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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.
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 StyleDorota 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 StyleDorota 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.
An integral part of the World Health Organization’s (WHO) mental health action plan for 2013–2020 is suicide prevention, and a 10% reduction in the suicide rate. A key element of the preventive measures taken is, among other things, limiting access to means enabling and facilitating committing suicide. However, this requires detailed knowledge of community suicide patterns and preferences. Unfortunately, such information is not usually collected, and the recorded method of committing suicide is often imprecise and untrue, which means that such knowledge has limited application in presuicidal prophylaxis. The statistical data on suicides recorded as part of the Police Statistics in Poland during the years 2009–2019 was analyzed. The analysis included suicide deaths and suicide attempts, taking into account the suicide methods and substances influencing the state of consciousness of their victims. The number of suicides in Poland in the analyzed period tended to increase. The most common method of suicide was hanging, and alcohol was the substance influencing the state of consciousness of suicide victims. The statistics for 2017–2019 showed the presence of new methods of suicide, such as taking drugs other than hypnotics, intoxication with narcotic drugs, poisoning with designer drugs, suffocation and self-immolation, as well as new psychoactive substances affecting the state of consciousness of victims, i.e., drugs and narcotic drugs. The effectiveness of actions taken in Poland in the field of suicide prevention does not bring the desired effects, as evidenced by growing number of suicides. This low effectiveness is mainly due to the lack of a national suicide prevention strategy. The effectiveness of these activities may be improved by creating a uniform database of suicides, which is a source of reliable information which will allow the taking of actions aimed at limiting the availability of means enabling and facilitating the committing of suicide. The study aimed to analyze the types of suicide methods and substances influencing the state of consciousness of their victims in Poland in the years covered by the study.
Dorota Lasota; Dagmara Mirowska-Guzel; Krzysztof Goniewicz. Analysis of Suicide Methods and Substances Influencing the State of Consciousness of Their Victims in Poland. International Journal of Environmental Research and Public Health 2021, 18, 4936 .
AMA StyleDorota Lasota, Dagmara Mirowska-Guzel, Krzysztof Goniewicz. Analysis of Suicide Methods and Substances Influencing the State of Consciousness of Their Victims in Poland. International Journal of Environmental Research and Public Health. 2021; 18 (9):4936.
Chicago/Turabian StyleDorota Lasota; Dagmara Mirowska-Guzel; Krzysztof Goniewicz. 2021. "Analysis of Suicide Methods and Substances Influencing the State of Consciousness of Their Victims in Poland." International Journal of Environmental Research and Public Health 18, no. 9: 4936.
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.
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 StyleKrzysztof 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 StyleKrzysztof 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.
According to the World Health Organization (WHO), more than half of all road fatalities involve vulnerable road users, i.e., pedestrians, cyclists, and motorcyclists. Poland is classified as one of the European Union (EU) countries marked by low road safety, with a higher frequency of accidents involving pedestrians compared to other EU countries (31% of all fatalities). Among unprotected road users, a significant group of victims are pedestrians, who are often under the influence of alcohol. This study aims to analyze the impact of alcohol on the risk of occurrence and consequences of road accidents among pedestrians. The source of data was the medical documentation of the Department of Forensic Medicine of the Medical University of Warsaw. In more than half of pedestrian deaths, the presence of alcohol was found; regardless of the place of the event and the place of death, among the victims under the influence of alcohol, males dominated; the average age of the victims under the influence of alcohol was significantly lower compared to the average age of sober victims, with younger victims being significantly more likely to die at the scene of the accident, especially in rural areas; significantly higher alcohol concentrations were found in males, in victims who died at the scene of the accident, and with victims of accidents in rural areas. Among pedestrian traffic accident fatalities, the most numerous group comprised young men under the influence of alcohol. In rural areas, a higher percentage of pedestrian victims died at the scene as a result of excessive alcohol consumption. These areas should be subject to intensive preventive measures to increase the safety of pedestrians as unprotected road users.
Dorota Lasota; Ahmed Al-Wathinani; Paweł Krajewski; Krzysztof Goniewicz; Witold Pawłowski. Alcohol and Road Accidents Involving Pedestrians as Unprotected Road Users. International Journal of Environmental Research and Public Health 2020, 17, 8995 .
AMA StyleDorota Lasota, Ahmed Al-Wathinani, Paweł Krajewski, Krzysztof Goniewicz, Witold Pawłowski. Alcohol and Road Accidents Involving Pedestrians as Unprotected Road Users. International Journal of Environmental Research and Public Health. 2020; 17 (23):8995.
Chicago/Turabian StyleDorota Lasota; Ahmed Al-Wathinani; Paweł Krajewski; Krzysztof Goniewicz; Witold Pawłowski. 2020. "Alcohol and Road Accidents Involving Pedestrians as Unprotected Road Users." International Journal of Environmental Research and Public Health 17, no. 23: 8995.
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.
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 StyleDorota 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 StyleDorota 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.
Objectives: Biological weapons are one of the oldest weapons of mass destruction used by man. Their use has not only determined the outcome of battles, but also influenced the fate of entire civilizations. Although the use of biological weapons agents in a terrorist attack is currently unlikely, all services responsible for the surveillance and removal of epidemiological threats must have clear guidelines and emergency response plans. Methods: In the face of the numerous threats appearing in the world, it has become necessary to put the main emphasis on modernizing, securing, and maintaining structures in the field of medicine which are prepared for unforeseen crises and situations related to the use of biological agents. Results: This article presents Poland’s current preparation to take action in the event of a bioterrorist threat. The study presents both the military aspect and procedures for dealing with contamination. Conclusions: In Poland, as in other European Union countries fighting terrorism, preparations should be made to defend against biological attacks, improve the flow of information on the European security system, strengthen research centers, train staff, create observation units and vaccination centers, as well as prepare hospitals for the hospitalization of patients—potential victims of bioterrorist attacks.
Krzysztof Goniewicz; Beata Osiak; Witold Pawłowski; Robert Czerski; Frederick M. Burkle; Dorota Lasota; Mariusz Goniewicz. Bioterrorism Preparedness and Response in Poland: Prevention, Surveillance, and Mitigation Planning. Disaster Medicine and Public Health Preparedness 2020, 1 -6.
AMA StyleKrzysztof Goniewicz, Beata Osiak, Witold Pawłowski, Robert Czerski, Frederick M. Burkle, Dorota Lasota, Mariusz Goniewicz. Bioterrorism Preparedness and Response in Poland: Prevention, Surveillance, and Mitigation Planning. Disaster Medicine and Public Health Preparedness. 2020; ():1-6.
Chicago/Turabian StyleKrzysztof Goniewicz; Beata Osiak; Witold Pawłowski; Robert Czerski; Frederick M. Burkle; Dorota Lasota; Mariusz Goniewicz. 2020. "Bioterrorism Preparedness and Response in Poland: Prevention, Surveillance, and Mitigation Planning." Disaster Medicine and Public Health Preparedness , no. : 1-6.
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.
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 StyleDorota 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 StyleDorota 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.
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.
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 StyleDorota 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 StyleDorota 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.
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.
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 StyleDorota 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 StyleDorota 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.
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.
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 StyleDorota 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 StyleDorota 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.
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.
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 StyleWitold 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 StyleWitold 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.
Introduction: Lifestyle is one of the factors influencing people’s health and each person should be responsible for own health. Hence, it is necessary to educate people about importance of proper choices of behaviour and life style that have substantial influence on health. Such choices are...
Witold Pawłowski; Krzysztof Goniewicz; Mariusz Goniewicz; Dorota Lasota. Lifestyle and wellness – effects on cardiovascular disease risk factors. Medycyna Ogólna i Nauki o Zdrowiu 2018, 24, 228 -233.
AMA StyleWitold Pawłowski, Krzysztof Goniewicz, Mariusz Goniewicz, Dorota Lasota. Lifestyle and wellness – effects on cardiovascular disease risk factors. Medycyna Ogólna i Nauki o Zdrowiu. 2018; 24 (4):228-233.
Chicago/Turabian StyleWitold Pawłowski; Krzysztof Goniewicz; Mariusz Goniewicz; Dorota Lasota. 2018. "Lifestyle and wellness – effects on cardiovascular disease risk factors." Medycyna Ogólna i Nauki o Zdrowiu 24, no. 4: 228-233.
The article presents the epidemiology of road crashes in Poland in the years 2004–2014. The research is based on the analysis of data contained in the reports 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. Our results suggest several thousand people are killed on Polish roads annually, and tens of thousands are injured. Road crashes represent the leading cause of death for Polish men up to 44 years of age. The most common causes of road crashes in Poland include failure to comply with the rules of the road traffic (mainly excessive speed, intoxication while engaged in traffic, and lack of respect for the rights of other road users, especially disregard for the rights of pedestrians and cyclists), and low driving skills. We also found drivers poorly assessed road situations, possessed a lack of adequate road infrastructure, and maintained many vehicles in poor condition. Drivers caused the majority of MVA in Poland in years 2004 to 2014. The most common underlying causes were inappropriate speed given the road traffic conditions and not respecting the right-of-way concerning other road users. Despite various measures that are being taken to improve safety on Polish roads, the number of the dead and wounded as a result of road crashes is still very high. It is necessary to continue multifaceted actions to improve safety on the roads in Poland.
Krzysztof Goniewicz; Mariusz Goniewicz; Dorota Lasota. PW 0208 Road traffic injuries in poland: magnitude and risk factors. Abstracts 2018, 24, A48 -A48.
AMA StyleKrzysztof Goniewicz, Mariusz Goniewicz, Dorota Lasota. PW 0208 Road traffic injuries in poland: magnitude and risk factors. Abstracts. 2018; 24 ():A48-A48.
Chicago/Turabian StyleKrzysztof Goniewicz; Mariusz Goniewicz; Dorota Lasota. 2018. "PW 0208 Road traffic injuries in poland: magnitude and risk factors." Abstracts 24, no. : A48-A48.
Objective: The aim of the research was to assess the prevalence, effects and risk factors for motor vehicle accidents (MVA) in the years 2004-2017 in Poland. Method: We merged secondary data from the Prevention and Analysis Office of Road Traf...
Witold Pawłowski; Krzysztof Goniewicz; Katarzyna Naylor; Mariusz Goniewicz; Dorota Lasota. Risk indicators for road accident in Poland for the period 2004-2017. Central European Journal of Public Health 2018, 26, 195 -198.
AMA StyleWitold Pawłowski, Krzysztof Goniewicz, Katarzyna Naylor, Mariusz Goniewicz, Dorota Lasota. Risk indicators for road accident in Poland for the period 2004-2017. Central European Journal of Public Health. 2018; 26 (3):195-198.
Chicago/Turabian StyleWitold Pawłowski; Krzysztof Goniewicz; Katarzyna Naylor; Mariusz Goniewicz; Dorota Lasota. 2018. "Risk indicators for road accident in Poland for the period 2004-2017." Central European Journal of Public Health 26, no. 3: 195-198.
The population of elderly people (over 65 years of age) is constantly growing in the majority of western societies. This is due to the advances in medicine and the increasing awareness of healthier lifestyles during the last several decades. It is predicted that by the year 2030 there will be...
Witold Pawłowski; Krzysztof Goniewicz; Mariusz Goniewicz; Dorota Lasota. Public health impact of osteoporosis in older age. Journal of Pre-Clinical and Clinical Research 2018, 12, 106 -109.
AMA StyleWitold Pawłowski, Krzysztof Goniewicz, Mariusz Goniewicz, Dorota Lasota. Public health impact of osteoporosis in older age. Journal of Pre-Clinical and Clinical Research. 2018; 12 (3):106-109.
Chicago/Turabian StyleWitold Pawłowski; Krzysztof Goniewicz; Mariusz Goniewicz; Dorota Lasota. 2018. "Public health impact of osteoporosis in older age." Journal of Pre-Clinical and Clinical Research 12, no. 3: 106-109.
Patrycja Misztal-Okońska; Dorota Lasota; Mariusz Goniewicz; Krzysztof Goniewicz; Witold Pawłowski; Robert Czerski; Alicja Tuszczyńska. [First aid education - a questionnaire survey]. Wiadomości Lekarskie 2018, 71, 874 -878.
AMA StylePatrycja Misztal-Okońska, Dorota Lasota, Mariusz Goniewicz, Krzysztof Goniewicz, Witold Pawłowski, Robert Czerski, Alicja Tuszczyńska. [First aid education - a questionnaire survey]. Wiadomości Lekarskie. 2018; 71 (4):874-878.
Chicago/Turabian StylePatrycja Misztal-Okońska; Dorota Lasota; Mariusz Goniewicz; Krzysztof Goniewicz; Witold Pawłowski; Robert Czerski; Alicja Tuszczyńska. 2018. "[First aid education - a questionnaire survey]." Wiadomości Lekarskie 71, no. 4: 874-878.
Witold Pawłowski; Dorota Lasota; Krzysztof Goniewicz; Mariusz Goniewicz. Effects of first aid training in emergency preparedness and response. Medical Studies 2018, 34, 259 -263.
AMA StyleWitold Pawłowski, Dorota Lasota, Krzysztof Goniewicz, Mariusz Goniewicz. Effects of first aid training in emergency preparedness and response. Medical Studies. 2018; 34 (3):259-263.
Chicago/Turabian StyleWitold Pawłowski; Dorota Lasota; Krzysztof Goniewicz; Mariusz Goniewicz. 2018. "Effects of first aid training in emergency preparedness and response." Medical Studies 34, no. 3: 259-263.
Krzysztof Goniewicz; Witold Pawłowski; Piotr Fiedor; Dorota Lasota. Risk of road traffic accidents in children. Medical Studies 2017, 2, 155 -160.
AMA StyleKrzysztof Goniewicz, Witold Pawłowski, Piotr Fiedor, Dorota Lasota. Risk of road traffic accidents in children. Medical Studies. 2017; 2 (2):155-160.
Chicago/Turabian StyleKrzysztof Goniewicz; Witold Pawłowski; Piotr Fiedor; Dorota Lasota. 2017. "Risk of road traffic accidents in children." Medical Studies 2, no. 2: 155-160.
Krzysztof Goniewicz; Mariusz Goniewicz; Witold Pawłowski; Piotr Fiedor; Dorota Lasota. Road safety in Poland: magnitude, causes and injuries. Wiadomości Lekarskie 2017, 70, 352 -356.
AMA StyleKrzysztof Goniewicz, Mariusz Goniewicz, Witold Pawłowski, Piotr Fiedor, Dorota Lasota. Road safety in Poland: magnitude, causes and injuries. Wiadomości Lekarskie. 2017; 70 ():352-356.
Chicago/Turabian StyleKrzysztof Goniewicz; Mariusz Goniewicz; Witold Pawłowski; Piotr Fiedor; Dorota Lasota. 2017. "Road safety in Poland: magnitude, causes and injuries." Wiadomości Lekarskie 70, no. : 352-356.
Lasota Dorota, Staniszewska Anna, Tarchalska-Kryńska Bożena, Mirowska-Guzel Dagmara, Krajewski Paweł. Nietrzeźwość a ryzyko zgonu w wypadku komunikacyjnym = Insobriety and the risk of death in traffic accident. Journal of Education, Health and Sport. 2015;5(6):419-432 . ISSN 2391-8306. DOI 10.5281/zenodo.18926 http://ojs.ukw.edu.pl/index.php/johs/article/view/2015%3B5%286%29%3A419-432 https://pbn.nauka.gov.pl/works/570520 http://dx.doi.org/10.5281/zenodo.18926 Formerly Journal of Health Sciences. ISSN 1429-9623 / 2300-665X. Archives 2011 – 2014 http://journal.rsw.edu.pl/index.php/JHS/issue/archive Deklaracja. Specyfika i zawartość merytoryczna czasopisma nie ulega zmianie. Zgodnie z informacją MNiSW z dnia 2 czerwca 2014 r., że w roku 2014 nie będzie przeprowadzana ocena czasopism naukowych; czasopismo o zmienionym tytule otrzymuje tyle samo punktów co na wykazie czasopism naukowych z dnia 31 grudnia 2014 r. The journal has had 5 points in Ministry of Science and Higher Education of Poland parametric evaluation. Part B item 1089. (31.12.2014). © The Author (s) 2015; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland and Radom University in Radom, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 21.04.2015. Revised 28.05.2015. Accepted: 24.06.2015. Nietrzeźwość a ryzyko zgonu w wypadku komunikacyjnym Insobriety and the risk of death in traffic accident Dorota Lasota1*, Anna Staniszewska1, Bożena Tarchalska-Kryńska1, Dagmara Mirowska-Guzel1, Paweł Krajewski21 Katedra i Zakład Farmakologii Doświadczalnej i Klinicznej Warszawskiego Uniwersytetu Medycznego 2 Zakład Medycyny Sądowej Warszawskiego Uniwersytetu Medycznego Autor do korespondencji: mgr Dorota Lasota Katedra i Zakład Farmakologii Doświadczalnej i Klinicznej WUM Banacha 1b, 02-097 Warszawa e-mail: [email protected] Streszczenie Wprowadzenie. Wypadki komunikacyjne są istotnym problemem cywilizacyjnym, a także medycznym i społecznym. Ponadto są dominującą przyczyną urazów, których skutki mogą prowadzić do trwałego uszczerbku na zdrowiu, a nawet śmierci. Czynnikiem w sposób istotny wpływającym na wzrost ryzyka wypadków komunikacyjnych jest nietrzeźwość. Cel pracy. Analiza stanu trzeźwości i jej wpływu na śmiertelność ofiar wypadków komunikacyjnych. Materiał i metoda. Dane uzyskano z Zakładu Medycyny Sądowej Warszawskiego Uniwersytetu Medycznego. Analizą objęto dane z lat 2009-2013. Grupę badaną stanowiły ofiary wypadków komunikacyjnych. W analizie uwzględniono wiek, płeć, wyjściową przyczynę zgonu, wynik badania sekcyjnego oraz stężenie alkoholu etylowego w materiale biologicznym. Wyniki. Liczba ofiar wypadków komunikacyjnych w badanym czasie miała tendencję malejącą. Najliczniejszą grupę ofiar wypadków komunikacyjnych spośród wszystkich kategorii stanowili piesi. U nietrzeźwych pieszych, odnotowano istotnie wyższe stężenia alkoholu w porównaniu do innych nietrzeźwych ofiar wypadków komunikacyjnych. W analizowanym materiale stwierdzono ponadto zależność między stężeniem alkoholu a wiekiem i płcią nietrzeźwych ofiar wypadków komunikacyjnych. Wnioski. Nietrzeźwość uczestników ruchu drogowego to jeden z najistotniejszych czynników ryzyka wypadków komunikacyjnych ze skutkiem śmiertelnym. Wiele uwagi poświęca się nietrzeźwości kierowców, tymczasem równie istotnym problemem okazuje się być nietrzeźwość pieszych, na co wskazują wyniki przeprowadzonej analizy. Nie tylko więc nietrzeźwi kierowcy, ale również nietrzeźwi piesi stwarzają potencjalne ryzyko wypadku komunikacyjnego. Nietrzeźwość wydaje się być dużym problemem wśród mężczyzn, stanowiących znaczącą liczbę ofiar wypadków komunikacyjnych. Słowa kluczowe: uraz wielonarządowy, obrażenia wielonarządowe, alkohol etylowy, etanol, wypadek komunikacyjny. Summary Introduction. Traffic accidents are one of the biggest problems of civilization. It also has a large medical and social problem. Traffic accidents are the dominant cause of injury, the effects of which can lead to permanent health damage and even death. Another factor significantly influencing the increased risk of traffic accidents is insobriety. Aim of the study. Analysis of sobriety and its impact on mortality of victims of traffic...
Dorota Lasota; Anna Staniszewska; Bożena Tarchalska-Kryńska; Dagmara Mirowska-Guzel; Paweł Krajewski. Nietrzeźwość A Ryzyko Zgonu W Wypadku Komunikacyjnym = Insobriety And The Risk Of Death In Traffic Accident. 2015, 1 .
AMA StyleDorota Lasota, Anna Staniszewska, Bożena Tarchalska-Kryńska, Dagmara Mirowska-Guzel, Paweł Krajewski. Nietrzeźwość A Ryzyko Zgonu W Wypadku Komunikacyjnym = Insobriety And The Risk Of Death In Traffic Accident. . 2015; ():1.
Chicago/Turabian StyleDorota Lasota; Anna Staniszewska; Bożena Tarchalska-Kryńska; Dagmara Mirowska-Guzel; Paweł Krajewski. 2015. "Nietrzeźwość A Ryzyko Zgonu W Wypadku Komunikacyjnym = Insobriety And The Risk Of Death In Traffic Accident." , no. : 1.