Read by QxMD icon Read

International Journal of General Medicine

Shunsuke Kojima, Eiji Hiraoka, Junya Arai, Yosuke Homma, Yasuhiro Norisue, Osamu Takahashi, Taihei Soma, Toshihiko Suzuki, Masahiko Noguchi, Kentaro Shibayama, Kotaro Obunai, Hiroyuki Watanabe
Background: A do-not-resuscitate (DNR) order is reportedly associated with a decrease in performance measures, but it should not be applied to noncardiopulmonary resuscitation procedures. Good performance measures are associated with improvement in heart failure outcomes. Aim: To analyze the influence of DNR order on performance measures of heart failure at our hospital, where lectures on DNR order are held every 3 months. Design: Retrospective cohort study...
2018: International Journal of General Medicine
Christoforos Kosmidis, Nikolaos Varsamis, Georgios Anthimidis, Sofia Baka, Dimitrios Valoukas, Triantafyllia Koletsa, Katerina Zarampouka, Georgios Koimtzis, Eleni Georgakoudi, Paul Zarogoulidis, Christoforos Efthymiadis
Introduction: Breast cancer is the most common malignancy in women worldwide. Long-term survivors among patients treated for breast cancer are at a high risk for developing a second primary malignancy. Hepatocellular carcinoma is the most frequent primary hepatic malignancy and should be ruled out in breast cancer patients who are diagnosed with solitary hepatic lesions. False diagnosis may lead to inappropriate oncologic staging and treatment of the disease. Case presentation: We present the case of a 73-year-old female patient who had been treated for invasive ductal breast cancer 7 years ago and was diagnosed with a solid hepatic lesion at segments VI and VII and a small, calcified lesion at the tail of the pancreas on follow-up with an abdominal computed tomography...
2018: International Journal of General Medicine
Cédric Lanier, Bernard Cerutti, Melissa Dominicé Dao, Patricia Hudelson, Noëlle Junod Perron
Purpose: The use of electronic health records (EHRs) by physicians during the consultation is common and can be problematic. Factors influencing the use of EHRs during clinical encounters include physician and patient characteristics, consultation type as well as spatial organization of the room and type of EHR template. Their relative importance is however not well known. This study aimed to explore to what extent several physician, patient and consultation factors were associated with EHR use during the first 10 minutes of primary care consultations...
2018: International Journal of General Medicine
Maya Gopalakrishnan, Suman Saurabh, Tarun Kumar Dutta
No abstract text is available yet for this article.
2018: International Journal of General Medicine
Yacob Pinchevsky, Frederick Raal, Neil Butkow, Tobias Chirwa, Larry Distiller, Alan Rothberg
Purpose: With the realities of resource constraints existing in South Africa's public sector and the evidence of disparities in health care between populations, the study sought to compare the quality of diabetes care and health-related quality of life (HRQoL) in patients with type 2 diabetes mellitus (T2DM) receiving care within two specialized settings: one in the public and the other in the private sector. Particular emphasis was placed on complication rates at the two sites. Patients and methods: Quantitative and qualitative data were collected between June and October 2016 from existing patients' records at each setting...
2018: International Journal of General Medicine
Marianne J Middelveen, Jyotsna S Shah, Melissa C Fesler, Raphael B Stricker
Background: Borrelia spirochetes are tick-borne Gram-negative bacteria that cause disease in humans and animals. Although many studies have focused on Borrelia burgdorferi (Bb), the agent of Lyme disease, recent studies have examined the role of Relapsing Fever Borrelia (RFB) in human disease. In this pilot study, we have evaluated serological reactivity against Bb and RFB in patients residing in California. Methods: Serological testing for reactivity to Bb and RFB antigens was performed in 543 patients with suspected tick-borne illness using a Western blot technique...
2018: International Journal of General Medicine
Konstantinos Sapalidis, Christoforos Kosmidis, Nikos Michalopoulos, Stylianni Laskou, Efstathios Pavlidis, Stelios Mantalovas, Dimitrios Giannakidis, Aikaterini Amaniti, Charilaos Koulouris, Athanasios Katsaounis, Alexandru C Munteanu, Valeriou Surlin, Paul Zarogoulidis, Isaak Kesisoglou
Background: In recent years, mini-laparoscopic procedures are gaining the preference of most surgeons due to their potentially better surgical outcomes. The Mini Lap Percutaneous Surgical System with MiniGrip® Handle is currently the less invasive instrument and can be applied to a wide range of operations. The current paper presents its application on percutaneous laparoscopic cholecystectomy. Materials and methods: From January 2017 to June 2017, 32 patients underwent percutaneous laparoscopic cholecystectomy with the MiniLap® system...
2018: International Journal of General Medicine
Makoto Saito, Kencho Miyashita, Yosuke Miura, Reiki Ogasawara, Minoru Kanaya, Koh Izumiyama, Akio Mori, Takeshi Kondo, Masanori Tanaka, Masanobu Morioka, Shinya Tanaka
Colorectal follicular lymphoma (FL) occurs less frequently than duodenal-type FL, which is an established entity, and primary multiple FL only involving the colon is rare. Furthermore, the coexistence of lymphoma and multiple myeloma (MM) within the same patient is rare and the current study reports such a case. The patient was an asymptomatic 62-year-old man. He underwent colonoscopy screening, which revealed at least five polypoid tumors from the cecum to the rectum. Biopsy samples stained positive for CD20 and B-cell lymphoma 2 (BCL2) but stained negative for CD10, and fluorescence in situ hybridization analysis identified IGH/BCL2 in 95...
2018: International Journal of General Medicine
Michiomi Shimizu, Akiko Konishi, Shosaku Nomura
Background: Disseminated avascular coagulation (DIC) is the main cause of death among patients with sepsis. In particular, low platelet count is predictive of poor outcome. However, the significance of platelet activation in patients with sepsis-related DIC is poorly understood. To determine the characteristics of platelet-related abnormality in patients with sepsis-related DIC, we assessed the expression levels of several biomarkers. Methods: Plasma levels of biomarkers, including cytokines, chemokines, soluble selectins, platelet-derived microparticles (PDMPs), soluble vascular adhesion molecule 1, and high mobility group box protein 1 were measured by enzyme-linked immunosorbent assay at baseline and after 4, 7, 14, and 21 days of DIC treatment...
2018: International Journal of General Medicine
Michael Perera, Leena Aggarwal, Ian A Scott, Bentley Logan
Purpose: To assess the extent to which accelerated diagnostic protocols (ADPs), compared to traditional care, identify patients presenting to emergency departments (EDs) with chest pain who are at low cardiac risk and eligible for early ED discharge. Patients and methods: Retrospective study of 290 patients admitted to hospital for further evaluation of chest pain following negative ED workup (no acute ischemic electrocardiogram [ECG] changes or elevation of initial serum troponin assay)...
2018: International Journal of General Medicine
Salma AlDallal
Acromegaly is an uncommon, chronic disease, characterized by hypersecretion of a pituitary growth hormone by somatotroph adenomas, along with increased levels of insulin-like growth factor-1. Although acromegaly presents a wide array of clinical manifestations, the salient symptoms include acral and soft tissue enlargement, joint pain, heart and respiratory failure, diabetes mellitus, and hypertension, leading to increased morbidity and mortality. Hence, early diagnosis of the disease is critical to enhance life expectancy and quality of life...
2018: International Journal of General Medicine
Joana Lima, Patrícia Gago, Mariana Rocha, Inês Grilo, Rosa Gomes, Michael Luís, Teresa Sarmento, Antonio Teira, Marta Sousa, Miguel Barbosa
Purpose: The prevalence of anemia ranges between 30% and 90% in cancer patients, affecting the health status, quality of life, and treatment outcome. Therefore, a proper diagnosis and management of anemia is crucial in these patients. Iron deficiency is diagnosed in~32%-60% of the cases. In this observational study, we evaluated the efficacy and safety of intravenous iron (ferric carboxymaltose [FCM], Ferinject® ) in the treatment of iron-deficiency anemia in patients with gastrointestinal tumors undergoing palliative or adjuvant chemotherapy...
2018: International Journal of General Medicine
Bianca N Islam, Sarah K Sharman, Darren D Browning
Constipation is an important health burden that reduces the quality of life for countless millions of people. Symptom-centric therapeutics are often used to treat constipation due to unknown etiology, but in many cases, these drugs are either inadequate or have significant side effects. More recently, synthetic peptide agonists for epithelial guanylyl cyclase C (GC-C) have been developed which are effective at treating constipation in a sub-population of adult constipation patients. The first to market was linaclotide that is structurally related to the diarrheagenic enterotoxin, but this was followed by plecanatide, which more closely resembles endogenous uroguanylin...
2018: International Journal of General Medicine
Mostafa Alshamiri, Mahmood Mohammed Ali Ghanaim, Philip Barter, Kuan-Cheng Chang, Jian-Jun Li, Bien J Matawaran, Anwar Santoso, Sameh Shaheen, Ketut Suastika, Nuntakorn Thongtang, Ahmad Km Yusof
Cardiovascular disease (CVD) is a growing burden across the world. In Asia and the Middle East, in particular, CVD is among the most prevalent and debilitating diseases. Dyslipidemia is an important factor in the development of atherosclerosis and associated cardiovascular events, and so effective management strategies are critical to reducing overall cardiovascular risk. Multiple dyslipidemia guidelines have been developed by international bodies such as the European Society of Cardiology/European Atherosclerosis Society and the American College of Cardiology/American Heart Association, which all have similarities in practice recommendations for the optimal management of dyslipidemia...
2018: International Journal of General Medicine
Akinori Kanzaki, Kiyoshi Matsui, Tadahiko Sukenaga, Koushi Mase, Aya Nishioka, Tomoharu Tamori, Seiko Kataoka, Hiroyuki Konya, Shin Mizutani, Akira Takeda, Masato Koseki, Tetsuo Nishiura, Hidenori Koyama, Hajime Sano
Polymyalgia rheumatica (PMR) is a disease commonly seen in elderly individuals, however, the etiology has not been reported. Typical clinical features include bilateral shoulder pain and morning stiffness, while serologic autoantibody test findings are negative. Approximately 40%-50% of affected patients present with low-grade fever, fatigue, and appetite loss, which we often experience in the field of general medicine, and thus, the condition should not be given low priority. However, knowledge regarding such constitutional manifestations is also limited...
2018: International Journal of General Medicine
Abdulaziz Mohammad Al-Sharydah, Sari Saleh Al-Suhibani, Abdulrahman Hamad Al-Abdulwahhab, Mohammad Saad Al-Aftan, Ahmad Fouad Gashgari
Colloid cysts typically reside within the area of the anterior third ventricle, in the proximity of the foramen of Monro. Although they are considered to commonly localize in various parts of the cerebrum, they are exceedingly rare outside the ventricular system and rarely occur within the velum interpositum. We have reported here a rare case of a velum interpositum colloid-like cyst in a 23-year-old man, who presented to our clinic with temporary binocular strabismus, which he had been experiencing for the previous year...
2018: International Journal of General Medicine
Mahoko Ikeda, Miyuki Mizoguchi, Yukie Oshida, Keita Tatsuno, Ryoichi Saito, Mitsuhiro Okazaki, Shu Okugawa, Kyoji Moriya
Purpose: Klebsiella pneumoniae is a pathogen that causes pneumonia and urinary tract infection. Hypervirulent K. pneumoniae strains often show hypermucoviscosity, are of the K1 or K2 serotype, and harbor the rmpA and magA genes. However, the differences in the prevalence of K. pneumoniae with these hypervirulent characteristics between the infection and colonization status are not well understood. Therefore, in this study, we compared the clinical and microbiological characteristics of K...
2018: International Journal of General Medicine
Ellen Johanne Vara, Karl A Brokstad, Trygve Hausken, Gülen Arslan Lied
Introduction: A considerable number of patients with gastrointestinal complaints attributable to irritable bowel syndrome (IBS) have shown evidence of immune activation. Fatigue is also frequently reported by IBS patients and the condition is considered as a common comorbidity of IBS. Therefore, it is interesting to see whether these two conditions share the same pathophysiological mechanism. Aims: To investigate the potential role of cytokine profiles in patients with IBS and the relationship between cytokine profiles and fatigue...
2018: International Journal of General Medicine
Christine Graf, Andreas Bernkop-Schnürch, Alena Egyed, Christiane Koller, Eva Prieschl-Grassauer, Martina Morokutti-Kurz
Introduction: Xylometazoline hydrochloride (HCl) is a nasal decongestant that causes vasoconstriction in the nasal submucosa. It has been used for more than 50 years for the treatment of nasal congestion caused by rhinitis/sinusitis. Iota-carrageenan is effective against a broad variety of respiratory viruses, which are the most common cause of infections of the upper respiratory tract. Therefore, it is used as the active component in the antiviral nasal spray Coldamaris prophylactic (1...
2018: International Journal of General Medicine
Oreoluwa Olaloko, Raihan Mohammed, Utkarsh Ojha
Approximately 15 million babies worldwide are born premature, and complications of prematurity are one of the leading causes of death in neonates. Neonatal respiratory distress syndrome (NRDS) and bronchopulmonary dysplasia (BPD) are two of the most common and serious consequences of prematurity. Synthetic corticosteroids, including dexamethasone, have been central in efforts to treat and prevent BPD. There is strong evidence to show that prenatal corticosteroids reduce infant mortality and the incidence of NRDS, leading to their widespread use in obstetric units...
2018: International Journal of General Medicine
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"