Introduction.The aim of this study was to assess the clinical profiles and outcomes of patients with confirmed COVID-19 infection and acute ischaemic stroke (AIS) treated with mechanical thrombectomy (MT) at the Comprehensive Stroke Centre (CSC) of the University Hospital in Krakow.Clinical rationale for the study. COVID-19 is a risk factor for AIS and worsens prognosis in patients with large artery occlusions. During the pandemic, the global number of MT has dropped. At the same time, studies assessing outcomes of this treatment in COVID-19-associated AIS have produced divergent results. Material and methods.In this single-centre study, we retrospectively analysed and compared the clinical profiles (age, sex, presence of cardiovascular risk factors, neurological deficit at admission), stroke size (measured using postprocessing analysis of perfusion CT with RAPID software), time from stroke onset to arrival at the CSC, time from arrival at the CSC to groin puncture, treatment with intravenous thrombolysis, length of hospitalisation, laboratory test results, and short-term outcomes (measured with Thrombolysis in Cerebral Infarction scale, modified Rankin Scale and National Health Institute Stroke Scale) in patients with AIS treated with MT during the pandemic. A comparison between patients with and without concomitant SARS-CoV2 infection was then performed.Results. There were no statistically significant differences between 15 COVID (+) and 167 COVID (-) AIS patients treated with AIS with respect to clinical profiles (p > 0.05), stroke size (p > 0.05) or outcomes (NIHSS at discharge, 8.1 (SD = 7.1) vs. 8.8 (SD = 9.6), p = 0.778, mRS at discharge 2.9 (SD = 2) vs. 3.1 (SD = 2.1), p = 0.817, death rate 6.7% vs. 12.6%, p = 0.699). There was a significant difference between patients with and without COVID-19 concerning time from arrival at the CSC to groin puncture [104.27 (SD = 51.47) vs. 97.63 (SD = 156.94) min., p = 0.044] and the length of hospitalisation [23.7 (SD = 11.9) vs. 10.5 (SD = 6.9) days, p < 0.001]. Conclusion.In AIS patients treated with MT, concomitant SARS-CoV2 infection did not affect the outcome. Our observations need to be confirmed in larger, and preferably multicentre, studies.
The purpose of this paper is to attempt to interpret human emotionality as expressed in the experiences of joy and sadness, in view of the precepts of one of the schools of Christian spirituality: Ignatius Loyola’s teachings (1491– 1556). According to this current of spiritual philosophy, which draws on the centuries-old experience of the biblical and Christian understanding of the emotional dimension of our lives, as well as the experiences and thoughts of Ignatius himself, our emotionality—often experienced as a kind of incomprehensible “buzz”—may, in reality, constitute equally emotional, legible “speech.” This “speech” becomes understandable when we can properly “read,” that is, recognize and understand, the emotional experiences we experience in this sphere. The article’s reading feeling is a proposal of commonsensical–sapiential deciphering of both our emotional and emotional–spiritual experiences and joys and sorrows, as well as analyzing and interpreting them in the search for relevant meanings that they often carry or express.
Głównym zadaniem niniejszego studium z zakresu filozofii politycznej jest przeanalizowanie dwóch fundamentalnie ważnych koncepcji rozwijanych przez Jeana Monneta: mianowicie idei federacyjnie zjednoczonej Europy oraz jej suwerenności. Analiza ta połączona jest z próbą uchwycenia niektórych istotnych założeń filozoficznych tychże idei i ich ewolucji. Materiały źródłowe, na których opiera się artykuł, to przede wszystkim Wspomnienia Monneta, jego notatki, memoranda, korespondencja z czasów wojny i powojnia, a także wystąpienia jako Przewodniczącego Wysokiej Władzy Europejskiej Wspólnoty Węgla i Stali z lat 1952-1955. Materiały te uzupełniono także o Memorandum Aristide Brianda (1930), przemówienie Winstona Churchilla w Zurichu (1946), Convention for European Economic Cooperation (1948) oraz Erinnerungen Konrada Adenauera (1945-1953). Odnośnie literatury przedmiotu, bazowano na obszernej bibliografii zawartej w pracy Jacka Czaputowicza pt. Suwerenność (2018). W niniejszym studium przyjęto metodę wielodyscyplinarnej analizy źródeł oraz ich historycznej, politologicznej i filozoficznej interpretacji. Przeprowadzone analizy pozwalają, w ocenie autora, mówić o pewnych filozoficznych założeniach Monnetowskiego myślenia o zjednoczonej Europie i jej przyszłości. Zaliczyć można do nich jego rozumienie: (1) konieczności, (2) zmiany, (3) ich specyficznej mocy, (4) etapowości oraz (5) niedokończoności znamionującej istotowo naturę. Przeprowadzona analiza pozwala również na sformułowanie hipotezy o Monnetowskiej filozofii życia i działania, którą można rozumieć jako pewną fenomenologię wspólnoty w swoim stawaniu się, oraz usytuować ją, przynajmniej częściowo, w ramach fenomenologii Europy, sformułowanej przez Ericha Przywarę w rozprawie Idee Europa (1956).
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