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Knowledge of neurologists and gynaecologists regarding reproductive and maternity issues in women with epilepsy

100%

Janos I., Cieslik A., Wanot J., Sejboth J., Szurlej D., Gurowiec P.

Medical Science Pulse

2018

tom 12

nr 3

Background: Epilepsy is one of the most common neurological disorders, with more than 400,000 individuals in Poland (about 1% of the population) affected. Epilepsy complicates approximately 0.5% of pregnancies. Aim of the study: To determine the level of knowledge that neurologists and gynaecologists have about reproductive and maternity issues for women with epilepsy. Material and methods: This study included 141 neurologists and physicians undergoing specialist training in neurology as well as 72 gynaecologists and physicians undergoing specialist training in gynaecology. A validated questionnaire was used to survey these neurologists and gynaecologists, who worked in Silesia Province. Results: In the group of physicians advising on contraception, significantly (p = 0.003) more gynaecologists than neurologists recommended hormonal birth control. Significantly more (p = 0.031) neurologists than gynaecologists believed that monotherapy with antiepileptic medications should be aimed for before a planned pregnancy in women with epilepsy. More than a half of the surveyed physicians (56.8%) believed that pregnant women with epilepsy can have a natural delivery. Conclusions: On the basis of these results, we have concluded that gynaecologists and, to a lesser extent, neurologists should have more extensive knowledge regarding reproductive and maternity issues for women with epilepsy. We further propose that close collaboration between neurologists and gynaecologists in the care of epileptic women is necessary.

Airway management - a review of current methods, guidelines and equipment

100%

Bargiel D., Sejboth J., Jurkiewicz-Spiewak A., Szurlej D., Gurowiec P., Romanska A., Dabrowski M.

Medical Science Pulse

2018

tom 12

nr 1

Maintaining airway patency is an essential issue in many fields of medicine. The modern approach to CPR, which focuses on maintaining airway, breathing, and circulation was finally established by Peter Safar in his book ABC of Resuscitation (1950). At present, along with the development of evidence-based medicine, techniques which are proven to be clinically effective are regularly published in a convenient form – as bundles and guidelines. Regarding airway management, ERC and DAS guidelines are the most reliable and useful sources of knowledge and practical clinical advice. Among the medical staff, there is emphasis put on the mastery of AB C techniques. Airway management is the first step in the resuscitation algorithm. It consists of a variety of procedures ranging from simple and non-invasive to more complex, requiring professional training and experience. Currently, the most clinically effective and life-saving actions are incorporated into whole procedures and bundles, such as ERC or DAS guidelines, which are evenly checked, evaluated and, eventually, modified. This method of regular revision allows us to keep all medical professionals at the same level of competence. The aim of the study was to describe basic and advanced techniques, methods, and devices which are currently used to provide it. Currently applicable guidelines regarding CPR and airway management were reviewed and summarized.

Ograniczanie wyników

2 Medical Science Pulse

2 Gurowiec P.

2 Sejboth J.

2 Szurlej D.

1 Bargiel D.

1 Cieslik A.

1 Dabrowski M.

1 Janos I.

1 Jurkiewicz-Spiewak A.

1 Romanska A.

1 Wanot J.

2 2018

Wyniki wyszukiwania

Knowledge of neurologists and gynaecologists regarding reproductive and maternity issues in women with epilepsy

Airway management - a review of current methods, guidelines and equipment