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  1. Article: Role of First Trimester Screening Biochemical Markers to Predict Hypertensive Pregnancy Disorders and SGA Neonates-A Narrative Review.

    Górczewski, Wojciech / Górecka, Joanna / Massalska-Wolska, Magdalena / Staśkiewicz, Magdalena / Borowski, Dariusz / Huras, Hubert / Rybak-Krzyszkowska, Magda

    Healthcare (Basel, Switzerland)

    2023  Volume 11, Issue 17

    Abstract: Early recognition of high-risk pregnancies through biochemical markers may promote antenatal surveillance, resulting in improved pregnancy outcomes. The goal of this study is to evaluate the possibilities of using biochemical markers during the first ... ...

    Abstract Early recognition of high-risk pregnancies through biochemical markers may promote antenatal surveillance, resulting in improved pregnancy outcomes. The goal of this study is to evaluate the possibilities of using biochemical markers during the first trimester of pregnancy in the prediction of hypertensive pregnancy disorders (HPD) and the delivery of small-for-gestational-age (SGA) neonates. A comprehensive search was conducted on key databases, including PubMed, Scopus, and Web of Science, for articles relating to the use of biochemical markers in the prediction of HPD and SGA. The findings show that changes in the levels of biomarkers in the early pregnancy phases could be an important indicator of adverse pregnancy outcomes. The literature shows that low PAPP-A (pregnancy-associated plasma protein A) and PlGF (placental growth factor) levels, low alkaline phosphatase (AP), higher sFlt-1 (soluble fms-like Tyrosine Kinase-1) levels, higher AFP (alfa fetoprotein) levels, and elevated levels of inflammatory markers such as β-HGC (free beta human chorionic gonadotropin), interferon-gamma (INF-γ), and tumor necrosis factor-α (TNF-α) may be associated with risks including the onset of HPD, fetal growth restriction (FGR), and delivery of SGA neonates. Comparatively, PAPP-A and PlGF appear to be the most important biochemical markers for the prediction of SGA and HPD.
    Language English
    Publishing date 2023-09-01
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2721009-1
    ISSN 2227-9032
    ISSN 2227-9032
    DOI 10.3390/healthcare11172454
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Fetal therapy guidelines of the Polish Society of Gynecologists and Obstetricians - Fetal Therapy Section.

    Kosinski, Przemyslaw / Borowski, Dariusz / Brawura-Biskupski-Samaha, Robert / Cnota, Wojciech / Debska, Marzena / Drews, Krzysztof / Grzesiak, Mariusz / Jaczynska, Renata / Janiak, Katarzyna / Kaczmarek, Piotr / Lipa, Michal / Litwinska, Magdalena / Luterek, Katarzyna / Olejek, Anita / Polczynska-Kaniak, Emilia / Preis, Krzysztof / Szaflik, Krzysztof / Szymkiewicz-Dangel, Joanna / Swiatkowska-Freund, Malgorzata /
    Wegrzyn, Piotr / Wielgos, Miroslaw / Wloch, Agata / Zamlynski, Jacek / Zamlynski, Mateusz / Sieroszewski, Piotr

    Ginekologia polska

    2024  

    Language English
    Publishing date 2024-04-18
    Publishing country Poland
    Document type Journal Article
    ZDB-ID 130894-4
    ISSN 2543-6767 ; 0017-0011
    ISSN (online) 2543-6767
    ISSN 0017-0011
    DOI 10.5603/gpl.100108
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Effectiveness of Different Algorithms and Cut-off Value in Preeclampsia First Trimester Screening.

    Tousty, Piotr / Czuba, Bartosz / Borowski, Dariusz / Fraszczyk-Tousty, Magda / Dzidek, Sylwia / Kwiatkowska, Ewa / Cymbaluk-Płoska, Aneta / Torbé, Andrzej / Kwiatkowski, Sebastian

    Journal of pregnancy

    2022  Volume 2022, Page(s) 6414857

    Abstract: Results: For the cut-off point >1 : 150, 86 women at an increased risk of eo-PE using algorithm 1 were identified. Of these 86 patients, 83 (96%) were identified using algorithm 2, 62 (72%) using algorithm 3, and 60 (69%) using algorithm 4. In addition, ...

    Abstract Results: For the cut-off point >1 : 150, 86 women at an increased risk of eo-PE using algorithm 1 were identified. Of these 86 patients, 83 (96%) were identified using algorithm 2, 62 (72%) using algorithm 3, and 60 (69%) using algorithm 4. In addition, it was demonstrated that between 21% and 29% of women at a low risk of eo-PE could be given acetylsalicylic acid if a screening test was used that did not account for PlGF.
    Conclusions: In order to provide the highest level of health care to pregnant women, it is extremely important that full screening for eo-PE should be ensured. The cheapest algorithm based only on MAP and UtPI resulted in our patients being unnecessarily exposed to complications.
    MeSH term(s) Algorithms ; Biomarkers ; Female ; Humans ; Mass Screening/methods ; Placenta Growth Factor ; Pre-Eclampsia/diagnosis ; Pre-Eclampsia/prevention & control ; Pregnancy ; Pregnancy Trimester, First
    Chemical Substances Biomarkers ; Placenta Growth Factor (144589-93-5)
    Language English
    Publishing date 2022-04-08
    Publishing country Egypt
    Document type Journal Article
    ZDB-ID 2595413-1
    ISSN 2090-2735 ; 2090-2735
    ISSN (online) 2090-2735
    ISSN 2090-2735
    DOI 10.1155/2022/6414857
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Risk Assessment of Endometrial Hyperplasia or Endometrial Cancer with Simplified Ultrasound-Based Scoring Systems.

    Stachowicz, Norbert / Smoleń, Agata / Ciebiera, Michał / Łoziński, Tomasz / Poziemski, Paweł / Borowski, Dariusz / Czekierdowski, Artur

    Diagnostics (Basel, Switzerland)

    2021  Volume 11, Issue 3

    Abstract: Background: Abnormal uterine bleeding (AUB) represents a common diagnostic challenge, as it might be related to both benign and malignant conditions. Endometrial cancer may not be detected with blind uterine cavity sampling by dilatation and curettage ... ...

    Abstract Background: Abnormal uterine bleeding (AUB) represents a common diagnostic challenge, as it might be related to both benign and malignant conditions. Endometrial cancer may not be detected with blind uterine cavity sampling by dilatation and curettage or suction devices. Several scoring systems using different ultrasound image characteristics were recently proposed to estimate the risk of endometrial cancer (EC) in women with AUB.
    Aim: The aim of the present study was to externally validate the predictive value of the recently proposed scoring systems including the Risk of Endometrial Cancer scoring model (REC) for EC risk stratification.
    Material and methods: It was a retrospective cohort study of women with postmenopausal bleeding. From June 2012 to June 2020 we studied a group of 394 women who underwent standard transvaginal ultrasound examination followed by power Doppler intrauterine vascularity assessment. Selected ultrasound features of endometrial lesions were assessed in each patient.
    Results: The median age was 60.3 years (range ± 10.7). The median body mass index (BMI) was 30.4 (range ± 6.0). Histological examination revealed 158 cases of endometrial hyperplasia (EH) and 236 cases of EC. Of the studied ultrasound endometrial features, the highest areas under the curve (AUCs) were found for endometrial thickness (ET) (AUC = 0.76; 95% CI: 0.71-0.81) and for interrupted endomyometrial junction (AUC = 0.70, 95% CI: 0.65-0.75). Selected scoring systems presented moderate to good predictive performance in differentiating EC and EH. The highest AUC was found for REC model (AUC = 0.75, 95% CI: 0.70-0.79) and for the basic model that included ET, Doppler score and interrupted endometrial junction (AUC = 0.77, 95% CI: 0.73-0.82). REC model was more accurate than other scoring systems and selected single features for differentiating benign hyperplasia from EC at early stages, regardless of menopausal status.
    Conclusions: New scoring systems, including the REC model may be used in women with AUB for more efficient differentiation between benign and malignant conditions.
    Language English
    Publishing date 2021-03-04
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662336-5
    ISSN 2075-4418
    ISSN 2075-4418
    DOI 10.3390/diagnostics11030442
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Evidence of Placental Aging in Late SGA, Fetal Growth Restriction and Stillbirth-A Systematic Review.

    Kajdy, Anna / Sys, Dorota / Modzelewski, Jan / Bogusławska, Joanna / Cymbaluk-Płoska, Aneta / Kwiatkowska, Ewa / Bednarek-Jędrzejek, Magdalena / Borowski, Dariusz / Stefańska, Katarzyna / Rabijewski, Michał / Baran, Arkadiusz / Torbe, Andrzej / Feduniw, Stepan / Kwiatkowski, Sebastian

    Biomedicines

    2023  Volume 11, Issue 7

    Abstract: During pregnancy, the placenta undergoes a natural aging process, which is considered normal. However, it has been hypothesized that an abnormally accelerated and premature aging of the placenta may contribute to placenta-related health issues. Placental ...

    Abstract During pregnancy, the placenta undergoes a natural aging process, which is considered normal. However, it has been hypothesized that an abnormally accelerated and premature aging of the placenta may contribute to placenta-related health issues. Placental senescence has been linked to several obstetric complications, including abnormal fetal growth, preeclampsia, preterm birth, and stillbirth, with stillbirth being the most challenging. A systematic search was conducted on Pubmed, Embase, and Scopus databases. Twenty-two full-text articles were identified for the final synthesis. Of these, 15 presented original research and 7 presented narrative reviews. There is a paucity of evidence in the literature on the role of placental aging in late small for gestational age (SGA), fetal growth restriction (FGR), and stillbirth. For future research, guidelines for both planning and reporting research must be implemented. The inclusion criteria should include clear differentiation between early and late SGA and FGR. As for stillbirths, only those with no other known cause of stillbirth should be included in the studies. This means excluding stillbirths due to congenital defects, infections, placental abruption, and maternal conditions affecting feto-maternal hemodynamics.
    Language English
    Publishing date 2023-06-21
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2720867-9
    ISSN 2227-9059
    ISSN 2227-9059
    DOI 10.3390/biomedicines11071785
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Cytomegalovirus Infection in Pregnancy Prevention and Treatment Options: A Systematic Review and Meta-Analysis.

    Rybak-Krzyszkowska, Magda / Górecka, Joanna / Huras, Hubert / Massalska-Wolska, Magdalena / Staśkiewicz, Magdalena / Gach, Agnieszka / Kondracka, Adrianna / Staniczek, Jakub / Górczewski, Wojciech / Borowski, Dariusz / Jaczyńska, Renata / Grzesiak, Mariusz / Krzeszowski, Waldemar

    Viruses

    2023  Volume 15, Issue 11

    Abstract: Objectives: Cytomegalovirus (CMV) infection is a significant health concern affecting numerous expectant mothers across the globe. CMV is the leading cause of health problems and developmental delays among infected infants. Notably, this study examines ... ...

    Abstract Objectives: Cytomegalovirus (CMV) infection is a significant health concern affecting numerous expectant mothers across the globe. CMV is the leading cause of health problems and developmental delays among infected infants. Notably, this study examines CMV infection in pregnancy, its management, prevention mechanisms, and treatment options.
    Methods: Specifically, information from the Cochrane Library, PUBMED, Wiley Online, Science Direct, and Taylor Francis databases were reviewed along with additional records identified through the register, the Google Scholar search engine. Based on the search, 21 articles were identified for systematic review.
    Results: A total of six randomized controlled trials (RCTs) were utilized for a meta-analytic review. As heterogeneity was substantial, the random effects model was used for meta-analysis. Utilizing the random-effects model, the restricted maximum likelihood (REML) approach, the estimate of effect size (d = -0.479, 95% CI = -0.977 to 0.019,
    Conclusions: The current review has significant implications for addressing CMV infection in pregnancy. Specifically, it provides valuable findings on contemporary management interventions to prevent and treat CMV infection among expectant mothers. Therefore, it allows relevant stakeholders to address these critical health concerns and understand the effectiveness of the proposed prevention and treatment options.
    MeSH term(s) Pregnancy ; Infant ; Female ; Humans ; Pregnancy Complications, Infectious/diagnosis ; Pregnancy Complications, Infectious/prevention & control ; Cytomegalovirus Infections/diagnosis ; Cytomegalovirus Infections/drug therapy ; Cytomegalovirus Infections/prevention & control ; Amniocentesis ; Infectious Disease Transmission, Vertical/prevention & control
    Language English
    Publishing date 2023-10-24
    Publishing country Switzerland
    Document type Meta-Analysis ; Systematic Review ; Journal Article ; Review
    ZDB-ID 2516098-9
    ISSN 1999-4915 ; 1999-4915
    ISSN (online) 1999-4915
    ISSN 1999-4915
    DOI 10.3390/v15112142
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Ultrasonographic Signs of Cytomegalovirus Infection in the Fetus-A Systematic Review of the Literature.

    Rybak-Krzyszkowska, Magda / Górecka, Joanna / Huras, Hubert / Staśkiewicz, Magdalena / Kondracka, Adrianna / Staniczek, Jakub / Górczewski, Wojciech / Borowski, Dariusz / Grzesiak, Mariusz / Krzeszowski, Waldemar / Massalska-Wolska, Magdalena / Jaczyńska, Renata

    Diagnostics (Basel, Switzerland)

    2023  Volume 13, Issue 14

    Abstract: Background: congenital cytomegalovirus (cCMV) infection during pregnancy is a significant risk factor for fetal and neonatal morbidity and mortality. CMV detection is based on the traditional ultrasound (US) and MRI (magnetic resonance) approach.: ... ...

    Abstract Background: congenital cytomegalovirus (cCMV) infection during pregnancy is a significant risk factor for fetal and neonatal morbidity and mortality. CMV detection is based on the traditional ultrasound (US) and MRI (magnetic resonance) approach.
    Methods: the present review used the PRISMA protocol for identification of studies associated with CMV infection and sonographic analysis. Various search terms were created using keywords which were used to identify references from Medline, Pubmed, PsycInfo, Scopus and Web of Science.
    Results: sonographic analysis of the cCMV infection identified several of the key features associated with fetuses. The presence of abnormal patterns of periventricular echogenicity, ventriculomegaly and intraparenchymal calcifications is indicative of CMV infection in the fetus. Hyperechogenic bowels were seen frequently. These results correlate well with MRI data, especially when targeted transvaginal fetal neurosonography was carried out.
    Conclusions: ultrasonography is a reliable indicator of fetal anomalies, due to cCMV. Fetal brain and organ changes are conclusive indications of infection, but many of the ultrasonographic signs of fetal abnormality could be due to any viral infections; thus, further research is needed to demarcate CMV infection from others, based on the ultrasonographic approach. CMV infection should always be an indication for targeted fetal neurosonography, optimally by the transvaginal approach.
    Language English
    Publishing date 2023-07-18
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662336-5
    ISSN 2075-4418
    ISSN 2075-4418
    DOI 10.3390/diagnostics13142397
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Risk Assessment of Endometrial Hyperplasia or Endometrial Cancer with Simplified Ultrasound-Based Scoring Systems

    Norbert Stachowicz / Agata Smoleń / Michał Ciebiera / Tomasz Łoziński / Paweł Poziemski / Dariusz Borowski / Artur Czekierdowski

    Diagnostics, Vol 11, Iss 3, p

    2021  Volume 442

    Abstract: Background: Abnormal uterine bleeding (AUB) represents a common diagnostic challenge, as it might be related to both benign and malignant conditions. Endometrial cancer may not be detected with blind uterine cavity sampling by dilatation and curettage or ...

    Abstract Background: Abnormal uterine bleeding (AUB) represents a common diagnostic challenge, as it might be related to both benign and malignant conditions. Endometrial cancer may not be detected with blind uterine cavity sampling by dilatation and curettage or suction devices. Several scoring systems using different ultrasound image characteristics were recently proposed to estimate the risk of endometrial cancer (EC) in women with AUB. Aim: The aim of the present study was to externally validate the predictive value of the recently proposed scoring systems including the Risk of Endometrial Cancer scoring model (REC) for EC risk stratification. Material and methods: It was a retrospective cohort study of women with postmenopausal bleeding. From June 2012 to June 2020 we studied a group of 394 women who underwent standard transvaginal ultrasound examination followed by power Doppler intrauterine vascularity assessment. Selected ultrasound features of endometrial lesions were assessed in each patient. Results: The median age was 60.3 years (range ± 10.7). The median body mass index (BMI) was 30.4 (range ± 6.0). Histological examination revealed 158 cases of endometrial hyperplasia (EH) and 236 cases of EC. Of the studied ultrasound endometrial features, the highest areas under the curve (AUCs) were found for endometrial thickness (ET) (AUC = 0.76; 95% CI: 0.71–0.81) and for interrupted endomyometrial junction (AUC = 0.70, 95% CI: 0.65–0.75). Selected scoring systems presented moderate to good predictive performance in differentiating EC and EH. The highest AUC was found for REC model (AUC = 0.75, 95% CI: 0.70–0.79) and for the basic model that included ET, Doppler score and interrupted endometrial junction (AUC = 0.77, 95% CI: 0.73–0.82). REC model was more accurate than other scoring systems and selected single features for differentiating benign hyperplasia from EC at early stages, regardless of menopausal status. Conclusions: New scoring systems, including the REC model may be used in women with AUB for more ...
    Keywords endometrium ; cancer ; hyperplasia ; sonography ; risk scoring ; Medicine (General) ; R5-920
    Subject code 610
    Language English
    Publishing date 2021-03-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article: First-Trimester Fetal Hepatic Artery Examination for Adverse Outcome Prediction.

    Czuba, Bartosz / Tousty, Piotr / Cnota, Wojciech / Borowski, Dariusz / Jagielska, Agnieszka / Dubiel, Mariusz / Fuchs, Anna / Fraszczyk-Tousty, Magda / Dzidek, Sylwia / Kajdy, Anna / Świercz, Grzegorz / Kwiatkowski, Sebastian

    Journal of clinical medicine

    2022  Volume 11, Issue 8

    Abstract: Objective: To assess whether there are differences in first-trimester fetal hepatic artery flows depending on pregnancy outcomes.: Methods: The prospective study conducted in 2012-2020 included 1841 fetuses from singleton pregnancies assessed during ... ...

    Abstract Objective: To assess whether there are differences in first-trimester fetal hepatic artery flows depending on pregnancy outcomes.
    Methods: The prospective study conducted in 2012-2020 included 1841 fetuses from singleton pregnancies assessed during the routine first-trimester ultrasound examination (between 11- and 14-weeks' gestation). Also, each fetus was examined to determine their hepatic artery flows by measuring the artery's pulsatility index (HA-PI) and peak systolic velocity (HA-PSV).
    Results: The fetuses that were classified as belonging to the adverse pregnancy outcome group (those with karyotype abnormalities and congenital heart defects) were characterized by a significantly lower HA-PI and higher HA-PSV compared to normal outcome fetuses.
    Conclusion: Hepatic artery flow assessment proved to be a very useful tool in predicting adverse pregnancy outcomes, in particular karyotype abnormalities and congenital heart defects.
    Language English
    Publishing date 2022-04-08
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm11082095
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Implementation of the Publicly Funded Prenatal Screening Programme in Poland during the COVID-19 Pandemic: A Cross-Sectional Study.

    Czuba, Bartosz / Mlodawski, Jakub / Kajdy, Anna / Sys, Dorota / Cnota, Wojciech / Mlodawska, Marta / Kwiatkowski, Sebastian / Guzik, Pawel / Wielgos, Miroslaw / Rybak-Krzyszkowska, Magda / Fuchs, Anna / Swiercz, Grzegorz / Borowski, Dariusz

    Journal of clinical medicine

    2022  Volume 11, Issue 5

    Abstract: The COVID-19 pandemic in 2020 affected the entire healthcare system in Poland, causing medical personnel to be relocated to other duties and limiting patients’ contacts with healthcare professionals. A large part of the planned diagnostics and treatment ... ...

    Abstract The COVID-19 pandemic in 2020 affected the entire healthcare system in Poland, causing medical personnel to be relocated to other duties and limiting patients’ contacts with healthcare professionals. A large part of the planned diagnostics and treatment was delayed due to lack of equipment and personnel. Against this background, we analysed the implementation of the publicly funded prenatal screening programme (PSP) in Poland compared to the previous year. This is a cross-sectional study. We used nationwide datasets on the implementation of the prenatal testing programme over the period 2019−2020, datasets from the Statistics Poland on birth and the data on the development of the COVID-19 epidemic in Poland. In the year 2020, we observed a 12.41% decrease in woman enrolled to the programme compared to 2019. However, the decrease concerned only women under 35 years of age. With respect to the number of deliveries in the calendar year, the number of patients enrolled in the programme decreased by 3% (31% vs. 34%, p < 0.001). We also observed an increase in estriol measurements per the number of patients included in the programme, and a reduction in the number of PAPP-A tests in the first trimester, which proves an increased share of the triple test in the prenatal diagnosis of chromosomal aberrations. With respect to the number of deliveries, the number of amniocentesis procedures performed under PSP decreased by 0.19% (1.8% vs. 1.99%, p < 0.0001). In 2020, compared to the previous year, the number of patients included in the prenatal testing programme in Poland decreased. In terms of the number of births in Poland, the number of integrated screening tests also decreased, at the expense of increasing the percentage of triple tests. There were also significant reductions in the number of invasive diagnostic tests.
    Language English
    Publishing date 2022-02-27
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm11051317
    Database MEDical Literature Analysis and Retrieval System OnLINE

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