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    Wyświetlanie 1-9 z 9
    Tytuł:
    1000 Liver Transplantations at the Department of General, Transplant and Liver Surgery, Medical University of Warsaw - Analysis of Indications and Results
    Autorzy:
    Krawczyk, Marek
    Grąt, Michał
    Barski, Krzysztof
    Ligocka, Joanna
    Antczak, Arkadiusz
    Kornasiewicz, Oskar
    Skalski, Michał
    Patkowski, Waldemar
    Nyckowski, Paweł
    Zieniewicz, Krzysztof
    Grzelak, Ireneusz
    Pawlak, Jacek
    Alsharabi, Abdulsalam
    Wróblewski, Tadeusz
    Paluszkiewicz, Rafał
    Najnigier, Bogusław
    Dudek, Krzysztof
    Remiszewski, Piotr
    Smoter, Piotr
    Grodzicki, Mariusz
    Korba, Michał
    Kotulski, Marcin
    Cieślak, Bartosz
    Kalinowski, Piotr
    Gierej, Piotr
    Frączek, Mariusz
    Rdzanek, Łukasz
    Stankiewicz, Rafał
    Kobryń, Konrad
    Nazarewski, Łukasz
    Leonowicz, Dorota
    Urban-Lechowicz, Magdalena
    Skwarek, Anna
    Giercuszkiewicz, Dorota
    Paczkowska, Agata
    Piwowarska, Jolanta
    Gelo, Remigiusz
    Andruszkiewicz, Paweł
    Brudkowska, Anna
    Andrzejewska, Renata
    Niewiński, Grzegorz
    Kilińska, Beata
    Zarzycka, Aleksandra
    Nowak, Robert
    Kosiński, Cezary
    Korta, Teresa
    Ołdakowska-Jedynak, Urszula
    Sańko-Resmer, Joanna
    Foroncewicz, Bartosz
    Ziółkowski, Jacek
    Mucha, Krzysztof
    Senatorski, Grzegorz
    Pączek, Leszek
    Habior, Andrzej
    Lechowicz, Robert
    Polański, Sławomir
    Leowska, Elżbieta
    Pacho, Ryszard
    Andrzejewska, Małgorzata
    Rowiński, Olgierd
    Kozieł, Sławomir
    Żurakowski, Jerzy
    Ziarkiewicz-Wróblewska, Bogna
    Górnicka, Barbara
    Hevelke, Piotr
    Michałowicz, Bogdan
    Karwowski, Andrzej
    Szczerbań, Jerzy
    Powiązania:
    https://bibliotekanauki.pl/articles/1396689.pdf
    Data publikacji:
    2012-06-01
    Wydawca:
    Index Copernicus International
    Tematy:
    liver transplantation
    indications
    results
    mortality
    Opis:
    The aim of the study was to analyze indications and results of the first one thousand liver transplantations at Chair and Clinic of General, Transplantation and Liver Surgery, Medical University of Warsaw.Material and methods. Data from 1000 transplantations (944 patients) performed at Chair and Clinic of General, Transplantation and Liver Surgery between 1994 and 2011 were analyzed retrospectively. These included 943 first transplantations and 55 retransplantations and 2 re-retransplantations. Frequency of particular indications for first transplantation and retransplantations was established. Perioperative mortality was defined as death within 30 days after the transplantation. Kaplan-Meier survival analysis was used to estimate 5-year patient and graft survival.Results. The most common indications for first transplantation included: liver failure caused by hepatitis C infection (27.8%) and hepatitis B infection (18%) and alcoholic liver disease (17.7%). Early (< 6 months) and late (> 6 months) retransplantations were dominated by hepatic artery thrombosis (54.3%) and recurrence of the underlying disease (45%). Perioperative mortality rate was 8.9% for first transplantations and 34.5% for retransplantations. Five-year patient and graft survival rate was 74.3% and 71%, respectively, after first transplantations and 54.7% and 52.9%, respectively, after retransplantations.Conclusions. Development of liver transplantation program provided more than 1000 transplantations and excellent long-term results. Liver failure caused by hepatitis C and B infections remains the most common cause of liver transplantation and structure of other indications is consistent with European data.
    Źródło:
    Polish Journal of Surgery; 2012, 84, 6; 304-312
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Węgry w latach 1990–2011. Polityczne, ekonomiczne i społeczne przyczyny kryzysu
    Hungary in the period from 1990–2011. Political and economic sources of the crisis
    Autorzy:
    Pająk-Patkowska, Beata
    Patkowski, Krzysztof
    Powiązania:
    https://bibliotekanauki.pl/articles/620254.pdf
    Data publikacji:
    2012
    Wydawca:
    Uniwersytet im. Adama Mickiewicza w Poznaniu
    Opis:
    The paper attempts to answer the question of why Hungary, a country that many Western politicians praised as an exemplary model of transformation until recently, has become a European outsider, a country whose economic situation is barely better than that of Greece going bankrupt. Both political and socio-economic reasons for the crisis are indicated. The former concern the long years of living beyond their means and the cowardice of the politicians, afraid to tell their fellow citizens that sacrifices are necessary. The economic sources of the crisis concern the procrastination and non-completion of reforms that could have made Hungary a more competitive economy. The third group of factors that contributed to the crisis was related to the condition of Hungarian society, a society that in the mid-nineteen-nineties entered another period described as bús Magyarország, a Hungarian version of Russian smuta (trouble). A period of an upset system of values, sadness, helplessness, a sense of defeat and humiliation have led to mental and moral collapse. All this may result in Hungary’s recovery from the crisis being a very difficult and prolonged process.
    Źródło:
    Środkowoeuropejskie Studia Polityczne; 2012, 3; 263-286
    1731-7517
    Pojawia się w:
    Środkowoeuropejskie Studia Polityczne
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Węgierska droga do i od demokracji
    The Hungarian path towards democracy and back
    Autorzy:
    Pająk-Patkowska, Beata
    Patkowski, Krzysztof
    Powiązania:
    https://bibliotekanauki.pl/articles/616631.pdf
    Data publikacji:
    2014
    Wydawca:
    Uniwersytet im. Adama Mickiewicza w Poznaniu
    Tematy:
    Hungary
    democracy
    indices of democracy
    Węgry
    demokracja
    V. Orban
    wskaźniki jakości demokracji
    Opis:
    In 2010 the Fidesz party of V. Orban took power. Owing to the considerable majority they won in the parliamentary elections (nearly 53% of the votes, which translated into 263 mandates, five more than required for a constitutional majority) it was possible to implement profound changes (including a new constitution). In the opinion of numerous organizations guarding democracy and of the European Union, these changes pose a threat to the foundations of democracy in Hungary. The objective of this paper is to present the development of democracy in Hungary after 1989, and first and foremost to assess the changes that have taken place there after 2010. On the basis of accessible indices of the quality of democracy (Freedom House and The Economist Intelligence Unit’s Index of Democracy), the paper also attempts to verify the statement by Janos Kornai who said that „from 1989–1990 to the spring of 2010 Hungary was democratic. Now democracy is gone – autocracy has become the form of governance” (Kornai, 2011). The paper also counterpoints the accusations of Hungarian reforms, voiced by international community, with the opinions of the authors of these reforms.
    W 2010 r. na Węgrzech przejęła władzę partia V. Orbana – FIDESZ. Dzięki wysokiej wygranej w wyborach parlamentarnych (niemal 53% głosów, co przełożyło się na 263 mandaty, czyli o 5 więcej niż wynosi konstytucyjna większość) możliwe stało się wprowadzenie głębokich zmian (w tym uchwalenie nowej konstytucji). W opinii wielu organizacji stojących na straży demokracji, a także Unii Europejskiej, zagrażają one fundamentom systemu demokratycznego w tym kraju. Celem artykułu jest przedstawienie rozwoju demokracji na Węgrzech po 1989 r., a przede wszystkim ocena zmian zachodzących w tym kraju po 2010 r. W oparciu o dostępne wskaźniki jakości demokracji (Freedom House oraz The Economist Intelligence Unit’s Index of Democracy), podjęta zostanie także próba zweryfikowania tezy Janosa Kornaia, iż „Od lat 1989–1990 do wiosny 2010 r. na Węgrzech była demokracja. Już jej nie ma – formą rządów stała się autokracja” (Kornai, 2011). W artykule skonfrontowano również zarzuty stawiane węgierskim reformom przez społeczność międzynarodową z tym, co na ich temat mają do powiedzenia twórcy tychże reform.
    Źródło:
    Przegląd Politologiczny; 2014, 2; 21-35
    1426-8876
    Pojawia się w:
    Przegląd Politologiczny
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Evolution Of The Results Of 1500 Liver Transplantations Performed In The Department Of General, Transplant And Liver Surgery Medical University Of Warsaw
    Autorzy:
    Krawczyk, Marek
    Grąt, Michał
    Grąt, Karolina
    Wronka, Karolina
    Krasnodębski, Maciej
    Stypułkowski, Jan
    Masior, Łukasz
    Hołówko, Wacław
    Ligocka, Joanna
    Nyckowski, Paweł
    Wróblewski, Tadeusz
    Paluszkiewicz, Rafał
    Patkowski, Waldemar
    Zieniewicz, Krzysztof
    Pączek, Leszek
    Milkiewicz, Piotr
    Ołdakowska-Jedynak, Urszula
    Najnigier, Bogusław
    Dudek, Krzysztof
    Remiszewski, Piotr
    Grzelak, Ireneusz
    Kornasiewicz, Oskar
    Kotulski, Marcin
    Smoter, Piotr
    Grodzicki, Mariusz
    Korba, Michał
    Kalinowski, Piotr
    Skalski, Michał
    Zając, Krzysztof
    Stankiewicz, Rafał
    Przybysz, Marta
    Cieślak, Bartosz
    Nazarewski, Łukasz
    Nowosad, Małgorzata
    Kobryń, Konrad
    Wasilewicz, Michał
    Raszeja-Wyszomirska, Joanna
    Piwowarska, Jolanta
    Giercuszkiewicz, Dorota
    Sańko-Resmer, Joanna
    Rejowski, Sławomir
    Szydłowska-Jakimiuk, Monika
    Górnicka, Barbara
    Wróblewska-Ziarkiewicz, Bogna
    Mazurkiewicz, Michał
    Niewiński, Grzegorz
    Pawlak, Jacek
    Pacho, Ryszard
    Powiązania:
    https://bibliotekanauki.pl/articles/1395614.pdf
    Data publikacji:
    2015-05-01
    Wydawca:
    Index Copernicus International
    Tematy:
    liver transplantation
    survival
    outcomes
    donors
    center experience
    center volume
    Opis:
    Liver transplantation is a well-established treatment of patients with end-stage liver disease and selected liver tumors. Remarkable progress has been made over the last years concerning nearly all of its aspects. The aim of this study was to evaluate the evolution of long-term outcomes after liver transplantations performed in the Department of General, Transplant and Liver Surgery (Medical University of Warsaw). Material and methods. Data of 1500 liver transplantations performed between 1989 and 2014 were retrospectively analyzed. Transplantations were divided into 3 groups: group 1 including first 500 operations, group 2 including subsequent 500, and group 3 comprising the most recent 500. Five year overall and graft survival were set as outcome measures. Results. Increased number of transplantations performed at the site was associated with increased age of the recipients (p<0.001) and donors (p<0.001), increased rate of male recipients (p<0.001), and increased rate of piggyback operations (p<0.001), and decreased MELD (p<0.001), as well as decreased blood (p=0.006) and plasma (p<0.001) transfusions. Overall survival was 71.6% at 5 years in group 1, 74.5% at 5 years in group 2, and 85% at 2.9 years in group 3 (p=0.008). Improvement of overall survival was particularly observed for primary transplantations (p=0.004). Increased graft survival rates did not reach the level of significance (p=0.136). Conclusions. Long-term outcomes after liver transplantations performed in the Department of General, Transplant and Liver Surgery are comparable to those achieved in the largest transplant centers worldwide and are continuously improving despite increasing recipient age and wider utilization of organs procured from older donors.
    Źródło:
    Polish Journal of Surgery; 2015, 87, 5; 221-230
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Is there a rationale for aggressive breast cancer liver metastases resections in Polish female patients? Analysis of overall survival following hepatic resection at a single centre in Poland
    Autorzy:
    Kobryń, Eliza
    Kobryń, Konrad
    Wróblewski, Tadeusz
    Kobryń, Krzysztof
    Pietrzak, Radosław
    Rykowski, Paweł
    Ziarkiewicz-Wróblewska, Bogna
    Lamparski, Krzysztof
    Zieniewicz, Krzysztof
    Patkowski, Waldemar
    Krawczyk, Marek
    Paluszkiewicz, Rafał
    Powiązania:
    https://bibliotekanauki.pl/articles/991146.pdf
    Data publikacji:
    2016
    Wydawca:
    Instytut Medycyny Wsi
    Tematy:
    liver metastases
    breast cancer
    liver surgery
    Opis:
    Introduction. Breast cancer (BC) makes up nearly 26% of malignant tumours worldwide and is the leading cause of cancerrelated deaths in European women. With approximately 18,000 new cases of BC diagnosed in Polish women annually, breast cancer liver metastasis (BCLM) is respectively an increasing issue. Recent data found in literature indicates improved survival following liver resection with systemic therapy. Objective. The aim of study was to evaluate surgical treatment in patients with isolated BCLM. Materials and method. During 2009–2013, a retrospective study was undertaken and 30 cases analysed. From nearly 2,000 liver resections performed, 11 female patients at the mean age of 59.18 years with BCLM were qualified for surgery. Results. The median time between primary and secondary treatment was 3.5 years (1–7). One patient (9.1%) presented an extrahepatic lesion – bone metastasis. The left lobe, right lobe and both lobes of the liver were affected, respectively, in 3 (27.3%), 4 (36.4%) and 4 (36.4%) patients. 5 patients (45.5%) presented single hepatic lesion, in contrast to the maximum number of lesions which equalled 6 in the right lobe. Average hospitalisation period was 13.27 days and discharge on the 11.3 postoperative day. One-year survival was 72.7% (8 patients); therefore, three-year survival was 36.4% (4 patients). Conclusions. Oncological centres should assess BCLM patients more openly and qualify them for hepatic resection along with adjuvant systemic treatment in order to improve overall survival. This, however, needs to be studied in a multicentre randomized trial.
    Źródło:
    Annals of Agricultural and Environmental Medicine; 2016, 23, 4
    1232-1966
    Pojawia się w:
    Annals of Agricultural and Environmental Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Resection of liver metastases from differentiated thyroid cancer: who might benefit? A report of 2 cases with review of literature
    Autorzy:
    Ligocka, Joanna
    Patkowski, Waldemar
    Szparecki, Grzegorz
    Ostrowski, Tomasz
    Wiechno, Wiesław
    Zieniewicz, Krzysztof
    Powiązania:
    https://bibliotekanauki.pl/articles/1392133.pdf
    Data publikacji:
    2019
    Wydawca:
    Index Copernicus International
    Tematy:
    iodine negative
    liver surgery
    thyroid neoplasms
    Opis:
    Background: Liver metastases of differentiated thyroid cancers (DTC) are uncommon. Surgery has proven to be effective in patients with 131I-negative hepatic lesions. Here, we present two patients who underwent liver resection for metastatic DTC. Case presentation: The first patient is a 36-year-old woman who reported with 70-mm hepatic metastases of papillary thyroid cancer. After primary treatment of cancer, she was disease-free for 8 years when the elevation of TSH levels resulted for the need to search for metastasis. Notably, the 131I SPECT did not show any lesions. The CT scan revealed an 80mm diameter mass in the liver. Histology confirmed metastasis of thyroid cancer. Lack of iodine uptake and the size of lesion excluded treatment with radioactive iodine. Radical resection of the metastasis was performed with good short- and long-term postoperative result. The second patient is a 65-year-old man previously treated for follicular thyroid cancer. When a iodine-negative 70mm diameter metastasis was detected within the liver, he was referred for surgery. Extended right hepatectomy was performed. In a 12-months follow-up, he remained stable, with no signs of recurrence. Conclusions: These two cases show that resection of hepatic metastases of DTC is an option even in the case of large lesions. Given the effectiveness and safety of liver surgery, we reckon that it should be the treatment of choice when possible. The decision to perform surgical treatment should be based on analysis of the ability to perform radical and safe resection.
    Źródło:
    Polish Journal of Surgery; 2019, 91, 4; 52-56
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Resekcja wątroby u pacjentów z przerzutami zróżnicowanego raka tarczycy: kto może odnieść korzyści? Opis dwóch przypadków oraz przegląd literatury
    Autorzy:
    Ligocka, Joanna
    Patkowski, Waldemar
    Szparecki, Grzegorz
    Ostrowski, Tomasz
    Wiechno, Wiesław
    Zieniewicz, Krzysztof
    Powiązania:
    https://bibliotekanauki.pl/articles/1392172.pdf
    Data publikacji:
    2019
    Wydawca:
    Index Copernicus International
    Tematy:
    chirurgia wątroby
    jodonegatywne
    nowotwory tarczycy
    Opis:
    Przerzuty zróżnicowanego raka tarczycy do wątroby występują rzadko. W przypadku guzów niewrażliwych na terapię jodem radioaktywnym, jedną z możliwych metod dążenia do poprawy zdrowia pacjenta jest leczenie chirurgiczne. W niniejszym tekście prezentujemy dwa przypadki resekcji wątroby z powodu przerzutów raka brodawkowatego i pęcherzykowego tarczycy. U 36-letniej chorej, pierwotnie leczonej z powodu brodawkowatego raka tarczycy, po ośmiu latach zaobserwowano wzrost TSH. Rutynowo wykonane 131I SPECT nie wykazało patologii. W TK jamy brzusznej uwidoczniono guz w wątrobie. Badanie histologiczne potwierdziło przerzutowy charakter zmiany. W związku z brakiem możliwości leczenia jodem radioaktywnym, kobietę zakwalifikowano do leczenia operacyjnego. Poddano ją radykalnej resekcji wątroby, uzyskując 60-miesięczne przeżycie bez wznowy. Drugi pacjent to 65-letni mężczyzna z pojedynczym przerzutem raka pęcherzykowego tarczycy do wątroby. Brak wrażliwości komórek wykrytego przerzutu na znakowany jod był powodem podjęcia leczenia chirurgicznego. W 12-miesięcznej obserwacji pozostał bez nawrotu choroby. Przedstawione przypadki pokazują, że resekcja przerzutów DTC do wątroby jest dobrym rozwiązaniem nawet w przypadku dużych zmian. Leczenie operacyjne, obok niepozbawionego działań niepożądanych leczenia systemowego, jest skuteczne i bezpieczne. Decyzja o chirurgicznym leczeniu powinna być oparta na analizie możliwości wykonania radykalnej resekcji.
    Źródło:
    Polish Journal of Surgery; 2019, 91, 4; 52-56
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Grazing of Native Livestock Breeds as a Method of Grassland Protection in Roztocze National Park, Eastern Poland
    Autorzy:
    Kulik, Mariusz
    Warda, Marianna
    Gawryluk, Adam
    Bochniak, Andrzej
    Patkowski, Krzysztof
    Lipiec, Antoni
    Gruszecki, Tomasz
    Pluta, Michał
    Bielińska, Elżbieta
    Futa, Barbara
    Powiązania:
    https://bibliotekanauki.pl/articles/123977.pdf
    Data publikacji:
    2020
    Wydawca:
    Polskie Towarzystwo Inżynierii Ekologicznej
    Tematy:
    animal welfare
    grasses
    herb
    weed
    horse
    sheep
    Opis:
    The studies were conducted in a forest settlement in Roztocze National Park (eastern Poland). The aim of the study was to evaluate the vegetation of two pastures depending on the type of use in the context of grassland protection, identify the trends of species composition changes, and analyse the yield and nutritional value of the biomass in the context of animal welfare. The studies were conducted on permanent grasslands varying in terms of fertility and location. Both sites were pastures where native breeds of livestock (Polish Lowland sheep of the Uhrusk and Polish Konik) were grazing. The fertile pasture was represented by the developing Lolio-Cynosuretum association, while the poor dry pasture – by a community with Common Bent (Agrostis capillaris L.) and a community with Mouse-Ear Hawkweed (Hieracium pilosella L.). The greatest changes over time were observed in the mowed site in the fertile pasture (increased share of tall grasses) and in the abandoned poor dry pasture (increased share of herbs and weeds). Livestock grazing conducted from 2010 influenced the stabilisation of the species composition. Tree and shrub seedlings were systematically eaten by livestock, which evidences a positive impact of grazing on the preservation of permanent grasslands in Roztocze National Park where forest ecosystems predominate. The assessment of the species composition and yielding indicated that the fertile pasture was characterised by good value while the poor pasture – low or sufficient value. In terms of nutrient yield and content, these pastures were poor or very poor, and their nutritive potential was largely dependent on the meteorological conditions. While the livestock density in the pastures, ranging from 1.1 to 1.5 LSU ha–1 in the years under study, was appropriate, grazing should be limited in the summer months, particularly in periods of drought, by reducing the number of animals or by additional feeding to ensure their welfare.
    Źródło:
    Journal of Ecological Engineering; 2020, 21, 3; 61-69
    2299-8993
    Pojawia się w:
    Journal of Ecological Engineering
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-9 z 9

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