284 results match your criteria: "Hospital of the Ministry of Interior and Administration[Affiliation]"

Introduction: Crohn's disease is a chronic, complex inflammatory disorder of the gastrointestinal tract. Among its most challenging complications are perianal fistulas.

Aim: This study aims to explore the efficacy of hyperbaric oxygen therapy (HBOT) in reducing the activity of perianal fistulas in Crohn's disease patients.

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Aim Of The Study: Predictive factors for poor outcomes in hypothermic cardiac arrest (HCA) differ from those in normothermic out-of-hospital cardiac arrest (OHCA). This study aimed to evaluate the outcomes of extracorporeal life support (ECLS) in HCA patients who may not be considered eligible based on the guidelines set by the Extracorporeal Life Support Organization (ELSO).

Methods: A retrospective multicentre study included 127 HCA patients, divided into two groups: those meeting the ELSO eligibility criteria for ECLS, and those with at least one of the following ELSO exclusion criteria: age over 70 years, unwitnessed cardiac arrest, or asystole.

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High-frequency shear wave MR elastography of parotid glands: custom driver design and preliminary results.

Sci Rep

October 2024

Institute of Physics, College of Natural Sciences, University of Rzeszow, Profesora Stanisława Pigonia str. 1, Rzeszow, 35-310, Poland.

Parotid glands are one of the most common sites for salivary gland tumors. Conventional imaging techniques have limited usefulness in the quantitative assessment of the parotid glands, making it difficult to differentiate between healthy tissue and tumors, as well as between benign and malignant tumors. Magnetic resonance elastography (MRE) is a non-invasive technique that may potentially overcome these limitations.

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Article Synopsis
  • The study evaluates the impact of early discontinuation of aspirin in favor of ticagrelor monotherapy on bleeding and ischemic events in patients who underwent percutaneous coronary intervention (PCI).
  • Results show that while ticagrelor monotherapy led to significantly fewer bleeding events compared to ticagrelor plus aspirin, the total ischemic events remained similar between the two groups.
  • Overall, among high-risk PCI patients, ticagrelor alone was associated with reduced bleeding without increasing the risk of ischemic complications.
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Laminin, fibronectin, and collagen IV are pivotal extracellular matrix (ECM) components. The ECM environment governs the fundamental properties of tumors, including proliferation, vascularization, and invasion. Given the critical role of cell-matrix adhesion in malignant tumor progression, we hypothesize that the concentrations of these proteins may be altered in the plasma of patients with clear cell renal cell carcinoma (ccRCC).

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Background: Percutaneous coronary intervention (PCI) with drug-coated balloons (DCB) or drug-eluting stents (DES) are well-established treatments for in-stent restenosis, however little is known about the impact of vessel size on the outcomes. The study aimed to evaluate the efficacy and safety profile of DCB versus DES in DES in-stent restenosis depending on the vessel size.

Methods: Consecutive patients with DES in-stent restenosis who underwent PCI between January 2010 and February 2018 entered the registry with a long-term follow-up.

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Background: Orbital floor fractures typically manifest as eyeball mobility disorders with double vision (diplopia), enophthalmia, and infraorbital paresis. Surgical treatment of these fractures involves orbital floor reconstruction. The procedure involves freeing the trapped tissues from the lumen of the maxillary sinus and rebuilding the orbital floor.

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1:  The European Society of Gastrointestinal Endoscopy (ESGE) adheres to the overarching principles of equality of opportunity, fair treatment, nondiscrimination, and diversity of health care professionals. 2:  ESGE strongly supports the creation of collaborations within and between national and international endoscopy societies to disseminate the principles of diversity, equality, and inclusion (DEI) in the field of gastrointestinal (GI) endoscopy. 3:  ESGE aims to reflect the diversity of its membership in all its scientific and educational activities.

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Current practices in diagnosing acute pulmonary embolism: a comprehensive analysis of adherence to contemporary practice guidelines.

Pol Arch Intern Med

October 2024

Department of Cardiac and Vascular Diseases, St. John Paul II Hospital, Kraków, Poland; Pulmonary Circulation Centre, Department of Cardiac and Vascular Diseases, Jagiellonian University Medical College, Kraków, Poland.

Article Synopsis
  • Acute pulmonary embolism (APE) is a serious condition that can be deadly if not diagnosed and treated quickly, but global adherence to established diagnostic guidelines is inconsistent, affecting how patients are managed.* -
  • A survey of Polish physicians revealed that many do not consistently follow the 2019 European Society of Cardiology (ESC) guidelines for diagnosing PE; most rely on D-dimer tests and CT scans rather than recommended clinical prediction rules.* -
  • There is a significant opportunity to improve PE diagnosis in Poland by increasing guideline adherence, establishing PE response teams, and providing greater training on evidence-based practices.*
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Article Synopsis
  • - Myocardial revascularization, either through percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG) surgery, effectively alleviates symptoms and enhances quality of life when paired with guideline-directed medical therapy.
  • - Hybrid coronary revascularization is a combination approach that employs CABG for the left anterior descending artery (LAD) and PCI for other coronary vessels, targeting patients who are not ideal candidates for traditional CABG.
  • - The procedure is best performed in a collaborative setting with a specialized heart team, focusing on complete revascularization, particularly in patients with complex multivessel coronary disease, leveraging advanced drug-eluting stents.
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Background: Acute pulmonary embolism (APE) represents the third most common acute cardiovascular disease in Poland, posing an increasing burden on healthcare systems.

Aims: This study aimed to assess the availability of diagnostic methods and unmet needs in APE diagnosis in Polish hospitals.

Methods: An online survey prepared using the modified Delphi method was distributed to hospital departments for completion by physicians.

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Background: Evidence suggests that drug-coated balloons may benefit in-stent restenosis (ISR) treatment. However, the efficacy of new-generation sirolimus-coated balloon (SCB) compared with the latest generation drug-eluting stents (DESs) has not been studied in this setting.

Methods: All patients in the EASTBORNE (The All-Comers Sirolimus-Coated Balloon European Registry) and DEB-DRAGON (DEB vs Thin-DES in DES-ISR: Long Term Outcomes) registries undergoing percutaneous coronary intervention for DES-ISR were included in the study.

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Article Synopsis
  • Genetic testing (GT) is crucial for diagnosing and managing cardiovascular diseases, as it helps predict outcomes, guide therapy, and prevent sudden cardiac death.
  • The position statement highlights the lack of GT availability in Poland, discussing its relevance for patients and their families, and proposing specific recommendations for improving access and practices.
  • The article emphasizes the need for legal reforms and better integration of cardiologists and clinical geneticists in GT processes to ensure patient rights and effective counseling.
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The COVID-19 pandemic caused by SARS-CoV-2 has led to a wide range of clinical presentations, with respiratory symptoms being common. However, emerging evidence suggests that the gastrointestinal (GI) tract is also affected, with angiotensin-converting enzyme 2, a key receptor for SARS-CoV-2, abundantly expressed in the ileum and colon. The virus has been detected in GI tissues and fecal samples, even in cases with negative results of the reverse transcription polymerase chain reaction in the respiratory tract.

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Objectives: Severe acute kidney injury (AKI) requiring postoperative renal replacement therapy (RRT) is associated with increased morbidity and mortality rates following cardiac surgery. Our study aimed to analyze patients requiring postoperative RRT in a population undergoing isolated coronary artery surgery.

Methods: Following exclusions, we analyzed 124 944 consecutive patients in the Polish National Registry of Cardiac Surgical Procedures (KROK Registry), scheduled for isolated coronary artery surgery between January 2010 and December 2019.

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Article Synopsis
  • The study investigates long-term outcomes of patients with in-stent restenosis (ISR) and chronic coronary syndrome (CCS) who underwent PCI using drug-eluting stents (DES) versus drug-coated balloons (DCB).
  • Patients treated with DES had significantly lower rates of target lesion revascularization (TLR), target vessel revascularization (TVR), and device-oriented composite events (DOCE) compared to those treated with DCB.
  • Overall, the findings suggest that using DES is more effective than DCB for this patient group in reducing revascularization needs over a long-term follow-up period.
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Article Synopsis
  • Genetic testing (GT) is vital in diagnosing and managing cardiovascular diseases, helping predict outcomes and preventing sudden cardiac death.
  • The document highlights the current lack of GT availability in Poland and aims to improve access and practice, while also addressing the genetic basis of various cardiovascular conditions.
  • Recommendations are provided for GT implementation, taking into account patient rights, legal regulations, and the roles of cardiologists and geneticists in care and counseling.
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Comparative analysis of venous thromboembolic complications in diverse groups of orthopaedic patients.

Ann Agric Environ Med

March 2024

Scientific Research Group of the Chair and Department of Epidemiology and Clinical Research Methodology, Medical University, Lublin, Poland.

Introduction And Objective: Venous thromboembolism (VTE) is one of the most important and life-threatening complications in orthopaedic surgery. According to current scientific reports, there are several variables that can affect the severity of CVD, including the site of the pathology or the type of treatment implemented. The aim of the study was to analyze the risk of VTE depending on the location of the pathology, as well as to evaluate the impact of surgical treatment compared to conservative management.

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Cyclodextrin-based nanosponges (CDNSs) are complex macromolecular structures composed of individual cyclodextrins (CDs) and nanochannels created between cross-linked CD units and cross-linkers. Due to their unique structural and physicochemical properties, CDNSs can possess even more beneficial pharmaceutical features than single CDs. In this comprehensive review, various aspects related to CDNSs are summarized.

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Chronic heart failure (CHF) is a complex clinical syndrome associated with muscle wasting, which can progress to cardiac cachexia. Myostatin, a negative regulator of muscle growth, has been implicated in the pathophysiology of muscle wasting in CHF patients and suggested as a potential biomarker. The objective of this study was to investigate serum myostatin concentration in patients with CHF with preserved and reduced ejection fraction.

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Platelet Reduction after Transcatheter Aortic Valve Implantation: Results from the PORTRAIT Study.

J Clin Med

March 2024

Department of Cardio-Thoracic Surgery, Heart & Vascular Centre, Maastricht University Medical Centre (MUMC), Cardiovascular Research Institute Maastricht (CARIM), 6229 Maastricht, The Netherlands.

An unexplained condition that follows transcatheter aortic valve implantation (TAVI) is platelet count reduction (PR). According to published research, patients with balloon-expandable valves (BEVs) had a greater PR than those with self-expandable valves (SEVs). The purpose of this study was to investigate the incidence and clinical effects of PR following TAVI.

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Purpose Of The Review: To summarize currently available data on the topic of mitral valve prolapse (MVP) and its correlation to the occurrence of atrial and ventricular arrhythmias. To assess the prognostic value of several diagnostic methods such as transthoracic echocardiography, transesophageal echocardiography, cardiac magnetic resonance, cardiac computed tomography, electrocardiography, and electrophysiology concerning arrhythmic episodes. To explore intra and extracellular biochemistry of the cardiovascular system and its biomarkers as diagnostic tools to predict rhythm disturbances in the MVP population.

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Article Synopsis
  • Meniscal tears are common reasons for knee surgery, and polyurethane scaffolds have been shown to help reduce pain and promote tissue growth.
  • This study focused on evaluating how these scaffolds remodel after knee reconstruction using ultrasonography, which assesses changes in size and blood supply.
  • Results indicated that a high percentage of the implants showed effective remodeling into normal meniscal tissue, and although there was more meniscal extrusion in the operated limb compared to the non-operated limb when lying down, the physical properties of the scaffolds remained favorable during standing.
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Myocarditis remains an unknown disease with varying clinical manifestations, often leading to heart failure. The latest 2021 and 2022 guidelines of the European Society of Cardiology (ESC) are the first official European documents updating knowledge on the diagnosis and treatment of myocarditis since the 2013 ESC expert consensus statement. These guidelines and new studies allow standardization and improvements to the management of myocarditis.

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