Wiadomosci lekarskie最新文献

{"title":"Experience of using modern oral iron formulations for the correction of iron deficiency conditions in women of reproductive age.","authors":"Valentyna K Kondratiuk, Iryna M Nikitina, Natalia Y Нorban, Kateryna O Kondratiuk, Natalia P Dzis","doi":"10.36740/WLek/217270","DOIUrl":"10.36740/WLek/217270","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To scientifically justify the use of the FERRO-EURIKA™ food supplement as a corrective agent for iron deficiency (ID) in women of reproductive age.</p><p><strong>Patients and methods: </strong>Materials and Methods:The study involved 120 women aged 18 to 35 years (median age: 29 years; interquartile range: 24-33 years) with laboratory-confirmed iron deficiency (ID) and iron deficiency anaemia (IDA) related to chronic blood loss (ICD-10 N 92.0 - Excessive and frequent menstruation with regular cycles). In addition to evaluating changes in peripheral blood parameters and iron stores, we analysed the participants' complaints and clinical manifestations of iron deficiency conditions (sideropenic and anaemic syndromes). All subjects were divided into two representative groups of 60 women each. Women of Group 1 (main group, n = 60) received iron bisglycinate 157 mg (equivalent to 30 mg of elemental bivalent iron) in combination with glucosamine salt of (6S)-5-methyltetrahydrofolate - 740 µg (equivalent to 400 µg of folic acid), one capsule twice daily, 30 minutes before meals, for pathogenetically justified correction of ID conditions. Women of Group 2 (comparison group, n = 60) received ferrous sulfate 247.25 mg (equivalent to 80 mg of elemental bivalent iron), one capsule twice daily, 30 minutes before meals. The treatment duration for both groups was 90 days.</p><p><strong>Results: </strong>Results: We analysed clinical manifestations of iron deficiency conditions and laboratory parameters in women of reproductive age both before the initiation of iron therapy and during correction (on Days 21, 60, and 90 of treatment). Dynamic analysis of clinical symptoms and haematologic indicators in both groups demonstrated a significant decrease in subjective complaints, accompanied by normalization of laboratory parameters, confirming the positive effects of the interventions. Safety and tolerability analyses of the correction of ID conditions were performed to evaluate adherence to long-term iron supplementation among women. An analysis of the causes of treatment discontinuation revealed gastrointestinal adverse effects associated with iron intake: nausea occurred in 5 (8.3%) women of Group 1 and 13 (24.1%) of Group 2; constipation in 2 (3.3%) of Group 1 and 7 (13.0%) of Group 2; and abdominal pain in 2 (3.3%) of Group 1 and 9 (16.7%) of Group 2. These complaints in Group 1 were mild in intensity and resolved by Day 60, allowing all participants in this group to successfully complete the full treatment course. In contrast, gastrointestinal symptoms persisted in Group 2 at Days 60 and 90, resulting in reduced adherence to therapy, with approximately 30% of patients discontinuing further intake of the prescribed iron preparation.</p><p><strong>Conclusion: </strong>Conclusions: 1. The results of the study indicate that the FERRO-EURIKA™ food supplement may be an effective oral agent for correcting iron deficiency conditions i","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"79 1","pages":"61-68"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Volitional qualities development in future law enforcement officers during various types of motor activity.","authors":"Tetyana M Snyatkova, Oksana M Mіroshnychenko, Igor M Bushai, Natalia E Penkova, Tetyana V Kondratyuk-Antonova, Olga G Marchenko, Ivan M Okhrimenko, Serhii M Zhembrovskyi","doi":"10.36740/WLek/217267","DOIUrl":"10.36740/WLek/217267","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To investigate the impact of various types of motor activity on the development of cadets' indicators of volitional qualities during their training at higher educational institutions.</p><p><strong>Patients and methods: </strong>Materials and Methods: The research, conducted in the 2024-2025 academic year, involved 352 male cadets, who were divided into three groups: the HHC Group (n=54), whose cadets participated in hand-to-hand combat (HHC) during their sporting and mass participation events; the SC Group (n=91), whose cadets participated in various sports clubs of the academy; the K Group (n=207), whose cadets did not participate in additional sports. Research methods: analysis and generalization of literary sources, methods of assessing volitional qualities, and methods of mathematical statistics.</p><p><strong>Results: </strong>Results: It was found that the cadets of the HHC Group showed significantly better results in terms of volitional qualities in their senior training years than those in the K group, which indicates a more pronounced effect of HHC training sessions on the development of volitional qualities in future law enforcement officers. At the same time, no significant difference was found between the indicators of cadets in the HHC and SC groups, which indicates the effectiveness of additional sports activities in developing cadets' volitional qualities.</p><p><strong>Conclusion: </strong>Conclusions: The comprehensive impact of hand-to-hand combat training sessions on the volitional qualities of cadets has been proven. This emphasizes the advisability of wider introduction of hand-to-hand combat techniques into the physical training of cadets during their studies at higher educational institutions to improve the effectiveness of their future service and professional activities.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"79 1","pages":"46-53"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Body mass index as a determinant of surgical outcomes in total hip arthroplasty.","authors":"Wiktoria Leja, Maciej Błaszczak, Katarzyna Latalska, Zeeshan Zulfiqar, Jakub Kot, Julia Zjawiony, Kacper Lee","doi":"10.36740/WLek/218174","DOIUrl":"https://doi.org/10.36740/WLek/218174","url":null,"abstract":"<p><p>Body mass index is an important element influencing surgical outcomes after total hip arthroplasty. This review analyses how body mass index influences perioperative complications, infection rates, implant survival and functional results in patients undergoing this procedure. A literature review of the past decade was carried out using PubMed, Scopus and Web of Science, focusing on studies published between 2020 and 2026. Studies involving humans that examined the relationship between body mass index and outcomes of total hip arthroplasty were included if they reported perioperative complications, infections, revision rates, or patient-reported outcome measures. The evidence indicates that a higher body mass index is associated with an increased risk of wound complications, periprosthetic joint infection and the need for revision surgery. It is also associated with a lower possibility of achieving minimal clinically important differences in functional scores. The relationship follows a U-shaped pattern showing that, compared with normal weight, obesity and underweight status are associated with increased risk. Proposed mechanisms include technical surgical challenges, altered immune function, compromised wound healing and greater mechanical stress on implants. Preoperative optimization strategies consist of nonsurgical weight loss and bariatric surgery. They are promising but require more investigation. New pharmacological approaches using glucagon-like peptide-1 receptor agonists are a useful contribution to perioperative care. Future research should focus on finding biomarkers of obesity-related risk and on developing individualized strategies to improve outcomes across the body mass index spectrum.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"79 3","pages":"558-563"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147654893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Iliotibial band and lumbar spine pain - a hidden connection.","authors":"Beata Buczek, Klaudia Bartuzi, Vasu Duangudomdej, Mateusz Kaczmarski","doi":"10.36740/WLek/218183","DOIUrl":"https://doi.org/10.36740/WLek/218183","url":null,"abstract":"<p><p>The iliotibial band (Latin: tractus iliotibialis; ITB) is most commonly associated with patellofemoral pain syndrome, also referred to as runner's knee. However, the impact of its imbalance on the lumbar spine is substantial and frequently overlooked. As a significant thickening of the fascia lata, the iliotibial band serves as a crucial component for the lateral stabilization of the entire kinematic chain of the lower extremity and the pelvis. Restricted tissue gliding, gluteus medius insufficiency and weakness of the core musculature may present as primary contributors to pain syndromes manifesting in the lumbar region of the spine. This article highlights the relationship between the dysfunction of the iliotibial band and chronic lumbar spine pain to propose a comprehensive rehabilitation approach. This approach should include soft tissue relaxation techniques, loading of muscle structures, and correction of movement patterns. The attention given to the flexibility of the iliotibial band allows for a substantial reduction in the pain of the sacroiliac region.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"79 3","pages":"582-587"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147654929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current perspectives on 3D-printed casts.","authors":"Firoz Rizvi, Konrad Bełżek, Kinga Tracichleb, Jagoda Pałubska, Oliwer Műller, Aleksandra Bełżek, Karolina Turżańska","doi":"10.36740/WLek/218282","DOIUrl":"https://doi.org/10.36740/WLek/218282","url":null,"abstract":"<p><strong>Objective: </strong>Aim: Fractures of the distal radius and ulna are among the most common skeletal injuries and are traditionally treated with cast immobilization. However, conventional casting techniques have significant limitations. In recent years, three-dimensional (3D) printing technology has emerged as a promising alternative in the production of personalized post-traumatic stabilization devices. The aim of this review was to present current information and perspectives on the development of 3D-printed casts, with particular emphasis on the diversity of designs, material properties, and clinical applications.</p><p><strong>Patients and methods: </strong>Materials and Methods: A literature review was conducted using the PubMed and Google Scholar databases. The results of the analyzed studies indicate that additive technologies enable the production of lightweight, ventilated, individually tailored orthoses with high mechanical strength and improved moisture resistance compared to traditional casts and glass fiber casts.</p><p><strong>Conclusion: </strong>Conclusions: Materials such as polylactide (PLA) and PLA composites produced by Fused Filament Fabrication (FFF) demonstrate superior properties in static and dynamic tests. Furthermore, 3D-printed casts offer improved hygiene, greater comfort, a reduced risk of skin complications, such as wound healing, and high aesthetic acceptability. Clinical applications also include planning corrective osteotomies and the production of personalized surgical instruments. Although further research is needed on long-term durability and broad clinical outcomes, current reports indicate that 3D printing is a promising and increasingly viable alternative to traditional cast immobilization.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"79 3","pages":"615-619"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147654938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Obesity as an interdisciplinary medical and social problem: Therapeutic opportunities.","authors":"Mirosław Jabłoński, Alina Stachyra, Agata Szynkaruk, Zeeshan Zulfiqar","doi":"10.36740/WLek/218280","DOIUrl":"https://doi.org/10.36740/WLek/218280","url":null,"abstract":"<p><strong>Objective: </strong>Aim: This review aimed to summarize current knowledge regarding overweight and obesity as chronic diseases. The health, social, and economic consequences were assessed. Diagnostic and therapeutic possibilities available in primary care practice were presented.</p><p><strong>Patients and methods: </strong>Materials and Methods: This work is a narrative review. Literature on the epidemiology, pathophysiology, and treatment of overweight and obesity was analyzed. Current guidelines from scientific societies were considered. Randomized trials, systematic reviews, and meta-analyses were included. Publications with significant clinical relevance were selected.</p><p><strong>Results: </strong>Results: Obesity is a multifactorial disease that leads to metabolic and cardiovascular complications. It increases the risk of type 2 diabetes and malignancies and impairs quality of life. The cornerstone of treatment is lifestyle modification, including caloric reduction and increased physical activity. In selected cases, pharmacotherapy or surgical intervention may be indicated. Acupuncture may serve as an adjunctive therapy.</p><p><strong>Conclusion: </strong>Conclusions: Obesity management requires a comprehensive and individualized approach. Long-term monitoring of treatment outcomes is essential. Primary care physicians play a pivotal role in the diagnosis and management of this condition.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"79 3","pages":"651-654"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147654950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biomaterials in cartilage damage.","authors":"Marta Żerebiec, Weronika Woźnica, Natalia Kołodyńska, Zuzanna Kołodyńska, Natasza Jankowska, Lena Sobiech, Vivek Vasudevan, Katarzyna Jóźwik, Karolina Turżańska, Małgorzata Drelich","doi":"10.36740/WLek/217826","DOIUrl":"https://doi.org/10.36740/WLek/217826","url":null,"abstract":"<p><strong>Objective: </strong>Aim: Cartilage tissue degradation is a common symptom of diseases affecting the musculoskeletal system. Impairment of its function can occur due to numerous factors, both external and internal. Thanks to advances in imaging techniques, identifying pathologies in cartilage tissue is becoming increasingly common, leading to a search for optimal treatment methods. Human cartilage has a limited capacity for self-repair. Treatments such as transplants have many limitations, which is why biocompatible materials are becoming increasingly popular. This article presents selected biomaterials that may be useful in the treatment of cartilage pathologies. Current research on the use of biomaterials in cartilage regeneration was analyzed.</p><p><strong>Patients and methods: </strong>Materials and Methods: The research material consisted of scientific publications describing the use of natural and synthetic scaffolds in animal models and clinical trials. Particular attention was paid to gelatin, silk fibroin, polylactic acid, polycaprolactone, poly(lactic-co-glycolic acid), and commercial biomimetic scaffolds. Methods included analysis of mechanical properties, biocompatibility, and the ability to support chondrogenesis.</p><p><strong>Conclusion: </strong>Conclusions: The study results indicate that appropriately modified biomaterials can effectively support cartilage regeneration and improve its structure and function. Further research is needed to improve the treatment of cartilage injuries and diseases, and to optimize biomaterials used in cartilage tissue engineering.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"79 3","pages":"541-547"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147654984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Urinary tract infections in patients undergoing orthopaedic procedures: A contemporary review (2021-2026).","authors":"Mateusz Kaczmarski, Zeeshan Zulfiqar, Vasu Duangudomdej, Jakub Kot, Joanna Niezbecka-Zając, Silvija Ille","doi":"10.36740/WLek/218250","DOIUrl":"https://doi.org/10.36740/WLek/218250","url":null,"abstract":"<p><p>Urinary tract infections are one of the most frequent healthcare-associated infections representing a relevant postoperative complication in orthopedics patients. These infections are associated with increased morbidity, prolonged hospitalizations, and higher rates of readmission. In selected settings, they may coexist with or precede surgical site infections, including periprosthetic joint infections. This review aims to summarize and evaluate recent evidence from the last five years in regards to epidemiology, risk factors, clinical consequences, and preventative strategies for patients undergoing orthopaedic interventions. A narrative literature review was conducted using the PubMed/MEDLINE database utilizing English-language publications from January 2021 to February 2026. Particular emphasis was placed on systematic reviews, meta-analyses, cohort studies, and large database analyses related to hip fracture surgery, total joint arthroplasty, and spine surgery. These studies indicate that urinary tract infections remain particularly common among the geriatric population undergoing hip fracture surgery. Major modifiable risk factors include urinary catheterization and postoperative urinary retention. Symptomatic urinary tract infections briefly prior to surgery are associated with an increased risk of postoperative complications compared to asymptomatic bacteriuria. Avoidance of unnecessary urinary catheterization and routine urine testing in asymptomatic patients reduces the use of unnecessary antibiotics while preserving surgical outcomes. Urinary tract infections continue to represent a significant clinical issue in orthopaedic patients. Evidence supports catheter stewardship, targeted diagnostic strategies, and integrated preventive approaches to reduce infection-related complications.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"79 3","pages":"564-570"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence and outcomes of postoperative complications after liver cirrhosis - related surgery.","authors":"Oleksii Petiunin, Vasyl Syplyviy, Kamel Jbarah Hammad Al Mashni, Dmytro Myroshnychenko, Vitaly Makarov, Anna Novikova, Bohdan Porovai-Nevoit","doi":"10.36740/WLek/214416","DOIUrl":"https://doi.org/10.36740/WLek/214416","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To investigate incidence and outcomes of postoperative complications after cirrhosis-related surgery.</p><p><strong>Patients and methods: </strong>Materials and Methods: Retrospective review of medical records of 344 liver cirrhosis (LC) patients who underwent cirrhosis-related surgical treatment was done. Types and incidence of postoperative complications, causes of death in operated patients, incidence of postoperative complications and mortality based on type of surgery were determined.</p><p><strong>Results: </strong>Results: Postoperative complications developed in 108 (31.4%) patients. Acute-on-chronic liver failure (ACLF) developed in 60 (17.4%) patients was the most common complication. ACLF was the main cause of death - 28 (49.1%) patients with developed complications died. The lowest number of postoperative complications and the lowest mortality were observed after extraperitonization of right hepatic lobe with intraoperative laser irradiation: complications developed in 3 (9.1%) patients, 1 (3.0%) patient died. Complications after endoscopic interventions developed in 10 (15.4%) patients, 6 (9.2%) died, after roentgen-endovascular interventions complications developed in 10 (15.4%) patients, all of them died. Devascularization and transection interventions complications developed in 31 (31.0%) patients, 21 (21%) died. In patients, who underwent distal splenorenal shunt - complications developed in 54 (66.7%) patients, 19 (23.4%) patients died.</p><p><strong>Conclusion: </strong>Conclusions: The most common complication of the early postoperative period after LC-related surgery is ACLF, which develops in 17.4% of patients and is the cause of death in 49.1% of cases. The incidence and outcomes of postoperative complications of cirrhosis-related surgery, depends on the liver function, timing and type of surgery.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"79 2","pages":"275-280"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"New diagnostic tools for obstructive sleep apnea.","authors":"Jakub Piotr Bundyra, Agata Sochocka, Alicja Sikorska, Julia Parda, Emil Mian, Zuzanna Zapart, Martyna Szepietowska, Nina Nowicka, Oliwia Zuzanna Gańska, Dominika Janik","doi":"10.36740/WLek/216754","DOIUrl":"https://doi.org/10.36740/WLek/216754","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To evaluate how multi-night home sleep apnea testing and other ambulatory monitoring strategies can complement or, in selected patients, replace single-night in-laboratory polysomnography when diagnosing obstructive sleep apnea, with emphasis on clinical decision-making, diagnostic accuracy, feasibility, and patient experience.</p><p><strong>Patients and methods: </strong>Materials and Methods: PubMed and Scopus were searched for English-language publications from 2015-2025. Selected landmark studies published before 2015, one American Academy of Sleep Medicine guideline and conference abstract were also included. Current evidence shows substantial night-to-night variability in the apnea-hypopnea index (AHI), driven by sleep position, alcohol use, and sleep-stage distribution. Single-night testing may misclassify a large proportion of mild-to-moderate cases. Modern home testing devices (e.g., peripheral arterial tonometry-based systems, accelerometry, radar, and under-mattress sensors) enable extended monitoring, reduce the first-night effect, and may improve diagnostic precision. Most patients prefer to perform tests at home due to convenience. However, it is worth emphasizing that clear instructions and easily accessible technical support are very important factors for them.</p><p><strong>Conclusion: </strong>Conclusions: For uncomplicated adults with a high pre-test probability of obstructive sleep apnea, multi-night home testing can be a pragmatic first-line option, especially around diagnostic thresholds. In-laboratory polysomnography remains preferred in patients with significant comorbidities, suspected coexisting sleep disorders, or when home testing is negative, inconclusive, or technically inadequate.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"79 2","pages":"433-439"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}