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Internal and Emergency Medicine

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https://www.readbyqxmd.com/read/28634721/the-mystery-of-the-old-acid-man
#1
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
#2
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
https://www.readbyqxmd.com/read/28623488/vasculitis-for-the-internist-focus-on-anca-associated-vasculitis
#3
REVIEW
Benjamin Chaigne, Loïc Guillevin
Vasculitides comprise several diseases affecting vessels of different sizes, mainly arteries, but also capillaries and veins. Antineutrophil cytoplasm antibody-associated vasculitides (AAVs) belong to the systemic necrotizing small-vessel vasculitis group that comprises granulomatosis with polyangiitis, microscopic polyangiitis and eosinophilic granulomatosis with polyangiitis. Internists often see AAV patients, and although their outcomes are usually good, the disease can be responsible for morbidity and mortality...
June 16, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28620840/quality-of-life-impairment-in-beh%C3%A3-et-s-disease-and-relationship-with-disease-activity-a-prospective-study
#4
Claudia Fabiani, Antonio Vitale, Ida Orlando, Jurgen Sota, Marco Capozzoli, Rossella Franceschini, Mauro Galeazzi, Gian Marco Tosi, Bruno Frediani, Luca Cantarini
Our aim was to prospectively investigate the impact of Behçet's disease (BD), disease activity, and clinical and demographic characteristics on different aspects of quality of life (QoL) measured by the short-form (SF)-36 QoL scale. We administered the SF-36 to 37 consecutive BD patients in different moments of disease activity, and to 23 healthy controls (HC). The eight subcategories of the SF-36 underwent statistical analysis for identifying differences and correlations. Compared to HC, BD patients showed significantly lower mean scores in all SF-36 QoL subscales except mental health and role-emotional...
June 15, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28597359/trends-in-prescribing-rate-of-statins-at-discharge-and-modifiable-factors-in-patients-with-atherosclerotic-cardiovascular-disease
#5
Bao-Tao Huang, Yong Peng, Fang-Yang Huang, Tian-Li Xia, Yi-Yue Gui, Yan-Biao Liao, Xiao-Bo Pu, Shi-Jian Chen, Yong Yang, Mao Chen
Tremendous effort has been invested in reducing the prevalence of atherosclerotic cardiovascular disease (ASCVD) in China. Meanwhile, accumulating evidence has emerged to show the benefits of statins in the prevention of cardiovascular disease. The present study investigated the change trends of statins prescription at discharge among patients with ASCVD in recent years, differences across subtypes of ASCVD, and associated factors. The study included 51,972 patients with a discharge diagnosis of ASCVD who were hospitalized in West China Hospital from 2008 to 2014...
June 8, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28593451/clinical-diagnostic-and-therapeutic-features-of-patients-admitted-to-acute-care-hospitals-with-trunk-compared-to-lower-limb-cellulitis
#6
Anat Zalmanovich, Michael Lishner, Sharon Reisfeld
The objective of this study is to report the clinical course and risk factors of trunk cellulitis, to identify diagnostic and therapeutic approaches, and compare them to patients with lower limb cellulitis. Medical records of adult patients with trunk cellulitis were reviewed and compared to an equal number of randomly selected patients with lower limb cellulitis. Demographic, clinical, and laboratory data were collected and analyzed using binary univariate and multivariate logistic regression analyses. Primary outcome was surgical drainage...
June 7, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28593450/clinical-assessment-of-endothelial-function-in-patients-with-chronic-obstructive-pulmonary-disease-a-systematic-review-with-meta-analysis
#7
Pasquale Ambrosino, Roberta Lupoli, Salvatore Iervolino, Alberto De Felice, Nicola Pappone, Antonio Storino, Matteo Nicola Dario Di Minno
Patients with chronic obstructive pulmonary disease (COPD) have an increased cardiovascular morbidity and mortality. Flow-mediated (FMD) and nitrate-mediated dilatation (NMD) are considered non-invasive methods to assess endothelial function and surrogate markers of subclinical atherosclerosis. We performed a systematic review with meta-analysis and meta-regression to evaluate the impact of COPD on FMD and NMD. Studies were systematically searched in the PubMed, Web of Science, Scopus and EMBASE databases. The random-effect method was used to take into account the variability among included studies...
June 7, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28589438/obstetrical-history-of-women-with-cerebral-vein-thrombosis-outcome-of-the-pregnancies-before-and-after-the-thrombotic-event
#8
Daniela Poli, Caterina Cenci, Sophie Testa, Oriana Paoletti, Elena Silvestri, Emilia Antonucci
Cerebral vein thrombosis (CVT) is a rare disease usually affecting young people, especially women, with a high prevalence of thrombophilic defects. It is known that thrombophilia is associated with pregnancy complications; therefore, a high rate of complications could be expected in women with the previous CVT who become pregnant. This study examined the whole obstetric history of women who suffered from CVT to evaluate the incidence of pregnancy complications during their entire lifespan. We prospectively followed consecutive patients with CVT, limiting the analysis to females and their obstetrical history...
June 6, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28577149/an-unusual-case-of-neck-pain-in-hashimoto-s-thyroiditis
#9
Eleonora Tamborini Permunian, Nicola Mumoli, Leonardo Callegari, Cinzia Maria Tragni, Walter Ageno
No abstract text is available yet for this article.
June 2, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28573379/timing-of-inr-reversal-using-fresh-frozen-plasma-in-warfarin-associated-intracerebral-hemorrhage
#10
Murtaza Akhter, Andrea Morotti, Abigail Sara Cohen, Yuchiao Chang, Alison M Ayres, Kristin Schwab, Anand Viswanathan, Mahmut Edip Gurol, Christopher David Anderson, Steven Mark Greenberg, Jonathan Rosand, Joshua Norkin Goldstein
Rapid reversal of coagulopathy is recommended in warfarin-associated intracerebral hemorrhage (WAICH). However, rapid correction of the INR has not yet been proven to improve clinical outcomes, and the rate of correction with fresh-frozen plasma (FFP) can be variable. We sought to determine whether faster INR reversal with FFP is associated with decreased hematoma expansion and improved outcome. We performed a retrospective analysis of a prospectively collected cohort of consecutive patients with WAICH presenting to an urban tertiary care hospital from 2000 to 2013...
June 1, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28567558/exercise-mediated-reactive-oxygen-species-generation-in-athletes-and-in-patients-with-chronic-disease
#11
Gianni Biolo, Filippo Giorgio Di Girolamo, Nicola Fiotti, Filippo Mearelli, Patrizio Sarto
No abstract text is available yet for this article.
May 31, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28547207/role-of-out-of-hours-primary-care-service-in-limiting-inappropriate-access-to-emergency-department
#12
Andrea Posocco, Maria Paola Scapinello, Irene De Ronch, Francesco Castrogiovanni, Gianluca Lollo, Guglielmo Sergi, Iginio Tomaselli, Loris Tonon, Marco Solmi, Daniele Pescador, Elena Battistuz, Stefano Traversa, Vincenzo Zambianco, Nicola Veronese
Out of hours (OOH) doctors can have an important gate-keeping role over the access to the emergency department (ED), but the outcome and the quality of their ED referrals have been poorly studied. We aimed to investigate the outcome of patients referred to ED from OOH service and the determinants of admission or short-stay dispositions. We collected retrospectively data about referrals to ED from a local OOH service in the north-east of Italy using the OOH paper register and the ED electronic database, over the period of 01/10/2012 to 31/03/2013...
May 25, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28540661/diagnostic-accuracy-of-focused-cardiac-and-venous-ultrasound-examinations-in-patients-with-shock-and-suspected-pulmonary-embolism
#13
Peiman Nazerian, Giovanni Volpicelli, Chiara Gigli, Alessandro Lamorte, Stefano Grifoni, Simone Vanni
Evaluating the diagnostic performance of focused cardiac ultrasound (US) alone and combination with venous US in patients with shock and suspected pulmonary embolism (PE). Consecutive adult patients with shock and suspected PE, presenting to two Italian emergency departments, were included. Patients underwent cardiac and venous US at presentation with the aim of detecting right ventricular (RV) dilatation and proximal deep venous thrombosis (DVT). Final diagnosis of PE was based on a second level diagnostic test or autopsy...
May 24, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28540660/impact-of-gender-on-short-term-and-long-term-all-cause-mortality-in-patients-with-non-st-segment-elevation-acute-coronary-syndromes-a-meta-analysis
#14
Yushu Wang, Sui Zhu, Rongsheng Du, Juteng Zhou, Yucheng Chen, Qing Zhang
A meta-analysis to determine the impact of gender on mortality in patients with non-ST-segment elevation acute coronary syndromes (NSTE-ACS): PubMed, EMBASE, and Cochrane Library, was systematically searched. Two investigators independently reviewed retrieved articles and assessed eligibility. Unadjusted mortality rates or adjusted effect estimates regarding gender-specific short-term and long-term all-cause mortality were identified. A total of 30 studies involving 358,827 patients with NSTE-ACS (129, 632 women and 229,195 men) were identified...
May 24, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28534143/claims-based-or-clinical-models-for-predicting-90-day-post-pulmonary-embolism-outcomes
#15
Cecilia Becattini, Giancarlo Agnelli
No abstract text is available yet for this article.
May 22, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28501909/vitamin-k-antagonist-therapy-changes-in-the-treated-populations-and-in-management-results-in-italian-anticoagulation-clinics-compared-with-those-recorded-20%C3%A2-years-ago
#16
Gualtiero Palareti, Emilia Antonucci, Ludovica Migliaccio, Nicoletta Erba, Francesco Marongiu, Vittorio Pengo, Daniela Poli, Sophie Testa, Alberto Tosetto, Armando Tripodi, Marco Moia
Vitamin K antagonists (VKA) are the most widely used anticoagulants in the world. An appropriate management of treated patients is crucial for their efficacy and safety. The prospective, observational, multicenter, inception-cohort FCSA-START Register, a branch of START Register (NCT02219984) included VKA-treated patients managed by centers of Italian Federation of anticoagulation clinics (AC). Baseline patient characteristics and data during treatment were analyzed and compared with those of ISCOAT study, performed by the Federation and published in 1996/7...
May 13, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28493028/every-cloud-has-a-silver-lining
#17
Filippo Pieralli, Silvia Baroncelli, Alberto Farese, Antonio Mancini, Fabio Luise, Lucia Sammicheli, Alessandro Bartoloni, Gian Maria Rossolini, Carlo Nozzoli
No abstract text is available yet for this article.
May 10, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28488161/at-the-origin-of-medical-semeiotics-the-stethoscopy-and-the-tactile-vocal-fremitus-still-valuable-tools-at-the-bedside-examination
#18
Giuseppe Realdi
No abstract text is available yet for this article.
May 9, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28478489/diagnostic-accuracy-of-novel-serological-biomarkers-to-detect-acute-mesenteric-ischemia-a-systematic-review-and-meta-analysis
#19
REVIEW
Nikki Treskes, Alexandra M Persoon, Arthur R H van Zanten
Laparotomy remains the gold standard for diagnosis of acute mesenteric ischemia (AMI), but is often unhelpful or too late due to non-specific clinical and radiological signs. This systematic review and meta-analysis aims to evaluate the diagnostic accuracy of the novel serological biomarkers intestinal fatty acid-binding protein (I-FABP), α-glutathione S-transferase (α-GST), D-lactate, ischemia modified albumin (IMA), and citrulline to detect AMI. A systematic search of electronic databases was performed to identify all published diagnostic accuracy studies on I-FABP, α-GST, D-lactate, IMA, and citrulline...
May 6, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28477288/unplanned-hospital-admissions-of-palliative-care-patients-a-great-challenge-for-internal-and-emergency-medicine-physicians
#20
Paolo Cotogni, Anna De Luca, Andrea Saini, Luca Brazzi
No abstract text is available yet for this article.
May 5, 2017: Internal and Emergency Medicine
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