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Ulhøi M, Stelmach M, McCulloch T, Hansen K, Andersen J, Sorensen B, Meldgaard P. EP08.02-099 Liquid Biopsies as a Tool for Monitoring Patients with Metastatic ALK-positive NSCLC. J Thorac Oncol 2022. [DOI: 10.1016/j.jtho.2022.07.782] [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: 10/14/2022]
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O’keeffe M, Kelly M, O’herlihy E, O’toole P, Kearney P, Timmons S, Stanton C, Rolland Y, Sulmont Rosse C, Maitre I, Boeing H, Stelmach M, Nagel G, Wolters M, Hebestreit A, De Groot L, Teh R, Agnes Peyron M, Dardevet D, Papet I, Streicher M, Torbahn G, Kiesswetter E, Visser M, Volkert D, O’connor E. SUN-LB306: Potentially Modifiable Determinants of Malnutrition in Older Adults: A Systematic Review. Clin Nutr 2017. [DOI: 10.1016/s0261-5614(17)30657-x] [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: 10/18/2022]
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Wojcik M, Sudacka M, Wasyl B, Ciechanowska M, Nazim J, Stelmach M, Starzyk JB. Incidence of type 1 diabetes mellitus during 26 years of observation and prevalence of diabetic ketoacidosis in the later years. Eur J Pediatr 2015; 174:1319-24. [PMID: 25894913 DOI: 10.1007/s00431-015-2537-1] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/19/2014] [Revised: 03/31/2015] [Accepted: 04/02/2015] [Indexed: 02/07/2023]
Abstract
UNLABELLED The prevalence of type 1 diabetes (T1D) varies greatly between countries. However, over the past several decades, a global rise in the incidence of T1D in the pediatric population has been noted. The aim of our study was to investigate the incidence of T1D in children living in the Lesser Poland during the period of time from January 1, 1987, to December 31, 2012, and to analyze the demographic characteristics and occurrence of diabetic ketoacidosis (DKA) in patients with newly diagnosed T1D in the second part of the study (2006-2012). During 26 years, 636 children (331 boys, 305 girls) aged 0-14 years were newly diagnosed with T1D (0-4 years old, n = 131; 5-9 years old, n = 253, 10-14 years old, n = 252). The standardized incidence ratio (SIR) ranged significantly (p < 0.001) from 5.2/100,000/year in 1987 to 21.9/100,000/year in 2012. The highest SIR was observed in age group 5-9 years old (21.2) and the lowest in 0-4 years old (8.8). There was no association with sex or living in urban or rural area. On admission, DKA was diagnosed in 22.4 % of patients. There were no significant differences relating to the presence of DKA (p = 0.912) in subsequent years. CONCLUSIONS The incidence of T1D among children is increasing rapidly with the highest SIR in the 5-9 years old age group. DKA is still an important problem in the pediatric population. WHAT IS KNOWN • The incidence of pediatric type 1 diabetes mellitus in Europe is increasing. The initial manifestation of the type 1 diabetes mellitus is diabetic ketoacidosis. What is New: • This is the longest (26 years) continuous analysis of the incidence of type 1 diabetes in Poland and the first analysis focused on the incidence rate and also on presence of diabetic ketoacidosis.
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Affiliation(s)
- Malgorzata Wojcik
- Department of Pediatric and Adolecent Endocrinology, Chair of Pediatrics, Institute of Pediatrics, Jagiellonian University, Medical College, Krakow, Poland. .,Department of Pediatric and Adolecent Endocrinology, Children's University Hospital of Krakow, Krakow, Poland.
| | - Malgorzata Sudacka
- Student's Scientific Group, Department of Pediatric and Adolecent Endocrinology, Chair of Pediatrics, Institute of Pediatrics, Jagiellonian University, Medical College, Krakow, Poland.
| | - Barbara Wasyl
- Student's Scientific Group, Department of Pediatric and Adolecent Endocrinology, Chair of Pediatrics, Institute of Pediatrics, Jagiellonian University, Medical College, Krakow, Poland.
| | - Marta Ciechanowska
- Department of Pediatric and Adolecent Endocrinology, Children's University Hospital of Krakow, Krakow, Poland.
| | - Joanna Nazim
- Department of Pediatric and Adolecent Endocrinology, Chair of Pediatrics, Institute of Pediatrics, Jagiellonian University, Medical College, Krakow, Poland. .,Department of Pediatric and Adolecent Endocrinology, Children's University Hospital of Krakow, Krakow, Poland.
| | - Malgorzata Stelmach
- Department of Pediatric and Adolecent Endocrinology, Children's University Hospital of Krakow, Krakow, Poland.
| | - Jerzy B Starzyk
- Department of Pediatric and Adolecent Endocrinology, Chair of Pediatrics, Institute of Pediatrics, Jagiellonian University, Medical College, Krakow, Poland. .,Department of Pediatric and Adolecent Endocrinology, Children's University Hospital of Krakow, Krakow, Poland.
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Zmyslowska A, Borowiec M, Antosik K, Ploski R, Ciechanowska M, Iwaniszewska B, Jakubiuk-Tomaszuk A, Janczyk W, Krawczynski M, Salmonowicz B, Stelmach M, Mlynarski W. Genetic evaluation of patients with Alström syndrome in the Polish population. Clin Genet 2015; 89:448-453. [PMID: 26283575 DOI: 10.1111/cge.12656] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [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: 02/15/2015] [Revised: 07/15/2015] [Accepted: 07/15/2015] [Indexed: 12/21/2022]
Abstract
Alström syndrome (AS) is a rare syndromic form of obesity and type 2 diabetes (T2D) in children coexisting with retinal dystrophy and disorders of many organs caused by the mutations in ALMS1 gene. Aim of this study was to identify the causative mutations in ALMS1 in a group of 12 patients of Polish origin with clinical symptoms of AS, and their 21 first-degree relatives. Using DNA sequencing, nine different mutations including three novel were identified. These mutations were not present in 212 Polish individuals with no symptoms of AS, subjected to whole-exome sequencing and collected in a national registry. Looking for genotype-phenotype relationships, we confirmed a severe phenotype in a boy with homozygous mutation in exon 16, and a relationship between a presence of T2D and mutations in exon 19. Evaluation of the type of mutation and its clinical effects gives hope for earlier diagnosis of AS in future patients and more advanced therapeutic approaches for patients with already diagnosed AS.
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Affiliation(s)
- A Zmyslowska
- Department of Pediatrics, Oncology, Hematology and Diabetology, Lodz, Poland
| | - M Borowiec
- Department of Clinical Genetics, Medical University of Lodz, Lodz, Poland
| | - K Antosik
- Department of Clinical Genetics, Medical University of Lodz, Lodz, Poland
| | - R Ploski
- Department of Medical Genetics, Medical University of Warsaw, Warsaw, Poland
| | - M Ciechanowska
- Department of Endocrinology for Children and Adolescents, Jagiellonian University, Cracow, Poland
| | - B Iwaniszewska
- Department of Pediatrics, Endocrinology and Neurology, Children's hospital, Torun, Poland
| | | | - W Janczyk
- Department of Gastroenterology, Hepatology, Nutrition Disorders and Pediatrics, Warsaw, Poland
| | - M Krawczynski
- Department of Clinical Genetics, Medical University of Poznan, Poznan, Poland
| | - B Salmonowicz
- Department of Pediatric Endocrinology, Wroclaw Medical University, Wroclaw, Poland
| | - M Stelmach
- Department of Endocrinology for Children and Adolescents, Jagiellonian University, Cracow, Poland
| | - W Mlynarski
- Department of Pediatrics, Oncology, Hematology and Diabetology, Lodz, Poland
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Ataullah S, Whitehouse RW, Stelmach M, Shah S, Leatherbarrow B. Missed orbital wall blow-out fracture as a cause of post-enucleation socket syndrome. Eye (Lond) 1999; 13 ( Pt 4):541-4. [PMID: 10692927 DOI: 10.1038/eye.1999.134] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [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: 11/09/2022] Open
Abstract
BACKGROUND Post-enucleation socket syndrome (PESS: deep upper lid sulcus, ptosis or upper lid retraction, enophthalmos and lower lid laxity) is a well-recognised complication of a volume-deficient anophthalmic socket. A patient requiring enucleation following severe ocular trauma may have an underlying orbital wall blow-out fracture which if overlooked can cause severe volume deficit with poor cosmesis and limited prosthesis motility. PURPOSE To establish the prevalence of an undiagnosed blow-out fracture in patients with PESS and a history of relevant trauma. METHODS Medical records and orbital computed tomography (CT) scans were reviewed for all patients presenting with PESS and a history of relevant trauma. RESULTS Undiagnosed blow-out fractures were found in 15 (33%) of 45 patients presenting between August 1993 and December 1996. These were significant enough to warrant surgical repair in 13 (29%) patients. CONCLUSIONS We suggest that any patient presenting with PESS and a history of relevant trauma should be considered to have an orbital wall blow-out fracture until proven otherwise by CT scanning of the orbit. Similarly any patient requiring enucleation following severe ocular trauma should undergo CT scanning to rule out a coexisting blow-out fracture which could be repaired at the time of enucleation.
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Abstract
OBJECTIVE To define accurate wound infection rates for the cardiac surgery service based on site of infection and characterization as "deep" or "incisional" and to determine whether a correctable cause for an apparent increase in deep wound infection rates existed. DESIGN Observational. SETTING Tertiary-care teaching hospital. PARTICIPANTS All adults undergoing open heart surgery in 1988 and 1989. INTERVENTIONS Changed from razor to clipper preoperative hair removal in January 1989. RESULTS Deep sternotomy wound infections decreased significantly from 1.2% in 1988 to 0.2% in 1989 (p = .010) and deep venectomy (vein donor site) wound infections declined from 1.6% to 0.4% (p = .014) during the same time period. Incisional wound infection rates did not change. Patients with deep infections more likely required readmission or operation to treat their infection than those with incisional wound infections. The percentage of gram-negative organisms causing wound infections decreased from 56.3% in 1988 to 34.7% in 1989 (p = .017). CONCLUSIONS Preoperative hair removal using a clipper appears to have decreased the risk of deep wound infection compared with razor preparation. The dichotomous wound classification of "deep" and "incisional" distinguished between patients who required additional interventions for treatment of wound infections.
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Affiliation(s)
- J A Sellick
- Division of Infectious Diseases, State University of New York, Buffalo
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Abstract
A young woman presented in the third trimester of pregnancy with a rapid onset of bitemporal hemianopia and reduced visual acuity caused by an unusual steroid responsive suprasellar tumor. A computerized tomography scan revealed a 2-cm suprasellar mass which was thought to be a tuberculum sellae meningioma. Surgery was delayed because of pregnancy. A short course of high-dose steroids was given to promote fetal lung maturity. This produced an unexpected and dramatic resolution of the field loss. As the steroid dose was reduced, the visual fields deteriorated, necessitating a craniotomy. The histology revealed lymphocytic hypophysitis, a rare but distinct clinicopathological entity affecting the anterior pituitary lobe. The significance of the suprasellar site and a possible role for the use of steroids in the preoperative management of this condition is discussed.
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Affiliation(s)
- M Stelmach
- Department of Anatomy, University of Melbourne, Parkville, Australia
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Stelmach M, Postma J, Goldstein S, Shepard KF. Selected factors influencing job satisfaction of attendants of physically disabled adults. Rehabil Lit 1981; 42:130-7. [PMID: 6455724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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