; Sylwia Tarka; Krzysztof Goniewicz; Dagmara Mirowska-Guzel. 2019. "The effect of ethyl alcohol on the severity of injuries in fatal pedestrian victims of traffic crashes." PLOS ONE 14, no. 9: e0221749.

Journal article
Published: 01 September 2019 in Pielegniarstwo XXI wieku / Nursing in the 21st Century
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Introduction. Return of spontaneous circulation (ROSC) of a patient with cardiac arrest is the main goal of carrying out cardiopulmonary resuscitation. Aim. Evaluation of frequency of return of spontaneous circulation depending on the heart rhythms in the first moment of heart electrical activity. Material and methods. Analysis of 105 cases of sudden cardiac arrest in out-of-hospital conditions on the premises of Brzozow Emergency Medical Service from September 2016 to the end of February 2018. The data was collected from intervention medical cards and medical rescue procedure cards. Statistical analysis was carried out using STATISTICA software. Statistical significance was assumed to be p<0.05. Results. Sudden cardiac arrest in the analysed group applied to 62.9% of men. Return of spontaneous circulation was achieved only in 16 out of 105 cases (15.2%) of sudden cardiac arrest. The analysis has indicated that ROSC was successful among 66.67% of patients, who during the first analysis of the rhythm, represented cardiac arrest in VF/pVT, what constituted 75% of all ROSC cases in the analysed group. Comparison between ROSC and rhythm during the first evaluation of the rhythm showed statistical significance (p=0.00). Statistical significance was also shown in the relationship between ROSC and the average age of the patient (p=0.0155). Conclusions. Sudden cardiac arrest, when diagnosed in the first analysis of the rhythm VF/pVT, has bigger chances for return of spontaneous circulation than it has in other rhythms.

ACS Style

Sebastian Kowalski; Adrian Moskal; Karolina Żak-Kowalska; Mariusz Goniewicz. Return of spontaneous circulation and heart rhythm during the first analysis of the heart electrical activity. Pielegniarstwo XXI wieku / Nursing in the 21st Century 2019, 18, 147 -150.

AMA Style

Sebastian Kowalski, Adrian Moskal, Karolina Żak-Kowalska, Mariusz Goniewicz. Return of spontaneous circulation and heart rhythm during the first analysis of the heart electrical activity. Pielegniarstwo XXI wieku / Nursing in the 21st Century. 2019; 18 (3):147-150.

Chicago/Turabian Style

Sebastian Kowalski; Adrian Moskal; Karolina Żak-Kowalska; Mariusz Goniewicz. 2019. "Return of spontaneous circulation and heart rhythm during the first analysis of the heart electrical activity." Pielegniarstwo XXI wieku / Nursing in the 21st Century 18, no. 3: 147-150.

Journal article
Published: 06 August 2019 in International Journal of Environmental Research and Public Health
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Suicide is one of the most frequent causes of death. According to the World Health Organization (WHO), each year, over eight hundred thousand people worldwide die as a result of suicide. The most common risk factors for suicide are depressive disorders and alcohol dependence. Alcohol can directly influence a decision about suicide, or be a factor facilitating this decision. The aim of the study was to analyse the seasonality of suicides among persons under the influence of alcohol. Data for analysis were obtained from the Department of Forensic Medicine (DFM) of the Medical University of Warsaw. A retrospective analysis was performed on 317 victims of suicides by hanging, those which were entered into the registry of deaths kept by the DFM in the years 2009-2013. The analysis took into account the age and sex of victims, initial cause of death, date of post-mortem examination, autopsy result and alcohol concentration in the blood or muscles of the victims. Statistical analysis was performed using IBM SPSS Statistics version 20. In the analysis, a spring peak of suicides was found for men, and an autumn peak was revealed for women. In addition, a significant correlation was observed between the age of victims and the concentration of alcohol; the older the victims, the higher the alcohol concentration. However, this correlation was reported only in the spring months. The results of the analysis seem to be consistent with seasonal patterns observed in other studies, and they indicate the occurrence of suicide seasonality. In order to improve the strategies of suicide prevention, it is necessary to identify factors which are related to the seasonal variation of suicidal behaviours, as well as to gain knowledge about the mechanisms behind this phenomenon.

ACS Style

Dorota Lasota; Witold Pawłowski; Paweł Krajewski; Anna Staniszewska; Krzysztof Goniewicz; Mariusz Goniewicz. Seasonality of Suicides among Victims Who Are under the Influence of Alcohol. International Journal of Environmental Research and Public Health 2019, 16, 2806 .

AMA Style

Dorota Lasota, Witold Pawłowski, Paweł Krajewski, Anna Staniszewska, Krzysztof Goniewicz, Mariusz Goniewicz. Seasonality of Suicides among Victims Who Are under the Influence of Alcohol. International Journal of Environmental Research and Public Health. 2019; 16 (15):2806.

Chicago/Turabian Style

Dorota Lasota; Witold Pawłowski; Paweł Krajewski; Anna Staniszewska; Krzysztof Goniewicz; Mariusz Goniewicz. 2019. "Seasonality of Suicides among Victims Who Are under the Influence of Alcohol." International Journal of Environmental Research and Public Health 16, no. 15: 2806.

Journal article
Published: 25 April 2019 in International Journal of Environmental Research and Public Health
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Introduction: Every year more than 1.2 million people worldwide die due to trauma sustained in road crashes, with an additional number of people injured exceeding 50 million. To a large extent, this applies to so called “unprotected road users”, including pedestrians. The risk involved in a traffic crash for pedestrians can result from many factors, one of which is participation in road traffic when under the influence of alcohol. The aim of this study was to analyze the impact of alcohol use among pedestrians as unprotected road traffic participants, and the consequences of them being struck by motor vehicles. Material and methods: The source of data was the medical documentation of the Department of Forensic Medicine at the Medical University of Warsaw. The sample for this research consisted of 313 pedestrians who were victims of fatal road crashes resulting from a collision with a mechanical vehicle. The obtained results were subjected to statistical analysis using the STATISTICA version 12.5 program (StatSoft Polska, Cracow, Poland). Results: Male fatalities constituted the majority of the study sample. Nearly half of the fatal pedestrian victims were found to be under the influence of alcohol. The statistical analysis demonstrated a significant relationship between the gender and age of the victims, as well as between the place of the event, the place of death, the mechanism of the event, and the presence of alcohol in pedestrians. Conclusions: Among pedestrians, victims of road crashes who were under the influence of alcohol were predominantly drunk young males. Victims under the influence of alcohol were more likely to become fatalities in crashes where the mechanism of the incident was being struck by a passenger car, and when the place of the incident was a rural area, in these cases the rates of death directly at the scene were much more frequent. The eradication of alcohol consumption by all road users should be the overriding objective of all measures aimed at reducing the number of road crashes.

ACS Style

Witold Pawłowski; Dorota Lasota; Mariusz Goniewicz; Patryk Rzońca; Krzysztof Goniewicz; Paweł Krajewski. The Effect of Ethyl Alcohol upon Pedestrian Trauma Sustained in Traffic Crashes. International Journal of Environmental Research and Public Health 2019, 16, 1471 .

AMA Style

Witold Pawłowski, Dorota Lasota, Mariusz Goniewicz, Patryk Rzońca, Krzysztof Goniewicz, Paweł Krajewski. The Effect of Ethyl Alcohol upon Pedestrian Trauma Sustained in Traffic Crashes. International Journal of Environmental Research and Public Health. 2019; 16 (8):1471.

Chicago/Turabian Style

Witold Pawłowski; Dorota Lasota; Mariusz Goniewicz; Patryk Rzońca; Krzysztof Goniewicz; Paweł Krajewski. 2019. "The Effect of Ethyl Alcohol upon Pedestrian Trauma Sustained in Traffic Crashes." International Journal of Environmental Research and Public Health 16, no. 8: 1471.

Review article
Published: 12 February 2019 in European Journal of Trauma and Emergency Surgery
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The article presents the epidemiology of road traffic injuries and fatalities in Poland in the years 2004–2014. In Poland, every fourth death caused by external reasons is the result of a road traffic crash and Poland has one of the highest road fatality rates in relation to vehicle ownership in Europe, with an average 23 deaths per million residents. This rate is two times higher than most other European Union countries. The research is based on a secondary analysis of data contained in multiple Polish governmental reports, including those of the Prevention and Analysis Office of Road Traffic Headquarters of Police, National Road Safety Program—GAMBIT 2005, National Road Safety Program 2013 to 2020, and Strategy for Efficient State in 2020, plus previous publications describing road safety in Poland. Data were analysed in two steps. First, the data were described using means and frequencies, and tabulated according to variables. Second, we considered the time frame (day, month, and year of the occurrence), the place and the circumstances of fatal road crashes, the kind of event, and types of road crashes. Between 2004 and 2014, there were 475,591 traffic crashes on Polish roads. 52,217 people were killed and 597,191 people were injured. Traffic-related injuries represent the leading cause of death for Polish men up to 44 years of age. The most common cause of road crashes in Poland was failure to comply with the rules of the road traffic, such as through excessive speeding. We also found drivers poorly assessed road situations, faced a lack of adequate road infrastructure, and maintained many vehicles in poor condition. Despite the variety of measures undertaken to improve safety on Polish roads, including modifications of the law as well as improving road quality, the number of fatalities and injuries resulting from motor vehicle crashes is still considerable, and the losses incurred by Polish society are still substantial. The number of fatalities and injuries as a result of road crashes in Poland remains very high. Multifaceted action to improve safety on the roads in Poland should continue.

ACS Style

Witold Pawłowski; Krzysztof Goniewicz; David C. Schwebel; Jiabin Shen; Mariusz Goniewicz. Road traffic injuries in Poland: magnitude and risk factors. European Journal of Trauma and Emergency Surgery 2019, 45, 815 -820.

AMA Style

Witold Pawłowski, Krzysztof Goniewicz, David C. Schwebel, Jiabin Shen, Mariusz Goniewicz. Road traffic injuries in Poland: magnitude and risk factors. European Journal of Trauma and Emergency Surgery. 2019; 45 (5):815-820.

Chicago/Turabian Style

Witold Pawłowski; Krzysztof Goniewicz; David C. Schwebel; Jiabin Shen; Mariusz Goniewicz. 2019. "Road traffic injuries in Poland: magnitude and risk factors." European Journal of Trauma and Emergency Surgery 45, no. 5: 815-820.

Journal article
Published: 08 February 2019
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Introduction. Nephrolithiasis consists of the production and retention of calculi in the urinary tract. It is being diagnosed in an increasing number of people of any age, and is one of the most common ailments in the world. Depending on a number of factors, it can be found in 5–20% of the population. Traditional surgeries are being replaced by less invasive methods of treatment. The relation between the endourological removal of calculi from the urinary tract and the assessment of the quality of life of patients who have undergone such procedures is an interesting topic worth analysing. In the 21st century, quality of life became the indicator of the efficacy of many therapies and procedures. It is associated with the quality of treatment, reflecting a better and longer life with the disease. Objective. The objective of this study is to demonstrate the quality of life of the surveyed patients with nephrolithiasis after the endourological removal of calculi from the urinary tract. Materials and methods. The group of surveyed individuals qualified for statistical analysis included 120 people diagnosed with nephrolithiasis. The patients underwent the procedure of the endourological removal of calculi from the urinary tract in 2015 in three hospitals in eastern Poland. Among the respondents, 48% of them underwent extracorporeal shock wave lithotripsy (ESWL), 31% had percutaneous nephrolithotripsy (PCNL), and 21% had uretherorenoscopic lithotripsy (URS). To evaluate the quality of life, a research tool was devised based on an abbreviated version of the Polish adaptation of the WHOQOL – BREF questionnaire. Also, a personal questionnaire prepared by the author was used. Results and conclusions. The analysis of the collected materials demonstrated the impact of the endourological removal of calculi from the urinary tract on the quality of life of the hospitalised patients. Differences were identified in individuals’ general rating of quality of life (57% of respondents were satisfied) and patients’ general satisfaction with their health (47.5% of respondents were satisfied) after the procedure. Significant differences were identified in each of the studied fields: physical, psychological, social and environmental. A statistically significant correlation of p<0.05 was observed between the respondents’ rating of their quality of life in individual fields, and their gender and age, place of residence, education and type of procedure. Key words: nephrolithiasis, quality of life (QoL), WHOQOL – BREF, endourological removal of calculi

ACS Style

Diana Słota; Tadeusz Paweł Wasilewski; Mariusz Goniewicz; Klaudia Długoborska. The quality of life of patients with nephrolithiasis after the endourological removal of calculi from the urinary tract. 2019, 5, 135 -144.

AMA Style

Diana Słota, Tadeusz Paweł Wasilewski, Mariusz Goniewicz, Klaudia Długoborska. The quality of life of patients with nephrolithiasis after the endourological removal of calculi from the urinary tract. . 2019; 5 (2):135-144.

Chicago/Turabian Style

Diana Słota; Tadeusz Paweł Wasilewski; Mariusz Goniewicz; Klaudia Długoborska. 2019. "The quality of life of patients with nephrolithiasis after the endourological removal of calculi from the urinary tract." 5, no. 2: 135-144.