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1. Impact of surrogates for insulin resistance on mortality and life expectancy in primary care: a nationwide cross-sectional study with registry linkage (LIPIDOGRAM2015)Research in context

Author

Yang Chen, Ziyi Zhong, Ying Gue, Maciej Banach, Garry McDowell, Dimitri P. Mikhailidis, Peter P. Toth, Peter E. Penson, Tomasz Tomasik, Adam Windak, Marek Gierlotka, Tadeusz Osadnik, Agnieszka Kuras, Marcin Miga, Jacek Jozwiak, Gregory Y.H. Lip, B. Al-Shaer, W. Andrusewicz, M. Andrzejczuk-Rosa, E. Anusz-Gaszewska, A. Bagińska, P. Balawajder, G. Bańka, E. Barańska-Skubisz, B. Barbara Przyczyna, S. Bartkowiak, J. Bartodziej, M. Bartosiewicz, M. Basałyga, A. Batyra, A. Bąk, M. Bednarz, K. Bejnar, W. Bernacki, M. Betiuk-Kwiatkowska, S. Biegaj, M. Bień, W. Bilski, M. Biłogan, G. Biruta-Pawłowska, A. Biskup, B. Błaszczyk, H. Błaszczyk, T. BłońskaJankowska, B. Bogacka-Gancarczyk, M. Bojanowska, E. Bonda, J. Borowik-Skwarek, J. Borowska, J. Bruckner, J. Brzostek, M. Brzuchacz, M. Budzyńska, I. Bulzacka-Fugiel, J. Bulzak, K. Bunikowski, A. Cebulska, T. Celka, E. Cempel-Nowak, W. Chechliński, A. Chludzińska, D. Chmiel, M. Chmielewska, M. Cichy, A. Ciemięga, A. Ciepluch, I. Cieszyńska, B. Czajka, B. Czapla, M. Czerner, B. Czerwińska, W. Czuryszkiewicz, E. Daleka, Z. Dawid, M. Dąbrowska, R. Dąbrowska, D. Dąbrowski, M. Dąbrowski, K. Demczyszyn, A. Dębowska-Serwińska, J. Dmochowski, J. Dobrzecka-Kiwior, E. Dolanowska, H. Dolanowski, P. Dołek, M. Domagała, H. Domański, A. Doszel, D. Duda, M. Dudkowska, B. Dudziuk, P. Dybciak, M. Dymanowski, L. Dziadzio-Bolek, M. Eicke, H. El-Hassan, A. Eremus, M. Fąferek-Muller, E. Figura-Roguska, I. Fijałkowska-Kaczmarek, M. Flis, T. Florczak, M. Florczuk, E. Foryszewska-Witan, W. Frydrych, A. Fugiel, E. Futyma, A. Gaca-Jaroszewicz, I. Gajdamowicz, K. Ganczarski, A. Gatnar, M. Gers, A. Głowacki, K. Głód, J. Godula, J. Gołąb, M. Gołębiewski, E. Goszczyńska, K. Gościcka, A. GórnaHajduga, E. Górny, T. Grabowska, R. Grabowski, A. Graczyk-Duda, A. Gromow, A. Grudewicz, J. Gruszecka, A. Gruszka, J. Gryboś, J. Grzebyk, A. Grzechowiak, D. Grzesiak, T. Grześkowiak, A. Guźla, G. Hachuła, B. Hawel, H. Hiltawska, E. Honkowicz, J. Ignatowicz, K. Imielski, A. Iwaniura, A. JagiełaSzymala, M. Jalć-Sowała, A. Janczylik, E. Janisz, M. Janiszek, K. Jankiewicz-Ziobro, K. Januszewska, A. Jaremek, A. Jaros-Urbaniak, J. Jarosz, P. Jarosz, W. Jasiński, M. Jezierska-Wasilewska, T. Jędraszewski, A. Jędrzejowska, R. Józefowicz, K. Juźwin, E. Kacprzak, J. Kaczmarek-Szewczyk, M. Kaczmarzyk, R. Kandziora, C. Kaniewski, L. Karolak-Brandt, S. Kasperczyk, E. Kasperek-Dyląg, I. Kedziora, A. Kępa, J. Kiciński, J. Kielak-Al-Hosam, Ł. Kiełczawa, P. Kilimowicz, K. Kitliński, T. Kiwka, U. Klein, L. Klichowicz, A. Klimowicz, B. Klonowski, B. Kmolek, E. Kobyłko-Klepacka, A. Kocoń, A. Kolenda, E. Kollek, M. Kopeć, B. Koper-Kozikowska, J. Koralewska, M. Korczyńska, M.T. Korzeniewski, A. Kosk, K. Kotarski, E. Kowalczyk, M. Kowalczyk, I. Kowalik, B. Kozak-Błażkiewicz, M. Kozik, D. Kozłowska, E. Kozłowska, M. Kozłowska, T. Kozubski, K. Kózka, L. Kraśnik, T. Krężel, B. Krochmal, B. Król, G. Król, J. Król, T. Królikowska, H. Kruszewska, B. Krygier-Potrykus, W. Krystek, J. Krzysztoń, T. Kubicki, A. Kuczmierczyk-El-Hassan, W. Kuczyńska-Witek, D. Kujda, A. Kurowski, I. Kurzelewska-Solarz, M. Kwaczyńska, M. Kwaśniak, P. Kwaśniak, T. Kwietniewska, A. Łebek-Ordon, A. Lebiedowicz, L. Lejkowska-Olszewska, M. Lentas, A. Lesiewicz-Ksycińska, M. Limanowski, S. Łoniewski, J.A. Łopata, B. Łubianka, I. Łukasiuk, M. Łużna, M. Łysiak, B. Łysik, Z. Machowski, J. Maciaczyk-Kubiak, G. Mackiewicz-Zabochnicka, Z. Magner-Krężel, S. Majda, P. Malinowski, J. Mantyka, E. Marchlik, G. Martyna-Ordyniec, J. Marzec, M. Marzec, R. Matejko-Wałkiewicz, M. Mazur, M. Michalczak, A. Michalska-Żyłka, M. Michniewicz, D. Mika-Staniszewska, E. Mikiciuk, T. Mikołajczak, J. Milewski, E. Miller, B. Misiaszek, M. Mizik-Łukowska, E. Młyńczyk-Pokutycka, M. Mocek, M. Moczała, M. Morawska-Hermanowicz, P. Moryc, A. Moskal, S. Moskal, A. Moździerz, P. Moździerz, M. Mrozińska, K. Mrozowicz, G. Mróz, T. Munia, A. Mura, M. Muras-Skudlarska, E.Z. Murawska, Ł. Murawski, R. Murawski, R. Musielak, K. Nadaj, W. Nagarnowicz, R. Napierała, M. Niedźwiecka, A. Niemirski, J. Nikiel, M. Nosal, W. Nowacki, J. Nowak, M. Nyrka, A. Obst, J. Ochowicz, E. Ogonowska, M. Oleszczyk, A. Ołdakowski, I. Ołowniuk-Stefaniak, J. Ordowska-Rejman, M. Orliński, B. Osińska, A. Ostańska-Burian, A. Paciorkowska, U. Paczkowska, L. Paluch, L. Pałka, J. Paszko-Wojtkowska, A. Paszkowska, E. PawlakGanczarska, W. Pawlik, I. Pawłowska, M. Paździora, G. Permiakow, A. Petlic-Marendziak, T. Piasecka, E. Piaścińska, A. Piktel, A. Pilarska-Igielska, A. Piotrkowska, K. Piwowar-Klag, M. Planer, J. Plewa, P. Płatkiewicz, B. Płonczyńska, A. Podgórska, M. Polewska, B. Porębska, P. Porwoł, I. Potakowska, A. Prokop, J. Przybylski, M. Przybyła, H. Psiuk, K. Ptak, G. Puzoń, N. Rabiza, S. Rachwalik, E. Raczyńska, M. Raniszewska, A. Romanek-Kozik, A. Rosa, K. Rosa, A. Rozewicz, J. Rudzka-Kałwak, J. Rusak, D. Rutkowska, M. Rybacki, D. Rybińska, A. Rycyk-Sadowska, L. Rynda, B. Rynkiewicz, B. SadowskaKrawczyk, M. Sadowska-Zarzycka, B. Sarnecka, E. Sawalach-Tomanik, B. Sidor-Drozd, M. SiemieniakDębska, A. Sieroń, B. Siewniak-Zalewska, A. Sikora, B. Sitarska-Pawlina, J. Skorupski, I. SkrzypińskaMansfeld, J. Skubisz, R. Skwarek, M. Słodyczka, M. Smentek, K. Smolińska, B. Solarz, W. Sosnowska, B. Sroka, H. Stachura, D. Stangreciak, M. Staniak, Z. Stańczyk, D. Stańszczak-Ozga, E. Startek, M. Stefańczyk, R. Stelmach, E. Sternadel-Rączka, M. Sternik, J. Stępień, J. Stocka, M. Stokowska-Wojda, M. Studler-Karpińska, W. Suchorukow, W. Sufryd, B. Supłacz, J. Sygacz, Ł. Szczepański, J. Szkandera, J. Szłapa-Zellner, D. Szydlarska, T. Śliwa, J. Śliwka, Ł. Śmiejkowski, A. Targońska, E. Tesarska, M. Tobiasz, J. Tomaka, K. Tomalska-Bywalec, E. Tomiak, S. Topczewski, A. Trawińska, L. Trela-Mucha, D. Trojanowski, M. Trzaskowska, B. Trzcińska-Larska, A. Trznadel-Mozul, K. Ulanicka-Liwoch, M. Urbanowicz, A. Uthke-Kluzek, J. Waczyński, J. Walczak, L. Warsz, M. Wasyńczuk, U. Wąchała-Jędras, D. Wąsowicz, J. Wczysła, F. Wenda, E. Werner-Kubicka, E. Weryszko, B. Węgrzynowska, M. Wiaksa, M. Wiankowski, A. Wicherek, R. Wieczorek, R. Wiencek, G. Wienzek-Tatara, B. Wierzbicka, M. Wierzbicki, B. Wilczyńska, D. Wilmańska, P. Winiarski, A. Wiszniewska-Pabiszczak, M.B. Witkowska, J. Witzling, A. Wlaź, I. Wojtkowiak, J. Woydyłło, K. Woźniak, A. Wójtowicz, J. Wrona, M. Wrońska, H. Wujkowska, J. Wyrąbek, O. Wysokiński, R. Zakrzewski, J. Zaleska-Zatkalik, J. Zaleski, M. Zalewska-Dybciak, E. Zalewska, B. Zalewska-Uchimiak, J. Zawadzka-Krajewska, J. Zawadzki, A. Zieliński, E. Zubrycka, I. Żybort, and M. Żymełka

Subjects
Triglyceride-glucose index, TyG-adjusted body mass index, TyG-adjusted waist circumference, Insulin resistance, All-cause mortality, Premature mortality, Public aspects of medicine, RA1-1270
Abstract

Summary: Background: Insulin resistance (IR) is an important risk factor for multiple chronic diseases, increasing mortality and reducing life expectancy. The associations between emerging surrogates for IR, triglyceride-glucose index (TyG) and TyG-related indicators, with all-cause mortality and life expectancy in middle-aged and older patients in primary care are unclear. Methods: This study originated from the Polish primary care cohort LIPIDOGRAM2015, including patients aged ≥45 years. Baseline fasting triglycerides and fasting glucose were used to derive TyG. Other TyG-related indicators included TyG-adjusted body mass index (TyG-BMI), TyG-adjusted waist circumference (TyG-WC), TyG-adjusted waist-to-hip, and TyG-adjusted waist-to-height. In this longitudinal analysis, we assessed associations between TyG-related indicators with total all-cause mortality, premature (age at death ≤75 years) all-cause mortality and years of life lost (YLL). Findings: We included 10,688 patients (mean age 61.8 ± 9.3 years; 63.5% female). Cumulative total and premature all-cause mortality were 7.2% and 4.6%, respectively, during 5.7 years (IQR 5.6–5.7) of follow-up. Lowest (Q1) and highest quartile (Q4) of TyG-BMI and TyG-WC were associated with total all-cause mortality (second quartile [Q2]: reference; TyG-BMI: Q1: aHR 1.33, 95% CI 1.07–1.65, Q4: aHR 1.28, 95% CI 1.03–1.58; TyG-WC: Q1: aHR 1.44, 95% CI 1.14–1.82, Q4: aHR 1.29, 95% CI 1.04–1.59), similar results for premature all-cause mortality. Within age 45–80 years, compared with Q2 and third quartile, YLL were 4.49 and 5.46 years for TyG-BMI Q1 and Q4, respectively, 3.24 and 5.31 years for TyG-WC Q1 and Q4, respectively. Interpretation: TyG-BMI and TyG-WC demonstrated a U-shaped association with total and premature all-cause mortality. Low and high levels of TyG-BMI and TyG-WC were associated with reduced life expectancy. Despite the relatively short follow-up period, significant associations were still observed, but longer follow-up studies are required to further explore these relationships. Funding: Polish Lipid Association, College of Family Physician in Poland, Valeant in Poland.

Published
2025
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2. Relationship Between Anti-DFS70 Autoantibodies and Oxidative Stress

Author

Paweł Krzemień, Sławomir Kasperczyk, Maciej Banach, Aleksandra Kasperczyk, Michał Dobrakowski, Tomasz Tomasik, Adam Windak, Mirosław Mastej, Alberico Catapano, Kausik K Ray, Dimitri P Mikhailidis, Peter P Toth, George Howard, Gregory YH Lip, Maciej Tomaszewski, Fadi J Charchar, Naveed Sattar, Bryan Williams, Thomas M MacDonald, Peter E Penson, Jacek J Jóźwiak, B. Al-Shaer, W. Andrusewicz, M. Andrzejczuk-Rosa, E. Anusz-Gaszewska, A. Bagińska, P. Balawajder, G. Bańka, E. Barańska-Skubisz, B. Barbara Przyczyna, S. Bartkowiak, J. Bartodziej, M. Bartosiewicz, M. Basałyga, A. Batyra, A. Bąk, M. Bednarz, K. Bejnar, W. Bernacki, M. Betiuk-Kwiatkowska, S. Biegaj, M. Bień, W. Bilski, M. Biłogan, G. Biruta-Pawłowska, A. Biskup, B. Błaszczyk, H. Błaszczyk, T. Błońska-Jankowska, B. Bogacka-Gancarczyk, M. Bojanowska, E. Bonda, J. Borowik-Skwarek, J. Borowska, J. Bruckner, J. Brzostek, M. Brzuchacz, M. Budzyńska, I. Bulzacka-Fugiel, J. Bulzak, K. Bunikowski, A. Cebulska, T. Celka, E. Cempel-Nowak, W. Chechliński, A. Chludzińska, D. Chmiel, M. Chmielewska, M. Cichy, A. Ciemięga, A. Ciepluch, I. Cieszyńska, B. Czajka, B. Czapla, M. Czerner, B. Czerwińska, W. Czuryszkiewicz, E. Daleka, Z. Dawid, M. Dąbrowska, R. Dąbrowska, D. Dąbrowski, M. Dąbrowski, K. Demczyszyn, A. Dębowska-Serwińska, J. Dmochowski, J. Dobrzecka-Kiwior, E. Dolanowska, H. Dolanowski, P. Dołek, M. Domagała, H. Domański, A. Doszel, D. Duda, M. Dudkowska, B. Dudziuk, P. Dybciak, M. Dymanowski, L. Dziadzio-Bolek, M. Eicke, H. El-Hassan, A. Eremus, M. Fąferek-Muller, E. Figura-Roguska, I. Fijałkowska-Kaczmarek, M. Flis, T. Florczak, M. Florczuk, E. Foryszewska-Witan, W. Frydrych, A. Fugiel, E. Futyma, A. Gaca-Jaroszewicz, I. Gajdamowicz, K. Ganczarski, A. Gatnar, M. Gers, A. Głowacki, K. Głód, J. Godula, J. Gołąb, M. Gołębiewski, E. Goszczyńska, K. Gościcka, A. Górna-Hajduga, E. Górny, T. Grabowska, R. Grabowski, A. Graczyk-Duda, A. Gromow, A. Grudewicz, J. Gruszecka, A. Gruszka, J. Gryboś, J. Grzebyk, A. Grzechowiak, D. Grzesiak, T. Grześkowiak, A. Guźla, G. Hachuła, B. Hawel, H. Hiltawska, E. Honkowicz, J. Ignatowicz, K. Imielski, A. Iwaniura, A. Jagieła-Szymala, M. Jalć-Sowała, A. Janczylik, E. Janisz, M. Janiszek, K. Jankiewicz-Ziobro, K. Januszewska, A. Jaremek, A. Jaros-Urbaniak, J. Jarosz, P. Jarosz, W. Jasiński, M. Jezierska-Wasilewska, T. Jędraszewski, A. Jędrzejowska, R. Józefowicz, K. Juźwin, E. Kacprzak, J. Kaczmarek-Szewczyk, M. Kaczmarzyk, R. Kandziora, C. Kaniewski, L. Karolak-Brandt, S. Kasperczyk, E. Kasperek-Dyląg, I. Kedziora, A. Kępa, J. Kiciński, J. Kielak-Al-Hosam, Ł. Kiełczawa, P. Kilimowicz, K. Kitliński, T. Kiwka, U. Klein, L. Klichowicz, A. Klimowicz, B. Klonowski, B. Kmolek, E. Kobyłko-Klepacka, A. Kocoń, A. Kolenda, E. Kollek, M. Kopeć, B. Koper-Kozikowska, J. Koralewska, M. Korczyńska, M. T. Korzeniewski, A. Kosk, K. Kotarski, E. Kowalczyk, M. Kowalczyk, I. Kowalik, B. Kozak-Błażkiewicz, M. Kozik, D. Kozłowska, E. Kozłowska, M. Kozłowska, T. Kozubski, K. Kózka, L. Kraśnik, T. Krężel, B. Krochmal, B. Król, G. Król, J. Król, T. Królikowska, H. Kruszewska, B. Krygier-Potrykus, W. Krystek, J. Krzysztoń, T. Kubicki, A. Kuczmierczyk-El-Hassan, W. Kuczyńska-Witek, D. Kujda, A. Kurowski, I. Kurzelewska-Solarz, M. Kwaczyńska, M. Kwaśniak, P. Kwaśniak, T. Kwietniewska, A. Łebek-Ordon, A. Lebiedowicz, L. Lejkowska-Olszewska, M. Lentas, A. Lesiewicz-Ksycińska, M. Limanowski, S. Łoniewski, J. A. Łopata, B. Łubianka, I. Łukasiuk, M. Łużna, M. Łysiak, B. Łysik, Z. Machowski, J. Maciaczyk-Kubiak, G. Mackiewicz-Zabochnicka, Z. Magner-Krężel, S. Majda, P. Malinowski, J. Mantyka, E. Marchlik, G. Martyna-Ordyniec, J. Marzec, M. Marzec, R. Matejko-Wałkiewicz, M. Mazur, M. Michalczak, A. Michalska-Żyłka, M. Michniewicz, D. Mika-Staniszewska, E. Mikiciuk, T. Mikołajczak, J. Milewski, E. Miller, B. Misiaszek, M. Mizik-Łukowska, E. Młyńczyk-Pokutycka, M. Mocek, M. Moczała, M. Morawska-Hermanowicz, P. Moryc, A. Moskal, S. Moskal, A. Moździerz, P. Moździerz, M. Mrozińska, K. Mrozowicz, G. Mróz, T. Munia, A. Mura, M. Muras-Skudlarska, E. Z. Murawska, Ł. Murawski, R. Murawski, R. Musielak, K. Nadaj, W. Nagarnowicz, R. Napierała, M. Niedźwiecka, A. Niemirski, J. Nikiel, M. Nosal, W. Nowacki, J. Nowak, M. Nyrka, A. Obst, J. Ochowicz, E. Ogonowska, M. Oleszczyk, A. Ołdakowski, I. Ołowniuk-Stefaniak, J. Ordowska-Rejman, M. Orliński, B. Osińska, A. Ostańska-Burian, A. Paciorkowska, U. Paczkowska, L. Paluch, L. Pałka, J. Paszko-Wojtkowska, A. Paszkowska, E. Pawlak-Ganczarska, W. Pawlik, I. Pawłowska, M. Paździora, G. Permiakow, A. Petlic-Marendziak, T. Piasecka, E. Piaścińska, A. Piktel, A. Pilarska-Igielska, A. Piotrkowska, K. Piwowar-Klag, M. Planer, J. Plewa, P. Płatkiewicz, B. Płonczyńska, A. Podgórska, M. Polewska, B. Porębska, P. Porwoł, I. Potakowska, A. Prokop, J. Przybylski, M. Przybyła, H. Psiuk, K. Ptak, G. Puzoń, N. Rabiza, S. Rachwalik, E. Raczyńska, M. Raniszewska, A. Romanek-Kozik, A. Rosa, K. Rosa, A. Rozewicz, J. Rudzka-Kałwak, J. Rusak, D. Rutkowska, M. Rybacki, D. Rybińska, A. Rycyk-Sadowska, L. Rynda, B. Rynkiewicz, B. Sadowska-Krawczyk, M. Sadowska-Zarzycka, B. Sarnecka, E. Sawalach-Tomanik, B. Sidor-Drozd, M. Siemieniak-Dębska, A. Sieroń, B. Siewniak-Zalewska, A. Sikora, B. Sitarska-Pawlina, J. Skorupski, I. Skrzypińska-Mansfeld, J. Skubisz, R. Skwarek, M. Słodyczka, M. Smentek, K. Smolińska, B. Solarz, W. Sosnowska, B. Sroka, H. Stachura, D. Stangreciak, M. Staniak, Z. Stańczyk, D. Stańszczak-Ozga, E. Startek, M. Stefańczyk, R. Stelmach, E. Sternadel-Rączka, M. Sternik, J. Stępień, J. Stocka, M. Stokowska-Wojda, M. Studler-Karpińska, W. Suchorukow, W. Sufryd, B. Supłacz, J. Sygacz, Ł. Szczepański, J. Szkandera, J. Szłapa-Zellner, D. Szydlarska, T. Śliwa, J. Śliwka, Ł. Śmiejkowski, A. Targońska, E. Tesarska, M. Tobiasz, J. Tomaka, K. Tomalska-Bywalec, E. Tomiak, S. Topczewski, A. Trawińska, L. Trela-Mucha, D. Trojanowski, M. Trzaskowska, B. Trzcińska-Larska, A. Trznadel-Mozul, K. Ulanicka-Liwoch, M. Urbanowicz, A. Uthke-Kluzek, J. Waczyński, J. Walczak, L. Warsz, M. Wasyńczuk, U. Wąchała-Jędras, D. Wąsowicz, J. Wczysła, F. Wenda, E. Werner-Kubicka, E. Weryszko, B. Węgrzynowska, M. Wiaksa, M. Wiankowski, A. Wicherek, R. Wieczorek, R. Wiencek, G. Wienzek-Tatara, B. Wierzbicka, M. Wierzbicki, B. Wilczyńska, D. Wilmańska, P. Winiarski, A. Wiszniewska-Pabiszczak, M. B. Witkowska, J. Witzling, A. Wlaź, I. Wojtkowiak, J. Woydyłło, K. Woźniak, A. Wójtowicz, J. Wrona, M. Wrońska, H. Wujkowska, J. Wyrąbek, O. Wysokiński, R. Zakrzewski, J. Zaleska-Zatkalik, J. Zaleski, M. Zalewska-Dybciak, E. Zalewska, B. Zalewska-Uchimiak, J. Zawadzka-Krajewska, J. Zawadzki, A. Zieliński, E. Zubrycka, I. Żybort, and M. Żymełka

Subjects
Pharmacology, RM, Medicine (General), R5-920, Biochemistry (medical), oxidative stress, biomarkers, Molecular Medicine, free radicals, R1, Antibodies, Original Research
Abstract

Background: The anti-DFS70 autoantibodies are one of the most commonly and widely described agent of unknown clinical significance, frequently detected in healthy individuals. It is not known whether the DFS70 autoantibodies are protective or pathogenic. One of the factors suspected of inducing the formation of anti-DFS70 antibodies is increased oxidative stress. We evaluated the coexistence of anti-DFS70 antibodies with selected markers of oxidative stress and investigated whether these antibodies could be considered as indirect markers of oxidative stress. Methods: The intensity of oxidative stress was measured in all samples via indices of free-radical damage to lipids and proteins such as total oxidant status (TOS), concentrations of lipid hydroperoxides (LPH), lipofuscin (LPS), and malondialdehyde (MDA). The parameters of the non-enzymatic antioxidant system, such as total antioxidant status (TAS) and uric acid concentration (UA), were also measured, as well as the activity of superoxide dismutase (SOD). Based on TOS and TAS values, the oxidative stress index (OSI) was calculated. All samples were also tested with indirect immunofluorescence assay (IFA) and 357 samples were selected for direct monospecific anti DFS70 enzyme-linked immunosorbent assay (ELISA) testing. Results: The anti-DFS70 antibodies were confirmed by ELISA test in 21.29% of samples. Compared with anti-DFS70 negative samples we observed 23% lower concentration of LPH ( P = .038) and 11% lower concentration of UA ( P = .005). TOS was 20% lower ( P = .014). The activity of SOD was up to 5% higher ( P = .037). The Pearson correlation showed weak negative correlation for LPH, UA, and TOS and a weak positive correlation for SOD activity. Conclusion: In samples positive for the anti-DFS70 antibody a decreased level of oxidative stress was observed, especially in the case of samples with a high antibody titer. Anti-DFS70 antibodies can be considered as an indirect marker of reduced oxidative stress or a marker indicating the recent intensification of antioxidant processes.

Published
2022
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3. Lipid levels, atrial fibrillation and the impact of age:Results from the LIPIDOGRAM2015 study

Author

Stephanie L. Harrison, Deirdre A. Lane, Maciej Banach, Mirosław Mastej, Sławomir Kasperczyk, Jacek J. Jóźwiak, Gregory Y.H. Lip, B. Al-Shaer, W. Andrusewicz, M. Andrzejczuk-Rosa, E. Anusz-Gaszewska, A. Bagińska, P. Balawajder, G. Bańka, E. Barańska-Skubisz, B. Barbara Przyczyna, S. Bartkowiak, J. Bartodziej, M. Bartosiewicz, M. Basałyga, A. Batyra, A. Bąk, M. Bednarz, K. Bejnar, W. Bernacki, M. Betiuk-Kwiatkowska, S. Biegaj, M. Bień, W. Bilski, M. Biłogan, G. Biruta-Pawłowska, A. Biskup, B. Błaszczyk, H. Błaszczyk, T. Błońska-Jankowska, B. Bogacka-Gancarczyk, M. Bojanowska, E. Bonda, J. Borowik-Skwarek, J. Borowska, J. Bruckner, J. Brzostek, M. Brzuchacz, M. Budzyńska, I. Bulzacka-Fugiel, J. Bulzak, K. Bunikowski, A. Cebulska, T. Celka, E. Cempel-Nowak, W. Chechliński, A. Chludzińska, D. Chmiel, M. Chmielewska, M. Cichy, A. Ciemięga, A. Ciepluch, I. Cieszyńska, B. Czajka, B. Czapla, M. Czerner, B. Czerwińska, W. Czuryszkiewicz, E. Daleka, Z. Dawid, M. Dąbrowska, R. Dąbrowska, D. Dąbrowski, M. Dąbrowski, K. Demczyszyn, A. Dębowska-Serwińska, J. Dmochowski, J. Dobrzecka-Kiwior, E. Dolanowska, H. Dolanowski, P. Dołek, M. Domagała, H. Domański, A. Doszel, D. Duda, M. Dudkowska, B. Dudziuk, P. Dybciak, M. Dymanowski, L. Dziadzio-Bolek, M. Eicke, H. El-Hassan, A. Eremus, M. Fąferek-Muller, E. Figura-Roguska, I. Fijałkowska-Kaczmarek, M. Flis, T. Florczak, M. Florczuk, E. Foryszewska-Witan, W. Frydrych, A. Fugiel, E. Futyma, A. Gaca-Jaroszewicz, I. Gajdamowicz, K. Ganczarski, A. Gatnar, M. Gers, A. Głowacki, K. Głód, J. Godula, J. Gołąb, M. Gołębiewski, E. Goszczyńska, K. Gościcka, A. Górna-Hajduga, E. Górny, T. Grabowska, R. Grabowski, A. Graczyk-Duda, A. Gromow, A. Grudewicz, J. Gruszecka, A. Gruszka, J. Gryboś, J. Grzebyk, A. Grzechowiak, D. Grzesiak, T. Grześkowiak, A. Guźla, G. Hachuła, B. Hawel, H. Hiltawska, E. Honkowicz, J. Ignatowicz, K. Imielski, A. Iwaniura, A. Jagieła-Szymala, M. Jalć-Sowała, A. Janczylik, E. Janisz, M. Janiszek, K. Jankiewicz-Ziobro, K. Januszewska, A. Jaremek, A. Jaros-Urbaniak, J. Jarosz, P. Jarosz, W. Jasiński, M. Jezierska-Wasilewska, T. Jędraszewski, A. Jędrzejowska, R. Józefowicz, J.J. Jóźwiak, K. Juźwin, E. Kacprzak, J. Kaczmarek-Szewczyk, M. Kaczmarzyk, R. Kandziora, C. Kaniewski, L. Karolak-Brandt, S. Kasperczyk, E. Kasperek-Dyląg, I. Kedziora, A. Kępa, J. Kiciński, J. Kielak-Al-Hosam, Ł. Kiełczawa, P. Kilimowicz, K. Kitliński, T. Kiwka, U. Klein, L. Klichowicz, A. Klimowicz, B. Klonowski, B. Kmolek, E. Kobyłko-Klepacka, A. Kocoń, A. Kolenda, E. Kollek, M. Kopeć, B. Koper-Kozikowska, J. Koralewska, M. Korczyńska, M.T. Korzeniewski, A. Kosk, K. Kotarski, E. Kowalczyk, M. Kowalczyk, I. Kowalik, B. Kozak-Błażkiewicz, M. Kozik, D. Kozłowska, E. Kozłowska, M. Kozłowska, T. Kozubski, K. Kózka, L. Kraśnik, T. Krężel, B. Krochmal, B. Król, G. Król, J. Król, T. Królikowska, H. Kruszewska, B. Krygier-Potrykus, W. Krystek, J. Krzysztoń, T. Kubicki, A. Kuczmierczyk-El-Hassan, W. Kuczyńska-Witek, D. Kujda, A. Kurowski, I. Kurzelewska-Solarz, M. Kwaczyńska, M. Kwaśniak, P. Kwaśniak, T. Kwietniewska, A. Łebek-Ordon, A. Lebiedowicz, L. Lejkowska-Olszewska, M. Lentas, A. Lesiewicz-Ksycińska, M. Limanowski, S. Łoniewski, J.A. Łopata, B. Łubianka, I. Łukasiuk, M. Łużna, M. Łysiak, B. Łysik, Z. Machowski, J. Maciaczyk-Kubiak, G. Mackiewicz-Zabochnicka, Z. Magner-Krężel, S. Majda, P. Malinowski, J. Mantyka, E. Marchlik, G. Martyna-Ordyniec, J. Marzec, M. Marzec, R. Matejko-Wałkiewicz, M. Mazur, M. Michalczak, A. Michalska-Żyłka, M. Michniewicz, D. Mika-Staniszewska, E. Mikiciuk, T. Mikołajczak, J. Milewski, E. Miller, B. Misiaszek, M. Mizik-Łukowska, E. Młyńczyk-Pokutycka, M. Mocek, M. Moczała, M. Morawska-Hermanowicz, P. Moryc, A. Moskal, S. Moskal, A. Moździerz, P. Moździerz, M. Mrozińska, K. Mrozowicz, G. Mróz, T. Munia, A. Mura, M. Muras-Skudlarska, E.Z. Murawska, Ł. Murawski, R. Murawski, R. Musielak, K. Nadaj, W. Nagarnowicz, R. Napierała, M. Niedźwiecka, A. Niemirski, J. Nikiel, M. Nosal, W. Nowacki, J. Nowak, M. Nyrka, A. Obst, J. Ochowicz, E. Ogonowska, M. Oleszczyk, A. Ołdakowski, I. Ołowniuk-Stefaniak, J. Ordowska-Rejman, M. Orliński, B. Osińska, A. Ostańska-Burian, A. Paciorkowska, U. Paczkowska, L. Paluch, L. Pałka, J. Paszko-Wojtkowska, A. Paszkowska, E. Pawlak-Ganczarska, W. Pawlik, I. Pawłowska, M. Paździora, G. Permiakow, A. Petlic-Marendziak, T. Piasecka, E. Piaścińska, A. Piktel, A. Pilarska-Igielska, A. Piotrkowska, K. Piwowar-Klag, M. Planer, J. Plewa, P. Płatkiewicz, B. Płonczyńska, A. Podgórska, M. Polewska, B. Porębska, P. Porwoł, I. Potakowska, A. Prokop, J. Przybylski, M. Przybyła, H. Psiuk, K. Ptak, G. Puzoń, N. Rabiza, S. Rachwalik, E. Raczyńska, M. Raniszewska, A. Romanek-Kozik, A. Rosa, K. Rosa, A. Rozewicz, J. Rudzka-Kałwak, J. Rusak, D. Rutkowska, M. Rybacki, D. Rybińska, A. Rycyk-Sadowska, L. Rynda, B. Rynkiewicz, B. Sadowska-Krawczyk, M. Sadowska-Zarzycka, B. Sarnecka, E. Sawalach-Tomanik, B. Sidor-Drozd, M. Siemieniak-Dębska, A. Sieroń, B. Siewniak-Zalewska, A. Sikora, B. Sitarska-Pawlina, J. Skorupski, I. Skrzypińska-Mansfeld, J. Skubisz, R. Skwarek, M. Słodyczka, M. Smentek, K. Smolińska, B. Solarz, W. Sosnowska, B. Sroka, H. Stachura, D. Stangreciak, M. Staniak, Z. Stańczyk, D. Stańszczak-Ozga, E. Startek, M. Stefańczyk, R. Stelmach, E. Sternadel-Rączka, M. Sternik, J. Stępień, J. Stocka, M. Stokowska-Wojda, M. Studler-Karpińska, W. Suchorukow, W. Sufryd, B. Supłacz, J. Sygacz, Ł. Szczepański, J. Szkandera, J. Szłapa-Zellner, D. Szydlarska, T. Śliwa, J. Śliwka, Ł. Śmiejkowski, A. Targońska, E. Tesarska, M. Tobiasz, J. Tomaka, K. Tomalska-Bywalec, E. Tomiak, S. Topczewski, A. Trawińska, L. Trela-Mucha, D. Trojanowski, M. Trzaskowska, B. Trzcińska-Larska, A. Trznadel-Mozul, K. Ulanicka-Liwoch, M. Urbanowicz, A. Uthke-Kluzek, J. Waczyński, J. Walczak, L. Warsz, M. Wasyńczuk, U. Wąchała-Jędras, D. Wąsowicz, J. Wczysła, F. Wenda, E. Werner-Kubicka, E. Weryszko, B. Węgrzynowska, M. Wiaksa, M. Wiankowski, A. Wicherek, R. Wieczorek, R. Wiencek, G. Wienzek-Tatara, B. Wierzbicka, M. Wierzbicki, B. Wilczyńska, D. Wilmańska, P. Winiarski, A. Wiszniewska-Pabiszczak, M.B. Witkowska, J. Witzling, A. Wlaź, I. Wojtkowiak, J. Woydyłło, K. Woźniak, A. Wójtowicz, J. Wrona, M. Wrońska, H. Wujkowska, J. Wyrąbek, O. Wysokiński, R. Zakrzewski, J. Zaleska-Zatkalik, J. Zaleski, M. Zalewska- Dybciak, E. Zalewska, B. Zalewska-Uchimiak, J. Zawadzka-Krajewska, J. Zawadzki, A. Zieliński, E. Zubrycka, I. Żybort, and M. Żymełka

Subjects
0301 basic medicine, Multivariate statistics, medicine.medical_specialty, Inverse Association, Epidemiology, 030204 cardiovascular system & hematology, 03 medical and health sciences, symbols.namesake, 0302 clinical medicine, Age, Age groups, Risk Factors, Total cholesterol, Internal medicine, Atrial Fibrillation, medicine, Prevalence, Humans, Poisson regression, Triglycerides, Lipoprotein cholesterol, business.industry, Cholesterol, HDL, Atrial fibrillation, Cholesterol, LDL, medicine.disease, Lipids, 030104 developmental biology, Cholesterol, Quartile, symbols, Cardiology, lipids (amino acids, peptides, and proteins), Poland, Cardiology and Cardiovascular Medicine, business
Abstract

Background and aims: An inverse relationship between lipid levels and atrial fibrillation (AF) has been suggested, but whether the association is upheld for all age groups remains unclear. The aim of the study was to examine associations between lipid levels and AF by age groups in a nationwide study in Poland. Methods: Multivariate Poisson regression models were used to estimate prevalence ratios (PRs) for AF by lipid levels. Low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), triglycerides (TG), total cholesterol (TC), non-HDL-C and LDL-C/HDL-C ratios were grouped into quartiles. Results: Of the 13,724 participants, 5.2% (n = 708) had AF. People with AF were older with more comorbidities, but lower lipid levels (all p < 0.05). The prevalence of AF was inversely associated with LDL-C (Adjusted PR (95% Confidence Interval) highest versus lowest quartile: 0.60 (0.48, 0.75)), TC (0.61 (0.49, 0.75)) and non-HDL-C (0.63 (0.51, 0.78)). The prevalence of AF was inversely associated with HDL-C (0.58 (0.46, 0.74)), but this was not statistically significant for people aged 75 years and older. For the LDL-C/HDL-C ratio, the prevalence of AF was only inversely associated with higher levels for people aged 75 years and older (0.75 (0.61, 0.94)). There was no statistically significant difference in prevalence of AF by TG levels. Conclusions: The results suggest an inverse relationship between lipid levels and AF. The inverse association between higher HDL-C and AF was only significant for people aged

Published
2020
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4. Shear wave elastography of median nerve at wrist and forearm. Heterogeneity of normative values: Response to authors

Author

Bartłomiej Noszczyk, Jerzy Walecki, Piotr Pietruski, and L. Paluch

Subjects
Shear wave elastography, medicine.medical_specialty, business.industry, Wrist, medicine.disease, Carpal Tunnel Syndrome, Median nerve, Surgery, Median Nerve, Elasticity Imaging Techniques, Forearm, medicine.anatomical_structure, medicine, Normative, Humans, Radiology, business, Carpal tunnel syndrome
Published
2018

7. Identifying and managing bronchiolitis.

Author

Paluch L

Subjects
Administration, Inhalation, Adrenal Cortex Hormones administration & dosage, Age Factors, Albuterol administration & dosage, Bronchiolitis, Viral diagnosis, Bronchiolitis, Viral epidemiology, Female, Humans, Infant, Male, Nebulizers and Vaporizers, Respiratory Sounds, Respiratory Syncytial Viruses pathogenicity, Risk Factors, Saline Solution, Hypertonic administration & dosage, Severity of Illness Index, Unnecessary Procedures, Vaccination, Bronchiolitis, Viral therapy, Bronchiolitis, Viral virology, Respiratory Syncytial Virus Infections
Abstract

Bronchiolitis is a common viral illness that affects the lower respiratory tract of infants and young children. The disease is characterized by wheezing and increased mucus production and can range from mild to severe in terms of respiratory distress. This article reviews the epidemiology, clinical presentation, and treatment of bronchiolitis.

Published
2020
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8. Shear Wave Elastography in the Evaluation of Facial Skin Stiffness After Focused Ultrasound Treatment.

Author

Paluch L, Ambroziak M, Pietruski P, and Noszczyk B

Subjects
Adult, Age Factors, Aged, Body Mass Index, Face, Feasibility Studies, Female, Humans, Middle Aged, Rejuvenation, Skin radiation effects, Treatment Outcome, Ultrasonic Therapy instrumentation, Cosmetic Techniques, Elasticity Imaging Techniques, Skin diagnostic imaging, Skin Aging radiation effects, Ultrasonic Therapy methods
Abstract

Background: No objective method for the evaluation of facial aesthetic procedures has been proposed thus far. The authors hypothesized that shear wave elastography may be an appropriate method to evaluate the outcomes of some aesthetic treatments., Objective: The aim of the study was to compare elastographic parameters of facial skin, subcutaneous fat, and superficial musculoaponeurotic system before high-intensity focused ultrasound treatment and 60 days after this procedure., Methods and Materials: The study included 57 female patients aged 51.5 ± 7.3 years. Shear wave elastography of facial skin was performed before the aesthetic procedure and 2 months thereafter., Results: Baseline stiffness of all examined layers correlated inversely with patients' age. Sixty days after the aesthetic treatment, the stiffness of all tissues improved significantly. The extent of the improvement correlated inversely with patients' body mass index., Conclusion: Shear wave elastography can accurately assess the outcomes of facial treatment with high-intensity focused ultrasound. Using this method, the authors documented improved stiffness of facial skin as early as 60 days after the procedure. The beneficial effect of the aesthetic treatment was observed regardless of patients' age but was less evident in women with excess body weight.

Published
2019
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10. Part-time physicians...prevalent, connected, and satisfied.

Author

Mechaber HF, Levine RB, Manwell LB, Mundt MP, Linzer M, Schwartz M, Dowell D, An P, Felix K, McMurray J, Bobula J, Plane MB, Scheckler W, Frey J, Sherrieb J, Grettie J, Horner-Ibler B, Maguire A, Paluch L, Man B, Varkey A, Arce E, Rabatin J, Riska E, Bigby J, Konrad TR, Leatt P, Babbott S, and Williams E

Subjects
Adult, Female, Health Care Surveys, Humans, Male, Middle Aged, Probability, Surveys and Questionnaires, Time Factors, United States, Work Schedule Tolerance psychology, Workload psychology, Burnout, Professional prevention & control, Job Satisfaction, Practice Patterns, Physicians' trends, Workload statistics & numerical data
Abstract

Objective: The health care workforce is evolving and part-time practice is increasing. The objective of this work is to determine the relationship between part-time status, workplace conditions, and physician outcomes., Design: Minimizing error, maximizing outcome (MEMO) study surveyed generalist physicians and their patients in the upper Midwest and New York City., Measurements and Main Results: Physician survey of stress, burnout, job satisfaction, work control, intent to leave, and organizational climate. Patient survey of satisfaction and trust. Responses compared by part-time and full-time physician status; 2-part regression analyses assessed outcomes associated with part-time status. Of 751 physicians contacted, 422 (56%) participated. Eighteen percent reported part-time status (n = 77, 31% of women, 8% of men, p < .001). Part-time physicians reported less burnout (p < .01), higher satisfaction (p < .001), and greater work control (p < .001) than full-time physicians. Intent to leave and assessments of organizational climate were similar between physician groups. A survey of 1,795 patients revealed no significant differences in satisfaction and trust between part-time and full-time physicians., Conclusions: Part-time is a successful practice style for physicians and their patients. If favorable outcomes influence career choice, an increased demand for part-time practice is likely to occur.

Published
2008
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11. Urban outpatient views on quality and safety in primary care.

Author

Dowell D, Manwell LB, Maguire A, An PG, Paluch L, Felix K, and Williams E

Subjects
Focus Groups, Health Services Research, Humans, Medical Errors prevention & control, United States, Ambulatory Care, Outpatients psychology, Primary Health Care organization & administration, Quality of Health Care, Safety, Urban Population
Abstract

Objective: The Minimizing Errors Maximizing Outcomes Study is designed to examine the effect of workplace conditions on quality of care and medical errors. In the first phase of the study, patients were asked to "tell their stories" via focus groups., Design: Moderators used a standard question guide. Researchers read the transcripts independently and reached consensus on major themes. Two coders independently assigned transcript statement to themes., Setting: Three focus groups were conducted in three cities, including 21 patients from three clinics., Patients: Patients with previously scheduled appointments at participating clinics were invited to join the focus groups., Measurements and Main Results: Agreement between the two coders was 77.5% (kappa value 0.66). All but 2% of 187 distinct comments could be grouped into four categories: (1) Systems Issues (44% of comments). Long waits for providers and lack of access were the most common frustrations. Understaffing, underfunding and lack of health insurance were perceived as contributing to poor quality of care; (2) Interpersonal Skills (37%). Physician listening skills were valued. Participants felt patient attitudes affected care. (3) Knowledge and Technical Skills (9%). (4) Errors (7%). Medication errors, errors of inattention and technical errors were discussed., Conclusions: Patients provide important insights into complex systems issues, which can guide planners in improving quality and reducing errors. According to focus group participants, healthcare could be improved and made safer by increasing timely access to patients' own physicians, decreasing the time patients spend in waiting rooms, and adding staff to double-check prescriptions.

Published
2005
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