Publications by authors named "Grzela T"

The endovenous embolization of insufficient abdominal/pelvic veins is the preferred method of treatment. Also, it seems to be crucial in the treatment of lower limb vein insufficiency, particularly in recurrent disease. This study aimed to evaluate of pelvic vein embolization safety and its impact on the short-term outcome in the sequential treatment of venous disease.

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  • Peanut allergy poses a serious risk of anaphylaxis, which might be mitigated through oral immunotherapy based on patient food challenges and antibody assessments against key peanut proteins.
  • A study with 74 peanut-sensitized children explored the links between specific antibodies, food challenge results, skin tests, and other factors, dividing participants into two groups based on challenge responses.
  • The findings indicated distinct differences in skin test results and antibody levels between the groups; while antibody-based predictions had some statistical relevance, they did not accurately predict severe symptoms or anaphylaxis risk, suggesting more research is needed for clinical application.
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Introduction: Allergy to peanut affects approximately 2% of children and in most cases persists throughout adult life. Seventeen peanut allergens have been identified so far and registered as "Ara h" molecules. Two of them, Ara h 1 and Ara h 3, are the most abundant proteins in the peanut extract.

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Pregnancy is a well-known risk factor for venous insufficiency. However, even nulliparous women experience venous problems. Therefore, we aimed to assess the possible associations between the number of pregnancies, veins condition and treatment outcome in women with venous disease.

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Pelvic venous insufficiency is a common problem in multiparous women. Besides burdensome symptoms, it correlates with the development of venous disease in the lower limbs. Therefore, the sequential treatment of abdominal/pelvic before leg veins could improve treatment effectiveness.

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  • Chronic wound infections are a major barrier to healing, particularly in diabetic foot syndrome, affecting up to 30% of patients.
  • Accurate diagnosis and proper microbiological testing are vital for effective treatment, with this study focusing on infected chronic wounds in Polish patients from 2013-2021.
  • The analysis of samples from 1,199 patients revealed that the most frequently isolated microorganisms included 14.3% MRSA and 2.4% VRE, highlighting the need for further research on drug susceptibility to enhance treatment recommendations.
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Although encouraging results of adipose-derived stem cell (ADSC) use in wound healing are available, the mechanism of action has been studied mainly in vitro and in animals. This work aimed to examine the safety and efficacy of allogenic ADSCs in human diabetic foot ulcer treatment, in combination with the analyses of the wound. Equal groups of 23 participants each received fibrin gel with ADSCs or fibrin gel alone.

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Venous leg ulcers represent a clinical challenge and impair the quality of life of patients. This study examines impaired wound healing in venous leg ulcers at the molecular level. Protein expression patterns for biomarkers were analysed in venous leg ulcer wound fluids from 57 patients treated with a protease-modulating polyacrylate wound dressing for 12 weeks, and compared with exudates from 10 acute split-thickness wounds.

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  • 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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Many patients with venous leg ulcers do not reach complete healing with compression treatment alone, which is current standard care. This clinical trial HEAL LL-37 was a phase IIb double-blind, randomized, placebo-controlled study, with the aim to evaluate the efficacy and safety of a new drug LL-37 for topical administration, in combination with compression therapy, in 148 patients suffering from hard-to-heal venous leg ulcers. The study had three arms, consisting of two groups treated with LL-37 at concentrations of 0.

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Introduction: Exhaled breath condensate (EBC) is a liquefied air, containing a mixture of non-volatile compounds, reflecting pathophysiological status of the bronchopulmonary system. Therefore, EBC analysis may be useful in diagnostics and monitoring of various respiratory diseases. In previous studies it was found that EBC from asthmatic children contained several regulators of angiogenesis.

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Purpose: Optimal glycemic control is crucial for proper wound healing in patients with diabetes. However, it is not clear whether other antidiabetic drugs support wound healing in mechanisms different from the normalization of blood glucose control. We assessed the effect of insulin and metformin administration on the wound healing process in rats with streptozotocin-induced diabetes.

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Background: Although pregnancy has been identified as one of the risk factors for venous disease, the mechanism of this interaction remains unclear. Possibly, pregnancy results in overstrain and vein dilatation, which exceed their durability and persist after pregnancy. The aim of this study was the assessment of the relationship between the number of pregnancies in women with venous disease and the selected parameters of their venous systems.

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  • Asthma causes changes in the bronchial walls, leading to fibrosis and increased blood vessel formation, potentially linked to certain factors found in exhaled breath from affected children.
  • The study aimed to evaluate how breath condensates (EBCs) from asthmatic children and healthy controls impact normal lung endothelial cells and to analyze the cytokine profile in these samples.
  • Results showed that EBCs from asthma patients had a minor inhibitory effect on endothelial cells, while those from healthy children caused cell death primarily through apoptosis, with no significant differences in cytokine levels between the two groups, highlighting the need for further research into these findings.
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Ovarian veins system insufficiency is one of the most common reasons for pelvic venous insufficiency (PVI). PVI is a hemodynamic phenomenon responsible for the occurrence of venous insufficiency of the lower extremities and recurrent varicose veins in nulliparous and parous women, as well as for a set of symptoms described as pelvic congestion syndrome (PCS). In the years 2017-2019, 535 patients admitted to our center with symptoms of venous insufficiency of the lower extremities, underwent complete ultrasound diagnostics (color-duplex ultrasound) of the venous system of the abdomen, pelvis and lower limbs, as well as extended imaging diagnostics using computed tomography (CT) or magnetic resonance (MR) venography.

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Background: The current treatment of venous disease is focused on the minimally invasive exclusion of the affected vein. Besides widely used thermal ablation, chemical ablation with cyanoacrylate, reported as safe and highly effective, has been gaining increasing interest.

Patients And Methods: In the current report, we present data from a two-year observation in 89 patients (61 female/28 male, mean age 44.

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A novel coronavirus disease, COVID-19, has emerged as a global public health issue. Clinical course of disease significantly correlates with the occurrence of some comorbidities, among them type 2 diabetes. According to recent structural studies the dipeptidyl peptidase 4, a key molecule in the pathophysiology of diabetes, may influence the course of COVID-19.

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  • Current treatments for venous disease primarily target eliminating reflux in major veins like the saphenous vein, but high recurrence rates indicate that the approach may overlook underlying causes.
  • A study analyzing data from 535 women found that those previously treated had more severe disease than untreated individuals, potentially due to changes in the venous system, older age, and increased pregnancies.
  • The researchers recommend revising treatment strategies to address abdominal and pelvic veins as potential sources of reflux, especially in women.
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  • * Among 150 patients with ACIE, 46% had low ABI compared to only 16% in a control group, indicating a strong association between low ABI and these conditions.
  • * Key risk factors linked to lower ABI in ACIE patients included coronary artery disease, carotid stenosis of 50% or more, and smoking, highlighting the coexistence of lower extremity arterial disease (LEAD) alongside ACIE.
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Introduction: Colorectal cancer (CRC) is one of the most frequently diagnosed tumors in Western countries. CRC is a heterogeneous group of tumors with regards to its molecular pathogenesis and genetic factors. Both genetic variations and anthropometric factors may affect morbidity in CRC patients.

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