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

{"title":"Secondary fungal coinfection(s) in influenza A-associated acute respiratory distress syndrome during venovenous extracorporeal membrane oxygenation: diagnostic challenges.","authors":"Wojciech J Górski, Konrad Zuzda, Joanna Prokop, Łukasz Michałowski, Miłosz Jankowski, Konstanty Szułdrzyński","doi":"10.20452/pamw.17268","DOIUrl":"10.20452/pamw.17268","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634698","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":"Corrections: Assessment of the type 2 diabetes risk using the Finnish Diabetes Risk Score questionnaire, and its predictors at the population level in Poland.","authors":"","doi":"10.20452/pamw.17283","DOIUrl":"https://doi.org/10.20452/pamw.17283","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":"136 4","pages":""},"PeriodicalIF":4.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787453","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":"Clinical utility of symptom-based assessment as an indicator of objective gastroesophageal reflux disease.","authors":"Rafał Astapczyk, Martyna Niemczuk, Krzysztof Kurek, Jarosław Daniluk, Maja Kostrzewska, Justyna Wasielica-Berger, Paweł Rogalski, Grażyna Jurkowska, Andrzej Dąbrowski, Agnieszka K Świdnicka-Siergiejko","doi":"10.20452/pamw.17250","DOIUrl":"10.20452/pamw.17250","url":null,"abstract":"<p><strong>Introduction: </strong>Patients with troublesome reflux‑like symptoms, in whom routine empirical proton pump inhibitor (PPI) therapy is often unsatisfactory, present a therapeutic challenge and are frequently referred for gastroenterological evaluation to confirm a diagnosis of gastroesophageal reflux disease (GERD).</p><p><strong>Objectives: </strong> We aimed to determine the prevalence of objectively confirmed GERD (diagnosed according to the Lyon Consensus 2.0 criteria) in patients with typical and / or atypical troublesome reflux‑like symptoms who did not respond or partially responded to PPI therapy, and were referred for esophageal pH‑impedance monitoring.</p><p><strong>Patients and methods: </strong> This was a retrospective study analyzing pH‑impedance monitoring results of 500 patients who previously underwent endoscopy. A conclusive GERD diagnosis was defined as an acid exposure time (AET) greater than 6%, or 4%-6% with supporting evidence (number of reflux episodes >80/d, and / or mean nocturnal basal impedance <1500 Ω, and / or a positive reflux-symptom association).</p><p><strong>Results: </strong> Of the 500 patients analyzed, 477 reported symptoms, which were categorized as follows: isolated typical (n = 49; 10.3%), both typical and atypical (n = 206; 43.2%), and isolated atypical (n = 222; 46.5%). AET greater than 6% was found in 12 (24.5%), 41 (19.9%), and 27 patients (12.2%) in each group, respectively. The inclusion of supportive evidence for patients with AET of 4%-6% increased the number of GERD diagnoses in each group to 23 (46.9%), 68 (33%), and 40 (18%), respectively. When endoscopy findings were factored in, the prevalence of GERD in the whole study population increased from 27% (n = 135) to 29.6% (n = 148). Among the 161 individuals reporting heartburn, 41.6% met the criteria of functional heartburn.</p><p><strong>Conclusions: </strong>Only 29.6% of the patients referred for GERD evaluation fulfilled the objective diagnostic criteria for the disease. GERD was present in about half of the patients with isolated typical symptoms, one‑third of those with both typical and atypical symptoms, and fewer than one‑fifth of those with isolated atypical symptoms.</p>","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147437140","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":"Stroke severity and outcomes in patients with high therapeutic anticoagulant activity: a retrospective observational matched-cohort study.","authors":"Bartosz Karaszewski, Bartosz Jabłoński, Adam Wyszomirski, Aleksandra Pracoń, Dariusz Gąsecki, Aneesh B Singhal","doi":"10.20452/pamw.17247","DOIUrl":"10.20452/pamw.17247","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147437056","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":"The 2025 updated European Resuscitation Council guidelines: overview of the most important changes.","authors":"Nadine Rott, Lina Reinsch, Bernd W Böttiger","doi":"10.20452/pamw.17251","DOIUrl":"10.20452/pamw.17251","url":null,"abstract":"<p><p>The new resuscitation guidelines of the European Resuscitation Council were published in October 2025. The aim of the guidelines is to sustainably improve the survival rate after cardiac arrest through structured and evidence‑based care systems. The latest update brings about some important changes and innovations. In this review, we highlighted the new recommendations, especially in the chapters on adult advanced life support, post‑resuscitation care, and the role of systems in saving lives. The importance of the first 3-5 minutes after cardiac arrest has been further strengthened. The most relevant updates include, among others, the need for lay people to be educated in cardiopulmonary resuscitation (CPR) by physicians, the role of the dispatch center in helping the caller identify cardiac arrest and ventilation failure, identification of the intravenous access as superior to other routes of drug administration, highlighting the possibility of vector change in defibrillation, importance of provider experience in the context of point‑of‑care ultrasound use, and the role of sedation during CPR.</p>","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147470106","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":"Use of a bioresorbable scaffold in a patient with chronic limb-threatening ischemia: the first successful implantation in Poland.","authors":"Mikołaj Maga, Iuliia Chernovol","doi":"10.20452/pamw.17269","DOIUrl":"10.20452/pamw.17269","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634717","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 serum amino acid profiles and clinical severity in heart failure with reduced ejection fraction: an exploratory study.","authors":"Tomasz Urbanowicz, Szymon Plewa, Dagmara Pietkiewicz, Beata Krasińska, Jan Matysiak, Andrzej Tykarski","doi":"10.20452/pamw.17267","DOIUrl":"10.20452/pamw.17267","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655239","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":"Primary care case-finding for familial hypercholesterolemia in Poland: impressive genetic yield with key clarifications to enable replication.","authors":"Andrea Denegri, Michal Pruc, Iwona Jannasz, Lukasz Szarpak","doi":"10.20452/pamw.17280","DOIUrl":"https://doi.org/10.20452/pamw.17280","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":"136 4","pages":""},"PeriodicalIF":4.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787505","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":"Transvenous lead extraction in octogenarians: advanced in age but young at heart?","authors":"Mateusz Tajstra, Maciej Dyrbuś, Anna Kurek","doi":"10.20452/pamw.17278","DOIUrl":"https://doi.org/10.20452/pamw.17278","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":"136 4","pages":""},"PeriodicalIF":4.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787535","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":"Primary care case-finding for familial hypercholesterolemia in Poland: impressive genetic yield with key clarifications to enable replication. Authors' reply.","authors":"Beata Bobrowska, Wojciech Zasada, Magdalena Zawada, Maciej T Małecki","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":"136 4","pages":""},"PeriodicalIF":4.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787508","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}