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Journal of Internal Medicine

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https://www.readbyqxmd.com/read/29143384/enhanced-ventricular-arterial-coupling-during-a-2-year-physical-activity-program-in-patients-with-rheumatoid-arthritis
#1
Philip Sarajlic, Cecilia Fridén, Lars H Lund, Aristomenis Manouras, Ashwin Venkateshvaran, Susanna C Larsson, Birgitta Nordgren, Christina H Opava, Ingrid E Lundberg, Magnus Bäck
OBJECTIVE: To establish how guided physical activity in patients with rheumatoid arthritis (RA) without known cardiovascular disease affected vascular and cardiac function, and how these two entities were prospectively interconnected in this patient group. METHODS: Prospective substudy of 29 participants in the Physical Activity in RA (PARA) 2010 trial. All subjects were examined at baseline, at year 1 and 2 with measures of pulse wave velocity and arterial augmentation index, as well as echocardiographic evaluation of diastolic parameters and ventricular-arterial coupling...
November 15, 2017: Journal of Internal Medicine
https://www.readbyqxmd.com/read/29130593/chylomicronemia-risk-factors-ranked-by-importance-for-the-individual-and-community-in-108-711-women-and-men
#2
Simon B Pedersen, Anette Varbo, Anne Langsted, Børge G Nordestgaard
BACKGROUND: Hypertriglyceridemia prevalence is increasing as more individuals become obese, and chylomicronemia risk factors for the individual and community have not been described previously. OBJECTIVE: To describe chylomicronemia risk factors in the general population for individuals and community. METHODS: 108,711 individuals from the Copenhagen General Population Study were grouped as unlikely chylomicronemia (nonfasting triglycerides <2mmol/L(177 mg/dL)), possible chylomicronemia (2-4...
November 11, 2017: Journal of Internal Medicine
https://www.readbyqxmd.com/read/29117465/more-sprint-controversy
#3
Franz H Messerli, Sripal Bangalore, Stefano F Rimoldi
Frohlich and Zanchetti, at that time editors-in-chief of Hypertension and Journal of Hypertension, wrote the above words 20 years ago, in midst of the so-called calcium blocker controversy in a dual publication [3]. The authors continued in stating "however, controversy should be based on sound scientific evidence". One may ask whether this indeed is not a contradiction in terms as how can sound scientific evidence possibly give rise to controversy? The answer to this question is quite simple: science may be perfectly sound but interpretation thereof very often is anything but...
November 8, 2017: Journal of Internal Medicine
https://www.readbyqxmd.com/read/29105188/reply-proton-pump-inhibitor-use-and-the-risk-of-first-time-ischemic-stroke-in-the-general-population
#4
LETTER
Thomas S G Sehested, Mark A Hlatky, Nicholas Carlson, Gunnar H Gislason
We read with interest the letter from Dai et al. pertaining to our recent observational study.[1] First, due to the inherent nature of observational studies, interpretations of causality remain speculative. Consequently, although the study presents extensive analyses to account for possible biases, we acknowledge the potential skewing of results due to unaccounted biases i.e. residual confounding. This article is protected by copyright. All rights reserved.
November 4, 2017: Journal of Internal Medicine
https://www.readbyqxmd.com/read/29098731/clues-for-early-detection-of-autoimmune-addison-s-disease-myths-and-realities
#5
Å B Saevik, A-K Åkerman, K Grønning, I Nermoen, S F Valland, T E Finnes, M Isaksson, P Dahlqvist, R Bergthorsdottir, O Ekwall, J Skov, B G Nedrebø, A-L Hulting, J Wahlberg, J Svartberg, C Höybye, I H Bleskestad, A P Jørgensen, O Kämpe, M Øksnes, S Bensing, E S Husebye
BACKGROUND: Early detection of autoimmune Addison's disease (AAD) is important as delay in diagnosis may result in a life-threatening adrenal crisis and death. The classical clinical picture of untreated AAD is well-described, but methodical investigations are scarce. OBJECTIVE: Perform a retrospective audit of patient records with the aim of identifying biochemical markers for early diagnosis of AAD. MATERIAL AND METHODS: A multicentre retrospective study including 272 patients diagnosed with AAD at hospitals in Norway and Sweden during 1978-2016...
November 3, 2017: Journal of Internal Medicine
https://www.readbyqxmd.com/read/29095540/unique-case-of-cerebrotendinous-xanthomatosis-revisited-all-the-mutations-responsible-for-this-disease-are-present-in-the-cyp27a1-gene
#6
LETTER
H Jiao, M Olin, M Hansson, G Eggertsen, M Eriksson, B Angelin, I Björkhem
Cerebrotendinous xanthomatosis (CTX) is a rare recessive disorder believed to be exclusively caused by mutations in the CYP27A1 gene coding for the enzyme sterol 27-hydroxylase. The disease is characterized by tendon xanthomas, juvenile cataract, progressive dementia, chronic diarrhea, osteoporosis, ataxia and premature atherosclerosis. Xanthomas also often occur in the brain, in particular in cerebellum (1). This article is protected by copyright. All rights reserved.
November 2, 2017: Journal of Internal Medicine
https://www.readbyqxmd.com/read/29071761/combination-therapy-strategies-for-improving-pd-1-blockade-efficacy-a-new-era-in-cancer-immunotherapy
#7
REVIEW
Partha S Chowdhury, Kenji Chamoto, Tasuku Honjo
Programmed death 1 (PD-1) is an immune checkpoint molecule that negatively regulates T-cell immune function through the interaction with its ligand PD-L1. Blockage of this interaction unleashes the immune system to fight cancer. Immunotherapy using PD-1 blockade has led to a paradigm shift in the field of cancer drug discovery, owing to its durable effect against a wide variety of cancers with limited adverse effects. A brief history and development of PD-1 blockade, from the initial discovery of PD-1 to the recent clinical output of this therapy, has been summarized here...
October 26, 2017: Journal of Internal Medicine
https://www.readbyqxmd.com/read/29068146/chronic-inflammation-predicts-long-term-mortality-in-patients-with-raynaud-s-phenomenon
#8
M Mueller, M E Gschwandtner, J Gamper, G-A Giurgea, H P Kiener, T Perkmann, R Koppensteiner, O Schlager
BACKGROUND: Subclinical chronic inflammation could be the driving force behind the recently revealed association between abnormal nailfold capillaries as well as autoantibodies and long-term mortality in patients with incipient Raynaud's phenomenon. Whether laboratory markers that reflect a chronic inflammatory process are directly related to mortality in Raynaud's phenomenon is not known. METHODS: In total, 2958 patients with incipient Raynaud's phenomenon without previously known connective tissue disease (CTD) were enrolled...
October 25, 2017: Journal of Internal Medicine
https://www.readbyqxmd.com/read/29044769/human-papillomavirus-vaccination-of-adult-women-and-risk-of-autoimmune-and-neurological-diseases
#9
A Hviid, H Svanström, N M Scheller, O Grönlund, B Pasternak, L Arnheim-Dahlström
BACKGROUND: Since 2006, human papillomavirus (HPV) vaccines have been introduced in many countries worldwide. Whilst safety studies have been reassuring, focus has been on the primary target group, the young adolescent girls. However, it is also important to evaluate safety in adult women where background disease rates and safety issues could differ significantly. OBJECTIVE: We took advantage of the unique Danish and Swedish nationwide healthcare registers to conduct a cohort study comparing incidence rate ratios (RRs) of 45 preselected serious chronic diseases in quadrivalent HPV (qHPV)-vaccinated and qHPV-unvaccinated adult women 18-44 years of age...
October 18, 2017: Journal of Internal Medicine
https://www.readbyqxmd.com/read/29044861/comparison-of-bleeding-risk-scores-in-patients-with-atrial-fibrillation-insights-from-the-re-ly-trial
#10
M Proietti, Z Hijazi, U Andersson, S J Connolly, J W Eikelboom, M D Ezekowitz, D A Lane, J Oldgren, V Roldan, S Yusuf, L Wallentin
BACKGROUND: Oral anticoagulation is the mainstay of stroke prevention in atrial fibrillation (AF), but must be balanced against the associated bleeding risk. Several risk scores have been proposed for prediction of bleeding events in patients with AF. OBJECTIVES: To compare the performance of contemporary clinical bleeding risk scores in 18 113 patients with AF randomized to dabigatran 110 mg, 150 mg or warfarin in the RE-LY trial. METHODS: HAS-BLED, ORBIT, ATRIA and HEMORR2 HAGES bleeding risk scores were calculated based on clinical information at baseline...
October 16, 2017: Journal of Internal Medicine
https://www.readbyqxmd.com/read/29044854/targeted-proteomic-analysis-of-habitual-coffee-consumption
#11
M C Cornelis, S Gustafsson, J Ärnlöv, S Elmståhl, S Söderberg, J Sundström, K Michaëlsson, L Lind, E Ingelsson
BACKGROUND: Coffee drinking has been implicated in mortality and a variety of diseases but potential mechanisms underlying these associations are unclear. Large-scale systems epidemiological approaches may offer novel insights to mechanisms underlying associations of coffee with health. OBJECTIVE: We performed an analysis of known and novel protein markers linked to cardiovascular disease and their association with habitual coffee intake in the Prospective Study of the Vasculature in Uppsala Seniors (PIVUS, n = 816) and followed up top proteins in the Uppsala Longitudinal Study of Adult Men (ULSAM, n = 635) and EpiHealth (n = 2418)...
October 16, 2017: Journal of Internal Medicine
https://www.readbyqxmd.com/read/29044764/estimated-glomerular-filtration-rate-and-the-risk-benefit-profile-of-intensive-blood-pressure-control-among-non-diabetic-patients-a-post-hoc-analysis-of-a-randomized-clinical-trial
#12
Yoshitsugu Obi, Kamyar Kalantar-Zadeh, Ayumi Shintani, Csaba P Kovesdy, Takayuki Hamano
BACKGROUND: The Systolic Blood Pressure Intervention Trial (SPRINT; ClinicalTrials. gov, NCT01206062) reported reduced cardiovascular events by intensive blood pressure (BP) control among hypertensive patients without diabetes. However, the risk-benefit profile of intensive BP control may differ across estimated glomerular filtration rate (eGFR) levels. METHODS: This is a post-hoc analysis of the SPRINT. Non-diabetic hypertensive adults (n=9,361) with eGFR >20 mL/min/1...
October 16, 2017: Journal of Internal Medicine
https://www.readbyqxmd.com/read/29034571/association-between-subclinical-thyroid-dysfunction-and-change-in-bone-mineral-density-in-prospective-cohorts
#13
D Segna, D C Bauer, M Feller, C Schneider, H A Fink, C E Aubert, T-H Collet, B R da Costa, K Fischer, R P Peeters, A R Cappola, M R Blum, H A van Dorland, J Robbins, K Naylor, R Eastell, A G Uitterlinden, F Rivadeneira Ramirez, A Gogakos, J Gussekloo, G R Williams, A Schwartz, J A Cauley, D A Aujesky, H A Bischoff-Ferrari, N Rodondi
BACKGROUND: Subclinical hyperthyroidism (SHyper) has been associated with increased risk of hip and other fractures, but the linking mechanisms remain unclear. OBJECTIVE: To investigate the association between subclinical thyroid dysfunction and bone loss. METHODS: Individual participant data analysis was performed after a systematic literature search in MEDLINE/EMBASE (1946-2016). Two reviewers independently screened and selected prospective cohorts providing baseline thyroid status and serial bone mineral density (BMD) measurements...
October 16, 2017: Journal of Internal Medicine
https://www.readbyqxmd.com/read/29030888/the-emperor-redressed-treating-osteoporosis-to-prevent-hip-fractures-in-the-oldest-old
#14
Bo Abrahamsen
Managing osteoporosis and preventing hip fractures in the oldest old remains a challenge surrounded by controversy and strong opinions. This is understandable given the paucity of randomized controlled trial (RCT) data in patients aged 80 years and above [1], the legitimate concerns that efficacy would disappoint given the multiple comedications and comorbid conditions that are prevalent in many of the oldest osteoporosis patients, and the probability that adverse effects would be more common and more severe in this age group...
October 14, 2017: Journal of Internal Medicine
https://www.readbyqxmd.com/read/29027756/what-is-the-outcome-in-patients-with-acute-leukaemia-who-survive-severe-acute-graft-versus-host-disease
#15
Olle Ringdén, Myriam Labopin, Behnam Sadeghi, Audrey Mailhol, Dietrich Beelen, Yngvar Fløisand, Ardeshir Ghavamzadeh, Jürgen Finke, Gerhard Ehninger, Liisa Volin, Gérard Socié, Nicolaus Kröger, Gernot Stuhler, Arnold Ganser, Christoph Schmid, Sebastian Giebel, Mohamad Mohty, Arnon Nagler
Acute graft-versus-host disease (aGVHD) is a major complication of allogeneic haematopoietic stem cell transplantation (HSCT). With new promising therapies, survival may improve for severe aGVHD. We wanted to analyze the long-term outcome in patients who survive severe aGVHD. This study was a landmark analysis of 23,567 patients with acute Leukaemia who survived for more than 6 months after HSCT, 2002-2014. Patients alive after severe aGVHD (n = 1,738) were compared to controls. Patients with severe aGVHD had higher non-relapse mortality (NRM) and higher rate of extensive chronic GVHD (cGVHD) than the controls (p < 10(-5) )...
October 13, 2017: Journal of Internal Medicine
https://www.readbyqxmd.com/read/29024109/long-term-use-of-proton-pump-inhibitors-dose-response-relationship-and-associated-risk-of-ischemic-stroke-and-myocardial-infarction
#16
Thomas S G Sehested, Thomas A Gerds, Emil L Fosbøl, Peter W Hansen, Mette G Charlot, Nicholas Carlson, Mark A Hlatky, Christian Torp-Pedersen, Gunnar H Gislason
BACKGROUND: Use of proton pump inhibitors (PPIs) has been associated with cardiovascular disease among patients not on antiplatelet therapy. The associations of PPI use, duration and dose, with risk of first-time ischemic stroke and myocardial infarction (MI) are poorly understood. METHODS: All Danish individuals with no prior history of MI or stroke, who had an elective upper gastrointestinal endoscopy performed between 1997 and 2012, were identified from nationwide registries...
October 12, 2017: Journal of Internal Medicine
https://www.readbyqxmd.com/read/28981174/reversal-of-warfarin-era-thinking
#17
Joseph J Shatzel, Molly M Daughety, Vinay Prasad, Thomas G DeLoughery
Anticoagulation offers benefits in appropriately selected patients, however, all anticoagulants increase the risk of bleeding, which can be, at times, life threatening. For decades, vitamin K antagonists were the only oral anticoagulants available to physicians and their patients. In recent years, we have witnessed the approval of five direct oral anticoagulants (DOACs), which have shifted prior paradigms in anticoagulation such as omitting the need for routine therapeutic monitoring and lessening concerns about food and drug interactions...
October 5, 2017: Journal of Internal Medicine
https://www.readbyqxmd.com/read/28977716/occurrence-of-graft-versus-host-disease-increases-mortality-after-umbilical-cord-blood-transplantation-for-acute-myeloid-leukemia-a-report-from-eurocord-and-the-alwp-of-the-ebmt
#18
Frédéric Baron, Annalisa Ruggeri, Eric Beohou, Myriam Labopin, Mohamad Mohty, Jaime Sanz, Stephane Vigouroux, Sabine Furst, Alberto Bosi, Patrice Chevallier, Jan J Cornelissen, Mauricette Michallet, Jorge Sierra, Dimitrios Karakasis, Bipin N Savani, Eliane Gluckman, Arnon Nagler
BACKGROUND: The efficacy of umbilical cord blood transplantation (UCBT) as treatment for acute myeloid leukemia (AML) relies on immune-mediated graft-versus-leukemia effects. Previous studies have suggested a strong association between graft-versus-host disease (GVHD) occurrence and graft-versus-leukemia effects after allogeneic hematopoietic cell transplantation. METHODS: Here, we evaluated the kinetics of relapse rate in correlation to GVHD occurrence after UCBT...
October 4, 2017: Journal of Internal Medicine
https://www.readbyqxmd.com/read/28960596/psychosocial-stress-and-major-cardiovascular-events-in-patients-with-stable-coronary-heart-disease
#19
E Hagström, F Norlund, A Stebbins, P W Armstrong, K Chiswell, C B Granger, J López-Sendón, D Pella, J Soffer, R Sy, L Wallentin, H D White, R A H Stewart, C Held
OBJECTIVES: Assess the risk of ischaemic events associated with psychosocial stress in patients with stable coronary heart disease (CHD). METHODS: Psychosocial stress was assessed by a questionnaire in 14 577 patients (median age 65.0, IQR 59, 71; 81.6% males) with stable CHD on optimal secondary preventive therapy in the prospective randomized STABILITY clinical trial. Adjusted Cox regression models were used to assess associations between individual stressors, baseline cardiovascular risk factors and outcomes...
September 28, 2017: Journal of Internal Medicine
https://www.readbyqxmd.com/read/28960503/reply-to-important-factors-affecting-the-choice-of-an-oral-anticoagulant-may-be-missed-in-database-studies
#20
LETTER
A Gundlund, E L Fosbøl, J B Olesen
No abstract text is available yet for this article.
September 28, 2017: Journal of Internal Medicine
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