Paweł Skwara, Magdalena Goździalska, Monika Bociąga-Jasik
{"title":"A tricky case of a patient returning from Africa: the stowaway.","authors":"Paweł Skwara, Magdalena Goździalska, Monika Bociąga-Jasik","doi":"10.20452/pamw.17035","DOIUrl":"10.20452/pamw.17035","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259219","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}
Justyna Suchecka, Wojciech Homenda, Szymon Kukulski, Mikołaj Młyński, Dariusz Kozłowski
{"title":"A novel method of diagnosing and monitoring cardiac arrhythmias in patients with chronic lymphocytic leukemia treated with ibrutinib.","authors":"Justyna Suchecka, Wojciech Homenda, Szymon Kukulski, Mikołaj Młyński, Dariusz Kozłowski","doi":"10.20452/pamw.17060","DOIUrl":"10.20452/pamw.17060","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561762","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}
Marcin Chlabicz, Wojciech Łaguna, Małgorzata Chlabicz, Jacek Jamiołkowski, Marlena Dubatówka, Marcin Kondraciuk, Ilona Juchnicka, Sławomir Ławicki, Karol A Kamiński
{"title":"Serum testosterone levels and their association with selected anthropometric parameters obtained by dual-energy X-ray absorptiometry: a population-based study.","authors":"Marcin Chlabicz, Wojciech Łaguna, Małgorzata Chlabicz, Jacek Jamiołkowski, Marlena Dubatówka, Marcin Kondraciuk, Ilona Juchnicka, Sławomir Ławicki, Karol A Kamiński","doi":"10.20452/pamw.17013","DOIUrl":"10.20452/pamw.17013","url":null,"abstract":"<p><strong>Introduction: </strong>Testosterone plays an important role in men's health.</p><p><strong>Objectives: </strong>The aim of the study was to assess serum concentrations of total testosterone (tT) and free testosterone (fT) in men and to investigate the association of their levels with anthropometric parameters.</p><p><strong>Patients and methods: </strong>A cross‑sectional population‑based survey was conducted among 701 men aged 20-64 years included in the Bialystok PLUS study (Poland). Dual‑energy X‑ray absorptiometry was used to assess body composition.</p><p><strong>Results: </strong>Median (interquartile range [IQR]) serum tT concentration was 4.39 (3.4-5.7) ng/ml, and median (IQR) serum fT concentration was 339.41 (277.4-403.7) pmol/l. In the overall study population and among men aged 20-34 years, tT concentrations were negatively associated with body fat mass and android fat distribution. Among men aged 35-49 years, tT levels were negatively associated with body fat mass and android fat distribution, but positively associated with lean body mass. In the 50-64 years age group, tT concentrations were negatively related to body fat mass and positively related to lean body mass. Across the entire cohort and within each age subgroup, lower fT concentrations were linked to higher body fat mass. A positive relationship between lean body mass and fT levels was noted in the 35-49 years age group.</p><p><strong>Conclusions: </strong>In the overall population and across all age groups, higher fat mass was linked to lower serum tT and fT concentrations. In younger men, an android pattern of fat distribution was associated with lower tT levels, whereas greater lean body mass in older men was tied to higher tT and fT concentrations. Testosterone levels are significantly related not only to body weight, but also to body composition.</p>","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121221","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}
Ludwina Szczepaniak-Chicheł, Dawid Lipski, Paweł Uruski, Andrzej Tykarski
{"title":"Differences between office, home, and 24-hour ambulatory blood pressure monitoring in pregnant women with preeclampsia and uncomplicated hypertension.","authors":"Ludwina Szczepaniak-Chicheł, Dawid Lipski, Paweł Uruski, Andrzej Tykarski","doi":"10.20452/pamw.17052","DOIUrl":"10.20452/pamw.17052","url":null,"abstract":"<p><strong>Introduction: </strong>Definition and management of arterial hypertension are based on office blood pressure measurement (OBPM), both in the general and pregnant population. However, in clinical practice, home BPM (HBPM) or 24‑hour ambulatory BP monitoring (ABPM) seem to be more accurate. Data on differences between BP assessment methods in pregnancy are scarce.</p><p><strong>Objectives: </strong>We aimed to assess the BP profiles during pregnancy and compare the results of HBPM, OBPM, and ABPM performed simultaneously, in real clinical setting, with respect to hypertensive status and development of preeclampsia (PE).</p><p><strong>Patients and methods: </strong>In the years 2017-2023, a total of 241 women were examined prospectively each month throughout pregnancy, and at 6-8 weeks, 6 months, and 1 year postdelivery. On each visit, HBPM, OBPM, and ABPM data were collected.</p><p><strong>Results: </strong>Forty normotensive controls and 201 hypertensive (HT) women were recruited. PE developed in 49 cases (HT+PE). BP of the controls differed markedly from complicated (HT+PE) and uncomplicated HT for all 3 methods (P <0.05), and there were significant differences between the HT+PE and HT groups from 23 weeks of gestation until delivery: in the PE group systolic BP / diastolic BP was higher for OBPM (by 4/4.5-10/6 mm Hg), HBPM (by 4.2/3.6-7.1/8.4 mm Hg), and night‑time ABPM (by 9/5-16.5/9 mm Hg). At the same time, daytime ABPM differences were mostly insignificant.</p><p><strong>Conclusions: </strong>Considerably higher BP values indicated PE on HBPM, OBPM, and night‑time ABPM readings, as compared with uncomplicated HT, even 2 months before average time of PE recognition. Night‑time ABPM seems to have the strongest predictive and diagnostic value for early PE recognition.</p>","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545835","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}
Dominika Grońska, Marcin Wojnarski, Andrzej Budzyński, Agnieszka Pac
{"title":"Effectiveness of dietary prehabilitation in patients with gastric, pancreatic, and colorectal cancers: a systematic review.","authors":"Dominika Grońska, Marcin Wojnarski, Andrzej Budzyński, Agnieszka Pac","doi":"10.20452/pamw.17015","DOIUrl":"10.20452/pamw.17015","url":null,"abstract":"<p><strong>Introduction: </strong>Gastric, pancreatic, and colorectal cancers pose a serious health challenge, characterized by high morbidity and mortality rates. Dietary prehabilitation, aimed at optimizing nutritional status before treatment, has proven to be a promising strategy for improving outcomes.</p><p><strong>Objectives: </strong>Our aim was to assess the effectiveness of dietary prehabilitation in improving clinical outcomes, including nutritional status, length of hospital stay, and quality of life in patients with gastric, pancreatic, and colorectal cancers.</p><p><strong>Patients and methods: </strong>We systematically reviewed randomized controlled trials and observational studies in accordance with the PRISMA guidelines. Electronic databases searched included Embase, CINAHL, Cochrane Central Register of Controlled Trials, Medline, and Google Scholar.</p><p><strong>Results: </strong>Twelve studies focusing on pretreatment dietary interventions were identified. Dietary prehabilitation, particularly using oral nutritional supplements or immunonutrition, reduced postoperative complications and improved nutritional status, especially in malnourished patients.</p><p><strong>Conclusions: </strong>Dietary prehabilitation appears to benefit patients with gastric, pancreatic, and colorectal cancers, particularly in terms of postoperative outcomes and nutritional status.</p>","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129436","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":"Mortality risks of air pollution in context: moving from single pollutants to real-world exposure mixtures.","authors":"Omar Hahad, Wiktoria Wojciechowska, Marek Rajzer","doi":"10.20452/pamw.17102","DOIUrl":"10.20452/pamw.17102","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":"135 7-8","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976463","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}
Aleksandra Raczyńska, Alina Kozupa, Monika Bociąga-Jasik
{"title":"Navigating complexities: a case of neuroinfection accompanied by thrombocytopenia.","authors":"Aleksandra Raczyńska, Alina Kozupa, Monika Bociąga-Jasik","doi":"10.20452/pamw.17097","DOIUrl":"https://doi.org/10.20452/pamw.17097","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":"135 7-8","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976494","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}
Karol Miklusiak, Klaudia Miklusiak, Jakub Lickiewicz, Dorota Cibor, Małgorzata Zwolińska-Wcisło
{"title":"Sexuality and health quality in patients with inflammatory bowel disease.","authors":"Karol Miklusiak, Klaudia Miklusiak, Jakub Lickiewicz, Dorota Cibor, Małgorzata Zwolińska-Wcisło","doi":"10.20452/pamw.17040","DOIUrl":"10.20452/pamw.17040","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327528","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}
Olgierd Dróżdż, Krzysztof Letachowicz, Jędrzej Fischer
{"title":"De novo type 1 diabetes in a patient with lupus nephritis treated with steroids and a history of proximal venous thrombosis.","authors":"Olgierd Dróżdż, Krzysztof Letachowicz, Jędrzej Fischer","doi":"10.20452/pamw.17096","DOIUrl":"https://doi.org/10.20452/pamw.17096","url":null,"abstract":"","PeriodicalId":49680,"journal":{"name":"Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine","volume":"135 7-8","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976465","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}