83 results match your criteria: "University Hospital in Wroclaw[Affiliation]"

Chronic kidney disease-associated pruritus (CKD-aP) is a frequent and distressing problem for individuals with chronic kidney disease (CKD) and end-stage renal disease. It affects around 20% of those with CKD and 40% of those with end-stage renal disease. Despite its clear association with poorer psychosocial and medical outcomes, it is often underreported by patients and frequently remains unnoticed by healthcare providers.

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Purpose: The study presents a cross-sectional analysis of the population of Ukrainian women who received maternity care in 11 Polish hospitals.

Methods: Multidirectional lactation counseling was implemented from March to November 2023 by the Human Milk Bank Foundation in cooperation with UNICEF Refugee Response Office in Poland. Medical data were collected using questionnaires prepared for the study.

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Potential effects of beta-blockers in HFpEF.

Heart Fail Rev

December 2024

Institute of Heart Diseases, University Hospital in Wrocław, Wrocław Medical University, Wrocław, Poland.

Heart failure with preserved ejection fraction (HFpEF) poses a significant challenge in contemporary medicine, characterized by poor quality of life, high healthcare costs, and increased mortality. Despite advancements in medical research, treatment strategies for HFpEF remain elusive, with unclear guidance on the use of beta-blockers. While sympathetic overstimulation is common in HFpEF, beta-blockers, though potentially beneficial in reducing sympathetic activity, may exacerbate chronotropic incompetence and decrease exercise tolerance.

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Article Synopsis
  • Tracheostomy can help decrease the duration of mechanical ventilation, length of stay in the ICU and hospital, and the risk of ventilator-associated pneumonia (VAP) in critically ill patients, particularly those with COVID-19.
  • A study at a Polish university hospital found that patients who had an early tracheostomy (within 13 days) experienced a significantly lower incidence of VAP (19%) compared to those who had a late tracheostomy (after 13 days), where the VAP occurrence was 72%.
  • Early tracheostomy also resulted in shorter durations of mechanical ventilation (18 vs. 33 days), as well as reduced ICU (20 vs. 31 days) and hospital length
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  • - Online resources about alopecia areata, particularly treatment options, were analyzed in five languages to assess their readability and suitability for patient education.
  • - The analysis, which included 251 articles, revealed that the average readability score was very hard to comprehend, with treatment articles (average score of 55) being more difficult than those focused on alopecia areata itself (average score of 50).
  • - Articles discussing JAK inhibitors as a treatment were the hardest to read, emphasizing the need for clearer educational materials to aid patients in making informed decisions about their care.
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Background: Breast cancer (BC) is the most commonly diagnosed malignant tumor in women. The disease and its subsequent treatment pose a serious burden on the quality of life of patients. Neoadjuvant chemotherapy (NAC) has become one of the crucial strategies for the management of BC.

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  • The study investigates the distribution of high-risk HPV types in low and high-grade cervical lesions to understand their role in cervical cancer progression.
  • Using data from a large sample of screening tests, the researchers analyzed the prevalence of HPV types and dual staining status among different histological groups.
  • Results showed significant differences in HPV 16 prevalence and dual staining positivity between high-grade lesions and lower-grade or negative cases, emphasizing the varying risks associated with cervical lesion grades.
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Colorectal cancer (CRC) represents a substantial burden on global healthcare, contributing to significant morbidity and mortality worldwide. Despite advances in screening methodologies, its incidence remains high, necessitating continued efforts in early detection and treatment. Neoplastic invasion and metastasis are primary determinants of CRC lethality, emphasizing the urgency of understanding underlying mechanisms to develop effective therapeutic strategies.

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Background: Itch terminology is ambiguous. How itch was described in online materials and how terminology influenced the readability of these materials was previously unknown.

Materials And Methods: Two groups of search terms, itch and prurigo, were translated into five of the most prevalent European Union (EU) languages.

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Major screening abnormalities in precolposcopic stage are tests results that imply direct referral to colposcopy (and/or expedited treatment) without performing additional high-grade squamous intraepithelial lesions or worse (HSIL+) risk selection testing. Currently, both clinically validated HSIL+ risk selection tests, reflex cytology and reflex p16/Ki67 dual staining (DS), are being compared for use in primary human papillomavirus (HPV)-based screening to avoid possible overtreatment, but there is still no sufficient data available for their performance. Among 30 066 liquid-based cervical cancer screening tests results, a group of 332 women was selected with available high-risk types of HPV tests results with 16/18 limited genotyping, liquid-based cytology, DS, and histology results from standardized colposcopy with biopsy.

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Readability of Patient Electronic Materials for Atopic Dermatitis in 23 Languages: Analysis and Implications for Dermatologists.

Dermatol Ther (Heidelb)

March 2024

Chair of the Department of Dermatology, Venerology and Allergology, Wroclaw Medical University, Chalubinskiego 1, 50-368, Wroclaw, Poland.

Introduction: Patients search on the Internet for information about various medical procedures and conditions. The main aim of this study was to evaluate the readability of online health information related to atopic dermatitis (AD). Online resources are becoming a standard in facilitating shared decision-making processes.

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Background: Children with chronic kidney disease (CKD) experience a lot of mental and emotional stress, which can lead to the development of depressive disorders. The prevalence of depressive disorders in CKD children is estimated to be between 7% and 35%.

Objectives: The aim of our study was to analyze the prevalence and characteristics of depression and depressive symptoms in children and adolescents with CKD treated conservatively.

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Introduction: Plasmacytoma is a rare plasma-cell neoplasm, which includes bone and extramedullary types. While most cases occur in the head and neck, our report presents an unusual case of extramedullary plasmacytoma (EMP) in the penis, emphasizing the diverse locations of this condition.

Case Presentation: An 88-year-old man, post-hydrocelectomy, presented with a palpable penile mass causing urinary symptoms.

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The introduction of primary human papillomavirus (HPV) cervical cancer screening requires the implementation of an appropriate triage strategy that will be effective in detecting high-grade cervical disease without losing diagnostic specificity. From the 30.066 screening tests results, a total of 1086 with available high-risk human papillomavirus (HRHPV) with limited genotyping, cytology, and p16/Ki67 dual-stain were selected.

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Objective: Multiple organ failure can occur as a result of postoperative complications. Research has indicated that the underlying mechanism of organ dysfunction is a microcirculation disorder. Because of its antioxidant and anti-inflammatory properties, lidocaine has the potential to improve microvascular blood flow.

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Background: In the context of primary HPV cervical cancer screening, the identification of minor screening abnormalities necessitates triage tests to optimize management and mitigate overtreatment. Currently, reflex cytology and reflex p16/Ki67 dual-stain (DS) are under scrutiny for their applicability in primary HPV-based screening. However, there remains a dearth of comprehensive data for comparing their performance.

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(1) Background: Urinary tract infections (UTIs) are among the most common infections in the pediatric population. This study aimed to analyze the urine culture results and antimicrobial patterns over the last 5 years in children diagnosed with UTI. (2) Methods: Retrospective analysis of medical records of 242 patients hospitalized in the Pediatric Nephrology Department diagnosed with a UTI in the years 2018-2022.

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European consensus statement on expert colposcopy.

Eur J Obstet Gynecol Reprod Biol

November 2023

Aberdeen Centre for Women's Health Research (ACWHR), University of Aberdeen, UK.

Background: Following the publication of the European consensus statement on standards for essential colposcopy in 2020, the need for standards relating to more complex and challenging colposcopy practice was recognised. These standards relate to colposcopy undertaken in patients identified through cervical screening and tertiary referrals from colposcopists who undertake standard colposcopy only. This set of recommendations provides a review of the current literature and agreement on care for recognised complex cases.

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Patients often search on the Internet information about different medical conditions and procedures. This study aimed to evaluate online health information on colonoscopy, focusing on quantity and comprehensibility of internet resources dedicated to the colonoscopy. This information could be used by European Union (EU) colorectal cancer (CRC) screening providers to address patient's unfilled educational needs, fear of colonoscopy, and other barriers that deter from CRC screening.

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Article Synopsis
  • Despite improvements in heart failure treatment, hospitalizations for disease exacerbations remain high due to inconsistent adherence to management guidelines.
  • Inpatient treatment offers a critical opportunity to modify therapy and diagnose new cases, emphasizing individualized care based on the patient's condition and treatment options.
  • Enhanced collaboration among the multidisciplinary healthcare team is essential for improving treatment quality, as outlined in updated guidelines from the ESC, AHA, ACC, and HFSA.
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Depression in Children and Adolescents with Chronic Kidney Disease-Review of Available Literature.

J Clin Med

May 2023

Clinical Department of Paediatric Nephrology, Wroclaw Medical University, Borowska Street 213, 50-556 Wroclaw, Poland.

Depression is a significant health problem gaining increasing relevance, especially among children and adolescents. It is known that the incidence of depression is higher in patients suffering from chronic diseases, such as chronic kidney disease (CKD). This review aims to discuss the prevalence of depression in children and adolescents with CKD and its impact on the quality of life of these patients (HRQoL).

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