Polskie Archiwum Medycyny Wewnętrznej
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Pol. Arch. Med. Wewn. · Feb 2025
Efficacy of selected scales in the assessment of impaired awareness of hypoglycemia in adults with type 1 diabetes.
Impaired awareness of hypoglycemia (IAH) increases the risk of severe hypoglycemia. Questionnaires may allow for easy identification of patients with IAH and facilitate appropriate intervention. ⋯ The HypoA-Q, with a 9-point cut-off, demonstrated the highest sensitivity for diagnosing IAH, and may be considered the most valuable screening tool for IAH detection.
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Pol. Arch. Med. Wewn. · Jan 2025
Steatotic liver disease in patients treated for chronic hepatitis B.
Steatotic liver disease (SLD) can worsen the prognosis of other chronic liver diseases, including viral hepatitis. ⋯ Liver steatosis was diagnosed in nearly one-third of HBV-infected patients treated with NA. They were significantly more likely to have obesity, diabetes, and gout compared to the non-SLD population. Despite higher baseline aminotransferases activity in the SLD group, the virological HBV activity and response to therapy were comparable.
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Pol. Arch. Med. Wewn. · Jan 2025
Changes in the epidemiological situation of multidrug-resistant tuberculosis in Poland in 2018-2022.
The presented analysis was conducted against the backdrop of the global pandemic and the Russian-Ukrainian war. The conflict on Poland's eastern border raised concerns about potential deterioration of the epidemiological situation in Poland due to the influx of immigrants from countries with a high incidence of multidrug‑resistant (MDR) tuberculosis (TB) and the Beijing genotype. ⋯ The war in Ukraine caused a massive influx of immigrants to Poland, many of whom were infected with MDR and Beijing strains of TB. There is a significant risk of an increase in the incidence of MDR‑TB in Poland in the future, as well as a potential for TB transmission between the immigrants and the native population.