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Medicina Interna

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https://www.readbyqxmd.com/read/27869436/-diagnosis-and-treatment-guideline-asthma-in-children-6-years-update-2016-executive-summary
#1
(no author information available yet)
No abstract text is available yet for this article.
December 1, 2016: Archivos Argentinos de Pediatría
https://www.readbyqxmd.com/read/27816186/-transition-process-from-paediatric-to-adult-care-in-patients-with-inborn-errors-of-metabolism-consensus-statement
#2
Jordi Pérez-López, Leticia Ceberio-Hualde, José Salvador García Morillo, Josep M Grau-Junyent, Álvaro Hermida Ameijeiras, Mónica López-Rodríguez, Montserrat Morales-Conejo, Juan José Nava Mateos, Luis José Aldámiz Echevarri Azuara, Jaume Campistol, M Luz Couce, María Teresa García-Silva, Luis González Gutiérrez-Solana, Mireia Del Toro
BACKGROUND AND OBJECTIVE: The transition process from paediatric to adult care is a subject of great interest in recent years, especially in chronic diseases with childhood onset, such as inborn errors of metabolism (IEM). Advances in diagnosis and treatment of these diseases have improved their prognosis, with a high number of patients with IEM who currently reach adult age and need to be attended to by non-paediatric professionals. The objective of this work is to establish action guidelines so that the specialists involved can guarantee a successful transition of these patients' healthcare...
December 2, 2016: Medicina Clínica
https://www.readbyqxmd.com/read/27556967/self-perception-of-oral-health-in-older-adults-from-an-urban-population-in-lisbon-portugal
#3
Catarina Carvalho, Ana Cristina Manso, Ana Escoval, Francisco Salvado, Carla Nunes
OBJECTIVE: To analyze if the self-perception of oral health in the urban context is associated with sociodemographic factors that interfere in the life quality of oral health. METHODS: Cross-sectional study with convenience sample of older individuals (65 years old or more) enrolled in the Agrupamento de Centros de Saúde de Lisboa Norte (ACES Lisboa Norte - Health Centers Groupings North Lisbon). The self-perception of oral health and associated life quality was evaluated by the Geriatric Oral Health Assessment Index and the individuals were classified according to sociodemographic characteristics...
August 22, 2016: Revista de Saúde Pública
https://www.readbyqxmd.com/read/27318510/effect-of-an-intervention-on-quality-indicators-for-improving-the-treatment-of-hyperglycemia-in-patients-hospitalized-in-noncritical-areas
#4
J Ena, R Gómez-Huelgas, A Zapatero-Gaviria, P Vázquez-Rodriguez, C González-Becerra, M Romero-Sánchez, M J Igúzquiza-Pellejero, A Artero-Mora, J M Varela-Aguilar
OBJECTIVES: We evaluated the effect of an intervention on certain quality indicators employed for improving the treatment of hospital hyperglycemia. MATERIAL AND METHODS: A multicenter cross-sectional study was conducted on patients with hyperglycemia hospitalized in the internal medicine departments of 44 hospitals evaluated in 2 time periods: 2014 (baseline period) and 2015 (postintervention period). The intervention consisted of the dissemination of the indicators obtained in 2014 and the objectives for improvement...
October 2016: Revista Clínica Española
https://www.readbyqxmd.com/read/27129628/-medical-expert-consensus-in-ah-on-the-clinical-use-of-triple-fixed-dose-antihypertensive-therapy-in-spain
#5
P Mazón, E Galve, J Gómez, M Gorostidi, J L Górriz, J D Mediavilla
INTRODUCTION: The opinion of experts (different specialties) on the triple fixed-dose antihypertensive therapy in clinical practice may differ. MATERIALS AND METHODS: Online questionnaire with controversial aspects of the triple therapy answered by panel of experts in hypertension (HT) using two-round modified Delphi method. RESULTS: The questionnaire was completed by 158 experts: Internal Medicine (49), Nephrology (26), Cardiology (83). Consensus was reached (agreement) on 27/45 items (60%); 7 items showed differences statistically significant...
April 26, 2016: Hipertensión y Riesgo Vascular
https://www.readbyqxmd.com/read/27019246/-in-process-citation
#6
Jesús Manuel Morán López, Luis Miguel Luengo Pérez, Belén Beneítez Moralejo, María Piedra León, Rocío González Aguado, Fidel Jesús Enciso Izquierdo, José Antonio Amado Señaris
Introducción: la clasificación por procesos según el sistema de los grupos relacionados con el diagnóstico permite clasificar los diferentes procesos acorde a un consumo de recursos equivalentes. La complejidad de los procesos según el índice case-mix permite solicitar un mayor o menor presupuesto para la atención de los pacientes. La desnutrición tiene capacidad para aumentar el índice case-mix si bien en muchos casos este diagnóstico y el de los procesos nutricionales no se realizan de forma adecuada...
2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/26693921/prevalence-and-risk-factors-associated-with-use-of-qt-prolonging-drugs-in-hospitalized-older-people
#7
C Franchi, I Ardoino, R Rossio, A Nobili, E M Biganzoli, A Marengoni, M Marcucci, L Pasina, M Tettamanti, S Corrao, P M Mannucci
AIMS: The objective of this study was to evaluate the prevalence of the prescription of QT-prolonging drugs at hospital admission and discharge and the risk factors associated with their use in older people (aged 65 years and older). METHODS: Data were obtained from the REPOSI (REgistro POliterapie SIMI [Società Italiana di Medicina Interna]) registry, which enrolled 4035 patients in 2008 (n = 1332), 2010 (n = 1380), and 2012 (n = 1323). Multivariable logistic regression was performed to determine the risk factors independently associated with QT-prolonging drug use...
January 2016: Drugs & Aging
https://www.readbyqxmd.com/read/26172015/-recommendations-for-the-management-of-acute-lower-respiratory-infections-in-children-under-2-years-of-age-executive-summary
#8
(no author information available yet)
No abstract text is available yet for this article.
August 2015: Archivos Argentinos de Pediatría
https://www.readbyqxmd.com/read/26165165/general-principles-of-medical-interconsultation-for-hospitalised-patients
#9
R Monte-Secades, E Montero-Ruiz, A Gil-Díaz, J Castiella-Herrero
Medical interconsultation for hospitalised patients is a regular activity among internal medicine specialists. However, despite its growing impact and importance, a model that defines its characteristics, objectives and information has not been established. This study, conducted by the Shared Care and Interconsultations Group of the Spanish Society of Internal Medicine, proposes a number of general recommendations concerning the method for requesting and responding to hospital medical interconsultations, as well as a format for these interconsultations...
January 2016: Revista Clínica Española
https://www.readbyqxmd.com/read/26163733/shared-care-comanagement
#10
E Montero Ruiz
Surgical departments have increasing difficulties in caring for their hospitalised patients due to the patients' advanced age and comorbidity, the growing specialisation in medical training and the strong political-healthcare pressure that a healthcare organisation places on them, where surgical acts take precedence over other activities. The pressure exerted by these departments on the medical area and the deficient response by the interconsultation system have led to the development of a different healthcare organisation model: Shared care, which includes perioperative medicine...
January 2016: Revista Clínica Española
https://www.readbyqxmd.com/read/25938844/health-related-quality-of-life-in-leukemia-survivors-of-allogeneic-hematopoietic-stem-cell-transplantation-employing-the-mexican-reduced-intensity-conditioning
#11
Mónica P González-Ramírez, Karla Miravete-Lagunes, Andrés Gómez-de-León, Sergio Ponce-de-León, Andrea P Tenorio-Rojo, Nora A Martagón-Herrera, Jesús A Hernández-Reyes, Arturo García-Villasenor, Esteban Burguette, María Fernanda Vallejo-Villalobos, Guillermo J Ruiz-Delgado, David Gómez-Almaguer, Guillermo J Ruiz-Argüelles
BACKGROUND: Quality of life (QOL) is an important consideration in the counseling, implementation, and post-treatment management of arduous treatments for life-threatening conditions such as allogeneic hematopoietic cell transplantation (allo-HCT). OBJECTIVE: To analyze the QOL of leukemia patients allografted with the Mexican reduced-intensity conditioning regimen in two Mexican academic medical centers. MATERIAL AND METHODS: By means of the quality metric short form 36 version 2 to measure generic health concepts, relevant QOL was analyzed in leukemia patients who underwent allo-HCT using reduced-intensity conditioning on an outpatient basis at either the Centro de Hematología y Medicina Interna de Puebla of the Clínica Ruiz or the Hematology Service of the Internal Medicine Department of the Hospital "Dr...
March 2015: Revista de Investigación Clínica; Organo del Hospital de Enfermedades de la Nutrición
https://www.readbyqxmd.com/read/25925695/outcome-of-recipients-of-hematopoietic-stem-cell-transplants-who-require-intensive-care-unit-support-a-single-institution-experience
#12
Samantha Galindo-Becerra, Nancy Labastida-Mercado, Jaime Rosales-Padrón, Jessica García-Chavez, Elena Soto-Vega, Liliana Rivadeneyra-Espinoza, Andres A León-Peña, Danitza Fernández-Lara, Monica Dominguez-Cid, Javier Anthon-Méndez, Daniel Arizpe-Bravo, Guillermo J Ruiz-Delgado, Guillermo J Ruiz-Argüelles
Admission to the intensive care unit (ICU) of a patient who has been grafted with hematopoietic stem cells is a serious event, but the role of the ICU in this setting remains controversial. Data were analyzed from patients who underwent autologous or allogeneic bone marrow transplantation at the Centro de Hematología y Medicina Interna de Puebla, México, between May 1993 and October 2014. In total, 339 patients were grafted: 150 autografts and 189 allografts; 68 of the grafted patients (20%) were admitted to the ICU after transplantation: 27% of the allografted and 11% of the autografted patients (p = 0...
2015: Acta Haematologica
https://www.readbyqxmd.com/read/25752863/-consensus-on-the-detection-and-management-of-prediabetes-consensus-and-clinical-guidelines-working-group-of-the-spanish-diabetes-society
#13
M Mata-Cases, S Artola, J Escalada, P Ezkurra-Loyola, J C Ferrer-García, J A Fornos, J Girbés, I Rica
In Spain, according to the Di@bet.es study, 13.8% of the adult population suffers from diabetes and 14.8% from some form of prediabetes (impaired glucose tolerance, impaired fasting glucose or both). Since early detection of prediabetes can facilitate the implementation of therapeutic measures to prevent its progression to diabetes, we believe that preventive strategies in primary care and specialized clinical settings should be agreed. Screening for diabetes and prediabetes using a specific questionnaire (FINDRISC) and/or the measurement of fasting plasma glucose in high risk patients leads to detecting patients at risk of developing diabetes and it is necessary to consider how they should be managed...
July 2015: Semergen
https://www.readbyqxmd.com/read/25746465/diagnostic-utility-of-handheld-ultrasonography-as-an-extension-of-the-physical-examination-of-patients-with-heart-failure
#14
S López-Palmero, N Bolivar-Herrera, G López-Lloret, G Merchán-Ortega, J J Macancela-Quiñones, G López-Martínez
BACKGROUND AND OBJECTIVES: Conventional echocardiography is the technique of choice for assessing left ventricular function and the presence of structural heart disease in patients with heart failure. The aim of this study was to assess the diagnostic performance of handheld ultrasonography performed by a medical internist on patients with a clinical diagnosis of heart failure. PATIENTS AND METHODS: Cross-sectional observational study of 212 patients diagnosed with heart failure in a hospital center...
May 2015: Revista Clínica Española
https://www.readbyqxmd.com/read/25735589/-consensus-on-the-detection-and-management-of-prediabetes-consensus-and-clinical-guidelines-working-group-of-the-spanish-diabetes-society
#15
M Mata-Cases, S Artola, J Escalada, P Ezkurra-Loyola, J C Ferrer-García, J A Fornos, J Girbés, I Rica
In Spain, according to the Di@bet.es study, 13.8% of the adult population suffers from diabetes and 14.8% from some form of prediabetes (impaired glucose tolerance, impaired fasting glucose or both). Since early detection of prediabetes can facilitate the implementation of therapeutic measures to prevent its progression to diabetes, we believe that preventive strategies in primary care and specialized clinical settings should be agreed. Screening for diabetes and prediabetes using a specific questionnaire (FINDRISC) and/or the measurement of fasting plasma glucose in high risk patients leads to detecting patients at risk of developing diabetes and it is necessary to consider how they should be managed...
August 2015: Atencion Primaria
https://www.readbyqxmd.com/read/25648701/-consensus-on-the-detection-and-management-of-prediabetes-consensus-and-clinical-guidelines-working-group-of-the-spanish-diabetes-society
#16
M Mata-Cases, S Artola, J Escalada, P Ezkurra-Loyola, J C Ferrer-García, J A Fornos, J Girbés, I Rica
In Spain, according to the Di@bet.es study, 13.8% of the adult population suffers from diabetes and 14.8% from some form of prediabetes (impaired glucose tolerance, impaired fasting glucose or both). Since early detection of prediabetes can facilitate the implementation of therapeutic measures to prevent its progression to diabetes, we believe that preventive strategies in primary care and specialized clinical settings should be agreed. Screening for diabetes and prediabetes using a specific questionnaire (FINDRISC) and/or the measurement of fasting plasma glucose in high risk patients leads to detecting patients at risk of developing diabetes and it is necessary to consider how they should be managed...
March 2015: Endocrinología y Nutrición: órgano de la Sociedad Española de Endocrinología y Nutrición
https://www.readbyqxmd.com/read/25553948/consensus-on-the-detection-and-management-of-prediabetes-consensus-and-clinical-guidelines-working-group-of-the-spanish-diabetes-society
#17
M Mata-Cases, S Artola, J Escalada, P Ezkurra-Loyola, J C Ferrer-García, J A Fornos, J Girbés, I Rica
In Spain, according to the Di@bet.es study, 13.8% of the adult population suffers from diabetes and 14.8% from some form of prediabetes (impaired glucose tolerance, impaired fasting glucose or both). Since early detection of prediabetes can facilitate the implementation of therapeutic measures to prevent its progression to diabetes, we believe that preventive strategies in primary care and specialized clinical settings should be agreed. Screening for diabetes and prediabetes using a specific questionnaire (FINDRISC) and/or the measurement of fasting plasma glucose in high risk patients leads to detecting patients at risk of developing diabetes and it is necessary to consider how they should be managed...
March 2015: Revista Clínica Española
https://www.readbyqxmd.com/read/25300912/definitions-of-internal-medicine-activities-outside-of-the-im-department
#18
E Montero Ruiz, R Monte Secades
The inpatient profile is changing towards patients with multiple diseases, the elderly and those with high comorbidity. The growing complexity of their care, the progressive medical superspecialization and the organizational problems that often hinder daily patient follow-up by the same physician have contributed to a progressive increase in the participation of medical departments, especially Internal Medicine, in the care of patients hospitalized in other medical and surgical specialties. The hospital activities that the departments of internal medicine perform outside of their own department do not have well-established definitions and criteria at the organizational level; their assessment and accountability are different in each hospital...
April 2015: Revista Clínica Española
https://www.readbyqxmd.com/read/25248643/the-stigma-of-low-opioid-prescription-in-the-hospitalized-multimorbid-elderly-in-italy
#19
Alessandra Marengoni, Alessandro Nobili, Oscar Corli, Codjo Djignefa Djade, Diana Bertoni, Mauro Tettamanti, Luca Pasina, Salvatore Corrao, Francesco Salerno, Maura Marcucci, Pier Mannuccio Mannucci
The primary aim of this study was to evaluate the prevalence of opioid prescriptions in hospitalized geriatric patients. Other aims were to evaluate factors associated with opioid prescription, and whether or not there was consistency between the presence of pain and prescription. Opioid prescriptions were gathered from the REgistro POliterapie Societa` Italiana di Medicina Interna (REPOSI) data for the years 2008, 2010 and 2012. 1,380 in-patients, 65+ years old, were enrolled in the first registry run, 1,332 in the second and 1,340 in the third...
April 2015: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/25090156/cardiovascular-health-in-migrants-current-status-and-issues-for-prevention-a-collaborative-multidisciplinary-task-force-report
#20
Pietro A Modesti, Stefano Bianchi, Claudio Borghi, Matteo Cameli, Giovambattista Capasso, Antonio Ceriello, Marco Matteo Ciccone, Giuseppe Germanò, Maria Maiello, Maria Lorenza Muiesan, Salvatore Novo, Luigi Padeletti, Pasquale Palmiero, Sergio Pillon, Carlo Maria Rotella, Pier Sergio Saba, Pietro Scicchitano, Bruno Trimarco, Massimo Volpe, Roberto Pedrinelli, Matteo Di Biase
OBJECTIVES: To review information on cardiovascular health and migration, to stress the attention of researchers that much needs to be done in the collection of sound data in Italy and to allow policy makers identifying this issue as an important public health concern. BACKGROUND: In Italy, the rate of immigrants in the total number of residents increased from 2.5% in 1990 to 7.4% in 2010, and currently exceeds 10% in regions such as Lombardia, Emilia Romagna and Toscana...
September 2014: Journal of Cardiovascular Medicine
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