keyword
https://read.qxmd.com/read/38511807/myelotoxicity-and-kidney-dysfunction-related-to-the-use-of-trimethoprim-sulfamethoxazole-for-the-treatment-of-pneumocystis-jirovecii-pneumonia-a-case-report-of-severe-adverse-events-with-a-common-drug
#1
Isabel Cristina Melo Mendes, Roxana Flores Mamani, David Richer Araujo Coelho, Clarisse Pimentel
Trimethoprim-sulfamethoxazole (TMP-SMX) is the primary therapeutic option for Pneumocystis jirovecii pneumonia (PCP). Gastrointestinal symptoms and cutaneous rash are common side effects, with hyperkalemia being uncommon in patients without kidney dysfunction, and myelotoxicity being even rarer. We present the case of a male patient with hypertension and a recent diagnosis of non-Hodgkin lymphoma, undergoing rituximab treatment for two months. He was admitted to the intensive care unit due to dyspnea, tachypnea, and pleuritic pain, requiring mechanical ventilation...
2024: Revista do Instituto de Medicina Tropical de São Paulo
https://read.qxmd.com/read/38511806/covid-19-in-hematopoietic-stem-cell-transplant-recipients-during-three-years-of-the-pandemic-a-multicenter-study-in-brazil
#2
JOURNAL ARTICLE
Bruno Azevedo Randi, Hermes Ryoiti Higashino, Vinícius Ponzio da Silva, Matias Chiarastelli Salomão, Antonio Carlos Campos Pignatari, Edson Abdala, Fabiana Vasques, Celso Arrais Rodrigues da Silva, Roberto Luiz da Silva, Carolina Dos Santos Lazari, José Eduardo Levi, Erick Menezes Xavier, Marina Farrel Côrtes, Alessandra Luna-Muschi, Vanderson Rocha, Silvia Figueiredo Costa
Hematopoietic stem cell transplant (HSCT) recipients are at -increased risk for severe COVID-19. The aim of this study was to evaluate the burden of COVID-19 in a cohort of HSCT recipients. This retrospective study evaluated a cohort of adult hospitalized HSCT recipients diagnosed with COVID-19 in two large hospitals in São Paulo, Brazil post-HSCT, from January 2020 to June 2022. The primary outcome was all-cause mortality. Of 49 cases, 63.2% were male with a median age of 47 years. Allogeneic-HSCT (51...
2024: Revista do Instituto de Medicina Tropical de São Paulo
https://read.qxmd.com/read/38462398/applicability-of-an-unsupervised-cluster-model-developed-on-first-wave-covid-19-patients-in-second-third-wave-critically-ill-patients
#3
JOURNAL ARTICLE
Alejandro Rodríguez, Josep Gómez, Álvaro Franquet, Sandra Trefler, Emili Díaz, Jordi Sole-Violán, Rafael Zaragoza, Elisabeth Papiol, Borja Suberviola, Montserrat Vallverdú, María Jimenez-Herrera, Antonio Albaya-Moreno, Alfonso Canabal Berlanga, María Del Valle Ortíz, Juan Carlos Ballesteros, Lucía López Amor, Susana Sancho Chinesta, Maria de Alba-Aparicio, Angel Estella, Ignacio Martín-Loeches, María Bodi
OBJECTIVE: To validate the unsupervised cluster model (USCM) developed during the first pandemic wave in a cohort of critically ill patients from the second and third pandemic waves. DESIGN: Observational, retrospective, multicentre study. SETTING: Intensive Care Unit (ICU). PATIENTS: Adult patients admitted with COVID-19 and respiratory failure during the second and third pandemic waves. INTERVENTIONS: None...
March 9, 2024: Medicina intensiva
https://read.qxmd.com/read/38456030/investigating-the-diagnostic-and-prognostic-value-of-anti-sars-cov-2-spike-igg-igm-elisa-tests-in-patients-infected-with-coronavirus-delta-variant
#4
JOURNAL ARTICLE
Mandana Pouladzadeh, Mofid Hosseinzadeh, Reza Khedri, Parastoo Moradi Choghakabodi, Payam Amini, Alireza Ghorbani Bavani, Hossein Bahrami Moghaddam, Babak Behmanesh, Ali Delirrooyfard, Alireza Sokooti, Behnam Sheibani
AIM: This study aimed to investigate the diagnostic and prognostic value of anti-severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Spike IgG/IgM antibodies in patients infected with coronavirus Delta variant. METHODS: This analytical observational study included 270 unvaccinated patients (aged ≥18 years) diagnosed with coronavirus disease 2019 (COVID-19) Delta variant who referred to Emergency Department of our hospital. The serum levels of anti-SARS-CoV-2 Spike IgG and IgM were measured by indirect ELISA...
2024: Le Infezioni in Medicina
https://read.qxmd.com/read/38436078/infectious-risk-profile-and-strategies-for-prevention-and-control-of-outbreaks-in-refugee-asylum-seekers-and-migrant-populations-in-eu-eea-countries-a-systematic-narrative-review-of-evidences
#5
JOURNAL ARTICLE
Francesco Paolo Bianchi, Daniel Fiacchini, Emanuela Maria Frisicale, Renata Gili, Stefano Greco, Stefano Guicciardi, Matteo Riccò, Salvatore Zichichi, Nunzio Zotti, Silvio Tafuri
INTRODUCTION: The recent surge in migration to and within the European Union and European Economic Area has brought the development of migration policy, including health policy, to the forefront of regional priorities. While migrants, in general, do not pose a health threat to the host population, specific subgroups of migrants, including refugees, asylum seekers, and irregular migrants, are particularly vulnerable to infectious diseases. To support public health policies in this area, the Emergency Preparedness and Management' working group of the Italian Society of Hygiene, Preventive Medicine and Public Health has conducted a systematic narrative review with the aim to comprehensively analyze the infectious disease risk within the refugee and asylum seeker populations in EU, EEA, and EU-applicant countries...
March 1, 2024: Annali di Igiene: Medicina Preventiva e di Comunità
https://read.qxmd.com/read/38431382/transcranial-sonography-in-the-critical-patient
#6
REVIEW
Juan Antonio Llompart-Pou, Laura Galarza, Rosario Amaya-Villar, Daniel Agustín Godoy
Transcranial ultrasonography is a non-invasive, bedside technique that has become a widely implemented tool in the evaluation and management of neurocritically ill patients. It constitutes a technique in continuous growth whose fundamentals (and limitations) must be known by the intensivist. This review provides a practical approach for the intensivist, including the different sonographic windows and planes of insonation and its role in different conditions of the neurocritical patients and in critical care patients of other etiologies...
March 2024: Medicina intensiva
https://read.qxmd.com/read/38411677/-franco-basaglia-the-body-and-the-corporality-of-the-encounter
#7
JOURNAL ARTICLE
Pompeo Martelli
On the centenary of the birth of Franco Basaglia - Italian psychiatrist and neurologist - it is incumbent upon us to question the ways in which Basaglia can critically illuminate or help us interpret the social uncertainty in which we are living. Many important contributions have enriched our knowledge of Basaglia's work in recent months. He was a modern practical intellectual, in the Gramscian sense, where the authentic intellectual moves from the real needs of the masses and seeks their solution from the given historical situation, recomposing it in the more general course of the world...
March 2024: Recenti Progressi in Medicina
https://read.qxmd.com/read/38410900/-anmco-position-paper-states-general-2023-digital-medicine-in-cardiology-evidence-and-state-of-progress-in-italy
#8
JOURNAL ARTICLE
Stefania Angela Di Fusco, Filippo Zilio, Marco Zuin, Claudio Bilato, Marco Corda, Leonardo De Luca, Andrea Di Lenarda, Massimo Di Marco, Giuseppina Maura Francese, Gian Franco Gensini, Giovanna Geraci, Simona Giubilato, Attilio Iacovoni, Fabiana Lucà, Marco Mazzanti, Massimo Milli, Alessandro Navazio, Francesco Orso, Vittorio Pascale, Carmine Riccio, Patrizia Rocca, Pietro Scicchitano, Luigi Tavazzi, Emanuele Tizzani, Domenico Gabrielli, Furio Colivicchi, Massimo Grimaldi, Fabrizio Oliva
Technological innovation provides easily accessible tools capable of simplifying healthcare processes. Notably, digital technology application in the cardiology field can improve prognosis, reduce costs, and lead to an overall improvement in healthcare. The digitization of health data, with the use of electronic health records and of electronic health files in Italy, represents one of the fields of application of digital technologies in medicine. The 2023 States General of the Italian Association of Hospital Cardiologists (ANMCO) provided an opportunity to focus attention on the potential benefits and critical issues associated with the implementation of the aforementioned digital tools, artificial intelligence, and telecardiology...
March 2024: Giornale Italiano di Cardiologia
https://read.qxmd.com/read/38399629/harmony-in-chaos-deciphering-the-influence-of-ischemic-cardiomyopathy-and-non-cardiac-comorbidities-on-holter-ecg-parameters-in-chronic-heart-failure-patients-a-pilot-study
#9
JOURNAL ARTICLE
Ștefania-Teodora Duca, Minerva Codruta Badescu, Alexandru-Dan Costache, Adriana Chetran, Radu Ștefan Miftode, Ionuț Tudorancea, Ovidiu Mitu, Irina Afrăsânie, Radu-George Ciorap, Ionela-Lăcrămioara Șerban, D Robert Pavăl, Bianca Dmour, Maria-Ruxandra Cepoi, Irina-Iuliana Costache-Enache
Background and Objective : In the landscape of heart failure, non-cardiac comorbidities represent a formidable challenge, imparting adverse prognostic implications. Holter ECG monitoring assumes a supplementary role in delineating myocardial susceptibility and autonomic nervous system dynamics. This study aims to explore the potential correlation between Holter ECG parameters and comorbidities in individuals with ischemic cardiomyopathy experiencing heart failure (HF), with a particular focus on the primary utility of these parameters as prognostic indicators...
February 19, 2024: Medicina
https://read.qxmd.com/read/38399619/virtual-augmented-and-mixed-reality-applications-for-surgical-rehearsal-operative-execution-and-patient-education-in-spine-surgery-a-scoping-review
#10
REVIEW
Tim Bui, Miguel A Ruiz-Cardozo, Harsh S Dave, Karma Barot, Michael Ryan Kann, Karan Joseph, Sofia Lopez-Alviar, Gabriel Trevino, Samuel Brehm, Alexander T Yahanda, Camilo A Molina
Background and Objectives : Advances in virtual reality (VR), augmented reality (AR), and mixed reality (MR) technologies have resulted in their increased application across many medical specialties. VR's main application has been for teaching and preparatory roles, while AR has been mostly used as a surgical adjunct. The objective of this study is to discuss the various applications and prospects for VR, AR, and MR specifically as they relate to spine surgery. Materials and Methods : A systematic review was conducted to examine the current applications of VR, AR, and MR with a focus on spine surgery...
February 15, 2024: Medicina
https://read.qxmd.com/read/38399612/association-of-obesity-and-bariatric-surgery-on-hair-health
#11
REVIEW
Katarzyna Smolarczyk, Blazej Meczekalski, Ewa Rudnicka, Katarzyna Suchta, Anna Szeliga
Obesity and obesity-related conditions today constitute a public health problem worldwide. Obesity is an "epidemic" chronic disorder, which is defined by the WHO as normal or excessive fat accumulation that may impair health. It is also defined for adults as a BMI that is greater than or equal to 30. The most common obesity-related diseases are type 2 diabetes mellitus, cardiovascular diseases, metabolic syndrome, chronic kidney disease, hyperlipidemia, hypertension, nonalcoholic fatty liver disease, and certain types of cancer...
February 14, 2024: Medicina
https://read.qxmd.com/read/38399593/exploration-of-point-of-care-ultrasonography-for-silicone-breast-implant-rupture-detection-and-classification
#12
JOURNAL ARTICLE
Jae-Hong Kim, Yun-Gyoung Kim, Keun-Yeong Song, Hyung-Guhn Lim, Jeong-Pil Jeong, Jung-Youp Sung, Angela-Soeun Lee, Heung-Kyu Park
Background and Objectives : The surge in breast-related surgeries in Korea underscores the critical need for an accurate early diagnosis of silicone breast implant-related issues. Complications such as BIA-ALCL and BIA-SCC add complexity to breast health concerns, necessitating vigilant monitoring. Despite advancements, discrepancies persist between ultrasonographic and pathologic classifications of silicone implant ruptures, highlighting a need for enhanced diagnostic tools. This study explores the reliability of ultrasonography in diagnosing silicone breast implant ruptures and determining the extent of silicone migration, specifically with a focus on guiding potential capsulectomy based on pathology...
February 10, 2024: Medicina
https://read.qxmd.com/read/38399591/delirium-and-its-associations-with-critical-care-utilizations-and-outcomes-at-the-time-of-hospital-discharge-in-patients-with-acute-brain-injury
#13
JOURNAL ARTICLE
Alex P Raquer, Christine T Fong, Andrew M Walters, Michael J Souter, Abhijit V Lele
Background and Objectives : We analyzed delirium testing, delirium prevalence, critical care associations outcomes at the time of hospital discharge in patients with acute brain injury (ABI) due to acute ischemic stroke (AIS), non-traumatic subarachnoid hemorrhage (SAH), non-traumatic intraparenchymal hemorrhage (IPH), and traumatic brain injury (TBI) admitted to an intensive care unit. Materials and Methods : We examined the frequency of assessment for delirium using the Confusion Assessment Method for the intensive care unit...
February 10, 2024: Medicina
https://read.qxmd.com/read/38399589/case-study-of-a-complex-neurovascular-disorder-choroidal-arteriovenous-malformation
#14
Corneliu Toader, Razvan-Adrian Covache-Busuioc, Bogdan-Gabriel Bratu, Luca Andrei Glavan, Antonio Daniel Corlatescu, Alexandru Vlad Ciurea
This study conducts an in-depth analysis of the management of a complex arteriovenous malformation (AVM) in a 44-year-old individual, who initially manifested with acute left hemiparesis and progressively declined into a comatose state. Diagnostic neuroimaging identified a substantial right fronto-temporal intraparenchymal hematoma via a CT scan. Cerebral angiography further elucidated a choroidal AVM originating from the anterior choroidal artery, accompanied by intranidal aneurysms. The elected treatment strategy was the surgical excision of the AVM...
February 10, 2024: Medicina
https://read.qxmd.com/read/38399582/emergence-and-genomic-characterization-of-a-spa-type-t4407-st6-scc-mec-type-iva-methicillin-resistant-staphylococcus-aureus-strain-isolated-from-al-karak-hospital-jordan
#15
JOURNAL ARTICLE
Yasser Gaber, Heba M TumAllah, Nourhan H AbdelAllah, Wael A Al-Zereini, Mohammad A Abu-Lubad, Amin A Aqel, Walid F Elkhatib, Richard V Goering, Ahmed M Soliman
Background and Objectives : Methicillin-resistant Staphylococcus aureus (MRSA) is a major concern in Jordanian hospitals in terms of infection control. The purpose of this study was to identify the resistance patterns of Staphylococcus aureus strains isolated from surfaces of critical locations within the Al-Karak Governmental Hospital in 2019. Additionally, the study aimed to conduct whole-genome sequencing on the isolates. Materials and Methods : In February 2019, fourteen S. aureus strains were isolated from surfaces in critical sites in the Al-Karak Governmental Hospital...
February 9, 2024: Medicina
https://read.qxmd.com/read/38399550/updated-strategies-in-non-culprit-stenosis-management-of-multivessel-coronary-disease-a-contemporary-review
#16
REVIEW
Rares-Dumitru Manuca, Alexandra Maria Covic, Crischentian Brinza, Mariana Floria, Cristian Statescu, Adrian Covic, Alexandru Burlacu
The prevalence of multivessel coronary artery disease (CAD) in acute coronary syndrome (ACS) patients underscores the need for optimal revascularization strategies. The ongoing debate surrounding percutaneous coronary intervention (PCI), coronary artery bypass grafting (CABG), hybrid interventions, or medical-only management adds complexity to decision-making, particularly in specific angiographic scenarios. The article critically reviews existing literature, providing evidence-based perspectives on non-culprit lesion revascularization in ACS...
February 2, 2024: Medicina
https://read.qxmd.com/read/38399503/from-anxiety-to-hardiness-the-role-of-self-efficacy-in-spanish-ccu-nurses-in-the-covid-19-pandemic
#17
JOURNAL ARTICLE
Fernanda Gil-Almagro, Fernando José García-Hedrera, Francisco Javier Carmona-Monge, Cecilia Peñacoba-Puente
Background and Objectives : Evidence shows that throughout the COVID-19 pandemic, nurses suffered from emotional symptoms, yet in spite of this, few studies within "positive psychology" have analyzed the emergence/promotion of positive traits, such as hardiness. In this context, the present study aimed to test a model regarding the mediating role of self-efficacy between anxiety experienced at the beginning of the COVID-19 pandemic and hardiness assessed six months later among nurses in critical care units (CCU) in Spain...
January 26, 2024: Medicina
https://read.qxmd.com/read/38399489/characteristics-of-covid-19-disease-in-renal-transplant-recipients
#18
JOURNAL ARTICLE
Emilija Zimnickaitė, Ieva Kucinaitė, Birutė Zablockienė, Aistė Lisinskaitė, Rolandas Zablockis, Laurynas Rimševičius, Marius Miglinas, Ligita Jančorienė
Background and Objectives: Kidney transplant recipients are at risk of developing more severe forms of COVID-19 infection. The aim of this study was to compare the clinical course of COVID-19 infection among kidney transplant patients and a control group. Materials and Methods: We examined 150 patients hospitalized with COVID-19 infection. Patients were divided into study (kidney transplant recipients, n = 53) and control (without a history of kidney transplantation, n = 97) groups. Demographics, clinical characteristics, treatment data, and clinical outcomes were assessed...
January 24, 2024: Medicina
https://read.qxmd.com/read/38395690/current-role-of-midazolam-in-the-sedation-of-the-ventilated-critically-ill-patient-con
#19
JOURNAL ARTICLE
Jesus Caballero, Manuela García-Sánchez, Carola Giménez-Esparza Vich
No abstract text is available yet for this article.
February 22, 2024: Medicina intensiva
https://read.qxmd.com/read/38388220/mental-disorders-in-icu-survivors-a-critical-thinking-approach
#20
JOURNAL ARTICLE
José Manuel Añón, Kapil Laxman Nanwani Nanwani, Maria Victoria Bonan
No abstract text is available yet for this article.
February 21, 2024: Medicina intensiva
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