Polskie Archiwum Medycyny Wewnętrznej
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Pol. Arch. Med. Wewn. · Feb 2025
Efficacy of selected scales in the assessment of impaired awareness of hypoglycemia in adults with type 1 diabetes.
Impaired awareness of hypoglycemia (IAH) increases the risk of severe hypoglycemia. Questionnaires may allow for easy identification of patients with IAH and facilitate appropriate intervention. ⋯ The HypoA-Q, with a 9-point cut-off, demonstrated the highest sensitivity for diagnosing IAH, and may be considered the most valuable screening tool for IAH detection.
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Pol. Arch. Med. Wewn. · Jan 2025
Steatotic liver disease in patients treated for chronic hepatitis B.
Steatotic liver disease (SLD) can worsen the prognosis of other chronic liver diseases, including viral hepatitis. ⋯ Liver steatosis was diagnosed in nearly one-third of HBV-infected patients treated with NA. They were significantly more likely to have obesity, diabetes, and gout compared to the non-SLD population. Despite higher baseline aminotransferases activity in the SLD group, the virological HBV activity and response to therapy were comparable.
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Pol. Arch. Med. Wewn. · Jan 2025
Application of the TRI-SCORE to predict long-term mortality in acute heart failure patients with moderate-severe tricuspid regurgitation.
Moderate‑to‑severe tricuspid regurgitation (TR) in the setting of acute heart failure (AHF) has been found to be associated with worse clinical outcomes. Recently, the TRI‑SCORE model was developed to predict clinical outcomes after isolated tricuspid surgery. ⋯ The AHF patients with moderate‑to‑severe TR have a poor prognosis during follow‑up. TRI‑SCORE can predict all‑cause mortality in these patients.