Polskie Archiwum Medycyny Wewnętrznej
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Pol. Arch. Med. Wewn. · Sep 2021
Meta AnalysisShould we supplement zinc in COVID-19 patients? Evidence from meta-analysis.
Preliminary retrospective reports showed that zinc supplementation may decrease mortality in patients with COVID-19, postulating the potential therapeutic efficacy of zinc in the management of the disease. ⋯ Zinc supplementation did not have any beneficial impact on the course of COVID-19 evaluated as survival to hospital discharge and in-hospital mortality. The zinc-supplemented group had longer hospital stay despite shorter ICU stay. At present, there are no evidence-based data to support routine zinc supplementation in patients with COVID-19.
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Pol. Arch. Med. Wewn. · Sep 2021
Meta AnalysisImpact of continuous glucose monitoring on improving emotional well-being among adult people with type 1 diabetes mellitus: a systematic review and meta-analysis.
Real-time continuous glucose monitoring (CGM) has changed the way people with type 1 diabetes mellitus (T1DM) and health care providers perceive diabetes management and glucose control. ⋯ This is the first quantitative meta-analysis of studies involving adult patients exclusively with T1DM, providing further evidence for the ability of CGM systems to reduce fear of hypoglycemia and improve quality of life. Continuous glucose monitoring systems have advantage over SMBG in adults with T1DM and improve HbA1c levels.
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Pol. Arch. Med. Wewn. · Sep 2021
Meta AnalysisOptimal duration of dual antiplatelet therapy followed by monotherapy in diabetic patients after percutaneous coronary intervention with drug‑eluting stent implantation: a Bayesian network meta-analysis.
The standard 12-month dual antiplatelet therapy (DAPT) following percutaneous coronary intervention (PCI) with drug-eluting stent (DES) implantation that is recommended for the general population may not be suitable for patients with diabetes. ⋯ Short-term DAPT, as compared with extended-term therapy, was associated with a reduced primary endpoint in patients with diabetes after PCI with DES implantation.
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Pol. Arch. Med. Wewn. · Sep 2021
Diagnostic agreement between radiofrequency echographic multispectrometry and dual-energy X-ray absorptiometry in the assessment of osteoporosis in a Polish group of patients.
Osteoporosis is still underdiagnosed in Poland, partly due to limited accessibility to the gold-standard diagnostic technique, that is, dual-energy X-ray absorptiometry (DXA) of the proximal femur and lumbar spine. The use of radiofrequency echographic multispectrometry (REMS) as an alternative diagnostic tool might be of particular interest because this technique is nonionizing, the devices are portable, and their utilization relatively cheap. ⋯ Radiofrequency echographic multispectrometry showed a significant diagnostic agreement with the corresponding DXA measurements. The study further confirms the usefulness of REMS in the assessment of osteoporosis.