239 results match your criteria: "Military Medical Institute.[Affiliation]"

Introduction: Repeated COVID-19 booster vaccination was recommended in healthcare workers (HCWs) to maintain protection. We measured the relative vaccine effectiveness (rVE) of the second booster dose of COVID-19 vaccine compared to the first booster, against laboratory-confirmed SARS-CoV-2 infection in HCWs.

Methods: In a prospective cohort study among HCWs from 12 European hospitals, we collected nasopharyngeal or saliva samples at enrolment and during weekly/fortnightly follow-up between October 2022 and May 2023.

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Reconstructing the orbit following complex craniofacial fractures presents significant challenges. Throughout the years, several materials have been used for orbital reconstruction, taking into account factors such as their durability, compatibility with living tissue, cost efficiency, safety, and capacity to be adjusted during surgery. Nevertheless, a consensus has not yet been reached on the optimal material for orbital restoration.

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Comparison Of Surgical Techniques Used In Post-Traumatic And Non-Traumatic Rhinoseptoplasty.

Otolaryngol Pol

December 2024

Department of Otolaryngology and Laryngological Oncology with Clinical Department of Craniofacial Surgery, Military Medical Institute - National Research Institute, Warsaw, Poland.

Introduction: The main goals of septorhinoplasty are to correct cosmetic and functional defects, which may occur in a patient with no history of previous trauma. As the most prominent facial feature, the nose has an increased risk of injury. Nasal fracture may eventually result in significant defects; posing challenges to the surgeon.

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European countries have included healthcare workers (HCWs) among priority groups for COVID-19 vaccination. We established a multi-country hospital network to measure the SARS-CoV-2 incidence and effectiveness of COVID-19 vaccines among HCWs against laboratory-confirmed SARS-CoV-2 infection. HCWs from 19 hospitals in 10 countries participated in a dynamic prospective cohort study, providing samples for SARS-CoV-2 testing at enrolment and during weekly/fortnightly follow-up.

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Medication non-adherence remains a substantial obstacle in asthma care, prompting the exploration of novel therapeutic modalities that prioritize rapid symptom relief, anti-inflammatory activity, and facilitate patients' compliance. This task is well-served by the following new form of therapy: inhaled triple-combination medications ICS/LABA/LAMA (inhaled glucocorticosteroid/long-acting beta2-agonist/long-acting muscarinic antagonist). The integration of three medications within a singular inhalation device culminates in the reduction of the effective dose of the principal therapeutic agent for asthma management, namely ICS.

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We estimated XBB.1.5 vaccine effectiveness (VE) against symptomatic SARS-CoV-2 infection among adults aged ≥ 65 years during the 2023/2024 JN.

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Article Synopsis
  • A study assessed the effectiveness of the autumn 2023 COVID-19 vaccination in 1,305 healthcare workers across 13 European hospitals against confirmed SARS-CoV-2 infections.
  • Overall, the vaccine effectiveness was found to be 22%, with a notable difference in effectiveness before and after the predominant circulation of specific variants (BA.2.86/JN.1).
  • The findings suggest that the autumn 2023 vaccination resulted in only a moderate-to-low reduction in infection rates among healthcare workers, emphasizing the need for ongoing monitoring of vaccine effectiveness for better COVID-19 prevention strategies.
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  • West Nile virus (WNV) is spreading to new areas in Europe, including Romania, due to climate change and human activities, with significant outbreaks recorded since 1996.
  • A study focused on WNV strains in Romania from 2017 to 2023 analyzed viral sequences from mosquitoes, humans, and birds, highlighting the virus's ongoing circulation in the region.
  • The research found lineage 2 WNV in both mosquito samples and human sera, identifying sub-lineages and clusters that reflect complex transmission patterns and evolutionary changes over time.
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  • * In experiments using Wistar rats, antibiotics led to increased miscarriages and reduced weight gain, while offspring exhibited impaired neurodevelopment and increased neuroinflammation.
  • * The study suggests that caution is needed when using antibiotics during pregnancy due to potential long-term effects on the brain development of children, highlighting the need for future research on preventive measures like probiotics.
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The emergence of antibiotic-resistant , a leading cause of gastroenteritis worldwide, presents a significant public health challenge requiring vigilant surveillance and disease control. This study aimed to characterize strains isolated in Romania from 2017 to 2020, focusing on genetic diversity, virulence, and antibiotic resistance determinants. The isolates underwent phenotypical testing, PCR, and antibiotic resistance assessment using the Kirby-Bauer disc diffusion method for ciprofloxacin, erythromycin, and tetracycline.

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Hepatitis E virus (HEV) is a common cause of acute hepatitis, with increasing incidence in Europe, including Romania. Concurrently, Romania has a high prevalence of chronic hepatitis B (CHB). There is limited research on the clinical presentation and outcomes of HEV infection in patients with pre-existing chronic hepatitis B (CHB), especially in resource-rich settings.

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Advances in the diagnosis and treatment of adrenocortical carcinoma (ACC), along with the development of new therapeutic and diagnostic methods, have prompted a team of experts to formulate the first Polish guidelines for managing ACC. This article presents the diagnostic and therapeutic recommendations resulting from the discussion of specialists from various medical specialities, who participated in a series of online meetings aimed at developing consistent and effective recommendations under the National Oncology Strategy. These guidelines aim to optimise ACC treatment in Poland through coordinated efforts of multidisciplinary specialist teams, ensuring an effective and modern approach.

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Article Synopsis
  • * The overall vaccine effectiveness (VE) was found to be 49%, with higher effectiveness of 69% during the first month and declining to 40% by about 2-3 months after vaccination.
  • * Notably, the vaccine showed over 70% effectiveness in protecting older adults (65 years and older) within the first month after receiving the shot.
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Background: By March, 2023, 54 countries, areas, and territories (hereafter CAT) in the WHO European Region had reported more than 2·2 million COVID-19-related deaths to the WHO Regional Office for Europe. Here, we estimated how many lives were directly saved by vaccinating adults in the WHO European Region from December, 2020, to March, 2023.

Methods: In this retrospective surveillance study, we estimated the number of lives directly saved by age group, vaccine dose, and circulating variant-of-concern (VOC) period, regionally and nationally, using weekly data on COVID-19 mortality and infection, COVID-19 vaccination uptake, and SARS-CoV-2 virus characterisations by lineage downloaded from The European Surveillance System on June 11, 2023, as well as vaccine effectiveness data from the literature.

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Paediatric supraventricular tachycardia (SVT) is a common arrhythmia of great clinical significance. If not treated promptly, it can cause heart failure and cardiogenic shock. Depending on the patient's condition, SVT treatment involves vagal manoeuvres, pharmacological, or direct current cardioversion.

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Shiga Toxin-Producing Strains from Romania: A Whole Genome-Based Description.

Microorganisms

July 2024

National Centre for Communicable Diseases Prevention and Control, National Public Health Institute, 050463 Bucharest, Romania.

The zoonotic Shiga toxin-producing (STEC) group is unanimously regarded as exceptionally hazardous for humans. This study aimed to provide a genomic perspective on the STEC recovered sporadically from humans and have a foundation of internationally comparable data. Fifty clinical STEC isolates, representing the culture-confirmed infections reported by the STEC Reference Laboratory between 2016 and 2023, were subjected to whole-genome sequencing (WGS) analysis and sequences were interpreted using both commercial and public free bioinformatics tools.

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Importance: In the context of emerging SARS-CoV-2 variants or lineages and new vaccines, it is key to accurately monitor COVID-19 vaccine effectiveness (CVE) to inform vaccination campaigns.

Objective: To estimate the effectiveness of COVID-19 vaccines administered in autumn and winter 2022 to 2023 against symptomatic SARS-CoV-2 infection (with all circulating viruses and XBB lineage in particular) among people aged 60 years or older in Europe, and to compare different CVE approaches across the exposed and reference groups used.

Design, Setting, And Participants: This case-control study obtained data from VEBIS (Vaccine Effectiveness, Burden and Impact Studies), a multicenter study that collects COVID-19 and influenza data from 11 European sites: Croatia; France; Germany; Hungary; Ireland; Portugal; the Netherlands; Romania; Spain, national; Spain, Navarre region; and Sweden.

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Article Synopsis
  • Multiple endocrine neoplasia type 2B (MEN 2B) is a hereditary cancer syndrome involving medullary thyroid carcinoma, pheochromocytoma, parathyroid adenomas, ganglioneuromas, and musculoskeletal issues.
  • A 31-year-old male with MEN 2B presented with ganglioneuromas in his colon and elevated normetanephrine levels, which help diagnose pheochromocytoma.
  • He underwent partial thyroid surgery for a goiter and was admitted to Gastroenterology for further evaluation of his condition.
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Enteroaggregative Escherichia coli (EAEC) strains including those of serogroup O111 are important causes of diarrhea in children. In the Czech Republic, no information is available on the etiological role of EAEC in pediatric diarrhea due to the lack of their targeted surveillance. To fill this gap, we determined the proportion of EAEC among E.

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In Romania, influenza vaccination uptake among healthcare workers decreased over time despite access to the vaccine being constantly improved. The aim of this paper is to provide a comparative analysis of the knowledge and attitudes of Dental Medicine and Medicine students towards recommended vaccinations for healthcare workers, focusing on influenza vaccination. A cross-sectional study was conducted during the entire 2021-2022 academic year.

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The present study aims to evaluate the antibacterial activity of five commercially available essential oils (EOs), Lavender (LEO), Clove (CEO), Oregano (OEO), Eucalyptus (EEO), and Peppermint (PEO), against the most-known MDR Gram-positive and Gram-negative bacteria- (ATCC 25923), (ATCC 25922), and (ATCC 27853)-alone and in various combinations. Gas Chromatography-Mass Spectrometry (GC-MS) analysis established their complex compositions. Then, their antibacterial activity-expressed as the inhibition zone diameter (IZD) value (mm)-was investigated in vitro by the diffusimetric antibiogram method, using sterile cellulose discs with Ø 6 mm impregnated with 10 µL of sample and sterile borosilicate glass cylinders loaded with 100 µL; the minimum inhibitory concentration (MIC) value (µg/mL) for each EO was calculated from the IZD values (mm) measured after 24 h.

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  • Meningococcus is a Gram-negative bacterium that can cause serious infections, particularly meningitis, and while it typically has a protective capsule, unencapsulated strains also have clinical significance.
  • The study focused on creating a mouse model of meningitis using a capsule-deficient strain to evaluate the effectiveness of different antimicrobial treatments.
  • Results showed that the strain had multiple virulence factors, and while the untreated group had a low survival rate, certain antibiotic treatments significantly improved survival, with rates reaching up to 81.25%.
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Botulism is a priority disease worldwide because it has a very severe course of evolution that can lead to death. This paper aims to describe the main epidemiological characteristics of botulism cases confirmed in Romania over 14 years (2007-2020). We performed a retrospective study using the publicly available national surveillance data and reported to the National Institute of Public Health.

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