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Internal and Emergency Medicine

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https://www.readbyqxmd.com/read/29340912/predictors-of-hypoglycemia-in-hospitalized-patients-with-diabetes-mellitus
#1
Amit Akirov, Oren Amitai, Hiba Masri-Iraqi, Talia Diker-Cohen, Tzipora Shochat, Yoav Eizenberg, Ilan Shimon
Hypoglycemia is common among hospitalized patients with diabetes mellitus (DM), and is associated with increased morbidity and mortality. Identify pre-admission risk factors associated with in-hospital hypoglycemia. Historical prospectively collected data of adult DM patients hospitalized to medical wards between 2011 and 2013. Hypoglycemia and serious hypoglycemia were defined as at least one blood glucose measurement ≤ 70 and < 54 mg/dl, respectively, during hospitalization. The primary outcome was in-hospital hypoglycemia...
January 16, 2018: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/29335822/emergency-department-throughput-an-intervention
#2
Nowreen Haq, Rona Stewart-Corral, Eric Hamrock, Jamie Perin, Waseem Khaliq
Shortening emergency department (ED) boarding time and managing hospital bed capacity by expediting the inpatient discharge process have been challenging for hospitals nationwide. The objective of this study is was to explore the effect of an innovative prospective intervention on hospital workflow, specifically on early inpatient discharges and the ED boarding time. The intervention consisted of a structured nursing "admission discharge transfer" (ADT) protocol receiving new admissions from the ED and helping out floor nursing with early discharges...
January 15, 2018: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/29322386/independent-risk-factors-for-mortality-in-critically-ill-patients-with-candidemia-on-italian-internal-medicine-wards
#3
Francesco Sbrana, Emanuela Sozio, Matteo Bassetti, Andrea Ripoli, Filippo Pieralli, Anna Maria Azzini, Alessandro Morettini, Carlo Nozzoli, Maria Merelli, Sebastiano Rizzardo, Giacomo Bertolino, Davide Carrara, Claudio Scarparo, Ercole Concia, Francesco Menichetti, Carlo Tascini
Candida is an increasing cause of bloodstream infection and is associated with significant morbidity and mortality. The aim of our study is to analyze risk factors for short-term mortality in patients with bloodstream Candida spp. infections admitted to Internal Medicine Wards (IMWs). This was a retrospective case-control study between January 2012 and December 2014 from four University Hospitals in Italy, where patients with candidemia dying within 30 days from diagnosis were matched to control cases with candidemia who survived in the same period of time...
January 10, 2018: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/29299831/sarcoidosis-a-review-for-the-internist
#4
REVIEW
Elena Bargagli, Antje Prasse
Sarcoidosis is a systemic granulomatous lung disease of unknown origin affecting people of any age, mainly young adults. The disease is extremely heterogeneous with an unpredictable clinical course. Different phenotypes have been identified: an acute syndrome can be distinguished from subacute and chronic variants. About 20% of patients are chronically progressive and may develop lung fibrosis. Sarcoidosis usually involves the lungs and thoracic lymph nodes, although the skin, eyes, bones, liver, spleen, heart, upper respiratory tract and nervous system can also be affected...
January 3, 2018: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/29290048/screening-and-detection-of-delirium-in-older-ed-patients-performance-of-the-modified-confusion-assessment-method-for-the-emergency-department-mcam-ed-a-two-step-tool
#5
Wolfgang Hasemann, Florian F Grossmann, Rahel Stadler, Roland Bingisser, Dieter Breil, Martina Hafner, Reto W Kressig, Christian H Nickel
Delirium is frequent in older Emergency Department (ED) patients, but detection rates for delirium in the ED are low. To aid in identifying delirium, we developed and implemented a two-step systematic delirium screening and assessment tool in our ED: the modified Confusion Assessment Method for the Emergency Department (mCAM-ED). Components of the mCAM-ED include: (1) screening for inattention, the main feature of delirium, which was performed with the Months Backwards Test (MBT); (2) delirium assessment based on a structured interview with questions from the Mental Status Questionnaire by Kahn et al...
December 30, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/29290047/predictive-modeling-of-inpatient-mortality-in-departments-of-internal-medicine
#6
Naama Schwartz, Ali Sakhnini, Naiel Bisharat
Despite overwhelming data on predictors of inpatient mortality, it is unclear which variables are the most instructive in predicting mortality of patients in departments of internal medicine. This study aims to identify the most informative predictors of inpatient mortality, and builds a prediction model on an individual level, given a constellation of patient characteristics. We use a penalized method for developing the prediction model by applying the least-absolute-shrinkage and selection-operator regression...
December 30, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/29288472/inferior-vena-cava-filters-use-or-abuse
#7
Davide Imberti, Daniela Mastroiacovo
No abstract text is available yet for this article.
December 29, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/29275452/mild-troponin-elevation-in-patients-admitted-to-the-emergency-department-with-atrial-fibrillation-30-day-post-discharge-prognostic-significance
#8
João Augusto, Miguel Borges Santos, David Roque, Daniel Faria, Joana Urzal, José Morais, Victor Gil, Carlos Morais
Patients with atrial fibrillation (AF) often undergo troponin (Tn) testing in the emergency department (ED), but the clinical significance of mildly elevated values remains unclear. We evaluated short-term 30-day post-discharge outcomes in AF patients according to troponin levels. Out of 2181 AF patients evaluated in the ED (June 2014 to June 2015), we included consecutive admitted patients. Patients were grouped into those with normal Tn values (≤ 0.05 ng/mL), mild elevations (> 0.05-0.5 ng/mL, 10× URL) and marked elevations (> 0...
December 23, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/29273909/emergency-department-visits-among-patients-with-left-ventricular-assist-devices
#9
Christopher R Tainter, Oscar Ö Braun, Felipe Teran, Albert P Nguyen, Kimberly Robbins, Edward O O'Brien, Zeb M McMillan, Ulrich Schmidt, Angela Meier, Mat Goebel, Victor Pretorius, Michela Brambatti, Eric D Adler, Raghu Seethala
Continuous-flow left ventricular assist devices (LVADs) are increasingly implanted to support patients with end-stage heart failure. These patients are at high risk for complications, many of which necessitate emergency care. While rehospitalization rates have been described, there is little data regarding emergency department (ED) visits. We hypothesize that ED visits are frequent and often require admission after LVAD implantation. We performed a retrospective review of patients in our health-care system followed by the advanced heart failure service for LVAD management after implantation between January 2011 and July 2015...
December 22, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/29270832/oxidative-stress-management-during-non-invasive-ventilation-in-acute-respiratory-failure
#10
Matteo Becatti, Niccolò Taddei, Claudia Fiorillo
No abstract text is available yet for this article.
December 21, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/29270831/trying-to-prolong-life-no-matter-what-or-to-dignify-it-till-the-end-the-dilemma-of-modern-medicine-reply
#11
LETTER
Paolo Cotogni, Anna De Luca, Andrea Saini, Luca Brazzi
No abstract text is available yet for this article.
December 21, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/29270830/medical-doctors-and-the-foundation-of-the-international-red-cross
#12
LETTER
Duccio Vanni, Giuseppe Palasciano, Paolo Vanni, Simone Vanni, Elizabeth Guerin
No abstract text is available yet for this article.
December 21, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/29238905/biologic-agents-for-severe-asthma-patients-clinical-perspectives-and-implications
#13
REVIEW
Massimo Caruso, Jaymin Morjaria, Rosalia Emma, Maria Domenica Amaradio, Riccardo Polosa
Asthma is a chronic inflammatory multifactorial disorder of the airways characterized by the involvement of immune cells and mediators in its onset and maintenance. Traditional therapeutic strategies have been unsatisfactory in controlling the underlying pathology, especially in the more severe states. Hence in the last couple of decades, new biological approaches targeting molecular mediators have been developed. In this narrative review we examine biological agents currently available for the management of severe asthma, focusing our attention on their clinical application, pros and cons, and in particular on gaps regarding the use of these agents...
December 14, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/29235054/exploring-the-relationship-between-nonalcoholic-fatty-liver-disease-and-pancreatic-cancer-by-computed-tomographic-survey
#14
Chao-Feng Chang, Yu-Chen Tseng, Hsin-Hung Huang, Yu-Lueng Shih, Tsai-Yuan Hsieh, Hsuan-Hwai Lin
Pancreatic cancer is difficult to diagnose in an early stage, and has the highest mortality of all types of cancer. Obesity, high body mass index, and increased abdominal girth are established risk factors. Some studies have postulated that there is a correlation between organ steatosis and pancreatic cancer. This study aims to explore whether nonalcoholic fatty liver disease (NAFLD) is a risk factor and a prognostic factor for pancreatic cancer. The study enrolled 557 patients (143 with and 414 without pancreatic cancer) who were diagnosed between January 2009 and December 2013...
December 12, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/29230629/finding-the-needle-in-the-haystack
#15
EDITORIAL
Andrew Evan Muck, Kamna Balhara, Adriana Segura Olson
No abstract text is available yet for this article.
December 11, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/29147943/unusual-appearance-of-a-cardiac-mass
#16
Wern Yew Ding, Mohammed Meah, Richard Hawkins, Paul Mann
No abstract text is available yet for this article.
November 17, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/29147942/randomized-controlled-trials-of-simulation-based-interventions-in-emergency-medicine-a-methodological-review
#17
REVIEW
Anthony Chauvin, Jennifer Truchot, Aida Bafeta, Dominique Pateron, Patrick Plaisance, Youri Yordanov
The number of trials assessing Simulation-Based Medical Education (SBME) interventions has rapidly expanded. Many studies show that potential flaws in design, conduct and reporting of randomized controlled trials (RCTs) can bias their results. We conducted a methodological review of RCTs assessing a SBME in Emergency Medicine (EM) and examined their methodological characteristics. We searched MEDLINE via PubMed for RCT that assessed a simulation intervention in EM, published in 6 general and internal medicine and in the top 10 EM journals...
November 16, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/29143293/acute-motor-axonal-neuropathy-and-transverse-myelitis-overlap-the-importance-of-history-taking
#18
Diana Degan, Cindy Tiseo, Raffaele Ornello, Francesca Notturno
In young adults, acute motor axonal neuropathy and transverse myelitis rarely occur as associated conditions. Clinical reasoning, symptoms, laboratory and ancillary investigations (electroneurographic and radiological findings), should properly address the physician to the correct diagnosis.
November 15, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/29110134/pneumomediastinum-and-pneumoperitoneum-following-partial-sphincterotomy-for-choledocholithiasis
#19
Patrick Hoversten, Amrit K Kamboj, Jessica Slostad, Joel Beachey, Christopher Aakre
No abstract text is available yet for this article.
November 6, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/29110133/recurrent-pulmonary-alveolar-proteinosis-in-an-immunocompromised-host
#20
Amrit K Kamboj, Patrick Hoversten, Thomas G Cotter, Subir Bhatia, Kannan Ramar
No abstract text is available yet for this article.
November 6, 2017: Internal and Emergency Medicine
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