Renata Adamek, Edyta Kurzepa-Hasan, Anna Pietrzak, Monika Zysnarska, Joanna Jagielska
[Tobacco smoking and self-assessment of health status among students from High School of Country Economy in Kutno--preliminary study]
Przeglad lekarski
mass disasters characterized disparity health care demand supply hampers complex therapies like kidney transplantation considering scarcity publications previous disasters reviewed transplantation practice recent covid19 pandemic dwelled upon experience guiding transplantation strategies future pandemic nonpandemic catastrophes strongly suggest continuing transplantation programs mass disasters medical logistic operational circumstances appropriate postponing transplantations living donors referral urgent cases safe regions hospitals justified specific preventative measures anticipated disasters vaccination programs pandemics evacuation case hurricanes wars may useful minimize risks immunosuppressive therapies consider stratifying risk status avoiding heavy immune suppression patients low probability therapeutic success discharging patients earliest convenience justified pandemics whereas delaying discharge reasonable disasters infrastructural damage results unhygienic living environments patients outpatient setting telemedicine useful approach reduce patient load hospitals minimize risk nosocomial transmission pandemics need transport destructive disasters comes save many lives possible ethical principles may vary function disaster circumstances elementary ethical rules nonnegotiable patient education essential minimize disasterrelated complications allow efficient use health care resources