Multi-organ dysfunction/injury on admission identifies acute heart failure patients at high risk of poor outcome.

Background: Clinical consequences of an interplay between dysfunction/injury of different end-organs in acute heart failure (AHF) remain unknown.

Methods And Results: In 284 consecutive AHF patients, end-organ dysfunction/injury was defined as cardiac [troponin I level above the upper reference limit (URL, > 0.056 ng/mL)], kidney (estimated glomerular filtration rate < 60 mL/min/1.

Evaluation of methods of sewage treatment on board of vessels on the basis of surveys in 1994-1999.

The purpose of the present study was to show in what degree the ships of the Polish merchant fleet observe the obligations provided for Poland by acts of good will of nations, i.e. International Convention for the Prevention of Pollution from Ships -MARPOL 73/78 - Annex IV, and the Helsinki Convention.