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Wyświetlanie 1-10 z 10
Tytuł:
High-power and short-duration ablation with the Qdot+ algorithm for pulmonary vein isolation and the right superior ganglion plexus ablation without fluoroscopy
Autorzy:
Koźluk, Edward
Piątkowska, Agnieszka
Rodkiewicz, Dariusz
Opolski, Grzegorz
Powiązania:
https://bibliotekanauki.pl/articles/1891023.pdf
Data publikacji:
2021-12-02
Wydawca:
Gdański Uniwersytet Medyczny
Tematy:
atrial fibrillation
pulmonary vein isolation
high power short duration ablation
Qdot Micro catheter
ganglion plexi ablation
zero-fluoroscopy ablation
Opis:
In this report we present pulmonary vein and posterior box isolation together with the right superior ganglion plexus ablation using the Qdot Micro catheter without fluoroscopy. We describe different possibilities of this new technology for catheter ablation. The main advantages of this catheter to potentially increase ablation safety and effectiveness are discussed. Specifically, the possibility to perform high-density mapping with the lowest available distance between points. Furthermore, the possibility to decrease the risk of collateral tissue damage and to improve atrial linear lesions contiguity, transmurality and durability due to the dominance of resistive heating supported by the feedback temperature control. Finally, the possibility to shorten the procedure and fluoroscopy duration due to the high shortening of application duration to 4 seconds only.
Źródło:
European Journal of Translational and Clinical Medicine; 2021, 4, 2; 10-17
2657-3148
2657-3156
Pojawia się w:
European Journal of Translational and Clinical Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Cardioneuroablation in neurocardiogenic syncope – hype or hope?
Autorzy:
Koźluk, Edward
Piątkowska, Agnieszka
Rodkiewicz, Dariusz
Opolski, Grzegorz
Powiązania:
https://bibliotekanauki.pl/articles/2203251.pdf
Data publikacji:
2022-05-31
Wydawca:
Gdański Uniwersytet Medyczny
Tematy:
atrial fibrillation
vasovagal syncope
sick sinus syndrome
cardioneuroablation
Opis:
We are presenting the ablation of parasympathetic ganglia in the atria as a new method of treatment of vasovagal and other neurocardiogenic syncope. This method, shifting the balance of the autonomic nervous system in the sympathetic direction, is directed to the immediate cause of syncope which is excessive activation of the vagus nerve. Its effectiveness in the annual observation is within 80-100%. This method offers a great chance to improve the quality of life in patients with reflex syncope what have not been prevented by conventional treatment.
Źródło:
European Journal of Translational and Clinical Medicine; 2022, 5, 1; 47-52
2657-3148
2657-3156
Pojawia się w:
European Journal of Translational and Clinical Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Irrigated DiamondTemp catheter and return to ablation under temperature control. First Polish experience with DiamondTemp catheter in pulmonary vein isolation
Autorzy:
Koźluk, Edward
Piątkowska, Agnieszka
Rodkiewicz, Dariusz
Opolski, Grzegorz
Powiązania:
https://bibliotekanauki.pl/articles/1890952.pdf
Data publikacji:
2021-12-02
Wydawca:
Gdański Uniwersytet Medyczny
Tematy:
atrial fibrillation
zero fluoroscopy
pulmonary vein isolation
high-power short-duration ablation
temperature control RF ablation
Opis:
We present the first Polish experience with ablation performed using DiamondTemp catheter. The study was conducted with 3 male patients diagnosed with atrial fibrillation (AF). In the first 2 patients typical transseptal punctures were performed, followed by mapping with the Advisor catheter and EnSite-Precision system. One patient had a residual atrial septal leak, therefore ablation without fluoroscopy was attempted. High-power, short-duration ablation under temperature control was performed around pulmonary vein (PV) ostia. The power was 49-53 W, the temperature was 45-48 ͦC. Duration of procedures/fluoroscopy were: 146/8.9, 177/5.9, 132/0.0 min. In the reference group, 10 recent AF identical ablation procedures performed with traditional equipment resulted in 143.0±27.0/6.0±4.4 min. Duration of DiamondTemp applications were 14.7, 32.7, 30.8 min (reference group 37.3 ± 11.4 min). Procedural endpoints were achieved in all but one patient with incomplete isolation of the low segment of the right inferior PV. There were no procedural complications noted. In conclusion, the DiamondTemp saline-irrigated catheter is safe and effective for high-power short-duration ablation in patients with AF. Furthermore, this technology makes it possible to complete the procedure without fluoroscopy. However these findings must be confirmed in larger group of patients.
Źródło:
European Journal of Translational and Clinical Medicine; 2021, 4, 2; 44-51
2657-3148
2657-3156
Pojawia się w:
European Journal of Translational and Clinical Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Difference in demand for analgesic and sedative medication according to the type of catheter ablation for atrial fibrillation
Autorzy:
Koźluk, Edward
Rzechorzek, Wojciech
Piątkowska, Agnieszka
Rodkiewicz, Dariusz
Opolski, Grzegorz
Powiązania:
https://bibliotekanauki.pl/articles/1197576.pdf
Data publikacji:
2021-05-26
Wydawca:
Gdański Uniwersytet Medyczny
Tematy:
analgesia
atrial fibrillation
catheter ablation
conscious sedation
cryoballoon
Opis:
Background: Our aim was to determine if there is a difference in demand for analgesic and sedative medication according to the type of catheter ablation for atrial fibrillation (AF). Material and methods: We collected data from protocols of 1144pts, who underwent ablation of AF. We excluded 275pts, at most due to electrocardioversion during the procedure. We divided them into 4 groups: cryoballoon ablation group (CB, n = 101), single-point radiofrequency ablation group (RFth-, n = 541), single-point radiofrequency ablation group with thermocool catheter (RFth+, n = 156) and Multielectrode Pulmonary Vein Ablation Catheter group (PVAC, n = 71). We used fentanyl and midazolam for pain control. The dose was adjusted by the operator, accord-ing to patients’ request. Results: The median dose of fentanyl 0.04 mg (0.00-0.08) and midazolam 1.00 mg (0.00-2.00) in CB group was lower than in other groups (p < 0.001). The median dose of fentanyl 0.12 mg (0.08-0.17) was lower in RFth- than in in RFth+ group: 0.15 mg (0.1-0.2) (p < 0.001). The demand for analgesia was higher when PVAC was used, with median dose of fentanyl 0.15 mg (0.1-0.2) (p < 0.0024). Conclusions: The demand for analgesic/sedative medication was lower among patients who underwent CB. Among those who underwent RF ablation it was higher in groups with thermocool and multielectrode catheters.
Źródło:
European Journal of Translational and Clinical Medicine; 2021, 4, 1; 35-42
2657-3148
2657-3156
Pojawia się w:
European Journal of Translational and Clinical Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Periprocedural decrease in tumor necrosis factor alpha is a risk factor for atrial fibrillation recurrence after ablation
Autorzy:
Szczerba, Ewa
Koźluk, Edward
Januszkiewicz, Łukasz
Lisicka, Monika
Nowak, Justyna
Kondracka, Agnieszka
Majstrak, Joanna
Rodkiewicz, Dariusz
Piątkowska, Agnieszka
Kiliszek, Marek
Opolski, Grzegorz
Powiązania:
https://bibliotekanauki.pl/articles/25712809.pdf
Data publikacji:
2022-12-05
Wydawca:
Gdański Uniwersytet Medyczny
Tematy:
atrial fibrillation
ablation
TNF-alpha
Opis:
Background Concentration of tumor necrosis factor alpha (TNF-alpha) might be useful in selecting patients with paroxysmal atrial fibrillation (PAF) who will benefit the most from pulmonary vein isolation. Material and methods We performed prospective cohort study among patients with PAF who had sinus rhythm prior to undergoing either radiofrequency ablation or cryoablation procedure. Blood samples were collected at the start of the procedure and 16-24 h after. TNF-alpha concentrations were measured. Follow-up data was obtained during a structured telephone interview and 24-hour ECG Holter monitoring 12 months after the ablation procedure. Results Thirty seven patients were enrolled. After 12-month follow-up 27 patients maintained sinus rhythm, 8 had recurrence of AF and 2 were lost to follow-up. There was no significant correlation between TNF-alpha concentrations in any of the samples and the recurrence of arrhythmia (for pre-procedural samples: 1.75 pg/ml vs 1.74 pg/ml; p=0.72; for post-procedural samples: 1.49 pg/ml vs 1.79 pg/ml; p=0.16). In patients who had a recurrence of AF, we observed a decrease in the periprocedural TNF-alpha concentration (-0.12 pg/ml vs 0.05 pg/ml; p=0.05). Conclusions Neither pre- nor post-procedural TNF-alpha concentrations are predictive of ablation outcome in patients with PAF. We observed a decrease in the periprocedural TNF-alpha concentration in patients who had AF recurrence.
Źródło:
European Journal of Translational and Clinical Medicine; 2022, 5, 2; 16-23
2657-3148
2657-3156
Pojawia się w:
European Journal of Translational and Clinical Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Limitation of patients’ rights during the COVID-19 pandemic in Poland
Autorzy:
Piątkowska, Kamila
Zimmermann, Agnieszka
Pilarska, Anna
Powiązania:
https://bibliotekanauki.pl/articles/1197570.pdf
Data publikacji:
2021-05-25
Wydawca:
Gdański Uniwersytet Medyczny
Tematy:
legislation
patients’ rights
COVID-19
compassionate use
Opis:
Background: The COVID-19 pandemic has had an impact on the observance and limitation of patients’ rights all over the world, including Poland. Material and methods: We analysed in detail the Polish legal acts relevant to healthcare in terms of their impact on the patients’ rights. Our analysis is based on the Bill of Patients’ Rights that was in force in Poland before the announcement of the state of epidemic (March 20th 2020). The legal acts were analysed by use of the exegesis of legal texts and comparative legal literature rules. Results: The patients’ right to family life and presence of relatives during the performance of healthcare services and to additional nursing care has been directly limited. Rights that have been limited indirectly include the right to healthcare services (limited by the use of telemedicine) and the right to dignified death and pastoral care (patients often die alone). The limitations also have an indirect impact on the right to confidentiality and respect for privacy and dignity. Conclusions: Our analysis identified limited patients’ rights in Poland without entitlement to pursue claims thereunder.
Źródło:
European Journal of Translational and Clinical Medicine; 2021, 4, 1; 79-85
2657-3148
2657-3156
Pojawia się w:
European Journal of Translational and Clinical Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Selected problems of experimental testing marine stern tube bearings
Autorzy:
Barszczewska, Agnieszka
Piątkowska, Ewa
Litwin, Wojciech
Powiązania:
https://bibliotekanauki.pl/articles/260219.pdf
Data publikacji:
2019
Wydawca:
Politechnika Gdańska. Wydział Inżynierii Mechanicznej i Okrętownictwa
Tematy:
marine bearings
polymer journal bearings
tribology
real scale test
Opis:
This paper presents typical methods for conducting experimental tests on main shaft slide bearings. There are described their possible testing capabilities , advantages , drawbacks and limitations. Various testing methods were analyzed to find a solution able of providing a wide range of possible investigations at possibly acceptable limitations.
Źródło:
Polish Maritime Research; 2019, 2; 142-154
1233-2585
Pojawia się w:
Polish Maritime Research
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Personal Exercise Behavior and Attitudes Towards Physical Activity Among Physiotherapy Students
Deklarowana aktywność fizyczna oraz postawy wobec aktywności fizycznej studentów kierunku Fizjoterapia
Autorzy:
Michalak, Katarzyna
Cieślak, Agnieszka
Poziomska-Piątkowska, Elżbieta
Powiązania:
https://bibliotekanauki.pl/articles/1177524.pdf
Data publikacji:
2015
Wydawca:
Instytut Medycyny Wsi
Tematy:
"Physical activity"
"physical fitness"
"physiotherapist"
"physiotherapy students"
Opis:
Introduction. This study was designed to obtain information about the personal exercise behavior and to evaluate the relationship between attitudes towards physical activity and personal exercise practices of future physiotherapists and to determine whether physiotherapy specialty is associated with physical activity. Material and methods The study involved 196 first year students of Division of Physiotherapy, Faculty of Military Medicine, Medical University of Lodz. Personal exercise practice and attitudes towards physical activity were assessed by questionnaire. Results Taking professional sports training was declared only by 4 % of respondents and amateur sports training by more than half of the physiotherapy students (57%). Only 3% of future physiotherapist practiced sports 5 times a week or more, 19% 3-4 times a week, 32% - rarely, but steadily. Almost half of respondents (46 %) said that they do not take physical activity regularly. 39% of future physiotherapists admitted that apart from compulsory classes at the University they practiced no additional physical activity. Statistically significant difference was found in sports participation between man and women (p<0.00378). Conclusions Physiotherapy students are aware about the beneficial effects of regular physical activity on health but this knowledge is not correlated with personal exercise behavior. The level of physical activity among future physiotherapists is not greater than among the rest of the society. In the education of future physiotherapists the emphasis should be placed on increasing the level of physical activity, so necessary in this profession.
Cel. Celem pracy było uzyskanie informacji na temat podejmowania aktywności fizycznej w czasie wolnym oraz ocena relacji między postawami wobec aktywności fizycznej a praktykowaniem sportu przez przyszłych fizjoterapeutów. Materiał i metody. Badaniem objęto 196 studentów I roku dwóch kolejnych roczników Kierunku Fizjoterapii Wydziału Wojskowo-Lekarskiego. Częstotliwość i charakter podejmowanej aktywności fizycznej oraz postawy wobec aktywności fizycznej zostały zbadane na podstawie kwestionariusza. Wyniki Podejmowanie profesjonalnego treningu sportowego deklaruje 4% badanych, a ponad połowa studentów fizjoterapii (57%) deklaruje udział w sporcie amatorskim. 3% spośród respondentów uprawia sport 5 razy w tygodniu lub częściej, 19% 3-4 razy w tygodniu, 32% – rzadziej, ale systematycznie. Prawie połowa badanych (46%) przyznaje natomiast, że nie podejmuje aktywności fizycznej regularnie. Aż 39% badanych przyznaje natomiast, że poza obowiązkowymi zajęciami na Uczelni nie uprawia żadnej dodatkowej aktywności fizycznej. Istotnie statystycznie częściej uprawianie sportu deklarują mężczyźni niż kobiety (p<0,00378). Wnioski Studenci fizjoterapii mają świadomość korzystnego wpływu regularnej aktywności fizycznej na zdrowie, ale wiedza ta nie ma odniesienia do osobistego praktykowania sportu. Poziom aktywności fizycznej wśród przyszłych fizjoterapeutów nie jest większy niż wśród pozostałej części społeczeństwa. W edukacji przyszłych fizjoterapeutów należy położyć nacisk na zwiększenie poziomu, tak niezbędnej w tym zawodzie, aktywności fizycznej.
Źródło:
Medycyna Środowiskowa - Environmental Medicine; 2015, 18, 4; 43-47
1505-7054
2084-6312
Pojawia się w:
Medycyna Środowiskowa - Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Status prawny medycznej marihuany – badanie wiedzy i opinii studentów farmacji
Legal status of medical marijuana - studying knowledge and opinions among pharmacy students
Autorzy:
Gazdowicz, Magdalena
Susłowska, Natalia
Piątkowska, Kamila
Zimmermann, Agnieszka E.
Powiązania:
https://bibliotekanauki.pl/articles/762649.pdf
Data publikacji:
2020-07-21
Wydawca:
Polskie Towarzystwo Farmaceutyczne
Tematy:
medyczna marihuana
status prawny
studenci farmacji
wiedza
opinie
prawo farmaceutyczne
medical marijuana
legal status
pharmacy students
knowledge
opinions
pharmacy law
Opis:
Background: Medical marijuana was legalized in Poland in 2017. Cannabinoids contained in marijuana can play a big role in the treatment of pain. The right to pain treatment is especially needed for palliative patients, as it ensures them dying in dignity and peace. With the growing occurrence of medical marijuana in the treatment of patients, future pharmacists should acquire the necessary knowledge on this topic during their studies. Pharmacists have a legal obligation to provide information on prescription medicinal products containing cannabis, including storage and use of the medicinal product dispensed, as well as precautions related to the medicinal product dispensed. Aim of the study: The study looked for answers to questions about the level of pharmacy students’ knowledge concerning medical marijuana and relationship between the year of study and level of knowledge. On the basis of a medical prescription, pharmacists make prescription drugs containing medicinal hemp in pharmacies. Materials and methods: The survey study was conducted from February 25 to April 19. The studied group consisted of 132 pharmacy students from all Pharmaceutical Departments in Poland. The form contained 16 questions. Most of these questions were disjunctive and in several of them the Likert scale was used again. Results: The results of the study indicate that pharmacy students rate their knowledge of medical marijuana very low. Students do not know the indications for medical cannabis use or its side effects. The study sought to find out if there was a need for additional education for students about medical marijuana. No correlation was found between the year of study and the knowledge of pharmacy students. Conslusions: Education about endocannabinoid system in the course of pharmacy studies is negligible, therefore there is an increased need to include this topic in the pharmaceutical study program. Regardless of the year of study, the level of pharmacy students' knowledge about indications, side effects or how to take medical marijuana is low and they need additional education in this field
Przedmiot badań: Medyczna marihuana zyskuje obecnie popularność w terapii pacjentów cierpiących na przewlekły ból. Produkty lecznicze zawierające w swoim składzie kannabinoidy są coraz częściej obecne na aptecznych półkach, dlatego przyszli farmaceuci powinni zdobywać niezbędną wiedzę o medycznej marihuanie podczas studiów. Cel badań: Celem niniejszej pracy było zbadanie wiedzy i opinii studentów farmacji w Polsce na temat medycznej marihuany. W badaniu szukano związku między rokiem studiów a poziomem wiedzy studentów. Badanie miało również na celu sprawdzenie, czy istnieje potrzeba dodatkowej edukacji na temat marihuany medycznej na studiach farmaceutycznych. Materiał i metody: Przeprowadzono autorską ankietę, w grupie 132 studentów farmacji ze wszystkich wydziałów farmaceutycznych w Polsce. Wyniki: Analiza obowiązujących przepisów prawnych w Polsce oraz badanie ankietowe pozwalają stwierdzić, że poziom wiedzy studentów na temat marihuany medycznej jest niski, niezależnie od roku studiów. Wnioski: Edukacja o układzie endokannabinoidowym w toku studiów na kierunku farmacja jest znikoma, dlatego istnieje zwiększona potrzeba zawarcia tego tematu w programie studiów farmaceutycznych
Źródło:
Farmacja Polska; 2020, 76, 5; 250-257
0014-8261
2544-8552
Pojawia się w:
Farmacja Polska
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Differentiation of polyvalent bacteriophages specific to uropathogenic Proteus mirabilis strains based on the host range pattern and RFLP
Autorzy:
Maszewska, Agnieszka
Wójcik, Ewelina
Ciurzyńska, Aneta
Wojtasik, Arkadiusz
Piątkowska, Iwona
Dastych, Jarosław
Różalski, Antoni
Powiązania:
https://bibliotekanauki.pl/articles/1038818.pdf
Data publikacji:
2016
Wydawca:
Polskie Towarzystwo Biochemiczne
Tematy:
P. mirabilis
UTI
bacteriophage
phage typing
RFLP
Opis:
Urinary tract infections (UTIs) caused by P. mirabilis are difficult to cure because of the increasing antimicrobial resistance of these bacteria. Phage therapy is proposed as an alternative infection treatment. The aim of this study was to isolate and differentiate uropathogenic P. mirabilis strain specific polyvalent bacteriophages producing polysaccharide depolymerases (PDs). 51 specific phages were obtained. The plaques of 29 bacteriophages were surrounded by halos, which indicated that they produced PDs. The host range analysis showed that, except phages 58B and 58C, the phage host range profiles differed from each other. Phages 35 and 45 infected all P. mirabilis strains tested. Another 10 phages lysed more than 90% of isolates. Among these phages, 65A, 70, 66 and 66A caused a complete lysis of the bacterial lawn formed by 62% to 78% of strains. Additionally, phages 39A and 70 probably produced PDs. The phages' DNA restriction fragment length polymorphism (RFLP) analysis demonstrated that genomes of 51 isolated phages represented 34 different restriction profiles. DNA of phage 58A seemed to be resistant to selected EcoRV endonuclease. The 33 RFLP-EcoRV profiles showed a Dice similarity index of 38.8%. 22 RFLP patterns were obtained from single phage isolates. The remaining 12 restriction profiles consisted of 2 to 4 viruses. The results obtained from phage characterization based on the pattern of phage host range in combination with the RFLP method enabled effective differentiation of the studied phages and selection of PD producing polyvalent phages for further study.
Źródło:
Acta Biochimica Polonica; 2016, 63, 2; 303-310
0001-527X
Pojawia się w:
Acta Biochimica Polonica
Dostawca treści:
Biblioteka Nauki
Artykuł
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