16 results match your criteria: "Central Clinical Hospital of the MSWiA in Warsaw[Affiliation]"

Article Synopsis
  • The study aimed to compare patient-reported outcomes and health measurements in individuals with type 1 diabetes using either traditional multiple daily injections (MDIs) or continuous subcutaneous insulin infusion (CSII) via two different insulin patch pumps (Solo and Omnipod).
  • In a randomized trial with 181 participants, those using the Solo pump reported significantly better outcomes after 26 weeks compared to the MDI group, while no major differences were found between Solo and Omnipod users.
  • The findings suggested that switching from MDI to CSII can enhance both psychosocial well-being and physiological health, with significant improvements noted for the Solo group compared to MDIs, but minimal differences observed between the Solo and Omnipod groups.
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Article Synopsis
  • Type 2 diabetes affects a significant portion of the aging population, with a study focusing on Polish seniors ages 65 and older aiming to identify socioeconomic factors linked to the disease.
  • The research revealed a 21.9% prevalence of diabetes among participants, with notable differences based on age, gender, and living area; younger seniors displayed a higher prevalence than the oldest-old, and women had a higher overall diabetes rate than men.
  • Key factors for diabetes risk included body mass index (BMI) and marital status for women, while BMI was the sole factor for men, with rural residents at greater risk of undiagnosed diabetes compared to those in urban areas.
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The current study focuses on the role of MMPs in the pathogenesis of the vascular damage and at the same time it offers the review referring to the influence of the immunosuppressive treatment on this interdependence. Contemporary immunosuppressive treatment constitutes of four groups of medications, such as: calcineurin inhibitors including cyclosporine A and tacrolimus; inhibitors of the inosine monophosphate dehydrogenase - the only agent from this group currently used in transplantation is mycophenalate mofetil (MMF); mTOR inhibitors, consisting of everolimus and glucocorticosteroids. Due to the fact that the properties of immunosuppressive drugs still remain unclear and transplant recipients need to use these medicines every day, knowledge of this should be further expanded.

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This paper presents autopsy findings of 3 COVID-19 patients randomly selected for post-mortem from two tertiary referral Polish hospitals. Analysis of macroscopic, histopathological findings with clinical features was performed. All 3 deceased patients were Caucasian males (average age 61 years, range from 56 to 68 years).

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Article Synopsis
  • Implantable cardioverter defibrillators (ICDs) use low-voltage shock impedance to check lead integrity, but this method may miss dangerous insulation breaches that can lead to electrical shorts.
  • The study presents six cases where insulation issues in defibrillation leads went undetected during regular tests, leading to severe complications including total ICD generator failure and dangerous heart rhythms.
  • The findings suggest that relying solely on low-voltage shock tests is inadequate, and traditional high-voltage testing should be considered during device replacement to ensure patient safety.
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Background: This study assessed the influence of the haptoglobin phenotype on markers regulating inflammation in patients with type 2 diabetes.

Methods: The haptoglobin phenotypes, soluble form of CD163 receptor (sCD163), p53 concentrations and high mobility group box protein 1 (HMGB1), interleukin 10 (IL-10) secretion in serum were assayed via ELISA tests. In the first part of the project, patients were divided into three groups which differed by the haptoglobin phenotype, and afterwards into two groups according to the criterion of the presence or absence of cardiovascular disease.

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Leber's hereditary optic neuropathy (LHON) is a maternally inherited genetic disorder leading to severe and bilateral loss of central vision, with a young male predilection. In recent years, multiple studies examined structural abnormalities in visual white matter tracts such as the optic tract and optic radiation. However, it is still unclear if the disease alters only some parts of the white matter architecture or whether the changes also affect grey matter parts of the visual pathway.

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Palliative Radiotherapy Produced Spectacular Improvement in a Terminally Ill Colorectal Carcinoma Patient With Severe Pain and Duodenal Bleeding.

J Pain Symptom Manage

February 2021

Clinical Department of Oncology and Radiotherapy, Central Clinical Hospital of the MSWiA in Warsaw, Warsaw, Poland; Centre of Postgraduate Medical Education, Warsaw, Poland.

Colorectal cancer has a devastating effect on the quality of life, and the treatment of active intestinal bleeding in colorectal cancer is a real challenge at the end of life. This case report presents a spectacular effect of an unusual palliative treatment strategy in a middle-aged home hospice patient with severe pain and persistent duodenal bleeding secondary to its neoplastic infiltration. Palliative radiotherapy (RT) significantly improved pain control, terminated the duodenal bleeding, and allowed successful treatment of deep vein thrombosis, previously impossible because of the bleeding.

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() is one of the most common human pathogens, affecting half of the world's population. Approximately 20% of the infected patients develop gastric ulcers or neoplastic changes in the gastric stroma. An infection also leads to the progression of epithelial-mesenchymal transition within gastric tissue, increasing the probability of gastric cancer development.

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Clinical value of tissue DNA integrity index in pancreatic cancer.

Surgeon

October 2020

Department of Surgical Research and Transplantology, Medical Research Centre Polish Academy of Sciences, Warsaw, Poland; Department of Gastroenterological Surgery and Transplantation Medicine, Centre of Postgraduate Medical Education, Warsaw, Poland; Clinical Department of Gastroenterological Surgery and Transplantation Medicine, Central Clinical Hospital of the MSWiA in Warsaw, Poland.

Background: DNA integrity index as a blood biomarker is associated with the prognosis of cancer patients.

Aims: The primary goal of the study was to examine tissue DNA integrity index (DII) in a group of pancreatic cancer (PC) tumor tissues and control adjacent pancreatic tissues. We also aimed to test the relationship between the tumor tissue DII and the clinicopathological parameters and the overall survival.

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Feet deformities and their close association with postural stability deficits in children aged 10-15 years.

BMC Musculoskelet Disord

November 2019

Faculty of Medicine and Health Sciences, Institute of Physiotherapy, The Jan Kochanowski University, Al. IX Wiekow Kielc 19, 25-317, Kielce, Poland.

Background: Children and young people make up an age group most vulnerable to falls. Various stability disorders may become instrumental in sustaining more frequent falls and resultant fractures. Correct morphological structure impacts overall efficiency of the foot, as well as offers significant diagnostic potential.

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Gastric cancer is the fourth leading cause of deaths in Poland. The standard treatment for non-advanced gastric cancer is surgery, which significantly reduces the quality of life of patients. The objective of the study was to evaluate the strategy of coping with pain and its control, acceptance of illness, and adjustment to living with cancer in patients suffering from gastric cancer.

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Is mitochondrial DNA copy number a good prognostic marker in resectable pancreatic cancer?

Pancreatology

January 2019

Department of Surgical Research and Transplantology, Medical Research Centre Polish Academy of Sciences, Warsaw, Poland; Clinical Department of Gastroenterological Surgery and Transplantation, Central Clinical Hospital of the MSWiA in Warsaw, Poland.

Background: The aim of this prospective study was to investigate mitochondrial DNA (mtDNA) copy number in a group of resectable pancreatic cancer (PC) tumor tissues and adjacent normal pancreatic tissues, and to explore the correlation between the mtDNA content in tissues and the clinicopathological parameters and the overall survival.

Methods: Relative mtDNA copy number was measured by the quantitative PCR-based assay. The tumors specimens (n = 43) originated from the patients with pathologically confirmed pancreatic ductal adenocarcinoma who did not receive any neoadjuvant systemic therapy.

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Colorectal cancer (CRC) is one of the most common malignancies worldwide. In recent years novel therapies targeted at EGFR receptor have been developed. However, this treatment can only be beneficial if no mutation in specific loci of and genes is found in tumour specimen.

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Neural stem cell therapy-Brief review.

Clin Neurol Neurosurg

October 2018

Department of Anatomy, Medical University of Lublin, Doktora Kazimierza Jaczewskiego 4, 20-400, Lublin, Poland.

Adult mammalian neural stem cells are unique because of their properties, such as differentiation capacity, self-renewal, quiescence, and also because they exist in specific niches, which are the subventricular zone (SVZ) and subgranular zone (SGZ) - the dentate gyrus of the hippocampus. SVZ is situated along the ependymal cell layer, dividing the ventricular area and subventricular zone. There are several sources of neural stem cells such as human embryonic stem cells, human fetal brain-derived neural stem/progenitor cells, human induced pluripotent stem cells, direct reprogrammed astrocytes.

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Mechanical circulatory support is effective to treat pulmonary hypertension in heart transplant candidates disqualified due to unacceptable pulmonary vascular resistance.

Kardiochir Torakochirurgia Pol

March 2018

Department of Cardiac, Vascular and Endovascular Surgery and Transplantology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice; Division of Cardiac Surgery, Heart and Lung Transplantation and Mechanical Circulatory Support, Silesian Center for Heart Disease, Zabrze, Poland.

Introduction: High pulmonary vascular resistance (PVR) in orthotopic heart transplantation (OHT) candidates is a risk factor of right ventricle failure after the procedure. However, the increase of PVR may be a consequence of the life-threatening deterioration of the left ventricle function. The use of mechanical circulatory support (MCS) seems to be the best solution, but it is reimbursed only in active OHT candidates.

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