Publications by authors named "P Niewinski"

Pulmonary vein isolation (PVI) is a well-established treatment modality for atrial fibrillation (AF). Apart from the desired effect regarding the arrhythmic substrate within the left atrium, PVI commonly leads to modulation of the intrinsic cardiac autonomic nervous system (ICANS). Using the available literature, this article presents the anatomy of ICANS and describes methods of assessing its function, mainly focusing on heart rate (HR) variability metrics.

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Background: The behavior of cutaneous squamous cell carcinoma (cSCC) of the head and neck remains poorly understood. There is much controversy regarding the risk of local and nodal recurrences, as well as individual/environmental factors that increase the risk, such as tumor size, perineural invasion, and the state of the immune system. The objective was to analyze factors influencing local and/or regional lymph node recurrence in patients with cSCC in the head and neck region.

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Article Synopsis
  • Chronic radiotherapy-induced skin injury (cRISI) is a long-lasting condition that affects patients' quality of life, with skincare using emollients being the main treatment approach.
  • A study involving 16 head and neck cancer patients and 15 healthy volunteers aimed to evaluate skin properties after radiation therapy, focusing on measures like transepidermal water loss (TEWL) and stratum corneum hydration (SCH).
  • Results showed higher TEWL in the irradiated areas compared to control, but no significant differences in SCH or skin thickness were observed, indicating limited epidermal barrier damage after an average of 6.1 years post-treatment.
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Background: Cellular senescence is a state characterized by cell-cycle arrest and apoptotic resistance. Senescence in cancer may be induced by oncogenes or therapy. While cellular senescence might play an important role in protection against cancer development, elevated and uncontrolled senescent cells accumulation may promote carcinogenesis by secreting a collection of pro-inflammatory factors, collectively termed the senescence-associated secretory phenotype (SASP).

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The most common side effect of ticagrelor is dyspnea, which leads to premature withdrawal of this life-saving medication in 6.5% of patients. Increased chemoreceptors' sensitivity was suggested as a possible pathophysiological explanation of this phenomenon; however, the link between oversensitization of peripheral and/or central chemosensory areas and ticagrelor intake has not been conclusively proved.

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