Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine最新文献

His bundle pacing in a patient with complete atrioventricular block and congenitally corrected transposition of the great arteries: potential of the use of extended reality and cardiac electrical activity projected into 3D heart model. 对患有完全性房室传导阻滞和先天性大动脉转位的患者进行髂束起搏：使用扩展现实技术和投射到三维心脏模型中的心电活动的潜力。

IF 3.8 4区医学

Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine Pub Date : 2024-10-03 DOI: 10.20452/pamw.16856

Paweł T Matusik, Michał Szotek, Monika Komar, Peter van Dam, Agnieszka Czunko, Klaudia K Proniewska

引用次数: 0

Finding logic in biologics: different outcomes in inflammatory bowel disease-associated pyoderma gangrenosum. 在生物制剂中寻找逻辑：炎症性肠病相关脓皮病的不同结果。

IF 3.8 4区医学

Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine Pub Date : 2024-10-01 DOI: 10.20452/pamw.16855

Paweł Głuszak, Kamila Stawczyk-Eder, Piotr Sobolewski, Piotr Eder, Agnieszka Dobrowolska, Dagmara S Mahadea

引用次数: 0

The prevalence of hyperlipoproteinemia(a) in outpatient cardiology clinic patients of European ancestry: results from a STAR-Lp(a) cross-sectional study. 欧洲血统心脏病门诊病人的高脂蛋白血症（a）患病率：STAR-Lp（a）横断面研究结果。

IF 3.8 4区医学

Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine Pub Date : 2024-10-01 DOI: 10.20452/pamw.16860

Monika Burzyńska, Piotr Jankowski, Mateusz Babicki, Maciej Banach, Michał Chudzik

{"title":"The prevalence of hyperlipoproteinemia(a) in outpatient cardiology clinic patients of European ancestry: results from a STAR-Lp(a) cross-sectional study.","authors":"Monika Burzyńska, Piotr Jankowski, Mateusz Babicki, Maciej Banach, Michał Chudzik","doi":"10.20452/pamw.16860","DOIUrl":"https://doi.org/10.20452/pamw.16860","url":null,"abstract":"Introduction: Elevated lipoprotein(a) [Lp(a)] is independently associated with an increased risk of cardiovascular disease (CVD).Objectives: Evaluating the levels of Lp(a) among patients of European ancestry referred to outpatient cardiology clinics.Patients and methods: We included 2475 consecutive patients referred to outpatient cardiology clinics between March 2022 and January 2024. We excluded all patients with atherosclerotic cardiovascular disease, heart failure, significant valve disease, and aortic aneurysm.Results: The median age of the 2475 study participants (of which 1724 [69.7%] were women) was 66.0 years [53.0-73.0 years]). An Lp(a) level of ≥30 mg/dL (≥75 nmol/L) was recorded in 21.5% and a level of ≥50 mg/dL (≥125 nmol/L) was recorded in 13.5% of patients. In univariable analysis the level of Lp(a) was significantly associated with hypertension, sleep apnea, migraine, polycystic ovary syndrome, physical activity, fasting blood glucose, HbA1c, LDL, and non-HDL cholesterol. Being female (β±SE 0.06±0.02), atrial fibrillation (0.05±0.02), HbA1c (0.14±0.02), and LDL cholesterol (0.09±0.02) were independently related to the level of Lp(a). Atrial fibrillation (odds ratio [OR] 1.80, 95%CI:1.01-3.19), migraine (0.51, 0.32-0.83) and hyperlipidemia (1.56, 1.22-1.99) were related to Lp(a) ≥30 mg/dL (≥75 nmol/L), while being female (1.46, 1.10-1.92), hyperlipidemia (1.49, 1.12-1.97), hypertension (1.42, 1.10-1.84) and HbA1c (0.84, 0.72-0.96) were related to Lp(a) ≥50 mg/dL (≥125 nmol/L).Conclusions: The prevalence of increased Lp(a) concentration among patients of European ancestry consulting with cardiologists is 21.5%. Being female, hypertension, atrial fibrillation, migraine, LDL-C, and HbA1c concentration are independently related to the level of Lp(a) in this population.","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mpox outbreak among men who have sex with men in Kraków, Poland; June 2022-November 2022. 波兰克拉科夫男男性行为者中爆发麻风腮疫情；2022 年 6 月至 2022 年 11 月。

IF 3.8 4区医学

Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine Pub Date : 2024-10-01 DOI: 10.20452/pamw.16859

Aleksandra Raczyńska, Martyna Lara, Anna Kalinowska-Nowak, Paweł Skwara, Aleksander Garlicki, Monika Bociąga-Jasik

{"title":"Mpox outbreak among men who have sex with men in Kraków, Poland; June 2022-November 2022.","authors":"Aleksandra Raczyńska, Martyna Lara, Anna Kalinowska-Nowak, Paweł Skwara, Aleksander Garlicki, Monika Bociąga-Jasik","doi":"10.20452/pamw.16859","DOIUrl":"https://doi.org/10.20452/pamw.16859","url":null,"abstract":"Introduction: Mpox is a zoonotic disease caused by the mpox virus (MPXV). Sporadic cases reported before 2022 were almost universally linked to direct contact with animals or travel to endemic regions in Africa. However, in 2022, a significant shift occurred with human-to-human transmission, leading to a global outbreak in 117 countries. In Poland, 217 cases of mpox were reported.Objectives: The aim of this study was to evaluate the epidemiology, clinical presentations, laboratory findings, and co-infections with sexually transmitted pathogens among patients with mpox.Patients and methods: A retrospective analysis of all mpox cases diagnosed at the University Hospital in Kraków between June 2022 and November 2022 was performed.Results: Forty-five patients aged 19-48 years (median age 34) were diagnosed with mpox. Most of them were male 44 (98%) and 42 (93%) identified themselves as men who have sex with men (MSM). Twenty-two (49%) of the patients had previously been diagnosed with HIV. During mpox diagnosis, new cases of sexually transmitted infections (STIs) were identified. Specifically, 4 patients (9%) were newly diagnosed with HIV, 5 with syphilis, 4 with Chlamydia trachomatis, 3 with Neisseria gonorrhoeae infection, and 2 with Ureaplasma urealyticum infection; among this group, 4 patients (33%) had more than one sexually transmitted co-infection.Conclusions: The mpox outbreak in Kraków in 2022 primarily affected MSM and was transmitted through sexual contact. Healthcare professionals should be aware of emerging STIs. Educational initiatives should emphasize the importance of vaccinations, safe sexual practices and regular testing.","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spindle cell sarcoma of the adrenal gland: an unexpected diagnosis. 肾上腺纺锤形细胞肉瘤：意外诊断。

IF 3.8 4区医学

Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine Pub Date : 2024-09-30 DOI: 10.20452/pamw.16853

Joanna Betlejewska, Małgorzata Bobrowicz, Adrianna Gładki, Lukasz Koperski, Sadegh Toutounchi, Urszula Ambroziak

引用次数: 0

IgA vasculitis with Koebner's phenomenon and renal involvement induced by anti-TNF-α therapy in the treatment of rheumatoid arthritis. 治疗类风湿性关节炎的抗肿瘤坏死因子-α疗法诱发了伴有科布纳现象和肾脏受累的 IgA 血管炎。

IF 3.8 4区医学

Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine Pub Date : 2024-09-30 DOI: 10.20452/pamw.16854

Patryk Janda, Anna Sączek, Katarzyna Milan-Ciesielska, Joanna Dolipska, Andrzej Kraśniak, Marcin Krzanowski

引用次数: 0

The impact of socioeconomic factors and obesity on visual impairment among older adults in Poland. 社会经济因素和肥胖对波兰老年人视力损伤的影响。

IF 3.8 4区医学

Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine Pub Date : 2024-09-30 DOI: 10.20452/pamw.16857

Adrian Lange, Natalia Lange, Kacper Jagiełło, Cezary Rydz, Bogdan Wojtyniak, Tomasz Zdrojewski

{"title":"The impact of socioeconomic factors and obesity on visual impairment among older adults in Poland.","authors":"Adrian Lange, Natalia Lange, Kacper Jagiełło, Cezary Rydz, Bogdan Wojtyniak, Tomasz Zdrojewski","doi":"10.20452/pamw.16857","DOIUrl":"https://doi.org/10.20452/pamw.16857","url":null,"abstract":"Introduction: Visual impairment is a significant public health concern, particularly among older adults in Poland.Objectives: The aim of this study was to determine the impact of socioeconomic factors and medical condition on visual impairment among older adults in Poland.Patients and methods: An analysis was conducted utilizing near visual acuity assessments with Snellen charts and surveys among 5987 participants aged 60 years and over from the nationwide PolSenior2 study. A univariable and multivariable logistic regression models were created to identify risk factors for visual impairment.Results: In a multivariable regression analysis, the odds of visual impairments were 1.72 times higher among individuals aged 75 years and over compared to those aged 60-74 years. Furthermore, individuals with primary education had 1.66 times higher odds of visual impairment compared to those with higher education. Individuals engaged in manual/farming work in the past, those who were unemployed in the past and those engaged in other job in the past had 1.25, 1.42 and 1.26 times higher odds of visual impairment, respectively, compared to white collar workers. Additionally, multivariable logistic regression analysis also revealed that obesity is associated with a 0.85 times lower odds of visual impairments.Conclusions: Our study revealed that socioeconomic factors significanlty impact visual health. Visual impairment was most prevalent among older age groups (age 75 and above), individuals with lower education levels or no education, the unemployed, and those who previously worked in manual labor or farming jobs or other. Additionally, obesity was inversely associated with visual impairment.","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unusual outcome following transarterial chemoembolization of giant hepatic hemangioma using bleomycin and lipiodol. 使用博莱霉素和脂肪碘对巨大肝血管瘤进行经动脉化疗栓塞术后的异常结果。

IF 3.8 4区医学

Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine Pub Date : 2024-09-27 Epub Date: 2024-07-15 DOI: 10.20452/pamw.16803

Eryk Mikos, Maciej Szmygin, Rafał Kidziński, Piotr Lesiuk, Marcin Czeczelewski, Krzysztof Pyra

引用次数: 0

External jugular vein aneurysm: unexpected clinical outcome in a patient diagnosed with a tumorous lesion of the parotid gland. 颈外静脉动脉瘤：一名被诊断为腮腺肿瘤病变患者的意外临床结果。

IF 3.8 4区医学

Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine Pub Date : 2024-09-27 Epub Date: 2024-06-17 DOI: 10.20452/pamw.16777

Maryla Kuczyńska, Monika Zbroja, Weronika Mielnik, Jan Sobstyl, Tomasz Jargiełło, Anna Drelich-Zbroja

引用次数: 0

Idiopathic diffuse pulmonary ossification: a case with 13-year follow-up. 特发性弥漫性肺骨化：一例随访 13 年的病例。

IF 3.8 4区医学

Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine Pub Date : 2024-09-27 Epub Date: 2024-06-17 DOI: 10.20452/pamw.16776

Wiktor F Nowak, Jerzy Soja, Tomasz Stachura, Aleksandra Wojnarska, Krzysztof Okoń, Krzysztof Sładek

引用次数: 0