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Internal and Emergency Medicine

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https://www.readbyqxmd.com/read/28741278/italian-intersociety-consensus-on-prevention-diagnosis-and-treatment-of-delirium-in-hospitalized-older-persons
#1
Giuseppe Bellelli, Alessandro Morandi, Marco Trabucchi, Guido Caironi, Daniele Coen, Carlo Fraticelli, Ciro Paolillo, Carolina Prevaldi, Angela Riccardi, Gianfranco Cervellin, Corrado Carabellese, Salvatore Putignano, Stefania Maggi, Antonio Cherubini, Paola Gnerre, Andrea Fontanella, Nicola Latronico, Concezione Tommasino, Antonio Corcione, Giovanni Ricevuti, Nicola Ferrara, Francesco De Filippi, Alberto Ferrari, Mario Guarino, Maria Pia Ruggieri, Pietro Amedeo Modesti, Carlo Locatelli, Patrizia Hrelia, Marco Otto Toscano, Emi Bondi, Antonio Tarasconi, Luca Ansaloni, Francesco Perticone
Delirium is a severe neuropsychiatric syndrome characterized by inattention and global cognitive dysfunction in the setting of an acute medical illness, medical complication, drug intoxication, or drug withdrawal. The most important risk factors are advanced age and dementia, whereas pain, dehydration, infections, stroke, metabolic disturbances, and surgery are the most common triggering factors. Although delirium is a common clinical syndrome in different settings of care (acute care hospitals, inpatient rehabilitation facilities, nursing homes, and hospices), it often remains under-recognized, poorly understood, and inadequately managed...
July 24, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28730404/efficacy-of-thromboprophylaxis-during-pregnancy-in-women-with-a-previous-cerebral-vein-thrombosis
#2
Francesco Dentali, Nicola Mumoli, Marco Cei
No abstract text is available yet for this article.
July 20, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28726033/recommendations-for-the-inclusion-of-fabry-disease-as-a-rare-febrile-condition-in-existing-algorithms-for-fever-of-unknown-origin
#3
Raffaele Manna, Roberto Cauda, Sandro Feriozzi, Giovanni Gambaro, Antonio Gasbarrini, Didier Lacombe, Avi Livneh, Alberto Martini, Huri Ozdogan, Antonio Pisani, Eleonora Riccio, Elena Verrecchia, Lorenzo Dagna
Fever of unknown origin (FUO) is a rather rare clinical syndrome representing a major diagnostic challenge. The occurrence of more than three febrile attacks with fever-free intervals of variable duration during 6 months of observation has recently been proposed as a subcategory of FUO, Recurrent FUO (RFUO). A substantial number of patients with RFUO have auto-inflammatory genetic fevers, but many patients remain undiagnosed. We hypothesize that this undiagnosed subgroup may be comprised of, at least in part, a number of rare genetic febrile diseases such as Fabry disease...
July 19, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28710713/a-consensus-for-the-development-of-a-vector-model-to-assess-clinical-complexity
#4
Gino Roberto Corazza, Catherine Klersy, Pietro Formagnana, Marco Vincenzo Lenti, Donatella Padula
The progressive rise in multimorbidity has made management of complex patients one of the most topical and challenging issues in medicine, both in clinical practice and for healthcare organizations. To make this easier, a score of clinical complexity (CC) would be useful. A vector model to evaluate biological and extra-biological (socio-economic, cultural, behavioural, environmental) domains of CC was proposed a few years ago. However, given that the variables that grade each domain had never been defined, this model has never been used in clinical practice...
July 14, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28710712/headache-and-visual-impairment-after-twin-birth-a-challenging-diagnosis
#5
Alberto Fortini, Massimo Cincotta, Antonio Faraone, Cristina Baruffi, Giovanni Carrieri, Nicola Limbucci, Costanza Boccadori, Gabriele Nenci
No abstract text is available yet for this article.
July 14, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28698956/risk-of-developing-pleural-empyema-in-patients-with-stroke-a-propensity-matched-cohort-study
#6
Te-Chun Shen, Chi-Yu Lin, Cheng-Li Lin, Chia-Hung Chen, Chih-Yen Tu, Te-Chun Hsia, Chuen-Ming Shih, Wu-Huei Hsu, Fung-Chang Sung
Pleural empyema is an important complication of pneumonia. Patients with stroke are at a higher risk developing pneumonia; however, the association between stroke and pleural empyema risk is largely unknown. We used the data from the National Health Insurance Research Database of Taiwan to establish a stroke group consisting of 466,170 patients diagnosed between 2000 and 2010, and a non-stroke group consisting of the same number of individuals matched by the propensity score. Incident pleural empyema was monitored toward the end of 2011...
July 11, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28695455/pcsk9-inhibitors-for-treating-dyslipidemia-in-patients-at-different-cardiovascular-risk-a-systematic-review-and-a-meta-analysis
#7
Alessandro Squizzato, Matteo Basilio Suter, Marta Nerone, Robert Patrick Giugliano, Francesco Dentali, Andrea Maria Maresca, Leonardo Campiotti, Anna Maria Grandi, Luigina Guasti
Statin-induced lowering of low-density lipoprotein cholesterol (LDL-C) reduces cardiovascular morbidity and mortality, but many patients do not adequately reduce their LDL-C levels. Monoclonal antibodies targeting PCKS9 are currently in the advanced phase of development. We aimed to investigate the efficacy and safety of PCSK9 inhibitors in patients at different cardiovascular risk in a systematic review. Studies were searched on MEDLINE and EMBASE until January 2016. Differences in the outcomes among groups were expressed as mean differences, or pooled odds ratio (OR) and corresponding 95% confidence interval (CI), which were calculated using a fixed-effects and a random-effects model...
July 10, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28695454/erratum-to-analysis-of-e-cigarette-use-in-the-2014-eurobarometer-survey-calling-out-deficiencies-in-epidemiology-methods
#8
Riccardo Polosa, Pasquale Caponnetto, Ray Niaura, David Abrams
No abstract text is available yet for this article.
July 10, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28689256/five-steps-for-use-and-interpretation-of-troponin-in-the-emergency-department
#9
Ludovico Furlan, Anna Maria Rusconi, Elisa Ceriani
No abstract text is available yet for this article.
July 8, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28681270/vancomycin-vs-metronidazole-for-clostridium-difficile-infection-focus-on-recurrence-and-mortality
#10
Maddalena Alessandra Wu, Federica Leidi
No abstract text is available yet for this article.
July 5, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28677043/effect-of-emergency-physician-burnout-on-patient-waiting-times
#11
Carla De Stefano, Anne-Laure Philippon, Evguenia Krastinova, Pierre Hausfater, Bruno Riou, Frederic Adnet, Yonathan Freund
Burnout is common in emergency physicians. This syndrome may negatively affect patient care and alter work productivity. We seek to assess whether burnout of emergency physicians impacts waiting times in the emergency department. Prospective study in an academic ED. All patients who visited the main ED for a 4-month period in 2016 were included. Target waiting times are assigned by triage nurse to patients on arrival depending on their severity. The primary endpoint was an exceeded target waiting time for ED patients...
July 4, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28669048/severity-of-community-acquired-hypernatremia-is-an-independent-predictor-of-mortality-a-matter-of-water-balance-and-rate-of-correction
#12
Aderville Cabassi, Stefano Tedeschi
No abstract text is available yet for this article.
July 1, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28667478/pulmonary-hypertension-nosography-are-all-patients-classifiable
#13
Elena Torricelli, Mariaelena Occhipinti, Federico Lavorini, Chiara Cresci, Chiara Arcangeli, Edoardo Cavigli, Francesca Bigazzi, Massimo Pistolesi
No abstract text is available yet for this article.
June 30, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28656546/epidemiology-of-acute-kidney-injury-in-patients-with-stroke-a-retrospective-analysis-from-the-neurology-icu
#14
Dongxue Wang, Yidan Guo, Yin Zhang, Zhaoxia Li, Ang Li, Yang Luo
Acute kidney injury (AKI) is proven to be an independent risk factor for adverse clinical outcomes in patients with stroke, but data about the epidemiology of AKI in these patients are not well characterized. Therefore, we investigated the incidence, risk factors, and the impact of AKI on the clinical outcomes in a group of Chinese patients with stroke. We retrospectively recruited 647 stroke patients from the neurology ICU between 2012 and 2013. AKI was identified according to the 2012 KDIGO criteria. Baseline estimated glomerular filtration rate (eGFR) was calculated using modified Chronic Kidney Disease Epidemiology Collaboration equation for Chinese patients...
June 27, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28653145/a-very-cool-electrocardiogram-osborn-waves-of-hypothermia
#15
Corey Shephard Miller, Blair Carl Schwartz
No abstract text is available yet for this article.
June 26, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28647890/comparison-of-lercanidipine-plus-hydrochlorothiazide-vs-lercanidipine-plus-enalapril-on-micro-and-macrocirculation-in-patients-with-mild-essential-hypertension
#16
Carolina De Ciuceis, Massimo Salvetti, Anna Paini, Claudia Rossini, Maria Lorenza Muiesan, Sarah Duse, Stefano Caletti, Maria Antonietta Coschignano, Francesco Semeraro, Valentina Trapletti, Fabio Bertacchini, Valeria Brami, Alina Petelca, Enrico Agabiti Rosei, Damiano Rizzoni, Claudia Agabiti Rosei
Dihydropyridine calcium channel blockers may possess antioxidant properties, and might improve micro and macrovascular structure and function. Combination treatment with an ACE inhibitor may have additional advantages, compared with a thiazide diuretic. The aim of the present study is to investigate the effects of a short-term treatment with lercanidipine, and to compare two combination treatments: lercanidipine + enalapril vs. lercanidipine + hydrochlorothiazide on structural alterations in retinal arterioles, on skin capillary density and on large artery distensibility...
June 24, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28646442/variability-of-adverse-events-in-the-public-health-care-service-of-the-tuscany-region
#17
Sara Albolino, Riccardo Tartaglia, Tommaso Bellandi, Elisa Bianchini, Giancarlo Fabbro, Silvia Forni, Giulia Cernuschi, Annibale Biggeri
The objective of the study is to analyze the variation of adverse events (AEs) according to the different structure of hospitals. The study is a multicenter, retrospective study. It involves 4 teaching hospitals (THs) and 32 community hospitals, distributed in 12 local trusts (LTs), of the Tuscany Regional Healthcare Service (RHS). A random sample of the clinical records of patients admitted in LTs and THs in 2008 was selected from the database of the hospital discharge records of the centers. Among 11,293 clinical records included, a total of 354 adverse events were identified...
June 23, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28643210/the-very-rare-unusual-sites-venous-thromboses
#18
Antonella Tufano, Pietro Amedeo Modesti
No abstract text is available yet for this article.
June 22, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28634721/the-mystery-of-the-old-acid-man
#19
Cristina Cocino, Paola Tagliabue, Maja Caldato
No abstract text is available yet for this article.
June 20, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28625000/mechanical-restraint-in-an-emergency-department-a-consecutive-series-of-593-cases
#20
Nicolas Beysard, Bertrand Yersin, Pierre-Nicolas Carron
The objective is to describe the characteristics of mechanically restrained patients in the emergency department (ED) of a university hospital and to evaluate the quality of restraint documentation that was filled out according to the dedicated protocol with respect to the law on restraint. All adult patients (≥16 years) who were admitted to the ED from January 2009 to December 2010 and were mechanically restrained were included. We assessed medical and demographic characteristics, the completeness of the dedicated protocol, and the concomitant use of chemical sedation...
June 17, 2017: Internal and Emergency Medicine
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