Polskie Archiwum Medycyny Wewnętrznej
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Pol. Arch. Med. Wewn. · Oct 2024
ReviewIntegrating point of care ultrasound into rheumatology practice.
A scenario‑based probability approach integrating point‑of‑care rheumatology ultrasound (POCRUS) into rheumatology practice has recently been proposed as a teaching methodology to encourage greater awareness of US among practicing clinicians, especially with respect to the management of overlapping clinical conditions. This article reviews the rheumatological areas where application of POCRUS substantially enhances clinical reasoning to confirm or exclude target conditions. ⋯ Additionally, it summarizes advances in predicting giant cell arteritis with sequential application of a probability score and US, and discusses the potential role of salivary gland US in the diagnostic workup of suspected Sjögren syndrome. Other areas for POCRUS application, such as in suspected nerve entrapment, are also reviewed.
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Pol. Arch. Med. Wewn. · Oct 2024
ReviewHow to better prevent sudden cardiac death? Recent advances.
Sudden cardiac death (SCD) is a global public health problem. Despite efforts of the scientific community, it is characterized by low survival (<10%). ⋯ At the population level, efforts are concentrated on prevention of ischemic heart disease, as it is responsible for over 70% of sudden mortality cases in adults, and on development of resuscitation and early defibrillation programs. Much still needs to be done to improve survival by raising awareness in the population through training initiatives and by optimizing available technologies and making them more accessible.