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Article ; Online: Influenza vaccination from the perspective of health care workers at university hospitals.

Rykowska, Dominika / Sobierajski, Tomasz / Okarska-Napierała, Magdalena / Wanke-Rytt, Monika / Kuchar, Ernest

2023 Volume 18, Issue 7, Page(s) e0288470

Abstract: Background: The influenza vaccination rate of healthcare workers (HWs) in Poland is low. Before implementing methods for promoting influenza vaccination, it is crucial to identify attitudes towards vaccination. We aimed to examine the knowledge and ... ...

Abstract	Background: The influenza vaccination rate of healthcare workers (HWs) in Poland is low. Before implementing methods for promoting influenza vaccination, it is crucial to identify attitudes towards vaccination. We aimed to examine the knowledge and attitudes towards influenza vaccination of HWs at university hospitals. Moreover, we evaluated the incentives for getting influenza vaccination among HWs. Methods: From September 2020 to October 2020, we surveyed HWs in one children's hospital and two adults' hospitals in Warsaw (Poland). We included only fully and correctly completed surveys into final analysis. Results: A total of 950 questionnaires (85% women, 45% <40 years old, 33% physicians and 48% nurses, 56% working in a children's hospital) were evaluated. Of all HWs, 25% declared they were vaccinated and 54% planned to get vaccinated in the next season. We have analyzed attitudes towards influenza vaccination and motivations to get vaccinated. Conclusions: Among HWs in academic hospitals, males, people <40 years old, physicians and those working in children's hospital are more likely to get vaccinated and their attitudes towards influenza vaccination are more positive. Of those less likely to get vaccinated, people >40 years old and nurses could be effectively persuaded by free and on-site influenza vaccination. Moreover, free access to vaccination is the strongest motivator for vaccination among all HWs. The attitudes towards mandatory influenza vaccination differ sharply among HWs-while physicians are ready to accept it, nurses are not. Trial registration: ClinicalTrials.gov Identifier: NCT04569019.
MeSH term(s)	Adult ; Child ; Female ; Humans ; Male ; Attitude of Health Personnel ; Health Knowledge, Attitudes, Practice ; Health Personnel ; Hospitals, University ; Influenza Vaccines/therapeutic use ; Influenza, Human/prevention & control ; Surveys and Questionnaires ; Vaccination
Chemical Substances	Influenza Vaccines
Language	English
Publishing date	2023-07-21
Publishing country	United States
Document type	Clinical Study ; Journal Article
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0288470
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Article ; Online: Three-Dimensional Echocardiography and Global Longitudinal Strain in Follow-Up After Multisystem Inflammatory Syndrome in Children: Six-Month, Single-Center, Prospective Study.

Kamińska, Halszka / Rożnowska-Wójtowicz, Anna / Cacko, Andrzej / Okarska-Napierała, Magdalena / Kuchar, Ernest / Werner, Bożena

The Journal of pediatrics

2023 Volume 260, Page(s) 113516

Abstract: Objective: To assess the potential long-term cardiac effects after multisystem inflammatory syndrome in children (MIS-C) with cardiovascular involvement in the acute phase.: Study design: Our prospective study involved children consecutively ... ...

Abstract	Objective: To assess the potential long-term cardiac effects after multisystem inflammatory syndrome in children (MIS-C) with cardiovascular involvement in the acute phase. Study design: Our prospective study involved children consecutively diagnosed with MIS-C between October 2020 and February 2022 and followed 6 weeks and 6 months after the disease. In patients with severe cardiac involvement during the acute phase, an additional check-up after 3 months was scheduled. In all patients at all check-ups, 3-dimensional echocardiography and global longitudinal strain (GLS) were used to assess ventricular function. Results: The study enrolled 172 children aged 1-17 years (median, 8 years). The means of ejection fraction (EF) and GLS for both ventricles were within normal limits after 6 weeks with no relationship with initial severity: left ventricular EF (LVEF) 60% (59%-63%), LV GLS -21.08% (-18.63% to -23.2%), right ventricular (RV) EF 64% (62%-67%), and RV GLS -22.8% (-20.5% to -24.5%). Further, statistically significant improvement of LV function was observed after 6 months-LVEF 63% (62%-65%) and LV GLS -22.55% (-21.05% to -24.25%; P < .05); however, RV function remained unchanged. The group with severe cardiac involvement showed LV function recovery pattern with no significant improvement between 6 weeks and 3 months after MIS-C, while still improving between 3 and 6 months after discharge. Conclusions: LV and RV function is within normal limits 6 weeks after MIS-C regardless of severity of cardiovascular involvement; LV function improves further between 6 weeks and 6 months after the disease. The long-term prognosis is optimistic with full recovery of cardiac function.
MeSH term(s)	Child ; Humans ; Prospective Studies ; Follow-Up Studies ; Global Longitudinal Strain ; Echocardiography, Three-Dimensional/methods ; Ventricular Function, Left ; Stroke Volume
Language	English
Publishing date	2023-05-26
Publishing country	United States
Document type	Journal Article
ZDB-ID	3102-1
ISSN	1097-6833 ; 0022-3476
ISSN (online)	1097-6833
ISSN	0022-3476
DOI	10.1016/j.jpeds.2023.113516
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Article ; Online: Fever and Diarrhea as the Only Symptoms of Multisystem Inflammatory Syndrome in Children.

Okarska-Napierała, Magdalena / Zalewska, Ewa / Kuchar, Ernest

Gastroenterology

2020 Volume 160, Issue 3, Page(s) 968–969

MeSH term(s)	COVID-19 ; Child ; Diarrhea/diagnosis ; Diarrhea/etiology ; Fever/etiology ; Humans ; Systemic Inflammatory Response Syndrome
Keywords	covid19
Language	English
Publishing date	2020-08-29
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	80112-4
ISSN	1528-0012 ; 0016-5085
ISSN (online)	1528-0012
ISSN	0016-5085
DOI	10.1053/j.gastro.2020.08.047
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Article ; Online: SARS-CoV-2 Cluster in Nursery, Poland.

Okarska-Napierała, Magdalena / Mańdziuk, Joanna / Kuchar, Ernest

Emerging infectious diseases

2020 Volume 27, Issue 1

Abstract: We report a cluster of surprisingly high spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) associated with a single nursery in Poland. Our findings contrast with the presumed negligible role of children in driving the SARS-CoV-2 ... ...

Abstract	We report a cluster of surprisingly high spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) associated with a single nursery in Poland. Our findings contrast with the presumed negligible role of children in driving the SARS-CoV-2 pandemic. Children 1-2 years of age might be effective SARS-CoV-2 spreaders.
MeSH term(s)	COVID-19/epidemiology ; COVID-19/transmission ; Child Day Care Centers ; Cluster Analysis ; Contact Tracing ; Humans ; Infant ; Poland/epidemiology ; SARS-CoV-2
Keywords	covid19
Language	English
Publishing date	2020-10-19
Publishing country	United States
Document type	Journal Article
ZDB-ID	1380686-5
ISSN	1080-6059 ; 1080-6040
ISSN (online)	1080-6059
ISSN	1080-6040
DOI	10.3201/eid2701.203849
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Article ; Online: Ukrainian War Refugee Children With Particularly Severe Viral Infections: A Case Series Report.

Pluta, Magdalena / Karny, Katarzyna / Lipińska, Marta / Mańdziuk, Joanna / Podsiadły, Edyta / Kuchar, Ernest / Pokorska-Śpiewak, Maria / Okarska-Napierała, Magdalena

The Pediatric infectious disease journal

2023

Abstract: The humanitarian crisis in Ukraine in 2022 led to a massive migration of refugees to Poland. Immigrant children, living in overcrowded humanitarian hubs, were exposed to multiple stressful factors likely affecting their immune systems. This case series ... ...

Abstract	The humanitarian crisis in Ukraine in 2022 led to a massive migration of refugees to Poland. Immigrant children, living in overcrowded humanitarian hubs, were exposed to multiple stressful factors likely affecting their immune systems. This case series study aimed to describe a particularly severe course of common viral infections, in Ukrainian refugee children. We present 2 case series of Ukrainian refugee children: 5 hospitalized due to either adenovirus (AdV) and 8 with rotavirus (RV) infection, admitted within 3 months in each case series, recruited retrospectively. Most patients lived in humanitarian hubs and were neglected on admission (dehydrated, with poor hygiene and anxious). All RV infection cases had symptoms of severe gastroenteritis requiring intravenous rehydration. Metabolic acidosis was present in 6 children, and hypoglycemia in 4 participants. None of them were vaccinated against RV. All children with AdV infection had prolonged fever, dyspnea requiring oxygen therapy and hyperinflammation. In 2 AdV infection cases with no clinical improvement and increasing inflammatory markers, intravenous immunoglobulins and glucocorticosteroids were used. The combination of stressful factors and living in overcrowded hubs during the high prevalence of viral infections led to a particularly severe course of viral infections in Ukrainian refugee children.
Language	English
Publishing date	2023-11-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	392481-6
ISSN	1532-0987 ; 0891-3668
ISSN (online)	1532-0987
ISSN	0891-3668
DOI	10.1097/INF.0000000000004162
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Article ; Online: Monte Carlo Regression for Evaluating Children's Role in the Pandemic Spread on the Example of Delta COVID-19 Wave.

Mańdziuk, Joanna / Okarska-Napierała, Magdalena / Woźniak, Weronika / Hryniewicka, Ada / Radziński, Piotr / Gambin, Anna / Podsiadły, Edyta / Demkow, Urszula / Kuchar, Ernest

The Pediatric infectious disease journal

2023 Volume 42, Issue 12, Page(s) 1086–1092

Abstract: Background: The children's role in transmitting severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in the familial settings is uncertain. We aimed to assess how often children were the index cases transmitting SARS-CoV-2 into their households ... ...

Abstract	Background: The children's role in transmitting severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in the familial settings is uncertain. We aimed to assess how often children were the index cases transmitting SARS-CoV-2 into their households during the Delta wave, and to identify risk factors of children being the index case. Methods: In this prospective survey study, we collected information regarding household members of SARS-CoV-2-positive children tested in a single tertiary hospital. Some patients were tested with polymerase chain reaction and those samples were typed and classified as Delta or non-Delta variant. We have used the Monte Carlo approach to assess predictors of children being the index case in the household. Results: We surveyed 629 families and 515 of them fulfilled inclusion criteria. The child was the index case in 359 (69.71%) households. Attending childcare facilities in all age groups was positively associated with being the index case in the household [nursery, estimate = 1.456, 95% confidence interval (CI): 1.456-1.457, P < 0.001; kindergarten, estimate = 0.899, 95% CI: 0.898-0.900, P = 0.003; school, estimate = 1.23, 95% CI: 1.229-1.231, P = 0.001]. The same association was present in the subgroup of the families with the predominant Delta variant, but not in the subgroup with the predominant non-Delta variant. Conclusions: Attending childcare and educational facilities might be a significant predictor of a child being the SARS-CoV-2 index case in their household. Children's role in driving the SARS-CoV-2 pandemic changes in consecutive waves. The Monte Carlo approach can be applied to assess risk factors of infectious agents' spread in future epidemics.
MeSH term(s)	Child ; Humans ; COVID-19/epidemiology ; SARS-CoV-2/genetics ; Pandemics ; Prospective Studies
Language	English
Publishing date	2023-09-07
Publishing country	United States
Document type	Journal Article
ZDB-ID	392481-6
ISSN	1532-0987 ; 0891-3668
ISSN (online)	1532-0987
ISSN	0891-3668
DOI	10.1097/INF.0000000000004079
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Article: Severe Hyponatremia in a 6-month-old Infant.

Mańdziuk, Joanna / Okarska-Napierała, Magdalena / Kuchar, Ernest

Journal of the ASEAN Federation of Endocrine Societies

2019 Volume 34, Issue 1, Page(s) 6

Language	English
Publishing date	2019-07-30
Publishing country	Philippines
Document type	Journal Article
ZDB-ID	2893162-2
ISSN	2308-118X ; 0857-1074
ISSN (online)	2308-118X
ISSN	0857-1074
DOI	10.15605/jafes.034.01.02
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Article ; Online: SARS-CoV-2 Cluster in Nursery, Poland

Magdalena Okarska-Napierała / Joanna Mańdziuk / Ernest Kuchar

Emerging Infectious Diseases, Vol 27, Iss 1, Pp 317-

2021 Volume 319

Abstract	We report a cluster of surprisingly high spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) associated with a single nursery in Poland. Our findings contrast with the presumed negligible role of children in driving the SARS-CoV-2 pandemic. Children 1–2 years of age might be effective SARS-CoV-2 spreaders.
Keywords	COVID-19 ; coronavirus disease ; SARS-CoV-2 ; severe acute respiratory syndrome coronavirus 2 ; viruses ; respiratory infections ; Medicine ; R ; Infectious and parasitic diseases ; RC109-216
Language	English
Publishing date	2021-01-01T00:00:00Z
Publisher	Centers for Disease Control and Prevention
Document type	Article ; Online
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Article: NT-proBNP as a Potential Marker of Cardiovascular Damage in Children with Chronic Kidney Disease.

Skrzypczyk, Piotr / Okarska-Napierała, Magdalena / Pietrzak, Radosław / Pawlik, Katarzyna / Waścińska, Katarzyna / Werner, Bożena / Pańczyk-Tomaszewska, Małgorzata

Journal of clinical medicine

2021 Volume 10, Issue 19

Abstract: Assessing cardiovascular disease (CVD) in children with chronic kidney disease (CKD) is difficult. Great expectations have been associated with biomarkers, including the N-terminal pro-brain natriuretic peptide (NT-proBNP). This study aimed to determine ... ...

Abstract	Assessing cardiovascular disease (CVD) in children with chronic kidney disease (CKD) is difficult. Great expectations have been associated with biomarkers, including the N-terminal pro-brain natriuretic peptide (NT-proBNP). This study aimed to determine the correlation between NT-proBNP and cardiovascular complications in children with CKD. Serum NT-proBNP, arterial stiffness, common carotid artery intima-media thickness (cIMT), echocardiographic (ECHO) parameters (including tissue Doppler imaging), and biochemical and clinical data were analyzed in 38 pediatric patients with CKD (21 boys, 12.2 ± 4.2 years). Mean NT-proBNP in CKD patients was 1068.1 ± 4630 pg/mL. NT-proBNP above the norm (125 pg/mL) was found in 16 (42.1%) subjects. NT-proBNP correlated with glomerular filtration rate (GFR) (r = -0.423,
Language	English
Publishing date	2021-09-24
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm10194344
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Article ; Online: Recurrent assessment of lymphocyte subsets in 32 patients with multisystem inflammatory syndrome in children (MIS-C).

Okarska-Napierała, Magdalena / Mańdziuk, Joanna / Feleszko, Wojciech / Stelmaszczyk-Emmel, Anna / Panczyk, Mariusz / Demkow, Urszula / Kuchar, Ernest

Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology

2021 Volume 32, Issue 8, Page(s) 1857–1865

Abstract: Background: Lymphopenia is a hallmark of multisystem inflammatory syndrome in children (MIS-C). We aimed to characterize lymphocyte subsets' shifts and their correlations with other severity markers of MIS-C.: Methods: In this prospective cross- ... ...

Abstract	Background: Lymphopenia is a hallmark of multisystem inflammatory syndrome in children (MIS-C). We aimed to characterize lymphocyte subsets' shifts and their correlations with other severity markers of MIS-C. Methods: In this prospective cross-sectional study, we performed peripheral lymphocyte phenotyping in 32 patients with MIS-C. We analyzed lymphocyte subsets at three time points of the disease: the acute (A), convalescent (B), and recovery (C) phases. Based on age-normalized lymphocyte counts, we distinguished two groups of patients: "the mild" (higher lymphocyte counts) and "the severe" (lower lymphocyte counts). In addition, we examined differences between these groups regarding other severity markers. Results: In phase A, 84% of children had lymphopenia. Decreased absolute counts of CD3, CD4, and CD8 cells were observed in, respectively, 88%, 72%, and 84% of patients. The natural killer cells were decreased in 63% and CD19 in 59% of children. "The severe" group had significantly higher procalcitonin and troponin I levels and lower platelets and albumin. Moreover, "the severe" group had hypotension more frequently (73% vs. 20%, p = .008). In phase B, all lymphocyte counts increased, and 32% of children had lymphocytosis. The increase of CD3, CD4, and CD8 counts correlated with some laboratory severity markers (hemoglobin, procalcitonin, D-dimer, lactate dehydrogenase, N-terminal prohormone of brain natriuretic peptide, albumin), but not with steroid use. In phase C, most children had normal lymphocyte counts. Conclusions: Substantial shifts in lymphocyte counts during MIS-C apply most to T lymphocytes and correlate with the disease severity markers, particularly hypotension prevalence. A proportion of children with MIS-C develops transient lymphocytosis during convalescence.
MeSH term(s)	Cross-Sectional Studies ; Humans ; Lymphocyte Count ; Lymphocyte Subsets ; Prospective Studies ; Systemic Inflammatory Response Syndrome/immunology ; T-Lymphocyte Subsets
Language	English
Publishing date	2021-08-11
Publishing country	England
Document type	Journal Article
ZDB-ID	1057059-7
ISSN	1399-3038 ; 0905-6157 ; 0906-5784
ISSN (online)	1399-3038
ISSN	0905-6157 ; 0906-5784
DOI	10.1111/pai.13611
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