9,466 results match your criteria Polskie Archiwum Medycyny Wewnetrznej Polish Archives of Internal Medicine[Journal]


Somatic comorbidity in Polish patients with epilepsy.

Pol Arch Intern Med 2019 Apr 12. Epub 2019 Apr 12.

INTRODUCTION A range of somatic and psychiatric disorders occurs frequently in patients with epilepsy (PWE), which adds to the burden of epilepsy. OBJECTIVES To estimate the prevalence and risk factors of somatic comorbidities and  analyze the extent of somatic co-medication in adult PWE. PATIENTS AND METHODS This study involved PWE treated in university epilepsy clinic. Read More

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http://dx.doi.org/10.20452/pamw.14794DOI Listing
April 2019
1 Read

Management strategies and 5-year outcomes in Polish patients with stable coronary artery disease in the CLARIFY registry versus other European countries.

Pol Arch Intern Med 2019 Apr 5. Epub 2019 Apr 5.

INTRODUCTION CLARIFY, an international registry of ambulatory patients with stable coronary artery disease (SCAD), allows comparison of management and outcomes in real-life setting. OBJECTIVES We compared management strategies and 5-year outcomes in Polish patients  (PL) versus those included in other European countries (EUR). PATIENTS AND METHODS SCAD was defined as previous myocardial infarction (MI) or revascularization, coronary stenosis >50%, or documented symptomatic myocardial ischemia. Read More

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http://dx.doi.org/10.20452/pamw.14789DOI Listing
April 2019
2 Reads

Early chemotherapy de-escalation strategy in advanced-stage Hodgkin lymphoma patients with negative positron emission tomography scan after two escalated BEACOPP cycles.

Pol Arch Intern Med 2019 Apr 4. Epub 2019 Apr 4.

INTRODUCTION Escalated BEACOPP (escBEACOPP: bleomycin, etoposide, doxorubicin, cyclophosphamide, vincristine, procarbazine, prednisone) significantly improves overall response rates (ORR) and prolongs progression-free survival (PFS) in advanced-stage Hodgkin lymphoma (HL) patients. However, 6-8 cycles of escBEACOPP are associated with increased acute toxicity and late complications. OBJECTIVES We aimed to determine the role of early positron emission tomography-computed tomography (PET-CT) response assessment in the de-escalation strategy. Read More

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http://dx.doi.org/10.20452/pamw.14786DOI Listing
April 2019
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The role of fecal markers in the investigation of chronic diarrhea.

Pol Arch Intern Med 2019 Apr 4. Epub 2019 Apr 4.

Chronic diarrhea often presents a dilemma for a practicing clinician as to whether an endoscopic evaluation would be necessary. The current application of 'colonoscopy for most' increases the burden on the endoscopy services with higher costs. Therefore, newer tools which are less invasive, cost-effective and easily accessible are needed, in order to triage patients for endoscopic evaluation. Read More

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http://dx.doi.org/10.20452/pamw.14787DOI Listing
April 2019
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Peripheral diabetic neuropathy: better prevent than cure.

Pol Arch Intern Med 2019 Mar 29;129(3):151-153. Epub 2019 Mar 29.

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http://dx.doi.org/10.20452/pamw.14773DOI Listing
March 2019
4 Reads

Unexplained cardiac arrest: evolution within taxonomy?

Authors:
Greg Mellor

Pol Arch Intern Med 2019 Mar 29;129(3):148-150. Epub 2019 Mar 29.

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http://dx.doi.org/10.20452/pamw.14772DOI Listing

Hymenoptera sting in the head and neck region and severe allergic reactions.

Pol Arch Intern Med 2019 Mar 29;129(3):146-147. Epub 2019 Mar 29.

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http://dx.doi.org/10.20452/pamw.14771DOI Listing
March 2019
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Costs of pharmacotherapy of chronic obstructive pulmonary disease in relation to changing Global Initiative for Chronic Obstructive Lung Disease 2007-2011-2017 guidelines.

Pol Arch Intern Med 2019 Mar 14. Epub 2019 Mar 14.

INTRODUCTION Chronic obstructive pulmonary disease (COPD) is one of the most common chronic non-infectious diseases. The clinical management is determined by patient assignment to the severity stage of the disease in accordance with the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines. OBJECTIVES Our aim was to determine the economic implications of changing GOLD guidelines and their impact on the direct costs of pharmacological treatment of patients diagnosed with COPD. Read More

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http://dx.doi.org/10.20452/pamw.4487DOI Listing
March 2019
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End-of-life care for patients with advanced lung cancer and chronic obstructive pulmonary disease - survey among Polish pulmonologists.

Pol Arch Intern Med 2019 Mar 5. Epub 2019 Mar 5.

INTRODUCTION There is evidence that people with non-malignant disease receive poorer end-of-life (EOL) care compared to people with cancer. OBJECTIVES To assess the selected aspects of symptomatic treatment and communication between physicians and patients diagnosed with either advanced chronic obstructive pulmonary disease (COPD) or lung cancer. METHODS A questionnaire survey was conducted on-line among members of Polish Respiratory Society (PRS). Read More

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http://dx.doi.org/10.20452/pamw.4478DOI Listing
March 2019
1 Read

Corrections.

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Pol Arch Intern Med 2019 02 28;129(2):145. Epub 2019 Feb 28.

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http://dx.doi.org/10.20452/pamw.4471DOI Listing
February 2019

Improving outcomes in heart failure requires improving implementation of heart failure therapy.

Pol Arch Intern Med 2019 02 28;129(2):73-74. Epub 2019 Feb 28.

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http://dx.doi.org/10.20452/pamw.4464DOI Listing
February 2019

A typical clinical presentation of a woman with Köbberling Syndrome.

Pol Arch Intern Med 2019 Feb 25. Epub 2019 Feb 25.

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http://dx.doi.org/10.20452/pamw.4458DOI Listing
February 2019

Normative values for magnetic resonance elastography-based liver stiffness in a healthy population.

Pol Arch Intern Med 2019 Feb 22. Epub 2019 Feb 22.

INTRODUCTION Chronic liver disease resulting in fibrosis, and ultimately cirrhosis, is a significant cause of morbidity and mortality worldwide. None of the conventional imaging techniques are able to detect early fibrosis and compare its grade with the histopathologic scale. Liver biopsy, as the diagnostic standard for liver fibrosis, also has limitations and is not well accepted by patients. Read More

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http://dx.doi.org/10.20452/pamw.4456DOI Listing
February 2019
2 Reads

Clinical and linguistic validation of the Polish version of VascuQol: a disease-specific quality-of-life questionnaire assessing patients with chronic limb ischemia

Pol Arch Intern Med 2019 03 22;129(3):167-174. Epub 2019 Feb 22.

INTRODUCTION Objective clinical assessments should include patient‑reported outcome measures. VascuQol is an established disease‑specific questionnaire assessing the quality of life in patients with peripheral artery disease (PAD). Quality‑of‑life questionnaires require geographical localization and validation. Read More

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http://dx.doi.org/10.20452/pamw.4455DOI Listing
March 2019
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Noninvasive assessment of liver status in adult patients after the Fontan procedure.

Pol Arch Intern Med 2019 Mar 19;129(3):181-188. Epub 2019 Feb 19.

INTRODUCTION A hemodynamic derangement in Fontan circulation causes liver pathology known as Fontan‑‑associated liver disease. Although liver biopsy is a standard for diagnosis of liver fibrosis, noninvasive methods are being developed, including shear wave elastography (SWE). OBJECTIVES We aimed to evaluate the degree of liver stiffness (LS) using SWE in patients with Fontan circulation in a long‑‑term follow‑‑up and to investigate a relationship between patient characteristics and LS. Read More

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http://dx.doi.org/10.20452/pamw.4452DOI Listing

Clinical classification of rare cardiac arrhythmogenic and conduction disorders, and rare arrhythmias.

Pol Arch Intern Med 2019 03 19;129(3):154-159. Epub 2019 Feb 19.

INTRODUCTION Rare cardiovascular diseases and disorders (RCDDs) constitute an important clinical problem, and their proper classification is crucial for expanding knowledge in the field of RCDDs. OBJECTIVES The aim of this paper is to provide an updated classification of rare arrhythmogenic and conduction disorders, and rare arrhythmias (RACDRAs). METHODS We performed a search for RACDRAs using the Orphanet inventory of rare diseases, which includes diseases with a prevalence of no more than 5 per 10 000 in the general population. Read More

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http://dx.doi.org/10.20452/pamw.4451DOI Listing
March 2019
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Hymenoptera sting in the head and neck region is not a risk factor for grade IV systemic reactions in patients with venom allergy.

Pol Arch Intern Med 2019 03 14;129(3):160-166. Epub 2019 Feb 14.

INTRODUCTION Hymenoptera insect stings (ISs) in the head and neck (H&N) region are commonly considered to be a risk factor for grade IV systemic reactions (SRs) in patients with Hymenoptera venom allergy (HVA). However, clinical data addressing this issue are scarce. OBJECTIVES The aim of our study was to verify whether ISs in the H&N region were related to a higher risk of grade IV SRs in patients with HVA. Read More

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http://pamw.pl/en/node/4448
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http://dx.doi.org/10.20452/pamw.4448DOI Listing
March 2019
6 Reads

Lens autofluorescence ratio as a noninvasive marker of peripheral diabetic neuropathy.

Pol Arch Intern Med 2019 03 14;129(3):175-180. Epub 2019 Feb 14.

INTRODUCTION Diabetes and its complications are the significant cause of morbidity and mortality. Advanced glycation end products play a major role in the pathogenesis of diabetes complications. OBJECTIVES The aim of the study was to investigate the possible use of a biomicroscope (ClearPath DS‑‑120), which shows the age‑‑adjusted lens fluorescence ratio (LFR), for the diagnosis of diabetic peripheral neuropathy (DPN). Read More

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http://dx.doi.org/10.20452/pamw.4449DOI Listing
March 2019
2 Reads

Obstructive and nonobstructive coronary artery disease in long-lasting type 1 diabetes: a 7-year prospective cohort study.

Pol Arch Intern Med 2019 02 13;129(2):97-105. Epub 2019 Feb 13.

INTRODUCTION It is widely believed that patients with diabetes are at increased risk of severe and premature coronary artery disease (CAD) when compared with nondiabetic individuals. OBJECTIVES The aim of the study was to evaluate the prevalence, 7‑year incidence, predictors, and outcomes of obstructive and nonobstructive CAD in patients with long‑lasting type 1 diabetes. PATIENTS AND METHODS We enrolled 2330 patients at a median age of 50 years and a median diabetes duration of 32 years. Read More

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http://dx.doi.org/10.20452/pamw.4440DOI Listing
February 2019
3 Reads

Platelet to red cell distribution width ratio for predicting clopidogrel efficacy in patients undergoing percutaneous coronary interventions: insights from the ONSIDE-TEST study.

Pol Arch Intern Med 2019 02 13;129(2):117-122. Epub 2019 Feb 13.

INTRODUCTION Dual antiplatelet therapy (DAPT) with aspirin and clopidogrel remains a cornerstone of pharmacotherapy after percutaneous coronary intervention (PCI). It has been demonstrated that even up to 30% of patients receiving DAPT have inadequate response to clopidogrel, namely, high on‑treatment platelet reactivity (HPR). The platelet to red cell distribution width (P‑RDW) ratio represents an indicator of cardiovascular risk and may be related to HPR. Read More

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http://dx.doi.org/10.20452/pamw.4441DOI Listing
February 2019

Corrections.

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Pol Arch Intern Med 2019 01 31;129(1):72. Epub 2019 Jan 31.

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http://dx.doi.org/10.20452/pamw.4434DOI Listing
January 2019

World Thrombosis Day 2018 in Poland.

Pol Arch Intern Med 2019 01 31;129(1):69-71. Epub 2019 Jan 31.

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http://dx.doi.org/10.20452/pamw.4432DOI Listing
January 2019
2 Reads

A sleep apneic's gene: perspectives for development of diabetes.

Authors:
Prachi Singh

Pol Arch Intern Med 2019 01 31;129(1):4-5. Epub 2019 Jan 31.

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http://dx.doi.org/10.20452/pamw.4431DOI Listing
January 2019

Effect of short-term fluctuations in outdoor air pollution on the number of hospital admissions due to acute myocardial infarction among inhabitants of Kraków, Poland.

Pol Arch Intern Med 2019 02 28;129(2):88-96. Epub 2019 Jan 28.

INTRODUCTION Air pollution is reaching alarming proportions worldwide; however, previous studies concerning the association between air pollution and myocardial infarction (MI) provided conflicting results. OBJECTIVES We evaluated a relationship between short‑term fluctuations in outdoor particulate matter (PM) and nitrogen dioxide (NO2) levels and the number of hospitalizations due to MI among the inhabitants of Kraków, Poland. PATIENTS AND METHODS Data on hospitalizations, daily pollutant concentrations, infections, and meteorological parameters were collected from December 2012 to September 2015. Read More

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http://dx.doi.org/10.20452/pamw.4424DOI Listing
February 2019
1 Read