Polskie Archiwum Medycyny Wewnętrznej
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Pol. Arch. Med. Wewn. · Oct 2024
Metabolic revitalization: exploring erythrocyte fatty acid profile following laparoscopic sleeve gastrectomy.
Obesity is linked to metabolic disorders. Bariatric surgery offers a promising therapeutic effect in the treatment of obesity, but its impact on fatty acid (FA) profiles within erythrocytes and the associated clinical implications remain underexplored. ⋯ The study underscores distinct post‑LSG changes in erythrocyte FA profiles, potentially associated with reduced weight and BMI, improved inflammatory status, and lower cardiovascular disease risk.
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Pol. Arch. Med. Wewn. · Oct 2024
ReviewIntegrating point of care ultrasound into rheumatology practice.
A scenario‑based probability approach integrating point‑of‑care rheumatology ultrasound (POCRUS) into rheumatology practice has recently been proposed as a teaching methodology to encourage greater awareness of US among practicing clinicians, especially with respect to the management of overlapping clinical conditions. This article reviews the rheumatological areas where application of POCRUS substantially enhances clinical reasoning to confirm or exclude target conditions. ⋯ Additionally, it summarizes advances in predicting giant cell arteritis with sequential application of a probability score and US, and discusses the potential role of salivary gland US in the diagnostic workup of suspected Sjögren syndrome. Other areas for POCRUS application, such as in suspected nerve entrapment, are also reviewed.
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Pol. Arch. Med. Wewn. · Oct 2024
ReviewHow to better prevent sudden cardiac death? Recent advances.
Sudden cardiac death (SCD) is a global public health problem. Despite efforts of the scientific community, it is characterized by low survival (<10%). ⋯ At the population level, efforts are concentrated on prevention of ischemic heart disease, as it is responsible for over 70% of sudden mortality cases in adults, and on development of resuscitation and early defibrillation programs. Much still needs to be done to improve survival by raising awareness in the population through training initiatives and by optimizing available technologies and making them more accessible.
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Pol. Arch. Med. Wewn. · Oct 2024
Current practices in the diagnosis of acute pulmonary embolism: a comprehensive analysis of adherence to contemporary practice guidelines.
Acute pulmonary embolism (APE) poses significant diagnostic challenges, with potentially fatal outcomes if not promptly identified and treated. Despite the availability of clinical guidelines, adherence to diagnostic strategies varies globally, impacting patient outcomes. ⋯ There is a need for increased adherence to guideline‑recommended diagnostic and risk stratification strategies in APE among physicians in Poland. Enhancing the availability of PE response teams and promoting guideline‑directed practices could improve diagnostic accuracy and patient outcomes.
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Pol. Arch. Med. Wewn. · Oct 2024
The impact of socioeconomic factors and obesity on visual impairment among older adults in Poland.
Visual impairment is a significant public health concern, particularly among older adults in Poland. ⋯ Our study showed that socioeconomic factors significantly impact visual health. Visual impairment was the most prevalent among older age groups (≥75 years), individuals with lower education levels or no education, the unemployed, and those who used to perform non-white-collar jobs. Additionally, obesity was inversely associated with the odds of visual impairment.