Mechanical thrombectomy in acute stroke – Five years of experience in Poland

Objectives Mechanical thrombectomy (MT) is not reimbursed by the Polish public health system. We present a description of 5 years of experience with MT in acute stroke in Comprehensive Stroke Centers (CSCs) in Poland. Methods and results We retrospectively analyzed the results of a structured questionnaire from 23 out of 25 identified CSCs and 22 data sets that include 61 clinical, radiological and outcome measures. Results Most of the CSCs (74%) were founded at University Hospitals and most (65.2%) work round the clock. In 78.3% of them, the working teams are composed of neurologists and neuro-radiologists. All CSCs perform CT and angio-CT before MT. In total 586 patients were subjected to MT and data from 531 of them were analyzed. Mean time laps from stroke onset to groin puncture was 250±99min. 90.3% of the studied patients had MT within 6h from stroke onset; 59.3% of them were treated with IV rt-PA prior to MT; 15.1% had IA rt-PA during MT and 4.7% – emergent stenting of a large vessel. M1 of MCA was occluded in 47.8% of cases. The Solitaire device was used in 53% of cases. Successful recanalization (TICI2b–TICI3) was achieved in 64.6% of cases and 53.4% of patients did not experience hemorrhagic transformation. Clinical improvement on discharge was noticed in 53.7% of cases, futile recanalization – in 30.7%, mRS of 0–2 – in 31.4% and mRS of 6 in 22% of cases. Conclusion Our results can help harmonize standards for MT in Poland according to international guidelines

The advantages of the QNX operating system and its network systems in distributed object installations of the MASTER DCS

W artykule przedstawiono najważniejsze właściwości systemu QNX, wykorzystywane w obsłudze systemu automatyki DCS MASTER. Wyróżniono systemy operacyjne o monolitycznej strukturze oraz systemy z mikrojądrem, do której należy system QNX. Mikrojądro QNX obsługuje swoje procesy systemowe, jak również procesy systemu DCS MASTER z możliwością własnego zarządzania ich wykonywaniem. Przedstawiono różne systemy obsługi plików, w tym odporny na awarie zasilania system plików QNX6 oraz niezawodne systemy komunikacyjne firmowe i uniwersalne, oparte na protokołach (TCP,UDP)/IP. Systemy te umożliwiają dostęp do rozproszonych zasobów dyskowych stacji i sterowników systemu MASTER. Dostarczają narzędzi do obsługi wielkogabarytowych wyświetlaczy graficznych oraz realizacji lokalnych i zdalnych działań diagnostyczno-serwisowych.The article presents the most important properties of the QNX system, used in the service of the MASTER DCS. Operation systems with a monolithic structure and microkernel systems, to which the QNX system belongs, are discussed. QNX supports its system processes as well as the MASTER DCS system processes with the ability to manage their execution. Different file systems are presented, including the QNX6 file system resistant to power failures and reliable corporate and universal communication systems based on protocols (TCP, UDP) / IP. These systems enable access to distributed hard drive resources of operator stations and controllers of the MASTER system. They provide tools to support large-sized graphic displays and to implement local and remote diagnostics and maintenance

Walory systemu operacyjnego QNX i jego systemów sieciowych w rozproszonych instalacjach obiektowych systemu DCS MASTER

The paper presents the most important properties of the QNX system used in servicing the Distributed Control System (DCS) MASTER. Operating systems with a monolithic structure and microkernel systems are distinguished. The QNX system is a microkernel system. The QNX microkernel supports its system processes, as well as the DCS MASTER processes, with the ability to manage their execution on its own. In addition, various file systems are presented, including the power failure-proof QNX6 file system and reliable communication systems, both corporate and universal, based on QNET, TCP/IP and UDP/IP protocols. These systems enable access to distributed disk resources of the MASTER system stations and controllers. They provide tools to support large-size graphic displays and to implement local and remote diagnostic and servicing operations.W artykule przedstawiono najważniejsze właściwości systemu QNX, wykorzystywane w obsłudze systemu automatyki DCS MASTER. Wyróżniono systemy operacyjne o monolitycznej strukturze oraz systemy z mikrojądrem. System QNX należy do systemów z mikrojądrem. Mikrojądro QNX obsługuje swoje procesy systemowe, jak również procesy systemu DCS MASTER, z możliwością własnego zarządzania ich wykonywaniem. Przedstawiono ponadto różne systemy obsługi plików, w tym odporny na awarie zasilania system plików QNX6 oraz niezawodne systemy komunikacyjne, firmowe i uniwersalne, oparte na protokołach QNET, TCP/IP i UDP/IP. Systemy te umożliwiają dostęp do rozproszonych zasobów dyskowych stacji i sterowników systemu MASTER. Dostarczają narzędzi do obsługi wielkogabarytowych wyświetlaczy graficznych oraz realizacji lokalnych i zdalnych działań diagnostyczno-serwisowych

Master Automatic Control System for the Power Industry

The MASTER Automation System is an entirely Polish system developed in the Institute of Power Systems Automation Ltd. It is currently being updated and optimized in the range of hardware and software. Apart from an unlimited ability to extend the amount of standard communication links it will enable application of protocols of any company. It ensures sufficient resources and mechanisms for complex plant automation as well as for creating heterogeneous installations through easy integration with other producers’ systems

Mechanical thrombectomy in acute stroke : five years of experience in Poland

Objectives: Mechanical thrombectomy (MT) is not reimbursed by the Polish public health system. We present a description of 5 years of experience with MT in acute stroke in Comprehensive Stroke Centers (CSCs) in Poland. Methods and results: We retrospectively analyzed the results of a structured questionnaire from 23 out of 25 identified CSCs and 22 data sets that include 61 clinical, radiological and outcome measures. Results: Most of the CSCs (74%) were founded at University Hospitals and most (65.2%) work round the clock. In 78.3% of them, the working teams are composed of neurologists and neuro-radiologists. All CSCs perform CT and angio-CT before MT. In total 586 patients were subjected to MT and data from 531 of them were analyzed. Mean time laps from stroke onset to groin puncture was 250 99 min. 90.3% of the studied patients had MT within 6 h from stroke onset; 59.3% of them were treated with IV rt-PA prior to MT; 15.1% had IA rt-PA during MT and 4.7% - emergent stenting of a large vessel. M1 of MCA was occluded in 47.8% of cases. The Solitaire device was used in 53% of cases. Successful recanalization (TICI2b–TICI3) was achieved in 64.6% of cases and 53.4% of patients did not experience hemorrhagic transformation. Clinical improvement on discharge was noticed in 53.7% of cases, futile recanalization - in 30.7%, mRS of 0–2 - in 31.4% and mRS of 6 in 22% of cases. Conclusion: Our results can help harmonize standards for MT in Poland according to international guideline