Publications by authors named "Gorska K"

Background: Pathobiology of asthma and chronic obstructive pulmonary disease (COPD) is associated with changes among respiratory epithelium structure and function. Increased levels of PM from urban particulate matter (UPM) are correlated with enlarged rate of asthma and COPD morbidity as well as acute disease exacerbation. It has been suggested that pre-existing pulmonary obstructive diseases predispose epithelium for different biological response than in healthy airways.

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Asthma underdiagnosis and overdiagnosis remain significant problems for healthcare systems worldwide and indicate considerable pain points with current guidelines and diagnostic methods; therefore, new, targeted approaches seem crucial. This study introduces a novel spirometry-based approach using digital tools for objective asthma diagnosis support. This was a single-centre (Warsaw Medical University, Poland) prospective cohort study.

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The role of eosinophilic inflammation in the pathogenesis of chronic obstructive pulmonary disease (COPD) remains ambiguous and likely differs from its role in asthma. The molecular processes underlying the differences between eosinophils from asthma and COPD have not been sufficiently studied. The objective of this study was to compare the transcriptomic profiles of blood eosinophils in COPD and asthma.

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We consider two different time fractional telegrapher's equations under stochastic resetting. Using the integral decomposition method, we found the probability density functions and the mean squared displacements. In the long-time limit, the system approaches non-equilibrium stationary states, while the mean squared displacement saturates due to the resetting mechanism.

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The strain LMG 1385 was used for the bioconversion of crude glycerol to dihydroxyacetone. The suitability of fed-batch cultures for the production of dihydroxyacetone was determined, and the influence of the pH of the culture medium and the initial concentration of glycerol on maximizing the concentration of dihydroxyacetone and on the yield and speed of obtaining dihydroxyacetone by bioconversion was examined. The feeding strategy of the substrate (crude glycerol) during the process was based on measuring the dissolved oxygen tension of the culture medium.

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Article Synopsis
  • * A study sought to compare COPD prevalence rates using portable spirometers versus traditional spirometers, focusing on high-risk patients and proactive screening strategies.
  • * Results showed that COPD prevalence was 20.27% with portable spirometers and 24.67% with conventional ones, indicating that portable spirometry can improve early detection of COPD.
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  • The COVID-19 pandemic led to the need for Remotely Supervised Spirometry (RSS), allowing patients to conduct lung tests at home while being monitored by a technician through video calls.
  • A study compared the effectiveness of RSS and traditional Laboratory-based Spirometry (LS) involving 242 patients, and the results showed no significant difference in accuracy for key measurements.
  • The benefits of RSS include greater accessibility to lung function testing, lower risk of infection, and increased convenience for patients.
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. The quality of spirometry manoeuvres is crucial for correctly interpreting the values of spirometry parameters. A fundamental guideline for proper quality assessment is the American Thoracic Society and European Respiratory Society (ATS/ERS) Standards for spirometry, updated in 2019, which describe several start-of-test and end-of-test criteria which can be assessed automatically.

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  • Nintedanib is used to treat idiopathic pulmonary fibrosis (IPF) and this study analyzed its safety and efficacy in a large group of Polish patients from March 2018 to October 2021.* -
  • The study included 501 patients, mostly male and averaging around 71 years old, who were monitored for a median of 15 months; results showed stable pulmonary function for most, although some experienced adverse drug reactions (ADRs) like diarrhea and decreased appetite.* -
  • Overall, nintedanib was found to be safe with acceptable side effects, and the findings align with previous research on nintedanib's effectiveness in managing IPF.*
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Different eosinophil subpopulations have been identified in asthma and other eosinophilic disorders. However, there is a paucity of data on eosinophil subpopulations in patients with chronic obstructive pulmonary disease (COPD). The aim of this study was to compare eosinophil phenotypes in blood and induced sputum in patients with COPD, asthma and controls.

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Chronic obstructive pulmonary disease (COPD), as the third leading cause of death among adults, is a significant public health problem around the world. However, about 75% of smokers do not develop the disease despite the severe smoking burden. COPD is a heterogeneous disease, and several phenotypes, with differences in their clinical picture and response to treatment, have been distinguished.

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Chitinases and chitinase-like proteins are thought to play a role in innate inflammatory responses. Our study aimed to assess whether chitinase concentration and activity in induced sputum (IS) of patients exposed to tobacco smoke are related to the level of airway inflammation including the level and activity of chitinases and chitinase-like proteins. The study included 22 patients with chronic obstructive pulmonary disease (COPD), 12 non-COPD smokers, and nine nonsmoking subjects.

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Article Synopsis
  • * Accurate diagnosis of underlying diseases, particularly autoimmune conditions, is critical, and serological testing should be routinely conducted.
  • * For treatment, nintedanib is favored over pirfenidone for underlying diseases not responding to standard therapies, and simultaneous use of immunomodulatory and antifibrotic drugs is permissible, with a focus on holistic care including non-pharmacological approaches and eligibility for lung transplantation.
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Background: The bronchoscopy (BS) experience provokes anxiety amongst some patients. It can have a negative impact on the course of the procedure and on the willingness of patients to undergo the next BS in the future.

Objective: We aimed to identify factors influencing patients' satisfaction with BS.

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Introduction: Sarcoidosis is a systemic disease of unknown etiology characterized by granuloma formation in the affected tissues. The pathologically activated macrophages are causatively implicated in disease pathogenesis and play important role in granuloma formation. Chitotriosidase (CHIT1), macrophage-derived protein, is upregulated in sarcoidosis and its levels correlate with disease severity implicating CHIT1 in pathology.

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Background: Pirfenidone and nintedanib are considered as the standard of care in idiopathic pulmonary fibrosis (IPF), but there is no consensus as to which of these two agents should be regarded as first-line treatment.

Objective: To provide real-world data on therapeutic decisions of pulmonary specialists, particularly the choice of the antifibrotic drug in patients with IPF.

Methods: This was a multicenter, prospective survey collecting clinical data of patients with IPF considered as candidates for antifibrotic treatment between September 2019 and December 2020.

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We address the effect of stochastic resetting on diffusion and subdiffusion process. For diffusion we find that mean square displacement relaxes to a constant only when the distribution of reset times possess finite mean and variance. In this case, the leading order contribution to the probability density function (PDF) of a Gaussian propagator under resetting exhibits a cusp independent of the specific details of the reset time distribution.

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Background: Ambulophobia is a type of specific phobia that involves a fear of walking. This phobia mainly affects older people, who prefer not to leave their bed or home to avoid walking on uneven surfaces and reduce the risk of falling. The problem seems to be very important in terms of public health and the organization of long-term care, as Poland has one of the highest rates of elderly population growth.

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Article Synopsis
  • The study investigates why children are less severely impacted by COVID-19 compared to adults, hypothesizing a link to the effects of exhaled breath condensate (EBC).
  • The research compares the biological activity of EBC from children and adults, aiming to identify specific agents responsible for any observed effects on endothelial cells.
  • Findings show that EBC from healthy children has a cytotoxic effect on cell cultures, particularly in a specific fraction, hinting at a potential protective factor that could aid in COVID-19 research.
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Idiopathic pulmonary fibrosis (IPF) is a progressive and eventually fatal lung disease with a complex etiology. Approved drugs, nintedanib and pirfenidone, modify disease progression, but IPF remains incurable and there is an urgent need for new therapies. We identified chitotriosidase (CHIT1) as new driver of fibrosis in IPF and a novel therapeutic target.

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We present the integral decomposition for the fundamental solution of the generalized Cattaneo equation with both time derivatives smeared through convoluting them with some memory kernels. For power-law kernels t^{-α}, α∈(0,1] this equation becomes the time fractional one governed by the Caputo derivatives in which the highest order is 2. To invert the solutions from the Fourier-Laplace domain to the space-time domain we use analytic methods based on the Efross theorem and find out that solutions looked for are represented by integral decompositions which tangle the fundamental solution of the standard Cattaneo equation with nonnegative and normalizable functions being uniquely dependent on the memory kernels.

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Purpose: Asthma and chronic obstructive pulmonary disease (COPD) are complex and heterogeneous inflammatory diseases. We sought to investigate distinct disease profiles based on clinical, cellular and molecular data from patients with mild-to-moderate obstructive pulmonary diseases.

Patients And Methods: Patients with mild-to-moderate allergic asthma (n=30) and COPD (n=30) were prospectively recruited.

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Urban particulate matter (UPM) is an important trigger of airway inflammation. The cross-talk between the external and internal matrix in the respiratory tract occurs due to the transepithelial network of macrophages/dendritic cells. This study characterized the immune processes induced by the epithelium after UPM exposure in special regard to interactions with monocyte-derived dendritic cells (moDCs) and monocyte-derived macrophages (moMφs) in obstructive lung diseases.

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Objectives: Mobile phone-linked portable spirometers are light-weight, easy to use and low cost, with new software to facilitate data collection. In this study we investigated the feasibility of the AioCare® mobile spirometry in primary care.

Methods: In this nationwide, cross-sectional study, AioCare® spirometers (HealthUp, Poland) were distributed among primary healthcare centres across Poland.

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