Instytut Nauk Medycznych / Institute of Medical Sciences
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Item Important role of pregnancy planning for pregnancy outcomes in type 1 diabetes(MDPI, 2025-06-01) Juza, Anna; Dąbrowski, MariuszBackground/Objectives: Pregnancy in women with type 1 diabetes (T1D), compared to general pregnant population, is still associated with an increased number of perinatal complications affecting both fetus and mother. The Great Orchestra of Christmas Charity Foundation (GOCCF) program enables use of continuous subcutaneous insulin infusion (CSII) enhanced by hypo-stop function with real-time continuous glucose monitoring (rtCGM) at the stage of procreation or early pregnancy in T1D patients. The aim of this observational study was to analyze association between pregnancy planning and pregnancy outcomes in patients qualified for the GOCCF program. Methods: 98 women with T1D, aged 21-41 years, initiating CSII + rtCGM system at the stage of planning/early pregnancy or later in case of unplanned pregnancy were quali-fied for the study. We analyzed glycemic control, insulin requirements, pregestational BMI, maternal weight gain, occurrence of preterm birth, congenital malformations and birthweight of newborns. Results: Women who planned pregnancy had significantly better glycemic control before and throughout entire pregnancy and significantly higher proportion of them achieved TIR >70% (58.7% vs. 28.9%, P=0.014) and TAR <25% (65.2% vs. 24.4%, P<0.001). Their glucose variability at the end of pregnancy was significantly lower, 29.4±5.5, vs. 31.9±5.1, P=0.030. They also gave birth later, after mean 37.8±0.9 vs. 36.9±1.8 weeks in non-planning group, P=0.039. Preterm birth oc-curred in 5 women (10,4%) who planned pregnancy and in 15 women (30%) with un-planned gestation, P=0.031. Conclusions: Planning pregnancy in T1D is associated with better glycemic control before conception and throughout entire pregnancy, which is translated into better pregnancy outcomes.Item Dataset used in research paper entitled "Plasma Circular-RNA 0005567 as a Potential Marker of Disease Activity in Rheumatoid Arthritis"(MDPI, 2023-12-28) Cieśla, MarekCircular RNAs (circRNAs) are noncoding molecules and are generated through back splicing. The 3′ and 5′ ends of the RNAs are covalently linked and form a loop structure, making it resistant to RNA exonucleases. Thus, circRNAs are biologically stable and may be considered as potential molecular markers of various diseases in tissues and biofluids. CircRNAs may regulate gene expression levels by acting as a microRNA sponge or by interacting with RNA binding proteins. The aim of the study was to find an association between plasma concentration of selected circRNAs and disease activity in patients with RA.Item NGS Bladder cancer(2024-10-08) Cieśla, MarekThe study group comprises 46 patients with urothelial bladder cancers referred for transurethral resection of the tumour. A molecular study on tumour-derived DNA was performed using next-generation sequencing. Somatic mutations were screened in 50 genes involved in cancerogenesis