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European Journal of Internal Medicine

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https://www.readbyqxmd.com/read/29137927/the-cholesterol-lowering-effect-of-statins-is-potentiated-by-whole-grains-intake-the-polish-norwegian-study-pons
#1
Georgeta D Vaidean, Marta Manczuk, Sandeep S Vansal, Jacqueline Griffith
BACKGROUND: Hypercholesterolemia treatment guidelines emphasize an adequate whole grains (WG) intake, alone or complementary to pharmacological treatment. We conducted this study to compare the prevalence of adequate WG intake and levels of blood lipids according to the statin/WG intake status. METHODS: This cross-sectional analysis of a community-based study included 12,754 men and women, age 45-64. Statin use over past 30days was recorded by trained nurses. Food intake over past 12months was assessed by a validated food-frequency questionnaire...
November 11, 2017: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/29128236/introduction-to-the-special-issue-on-acutely-ill-patients
#2
EDITORIAL
John Kellett, Radovan Hojs
No abstract text is available yet for this article.
November 8, 2017: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/29126663/the-true-clinicians-do-not-need-formal-tools-to-define-the-complexity-of-their-patients-is-this-statement-always-true
#3
LETTER
Roberto Nardi, Micaela La Regina, Andrea Fontanella
No abstract text is available yet for this article.
November 7, 2017: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/29122438/life-expectancy-is-unaffected-by-thyroid-function-parameters-in-euthyroid-subjects-the-prevend-cohort-study
#4
LETTER
Lynnda J N van Tienhoven-Wind, Eke G Gruppen, Wim J Sluiter, Stephan J L Bakker, Robin P F Dullaart
No abstract text is available yet for this article.
November 6, 2017: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/29122437/the-effects-of-protein-intake-on-albuminuria-in-different-estimated-glomerular-filtration-rate-a-population-based-study
#5
Yan Liu, Rong-Shao Tan, Dao-Yuan Zhou, Xiao Xiao, Jian-Min Ran, Dan-Ping Qin, Xiao-Shi Zhong, Jian-Guang Hu, Yun Liu, Yuan-Yuan Zheng
BACKGROUND: Chronic kidney disease (CKD) is a serious condition associated with early mortality, decreased quality of life, and increased health-care expenditures. METHODS: Data from the National Health and Nutrition Examination Survey (NHANES) collected from 1999 to 2012 were used. Subjects were divided into 4 estimated glomerular filtration rate (eGFR) categories: stage 1: eGFR≥90mL/min/1.73m(2), stage 2: eGFR 60-89, stage 3: eGFR 30-59, and stage 4/5: eGFR<30, and 3 age strata (<45y, 45-64, 65+)...
November 6, 2017: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/29113707/helicobacter-pylori-and-proton-pump-inhibitor-therapy-one-diagnostic-method-is-enough
#6
LETTER
Davide Giuseppe Ribaldone, Giorgio Maria Saracco, Rinaldo Pellicano
No abstract text is available yet for this article.
November 4, 2017: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/29102387/bleeding-related-to-non-vitamin-k-antagonist-oral-anticoagulants-in-emergency-department-a-real-world-snapshot-from-southern-italy-on-behalf-of-mirc-noac-study-group
#7
LETTER
Andrea Salzano, Marco Proietti, Roberta D'Assante, Lavinia Saldamarco, Antonio Cittadini, Fiorella Paladino
No abstract text is available yet for this article.
November 1, 2017: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/29100896/liver-disease-and-heart-failure-back-and-forth
#8
REVIEW
Michele Correale, Nicola Tarantino, Rossella Petrucci, Lucia Tricarico, Irma Laonigro, Matteo Di Biase, Natale Daniele Brunetti
In their clinical practice, physicians can face heart diseases (chronic or acute heart failure) affecting the liver and liver diseases affecting the heart. Systemic diseases can also affect both heart and liver. Therefore, it is crucial in clinical practice to identify complex interactions between heart and liver, in order to provide the best treatment for both. In this review, we sought to summarize principal evidence explaining the mechanisms and supporting the existence of this complicate cross-talk between heart and liver...
October 31, 2017: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/29100895/obesity-phenotypes-and-their-paradoxical-association-with-cardiovascular-diseases
#9
REVIEW
Alessandra Vecchié, Franco Dallegri, Federico Carbone, Aldo Bonaventura, Luca Liberale, Piero Portincasa, Gema Frühbeck, Fabrizio Montecucco
The pro-inflammatory state of the visceral adipose tissue (VAT) is supposed to accelerate cardiovascular (CV) and metabolic diseases in obese subjects. Some studies have recently reported an improved CV prognosis in certain obese and overweight patients as compared with leaner ones. This phenomenon, known as the "obesity paradox" (OP), has been described in many chronic diseases. This narrative review is based on the material searched for and obtained via PubMed and Web of Science up to May 2017. The search terms we used were: "obesity, paradox, adipose tissue" in combination with "cardiovascular, coronary heart disease, heart failure, arrhythmias"...
October 31, 2017: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/29096992/epidemiology-and-risk-factors-for-mortality-in-bloodstream-infection-by-cp-kp-esbl-e-candida-and-cdi-a-single-center-retrospective-study
#10
Silvia Corcione, Roberto Angilletta, Stefania Raviolo, Claudia Filippini, Lucina Fossati, Giovanni Di Perri, Rossana Cavallo, Francesco Giuseppe De Rosa
BACKGROUND: The incidence of C. difficile infection (CDI) and of bloodstream infection (BSI) caused by Candida spp., ESBL-E-producing Enterobacteriaceae (ESBL-E) and carbapenemase-producing K. pneumoniae (CP-Kp) is associated with high mortality. METHODS: We conducted a single centre retrospective study on patients admitted to Molinette Hospital, Turin, Italy, from January 2013 to April 2015 with CDI or BSI caused by Candida, ESBL-E or CP-Kp. For each patient demographic, clinical and microbiological data were collected...
October 30, 2017: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/29096991/intox-detox-antidotes-evidence-based-diagnosis-and-treatment-of-acute-intoxications
#11
Andreas Schaper, Martin Ebbecke
BACKGROUND AND AIM: Aim of this review is to describe the role of clinical toxicology in the context of acute medicine. A special focus is put on antidotes and important aspects of diagnosis and therapy of acute intoxications. The data of the annual report of GIZ-Nord Poisons Centre is analyzed concerning the following aspects: what intoxications are relevant in acute medicine, are there special aspects in therapy, e.g. antidotes, and what antidotes are relevant? More over intoxication-related fatalities are analyzed...
October 30, 2017: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/29092746/comparing-associations-of-different-metabolic-syndrome-definitions-with-ischemic-stroke-in-chinese-elderly-population
#12
Qian Liu, Yan-Xun Li, Zhi-Hao Hu, Xiao-Yan Jiang, Shu-Juan Li, Xiao-Feng Wang
OBJECTIVES: Studies have showed the associations between different definitions of metabolic syndrome (MetS) and risk of ischemic stroke were inconsistent. In this study, we compared associations of different MetS definitions with ischemic stroke in Chinese elderly population. METHODS: A total of 1713 individuals aged 70-84years from Rugao Longevity and Ageing Study were analyzed. The MetS was defined by four different criteria: Chinese Adult Dyslipidemia Prevention Guide, International Diabetes Federation (IDF), Updated ATPIII (Updated ATPIII) by American heart association/American heart, lung and blood institute (AHA/NHLBI), and Joint Interim Statement(JIS) recommended by IDF and the American heart association/American national institutes of health/American heart, lung and blood institute (AHA/NIH/NHLBI)...
October 29, 2017: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/29089174/clinical-outcomes-of-elderly-patients-with-bloodstream-infections-due-to-extended-spectrum-%C3%AE-lactamase-producing-enterobacteriaceae-in-an-italian-internal-medicine-ward
#13
Simone Meini, Raffaele Laureano, Carlo Tascini, Fabio Arena, Lucia Fani, Anna Frullini, Maria Teresa Passaleva, Anna Teresa Roberts, Dario Mannini, Francesco Sbrana, Andrea Ripoli, Gian Maria Rossolini
PURPOSE: Infections caused by ESBL-producing Enterobacteriaceae (ESBL-EB) are a major health problem, but data regarding elderly patients is lacking. METHODS: We performed a retrospective observational study quantifying the effects of antimicrobial treatment and primary infection site on clinical outcomes in an historical case series of 42 patients aged 80.7±10years admitted to an Internal Medicine ward in Italy for ESBL-EB bloodstream infections (BSI). RESULTS: At multivariate risk analysis, we found that urinary tract as primary infection site (RR=0...
October 28, 2017: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/29110901/gut-microbiota-and-obesity-concepts-relevant-to-clinical-care
#14
REVIEW
Maria Carlota Dao, Karine Clément
The composition and function of gut microbiota play a role in obesity and metabolic disease, yet the mechanisms have not been fully described. As new discoveries and advances in the field have occurred, the relevance of gut microbiota in clinical care has become more substantial. There is promising potential for manipulation of the gut microbiota as treatment of obesity and associated health complications, both as a standalone therapy and as part of interventions such as weight loss. In this review we have compiled knowledge and concepts that are important in the consideration of gut microbiota for clinical care...
October 27, 2017: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/29102088/epidemiological-trends-of-deep-venous-thrombosis-in-hiv-infected-subjects-1997-2013-a-nationwide-population-based-study-in-spain
#15
Alejandro Alvaro-Meca, Pablo Ryan, Esther Martínez-Larrull, Dariela Micheloud, Juan Berenguer, Salvador Resino
BACKGROUND: Chronic infections may be a triggering factor as well as a risk factor of deep venous thrombosis (DVT). The purpose of this study was to analyze the epidemiological trends of hospital admissions related to DVT in human immunodeficiency virus (HIV)-infected patients during the combination antiretroviral therapy (cART) era, in relation to hepatitis C virus (HCV) serological status. METHODS: We performed a retrospective study using the Spanish Minimum Basic Data Set...
October 25, 2017: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/29079274/glomerular-filtration-rate-is-associated-with-free-triiodothyronine-in-euthyroid-subjects-comparison-between-various-equations-to-estimate-renal-function-and-creatinine-clearance
#16
Josephine L C Anderson, Eke G Gruppen, Lynnda van Tienhoven-Wind, Michele F Eisenga, Hanne de Vries, Ron T Gansevoort, Stephan J L Bakker, Robin P F Dullaart
BACKGROUND: Effects of variations in thyroid function within the euthyroid range on renal function are unclear. Cystatin C-based equations to estimate glomerular filtration rate (GFR) are currently advocated for mortality and renal risk prediction. However, the applicability of cystatin C-based equations is discouraged in patients with overt thyroid dysfunction, since serum cystatin C and creatinine levels are oppositely affected by thyroid dysfunction. Here, we compared relationships of thyroid stimulating hormone (TSH), free thyroxine (FT4) and free triiodothyronine (FT3) with various measures of kidney function in euthyroid subjects...
October 24, 2017: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/29079273/ultrasound-versus-stethoscope-in-internal-medicine-do-not-skip-steps
#17
LETTER
Emmanuel Andrès, Raymond Gass
No abstract text is available yet for this article.
October 24, 2017: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/29074217/systematically-assessed-symptoms-as-outcome-predictors-in-emergency-patients
#18
R Bingisser, M Dietrich, R Nieves Ortega, A Malinovska, T Bosia, C H Nickel
INTRODUCTION: It is known that symptoms are predictive of mortality in "nonsurgical" emergency patients. It is unknown whether a prospective, systematic, and "unscreened" assessment of all symptoms is of any prognostic value. Therefore, we aimed to examine the association between symptoms and outcomes in an all-comer population. METHODS: Data were acquired during 6weeks at the ED of the University Hospital Basel, a tertiary hospital. Consecutive patients presenting to the ED were included...
October 23, 2017: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/29056396/serology-in-autoimmune-hepatitis-a-clinical-practice-approach
#19
REVIEW
Benedetta Terziroli Beretta-Piccoli, Giorgina Mieli-Vergani, Diego Vergani
Serology is key to the diagnosis of autoimmune hepatitis (AIH). Clinicians need to be aware of which tests to request, how to interpret the laboratory reports, and be familiar with the laboratory methodology. If correctly tested, >95% of AIH patients show some serological reactivity. Indirect immunofluorescence on triple rodent tissue is recommended as first screening step, since it allows the detection of all liver-relevant autoantibodies, except for anti-soluble liver antigen (SLA) antibody, which needs to be detected by molecular based assays...
October 19, 2017: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/29046258/association-between-statin-exposure-and-venous-thromboembolism-risk-in-cancer-patients-data-from-the-edith-case-control-study
#20
LETTER
Claire De Moreuil, Raphaël Le Mao, Cécile Tromeur, Francis Couturaud, Karine Lacut, Aurélien Delluc
No abstract text is available yet for this article.
October 15, 2017: European Journal of Internal Medicine
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