[Utilization of risk factors in medical practice for ischemic heart disease evaluation]. / Uzyteczny w praktyce lekarskiej wskaznik ryzyka zachorowania na chorobe niedokrwienna serca.

The Multivariate risk of developing Ischaemic Heart Disease (IHD) during period of 6 years was estimated for men aged 40-59 years on the basis of 2 Polish populations. Coefficients of multivariate logistic function (MLF) were calculated using sample of 4831 men with 240 cases of IHD. The significant risk factors were: age, total serum cholesterol level, diastolic blood pressure, number of cigarettes smoked, familial history of IHD. For these five significant factors new MLF coefficients were calculated. Discriminant power and goodness of fit for both functions were analysed and no significant differences found. The reduced MLF was applied to construct a simple questionnaire of IHD risk test.

[Characteristics of personality structure and neurotic disturbances in patients with primary arterial hypertension]. / Charakterystyka struktury osobowosci oraz zaburzen nerwicowych u chorych z pierwotnym nadcisnieniem tetniczym.

The aim of this study was to measure the prevalence of neuroses in an examined group of patients and to determine specific personality profiles in the group of men and women with primary arterial hypertension with or without coexisting neurosis. Data were collected from a group of 93 out-patients with primary arterial hypertension of the I and II degree according to WHO (51 men, mean age 47.9 years and 42 women, mean age 44.4 years). All subjects had secondary or university education. Neurotic disturbances were determined by the symptom check-list (version "S") and estimation of the personality structure was performed by the Cattell 16 Personality Factors test. The prevalence of neurotic syndromes was 33% in men and 45% in women. We have found a higher frequency of neuroses than in the population, in both men and women with primary arterial hypertension, who have had secondary education. Factor F- (desurgency) was dominant in the male group (p < 0.01) and factors: A+, I+, O+, Q4+, B-, C-, E-, F-, N-, Q1- were predominant in the female group. The subjects with primary arterial hypertension, but without neurosis were characterised by the following personality factors: men by A+, B+, F- Q2- and women by A+ and I+. Moreover affectothymia (A+) was more frequent in men than in women. The personality structure of men with primary arterial hypertension and concomitant neurosis was characterised by the following 16 PF test factors: C- (low ego strength) and O+ (to be apprehensive/guilt-proneness). Neurotic personality structure in women was described by the following 16 PF test factors: B- (less intelligent), C- (low ego strength), E- (submissiveness), F- (desurgency, sober), N- (artlessness, simple-minded), O+ (apprehensive/guilt-proneness) and Q4+ (high ergic tension). It is important, that the 16 PF test profile was different, both in hypertensive men and women and both with or without the presence of neurotic syndromes. This fact and the prevalence of neurosis among hypertensives should be taken into consideration in the psychologic approach and contemporary treatment of primary arterial hypertension.

[12-year trends in cardiovascular disease mortality]. / Dwunastoletnie trendy umieralnosci z powodu chorób ukladu krazenia.

The coefficients and trends of mortality in years 1976-1987, based on data of Central Statistical Office, has been estimated in population of men and women aged 25 to 64 years, inhabitants of the Warsaw city region or the county region of Tarnobrzeg province . The trend of decrease of general mortality due to diseases of circulatory system has been statistically significant one similarly as that of mortality due to other heart diseases or ischaemic heart disease in men (group aged 25-34 or 35-44 years) in the Tarnobrzeg province . The analogously significant trend of mortality due to diseases of circulatory system or ischemic heart diseases in men aged 35-44 years has been stated in the Warsaw inhabitants. In the group of women an increase of general mortality has been noted in the youngest age group in Warsaw. In Warsaw and the Tarnobrzeg province in 1987 deaths due to diseases of circulatory system represented 33.2% and 39.9%, respectively, of total death pool among subjects aged 25 to 64 years. The respective percentages in the group of women were 29.1% and 39.4%.

[Stroke incidence and mortality among urban and rural populations during the 3-year period]. / Zachorowalnosc i smiertelnosc na udar mózgu w populacji wielkomiejskiej i rolniczej w okresie trzyletniej obserwacji.

In years 1984-1986 582 men and 338 women have been registered with clinical diagnosis of cerebral stroke. The respective numbers in the Tarnobrzeg province were 340 and 263. Preliminary diagnosis of cerebral stroke was confirmed according to criteria of registration in 82% of men or women from Warsaw and in 81% of men and 84% of women in the Tarnobrzeg province . Standardized incidence due to cerebral stroke was significantly higher in every of analysed years in the Warsaw population both among men and women in compare with that in the Tarnobrzeg province . In both population studied the incidence was significantly higher among men than among women. Standardized fatality during 28 days from the start of sickness was higher in the Tarnobrzeg province population than in the Warsaw population so far as both men and women are concerned. In both populations among men and women the most frequently diagnosis was acute disease of cerebral vessels.