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Internal and Emergency Medicine

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https://www.readbyqxmd.com/read/28070877/idiopathic-retroperitoneal-fibrosis-and-its-overlap-with-igg4-related-disease
#1
REVIEW
Giovanni Maria Rossi, Rossana Rocco, Eugenia Accorsi Buttini, Chiara Marvisi, Augusto Vaglio
Retroperitoneal fibrosis (RPF) is a rare disease characterised by fibrous tissue proliferation in the retroperitoneum, with encasement of the ureters and large vessels of the abdomen as the most destructive of potentially severe complications. It can either be idiopathic, or secondary to infections, malignancies, or the use of certain drugs. The idiopathic form accounts for approximately 75% of the cases, and is usually responsive to immunosuppressive therapy. In recent years, the emergence of a new clinical entity, IgG4-related disease (IgG4-RD), shed light on many fibro-inflammatory disorders once thought to be separate clinical entities, although frequently associated in the so-called multifocal fibrosclerosis...
January 9, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28066865/emergency-severity-index-esi-triage-mobile-or-paper-methodological-issue-on-validity-and-reliability-analysis
#2
LETTER
Siamak Sabour
No abstract text is available yet for this article.
January 9, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28066864/netosis-in-arterial-and-venous-thrombosis-a-one-size-fits-all-mechanism
#3
Erica De Candia
No abstract text is available yet for this article.
January 9, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28063115/bedside-focused-cardiac-ultrasound-in-the-evaluation-of-systolic-dysfunction
#4
Elisa Maria Fiorelli, Francesco Casella, Daniela Torzillo, Chiara Cogliati
No abstract text is available yet for this article.
January 6, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28054225/spectrum-and-burden-of-neglected-tropical-diseases-observed-in-an-infectious-and-tropical-diseases-unit-in-florence-italy-2000-2015
#5
Lorenzo Zammarchi, Iacopo Vellere, Leonardo Stella, Filippo Bartalesi, Marianne Strohmeyer, Alessandro Bartoloni
Neglected tropical diseases (NTDs) are a diverse group of acute and chronic conditions with distinct characteristics that thrive mainly among the poorest populations, almost exclusively in tropical countries. To evaluate the relevance and impact of NTDs in a temperate area, the number and features of patients diagnosed with NTDs at the Infectious and Tropical Diseases Unit (ITDU), Azienda Ospedaliero-Universitaria Careggi, Florence, Italy between 2000 and 2015 were retrospectively reviewed. Overall 289 NTD cases were diagnosed in 283 subjects accounting for 2...
January 4, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28044251/novel-diagnostic-and-therapeutic-frontiers-in-thrombotic-anti-phospholipid-syndrome
#6
REVIEW
Savino Sciascia, Massimo Radin, Mario Bazzan, Dario Roccatello
The anti-phospholipid syndrome (APS) is an autoimmune disorder characterized by vascular thrombosis and/or pregnancy morbidity, associated with a persistent positivity for anti-phospholipid antibodies (aPL). The current classification criteria for APS include three laboratory tests: lupus anti-coagulant (LA), anti-cardiolipin (aCL), and anti-β2 glycoprotein-I (β2GPI). To date, the therapeutic approach for thrombotic APS mainly centers on long-term anti-coagulation with a vitamin K antagonist (VKA). APS management may represent a challenge for the treating physicians...
January 2, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28040835/novel-ecg-changes-in-acute-coronary-syndromes-would-improvement-in-the-recognition-of-stemi-equivalents-affect-time-until-reperfusion
#7
Joshua Wall, Leigh D White, Astin Lee
Current guidelines recommend that patients with non-ST elevation myocardial infarction (NSTEMI) are treated with medical management alone, or in combination with coronary angiography within 24 h. Recent research suggests that NSTEMIs show angiographic evidence of complete occlusion at rates comparable to STEMIs, suggesting a subgroup of NSTEMI patients who require urgent angiography. Novel ECG changes, termed 'STEMI-equivalents', have been described as a way of identifying this subgroup. The aim of this study was to determine whether patients with STEMI-equivalent ECG changes experience similar degrees of myocardial damage, and would thus benefit from urgent PCI...
December 31, 2016: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28039615/impact-of-red-blood-cell-transfusion-on-acute-coronary-syndrome-a-meta-analysis
#8
Yushu Wang, Xiuli Shi, Rongsheng Du, Yucheng Chen, Qing Zhang
The impact of red blood cell transfusion on outcomes in patients with acute coronary syndrome is controversial. Pubmed, EMBASE, and Cochrane Library were searched for studies of red blood cell transfusion and acute coronary syndrome that were published in any language, from January 1, 1966, to April 1, 2016. We analyzed 17 observational studies, of 2,525,550 subjects. We conducted a systematic review with meta-analysis of studies assessing the association between blood transfusion and the risk for all-cause mortality and reinfarction...
December 30, 2016: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28039614/tuberculosis-related-giant-bullae-mimicking-tension-pneumothorax
#9
EDITORIAL
Ming-Tsung Chen, Shih-En Tang
No abstract text is available yet for this article.
December 30, 2016: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28039613/shortness-of-breath-what-did-the-cxr-show
#10
EDITORIAL
Riad Akkari, Basem F Khishfe
No abstract text is available yet for this article.
December 30, 2016: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28032265/using-continuous-quantitative-capnography-for-emergency-department-procedural-sedation-a-systematic-review-and-cost-effectiveness-analysis
#11
Nicholas Matthew Mohr, Andrew Stoltze, Azeemuddin Ahmed, Elizabeth Kiscaden, Dan Shane
End-tidal CO2 has been advocated to improve safety of emergency department (ED) procedural sedation by decreasing hypoxia and catastrophic outcomes. This study aimed to estimate the cost-effectiveness of routine use of continuous waveform quantitative end-tidal CO2 monitoring for ED procedural sedation in prevention of catastrophic events. Markov modeling was used to perform cost-effectiveness analysis to estimate societal costs per prevented catastrophic event (death or hypoxic brain injury) during routine ED procedural sedation...
December 28, 2016: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28028726/predictors-of-in-hospital-mortality-and-dependence-at-discharge-in-patients-with-mca-stroke-with-intravenous-thrombolysis
#12
Renata Dal-Prá Ducci, Marcos Christiano Lange, Viviane de Hiroki Flumignan Zétola
Early risk stratification of mortality and dependence is important for guiding medical decision-making in stroke care. The study aim is to evaluate whether there are any differences between risk factors for in-hospital mortality and dependence at discharge in patients with first-episode ischemic stroke in the middle cerebral artery (MCA) receiving intravenous thrombolysis (IVT) treatment. The study comprised a single-center cohort of patients admitted consecutively for first-episode MCA ischemic stroke. A logistic regression analysis was performed to determine the variables associated with in-hospital mortality and dependence at discharge...
December 27, 2016: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28025766/safety-of-cardioversion-in-atrial-fibrillation-lasting-less-than-48%C3%A2-h-without-post-procedural-anticoagulation-in-patients-at-low-cardioembolic-risk
#13
Andrea Tampieri, Valentina Cipriano, Fabrizio Mucci, Anna Maria Rusconi, Tiziano Lenzi, Patrizia Cenni
Currently, there is no unified consensus on short-term anticoagulation after cardioversion of atrial fibrillation lasting less than 48 h in low-cardioembolic-risk patients. The aim of this study is to evaluate the rate of transient ischemic attacks, stroke and death in this subset of patients after cardioversion without post-procedural anticoagulation. In a prospective observational study, patients with recent-onset AF undergoing cardioversion attempts in the Emergency Department were evaluated over the past 3 years...
December 26, 2016: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28013445/a-vascular-cause-of-neck-pain
#14
EDITORIAL
Brian Reed Curtis, Evan Fitchett
No abstract text is available yet for this article.
December 24, 2016: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28005263/does-early-onset-cataract-increase-the-risk-of-ischemic-stroke-a-nationwide-retrospective-cohort-study
#15
Chih-Yang Huang, Tung-Sheng Chen, Cheng-Li Lin, Wei-Syun Hu
This study was attempted to address the association between early onset cataract (EOC) and ischemic stroke. Using the Longitudinal Health Insurance Database 2000, we established an EOC cohort and a comparison cohort by using 4-fold propensity score matching according to age, gender and comorbidities to detect the incidence of ischemic stroke. A Cox model was used to express the risk of ischemic stroke for the EOC patients compared with the comparison cohort. After adjusting for age, gender and comorbidities of hypertension, diabetes mellitus, hyperlipidemia, coronary artery disease, asthma, chronic obstructive pulmonary disease, chronic kidney disease, heart failure, obesity, and atrial fibrillation, the EOC patients had a 1...
December 22, 2016: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/27988829/cost-effectiveness-of-pneumococcal-urinary-antigen-in-emergency-department-a-pragmatic-real-life-study
#16
Aurélien Dinh, Clara Duran, Benjamin Davido, Aurore Lagrange, Valérie Sivadon-Tardy, Frédérique Bouchand, Alain Beauchet, Jean-Louis Gaillard, Sébastien Beaune, Jérôme Salomon, Julie Grenet
Community-acquired pneumonia (CAP) is frequent and can be life-threatening. Streptococcus pneumoniae is the main bacteria involved, and is susceptible to penicillin A. Rapid microbiological diagnosis could then help reduce the antimicrobial spectrum. The pneumococcal urinary antigen (PUA) test is fast and easy to perform, but its impact on antimicrobial prescription and cost-effectiveness in emergency departments (ED) is not well known. We performed a pragmatic real life retrospective study in an adult ED to assess its usefulness: proportion of positive results, impact on antimicrobial prescriptions and cost-effectiveness...
December 17, 2016: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/27988828/mushroom-poisoning-a-retrospective-study-concerning-11-years-of-admissions-in-a-swiss-emergency-department
#17
Maxime Schmutz, Pierre-Nicolas Carron, Bertrand Yersin, Lionel Trueb
Wild mushroom intoxication is an unusual cause of toxic ingestion in Europe. A great diversity of clinical symptoms may arise depending on the variety of wild mushrooms ingested. These initial symptoms are often non-specific, with frequent gastrointestinal symptoms, and have no direct correlation with the outcome. Therefore, management of mushroom poisoning and risk evaluation are a challenge for emergency clinicians. We retrospectively reviewed all cases of mushroom poisoning identified in the ED database spanning 11 years...
December 17, 2016: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/27987065/combination-of-clinical-and-ecg-criteria-may-increase-validity-of-triage-scales
#18
LETTER
Amir Mirhaghi
No abstract text is available yet for this article.
December 16, 2016: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/27987064/usefulness-of-combining-admission-brain-natriuretic-peptide-bnp-plus-hospital-discharge-bioelectrical-impedance-vector-analysis-biva-in-predicting-90%C3%A2-days-cardiovascular-mortality-in-patients-with-acute-heart-failure
#19
Simona Santarelli, Veronica Russo, Irene Lalle, Benedetta De Berardinis, Silvia Navarin, Laura Magrini, Antonio Piccoli, Marta Codognotto, Luigi Maria Castello, Gian Carlo Avanzi, Humberto Villacorta, Bernardo Luiz Campanário Precht, Pilar Barreto de Araújo Porto, Aline Sterque Villacorta, Salvatore Di Somma
Heart failure is a disease characterized by high prevalence and mortality, and frequent rehospitalizations. The aim of this study is to investigate the prognostic power of combining brain natriuretic peptide (BNP) and congestion status detected by bioelectrical impedance vector analysis (BIVA) in acute heart failure patients. This is an observational, prospective, and a multicentre study. BNP assessment was measured upon hospital arrival, while BIVA analysis was obtained at the time of discharge. Cardiovascular deaths were evaluated at 90 days by a follow up phone call...
December 16, 2016: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/27933437/focal-disruption-in-the-wall-of-the-porcelain-gallbladder-a-sign-of-gallbladder-carcinoma
#20
EDITORIAL
Mougnyan Cox, Manisha Patel, Upasana Joneja, Colette Shaw, Patrick O'Kane
No abstract text is available yet for this article.
December 8, 2016: Internal and Emergency Medicine
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