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Internal and Emergency Medicine

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https://www.readbyqxmd.com/read/28439778/dabigatran-etexilate-appropriate-use-in-patients-with-chronic-kidney-disease-and-in-the-elderly-patients
#1
REVIEW
Mauro Molteni, Mario Bo, Giovanni Di Minno, Giuseppe Di Pasquale, Simonetta Genovesi, Danilo Toni, Paolo Verdecchia
Dabigatran etexilate (DE) is a direct thrombin inhibitor, which has been approved for the treatment of non-valvular atrial fibrillation (AF), and for the prevention and treatment of venous thromboembolism (VTE). Despite large randomized clinical trials and independent observational studies providing robust data concerning DE safety and efficacy, some physicians still perceive mild-to-moderate renal impairment and old age as a relative contraindication to its use. In this article, we review the available scientific evidence supporting the use of DE in these clinical situations...
April 24, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28432543/understanding-and-improving-decisions-in-clinical-medicine-i-reasoning-heuristics-and-error
#2
Vincenzo Crupi, Fabrizio Elia
No abstract text is available yet for this article.
April 21, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28432542/limb-shaking-tia-on-the-borders-of-evidence-based-medicine
#3
Antonio Carolei, Pietro Amedeo Modesti
No abstract text is available yet for this article.
April 21, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28405796/antiphospholipid-antibodies-crossroads-between-autoimmunity-and-infections
#4
LETTER
Savino Sciascia, Massimo Radin, Mario Bazzan, Dario Roccatello
No abstract text is available yet for this article.
April 12, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28401428/not-all-intermittent-shakings-are-epilepsy
#5
Cindy Tiseo, Raffaele Ornello, Diana Degan, Francesca Notturno
No abstract text is available yet for this article.
April 11, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28401427/is-there-any-role-for-thoracic-ultrasound-for-interstitial-lung-disease-underlying-rheumatologic-conditions-comment
#6
LETTER
Maria Giulia Tinti, Gaetano Rea, Antonio Mirijello, Elisabetta Frongillo, Marco Sperandeo
No abstract text is available yet for this article.
April 11, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28389858/a-unique-pneumopathy-in-a-patient-with-skin-nodules-and-abscesses
#7
Giovanni Damiani, Nicola di Meo, Angelo Valerio Marzano
No abstract text is available yet for this article.
April 7, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28389857/predictors-of-good-neurologic-outcome-after-resuscitation-beyond-30%C3%A2-min-in-out-of-hospital-cardiac-arrest-patients-undergoing-therapeutic-hypothermia
#8
Shin Ahn, Byung Kook Lee, Chun Song Youn, Youn-Jung Kim, Chang Hwan Sohn, Dong-Woo Seo, Won Young Kim
Neurologically intact survival after cardiac arrest is possible even after prolonged resuscitation efforts. However, the factors associated with good neurologic outcome in these patients remain unknown. This study identifies predictors associated with good neurologic outcome after resuscitation beyond 30 min in out-of-hospital cardiac arrest (OHCA) patients treated with targeted temperature management (TTM). This multicenter, registry-based, retrospective cohort study conducted in 24 hospitals across South Korea between 2007 and 2012 includes adult (≥18 years) non-traumatic OHCA patients with prolonged (>30 min) downtime who underwent TTM treatment...
April 7, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28382559/reversible-cerebral-vasoconstriction-syndrome-after-intercontinental-airplane-travel
#9
EDITORIAL
Sabrina Anticoli, Maria Cristina Bravi, Francesca Romana Pezzella
No abstract text is available yet for this article.
April 5, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28382558/watery-stools-and-metabolic-acidosis
#10
Maria Chiara Ferrari, Luca Miele, Luisa Guidi, Guido Rindi, Carlo Rocchi, Paola Castaldi, Sergio Alfieri, Antonio Gasbarrini, Antonio Grieco, Gianlodovico Rapaccini
No abstract text is available yet for this article.
April 5, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28378279/health-literacy-a-new-perspective-for-patient-empowerment-in-the-public-health-approach-to-hypertension
#11
Guglielmo Bonaccorsi, Pietro Amedeo Modesti
No abstract text is available yet for this article.
April 4, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28361355/redox-status-alterations-during-the-competitive-season-in-%C3%A3-lite-soccer-players-focus-on-peripheral-leukocyte-derived-ros
#12
Matteo Becatti, Amanda Mannucci, Victoria Barygina, Gabriele Mascherini, Giacomo Emmi, Elena Silvestri, Daniel Wright, Niccolò Taddei, Giorgio Galanti, Claudia Fiorillo
It is well known that exercise training can deeply affect redox homeostasis by enhancing antioxidant defenses. However, exhaustive exercise can induce excessive reactive oxygen species (ROS) production, leading to oxidative stress-related tissue injury and impaired muscle contractility. Hence, ROS represent important signaling molecules whose level has to be maintained to preserve normal cellular function, but which can also accumulate in response to repetitive muscle contraction. In fact, low levels of oxidants have been suggested to be essential for muscle contraction...
March 30, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28361354/the-diagnosis-of-neglected-tropical-diseases-ntds-in-italy-comment
#13
LETTER
Dimitri Poddighe, Ivan Gaviglio, Chiara Trabatti, Gian Luigi Marseglia
No abstract text is available yet for this article.
March 30, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28349373/a-time-motion-study-of-residents-and-medical-students-performing-patient-discharges-from-general-internal-medicine-wards-a-disjointed-interrupted-process
#14
Arjun Sharma, Vivian Lo, Lauren Lapointe-Shaw, Christine Soong, Peter Eugene Wu, Robert Clark Wu
Patients are at high risk for adverse events after discharge from a hospital admission. As a critical and often time-consuming aspect of care for hospitalized patients, the purpose of this study was to describe the physician time, events and workflow in performing a patient discharge. On General Internal Medicine (GIM) wards at two academic medical centers in Toronto, a time-motion study was performed on 11 residents and 2 medical students performing 32 patient discharges. Using a paper data collection tool, a research associate aimed to capture the distribution of activities and the nature and frequency of workflow interruptions during patient discharges from the perspective of resident and medical student housestaff...
March 27, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28321645/predictors-of-major-amputation
#15
LETTER
Wagner Ramos Borges, Aquiles Tadashi Ywata de Carvalho, Roque Aras Junior
No abstract text is available yet for this article.
March 20, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28315147/neglected-tropical-diseases-in-europe-an-emerging-problem-for-health-professionals
#16
Marco Falcone
No abstract text is available yet for this article.
March 17, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28303441/association-between-health-literacy-and-hypertension-management-in-a-chinese-community-a-retrospective-cohort-study
#17
Di Shi, Jiangbo Li, Yong Wang, Si Wang, Kai Liu, Rufeng Shi, Qiang Zhang, Xiaoping Chen
Low health literacy is associated with poor clinical outcomes. The relationship between literacy and blood pressure (BP) has been inconsistent. We investigated the determinants of health literacy and the potential relationship between health literacy and hypertension management. We conducted a retrospective cohort trial of 360 hypertensive patients. Scale measurements, physical examination, and laboratory tests were performed based on a standard protocol. To determine factors associated with health literacy, multiple logistic regression analysis was performed and the discriminatory power of the scale score for hypertension control was assessed by the area under the receiver operating curve...
March 16, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28303440/the-efficacy-and-safety-of-high-dose-statins-in-acute-phase-of-ischemic-stroke-and-transient-ischemic-attack-a-systematic-review
#18
Jing-Xue Fang, Er-Qiang Wang, Wei Wang, Yang Liu, Gang Cheng
Inconsistent findings in the studies have been observed concerning the higher dose of statins use in the acute phase of ischemic stroke and transient ischemic attack (TIA). Therefore, we performed a systematic review to assess this issue. A computerized literature search in PubMed, Cochrane Library databases, and EMBASE for randomized controlled trials (RCTs) was conducted. The efficacy outcome indicators were National Institutes of Health Stroke Scale (NIHSS) score, infarct volume, and recurrence of stroke; the safety outcome indicators were intracranial hemorrhage events, cardiovascular and cerebrovascular events, and all-cause death...
March 16, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28303439/perched-facets-diagnosed-in-a-neurologically-intact-patient-5%C3%A2-weeks-after-a-fall
#19
EDITORIAL
Brian Reed Curtis, Eric Curtis
No abstract text is available yet for this article.
March 16, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28280981/spontaneous-inferior-pancreaticoduodenal-artery-pseudoaneurysm-rupture
#20
EDITORIAL
Heidi Dallara, Joseph Habboushe
No abstract text is available yet for this article.
March 9, 2017: Internal and Emergency Medicine
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