Multicenter registry of Impella-assisted high-risk percutaneous coronary interventions and cardiogenic shock in Poland (IMPELLA-PL).

BACKGROUND: Impella is a percutaneous mechanical circulatory support device for treatment of cardiogenic shock (CS) and high-risk percutaneous coronary interventions (HR-PCIs). IMPELLA-PL is a national retrospective registry of Impella-treated CS and HR-PCI patients in 20 Polish interventional cardiological centers, conducted from January 2014 until December 2021. AIMS: We aimed to determine the efficacy and safety of Impella using real-world data from IMPELLA-PL and compare these with other registries. METHODS: IMPELLA-PL data were analyzed to determine primary endpoints: in-hospital mortality and rates of mortality and major adverse cardiovascular and cerebrovascular events (MACCE) at 12 months post-discharge. RESULTS: Of 308 patients, 18% had CS and 82% underwent HR-PCI. In-hospital mortality rates were 76.4% and 8.3% in the CS and HR-PCI groups, respectively. The 12-month mortality rates were 80.0% and 18.2%, and post-discharge MACCE rates were 9.1% and 22.5%, respectively. Any access site bleeding occurred in 30.9% of CS patients and 14.6% of HR-PCI patients, limb ischemia in 12.7% and 2.4%, and hemolysis in 10.9% and 1.6%, respectively. CONCLUSIONS: Impella is safe and effective during HR-PCIs, in accordance with previous registry analyses. The risk profile and mortality in CS patients were higher than in other registries, and the potential benefits of Impella in CS require investigation.

[Physical activity and aromatherapy as positive factors influencing the quality of sleep]. / Aktywnosc fizyczna i aromaterapia jako pozytywne czynniki wplywajace na jakosc snu.

Human sleep is a state of abolished consciousness controlled by circadian rhythms. It is divided into two phases depending on the electrical activity of the brain: NREM and REM, during which dreams may occur. Sleep has a key impact on a person's emotional, physical, and cognitive well-being. There are specific differences in physiological and biochemical processes during sleep. Adenosine and melatonin are involved in the regulation of circadian rhythms. During sleep, you can observe the secretion of growth hormone, a reduction in cortisol secretion, and a decrease in muscle tone and blood pressure. Longterm lack of sleep increases the risk of obesity, diabetes, cardiovascular diseases, cognitive disorders, and psychiatric diseases. Sleep disorders affect more and more social groups. The analysis of one's own circadian rhythms associated with the identification and adaptation of behaviors described as factors influencing sleep may have a positive impact on the optimal functioning of the body. It has been proven that physical activity and aromatherapy can have a positive effect on the quality of sleep. The aim of the study is to review of literature aimed at identifying selected factors influencing the quality of sleep together with a discussion of their importance for human health.

The field experiments and model of the natural dust deposition effects on photovoltaic module efficiency.

The maximisation of the efficiency of the photovoltaic system is crucial in order to increase the competitiveness of this technology. Unfortunately, several environmental factors in addition to many alterable and unalterable factors can significantly influence the performance of the PV system. Some of the environmental factors that depend on the site have to do with dust, soiling and pollutants. In this study conducted in the city centre of Kraków, Poland, characterised by high pollution and low wind speed, the focus is on the evaluation of the degradation of efficiency of polycrystalline photovoltaic modules due to natural dust deposition. The experimental results that were obtained demonstrated that deposited dust-related efficiency loss gradually increased with the mass and that it follows the exponential. The maximum dust deposition density observed for rainless exposure periods of 1 week exceeds 300 mg/m2 and the results in efficiency loss were about 2.1%. It was observed that efficiency loss is not only mass-dependent but that it also depends on the dust properties. The small positive effect of the tiny dust layer which slightly increases in surface roughness on the module performance was also observed. The results that were obtained enable the development of a reliable model for the degradation of the efficiency of the PV module caused by dust deposition. The novelty consists in the model, which is easy to apply and which is dependent on the dust mass, for low and moderate naturally deposited dust concentration (up to 1 and 5 g/m2 and representative for many geographical regions) and which is applicable to the majority of cases met in an urban and non-urban polluted area can be used to evaluate the dust deposition-related derating factor (efficiency loss), which is very much sought after by the system designers, and tools used for computer modelling and system malfunction detection.

An analysis of the dust deposition on solar photovoltaic modules.

Solid particles impair the performance of the photovoltaic (PV) modules. This results in power losses which lower the efficiency of the system as well as the increases of temperature which additionally decreases the performance and lifetime. The deposited dust chemical composition, concentration and formation of a dust layer on the PV surface differ significantly in reference to time and location. In this study, an evaluation of dust deposition on the PV front cover glass during the non-heating season in one of the most polluted European cities, Kraków, was performed. The time-dependent particle deposition and its correlation to the air pollution with particulate matter were analysed. Dust deposited on several identical PV modules during variable exposure periods (from 1 day up to 1 week) and the samples of total suspended particles (TSP) on quartz fibre filters using a low volume sampler were collected during the non-heating season in the period of 5 weeks. The concentration of TSP in the study period ranged between 12.5 and 60.05 µg m-3 while the concentration of PM10 observed in the Voivodeship Inspectorate of Environmental Protection traffic station, located 1.2 km from the TSP sampler, ranged from 14 to 47 µg m-3. It was revealed that dust deposition density on a PV surface ranged from 7.5 to 42.1 mg m-2 for exposure periods of 1 day while the measured weekly dust deposition densities ranged from 25.8 to 277.0 mg m-2. The precipitation volume and its intensity as well as humidity significantly influence the deposited dust. The rate of dust accumulation reaches approximately 40 mg m-2day-1 in the no-precipitation period and it was at least two times higher than fluxes calculated on the basis of PM10 and TSP concentrations which suggest that additional forces such as electrostatic forces significantly influence dust deposition.