Publications by authors named "Trojanowski M"

Background: Systemic sclerosis-related pulmonary hypertension (SSc-PH) is a heterogeneous disease, often complicated by concomitant left ventricular (LV) dysfunction. However, the contribution of heterogeneity in LV dysfunction is unclear. The objective in this study was to identify regional clusters of LV longitudinal strain via echocardiography to determine how subgroups of LV dysfunction contribute to mortality in SSc-PH.

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Background: The aim of this retrospective study was to assess the value of F-fluoro-2-deoxy-D-glucose positron emission tomography/computed tomography ([F]FDG PET/CT parameters in cN1-cN3 non-small cell lung cancer (NSCLC) patients.

Materials And Methods: 59 consecutive patients (35 M, 24 F) with NSCLC who underwent pretreatment [F]FDG PET/CT were enrolled to this study. Several primary tumor PET parameters, including the maximum and mean standardized uptake value (SUV and SUV, the metabolic active tumor volume (MTV) and the total lesion glycolysis (TLG = MTVxSUV), were extracted and analysed.

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Background: This study analyzes the impact of the first six lockdown months during the COVID-19 pandemic on breast cancer (BC) patients at a regional cancer center in western Poland (Greater Poland region).

Materials And Methods: Patient age, clinical stage, pathological stage, surgical management, and use of neoadjuvant therapy (NT) for patients diagnosed with BC during the pandemic (March-August 2020, n = 290) were compared with pre-COVID-19 data (March-August 2019, n = 405).

Results: There were statistically significant differences in the average age (58.

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Background: The global COVID-19 pandemic has had a significant impact on healthcare systems. This study aimed to assess the incidence gap in screening-detectable cancers in the Greater Poland (Poland) in 2020.

Materials And Methods: Data on breast, cervix uteri, and colorectal cancer cases diagnosed from 2010 to 2020 were obtained from the regional cancer registry.

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Objective: Rarefaction of blood and lymphatic vessels in the skin has been reported in systemic sclerosis (SSc) (scleroderma). E26 transformation-specific-related factor (ERG) and Friend leukemia virus-induced erythroleukemia 1 (FLI-1) are important regulators of angiogenesis, but their role in lymphatic vasculature is lesser known. The goal of this study was to determine the role of ERG and FLI-1 in postnatal lymphangiogenesis and SSc lymphatic system defects.

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Introduction: Positron emission tomography/computed tomography (PET/CT) has an established role in evaluating patients with lung cancer. The aim of this work was to assess the predictive capability of [F]Fluorodeoxyglucose ([F]FDG) PET/CT parameters on overall survival (OS) in lung cancer patients using an artificial neural network (ANN) in parallel with conventional statistical analysis.

Methods: Retrospective analysis was performed on a group of 165 lung cancer patients (98M, 67F).

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Introduction: The COVID-19 pandemic has considerably affected healthcare systems worldwide and is expected to influence cancer incidence, mortality, stage at diagnosis, and survival. This study aimed to assess COVID-19-related changes in cancer incidence observed in 2020 in the Greater Poland region.

Materials And Methods: Data from the Greater Poland Cancer Registry on cancer patients diagnosed between 2010 and 2020 were analysed.

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Article Synopsis
  • In systemic sclerosis (SSc), pulmonary hypertension (SSc-PH) is a major health concern, but the role of left ventricular (LV) dysfunction in this context is not well understood.
  • A study of 165 SSc patients found that 74.2% with SSc-PH had LV dysfunction, significantly impacting their survival rates compared to those without pulmonary hypertension.
  • The findings suggest that assessing LV dysfunction using global longitudinal strain could be crucial for evaluating risk and improving management strategies for patients with SSc-PH.
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  • Researchers created a scoring system to identify systemic sclerosis (SSc) patients at risk for pulmonary hypertension (PH) and predict their overall mortality using data from pulmonary function tests, echocardiograms, and chest CT scans.* -
  • In a study with 117 SSc patients, 51.3% were found to have PH, and the scoring tool demonstrated high sensitivity (0.87), specificity (0.74), and accuracy (0.80) for predicting PH.* -
  • Each one-point increase in the score was linked to a higher risk of all-cause mortality, indicating that with further validation, this tool could improve early detection of PH in SSc patients.*
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Thromboangiitis obliterans (TAO), or Buerger's disease, is a non-atherosclerotic inflammatory disease of the small and medium-sized arteries, veins, and nerves of the legs and arms, strongly associated with the use of tobacco products in young adults. Cannabis arteritis (CA), an entity with similar clinical and pathological features, has been described in marijuana users as a subtype of TAO. Distinction between TAO and CA is challenging, given that most patients use tobacco and marijuana products concomitantly.

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  • Patients with systemic sclerosis-related pulmonary hypertension (SSc-PH) show a poorer response to PAH treatment and higher mortality rates compared to those with idiopathic PAH.
  • This study analyzed data from 39 SSc-PH patients to identify factors that predict their hemodynamic response to therapy, measured by a significant reduction in pulmonary vascular resistance.
  • Findings revealed that patients with lower pulmonary arterial wedge pressure (PAWP) had a significantly higher chance of achieving a positive hemodynamic response, highlighting the role of underlying cardiac issues in treatment efficacy.
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Patients with systemic sclerosis complicated by both pulmonary hypertension (SSc-PH) and interstitial lung disease (SSc-PH-ILD) have poor prognosis compared to those with SSc-PH or SSc-ILD alone. Little is known of how ILD severity affects outcomes in those with SSc-PH, or how PH severity affects outcomes in those with SSc-ILD. Herein, we aimed to delineate clinical features of patients with SSc-PH and SSc-ILD and determine to what degree PH and ILD severity contribute to mortality in patients with SSc.

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The COVID-19 pandemic had a negative effect on oncology healthcare services in Poland, with a reduction in the national breast cancer (BC) screening program coverage rates. This article analyzes the impact of the pandemic on BC stage at diagnosis in a regional cancer center in Poland. Records from BC multidisciplinary team (MDT) meetings that took place in the years 2019-2021 were gathered.

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Article Synopsis
  • The study focuses on improving the diagnosis of pulmonary hypertension (PH) in patients with systemic sclerosis (SSc) by using better prediction models to potentially reduce unnecessary invasive procedures like right heart catheterization (RHC).
  • Researchers analyzed data from 130 SSc patients, comparing three predictive models (random forest, classification and regression tree, logistic regression) to see which was most effective in identifying PH accurately.
  • The random forest model was found to be the most effective, achieving high sensitivity and specificity, with key predictors being pulmonary artery diameter and carbon monoxide diffusing capacity, which could help select patients who truly need RHC.
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  • Systemic sclerosis-related pulmonary hypertension (SSc-PH) is a serious complication of systemic sclerosis that can lead to increased mortality, prompting the need for better prognostic tools.
  • A study reviewing ECGs of 169 patients found that right axis deviation (RAD) and left axis deviation (LAD) were common and linked to various cardiac abnormalities; RAD was more severe and associated with worse pulmonary hypertension outcomes compared to LAD.
  • Both RAD and LAD were significant predictors of increased all-cause mortality, highlighting the value of ECG in assessing risk for patients with SSc-PH.
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Objectives: Friend leukemia integration 1 and erythroblast transformation-specific, important regulators of endothelial cell homeostasis, are reduced in microvascular endothelial cells in scleroderma patients, and their deficiency has been implicated in disease pathogenesis. The goal of this study was to identify the mechanisms involved in the protein turnover of friend leukemia integration 1 and erythroblast transformation-specific in microvascular endothelial cells.

Methods: The effects of lysosome and proteosome inhibitors on friend leukemia integration 1 and erythroblast transformation-specific levels were assessed by Western blotting and capillary morphogenesis.

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Background: Scleroderma (SSc) is a rare autoimmune disease characterized by vascular impairment and progressive fibrosis of the skin and other organs. Oncostatin M, a member of the IL-6 family, is elevated in SSc serum and was recognized as a significant player in various stages of fibrosis. The goal of this study was to assess the contribution of the OSM/OSMRβ pathway to endothelial cell (EC) injury and activation in SSc.

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Today, nurse leadership positions are more and more common. However, there have been many exemplary Nurse Leaders in the past whose contributions and sacrifices enabled nursing to transform to the leadership position it is today but have not been documented. It is important to recover and record this history so that future generations of nurses can learn from past examples in a way they cannot learn with current nursing education alone.

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Purpose: The goal of this study was to assess the effectiveness of dysphagia relief and overall survival in patients with advanced esophageal cancer treated with palliative high-dose-rate (HDR) brachytherapy (BT) without computed tomography-based planning.

Material And Methods: Palliative 2D HDR-BT was used to treat 93 patients with advanced or incurable esophageal cancer in a regional cancer center from October 2010 to December 2016. Before the treatment patients presented the following grades of dysphagia: 0 - 0%, I - 57%, II - 33.

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Season of birth, a surrogate of seasonal variation of environmental exposures, has been associated with increased risk of several cancers. In the context of a Southern-Eastern Europe (SEE) consortium, we explored the potential association of birth seasonality with childhood (0-14 years) central nervous system (CNS) tumors. Primary CNS tumor cases (n = 6,014) were retrieved from 16 population-based SEE registries (1983-2015).

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Systemic sclerosis (SSc) is a clinically heterogeneous autoimmune disease characterized by mutually exclusive autoantibodies directed against distinct nuclear antigens. We examined associations in SSc and its autoantibody subsets in a large, newly recruited African American (AA) cohort and among European Americans (EA). In the AA population, the African ancestry-predominant * and * alleles were associated with overall SSc risk, and the * allele was strongly associated with the severe antifibrillarin (AFA) antibody subset of SSc (odds ratio = 7.

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Article Synopsis
  • Epidemiology and healthcare planning rely on analytical tools for detecting disease clusters, particularly when rates are unusually high.
  • This work aims to enhance the CutL method for identifying space-time clusters, comparing its effectiveness against Kulldorff's scan statistic.
  • The CutL method proved to be more efficient for irregularly shaped clusters, while both methods showed similar results for cylinder-shaped clusters, with CutL being more accessible via the PQScut and PQStat software.
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Introduction: Klotho has been recently described as a carcinogenesis suppressor. Large cell neuroendocrine lung carcinoma (LCNEC) is a rare, highly malignant neoplasm. In the light of increasing incidence of neuroendocrine tumours, biomarkers predicting survival are needed.

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