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

{"title":"Flow cytometry of bronchoalveolar lavage fluid in the diagnostic evaluation of fibrotic nonspecific interstitial pneumonia-like interstitial lung abnormalities in a former smoker with suspected post-COVID-19 syndrome.","authors":"Justyna Dolna-Michno, Lucyna Rudnicka-Sosin, Tomasz Senderek, Ewelina Wędrowska, Hanna Szczeklik, Piotr Kopiński","doi":"10.20452/pamw.17425","DOIUrl":"https://doi.org/10.20452/pamw.17425","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229247","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}

{"title":"A white-light endoscopy-based mixed-effects nomogram for predicting small colorectal polyp neoplasia in resource-limited settings.","authors":"Tien M Huynh, Thinh Ong, Quang D Le, Nhan Q Le, Huy M Le, Duc T Quach","doi":"10.20452/pamw.17429","DOIUrl":"https://doi.org/10.20452/pamw.17429","url":null,"abstract":"<p><strong>Introduction: </strong>Accurate optical characterization of small colorectal polyps relies on narrow-band imaging (NBI) or artificial intelligence, both of which are unavailable in resource-limited settings.</p><p><strong>Objectives: </strong>We aimed to develop and validate a web-based nomogram using white-light endoscopy (WLE) and routine clinical variables to predict neoplastic polyp histology.</p><p><strong>Patients and methods: </strong>This prospective single-center study (Vietnam, September 2020-April 2021) included 301 patients with 451 small colorectal polyps (≤10 mm). Polyps were assessed in real time using WLE and NBI before histological confirmation. Data were split at the patient level into training (254 patients, 383 polyps) and validation (47 patients, 68 polyps) cohorts. L1-penalized generalized linear mixed-effects models were used for feature selection and model development.</p><p><strong>Results: </strong>Neoplastic histology was present in 55.9% of polyps. Four predictors were identified: sessile/pedunculated morphology (0-Is/0-Ip), age ≥50 years, polyp size >5 mm, and neoplastic WLE diagnosis. In internal validation, the WLE+3F model achieved an area under the curve (AUC) of 0.849, outperforming WLE alone (AUC, 0.760; P = 0.009) and comparable with NBI (AUC, 0.858; P = 0.86), with sensitivity of 65.8%, specificity of 90.0%, and good calibration (Brier score, 0.160). Decision curve analysis showed clinical net benefit.</p><p><strong>Conclusions: </strong>A WLE-based nomogram combined with 3 clinical factors achieved performance comparable with NBI, offering an accessible tool for real-time risk stratification in resource-limited settings; external validation is warranted.</p>","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229218","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}

{"title":"Long-term ozone exposure and adverse outcomes in atrial fibrillation: the population-based ARS-PARTICLES cohort.","authors":"Chen Wang, Gregory Y H Lip, Piotr Jemielita, Michał Święczkowski, Anna Kurasz, Di Zhao, Bing Han, Łukasz Kuźma","doi":"10.20452/pamw.17430","DOIUrl":"https://doi.org/10.20452/pamw.17430","url":null,"abstract":"<p><strong>Introduction: </strong>Patients with atrial fibrillation (AF) remain at high risk of cerebrovascular and cardiovascular events, but evidence on long-term ozone (O3) exposure in this population is limited.</p><p><strong>Objectives: </strong>We examined whether long-term O3 exposure was associated with adverse cerebrovascular and cardiovascular outcomes.</p><p><strong>Patients and methods: </strong>We analyzed the population-based ARS-PARTICLES cohort of 20757 adults with prevalent AF residing in Podlaskie Voivodeship, northeastern Poland, in 2014, with follow-up through December 31, 2019. O3, nitrogen dioxide and fine particulate matter concentrations were estimated using the GEM-AQ model and assigned by residential municipality. The primary endpoint was a composite of ischemic stroke, transient ischemic attack or ischemic stroke-related death; cardiovascular mortality was the key secondary endpoint. Associations were estimated using Fine-Gray competing-risk models with annually updated previous-year O3 exposure, adjusted for clinical characteristics, meteorology, area-level socioeconomic status, co-pollutants and outdoor artificial light at night.</p><p><strong>Results: </strong>The mean (SD) age was 72.6 (11.5) years, and 52.9% were women. The median follow-up was 5.6 years (interquartile range [IQR], 2.8-6), during which 3,139 primary composite events and 5,400 cardiovascular deaths occurred. The median annual O₃ concentration was 43.48 μg/m³ (IQR, 42.6-46.63). Each IQR increase in annually updated O₃ exposure (4.03 μg/m³) was associated with higher risks of the primary composite endpoint (subdistribution hazard ratio [sHR], 1.27; 95% CI, 1.02-1.59), cardiovascular mortality (sHR, 1.14; 95% CI, 1.01-1.29), and ischemic stroke (sHR, 1.38; 95% CI, 1.08-1.77). Associations were directionally consistent across adjustment strategies and sensitivity analyses.</p><p><strong>Conclusions: </strong>Long-term O3 exposure was associated with higher cerebrovascular and cardiovascular risks in patients with AF. O3 may contribute to residual risk in this clinically vulnerable population and warrants evaluation in other high-risk cardiovascular cohorts.</p>","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229267","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}

{"title":"IgG4-related disease in correlation with left main coronary artery aneurysm as a rare cause of heart transplantation.","authors":"Maciej Podolski, Kinga Czepczor, Małgorzata Niemiec, Adrianna Berger-Kucza, Marek Grabka, Katarzyna Mizia-Stec","doi":"10.20452/pamw.17423","DOIUrl":"https://doi.org/10.20452/pamw.17423","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185680","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}

{"title":"A case of severe ectopic adrenocorticotropic hormone syndrome due to small-cell lung carcinoma.","authors":"Ugo Giordano, Aleksandra Zdrojowy-Wełna, Magdalena Skoczylas, Ewelina Iwaneczko, Eliza Kubicka, Marek Bolanowski","doi":"10.20452/pamw.17424","DOIUrl":"https://doi.org/10.20452/pamw.17424","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185688","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}

{"title":"Human African trypanosomiasis with low parasitemia in a returning traveler: the diagnostic value of repeated blood smears.","authors":"Aneta Cybula, Dagny Krankowska, Hanna Żarnowska-Prymek, Anna Rawska, Rusłan Sałamatin, Alicja Wiercińska-Drapało","doi":"10.20452/pamw.17422","DOIUrl":"https://doi.org/10.20452/pamw.17422","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117571","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}

{"title":"Changes in glucose-lowering pharmacotherapy in adults with type 2 diabetes in a large private ambulatory care network in Poland, 2015-2023.","authors":"Artur Dziewierz, Agnieszka Tuszyńska-Chyży, Maciej Małecki, Justyna Domienik-Karłowicz, Anna Rulkiewicz, Zbigniew Siudak","doi":"10.20452/pamw.17420","DOIUrl":"https://doi.org/10.20452/pamw.17420","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117585","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}

{"title":"Association between early decongestion response markers and length of hospital stay in decompensated heart failure.","authors":"Małgorzata Małek-Elikowska, Andrzej Szyszka, Julita Fedorowicz, Cyntia Szymańska-Łyczkowska, Artur Baszko","doi":"10.20452/pamw.17419","DOIUrl":"https://doi.org/10.20452/pamw.17419","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117590","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}

{"title":"Chronic diarrhea and ascites in a young man: a rare vascular cause.","authors":"Michał Sajdek, Zuzanna Wojtczak, Rafał Maciąg, Krzysztof Korzeniowski, Krzysztof Lamparski, Magdalena Januszewicz","doi":"10.20452/pamw.17415","DOIUrl":"https://doi.org/10.20452/pamw.17415","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117521","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}

{"title":"Recurrent coronary-to-pulmonary artery fistula after coil embolization: insights from multimodality imaging.","authors":"Mateusz Lucki, Maciej Lesiak, Ewa Straburzyńska-Migaj","doi":"10.20452/pamw.17421","DOIUrl":"https://doi.org/10.20452/pamw.17421","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117566","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}