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    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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