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Wrześniewska-Wal I, Pinkas J, Ostrowski J, Jankowski M. Pharmacists' Perceptions of Physician-Pharmacist Collaboration-A 2022 Cross-Sectional Survey in Poland. Healthcare (Basel) 2023; 11:2444. [PMID: 37685477 PMCID: PMC10486938 DOI: 10.3390/healthcare11172444] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Revised: 08/21/2023] [Accepted: 08/30/2023] [Indexed: 09/10/2023] Open
Abstract
Patient-centered care requires close collaboration among multiple healthcare professionals, including physician-pharmacist collaboration (especially as a part of pharmaceutical care). This study aimed to assess pharmacists' perceptions of physician-pharmacist collaboration as well as to identify factors associated with the willingness to provide pharmaceutical care services in Poland. This questionnaire-based survey was carried out in 2022 among community pharmacists from one of the largest franchise chain pharmacy networks in Poland. Completed questionnaires were received from 635 community pharmacists (response rate of 47.9%). Almost all the pharmacists agreed with the statement that there is a need for physician-pharmacist collaboration (98.2%), and 94.8% declared that pharmacists can help physicians in patient care and pharmacotherapy. Most pharmacists (80%) believed that physicians were not aware of the competencies of pharmacists resulting from Polish law. Patient education (89.9%), detection of polypharmacy (88%), and detection of interactions between drugs and dietary supplements (85.7%) were the most common tasks in the field of pharmaceutical care that can be provided by a pharmacist. Females were more likely (p < 0.05) to declare the need for physician-pharmacist collaboration. Age and location of the pharmacy were the most important factors (p < 0.05) associated with pharmacists' attitudes toward physician-pharmacist collaboration.
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Affiliation(s)
- Iwona Wrześniewska-Wal
- School of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, Poland
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Jankowski M, Grudziąż-Sękowska J, Wrześniewska-Wal I, Tyszko P, Sękowski K, Ostrowski J, Gujski M, Pinkas J. National HPV Vaccination Program in Poland-Public Awareness, Sources of Knowledge, and Willingness to Vaccinate Children against HPV. Vaccines (Basel) 2023; 11:1371. [PMID: 37631939 PMCID: PMC10459249 DOI: 10.3390/vaccines11081371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Revised: 08/08/2023] [Accepted: 08/15/2023] [Indexed: 08/29/2023] Open
Abstract
Since 1 June 2023, a nationwide HPV vaccination program was implemented in Poland. This study aimed to identify factors associated with public awareness of the national HPV vaccination program among adults in Poland and willingness to vaccinate children against HPV. This cross-sectional study was carried out between 14 and 17 July 2023 among 1056 adults in Poland. A self-prepared questionnaire was used. Among the respondents, 51.3% had heard about the free HPV vaccination program. The major source of knowledge on the national HPV vaccination program was TV (62%). Only 31.9% of respondents correctly indicated girls and boys aged 12 and 13 as the HPV-vaccination-eligible population. Willingness to vaccinate children against HPV was declared by 63.3% of respondents. Female gender (OR: 1.42; 95% CI: 1.11-1.81; p < 0.01), age 35-64 years (p < 0.05), having higher education (OR: 1.43; 95% CI: 1.11-1.84; p < 0.01), and living in cities with more than 500,000 residents (OR: 1.51; 95% CI: 1.01-2.28; p < 0.05) were significantly associated with higher odds to hear about the national HPV vaccination program. Age 50 years and over (p < 0.05), having higher education (OR: 1.43; 95% CI: 1.09-1.88; p < 0.05), living in cities with more than 500,000 residents (OR: 1.80; 95% CI: 1.14-2.83; p < 0.05), and no children under 18 in the home (OR: 1.39; 95% CI: 1.01-1.89; p < 0.05) were significantly associated with willingness to vaccinate children against HPV.
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Affiliation(s)
- Mateusz Jankowski
- School of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, Poland; (M.J.)
| | | | - Iwona Wrześniewska-Wal
- School of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, Poland; (M.J.)
| | - Piotr Tyszko
- Department of Social Medicine and Public Health, Medical University of Warsaw, 02-007 Warsaw, Poland
- Institute of Rural Health in Lublin, 20-090 Lublin, Poland
| | - Kuba Sękowski
- School of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, Poland; (M.J.)
| | - Janusz Ostrowski
- School of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, Poland; (M.J.)
| | - Mariusz Gujski
- Department of Public Health, Medical University of Warsaw, 02-097 Warsaw, Poland
| | - Jarosław Pinkas
- School of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, Poland; (M.J.)
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Ostrowski J, Kurkus J. Robert Tigerstedt and the Discovery of Renin. EXP CLIN TRANSPLANT 2023; 21:62-66. [PMID: 37496347 DOI: 10.6002/ect.iahncongress.15] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/28/2023]
Abstract
The year 2022 marks the 125th anniversary of the discovery of the first element of the renin-angiotensin-aldosterone system. The importance of this event on the further development of nephrology, cardiology, and endocrinology left us compelled to reminisce about it and its main author, Robert Tigerstedt (1853-1923), who was one of Scandinavia's most famous scientists. He studied medicine at the University of Helsinki, Finland. His doctoral dissertation On the Mechanical Stimulation of the Nervous System and 10 other original publications made him famous among the neurophysiological community. From 1881, he worked in the Physiology Department at Karolinska Institute, Stockholm, where he created a modern laboratory and became a professor at age 33 years. After meeting Carl Ludwig in Leipzig, he became interested in central blood circulation. In 1886, with Per Bergman, he started a series meticulously performed experiments with extracts of the rabbit kidney cortex, which, when injected into other rabbits, increased their blood pressure. The hypothetical responsible substance was called renin. The results were presented at the International Congress of Medicine in Moscow in 1887. Forty years later, Harry Goldblatt confirmed Tigerstedt's theory that "the substance which comes from kidneys increases the blood pressure." After he returned to Finland in 1901, Tigerstedt headed the Physiology Institute in Helsinki. His further activities included scientific work, teaching, and socially oriented issues like healthy nutrition and conditions in prison camps. He was also interested in the history of medicine and was a member of the Nobel Committee. His Textbook of Human Physiology was published in numerous editions in many languages. He also authored the renowned Textbook of Physiological Methodology and Physiology of Circulation. Tigerstedt published over 200 scientific papers and was an honorary doctor at many universities. He was known for his strong personality, critical judgment, idealism, humor, and warm heart.
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Affiliation(s)
- Janusz Ostrowski
- From the Department of the History of Medicine, Centre of Postgraduate Medical Education, Warsaw, Poland
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Ostrowski J. Nephrology Before Nephrology in Poland. EXP CLIN TRANSPLANT 2023; 21:67-71. [PMID: 37496348 DOI: 10.6002/ect.iahncongress.16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/28/2023]
Abstract
It was in the 1950s that nephrology crystallized as an independent specialty out of internal medicine. However, references to modern nephrology appeared in the works of doctors much earlier. Some researchers consider Hippocrates to be the father of clinical nephrology, while John Merrill is widely regarded as a specialty founder of modern nephrology. The situation is similar in Poland, where early references to urinary tract diseases appeared in medieval works of Polish authors. Poland's first clinic of nephrology, established in Wrocław in 1958, was managed by Zdzisław Wiktor. During the European Renal Association-European Dialysis and Transplant Association and International Association for the History of Nephology congresses, Polish authors presented precursors of nephrology, including Thomas of Wrocław, Simon Sirenius, Samuel Goldflam, Józef Dietl, Jędrzej Śniadecki, Marceli Landsberg, and Witold and Tadeusz Orłowski. This article focuses on late 19th and early 20th century giants who contributed to the development of nephrology in Poland. The period discussed covers memorable milestones in the history of Poland, ranging from the long-term Russian, Prussian, and Austro-Hungarian annexation through World War 1, after which the country regained its independence, to World War 2. These scientists represented clinical medicine and basic sciences, such as pathologic anatomy, physiology, and physiologic chemistry, and came from 3 different regions of Poland. Professor Tadeusz Browicz was associated with the Jagiellonian University in Kraków, Professor Anastazy Landau worked in Warsaw, and Stefan Dąbrowski represented the University of Poznań. Although based on the cooperation with European universities, their works were published in Polish, preventing them from gaining wide recognition in the European medical community of the time. Therefore, presenting their achievements to a wider group of historians after such a long time seems justified.
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Affiliation(s)
- Janusz Ostrowski
- From the Department of the History of Medicine, Centre of Postgraduate Medical Education, Warsaw, Poland
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Płaciszewski K, Wierzba W, Ostrowski J, Pinkas J, Jankowski M. Factors associated with the use of public eHealth services in Poland - a 2022 nationwide cross-sectional survey. Ann Agric Environ Med 2023; 30:127-134. [PMID: 36999865 DOI: 10.26444/aaem/158027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/19/2023]
Abstract
INTRODUCTION AND OBJECTIVE Poland is an example of a European country that has made significant progress in digitizing healthcare during the last 5 years. There is limited data on the use of eHealth services by different socio-economic groups in Poland during the COVID-19 pandemic The aim of the study was to characterize public attitudes towards the use of e-Health services in Poland, as well as to identify factors associated with the use of e-Health services among adults in Poland. MATERIAL AND METHODS A questionnaire-based survey was carried out during 9-12 September 2022. A computer-assisted web interview methodology was used. A nationwide random quota sample of 1,092 adult Poles was selected. Questions on the use of 6 different public eHealth services in Poland and soci-economic characteristics were addressed. RESULTS Two-thirds of participants (67.1%) had received an e-prescription in the last 12 months. More than half of the participants used the Internet Patient Account (58.2%) or the patient.gov.pl website (54.9%). One-third of the participants had teleconsultation with a doctor (34.4%), and approximately one-quarter of participants had received electronic sick leave (26.9%) or used electronic information about treatment dates (26.7%). Of the ten different socio-economic factors analyzed in this study, educational level, and place of residence (p<0.05) were the most important factors associated with the use of public eHealth services among adults in Poland. CONCLUSIONS Living in rural areas or small cities is associated with a lower level of public eHealth services utilization. A relatively high interest in health education through eHealth methods was observed.
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Affiliation(s)
- Krzysztof Płaciszewski
- Central Clinical Hospital of the Ministry of the Interior and Administration, Warsaw, Poland
| | - Waldemar Wierzba
- Central Clinical Hospital of the Ministry of the Interior and Administration, Warsaw, Poland
| | - Janusz Ostrowski
- School of Public Health, Centre of Postgraduate Medical Education, Warsaw, Poland
| | - Jarosław Pinkas
- School of Public Health, Centre of Postgraduate Medical Education, Warsaw, Poland
| | - Mateusz Jankowski
- School of Public Health, Centre of Postgraduate Medical Education, Warsaw, Poland
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Kamińska A, Jankowski M, Rejdak MB, Ostrowski J, Rejdak R, Pinkas J. An Online Questionnaire-Based Survey of 1076 Individuals in Poland to Identify the Prevalence of Ophthalmic Symptoms in Autumn 2022. Med Sci Monit 2023; 29:e939622. [PMID: 37009783 PMCID: PMC10037922 DOI: 10.12659/msm.939622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/04/2023] Open
Abstract
BACKGROUND Vision health affects functioning in society, and the ability to learn and work. Ophthalmic symptoms may be caused by eye diseases, but also by environmental or lifestyle factors. This online questionnaire-based survey aimed to identify the prevalence of ophthalmic symptoms in 1076 individuals in Poland, as well as to identify factors associated with the presence of ophthalmic symptoms. MATERIAL AND METHODS An online questionnaire-based survey was carried out in December 2022 on a representative sample of 1076 adult Poles. Non-probability quota sampling was used. Respondents were asked about the presence of 16 different eye symptoms and vision problems in the last 30 days. The presence of ophthalmic symptoms was self-declared. Data were analyzed with IBM SPSS package version 28. RESULTS More than half of the respondents (57.8%) had at least 1 ophthalmic symptom in the last 30 days. Burning and stinging eyes (21.6%) and dry eyes (18.9%) were the most common ophthalmic symptoms declared by the respondents. Moreover, 21.3% of respondents reported vision deterioration in the last 30 days. Out of 10 different factors analyzed in this study, female gender, living in rural areas or small cities (below 100 000 inhabitants), living with at least 1 other person, having low economic status, having chronic diseases, and wearing spectacles/contact lenses were significantly associated (P.
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Affiliation(s)
- Agnieszka Kamińska
- Faculty of Medicine, Collegium Medicum, Cardinal Stefan Wyszynski University, Warsaw, Poland
| | - Mateusz Jankowski
- School of Public Health, Centre of Postgraduate Medical Education, Warsaw, Poland
| | | | - Janusz Ostrowski
- School of Public Health, Centre of Postgraduate Medical Education, Warsaw, Poland
| | - Robert Rejdak
- Chair and Department of General and Pediatric Ophthalmology, Medical University of Lublin, Lublin, Poland
| | - Jarosław Pinkas
- School of Public Health, Centre of Postgraduate Medical Education, Warsaw, Poland
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Kamińska A, Pinkas J, Wrześniewska-Wal I, Ostrowski J, Jankowski M. Awareness of Common Eye Diseases and Their Risk Factors-A Nationwide Cross-Sectional Survey among Adults in Poland. Int J Environ Res Public Health 2023; 20:3594. [PMID: 36834287 PMCID: PMC9959450 DOI: 10.3390/ijerph20043594] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/07/2023] [Revised: 02/11/2023] [Accepted: 02/16/2023] [Indexed: 06/18/2023]
Abstract
Public knowledge and awareness of eye diseases may influence individuals' behaviors toward the use of eye care services and prevention methods. The objective of this study was to assess the awareness of common eye diseases and their risk factors among adults in Poland as well as to identify factors associated with knowledge of eye diseases. This nationwide cross-sectional web-based survey was carried out in December 2022 on a representative sample of 1076 adults in Poland. Most of the respondents had heard of cataracts (83.6%), glaucoma (80.7%), conjunctivitis (74.3%), and hordeolum (73.8%). Awareness of dry eye syndrome was declared by 50% of respondents, and 40% were aware of retinal detachment. Among the respondents, 32.3% had heard of AMD, and 16.4% had heard of diabetic retinopathy. A lack of awareness of glaucoma was declared by 38.1% of respondents, and 54.3% declared a lack of awareness of risk factors for AMD. Gender, age, and the presence of chronic diseases were the most important factors (p < 0.05) associated with awareness of common eye diseases and risk factors for glaucoma and AMD. This study demonstrated a low level of awareness of common eye diseases among adults in Poland. Personalized communication on eye diseases is needed.
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Affiliation(s)
- Agnieszka Kamińska
- Faculty of Medicine, Collegium Medicum, Cardinal Stefan Wyszynski University, 01-938 Warsaw, Poland
| | - Jarosław Pinkas
- School of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, Poland
| | - Iwona Wrześniewska-Wal
- School of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, Poland
| | - Janusz Ostrowski
- School of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, Poland
| | - Mateusz Jankowski
- School of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, Poland
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Płaciszewski K, Wierzba W, Ostrowski J, Pinkas J, Jankowski M. Use of the Internet for Health Purposes-A National Web-Based Cross-Sectional Survey among Adults in Poland. Int J Environ Res Public Health 2022; 19:16315. [PMID: 36498389 PMCID: PMC9736358 DOI: 10.3390/ijerph192316315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/29/2022] [Revised: 11/29/2022] [Accepted: 12/03/2022] [Indexed: 06/17/2023]
Abstract
The Internet is one of the most popular information sources. This study aimed to assess the public attitudes towards the use of the Internet for health purposes as well as to identify factors associated with the use of the Internet for health purposes among adults in Poland. A web-based cross-sectional survey was carried out between 9 and 12 September 2022 on a nationwide random-quota sample of 1092 adults in Poland. The study questionnaire included 10 questions on Internet use for health purposes. The most common reason for the use of the Internet for health purposes was searching for information on drugs and their effects (69.9%). Almost two-thirds of participants used the Internet for searching for health information (64.9%), for doctors/medical services (63.4%), or for medical facilities (65.3%). Over half of the participants used the Internet for checking online reviews of doctors (55.2%) and 43.5% of the participants ordered drugs or dietary supplements online. Out of 9 different socioeconomic factors analyzed in this study, having higher education, being female, as well as living in cities from 100,000 to 499,999 residents were the most important factors (p < 0.05) associated with the use of the Internet for health purposes. This study confirmed a high level of adoption of medical Internet in Poland.
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Affiliation(s)
- Krzysztof Płaciszewski
- Central Clinical Hospital of the Ministry of the Interior and Administration in Warsaw, 02-507 Warsaw, Poland
| | - Waldemar Wierzba
- Central Clinical Hospital of the Ministry of the Interior and Administration in Warsaw, 02-507 Warsaw, Poland
| | - Janusz Ostrowski
- School of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, Poland
| | - Jarosław Pinkas
- School of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, Poland
| | - Mateusz Jankowski
- School of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, Poland
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Więcek A, Ostrowski J. In memoriam: Professor Franciszek Kokot. Pol Arch Intern Med 2021. [DOI: 10.20452/pamw.15843] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Marrón B, Pearce S, Martín C, Munteanu D, Roesch M, Ostrowski J, Torok M, Pérez D, Orosz A, Kochman P, Wollheim C, Lucas C, Macário F. P1156TWO YEAR FOLLOW UP QUALITY INDICATORS COMPLIANCE IN A LARGE INTERNATIONAL PERITONEAL DIALYSIS INSTITUTION. Nephrol Dial Transplant 2020. [DOI: 10.1093/ndt/gfaa142.p1156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background and Aims
Peritoneal dialysis (PD) practice is not universally homogeneous, best clinical practices are not completely understood as reference values are often obtained from small sized populations and/or frequently based on chronic kidney disease (CKD) and/or hemodialysis data.
To evaluate two years of follow up of compliance with PD-related quality indicators (QIs) following definition of new targets in an international PD network.
Method
All English and Spanish language CKD and PD guidelines were reviewed. Twelve Qis were considered being of significant relevance and targets for these QIs were defined (see table). Retrospective data analysis.
Results
Achievement of QI targets for years 2017-2018 is shown in table. Variability among countries not shown.
Conclusion
There was a significant increase in QIs achievement in 2018 vs. 2017. ≥75% of patients met the target for the following variables: total weekly Kt/Vurea, 24 h fluid removal, mean arterial blood pressure and serum albumin. Peritonitis rates are clearly over International objectives and were improving. Due to the lack of referral source data, these series may help to understand PD practice and outcomes in a global setting.
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Affiliation(s)
- Belén Marrón
- Diaverum Renal Services, Corporate Home Therapies & Patient Safety Director. Medical Office, Mälmo, Sweden
| | - Suzanne Pearce
- Diaverum Renal Services, Corporate Nursing Director. Medical Office, Mälmo, Sweden
| | - Claudia Martín
- Diaverum Renal Services, Barracas Clinic, Buenos Aires, Argentina
| | - Dan Munteanu
- Diaverum Renal Services, Fundeni Clinic, Bucharest, Romania
| | - Michael Roesch
- Diaverum Renal Services, Schlankreye Clinic, Hamburgo, Germany
| | | | - Marietta Torok
- Diaverum Renal Services, Corporate Medical Integration Director. Medical Office, Mälmo, Sweden
| | - Daniel Pérez
- Diaverum Renal Services, SEINE Clinic, Montevideo, Uruguay
| | - Attila Orosz
- Diaverum Renal Services, Bajcsy Clinic, Budapest, Hungary
| | - Pawel Kochman
- Diaverum Renal Services, Wloclawek Clinic, Wloclawek, Poland
| | - Charlotta Wollheim
- Diaverum Renal Services, Corporate Data Management Director. Medical Office, Mälmo, Sweden
| | - Carlos Lucas
- Diaverum Renal Services, Corporate Medical Protocols & Standarization, Mälmo, Sweden
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Marrón B, Pearce S, Ostrowski J, Munteanu D, Torok M, Roesch M, Martín C, Kochman P, Orosz A, García Marrón J, Macário F. P1853FIVE YEARS PROSPECTIVE, OBSERVATIONAL, INTERNATIONAL STUDY ON THE IMPACT OF DECISION-MAKING TOOLS FOR CHOICE OF RENAL REPLACEMENT THERAPY MODALITY. Nephrol Dial Transplant 2020. [DOI: 10.1093/ndt/gfaa142.p1853] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background and Aims
Decision-Making Tools (DMTs) are still not widely used but are considered the Gold Standard to ensure patients are well informed to choose renal replacement therapy (RRT) modality.
To analyze the impact of a structured modality information program (via DMTs) on RRT modality choice and start.
Method
All 2014-2017 predialysis patients (pts) with CKD G4-G5 and those starting unplanned dialysis without a prior information process underwent a DMTs process for RRT choice and were followed up to Dec.31st, 2018. DMTs included values evaluation, RRT information with different tools, staff deliberation support and patient modality choice. Results shown as percentage of pts who reached a certain stage over the total number of pts under evaluation.
Results
2012 pts (mean age 61 y.) from 48 clinics (cl.) in Poland (PL, 19 cl., 980 pts), Romania (RO, 12 cl., 351 pts), Hungary (HU, 10 cl., 341 pts), Germany (DE, 6 cl., 292 pts) and Argentina (AR, 1 cl., 48 pts) underwent DMTs. Staff considered PD contraindicated in 29% of pts, hence optimal candidates for HD/PD were 1408 pts. (mean age 60y. and 46% prone for a home therapy). Early referral (≥3 m. in clinic before DMT started): 51%. Aids used included written information (97% of pts), DVD in 27% and HD/PD utility visits in 49%. Relatives’ participation in the process was 82%. Most pts (91%) considered the program useful whilst 64% of staff felt that this program was better than the prior one. PD choice (35%) varied among countries: 15% (RO), 30% (PL), 36% (HU), 62% (DE) and 98% (AR). For pts who had started dialysis by study closure (n=948), PD as chronic RRT was 31% (9% after an unplanned HD start); 13% (RO), 27% (PL), 34% (HU), 54% (GE) and 83% (AR).
Conclusion
Use of DMTs at the time of RRT modality choice complies with patient empowerment and decision sharing (patients-relatives-staff). PD choice and take-on varied among countries. Most patients who chose PD were chronically ascribed to PD representing at least one third of the suitable patients for both dialysis modalities.
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Affiliation(s)
- Belén Marrón
- Diaverum Renal Services, Corporate Home Therapies & Patients Safety Director. Medical Office, Malmö, Sweden
| | - Suzanne Pearce
- Diaverum Renal Services, Corporate Nursing Director. Medical Office, Malmö, Sweden
| | | | - Dan Munteanu
- Diaverum Renal Services, Fundeni Clinic, Bucharest, Romania
| | - Marietta Torok
- Diaverum Renal Services, Rokus Clinic, Budapest, Hungary
| | - Michael Roesch
- Diaverum Renal Services, Schlankreye Clinic, Hamburg, Germany
| | - Claudia Martín
- Diaverum Renal Services, Barracas Clinic, Buenos Aires, Argentina
| | - Pawel Kochman
- Diaverum Renal Services, Wloclawek Clinic, Wloclawek, Poland
| | - Attila Orosz
- Diaverum Renal Services, Bajcsy Clinic, Budapest, Hungary
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Marrón B, Pearce S, Wollheim C, Lucas C, Torok M, Munteanu D, Roesch M, Ostrowski J, Kochman P, Orosz A, Pérez D, Pacheco A, Macário F. SO009MORTALITY AND HOSPITALIZATION IN A LARGE INTERNATIONAL PERITONEAL DIALYSIS INSTITUTION DURING 2018. Nephrol Dial Transplant 2020. [DOI: 10.1093/ndt/gfaa139.so009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background and Aims
With the exception of some national registries, data referred to mortality or hospitalization within a single large international peritoneal dialysis (PD) institution are seldom reported.
To study all-cause mortality, transplantation rate, hospitalizations and peritonitis rates in our large PD program during 2018.
Method
Observational, prospective registry in 8 countries. The following variables were tracked: crude mortality rate and causes, hospitalization variables (nº of hospitalization days per patient; nº of hospitalization episodes per patient; nº of days per hospitalization episode; causes of hospitalization), peritonitis rate (episodes/year at risk and patient months at risk to a peritonitis episode) and transplantation rate.
Results
By the end of December 2018, 1207 pt. were treated (11 countries) but only 8 countries submitted data. Evaluated population as “patients treated at risk during the year”: AR (319.5), RO (173.5), DE (137), HU (103), PL (97), UR (69.5), CL (27), KZ (7). Crude mortality rate was 13.1%, same if first 90 days on therapy were excluded. Lowest mortality was seen in HU (9.9%) and highest in DE (19.3%). Causes of death: cardiac 32%, all type infections 22% [Sepsis 78%, PD related 11% (as 0.7% of total mortality), pulmonary 3.7%, others 7.4%], vascular 10%, gastrointestinal 3.3%, unknown 10.7% (highest in DE, 23%), other known causes 21.5%. Hospitalization rates: 0.55 episodes/per patient-year and 7.6 days of hospitalization per patient-year. Nº of days per hospitalization episode was 13.7. Causes of hospitalization: PD related 38%, cardiovascular 17%, non-PD infection sepsis 10.7% (higher in LA, 16.6%), vascular access 2.1%, unknown 4.5%, others 23.3%. Global peritonitis rate was 0.18 episodes/pt-year at risk (1 episode every 66 m.). However, large differences were seen among countries. Transplantation rate was 6.5% (much higher in UR). PD was withdrawal in 35% of pt. Country specific data have been evaluated but are not shown here.
Conclusion
The use of a common registry in our institution increases quality and allows homogeneous comparisons across countries that if promptly addressed may increase patients’ outcomes. Our series may bring light into the PD community as one of the ever largest tracked in a single institution.
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Affiliation(s)
- Belén Marrón
- Diaverum Renal Services, Corporate Home Therapies & Patients Safety Director. Medical Office, Mälmo, Sweden
| | - Suzanne Pearce
- Diaverum Renal Services, Corporate Nursing Director, Mälmo, Sweden
| | - Charlotta Wollheim
- Diaverum Renal Services, Corporate Data Management Director. Medical Office, Mälmo, Sweden
| | - Carlos Lucas
- Diaverum Renal Services, Corporate Medical Protocols & Standarization. Medical Office, Mälmo, Sweden
| | - Marietta Torok
- Diaverum Renal Services, Corporate Integration Director. Medical Office, Mälmo, Sweden
| | - Dan Munteanu
- Diaverum Renal Services, Fundeni Clinic, Bucharest, Romania
| | - Michael Roesch
- Diaverum Renal Services, Schlankreye Clinic, Hamburg, Germany
| | | | - Pawel Kochman
- Diaverum Renal Services, Wloclawek Clinic, Wloclawek, Poland
| | - Attila Orosz
- Diaverum Renal Services, Bajcsy Clinic, Budapest, Hungary
| | - Daniel Pérez
- Diaverum Renal Services, SEINE Clinic, Montevideo, Uruguay
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Garcia RA, Lupisella JA, Zhang R, Carson NL, Wang Z, Hsu MY, Fernando G, Ryan CS, Dierks E, Asahina Y, Kohno Y, Wurtz NR, Ostrowski J, Ito BR, Villarreal FJ. 2420Effects of a selective small-molecule formyl peptide receptor 2 agonist on post myocardial inflammation and left ventricular structure-function relationships. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz748.0168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background/Introduction
Dysregulated inflammation following myocardial infarction (MI) can lead to maladaptive infarct healing, myocardial damage and heart failure. Formyl peptide receptor 2 (FPR2) plays an important role in the ligand-dependent regulation of inflammation resolution. Stimulation of resolution via FPR2 activation is hypothesized to preserve left ventricular (LV) structure-function relationships thereby preventing pathological cardiac remodeling, and heart failure.
Purpose
We evaluated a selective 4-phenylpyrrolidinone FPR2 agonist in rodent MI models by assessing the impact on LV and infarct scar remodeling and cardiac function.
Methods
The FPR2 agonist was evaluated in phagocytosis, chemotaxis and cytokine response assays. In vivo, following permanent occlusion of the left anterior descending (LAD) artery, C57BL/6 mice or Sprague-Dawley rats were treated with the FPR2 agonist or vehicle; PO gavage, QD. Treatment began 24 hours after occlusion (0.3 and 3 mg/kg) and continued for three days to assess early inflammation or four weeks to evaluate LV and infarct structure and function. Rats subjected to permanent MI were treated 48 hours after occlusion (0.01, 0.1. 1, 10 mg/kg) for six weeks to assess structure-function relationships. A parallel study in rats evaluated compound treatment (0.01, 0.1. 1, 10 mg/kg) following 60 minutes occlusion and reperfusion of the LAD artery.
Results
The FPR2 agonist enhanced cellular phagocytosis and chemotaxis, and stimulated IL-10 and MCP-1 gene expression in isolated human whole blood. In mice, FPR2 agonist treatment improved survival post MI, reduced LV chamber area and infarct size (26% and 55% vs. vehicle, respectively, P<0.05) and preserved infarct wall thickness (59% vs. vehicle, P<0.05). Treatment increased macrophage arginase 1 levels three days post-MI in the infarct border zone and CD206 levels in the whole heart, indicating a shift towards a pro-resolution phenotype. In rats, FPR2 agonist treatment preserved infarct wall thickness (maximal at 10 mg/kg, 96% vs. vehicle, P<0.05) and increased LV ejection fraction at all doses (+9% vs. vehicle, P<0.05). Following occlusion and reperfusion of the LAD artery, treatment preserved viable myocardium across the infarct wall at multiple doses (25–41%, P<0.05) resulting in increased ejection fraction (14% and 19% vs vehicle at 0.01 and 1 mg/kg, respectively, P<0.05).
Conclusion(s)
Improvements in cardiac structure-function versus vehicle treated animals support the concept that agonism of FPR2 improves post-MI wound healing, limiting adverse post-MI LV remodeling, thereby preserving cardiac function. These preclinical results suggest targeting FPR2 may present an innovative approach towards development of effective drug therapies to prevent heart failure post-MI.
Acknowledgement/Funding
Bristol-Myers Squibb Company
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Affiliation(s)
- R A Garcia
- Bristol-Myers Squibb Co., Cardiovascular and Fibrosis Drug Discovery, Pennington, United States of America
| | - J A Lupisella
- Bristol-Myers Squibb Co., Cardiovascular and Fibrosis Drug Discovery, Pennington, United States of America
| | - R Zhang
- Bristol-Myers Squibb Co., Cardiovascular and Fibrosis Drug Discovery, Pennington, United States of America
| | - N L Carson
- Bristol-Myers Squibb Co., Cardiovascular and Fibrosis Drug Discovery, Pennington, United States of America
| | - Z Wang
- Bristol-Myers Squibb Co., Cardiovascular and Fibrosis Drug Discovery, Pennington, United States of America
| | - M Y Hsu
- Bristol-Myers Squibb Co., Cardiovascular and Fibrosis Drug Discovery, Pennington, United States of America
| | - G Fernando
- Bristol-Myers Squibb Co., Cardiovascular and Fibrosis Drug Discovery, Pennington, United States of America
| | - C S Ryan
- Bristol-Myers Squibb Co., Cardiovascular and Fibrosis Drug Discovery, Pennington, United States of America
| | - E Dierks
- Bristol-Myers Squibb Co., Cardiovascular and Fibrosis Drug Discovery, Pennington, United States of America
| | - Y Asahina
- Kyorin Pharmaceutical Co., LTD., Tokyo, Japan
| | - Y Kohno
- Kyorin Pharmaceutical Co., LTD., Tokyo, Japan
| | - N R Wurtz
- Bristol-Myers Squibb Co., Cardiovascular and Fibrosis Drug Discovery, Pennington, United States of America
| | - J Ostrowski
- Bristol-Myers Squibb Co., Cardiovascular and Fibrosis Drug Discovery, Pennington, United States of America
| | - B R Ito
- University of California San Diego, San Diego, United States of America
| | - F J Villarreal
- University of California San Diego, San Diego, United States of America
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Affiliation(s)
- Jan Kurkus
- Department of Nephrology, University Hospital, Lund, Sweden
| | - Janusz Ostrowski
- Department of the History of Medicine, Centre of Postgraduate Medical Education, Warsaw, Poland
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Ostrowski J, Rutkowski B. SP802BLOOD GROUPS DISCOVERY AND ITS SIGNIFICANCE FOR KIDNEY TRANSPLANTS. MAJOR FIGURES. Nephrol Dial Transplant 2019. [DOI: 10.1093/ndt/gfz103.sp802] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Marrón B, Martín C, Delia T, Michael R, Ostrowski J, Török M, Pérez D, Munteanu D, Kochman P, Dillman A, Kalk P, Hegbrant J. FP584QUALITY INDICATORS COMPLIANCE IN A LARGE INTERNATIONAL PERITONEAL DIALYSIS INSTITUTION. Nephrol Dial Transplant 2019. [DOI: 10.1093/ndt/gfz106.fp584] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Rutkowski P, Ostrowski J, Rutkowski B. SP78260 ANNIVERSARY OF THE FIRST HEMODIALYSIS IN POLAND. Nephrol Dial Transplant 2018. [DOI: 10.1093/ndt/gfy104.sp782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Przemyslaw Rutkowski
- General Nursery Department, Medical University Gdansk, Gdansk, Poland
- Gdansk, Diaverum, Gdansk, Poland
| | - Janusz Ostrowski
- Department of History of Medicine, Centre of Postgraduate Medical Education, Warsaw, Poland
- Dialysis Center, Diaverum, Wloclawek, Poland
| | - Boleslaw Rutkowski
- Nephrology, Transplantation and Internal Diseases, Medical University Gdansk, Gdansk, Poland
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Marrón B, Pereira F, Ostrowski J, Timofte D, Török M, Roesch M, Martín C, Kochman P, Munteanu D, Hegbrant J. SP787EVALUATION OF THE ROUTINE USE OF DECISION MAKING TOOLS IN CKD G4-G5 IN AN INTERNATIONAL SETTING DURING 35 MONTHS. Nephrol Dial Transplant 2018. [DOI: 10.1093/ndt/gfy104.sp787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Marrón B, Ostrowski J, Török M, Timofte D, Roesch M, Martín C, de León-Ponce de León I, Kochman P, Orosz A, Munteanu D, Hegbrant J. SP790IMPACT OF DECISION MAKING TOOLS ON HIGHER PERITONEAL DIALYSIS CHOICE AND TAKE-ON IS RELATED TO CENTER EXPERIENCE IN AN INTERNATIONAL SETTING. Nephrol Dial Transplant 2018. [DOI: 10.1093/ndt/gfy104.sp790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- Belén Marrón
- Home Therapies, Diaverum Renal Services, Madrid, Spain
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Ostrowski J. Nils Alwall and his input into development of Polish haemodialysis. G Ital Nefrol 2018; 35:50-54. [PMID: 29482274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Affiliation(s)
- Janusz Ostrowski
- Department of the History of Medicine, Centre of Postgraduate Medical Education, Warsaw, Poland
- Diaverum Dialysis Unit, Wloclawek, Poland
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Rutkowski P, Ostrowski J, Debska-Slizien A, Rutkowski B. Nobel Prize Winners Who Contributed To Transplantation. G Ital Nefrol 2018; 35:55-60. [PMID: 29482275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Affiliation(s)
- Przemyslaw Rutkowski
- Department of the General Nursery, Medical University Gdansk, Poland
- Department of Nephrology, Transplantation and Internal Medicine, Medical University Gdansk, Poland
| | - Janusz Ostrowski
- Department of the History of Medicine, Centre of Postgraduate Medical Education, Warsaw, Poland
| | - Alicja Debska-Slizien
- Department of Nephrology, Transplantation and Internal Medicine, Medical University Gdansk, Poland
| | - Boleslaw Rutkowski
- Department of Nephrology, Transplantation and Internal Medicine, Medical University Gdansk, Poland
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Ostrowski J, Muszytowski M, Rutkowski P, Rutkowski B. Treatment of the urinary tract diseases in the 16th-century work Cieplice (Thermal Springs) by Wojciech Oczko (1537-1599). G Ital Nefrol 2018; 35:101-104. [PMID: 29482284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Affiliation(s)
- Janusz Ostrowski
- Department of the History of Medicine, Centre of the Postgraduate Medical Education, Warsaw, Poland
- Historical Section of the Polish Society of Nephrology, Poland
| | - Marek Muszytowski
- Department of Nephrology, Diabetology and Internal Medicine, Collegium Medicum, Nicolaus Copernicus University, Rydygier Hospital, Toruń, Poland
- Historical Section of the Polish Society of Nephrology, Poland
| | - Przemyslaw Rutkowski
- Department of the General Nursery, Medical University Gdansk, Poland
- Historical Section of the Polish Society of Nephrology, Poland
| | - Boleslaw Rutkowski
- Department of Nephrology, Transplantology and Internal Medicine, Medical University Gdańsk, Poland
- Historical Section of the Polish Society of Nephrology, Poland
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Rutkowski B, Ostrowski J, Wieçek A. History of the Polish Society of Nephrology. G Ital Nefrol 2018; 35:65-68. [PMID: 29482277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Affiliation(s)
- Boleslaw Rutkowski
- Department of Nephrology, Transplantation and Internal Medicine, Medical University Gdansk, Poland
| | - Janusz Ostrowski
- Department of the History of Medicine, Centre of Postgraduate Medical Education, Warsaw, Poland
| | - Andrzej Wieçek
- Department of Nephrology, Transplantation and Internal Medicine, Medical University of Silesia, Katowice, Poland
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Kosela Paterczyk H, Mikula M, Paziewska A, Kulecka M, Kaczmarski J, Dabrowska M, Kluska A, Balabas A, Piatkowska M, Rutkowski P, Ostrowski J. Serum miRNA discriminates treatment-naive localized synovial sarcoma patients from those in follow-up after radical combined therapy. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx675.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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25
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Kosela Paterczyk H, Paziewska A, Kulecka M, Karczmarski J, Dabrowska M, Kluska A, Balabas A, Piatkowska M, Mikula M, Rutkowski P, Ostrowski J. Serum miRNA abundances discriminate imatinib-naive patients with advanced gastrointestinal stromal tumors (GIST) from those in remission on Imatinib therapy. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx387.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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26
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Marrón B, Ostrowski J, Timofte D, Török M, Roesch M, Martín C, Kochman P, Orosz A, Divino-Filho J, Hegbrant J. SP831ROUTINE USE OF DECISION MAKING TOOLS INCREASES PERITONEAL DIALYSIS CHOICE AND TAKE ON IN AN INTERNATIONAL SETTING. Nephrol Dial Transplant 2017. [DOI: 10.1093/ndt/gfx159.sp831] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Marrón B, Timofte D, Roesch M, Ostrowski J, Török M, Dillman A, Kochman P, Orosz A, Moretta G, Pérez D, Castillo L, Stroumza P, Fabricius E, Munier A, Hegbrant J. SP502PERITONEAL DIALYSIS ANNUAL DROP OUT MONITORING INCREASES PATIENT AND TECHNIQUE SURVIVAL. Nephrol Dial Transplant 2017. [DOI: 10.1093/ndt/gfx151.sp502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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28
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Marrón B, Moretta G, Roesch M, Ostrowski J, Török M, Pérez D, Timofte D, Castillo L, Stroumza P, Fabricius E, Hegbrant J. MP545PERITONEAL DIALYSIS ANNUAL DROP OUT IN A LARGE INTERNATIONAL SETTING. Nephrol Dial Transplant 2017. [DOI: 10.1093/ndt/gfx176.mp545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Mikula M, Skrzypczak M, Goryca K, Paczkowska K, Ledwon JK, Statkiewicz M, Kulecka M, Grzelak M, Dabrowska M, Kuklinska U, Karczmarski J, Rumienczyk I, Jastrzebski K, Miaczynska M, Ginalski K, Bomsztyk K, Ostrowski J. Genome-wide co-localization of active EGFR and downstream ERK pathway kinases mirrors mitogen-inducible RNA polymerase 2 genomic occupancy. Nucleic Acids Res 2016; 44:10150-10164. [PMID: 27587583 PMCID: PMC5137434 DOI: 10.1093/nar/gkw763] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2015] [Revised: 08/17/2016] [Accepted: 08/23/2016] [Indexed: 01/20/2023] Open
Abstract
Genome-wide mechanisms that coordinate expression of subsets of functionally related genes are largely unknown. Recent studies show that receptor tyrosine kinases and components of signal transduction cascades including the extracellular signal-regulated protein kinase (ERK), once thought to act predominantly in the vicinity of plasma membrane and in the cytoplasm, can be recruited to chromatin encompassing transcribed genes. Genome-wide distribution of these transducers and their relationship to transcribing RNA polymerase II (Pol2) could provide new insights about co-regulation of functionally related gene subsets. Chromatin immunoprecipitations (ChIP) followed by deep sequencing, ChIP-Seq, revealed that genome-wide binding of epidermal growth factor receptor, EGFR and ERK pathway components at EGF-responsive genes was highly correlated with characteristic mitogen-induced Pol2-profile. Endosomes play a role in intracellular trafficking of proteins including their nuclear import. Immunofluorescence revealed that EGF-activated EGFR, MEK1/2 and ERK1/2 co-localize on endosomes. Perturbation of endosome internalization process, through the depletion of AP2M1 protein, resulted in decreased number of the EGFR containing endosomes and inhibition of Pol2, EGFR/ERK recruitment to EGR1 gene. Thus, mitogen-induced co-recruitment of EGFR/ERK components to subsets of genes, a kinase module possibly pre-assembled on endosome to synchronize their nuclear import, could coordinate genome-wide transcriptional events to ensure effective cell proliferation.
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Affiliation(s)
- M Mikula
- Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Department of Genetics, Roentgena 5, 02-781 Warsaw, Poland
| | - M Skrzypczak
- University of Warsaw, CeNT, Laboratory of Bioinformatics and Systems Biology, Zwirki i Wigury 93, 02-089, Poland
| | - K Goryca
- Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Department of Genetics, Roentgena 5, 02-781 Warsaw, Poland
| | - K Paczkowska
- Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Department of Genetics, Roentgena 5, 02-781 Warsaw, Poland
| | - J K Ledwon
- Medical Center for Postgraduate Education, Department of Gastroenterology, Hepatology and Clinical Oncology, Roentgena 5, 02-781 Warsaw, Poland
| | - M Statkiewicz
- Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Department of Genetics, Roentgena 5, 02-781 Warsaw, Poland
| | - M Kulecka
- Medical Center for Postgraduate Education, Department of Gastroenterology, Hepatology and Clinical Oncology, Roentgena 5, 02-781 Warsaw, Poland
| | - M Grzelak
- University of Warsaw, CeNT, Laboratory of Bioinformatics and Systems Biology, Zwirki i Wigury 93, 02-089, Poland
| | - M Dabrowska
- Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Department of Genetics, Roentgena 5, 02-781 Warsaw, Poland
| | - U Kuklinska
- Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Department of Genetics, Roentgena 5, 02-781 Warsaw, Poland
| | - J Karczmarski
- Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Department of Genetics, Roentgena 5, 02-781 Warsaw, Poland
| | - I Rumienczyk
- Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Department of Genetics, Roentgena 5, 02-781 Warsaw, Poland
| | - K Jastrzebski
- International Institute of Molecular and Cell Biology, Trojdena 4, 02-109, Warsaw, Poland
| | - M Miaczynska
- International Institute of Molecular and Cell Biology, Trojdena 4, 02-109, Warsaw, Poland
| | - K Ginalski
- University of Warsaw, CeNT, Laboratory of Bioinformatics and Systems Biology, Zwirki i Wigury 93, 02-089, Poland
| | - K Bomsztyk
- University of Washington, Department of Medicine, 850 Republican Street, Seattle, WA, USA
| | - J Ostrowski
- Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Department of Genetics, Roentgena 5, 02-781 Warsaw, Poland.,Medical Center for Postgraduate Education, Department of Gastroenterology, Hepatology and Clinical Oncology, Roentgena 5, 02-781 Warsaw, Poland
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Marrón B, Ostrowski J, Török M, Timofte D, Orosz A, Kosicki A, Całka A, Moro D, Kosa D, Redl J, Qureshi AR, Divino-Filho JC. Type of Referral, Dialysis Start and Choice of Renal Replacement Therapy Modality in an International Integrated Care Setting. PLoS One 2016; 11:e0155987. [PMID: 27228101 PMCID: PMC4882011 DOI: 10.1371/journal.pone.0155987] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2016] [Accepted: 05/06/2016] [Indexed: 12/21/2022] Open
Abstract
INTRODUCTION Integrated Care Settings (ICS) provide a holistic approach to the transition from chronic kidney disease into renal replacement therapy (RRT), offering at least both types of dialysis. OBJECTIVES To analyze which factors determine type of referral, modality provision and dialysis start on final RRT in ICS clinics. METHODS Retrospective analysis of 626 patients starting dialysis in 25 ICS clinics in Poland, Hungary and Romania during 2012. Scheduled initiation of dialysis with a permanent access was considered as planned RRT start. RESULTS Modality information (80% of patients) and renal education (87%) were more frequent (p<0.001) in Planned (P) than in Non-Planned (NP) start. Median time from information to dialysis start was 2 months. 89% of patients started on hemodialysis, 49% were referred late to ICS (<3 months from referral to RRT) and 58% were NP start. Late referral, non-vascular renal etiology, worse clinical status, shorter time from information to RRT and less peritoneal dialysis (PD) were associated with NP start (p<0.05). In multivariate logistic regression analysis, P start (p≤0.05) was associated with early referral, eGFR >8.2 ml/min, >2 months between information and RRT initiation and with vascular etiology after adjustment for age and gender. "Optimal care," defined as ICS follow-up >12 months plus modality information and P start, occurred in 23%. CONCLUSIONS Despite the high rate of late referrals, information and education were widely provided. However, NP start was high and related to late referral and may explain the low frequency of PD.
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Affiliation(s)
- Belén Marrón
- Diaverum Home Therapies, Medical Office, Munich, Germany
| | | | | | | | | | | | | | - Daniela Moro
- Sibiu Distributei Diaverum Clinic, Sibiu, Romania
| | - Dezider Kosa
- Zalaegerszeg Diaverum Clinic, Zalaegerszeg, Hungary
| | - Jenö Redl
- Szolnok Diaverum Clinic, Szolnok, Hungary
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Ostrowski J, Rutkowski B. SP739HERBAL TREATMENT OF THE URINARY SYSTEM DISEASES BASED ON 18TH AND 19TH CENTURY MANUALS IN POLAND. Nephrol Dial Transplant 2016. [DOI: 10.1093/ndt/gfw180.01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Ostrowski J, Rutkowski B. SO065THE ORIGINS OF DEVELOPMENT AND TEACHING OF NEPHROLOGY IN POLAND. Nephrol Dial Transplant 2016. [DOI: 10.1093/ndt/gfw128.04] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Muszytowski M, Ostrowski J, Rutkowski B. Great figures of Polish Nephrology - Participants of the Warsaw Uprising 1944. G Ital Nefrol 2016; 33 Suppl 66:33.S66.22. [PMID: 26913890] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
In 1944, during the World War II, many doctors and many medical students participated in the Warsaw Uprising. This group also comprised future nephrologists, professors of medicine, founders of Polish nephrology, dialysis and transplantology centers. We presented 3 of great polish nephrologists who participated in medical services in the Warsaw Uprising: Zygmunt Hanicki, Andrzej Manitius and Tadeusz Orłowski.
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Ostrowski J, Rutkowski B. Herbal treatment of the urinary system diseases based on 16(th) and 17(th) century herbals in Poland. G Ital Nefrol 2016; 33 Suppl 66:33.S66.18. [PMID: 26913886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
The medicinal use of herbs is a principal achievement of human ingenuity. The most renowned doctors of antiquity: Hippocrates, Dioscorides, Theophrastus, Pliny the Elder and Galen mentioned herbs in their works. The first printed herbal was published in Mainz in 1485. Outstanding scientists e.g. Otto Brunfels, Hieronymus Bock, Leonard Fuchs and Andreo Mattiola published herbals in the 16th century. Polish doctors also contributed to the development of herbal treatment. The first work: Of Herbs and their Potency by Stefan Falimirz, published in 1534, triggered other publications in the 16th century, the age of herbals. In 1542, Hieronymus Spiczynski published a herbal: Of Local and Overseas Herbs and their Potency. Then, in 1568, Marcin Siennik published his: Herbal, which is the Description of Local and Overseas Herbs, their Potency and Application. In 1595, Marcin of Urzedow published: The Polish Herbal, the Books of Herbs. Completed in mid-16th century, it was only published 22 years after his death. The last work discussed is Herbal Known in Latin as published in 1613 by Simon Syrenius a graduate of Ingolstadt and Padua universities and lecturer at the Academy of Krakow. The work was Europes most complete elaboration on herbal treatment. The herbs described in the herbals worked as diuretics, demulcents, analgesics, relaxants and preventives of kidney stones. Published in Polish, they are still to be found in Poland. All the works presented herein are held by the Library of the Seminary of Wloclawek, and the Ossolinski National Institute in Wroclaw.
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Ostrowski J, Rutkowski B. SuO015SELECTED PLANTS FROM SIMON SYRENIUS’ (1540-1611) HERBAL AND THEIR APPLICATION FOR TREATMENT OF THE URINARY SYSTEM DISEASES IN POLAND. Nephrol Dial Transplant 2015. [DOI: 10.1093/ndt/gfv157.04] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Ostrowski J, Durlik M, Dębska-Ślizień A, Klinger M, Manitius J, Sułowicz W, Więcek A, Zdrojewski Z. Professor Boles aw Rutkowski's 70th birthday Laudatio. Clin Kidney J 2014. [PMCID: PMC4310435 DOI: 10.1093/ckj/sfu133] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
On 5 December 2014 Professor Bolesław Rutkowski, the outstanding Polish nephrologist, doctor and researcher, renowned organizer, our teacher, colleague and friend, will celebrate his 70th birthday. We would like to take this opportunity to present to you his life and his scientific achievements.
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Affiliation(s)
- Janusz Ostrowski
- Third Department of Internal Medicine and Nephrology, Provincial Hospital, Wloclawek, Poland
| | - Magdalena Durlik
- Department of Transplantation Medicine and Nephrology, Warsaw Medical University, Warsaw, Poland
| | - Alicja Dębska-Ślizień
- Department of Nephrology, Transplantology and Internal Medicine, Medical University of Gdańsk, Gdańsk, Poland
| | - Marian Klinger
- Department of Nephrology and Transplantation Medicine, Medical University of Wrocław, Wrocław, Poland
| | - Jacek Manitius
- Deparment of Nephrology, Hypertension and Internal Medicine, Collegium Medicum Nicolaus Copernicus University, Bydgoszcz, Poland
| | | | - Andrzej Więcek
- Department of Nephrology, Endocrinology and Metabolic Diseases, Medical University of Silesia, Katowice, Poland
| | - Zbigniew Zdrojewski
- Department of Internal Medicine, Connective Tissue and Geriatrics, Medical University of Gdańsk, Gdańsk, Poland
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Dobrowolski R, Klatka J, Brodnjak-Voncina D, Trojanowska A, Myśliwiec D, Ostrowski J, Remer M. Chemometric methods for studying the relationships between trace elements in laryngeal cancer and healthy tissues. Biol Trace Elem Res 2014; 159:107-14. [PMID: 24838928 PMCID: PMC4052000 DOI: 10.1007/s12011-014-0013-9] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/16/2014] [Accepted: 05/08/2014] [Indexed: 01/08/2023]
Abstract
A quick and reliable method for the evaluation and classification of two types of tissues is presented. Several chemometric methods were applied to evaluate multivariate data of the tissue samples with respect to the content of trace elements. The content of Pb, Al, Zn, Cd, Cu, Ni and Co was determined in samples of healthy and cancerous tissue obtained from 26 patients. Determination was done at milligram/kilogram level with inductively coupled plasma optical emission spectrometry (ICP-OES) and atomic absorption spectroscopy (AAS) techniques. Contents of trace metals in studied tissues are not normally distributed; however, normal distribution was confirmed for log values. There is a statistically significant difference in the content of Zn, Cd, Cu and Al (p<0.01) and Ni and Co (p<0.05) when healthy tissue is compared to cancerous one. Correlation between contents of trace elements for studied tissues was positive; the highest was found between Zn and Cu. A chemometric methodology seems to be a promising tool for classifications of the tissue samples.
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Affiliation(s)
- R. Dobrowolski
- Faculty of Chemistry, Department of Analytical Chemistry and Instrumental Analysis, Maria Curie-Skłodowska University, 20-031 Lublin, Poland
| | - J. Klatka
- Department of Otolaryngology, Medical University, 20-059 Lublin, Poland
| | - D. Brodnjak-Voncina
- Faculty of Chemistry and Chemical Engineering, University of Maribor, Smetanova 17, 2000 Maribor, Slovenia
| | - A. Trojanowska
- Department of Radiology, Medical University, 20-059 Lublin, Poland
| | - D. Myśliwiec
- Faculty of Chemistry, Department of Radiochemistry and Colloid Chemistry, Maria Curie-Skłodowska University, 20-031 Lublin, Poland
| | - J. Ostrowski
- Analytical Department, Fertilizers Research Institute, Al. Tysiąclecia Państwa Polskiego 13A, 24-110 Puławy, Poland
| | - M. Remer
- Department of Otolaryngology, District Hospital, 22-400 Zamość, Poland
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Ostrowski J, Bianchetti R, Baros IE, Galletti B, Gati R, Pusch D, Schwinne M, Wüthrich B. Computational magnetohydrodynamics in the simulation of gas circuit breakers. IJCSE 2014. [DOI: 10.1504/ijcse.2014.064528] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Ostrowski J, Rutkowski B. Samuel Goldflam (1852-1932), world-famous neurologist, and his contribution to the development of nephrology. J Nephrol 2013; 26:55-59. [PMID: 24375342 DOI: 10.5301/jn.5000339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/20/2013] [Indexed: 06/03/2023]
Affiliation(s)
- Janusz Ostrowski
- Third Department of Internal Medicine and Nephrology, Provincial Hospital, Wloclawek - Poland
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Rutkowski B, Ostrowski J. Jędrzej Śniadecki (1768-1838) and his flirtation with nephrology. J Nephrol 2013; 26:40-44. [PMID: 24375339 DOI: 10.5301/jn.5000340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/20/2013] [Indexed: 06/03/2023]
Affiliation(s)
- Boleslaw Rutkowski
- Department of Nephrology, Transplantation and Internal Medicine, Medical University, Gdansk - Poland
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Ostrowski J, Rutkowski B. Józef Dietl (1804-1878), outstanding internist and reformer of the medical sciences, and his contribution to nephrology. J Nephrol 2013; 26:50-54. [PMID: 24375341 DOI: 10.5301/jn.5000338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/15/2013] [Indexed: 06/03/2023]
Affiliation(s)
- Janusz Ostrowski
- Third Department of Internal Medicine and Nephrology, Provincial Hospital, Wloclawek - Poland
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Ostrowski J, Rutkowski B, Więcek A, Manitius J, Sułowicz W. The 50th anniversary of haemodialysis in Krakow, Poland. Clin Kidney J 2013; 6:246-9. [PMID: 26019862 PMCID: PMC4432449 DOI: 10.1093/ckj/sft011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2012] [Accepted: 01/18/2013] [Indexed: 11/13/2022] Open
Affiliation(s)
- Janusz Ostrowski
- Third Department of Internal Medicine and Nephrology, Provincial Hospital, Wloclawek, Poland
| | - Bolesław Rutkowski
- Department of Nephrology, Transplantology and Internal Medicine, Medical University of Gdańsk, Gdańsk, Poland
| | - Andrzej Więcek
- Department of Nephrology, Endocrinology and Metabolic Diseases, Medical University of Silesia, Katowice, Poland
| | - Jacek Manitius
- Department of Nephrology, Hypertension and Internal Medicine, Nicolaus Copernicus University, Bydgoszcz, Poland
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Rutkowski B, Ostrowski J. Tadeusz Reichstein: from description of coffee aroma to discoveries of cortisone and aldosterone. J Nephrol 2009; 22 Suppl 14:80-85. [PMID: 20013737] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
Tadeusz Reichstein was born in Wloclawek (Poland) into a Polish-Jewish family. His family emigrated to Switzerland, and he was educated in the Technical University of Zurich, becoming an engineer of chemistry. Thus he started his scientific career, firstly in Zurich and later in Basel. In his very busy life, he developed a method of vitamin C synthesis enabling industrial production of this important compound. Later, Reichstein isolated and synthesized such important adrenocortical hormones as cortisone, desoxycorticosterone and aldosterone. He received several awards but the most important was a Nobel Prize in Physiology or Medicine (1950). Reichstein spent the last years of his life in his own botanical garden and laboratory working on fern cytogenetics and the relations between different species of this archaic plant. Despite extraordinary and still valuable scientific achievements, he was always a very modest man with a humanistic attitude.
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Affiliation(s)
- Boleslaw Rutkowski
- Department of Nephrology, Transplantation and Internal Medicine, Medical University of Gdansk, Gdansk, Poland.
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Abstract
Anastomosis leakage is one of the most serious complications of colorectal surgery. A role for extracellular matrix remodelling in the healing process of the colon wall has been recently postulated. Changes in matrix metalloproteinase (MMP) activity in the intestinal wall occurring prior to elective resection and primary anastomosis appear to be responsible for dehiscence leading to anastomosis. Thrombophylaxis using low-molecular-weight heparins is routinely administered to all patients during the perioperative period. However, adverse antiproliferative and proapoptotic effects such as limitation of bioavailability of growth factors and angiogenesis inhibition have been characterized in various cell types as a result of heparin administration. It is also likely that relationships exist between extracellular matrix homeostasis and the coagulation/fibrinolysis system. We hypothesize that subcutaneous administration of LMWHs (low-molecular-weight heparins) may influence matrix metalloproteinase activity in the colon wall and increase the risk of postoperative leakage.
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Affiliation(s)
- N Krzesniak-Wszola
- Department of General and Gastrointestinal Tract Surgery, Medical Center for Postgraduate Education, Prof. W. Orłowski Memorial Hospital, Warsaw, Poland.
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Klimek-Tomczak K, Mikula M, Dzwonek A, Paziewska A, Karczmarski J, Hennig E, Bujnicki JM, Brągoszewski P, Denisenko O, Bomsztyk K, Ostrowski J. Editing of hnRNP K protein mRNA in colorectal adenocarcinoma and surrounding mucosa. Br J Cancer 2006; 94:586-92. [PMID: 16404425 PMCID: PMC2361188 DOI: 10.1038/sj.bjc.6602938] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
The heterogeneous nuclear ribonucleoprotein K (hnRNP K) protein is an RNA-binding protein involved in many processes that compose gene expression. K protein is upregulated in the malignant processes and has been shown to modulate the expression of genes involved in mitogenic responses and tumorigenesis. To explore the possibility that there are alternative isoforms of K protein expressed in colon cancer, we amplified and sequenced K protein mRNA that was isolated from colorectal cancers as well as from normal tissues surrounding the tumours. Sequencing revealed a single G-to-A base substitution at position 274 that was found in tumours and surrounding mucosa, but not in individuals that had no colorectal tumour. This substitution most likely reflects an RNA editing event because it was not found in the corresponding genomic DNAs. Sequencing of RNA from normal colonic mucosa of patients with prior resection of colorectal cancer revealed only the wild-type K protein transcript, indicating that G274A isoform is tumour related. To our knowledge, this is the first example of an RNA editing event in cancer and its surrounding tissue, a finding that may offer a new diagnostic and treatment marker.
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Affiliation(s)
- K Klimek-Tomczak
- Department of Gastroenterology, Medical Center for Postgraduate Education and Maria Skłodowska-Curie Memorial Cancer Center and Institute of Oncology, ul. Roentgena 5, Warsaw 02-781, Poland
| | - M Mikula
- Department of Gastroenterology, Medical Center for Postgraduate Education and Maria Skłodowska-Curie Memorial Cancer Center and Institute of Oncology, ul. Roentgena 5, Warsaw 02-781, Poland
| | - A Dzwonek
- Department of Gastroenterology, Medical Center for Postgraduate Education and Maria Skłodowska-Curie Memorial Cancer Center and Institute of Oncology, ul. Roentgena 5, Warsaw 02-781, Poland
| | - A Paziewska
- Department of Gastroenterology, Medical Center for Postgraduate Education and Maria Skłodowska-Curie Memorial Cancer Center and Institute of Oncology, ul. Roentgena 5, Warsaw 02-781, Poland
| | - J Karczmarski
- Department of Gastroenterology, Medical Center for Postgraduate Education and Maria Skłodowska-Curie Memorial Cancer Center and Institute of Oncology, ul. Roentgena 5, Warsaw 02-781, Poland
| | - E Hennig
- Department of Gastroenterology, Medical Center for Postgraduate Education and Maria Skłodowska-Curie Memorial Cancer Center and Institute of Oncology, ul. Roentgena 5, Warsaw 02-781, Poland
| | - J M Bujnicki
- Laboratory of Bioinformatics and Protein Engineering, International Institute of Molecular and Cell Biology, Warsaw 02-109, Poland
| | - P Brągoszewski
- Department of Gastroenterology, Medical Center for Postgraduate Education and Maria Skłodowska-Curie Memorial Cancer Center and Institute of Oncology, ul. Roentgena 5, Warsaw 02-781, Poland
| | - O Denisenko
- Department of Medicine, UW Medicine Lake Union, University of Washington, Seattle, WA 98109, USA
| | - K Bomsztyk
- Department of Medicine, UW Medicine Lake Union, University of Washington, Seattle, WA 98109, USA
| | - J Ostrowski
- Department of Gastroenterology, Medical Center for Postgraduate Education and Maria Skłodowska-Curie Memorial Cancer Center and Institute of Oncology, ul. Roentgena 5, Warsaw 02-781, Poland
- Department of Gastroenterology, Medical Center for Postgraduate Education and Maria Skłodowska-Curie Memorial Cancer Center and Institute of Oncology, ul. Roentgena 5, Warsaw 02-781, Poland. E-mail:
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Iacopetta B, Russo A, Bazan V, Dardanoni G, Gebbia N, Soussi T, Kerr D, Elsaleh H, Soong R, Kandioler D, Janschek E, Kappel S, Lung M, Leung CSS, Ko JM, Yuen S, Ho J, Leung SY, Crapez E, Duffour J, Ychou M, Leahy DT, O'Donoghue DP, Agnese V, Cascio S, Di Fede G, Chieco-Bianchi L, Bertorelle R, Belluco C, Giaretti W, Castagnola P, Ricevuto E, Ficorella C, Bosari S, Arizzi CD, Miyaki M, Onda M, Kampman E, Diergaarde B, Royds J, Lothe RA, Diep CB, Meling GI, Ostrowski J, Trzeciak L, Guzinska-Ustymowicz K, Zalewski B, Capellá GM, Moreno V, Peinado MA, Lönnroth C, Lundholm K, Sun XF, Jansson A, Bouzourene H, Hsieh LL, Tang R, Smith DR, Allen-Mersh TG, Khan ZAJ, Shorthouse AJ, Silverman ML, Kato S, Ishioka C. Functional categories of TP53 mutation in colorectal cancer: results of an International Collaborative Study. Ann Oncol 2006; 17:842-7. [PMID: 16524972 DOI: 10.1093/annonc/mdl035] [Citation(s) in RCA: 81] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND Loss of TP53 function through gene mutation is a critical event in the development and progression of many tumour types including colorectal cancer (CRC). In vitro studies have found considerable heterogeneity amongst different TP53 mutants in terms of their transactivating abilities. The aim of this work was to evaluate whether TP53 mutations classified as functionally inactive (< or=20% of wildtype transactivation ability) had different prognostic and predictive values in CRC compared with mutations that retained significant activity. MATERIALS AND METHODS TP53 mutations within a large, international database of CRC (n = 3583) were classified according to functional status for transactivation. RESULTS Inactive TP53 mutations were found in 29% of all CRCs and were more frequent in rectal (32%) than proximal colon (22%) tumours (P < 0.001). Higher frequencies of inactive TP53 mutations were also seen in advanced stage tumours (P = 0.0003) and in tumours with the poor prognostic features of vascular (P = 0.006) and lymphatic invasion (P = 0.002). Inactive TP53 mutations were associated with significantly worse outcome only in patients with Dukes' stage D tumours (RR = 1.71, 95%CI 1.25-2.33, P < 0.001). Patients with Dukes' C stage tumours appeared to gain a survival benefit from 5-fluorouracil-based chemotherapy regardless of TP53 functional status for transactivation ability. CONCLUSIONS Mutations that inactivate the transactivational ability of TP53 are more frequent in advanced CRC and are associated with worse prognosis in this stage of disease.
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Affiliation(s)
- B Iacopetta
- Università di Palermo, Department of Oncology, Palermo, Italy.
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Reed NS, Poole CJ, Coleman R, Parkin D, Graham JD, Kaye SB, Ostrowski J, Duncan I, Paul J, Hay A. A randomised comparison of treosulfan and carboplatin in patients with ovarian cancer: a study by the Scottish Gynaecological Cancer Trials Group (SGCTG). Eur J Cancer 2005; 42:179-85. [PMID: 16337372 DOI: 10.1016/j.ejca.2005.09.022] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2005] [Revised: 09/02/2005] [Accepted: 09/06/2005] [Indexed: 11/24/2022]
Abstract
The management of older and unfit women with advanced ovarian cancer requires post-operative chemotherapy but many of these patients are not suitable for high-dose cisplatin-based regimes. Carboplatin has been an easier alternative and can be given in the ambulatory setting. Historical data suggests that oral alkylating agents to be just effective with similar efficacy. In this study we have compared platinum-based carboplatin to the alkylating agent treosulfan in a population unfit to receive high-dose cisplatin. The trial randomised patients to either intravenous carboplatin or treosulfan as single agent. The trial was stopped prematurely after the interim analysis showed improved survival and response rates in the carboplatin arm. We conclude that carboplatin is a safe and effective drug in a population that is unfit for high-dose cisplatin. Treosulfan showed limited activity but may be considered along with other oral drugs in limited circumstances. With the exception of myelosuppression, toxicity was mild in both arms. Carboplatin remains the gold standard in this older and less fit group of patients.
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Affiliation(s)
- N S Reed
- Beatson Oncology Centre, Western Infirmary, EORTC Gynaecological Cancer Group, Dumbarton Road, Glasgow G11 6NT, UK.
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Skubis-Zegadło J, Nikodemska A, Przytuła E, Mikula M, Bardadin K, Ostrowski J, Wenzel BE, Czarnocka B. Expression of pendrin in benign and malignant human thyroid tissues. Br J Cancer 2005; 93:144-51. [PMID: 15942636 PMCID: PMC2361481 DOI: 10.1038/sj.bjc.6602628] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
The Pendred syndrome gene (PDS) encodes a transmembrane protein, pendrin, which is expressed in follicular thyroid cells and participates in the apical iodide transport. Pendrin expression has been studied in various thyroid neoplasms by means of immunohistochemistry (IHC), Western blot and RT–quantitative real-time PCR. The expression was related to the functional activity of the thyroid tissue. Follicular cells of normal, nodular goitre and Graves' disease tissues express pendrin at the apical pole of the thyrocytes. In follicular adenomas, pendrin was detected in cell membranes and cytoplasm simultaneously in 10 out of 15 cases. Pendrin protein was detected in 73.3 and 76.7% of the follicular (FTC) and papillary (PTC) thyroid carcinomas, respectively, where pendrin was solely localised inside the cytoplasm. An extensive intracellular immunostaining of pendrin was observed in six out of 11 (54.5%) of positive FTCs and 19 out of 23 (82%) of PTCs. Focal reactivity was detected in one follicular- and three papillary carcinomas, whereas pendrin protein was absent in three of 15 FTC and four of 30 PTC; mRNA of pendrin was detected in 92.4% of thyroid tumours. The relative mRNA expression of pendrin was lower in cancers than in normal thyroid tissues (P<0.001). The pendrin protein level was found to parallel its mRNA expression, which was not, however, related to the tumour size and tumour stage. In conclusion, pendrin is expressed in the majority of differentiated thyroid tumours with high individual variability but its targeting to the apical cell membrane is affected.
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Affiliation(s)
- J Skubis-Zegadło
- Department of Biochemistry, Medical Centre for Postgraduate Education, Marymoncka 99, 01-813 Warsaw, Poland
| | - A Nikodemska
- Department of Biochemistry, Medical Centre for Postgraduate Education, Marymoncka 99, 01-813 Warsaw, Poland
| | - E Przytuła
- Department of Pathology, Medical Centre for Postgraduate Education, Cegłowska 80, 01-809 Warsaw, Poland
| | - M Mikula
- Department of Gastroenterology, Medical Centre for Postgraduate Education, Oncology Centre, M. Skłodowska - Curie Memorial Institute, Roentgena 5, 02-781 Warsaw, Poland
| | - K Bardadin
- Department of Pathology, Medical Centre for Postgraduate Education, Cegłowska 80, 01-809 Warsaw, Poland
| | - J Ostrowski
- Department of Gastroenterology, Medical Centre for Postgraduate Education, Oncology Centre, M. Skłodowska - Curie Memorial Institute, Roentgena 5, 02-781 Warsaw, Poland
| | - B E Wenzel
- Cell & Immunobiology Laboratory, Department of Medicine I, Medical University, Ratzeburger Allee 160, D-23538 Lübeck, Germany
| | - B Czarnocka
- Department of Biochemistry, Medical Centre for Postgraduate Education, Marymoncka 99, 01-813 Warsaw, Poland
- Department of Biochemistry, Medical Centre for Postgraduate Education, Marymoncka 99, 01-813 Warsaw, Poland. E-mail:
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Haba Y, Williams MV, Ong J, Ostrowski J, Oliver RTD. Favourable IGCCCG subgroups of stage II NSGCT patients may require less chemotherapy if TNM staging is included. J Clin Oncol 2004. [DOI: 10.1200/jco.2004.22.90140.4532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Y. Haba
- Addenbrookes, Cambridge, United Kingdom; Barts and The London, London, United Kingdom; Norfolk & Norwich Hospital, Norwich, United Kingdom
| | - M. V. Williams
- Addenbrookes, Cambridge, United Kingdom; Barts and The London, London, United Kingdom; Norfolk & Norwich Hospital, Norwich, United Kingdom
| | - J. Ong
- Addenbrookes, Cambridge, United Kingdom; Barts and The London, London, United Kingdom; Norfolk & Norwich Hospital, Norwich, United Kingdom
| | - J. Ostrowski
- Addenbrookes, Cambridge, United Kingdom; Barts and The London, London, United Kingdom; Norfolk & Norwich Hospital, Norwich, United Kingdom
| | - R. T. D. Oliver
- Addenbrookes, Cambridge, United Kingdom; Barts and The London, London, United Kingdom; Norfolk & Norwich Hospital, Norwich, United Kingdom
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Bennicelli R, Stepniewska Z, Banach A, Szajnocha K, Ostrowski J. The ability of Azolla caroliniana to remove heavy metals (Hg(II), Cr(III), Cr(VI)) from municipal waste water. Chemosphere 2004; 55:141-6. [PMID: 14720557 DOI: 10.1016/j.chemosphere.2003.11.015] [Citation(s) in RCA: 75] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/18/2023]
Abstract
The aim of this paper was to investigate the capacity of a small water fern, Azolla caroliniana Willd. (Azollaceae), to purify waters polluted by Hg and Cr. Many plants are capable of accumulating heavy metals (called hyperaccumulators) and one of them is the water fern A. caroliniana. During 12 days of the experiment the fern was grown on the nutrient solution containing Hg2+, Cr3+ and CrO4(2-) ions, each in a concentration 0.1, 0.5 and 1.0 mg dm(-3). The presence of these ions caused a 20-31% inhibition of A. caroliniana growth, the highest in the presence of Hg(II) ions, in comparison to the control. After day 12 of the experiment, metal contents the solution decreased to 0-0.25 mg dm(-3), and this decrease comprised between 74 (Cr3+ 1.0 mg dm(-3) treatment) and 100% (CrO4(2-) 0.1 mg dm(-3) treatment). The fern took a lesser quantity of the metals from 0.1 mg dm(-3) treatments compared to 0.5 and 1.0 mg dm(-3) treatments. In the A. caroliniana tissues the concentration of heavy metals under investigation ranged from 71 to 964 mg kg(-1) dm; the highest level being found for Cr(III) containing nutrient solution.
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Affiliation(s)
- R Bennicelli
- Department of Biochemistry and Environmental Chemistry, Catholic University of Lublin, Al. Kraśnicka 102, 20-718 Lublin, Poland.
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