MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Internal and Emergency Medicine' source. Wed, 08 Feb 2012 14:35:38 +0100 http://www.medworm.com/index.php?rid=5648727&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd1p515q1l7838gw4%2F Abstract  Different strategies have been developed across countries to foster citizens’ and patients’ involvement, from health policies to patients’ active participation in decisions regarding their health. The spectrum varies from systems where patients lead the reform of health care services, to others where a paternalistic approach still limits patients’ autonomy in decision-making. This paper describes: (1) different interventions for involving patients; (2) experiences to promote consumer evidence-based advocacy; and (3) barriers to consumer involvement in health system reforms, including vested interests in patients’ associations. Citizens’ involvement in health systems can vary substantially, but is gaining increasing weight. Content Type Journal Arti... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5648727 Wed, 25 Jan 2012 18:06:46 +0100 5648727 http://www.medworm.com/index.php?rid=5638891&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4831178226061013%2F Content Type Journal ArticleCategory IM - COMMENTARYPages 1-3DOI 10.1007/s11739-012-0756-2Authors Adriana Albini, Oncology Research Division, Polo Scientifico e Tecnologico PST-IRCCS MultiMedica, Milan, ItalyFrancesco Donatelli, Department of Cardiovascular and Metabolic Disease, IRCCS MultiMedica, Milan, ItalyDouglas Noonan, Oncology Research Division, Polo Scientifico e Tecnologico PST-IRCCS MultiMedica, Milan, ItalyMario Milco D’Elios, Patologia Medica AOU Careggi Hospital, University of Florence, Florence, ItalyDomenico Prisco, Patologia Medica AOU Careggi Hospital, University of Florence, Florence, Italy Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5638891 Tue, 24 Jan 2012 06:55:17 +0100 5638891 http://www.medworm.com/index.php?rid=5638892&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb671207wh113w144%2F Abstract  The clinical picture of myocardial ischemia accompanying allergic reactions is defined in the cardiologic literature as Kounis syndrome (KS) or allergic angina/myocardial infarction. In PubMed, a search for “Kounis syndrome”, “allergic angina” or “allergic myocardial infarction” retrieves more than 100 results (among case reports, case series and reviews), most of which are published in cardiology/internal medicine/emergency medicine journals. In allergologic literature, heart involvement during anaphylactic reactions is well documented, but Kounis syndrome is hardly mentioned. Single case reports and small case series of angina triggered by allergic reactions have been reported for many years, and involvement of histamine and others mast cell mediators... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5638892 Tue, 24 Jan 2012 06:55:15 +0100 5638892 http://www.medworm.com/index.php?rid=5620631&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F02687464k2217v57%2F Content Type Journal ArticleCategory ErratumPages 1-1DOI 10.1007/s11739-012-0751-7Authors Alessandro Squizzato, Department of Clinical Medicine, Research Center on Thromboembolic Disorders and Antithrombotic Therapies, University of Insubria, Varese, ItalyDavide Luciani, ‘Mario Negri’ Institute for Pharmacological Research, Milan, ItalyAndrea Rubboli, Department of Cardiology, Ospedale Maggiore, Bologna, ItalyLeonardo Di Gennaro, Haemostasis Research Center, Catholic University, Rome, ItalyRaffaele Landolfi, Haemostasis Research Center, Catholic University, Rome, ItalyCarlo De Luca, Department of Radiology, Policlinico Sant′Orsola, Malpighi, Bologna, ItalyFernando Porro, Ospedale Maggiore Policlinico, Milan, ItalyMarco Moia, Ospedale Maggiore Policlinico, Milan, ItalySophie Testa... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5620631 Wed, 18 Jan 2012 07:00:16 +0100 5620631 http://www.medworm.com/index.php?rid=5620633&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F2102311336l74161%2F Abstract  Atrial fibrillation (AF) is intermittent in 30% of patients with cardioembolic stroke and, therefore, might not be seen in a single standard ECG recording. The aim of this study was to evaluate if prolonged ECG monitoring (96 h) finds episodes of intermittent AF beyond the 24 h ECG monitoring in patients with cryptogenic stroke or transient ischemic attack (TIA). We prospectively evaluated consecutive patients affected by cryptogenic stroke or TIA who had sinus rhythm on a 12-lead ECG on admission, and during ECG monitoring performed in the acute phase (for at least 24 h). Patients had continuous 96 h Holter ECG monitoring within 30 days from stroke onset. 114 patients were included in the study (mean age 63.1 ± 15.1, 59 males). ... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5620633 Tue, 17 Jan 2012 07:07:37 +0100 5620633 http://www.medworm.com/index.php?rid=5620632&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj2563m515355r802%2F Abstract   Clostridium difficile-associated disease (CDAD) is a growing health care problem. Elderly patients with multiple comorbidities and repeated hospitalization are at high risk for developing the disease. Few data are available on epidemiology of CDAD in Italy and no studies have focused on CDAD burden in internal medicine wards. We retrospectively analysed all CDAD cases in four internal medicine wards of a city hospital in northern Italy and reviewed the medical records of patients who developed CDAD during hospitalization. We identified 146 newly acquired cases, yielding a cumulative incidence of 2.56 per 100 hospitalizations and an incidence rate of 23.3 per 10,000 patient-days. Main risk factors were advanced age and length of hospitalization. A high proportion ... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5620632 Tue, 17 Jan 2012 07:07:37 +0100 5620632 http://www.medworm.com/index.php?rid=5620634&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9105mg824872884m%2F Content Type Journal ArticleCategory Editor's PagePages 1-1DOI 10.1007/s11739-012-0758-0Authors Domenico Prisco, Dipartimento di Area Critica Medico Chirurgica, Università degli Studi di Firenze, Viale Morgagni 85, 50134 Florence, Italy Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5620634 Tue, 17 Jan 2012 07:07:35 +0100 5620634 http://www.medworm.com/index.php?rid=5598335&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd121m475p38476q1%2F Abstract  Osteoporosis and osteomalacia are, to date, among the most common metabolic diseases in the world. Lately, an association between metabolic bone diseases and chronic liver disease has been increasingly reported, inducing many authors to create a new nosographic entity known as ‘hepatic osteodystrophy.’ The importance of such a condition is further increased by the morbidity of these two diseases, which greatly reduce the quality of life because of frequent fractures, especially vertebral and femoral neck ones. For this reason, early identification of high-risk patients should be routinely performed by measuring bone mass density. The explanation for the association between bone diseases and chronic liver disease is still uncertain, and involves many factors: f... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5598335 Thu, 12 Jan 2012 16:47:58 +0100 5598335 http://www.medworm.com/index.php?rid=5552735&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F8w15452120422466%2F Abstract  The relationship between overt hypothyroidism and cardiovascular risk has been well documented and some data also suggest an association between cardiovascular risk and subclinical hypothyroidism. The aim of our study was to investigate, in a large cohort of euthyroid women, the association of thyroid stimulating hormone (TSH) within the normal reference range with cardiovascular risk factors. The study was carried out on 744 women with normal thyroid function (TSH 0.3–4.9 μU/mL). Women with TSH above the median (≥2.1 μU/mL) were more obese, had greater waist girth, were more hypertensive and had higher levels of total cholesterol (TC), serum triglycerides (TG), blood sugar (BG) and lower levels of HDL-cholesterol (HDL-C) than women with TSH below the median... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5552735 Tue, 27 Dec 2011 17:02:28 +0100 5552735 http://www.medworm.com/index.php?rid=5515756&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl83588v8477030m6%2F In conclusion, from a different perspective our results corroborate the role of endocrinopathies in thalassaemic osteopathy, and once again underline the crucial importance of an early and multi-disciplinary intervention in preventing bone complications in thalassaemic patients. Content Type Journal ArticleCategory IM - ORIGINALPages 1-5DOI 10.1007/s11739-011-0745-xAuthors Marina Baldini, U.O. Medicina Interna 1 A, Fondazione Ca’ Granda, Ospedale Maggiore Policlinico (IRCCS), via F. Sforza 35, 20122 Milan, ItalyStella Forti, U.O. Audiologia, Fondazione Ca’ Granda, Ospedale Maggiore Policlinico (IRCCS), via F. Sforza 35, 20122 Milan, ItalyAlessandra Orsatti, Dipartimento di Medicina Interna, Università degli Studi di Milano, Milan, ItalyFabio Massimo Ulivieri, U.O. Medicina Nu... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515756 Fri, 16 Dec 2011 16:56:35 +0100 5515756 http://www.medworm.com/index.php?rid=5515758&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk506m305u202ww38%2F Content Type Journal ArticleCategory IM - COMMENTARYPages 1-2DOI 10.1007/s11739-011-0749-6Authors Pier Mannuccio Mannucci, Scientific Direction, IRCCS Ca’ Granda Maggiore Policlinico Hospital Foundation, Milan, Italy Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515758 Fri, 16 Dec 2011 16:56:34 +0100 5515758 http://www.medworm.com/index.php?rid=5515757&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk557r7l189617731%2F Abstract   Cardiotrophin-1 (CT-1) is a member of the interleukin (IL-6) family of cytokines. Plasma CT-1 levels correlate with the left ventricle mass index in patients with dilatated cardiomyopathy and congestive heart failure (CHF). The aim of this paper was to evaluate CT-1 plasma levels, before and after cardiac resynchronization therapy CRT, and to characterizeits prognostic role in patients with CHF. Fifty-two consecutive patients (M/F = 39/13; 56 ± 11 years old) underwent clinical and echocardiographic evaluation, and blood sample collection at baseline. The same evaluation was repeated 6.4 ± 0.79 months after CRT. Patients with a decreased LV end-systolic volume by at least 15% (reverse remodeling) were considered echo respon... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515757 Fri, 16 Dec 2011 16:56:34 +0100 5515757 http://www.medworm.com/index.php?rid=5515759&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr37q044x36210582%2F Abstract  Patients in intensive care units (ICUs) frequently have multiple infections or persistent fever despite management. The aim of this study was to evaluate the diagnostic contribution of gallium-67 scintigraphy in ICU patients with suspected occult sepsis. One hundred and seventeen patients (>18 years) who had undergone gallium-67 scintigraphy in the ICU of our medical center over a 3-year period were retrospectively reviewed and analyzed. Patients were categorized into Group 1 (n = 84), those with a known infectious source, but who still had persistent fever or sepsis despite antibiotic treatment or abscess drainage; or Group 2 (n = 33), those without an evident infectious source after clinical, physical, and imaging studies. Among the 117... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5515759 Tue, 13 Dec 2011 17:06:13 +0100 5515759 http://www.medworm.com/index.php?rid=5505601&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh1t2l2352241m418%2F Abstract  “Triage” is a useful tool used in emergency departments (EDs) to prioritize the care of patients. Through a methodical process of different sequential steps, the triage nurse assigns a color code which goes from red—critical patient with immediate access to medical examination—to a white code that represents no urgency. Clinical studies have shown that patients can be victims of errors during the process of care, especially in complex systems such as EDs. To reduce errors it is essential to map the risks in order to identify the causes (both individual and organizational); the introduction of corrective changes cannot be postponed. The incorrect assessment at triage represents one of the major errors in EDs. By monitoring this activity, through the analysi... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5505601 Mon, 12 Dec 2011 17:16:36 +0100 5505601 http://www.medworm.com/index.php?rid=5505602&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F1127093u727m64g8%2F Abstract  Over the last decade, the advent of molecular targeted therapy radically changed the treatment of several forms of cancer. However, these innovative anticancer drugs, namely monoclonal antibodies and small molecule tyrosine kinase inhibitors were found to adversely affect cardiovascular function. These “on-target” and “off-target” drug side effects encompass a wide range of cardiotoxicities, including left ventricular dysfunction leading to heart failure, electrocardiographic abnormalities with dysrhythmias, hypertension, myocardial ischemia and thromboembolic events. The unclear incidence of drug-induced cardiovascular events together with uncertainty on their reversibility and long-term safety call for a multidisciplinary effort embracing cardio-oncologi... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5505602 Mon, 12 Dec 2011 17:16:35 +0100 5505602 http://www.medworm.com/index.php?rid=5495180&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F080t0h62g3577553%2F Content Type Journal ArticleCategory EM - EDITORIALPages 1-3DOI 10.1007/s11739-011-0748-7Authors Xavier Bosch, Department of Internal Medicine, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona, Hospital Clínic, Villarroel 170, 08036 Barcelona, Spain Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5495180 Sat, 10 Dec 2011 16:55:10 +0100 5495180 http://www.medworm.com/index.php?rid=5495179&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F867u6624j5152872%2F Content Type Journal ArticleCategory CE - LETTER TO THE EDITORPages 1-3DOI 10.1007/s11739-011-0741-1Authors Johnny Sayegh, Department of Nephrology-Dialysis-Transplantation, Angers University Hospital, 49933 Angers, FranceChristian Lavigne, Department of Internal Medicine, Angers University Hospital, 49933 Angers, FranceCyril Sargentini, Department of Anesthesia and Reanimation, University Hospital of Angers, 49933 Angers, FranceIsabelle Boutin, Centre de Santé, Etablissement Français du Sang, 49933 Angers, FranceJean-François Augusto, Department of Nephrology-Dialysis-Transplantation, Angers University Hospital, 49933 Angers, France Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5495179 Sat, 10 Dec 2011 16:55:10 +0100 5495179 http://www.medworm.com/index.php?rid=5495178&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F1336485kk4134662%2F Content Type Journal ArticleCategory CE - LETTER TO THE EDITORPages 1-1DOI 10.1007/s11739-011-0747-8Authors Christopher William Baugh, Department of Emergency Medicine, Brigham and Women’s Hospital, Boston, MA, USAAndrew Tomas Reisner, Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA, USA Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5495178 Sat, 10 Dec 2011 16:55:10 +0100 5495178 http://www.medworm.com/index.php?rid=5495177&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9g8x401pv1831x23%2F Content Type Journal ArticleCategory CE - MEDICAL ILLUSTRATIONPages 1-2DOI 10.1007/s11739-011-0746-9Authors Sonali Kaushal, Department of Anaesthesiology, Government Medical College and Hospital, Chandigarh, IndiaAlka Sharma, Department of Medicine, Government Medical College and Hospital, Chandigarh, IndiaBakshish Singh, Department of Nephrology, Satguru Partap Singh Apollo Hospital, Ludhiana, IndiaVivek Kumar, Department of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaVishal Sharma, Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5495177 Sat, 10 Dec 2011 16:55:10 +0100 5495177 http://www.medworm.com/index.php?rid=5487590&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F8165383232711w27%2F Abstract  To evaluate cardiac output (CO), both invasive and semi-invasive monitors are used in critical care medicine. The pulmonary artery catheter is an invasive tool to assess CO with the major criticism that the level of its invasiveness is not supported by an improvement in patients’ outcomes. The interest in a lesser invasive techniques is high. Therefore, alternative techniques have been developed recently, and are used frequently in critical care medicine. Cardiac output can be monitored continuously by different devices that analyze the stroke volume and CO. The purpose of this review is to understand these new technologies and their applications and limitations. Content Type Journal ArticleCategory EM - REVIEWPages 1-9DOI 10.1007/s11739-011-0738-9Authors ... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5487590 Tue, 06 Dec 2011 17:02:13 +0100 5487590 http://www.medworm.com/index.php?rid=5477019&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5720237667646284%2F Content Type Journal ArticleCategory CE - LETTER TO THE EDITORPages 1-2DOI 10.1007/s11739-011-0732-2Authors Hesham R. Omar, Internal Medicine Department, Mercy Hospital and Medical Center, Chicago, IL, USA Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5477019 Fri, 02 Dec 2011 17:14:02 +0100 5477019 http://www.medworm.com/index.php?rid=5469417&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh6w0512846v4l663%2F This study demonstrates higher values of leptin in SLE patients. Moreover, SLE patients show increased levels of vascular stiffness and PSEM and reduced values of vascular strain and distensibility. These results globally indicate a decline in arterial elasticity. We find a positive correlation of leptin with stiffness parameters. According to its atheroprotective action, adiponectin inversely correlates with stiffness parameters. Content Type Journal ArticleCategory IM - ORIGINALPages 1-8DOI 10.1007/s11739-011-0726-0Authors Marta Vadacca, Department of Clinical Medicine and Rheumatology, University “Campus Bio-Medico” of Rome, Via Àlvaro del Portillo, 200, 00128 Rome, ItalyEnrico M. Zardi, Department of Clinical Medicine and Rheumatology, University “Campus Bio-Medico” ... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5469417 Wed, 30 Nov 2011 04:56:16 +0100 5469417 http://www.medworm.com/index.php?rid=5458386&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm4562m4u6w338862%2F Content Type Journal ArticleCategory CE - COCHRANE'S CORNERPages 1-3DOI 10.1007/s11739-011-0735-zAuthors Alessandro Squizzato, Department of Clinical Medicine, Research Center on Thromboembolic Disorders and Antithrombotic Therapies, University of Insubria, U.O. Medicina I–Ospedale di Circolo, VialeBorri 57, 21100 Varese, ItalyLorenzo Moja, Department of Public Health, Microbiology and Virology, University of Milan, Milan, ItalyStefano Ricci, Division of Neurology, Stroke Unit, ASL 1 Umbria, Città di Castello, Perugia, ItalyGian Franco Gensini, Department of Critical Care Medicine and Surgery, University of Florence and Azienda Ospedaliero-Universitaria Careggi, Florence, Italy Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal ... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5458386 Sat, 26 Nov 2011 16:48:40 +0100 5458386 http://www.medworm.com/index.php?rid=5449922&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F16611042262l25n5%2F Content Type Journal ArticleCategory CE - THE CUTTING EDGE: RESEARCH UPDATEPages 1-2DOI 10.1007/s11739-011-0733-1Authors Paola Fracasso, Azienda Ospedaliera San Paolo, Università degli Studi di Milano, Milan, ItalyGiorgio Costantino, Medicina Interna II, Azienda Ospedaliera L. Sacco, Università degli Studi di Milano, Via GB Grassi 74, 20157 Milan, ItalyOn behalf of Gruppo di Autoformazione Metodologica (GrAM) Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5449922 Thu, 24 Nov 2011 17:48:40 +0100 5449922 http://www.medworm.com/index.php?rid=5449923&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn3317844778147n4%2F Abstract  The role of pulmonary rehabilitation (PR) in COPD patients with lung hyperinflation has not yet been fully investigated. We retrospectively evaluated the effect of a standard PR course on exercise tolerance and symptoms according to the presence or absence of associated lung hyperinflation, as defined by lung function parameters in three Italian rehabilitation centres. In a cohort of 823 COPD patients (age 71 ± 8 years, FEV1 56 ± 18% pred.) we have systematically recorded: changes (∆) in 6-minute walking test (6MWD) as the primary outcome; dyspnoea (D); muscle fatigue (F); SO2nadir during effort; perceived breathlessness score (MRC); and specific health-related quality of life (SGRQ). Outcomes were compared between patients with lun... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5449923 Wed, 23 Nov 2011 17:36:43 +0100 5449923 http://www.medworm.com/index.php?rid=5449924&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd06664ww14428040%2F Content Type Journal ArticleCategory ErratumPages 1-1DOI 10.1007/s11739-011-0734-0Authors Marco Falcone, Department of Public Health and Infectious Diseases, Policlinico Umberto I, University of Rome “La Sapienza”, Rome, ItalySalvatore Corrao, Department of Internal Medicine, University of Palermo, Palermo, ItalyMario Venditti, Department of Public Health and Infectious Diseases, Policlinico Umberto I, University of Rome “La Sapienza”, Rome, ItalyPietro Serra, Department of Public Health and Infectious Diseases, Policlinico Umberto I, University of Rome “La Sapienza”, Rome, ItalyGiuseppe Licata, Department of Internal Medicine, University of Palermo, Palermo, Italy Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and ... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5449924 Wed, 23 Nov 2011 17:36:41 +0100 5449924 http://www.medworm.com/index.php?rid=5449925&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fhu03867742803k18%2F This study was aimed to estimate the prevalence, risk factors, and outcome of self-reported hip fracture (srHF) in a cohort of Spanish elderly individuals. Neurological Disorders in Central Spain (NEDICES) is a census population-based survey of the prevalence and incidence of major age-associated conditions in three areas of central Spain. Data on health status and several chronic conditions were evaluated in the baseline questionnaire (1994–1995). Odds ratios for the association between srHF and other comorbidities and health-related variables were assessed by logistic regression. A Cox model estimated the impact of srHF on 13-year all-cause mortality. The final cohort comprised 5,278 community-living elderly subjects. A total of 166 participants (3.1%) had srHF. Prevalence was as... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5449925 Tue, 22 Nov 2011 17:57:49 +0100 5449925 http://www.medworm.com/index.php?rid=5441578&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fmj23j0h056rq1q68%2F This study aimed to evaluate the role of different gastritis patterns on the efficacy of the currently suggested 14-day triple therapy regimen. One-hundred and seventeen, consecutive, non-ulcer dyspeptic patients, with H. pylori infection diagnosed at endoscopy, were enrolled. All patients received a 14-day, triple therapy with lansoprazole 30 mg, clarithromycin 500 mg and amoxicillin 1 g, all given twice daily. Bacterial eradication was assessed with 13C-urea breath test 4–6 weeks after completion of therapy. H. pylori infection was cured in 70.1% at ITT analysis and 83.7% at PP analysis. The eradication rate tended to be lower in patients with corpus-predominant gastritis as compared to those with antral-predominant gastritis at both ITT (66.1 vs 74.5%) and PP (... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5441578 Mon, 21 Nov 2011 18:10:17 +0100 5441578 http://www.medworm.com/index.php?rid=5432158&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc5742x2383316166%2F Abstract  Most cardiopulmonary diseases share at least one symptom with pulmonary embolism (PE). The aim of this study was to identify the most common acute causes of dyspnea, chest pain, fainting or palpitations, which diagnostic procedures were performed and whether clinicians investigate them appropriately. An Italian multicenter collaboration gathered 17,497 Emergency Department (ED) records of patients admitted from January 2007 to June 2007 in six hospitals. A block random sampling procedure was applied to select 800 hospitalised patients. Results of the overall 17,497 patients were obtained by weighting sampled cases according to the probability of the randomisation block variables in the whole population. The case-mix of enrolled patients was assessed in terms of ca... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5432158 Fri, 18 Nov 2011 06:58:50 +0100 5432158 http://www.medworm.com/index.php?rid=5432159&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft660163717267474%2F Content Type Journal ArticleCategory CE - THE CUTTING EDGE: RESEARCH UPDATEPages 1-2DOI 10.1007/s11739-011-0731-3Authors Elisa Ceriani, Sacco Hospital, 20157 Milan, ItalyAnna Maria Rusconi, St. Anna Hospital, San Fermo della Battaglia, 22020 Como, ItalyGruppo di Autoformazione Metodologica (GrAM) Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5432159 Fri, 18 Nov 2011 06:58:48 +0100 5432159 http://www.medworm.com/index.php?rid=5432161&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh145q6mwg673h705%2F Content Type Journal ArticleCategory CE - LETTER TO THE EDITORPages 1-2DOI 10.1007/s11739-011-0711-7Authors Arienti Vincenzo, Department of Internal Medicine, Maggiore Hospital, Largo B. Nigrisoli 2, 40133 Bologna, ItalyCamaggi Valeria, Department of Internal Medicine, Maggiore Hospital, Largo B. Nigrisoli 2, 40133 Bologna, Italy Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5432161 Fri, 18 Nov 2011 06:58:46 +0100 5432161 http://www.medworm.com/index.php?rid=5432160&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr7238u670x844874%2F The objective of the study was to determine the predictive value of physical examination findings for pulmonary edema and elevated B-type natriuretic peptide (BNP) levels in patients with suspected AHFS. This was a secondary analysis of a previously reported prospective study of jugular vein ultrasonography in patients with suspected AHFS. Charts were reviewed for physical examination findings, which were then compared to pulmonary edema on chest radiography (CXR) read by radiologists blinded to clinical information and BNP levels measured at presentation. The predictive value of every sign and combination of signs for pulmonary edema on CXR or an elevated BNP was poor. Since physical examination findings alone are not predictive of pulmonary edema or an elevated BNP, clinicians shou... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5432160 Fri, 18 Nov 2011 06:58:46 +0100 5432160 http://www.medworm.com/index.php?rid=5409105&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4432l8vl6v852w61%2F Abstract  Ulcerative colitis, one of the two main forms of inflammatory bowel disease, is characterized by inflammation of the large bowel with constant involvement of the rectum, and a possible continuous retrograde distribution up to the cecum. Typical macroscopic lesions are mucosal ulcerations, with immune cell infiltration and cryptic abscesses at histology. Ulcerative colitis usually manifests with bloody diarrhea, is associated with a number of extra-intestinal manifestations, and may be acutely complicated by toxic megacolon. Longstanding disease may predispose to the development of colorectal cancer. Therapeutic options include mesalazine, corticosteroids, immunomodulators and biologic agents; however, if these treatments fail, the only available therapeutic choice... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5409105 Tue, 08 Nov 2011 16:48:49 +0100 5409105 http://www.medworm.com/index.php?rid=5387903&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F07468mkx2n878022%2F Content Type Journal ArticleCategory CE - MEDICAL ILLUSTRATIONPages 1-3DOI 10.1007/s11739-011-0720-6Authors Massimo Salvetti, Clinica Medica, University of Brescia, Spedali Civili Brescia, Brescia, ItalyClaudia Corbellini, Clinica Medica, University of Brescia, Spedali Civili Brescia, Brescia, ItalyCarlo Aggiusti, Clinica Medica, University of Brescia, Spedali Civili Brescia, Brescia, ItalyEnrico Agabiti Rosei, Clinica Medica, University of Brescia, Spedali Civili Brescia, Brescia, ItalyMaria Lorenza Muiesan, Clinica Medica, University of Brescia, Spedali Civili Brescia, Brescia, Italy Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5387903 Tue, 01 Nov 2011 16:52:19 +0100 5387903 http://www.medworm.com/index.php?rid=5387905&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F53v3n58178145523%2F Content Type Journal ArticleCategory CE - THE CUTTING EDGE: RESEARCH UPDATEPages 1-2DOI 10.1007/s11739-011-0718-0Authors Francesca Perego, Medicina III, “Luigi Sacco” Hospital, University of Milan, via G.B. Grassi 74, 20154 Milan, ItalyFranca Dipaola, Medicina Interna, “Istituti Clinici di Perfezionamento”, Sesto S. Giovanni, Milan, ItalyGruppo di Autoformazione Metodologica (GrAM), University of Milan, Milan, Italy Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5387905 Mon, 31 Oct 2011 17:02:05 +0100 5387905 http://www.medworm.com/index.php?rid=5387904&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd536347w57x549th%2F Content Type Journal ArticleCategory CE - MEDICAL ILLUSTRATIONPages 1-2DOI 10.1007/s11739-011-0717-1Authors Po-Hua Su, Emergency Department, Taipei Veterans General Hospital, 201, Sec. 2, Shih-Pai Rd, 112 Taipei, TaiwanChorng-Kuang How, Emergency Department, Taipei Veterans General Hospital, 201, Sec. 2, Shih-Pai Rd, 112 Taipei, TaiwanDavid Hung-Tsang Yen, Emergency Department, Taipei Veterans General Hospital, 201, Sec. 2, Shih-Pai Rd, 112 Taipei, TaiwanMu-Shun Huang, Emergency Department, Taipei Veterans General Hospital, 201, Sec. 2, Shih-Pai Rd, 112 Taipei, Taiwan Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5387904 Mon, 31 Oct 2011 17:02:05 +0100 5387904 http://www.medworm.com/index.php?rid=5387906&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4676495h7351h326%2F Content Type Journal ArticleCategory CE - MEDICAL ILLUSTRATIONPages 1-3DOI 10.1007/s11739-011-0714-4Authors Abdul Hai, Department of Surgery, Hamdard Institute of Medical Sciences and Research, Jamia Hamdard University, New Delhi, IndiaMohammed Aslam, Department of Medicine, Hamdard Institute of Medical Sciences and Research, Jamia Hamdard University, New Delhi, IndiaTarique H. Ashraf, Department of Surgery, Chattarpati Sahuji Maharaj Medical University, Lucknow, India Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5387906 Mon, 31 Oct 2011 17:02:04 +0100 5387906 http://www.medworm.com/index.php?rid=5361380&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr2470585j463pw19%2F Content Type Journal ArticleCategory IM - CASE RECORDPages 1-5DOI 10.1007/s11739-011-0712-6Authors Tiziano Lucchi, Metabolic Diseases Clinic, Geriatric Operating Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, University of Milan, Milan, ItalyLaura Calabresi, Centro Grossi Paoletti, Dipartimento of Pharmacological Science, University of Milan, Milan, ItalyAngela Pinto, Ophthalmology Operating Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, University of Milan, Milan, ItalyElisa Benetti, Metabolic Diseases Clinic, Geriatric Operating Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, University of Milan, Milan, ItalyBeatrice Arosio, Metabolic Diseases Clinic, Geriatric Operating Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlini... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5361380 Fri, 28 Oct 2011 17:14:39 +0100 5361380 http://www.medworm.com/index.php?rid=5361381&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg7764984742rw6g4%2F Content Type Journal ArticleCategory CE - LETTER TO THE EDITORPages 1-2DOI 10.1007/s11739-011-0715-3Authors Alessandra Pugi, Department of Preclinical and Clinical Pharmacology, Tuscan Regional Centre of Pharmacovigilance, University of Florence, Florence, ItalyEugenia Gallo, Department of Preclinical and Clinical Pharmacology, Tuscan Regional Centre of Pharmacovigilance, University of Florence, Florence, ItalyFrancesco Lapi, Department of Preclinical and Clinical Pharmacology, Tuscan Regional Centre of Pharmacovigilance, University of Florence, Florence, ItalyFabio Firenzuoli, Centre for Integrative Medicine, Careggi General Hospital, Florence, ItalyAlfredo Vannacci, Department of Preclinical and Clinical Pharmacology, Tuscan Regional Centre of Pharmacovigilance, University of Florenc... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5361381 Fri, 28 Oct 2011 17:14:38 +0100 5361381 http://www.medworm.com/index.php?rid=5361382&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F011766w11g456x15%2F Content Type Journal ArticleCategory CE - MEDICAL ILLUSTRATIONPages 1-2DOI 10.1007/s11739-011-0716-2Authors Li-Hsiu Chen, Department of Internal Medicine, China Medical University Hospital, No. 2, Yuh-Der Road, Taichung City, 40447 TaiwanHung-Jen Chen, Department of Internal Medicine, China Medical University Hospital, No. 2, Yuh-Der Road, Taichung City, 40447 TaiwanWei-Chih Liao, Department of Internal Medicine, China Medical University Hospital, No. 2, Yuh-Der Road, Taichung City, 40447 Taiwan Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5361382 Fri, 28 Oct 2011 17:14:37 +0100 5361382 http://www.medworm.com/index.php?rid=5361384&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy3xnj8223541u341%2F Content Type Journal ArticleCategory CE - MEDICAL ILLUSTRATIONPages 1-3DOI 10.1007/s11739-011-0710-8Authors Suat-Jin Lu, Department of Diagnostic Imaging, National University Hospital, 5 Lower Kent Ridge Road, Singapore, 119074 SingaporeArvind Sinha, Department of Diagnostic Imaging, National University Hospital, 5 Lower Kent Ridge Road, Singapore, 119074 Singapore Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5361384 Thu, 27 Oct 2011 15:45:43 +0100 5361384 http://www.medworm.com/index.php?rid=5361383&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F058685626002t131%2F Abstract  Patients with autoimmune rheumatic disorders have an increased incidence of cardiovascular (CV) events and mortality. Despite this being related to a high prevalence of the traditional CV risk factors, systemic inflammation has been postulated to be an independent CV risk factor, particularly in patients with rheumatoid arthritis (RA). However, data are still controversial. We designed a case–control study, in which patients with autoimmune rheumatic disorders were matched with age-, sex-matched controls. Prevalence of early atherosclerosis was assessed by carotid artery intima-media thickness (IMT) measurement. IMT values were considered normal (IMT ≤ 0.9 mm) or abnormal (IMT > 0.9). Multivariate analysis was performed to identify p... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5361383 Thu, 27 Oct 2011 15:45:43 +0100 5361383 http://www.medworm.com/index.php?rid=5361385&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp6l627pu41v25044%2F Abstract  Extended-spectrum β-lactamase (ESBL)-producing bacteria have been spreading from hospitals to communities. Despite this, there are limited emergency department (ED) patient-based studies about these bacteremias. A retrospective matched case–control study with a ratio of 1:3 was conducted at a university hospital. The case group consisted of patients aged >16 years with ESBL-producing bacteremias in the ED. Patients matched for age and sex with non-ESBL-producing bacteremias were sampled as the control group. Finally, 64 episodes of ESBL-producing Escherichia coli, Klebsiella pneumoniae, and Proteus mirabilis bacteremias were included in our study. The median age of case patients was 71 years, and 29 (45.3%) were males. The most common type of infect... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5361385 Thu, 27 Oct 2011 15:45:42 +0100 5361385 http://www.medworm.com/index.php?rid=5361386&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F722761766jj03ln1%2F Abstract  New echocardiographic techniques including tricuspid annular plane systolic excursion (TAPSE) and pulsed tissue Doppler imaging (TDI) of the right ventricular wall have been assessed to better define right ventricular dysfunction (RVD) during the acute phase of pulmonary embolism (PE) in patients without significant tricuspidal insufficiency. Their application in patients with a previous history of PE may provide a better estimation of the incidence and clinical significance of long-term functional impairment of the right ventricle. In a case–control study, we compared the prevalence of RVD in a cohort of consecutive patients with previous PE and in age and sex-matched controls without PE. Exclusion criteria were moderate–severe left heart failure, moderate–... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5361386 Thu, 27 Oct 2011 15:45:41 +0100 5361386 http://www.medworm.com/index.php?rid=5361387&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn275t3700jx8q5m5%2F Abstract  Atherosclerosis is a complex process that begins with endothelial dysfunction, and continues with several inflammatory processes leading, eventually, to plaque rupture and formation of arterial thrombus. Increased platelet reactivity and classical coagulation pathways are not the only players of the whole thrombotic process: microparticles (MPs), irregularly shaped small vesicles released from the plasma membrane after cell activation, apoptosis, or exposure to shear stress have been demonstrated to be involved in such a process. MicroRNAs (MiRs), small-non-coding single-strand RNAs acting as post-transcriptional modulator of target gene expression are expressed in the large majority of eukaryotes. MiRs are implicated in several phenomena: control of metabolism, c... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5361387 Thu, 27 Oct 2011 15:45:39 +0100 5361387 http://www.medworm.com/index.php?rid=5361389&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd4150h13544458j3%2F Content Type Journal ArticleCategory CE - MEDICAL ILLUSTRATIONPages 1-2DOI 10.1007/s11739-011-0708-2Authors John Edwin Jesus, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, 1 Deaconess Rd., Boston, MA 02215, USAEdward Ullman, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, 1 Deaconess Rd., Boston, MA 02215, USA Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5361389 Thu, 27 Oct 2011 15:45:38 +0100 5361389 http://www.medworm.com/index.php?rid=5361388&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw2202218120416u1%2F Abstract  Dyspnea is a common symptom in patients admitted to the Emergency Department (ED), and discriminating between cardiogenic and non-cardiogenic dyspnea is often a clinical dilemma. The initial diagnostic work-up may be inaccurate in defining the etiology and the underlying pathophysiology. The aim of this study was to evaluate the diagnostic accuracy and reproducibility of pleural and lung ultrasound (PLUS), performed by emergency physicians at the time of a patient’s initial evaluation in the ED, in identifying cardiac causes of acute dyspnea. Between February and July 2007, 56 patients presenting to the ED with acute dyspnea were prospectively enrolled in this study. In all patients, PLUS was performed by emergency physicians with the purpose of identifying the ... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5361388 Thu, 27 Oct 2011 15:45:38 +0100 5361388 http://www.medworm.com/index.php?rid=5361390&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fln134828g4gg220x%2F Content Type Journal ArticleCategory CE - MEDICAL ILLUSTRATIONPages 1-3DOI 10.1007/s11739-011-0685-5Authors Abdul Khaliq, Department of Gastroenterology, PGIMER, Sector-12, Chandigarh, IndiaUsha Dutta, Department of Gastroenterology, PGIMER, Sector-12, Chandigarh, IndiaRakesh Kochhar, Department of Gastroenterology, PGIMER, Sector-12, Chandigarh, IndiaAchanta Chalapathi, Department of Gastroenterology, PGIMER, Sector-12, Chandigarh, IndiaKartar Singh, Department of Gastroenterology, PGIMER, Sector-12, Chandigarh, India Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5361390 Thu, 27 Oct 2011 15:45:37 +0100 5361390 http://www.medworm.com/index.php?rid=5336700&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr75681g22770324n%2F The objective of the study is to determine the association between emergency department (ED) crowding and preventable medical errors (PME). This was a retrospective cohort study of 533 ED patients enrolled in the National ED Safety Study (NEDSS) in four Massachusetts EDs. Individual patients’ average exposure to ED crowding during their ED visit was compared with the occurrence of a PME (yes/no) for the three diagnostic categories in NEDSS: acute myocardial infarction, asthma exacerbation, and dislocation requiring procedural sedation. To accommodate site-to-site differences in available administrative data, ED crowding was measured using one of three previously validated crowding metrics (ED Work Index, ED Workscore, and ED Occupancy). At each site, the continuous measure was plac... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5336700 Tue, 18 Oct 2011 16:00:25 +0100 5336700 http://www.medworm.com/index.php?rid=5297415&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff3j7nx05027726p4%2F Abstract  Colorectal cancer has recently been associated with an increased atrial fibrillation risk, but evidence is very sparse. So, we conducted a population-based case–control study in northern Denmark (population 1.7 million) during 1998–2006 to estimate the atrial fibrillation/flutter risk in colorectal cancer patients. We identified 28,333 atrial fibrillation/flutter cases and 283,260 sex-, age-, and county-matched population controls. We searched the databases for a prior colorectal cancer diagnosis, a prior cancer diagnosis other than colorectal cancer, and performance of surgery within 30 days prior to atrial fibrillation/flutter. We used conditional logistic regression to estimate the OR of atrial fibrillation/flutter in patients with colorectal cancer, c... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5297415 Tue, 04 Oct 2011 05:51:43 +0100 5297415 http://www.medworm.com/index.php?rid=5297416&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn703051nw4821k26%2F Content Type Journal ArticleCategory CE - LETTER TO THE EDITORPages 1-3DOI 10.1007/s11739-011-0703-7Authors Antonio Pirodda, Department of Specialist Surgical and Anesthesiological Sciences, S. Orsola-Malpighi University Hospital, Via Massarenti 9, 40138 Bologna, ItalyArrigo Francesco Giuseppe Cicero, Department of Internal Medicine, Aging and Kidney Diseases, S. Orsola-Malpighi University Hospital, University of Bologna, Via Albertoni 15, Pad 2, 40138 Bologna, ItalyClaudio Borghi, Department of Internal Medicine, Aging and Kidney Diseases, S. Orsola-Malpighi University Hospital, University of Bologna, Via Albertoni 15, Pad 2, 40138 Bologna, Italy Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5297416 Tue, 04 Oct 2011 05:51:42 +0100 5297416 http://www.medworm.com/index.php?rid=5286250&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv6n25723346u5443%2F Content Type Journal ArticleCategory CE - LETTER TO THE EDITORPages 1-2DOI 10.1007/s11739-011-0696-2Authors Russell E. Berger, IdaC.SmithBuilding, Children’s Hospital Boston, 300 Longwood Avenue, Boston, MA02215 USAMichael Ganetsky, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA02215 USA Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5286250 Sun, 02 Oct 2011 05:46:45 +0100 5286250 http://www.medworm.com/index.php?rid=5286249&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F56672160p8244616%2F Abstract  Chronic Obstructive Pulmonary Disease (COPD) has been recently recognized as a condition involving more than the lungs. The presence of common factors in COPD and in other chronic extra-pulmonary diseases, as well as the co-existence of these conditions in the same adult individual, supports the hypothesis of a shared pathogenetic pathway. We will here review the interplay between coexisting COPD and the metabolic syndrome (MS), based on the most updated knowledge. We will discuss this clinical condition from the definition, to the pathophysiology and to the clinical implications. Basically, MS is more likely to be present in a COPD patients, and increased levels of circulatory pro-inflammatory proteins from both the lung and adipose tissue coincide in these patie... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5286249 Sun, 02 Oct 2011 05:46:45 +0100 5286249 http://www.medworm.com/index.php?rid=5286251&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc16626182517848u%2F Abstract  Chronic constipation is a frequently complained condition in clinical practice and may be primary (idiopathic) or due to secondary causes. The definition of the various forms of constipation is presently made according to the Rome III criteria, which recently incorporated also specific diagnostic algorithms. The diagnosis of constipation relies on the patient’s history, including use of drugs, physical examination, and specific investigations (transit time, anorectal manometry, balloon expulsion test, defecography). These will often be useful to start a targeted therapeutic schedule that may include fibres, laxatives, biofeedback training and, in extreme cases, a surgical approach. This review will analyse the clinical and diagnostic aspects of chronic constipat... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5286251 Sun, 02 Oct 2011 05:46:43 +0100 5286251 http://www.medworm.com/index.php?rid=5286252&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F3439085682j202j7%2F Content Type Journal ArticleCategory CE - THE CUTTING EDGE: RESEARCH UPDATEPages 1-2DOI 10.1007/s11739-011-0694-4Authors Francesco Casella, Medicina Interna III, Dipartimento di Medicina, Ospedale “L. Sacco”, Università degli Studi di Milano, Milan, ItalyGiovanni Casazza, Dipartimento di Scienze Cliniche “L. Sacco”, Università degli Studi di Milano, Via G.B. Grassi, 74, 20157 Milan, ItalyGruppo di Autoformazione Metodologica (GrAM) Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5286252 Sun, 02 Oct 2011 05:46:42 +0100 5286252 http://www.medworm.com/index.php?rid=5286253&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr55368l98025803t%2F Content Type Journal ArticleCategory CE - LETTER TO THE EDITORPages 1-2DOI 10.1007/s11739-011-0704-6Authors Matteo Nicola Dario Di Minno, Department of Clinical and Experimental Medicine, Federico II University, Naples, ItalySalvatore Iervolino, Department of Clinical and Experimental Medicine, Federico II University, Naples, ItalyRosario Peluso, Department of Clinical and Experimental Medicine, Federico II University, Naples, ItalyRaffaele Scarpa, Department of Clinical and Experimental Medicine, Federico II University, Naples, ItalyGiovanni Di Minno, Department of Clinical and Experimental Medicine, Federico II University, Naples, Italy Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5286253 Sat, 01 Oct 2011 06:44:58 +0100 5286253 http://www.medworm.com/index.php?rid=5286254&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg060047007q62432%2F In this study, CE was proven to be a safe, comfortable, and effective, with a high rate of accuracy for diagnosing OGIB. Content Type Journal ArticleCategory IM - ORIGINALPages 1-7DOI 10.1007/s11739-011-0699-zAuthors Carlo Calabrese, Department of Clinical Medicine, University of Bologna, Via Massarenti 9, 40138 Bologna, ItalyGiuseppina Liguori, Department of Clinical Medicine, University of Bologna, Via Massarenti 9, 40138 Bologna, ItalyPaolo Gionchetti, Department of Clinical Medicine, University of Bologna, Via Massarenti 9, 40138 Bologna, ItalyFernando Rizzello, Department of Clinical Medicine, University of Bologna, Via Massarenti 9, 40138 Bologna, ItalySilvio Laureti, Department of Surgery, University of Bologna, Bologna, ItalyMassimo Pierluigi Di Simone, Department of Surger... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5286254 Fri, 30 Sep 2011 05:54:03 +0100 5286254 http://www.medworm.com/index.php?rid=5286255&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr73w406638q62ugn%2F Content Type Journal ArticleCategory CE - LETTER TO THE EDITORPages 1-2DOI 10.1007/s11739-011-0695-3Authors Osman Beton, Department of Cardiology, Sivas State Hospital, Sivas, TurkeyMehmet Birhan Yilmaz, Department of Cardiology, Sivas Cumhuriyet University, Sivas, Turkeyİzzet Tandoğan, Department of Cardiology, Sivas Cumhuriyet University, Sivas, Turkey Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5286255 Thu, 29 Sep 2011 06:18:37 +0100 5286255 http://www.medworm.com/index.php?rid=5261386&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy66x56278023586g%2F Content Type Journal ArticleCategory IM - CASE RECORDPages 1-4DOI 10.1007/s11739-011-0692-6Authors Giulia Berti de Marinis, Department of Medical and Surgical Sciences, Padua University Medical School, via Giustiniani 2, 35128 Padova, ItalyIrene Bertozzi, Department of Medical and Surgical Sciences, Padua University Medical School, via Giustiniani 2, 35128 Padova, ItalyEmanuele Allemand, Department of Medical and Surgical Sciences, Padua University Medical School, via Giustiniani 2, 35128 Padova, ItalyFabiana Tezza, Department of Medical and Surgical Sciences, Padua University Medical School, via Giustiniani 2, 35128 Padova, ItalyMaria Luigia Randi, Department of Medical and Surgical Sciences, Padua University Medical School, via Giustiniani 2, 35128 Padova, ItalyAgostino Naso, Nephrol... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5261386 Sat, 24 Sep 2011 15:46:11 +0100 5261386 http://www.medworm.com/index.php?rid=5251192&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd8j352j7710u5572%2F Abstract  Video laryngoscopes allow indirect visualization of the glottis and provide superior views of the glottis compared to direct laryngoscopes in patients with both normal and difficult airways, but it may be difficult to advance the endotracheal tube (ETT) through the vocal cords into the trachea, unless a stylet is used. We propose that the Endotrol® ETT may be an effective tool to facilitate video laryngoscope-assisted orotracheal intubation without the use of a stylet. After obtaining written and oral informed consent, 60-adult patients scheduled for elective surgery requiring general anesthesia with orotracheal intubation were enrolled. Patients were randomized, respectively, to 1 of 4 groups: Group A1, (15 patients): McGrath® with Endotrol® ETT; Group A2, (15 p... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5251192 Fri, 23 Sep 2011 05:54:18 +0100 5251192 http://www.medworm.com/index.php?rid=5251191&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fmjl7670h8w698q67%2F Content Type Journal ArticleCategory CE - MEDICAL ILLUSTRATIONPages 1-3DOI 10.1007/s11739-011-0697-1Authors Suat-Jin Lu, Department of Nuclear Medicine and PET, Singapore General Hospital, Outram Road, Singapore, 169608 SingaporeMark Ming Loong Tan, Department of Nuclear Medicine and PET, Singapore General Hospital, Outram Road, Singapore, 169608 SingaporeSaabry Osmany, Department of Nuclear Medicine and PET, Singapore General Hospital, Outram Road, Singapore, 169608 Singapore Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5251191 Fri, 23 Sep 2011 05:54:18 +0100 5251191 http://www.medworm.com/index.php?rid=5251193&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw301p74r747v0787%2F Content Type Journal ArticleCategory IM - COMMENTARYPages 1-2DOI 10.1007/s11739-011-0693-5Authors Mario M. D’Elios, PatologiaMedica, AOU Careggi, Largo Brambilla 3, 50134 Florence, ItalyElena Silvestri, PatologiaMedica, AOU Careggi, Largo Brambilla 3, 50134 Florence, ItalyGiacomo Emmi, PatologiaMedica, AOU Careggi, Largo Brambilla 3, 50134 Florence, ItalyAija Zilevica, Clinical Microbiology, University of Latvia, 1050 Rīga LV, LatviaDomenico Prisco, PatologiaMedica, AOU Careggi, Largo Brambilla 3, 50134 Florence, Italy Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5251193 Thu, 22 Sep 2011 06:38:18 +0100 5251193 http://www.medworm.com/index.php?rid=5162693&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fchm32397tt612572%2F Content Type Journal ArticleCategory CE - Book ReviewPages 1-1DOI 10.1007/s11739-011-0679-3Authors Domenico Prisco, Department of Medical and Surgical Critical Care, University of Florence, Viale Morgagni 85, 50134 Florence, ItalyGian Franco Gensini, Department of Medical and Surgical Critical Care, University of Florence, Viale Morgagni 85, 50134 Florence, Italy Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5162693 Fri, 19 Aug 2011 05:48:33 +0100 5162693 http://www.medworm.com/index.php?rid=5132594&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl5581733m56w7127%2F Abstract  Elevated uric acid levels are a common finding in patients with metabolic syndrome and in those with cardiovascular and renal disease, but the meaning of this elevation is still unclear. In patients with chronic kidney diseases, it could merely reflect the reduction in glomerular filtration rate: but uric acid levels are known to be elevated in people, also in younger ones, prior to the development of hypertension or renal disease, independently of several risk factors. Multiple potential mechanisms suggest a causative role for uric acid in vascular disease. Uric acid has been shown to be involved in metabolic pathways that lead to oxidative stress, endothelial disfunction, and to a vascular and systemic inflammatory response. Moreover, the elevation in uric acid... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5132594 Sat, 13 Aug 2011 06:05:41 +0100 5132594 http://www.medworm.com/index.php?rid=5132595&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F135k764255k52726%2F Abstract  The Italian Society of Internal Medicine has developed a voluntary program of professional accreditation of the medical units run by its constituency. Participation in the program, which is meant to foster staff involvement in clinical governance, includes all the medical personnel and nurses. Accreditation is awarded provided the candidate unit is able to adhere to a pre-established set of quality standards, meet a number of clinical and organizational requirements and monitor specific indicators. Self-evaluation is the first step in the program, followed by a site visit by a team of peer internists experienced in quality auditing. The program, which has involved so far 19 units, has considered a number of clinical requirements related to the three most frequent ... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5132595 Thu, 11 Aug 2011 05:54:00 +0100 5132595 http://www.medworm.com/index.php?rid=5064044&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy945567146jk5n82%2F This study analyses the frequency and the potential role of two polymorphisms, the +134del/insA, located in the gene encoding for Endothelin-1 (EDN1), and the His323His in the gene encoding for Endothelin receptor type A (EDNRA) in a cohort of 98 consecutive patients with pulmonary arterial hypertension from two different Cardiology Units (Mid-South of Italy), and in 100 healthy Caucasian subjects randomly recruited from the same area. Cardiac anatomy and function were analysed by non invasive diagnostic imaging techniques (Echocardiography standard m-mode, 2D, colour-Doppler) and by invasive studies (cardiac catheterization). Molecular screening of the region of interest was performed by automated sequencing. At univariate analysis, patients with the His323His TT genotype show a low... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5064044 Tue, 19 Jul 2011 23:40:18 +0100 5064044 http://www.medworm.com/index.php?rid=5064046&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fer85n65032t48v12%2F Content Type Journal ArticlePages 1-2DOI 10.1007/s11739-011-0661-0Authors Simone Birocchi, Medicina Interna 2, Ospedale L. Sacco, Università degli Studi di Milano, Via G.B. Grassi, 74, 20157 Milan, MI, ItalyGiulia Carla Luisa Cernuschi, Medicina Interna 2, Ospedale L. Sacco, Università degli Studi di Milano, Via G.B. Grassi, 74, 20157 Milan, MI, ItalyGruppo di Autoformazione Metodologica (GrAM) Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5064046 Tue, 19 Jul 2011 06:08:25 +0100 5064046 http://www.medworm.com/index.php?rid=5064045&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff441290w3339746w%2F Content Type Journal ArticlePages 1-2DOI 10.1007/s11739-011-0665-9Authors Tal Grenader, Department of Oncology, Sha’are Zedek Medical Center, P.O. Box 3235, 91031 Jerusalem, Israel Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5064045 Tue, 19 Jul 2011 06:08:25 +0100 5064045 http://www.medworm.com/index.php?rid=5040424&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ftn65q5710h712250%2F Content Type Journal ArticlePages 349-352DOI 10.1007/s11739-010-0497-zAuthors Christian Mongiardi, Department of Clinical Medicine, University of Insubria, Varese, ItalyFrancesco Dentali, Department of Clinical Medicine, University of Insubria, Varese, ItalyWalter Ageno, Department of Clinical Medicine, University of Insubria, Varese, ItalyAndrea Maria Maresca, Department of Clinical Medicine, University of Insubria, Varese, ItalyAlessandro Squizzato, Department of Clinical Medicine, University of Insubria, Varese, ItalyAndrea Bertolini, Department of Clinical Medicine, University of Insubria, Varese, ItalyEdoardo Verna, Hemodynamic Lab, Department of Cardiology, University of Insubria, Varese, ItalyAchille Venco, Department of Clinical Medicine, University of Insubria, Varese, Italy ... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5040424 Thu, 14 Jul 2011 06:00:19 +0100 5040424 http://www.medworm.com/index.php?rid=5030969&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F95tl46057063p086%2F Content Type Journal ArticlePages 1-6DOI 10.1007/s11739-011-0660-1Authors Giovanna Squiccimarro, Department of Internal Medicine, UO Medicina Interna 1-A, Università degli Studi di Milano, Scuola di Specializzazione in Medicina Interna, Via F. Sforza 35, 20122 Milan, ItalyMaria Carrabba, Department of Internal Medicine, UO Medicina Interna 1-A, Università degli Studi di Milano, Fondazione IRCCS “Cà Granda” Ospedale Maggiore Policlinico, Via F. Sforza 35, 20122 Milan, ItalyCinzia Hu, Department of Internal Medicine, UO Medicina Interna 1-A, Università degli Studi di Milano, Fondazione IRCCS “Cà Granda” Ospedale Maggiore Policlinico, Via F. Sforza 35, 20122 Milan, ItalyMaria Domenica Cappellini, Department of Internal Medicine, UO Medicina Interna 1-A, Università degli Stud... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5030969 Wed, 13 Jul 2011 06:02:20 +0100 5030969 http://www.medworm.com/index.php?rid=5030970&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F135726748l713675%2F Abstract  Acute poisoning is a common medical emergency in Malaysia. Life can be saved if the patient is diagnosed properly and receives the appropriate treatment such as gastrointestinal decontamination techniques and resources to increase poison elimination according to clinical guidelines at a reasonable time. The aims of this study were to determine the availability of decontamination, elimination enhancement, and stabilization resources for the management of acute toxic exposures and poisonings in accident and emergency departments in Malaysia, and to compare the availability of such facilities among various types of hospitals. A comparative, descriptive cross-sectional study was conducted using a structured questionnaire. Seventy-four (58.3%) out of the targeted 127 h... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5030970 Wed, 13 Jul 2011 06:02:19 +0100 5030970 http://www.medworm.com/index.php?rid=5030971&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr276726j7r33p5r3%2F Content Type Journal ArticlePages 1-1DOI 10.1007/s11739-011-0666-8Authors Domenico Prisco, Dipartimento di Area Critica Medico Chirurgica, Università degli Studi di Firenze, Viale Morgagni 85, 50134 Florence, Italy Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5030971 Tue, 12 Jul 2011 05:55:55 +0100 5030971 http://www.medworm.com/index.php?rid=5030972&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9w2307m616506157%2F Content Type Journal ArticlePages 1-4DOI 10.1007/s11739-011-0655-yAuthors Elena Silvestri, Department of Biomedicine, SOD Patologia Medica, AOU Careggi, Viale GB Morgagni 85, 50134 Florence, ItalyGiacomo Emmi, Department of Biomedicine, SOD Patologia Medica, AOU Careggi, Viale GB Morgagni 85, 50134 Florence, ItalyMario Milco D’Elios, Department of Biomedicine, SOD Patologia Medica, AOU Careggi, Viale GB Morgagni 85, 50134 Florence, ItalyTommaso Barnini, Department of Biomedicine, SOD Patologia Medica, AOU Careggi, Viale GB Morgagni 85, 50134 Florence, ItalyCarlo Tamburini, Department of Biomedicine, SOD Patologia Medica, AOU Careggi, Viale GB Morgagni 85, 50134 Florence, Italy Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal an... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5030972 Tue, 12 Jul 2011 05:55:53 +0100 5030972 http://www.medworm.com/index.php?rid=5030973&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F83w30101642jv36g%2F Content Type Journal ArticlePages 1-2DOI 10.1007/s11739-011-0663-yAuthors Chia-Ter Chao, Division of Nephrology, Department of Internal Medicine, National Taiwan University Hospital, No. 7, Chung-Shan South Road, Taipei, 100 Taiwan, Republic of China Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5030973 Tue, 12 Jul 2011 05:55:49 +0100 5030973 http://www.medworm.com/index.php?rid=5030974&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl4508gwh00854407%2F Content Type Journal ArticlePages 1-2DOI 10.1007/s11739-011-0664-xAuthors Suat-Jin Lu, Department of Nuclear Medicine and PET, Singapore General Hospital, Outram Road, Singapore, 169608 SingaporeChui Yin Lim, Department of Nuclear Medicine and PET, Singapore General Hospital, Outram Road, Singapore, 169608 SingaporeAjit Kumar Padhy, Department of Nuclear Medicine and PET, Singapore General Hospital, Outram Road, Singapore, 169608 Singapore Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5030974 Sun, 10 Jul 2011 05:52:26 +0100 5030974 http://www.medworm.com/index.php?rid=5021383&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg15035425n62w65u%2F Content Type Journal ArticlePages 1-2DOI 10.1007/s11739-011-0651-2Authors Rosanna Tarricone, Department of Institutional analysis and management of public administration (DAIMAP), Centre for Research on Healthcare Management (CERGAS), Università Bocconi, Via Roentgen 1, 20136 Milan, Italy Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5021383 Sat, 09 Jul 2011 06:17:30 +0100 5021383 http://www.medworm.com/index.php?rid=5021382&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq4202lw234281m22%2F In conclusions, our structured physical activity intervention significantly improves the SPPB score in frail elderly patients who have undergone elective cardiac surgery. An intervention that improves the SPPB score might delay the occurrence of mobility disability. Content Type Journal ArticlePages 1-9DOI 10.1007/s11739-011-0654-zAuthors Raffaele Molino-Lova, Cardiac Rehabilitation Unit, Don Gnocchi Foundation, Via Imprunetana 124, 50023 Pozzolatico, Florence, ItalyGuido Pasquini, Cardiac Rehabilitation Unit, Don Gnocchi Foundation, Via Imprunetana 124, 50023 Pozzolatico, Florence, ItalyFederica Vannetti, Cardiac Rehabilitation Unit, Don Gnocchi Foundation, Via Imprunetana 124, 50023 Pozzolatico, Florence, ItalyAnita Paperini, Cardiac Rehabilitation Unit, Don Gnocchi Foundation, ... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5021382 Sat, 09 Jul 2011 06:17:30 +0100 5021382 http://www.medworm.com/index.php?rid=5021384&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F01622281r649079n%2F Abstract  Pain treatment in Italy is far from being optimal. In order to improve this situation, the reporting of a complete assessment of pain in the clinical record became compulsory by law. Pain-related cancer protocols (143) were selected from the National Monitoring Centre of Clinical Trials Database and reviewed. Our data indicate that pain management is not being reported as it should be: treatment has been taken into account in only 36.4% of the protocols, and assessment in 37.1%. Furthermore, breakthrough cancer pain has never been reported. The main aim of cancer therapy is obviously control the disease, however Ethics Committees should pay close attention to pain therapy when evaluating clinical protocols. Content Type Journal ArticlePages 1-4DOI 10.1007/s117... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5021384 Sat, 09 Jul 2011 06:17:29 +0100 5021384 http://www.medworm.com/index.php?rid=5021385&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fgk21415212230370%2F Abstract  Cholestyramine is a bile acid sequestrant, like colestipol and colesevelam. These molecules are positively charged non-digestible resins that bind to bile acids in the intestine to form an insoluble complex, which is excreted in the feces. They are used mainly for the treatment of primary hypercholesterolemia and hypercholesterolemia associated with mild hypertriglyceridemia, in patients not responding to dietary treatment as well as a second line-treatment for pruritus associated with cholestatic disease, in patients with incomplete biliary obstruction. Several data indicate that modulation of bile acid homeostasis has a good clinical effect in managing diabetes mellitus and the diarrhea from bile acid malabsorption. In this review, we present the “in label” ... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5021385 Fri, 08 Jul 2011 06:36:03 +0100 5021385 http://www.medworm.com/index.php?rid=5021387&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy514132v2487047u%2F Abstract  Since the development of coronary care units (CCUs), telemetry has rapidly become the standard of care in evaluating patients with suspected acute coronary syndromes, regardless of the probability for ischemia. However, there is no data to support this practice. Our objective was to evaluate the utility of routine cardiac monitoring in a chest pain observation unit. We prospectively studied the utility of routine cardiac monitoring in 249 consecutive patients admitted to an observation unit in an academic Emergency Department over a 6-month period. All the patients presented with chest pain thought to be cardiac ischemia. Observation included serial cardiac enzymes, ECG cardiac monitoring, and exercise testing in a designated chest pain observation unit. These pat... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5021387 Fri, 08 Jul 2011 06:36:02 +0100 5021387 http://www.medworm.com/index.php?rid=5021386&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F024t225v1g145212%2F Content Type Journal ArticlePages 1-3DOI 10.1007/s11739-011-0656-xAuthors Ludovica Tagliabue, Dipartimento di Sanità Pubblica, Microbiologia e Virologia, Università di Milano, Milan, ItalyMariateresa Pugliano, Immunoematologia Trasfusionale, Dipartimento di Medicina Trasfusionale, Ospedale S. Paolo, Milan, Italy Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5021386 Fri, 08 Jul 2011 06:36:02 +0100 5021386 http://www.medworm.com/index.php?rid=5021388&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx7h211279p735226%2F Abstract  Amyloidosis comprises a unique group of diseases that share in common the extracellular deposition of insoluble fibrillar proteins in organs and tissue including the heart. Cardiac amyloidosis could be primary a part of systemic acquired amyloidosis, or a result of heredofamilial amyloidosis. Although the infiltration of the heart from different types of amyloid results in restrictive cardiomyopathy that manifests with refractory congestive heart failure and conduction abnormalities, unequivocal identification of the deposited amyloidogenic protein is mandatory in order to avoid misdiagnosis and inappropriate treatment. Recent developments in imaging techniques and extracardiac tissue biopsy have minimized the need for invasive endomyocardial biopsy for amyloidosi... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=5021388 Fri, 08 Jul 2011 06:36:00 +0100 5021388 http://www.medworm.com/index.php?rid=4994047&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh932708008802222%2F Content Type Journal ArticlePages 1-2DOI 10.1007/s11739-011-0659-7Authors Chia-Ter Chao, Division of Nephrology, Department of Internal Medicine, National Taiwan University Hospital, College of Medicine, National Taiwan University, No. 7, Chung-Shan South Road, Taipei, 100 Taiwan, Republic of China Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4994047 Wed, 29 Jun 2011 15:52:22 +0100 4994047 http://www.medworm.com/index.php?rid=4994048&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw21x3620qv481r70%2F Content Type Journal ArticlePages 1-3DOI 10.1007/s11739-011-0649-9Authors Alberto Maria Marra, Department of Clinical Medicine and Cardiovascular and Immunological Sciences, University Federico II, Naples, ItalyMichele Arcopinto, Department of Clinical Medicine and Cardiovascular and Immunological Sciences, University Federico II, Naples, ItalyEmanuele Bobbio, Department of Clinical Medicine and Cardiovascular and Immunological Sciences, University Federico II, Naples, ItalyAndrea Salzano, Department of Clinical Medicine and Cardiovascular and Immunological Sciences, University Federico II, Naples, ItalyLuigi Saccà, Department of Clinical Medicine and Cardiovascular and Immunological Sciences, University Federico II, Naples, ItalyAntonio Cittadini, Department of Clinical Medicine and ... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4994048 Wed, 29 Jun 2011 05:57:36 +0100 4994048 http://www.medworm.com/index.php?rid=4994049&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F57112n1j63845421%2F Content Type Journal ArticlePages 1-2DOI 10.1007/s11739-011-0652-1Authors Luca Mascitelli, Comando Brigata Alpina “Julia”, Medical Service, 8 Via S. Agostino, 33100 Udine, ItalyMark R. Goldstein, Fountain Medical Court, 9410 Fountain Medical Court, Suite A-200, Bonita Springs, FL 34135, USAWilliam B. Grant, Sunlight, Nutrition, and Health Research Center (SUNARC), P.O. Box 641603, San Francisco, CA 94164-1603, USA Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4994049 Wed, 29 Jun 2011 05:57:34 +0100 4994049 http://www.medworm.com/index.php?rid=4994050&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F406m73750507k779%2F Content Type Journal ArticlePages 1-2DOI 10.1007/s11739-011-0650-3Authors Chia-Hsiang Li, Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, China Medical University Hospital, No. 2, Yude Road, North District, Taichung, 40447 Taiwan, ROCYeng-Sung Lin, Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, China Medical University Hospital, No. 2, Yude Road, North District, Taichung, 40447 Taiwan, ROCShinn-Jye Liang, Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, China Medical University Hospital, No. 2, Yude Road, North District, Taichung, 40447 Taiwan, ROC Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4994050 Wed, 29 Jun 2011 05:57:33 +0100 4994050 http://www.medworm.com/index.php?rid=4978073&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F2654514098187084%2F Content Type Journal ArticlePages 1-1DOI 10.1007/s11739-011-0657-9Authors Carmelita Marcantoni, Division of Nephrology, Cannizzaro Hospital, Catania, ItalyStefania Rastelli, Internal Medicine, University of Catania, Catania, ItalyLuca Zanoli, Internal Medicine, University of Catania, Catania, ItalyGiovanni Tripepi, CNR-IBIM, Reggio, Calabria, ItalyMarilena Di Salvo, Division of Cardiology, University of Catania, Catania, ItalySergio Monaco, Division of Cardiology, University of Catania, Catania, ItalyCarmelo Sgroi, Division of Cardiology, University of Catania, Catania, ItalyDavide Capodanno, Division of Cardiology, University of Catania, Catania, ItalyCorrado Tamburino, Division of Cardiology, University of Catania, Catania, ItalyPietro Castellino, Internal Medicine, University of Cat... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4978073 Sat, 25 Jun 2011 15:51:03 +0100 4978073 http://www.medworm.com/index.php?rid=4938210&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq2006v2v5691k9n6%2F Abstract  Atrial fibrillation (AF) is commonly associated with a significant increase in stroke and thromboembolic risk. Many patients with AF have associated atherothrombosis given the many risk factors for atherosclerosis that also predispose to AF. Vascular disease, whether peripheral artery disease or myocardial infarction, contributes to the increased risk of stroke and thromboembolism, and has been included in stroke risk assessment schema. This review analyzes the interplay between AF and peripheral artery disease in relation to their associated pathophysiology, as well as epidemiological data linking both conditions and the associated thromboembolic complications conferred by the presence of both. Content Type Journal ArticlePages 1-6DOI 10.1007/s11739-011-0637-... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4938210 Sat, 11 Jun 2011 06:36:03 +0100 4938210 http://www.medworm.com/index.php?rid=4938211&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F814t172wu0l5h860%2F Content Type Journal ArticlePages 1-1DOI 10.1007/s11739-011-0646-zAuthors Ilker Tasci, Department of Internal Medicine and Geriatrics, Gulhane School of Medicine, GATA Ic Geriatri Bilim Dali, Etlik, 06018 Ankara, Turkey Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4938211 Sat, 11 Jun 2011 06:36:02 +0100 4938211 http://www.medworm.com/index.php?rid=4938213&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj2w61x1l21723912%2F In conclusion, a substantial proportion of VTE events remain classified as unprovoked. Unprovoked events are more common in middle aged patients, in men, and in patients presenting with deep vein thrombosis. Content Type Journal ArticlePages 1-6DOI 10.1007/s11739-011-0644-1Authors Walter Ageno, University of Insubria, U.O. Medicina I, Ospedale di Circolo, Viale Borri 57, 21100 Varese, ItalyGiancarlo Agnelli, University of Perugia, Perugia, ItalyDavide Imberti, Hospital of Ferrara, Ferrara, ItalyMarco Moia, IRCCS Maggiore Hospital, Milan, ItalyGualtiero Palareti, University of Bologna, Bologna, ItalyRiccardo Pistelli, Catholic University, Rome, ItalyMelina Verso, University of Perugia, Perugia, Italy Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4938213 Fri, 10 Jun 2011 06:27:11 +0100 4938213 http://www.medworm.com/index.php?rid=4938212&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ftqv7057k2244ju43%2F Abstract  In polycythemia vera, gender has recently been shown to influence the JAK2V617F allele burden, but its effect on the disease phenotype is unknown. This issue was investigated using the database of the European Collaboration on Low-dose Aspirin in Polycythemia Vera (ECLAP) Study. The ECLAP Study recruited 1,638 polycythemic subjects and followed for 2.7 ± 1.3 years. At study entry, men, compared to women, had a higher prevalence of myocardial infarction (11.3 vs. 5.8%; P < 0.0001) and peripheral arterial disease (6.1 vs. 2.9%; P < 0.05) while a history of venous thrombosis was more common in women (11.4 vs. 7.9%, P = 0.016). Among 234 venous thrombosis, there were 39 splanchnic vein thromboses (33 extra-hepatic porta... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4938212 Fri, 10 Jun 2011 06:27:11 +0100 4938212 http://www.medworm.com/index.php?rid=4938215&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr58w45tk5161884n%2F Abstract  Patients with chronic obstructive pulmonary disease (COPD) are prone to clinical exacerbations that are associated with increased airway inflammation, a potent pro-thrombotic stimulus. Limited information is available on the mechanisms underlying the putative alterations of the endothelial-coagulative system during acute exacerbations. The aim was to investigate whether the activation of the endothelial-coagulative system occurs in association with the acute inflammatory response of COPD exacerbation. We monitored the blood levels of surrogate markers of inflammation: interleukin-6 (IL-6); endothelium damage: von Willebrand’s factor (vWF); clotting activation: D-dimer (D-D), and prothrombin fragment 1+2 (F1+2); fibrinolytic response: plasminogen activator inhibi... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4938215 Fri, 10 Jun 2011 06:27:10 +0100 4938215 http://www.medworm.com/index.php?rid=4938214&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F234r7m24349t2434%2F Content Type Journal ArticlePages 1-3DOI 10.1007/s11739-011-0645-0Authors Tal Grenader, Department of Oncology, Sha’are Zedek Medical Center, P.O. Box 3235, 91031 Jerusalem, IsraelLinda Shavit, Department of Internal Medicine, Sha’are Zedek Medical Center, Jerusalem, Israel Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4938214 Fri, 10 Jun 2011 06:27:10 +0100 4938214 http://www.medworm.com/index.php?rid=4914288&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fpk344v8676344470%2F Abstract  The pathogenesis of hemorrhagic fever with renal syndrome (HFRS) has not been fully clarified. Cell-mediated immunity appears to play a crucial role in the immune pathogenesis of HFRS. To explore the relationship between Hantaan (HTNV)-specific CD8+ T lymphocytes and the immune pathogenesis of HFRS, the levels of interferon γ (IFN-γ) secreted by HTNV-specific CD8+ T lymphocytes were detected by flow cytometry in peripheral blood mononuclear cells. Levels of HTNV-specific CD8+ T lymphocytes in patients with HFRS were associated with different phases of HFRS. In fever phase, it was significantly elevated. The levels of HTNV-specific CD8+ T lymphocytes in PBMC of patients with HFRS were negatively correlated with the levels of blood urea nitrogen and creatinine in pla... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4914288 Tue, 07 Jun 2011 09:39:54 +0100 4914288 http://www.medworm.com/index.php?rid=4914289&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F72v3t526uw352745%2F Abstract  The aim of the study is to determine the prevalence of inappropriate admission, and to identify the factors that influence appropriateness of hospital admission. Data were prospectively collected from all 345 consecutive patients admitted during the period of 1 month for acute hospital care at a 110-bed division of internal medicine using socio-demographic and medical information. Statistical analyses included χ2 tests, t tests, and logistic regression analyses. According to the European version of the Appropriateness Evaluation Protocol of hospital admission, 28.1% of medical admissions for acute care in the Central Hospital of Bolzano, Italy, have been classified as inappropriate. Factors that reduced appropriateness included female gender, age and chronic ... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4914289 Tue, 07 Jun 2011 09:39:53 +0100 4914289 http://www.medworm.com/index.php?rid=4914290&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy0371323757r2k52%2F Abstract  It is difficult to trace full details of the path which irregular or illegal immigrants follow when seeking assistance in the network of the various hospital departments and health structures. The aim of this work was to analyze the health needs of immigrant people by reviewing the types of treatment given to them in the day-hospital of our Department of Migration Medicine. Our study analyzed day-hospital admissions between 2003 and 2009. The patient charts used for managing day-hospital activity were adopted in 2002 in conformity with the “OSI project”. From these it is possible to draw up a scale picture of the distribution of each pathology in the immigrant population. The sample population consisted of 1,758 subjects, representing 7.4% of potential users. ... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4914290 Mon, 06 Jun 2011 15:48:25 +0100 4914290 http://www.medworm.com/index.php?rid=4914291&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp7117p3728h77r11%2F Abstract  In non-ST-elevation acute coronary syndromes (ACS), an early invasive strategy is recommended for middle/high-risk patients; however, the optimal timing for coronary angiography is still debated. The aim of this study was to evaluate the prognostic implications of the time of angiography in ACS patients treated in accord with an early invasive strategy. We analyzed the relationship between the time of angiography and outcomes at follow-up in 517 ACS patients, of whom 482 were revascularized with percutaneous coronary intervention (PCI) (86.9%) or coronary artery by-pass graft (13.1%). We also evaluated the influence of clinical, biohumoral and angiographic variables on the patients’ outcomes at follow-up. Among patients submitted to angiography at different time... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4914291 Mon, 06 Jun 2011 15:48:23 +0100 4914291 http://www.medworm.com/index.php?rid=4904472&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fct433562160r310m%2F Content Type Journal ArticlePages 1-2DOI 10.1007/s11739-011-0641-4Authors Alberto Tosetto, Hematology Department, S. Bortolo Hospital, Vicenza, Italy Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4904472 Fri, 03 Jun 2011 05:55:11 +0100 4904472 http://www.medworm.com/index.php?rid=4904471&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fll6216271j1u0h36%2F Content Type Journal ArticlePages 1-2DOI 10.1007/s11739-011-0639-yAuthors Alessandra Pugi, Department of Preclinical and Clinical Pharmacology, University of Florence, Viale G. Pieraccini 6, 50139 Florence, ItalyEugenia Gallo, Department of Preclinical and Clinical Pharmacology, University of Florence, Viale G. Pieraccini 6, 50139 Florence, ItalyAlfredo Vannacci, Department of Preclinical and Clinical Pharmacology, University of Florence, Viale G. Pieraccini 6, 50139 Florence, ItalyFrancesco Lapi, Department of Preclinical and Clinical Pharmacology, University of Florence, Viale G. Pieraccini 6, 50139 Florence, ItalyFabio Firenzuoli, Centre of Natural Medicine, ASL 11 Hospital, Empoli, Italy Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4904471 Fri, 03 Jun 2011 05:55:11 +0100 4904471 http://www.medworm.com/index.php?rid=4904474&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F31140118260v779k%2F Content Type Journal ArticlePages 1-2DOI 10.1007/s11739-011-0638-zAuthors Michele Correale, Department of Cardiology, “Ospedali Riuniti”OO.RR, University of Foggia, Viale L Pinto, 1, 71100 Foggia, ItalyRiccardo Ieva, Department of Cardiology, “Ospedali Riuniti”OO.RR, University of Foggia, Viale L Pinto, 1, 71100 Foggia, ItalyAndrea Igoren Guaricci, Department of Cardiology, “Ospedali Riuniti”OO.RR, University of Foggia, Viale L Pinto, 1, 71100 Foggia, ItalyMatteo Di Biase, Department of Cardiology, “Ospedali Riuniti”OO.RR, University of Foggia, Viale L Pinto, 1, 71100 Foggia, Italy Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4904474 Fri, 03 Jun 2011 05:55:09 +0100 4904474 http://www.medworm.com/index.php?rid=4904473&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F3755hn2703x57h53%2F Content Type Journal ArticlePages 1-2DOI 10.1007/s11739-011-0640-5Authors Luis A. Idrovo Freire, Neurology Department and Neurosonology Laboratory, Hospital La Zarzuela and Hospital Nuestra Sra. Del Rosario, Madrid, Spain Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4904473 Fri, 03 Jun 2011 05:55:09 +0100 4904473 http://www.medworm.com/index.php?rid=4904475&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F41315606t7426839%2F Abstract  Physicians are occasionally faced with difficult situations in the management of vitamin K antagonists (VKA) due to the lack of sound data available in controlled studies on certain conditions. In this review we would like to address some special but frequent conditions that can be encountered in daily clinical practice. These include the use of VKA in hemodialysis, thromboembolism in patients with liver cirrhosis and the thromboembolic risk in patients who bleed in the course of treatment with VKA. Moreover, two other conditions were examined: what the best way of expressing prothrombin time would be in patients with liver disease and how to behave when a patient treated with VKA shows a subtherapeutic INR. These topics were discussed by a panel of experts during... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4904475 Thu, 26 May 2011 16:10:43 +0100 4904475 http://www.medworm.com/index.php?rid=4904476&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd15l5mtktx008262%2F Abstract  The occurrence of patients with gastrointestinal symptoms attributed either to food allergy or intolerance has significantly increased. Nevertheless, an accurate and detailed case history, a systematic evaluation and the outcomes of specific allergy tests to identify the offending foods, including “in vivo” and “in vitro” allergy tests, are often negative for food allergy and may indicate a lactose intolerance, which is a recurrent condition affecting about 50% of adults. The aims of our study were the following: (1) What is the real incidence of the food hypersensitivity and the primary lactose intolerance in patients with gastrointestinal symptoms, initially referred to allergy or food intolerance? (2) Does lactose intolerance affect the quality of life ... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4904476 Wed, 25 May 2011 16:01:42 +0100 4904476 http://www.medworm.com/index.php?rid=4904477&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fdv82040g6536u636%2F The objective of this study was to prospectively assess the prevalence, predictors and prognostic significance of microalbuminuria in a large cohort of consecutive acute cardiac patients, admitted to an intensive cardiac care unit from 1 January 2008 to 30 June 2009. In 815 acute cardiac patients, microalbuminuria is detectable in 39.3%. Microalbuminuria shows a significant negative correlation with left ventricular ejection fraction (Spearman’s ρ = −0.228; p < 0.001), while it is positively correlated with C-reactive protein (Spearman’s ρ = 0.239; p < 0.001), NT-pro-BNP (Spearman’s ρ = 0.306; p < 0.001) and glycemia (Spearman’s ρ = 0.191; p < 0.001). Microalbuminuria is an independ... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4904477 Tue, 24 May 2011 16:03:04 +0100 4904477 http://www.medworm.com/index.php?rid=4904478&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl579203l2050304k%2F Abstract  To investigate the prevalence of significant renal artery stenosis (RAS ≥50%), and to identify clinical predictors for significant RAS in patients with an elevated cardiovascular risk, such as those affected by ischemic heart disease. In patients with an elevated cardio-vascular risk, both atherosclerotic renovascular disease and coronary artery disease (CAD) are likely to occur. Prospectively from April 2007 to March 2008, all consecutive patients with ischemic heart disease undergoing non-emergent cardiac catheterization were also evaluated for atherosclerotic RAS by renal arteriography. A RAS ≥50% was considered as significant. A total of 1,298 patients underwent cardiac and renal angiography. Significant RAS was found in 70 out of 1,298 patients (5.4%). Th... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4904478 Tue, 24 May 2011 16:03:03 +0100 4904478 http://www.medworm.com/index.php?rid=4904479&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F6570877m075022h4%2F This study aimed to further investigate such a field. Helicobacter pylori strains were cultured from 160 patients (mean age of 42 years; range 15–75; 90 were male, and 70 were female) [40 gastric cancer (GC), 55 duodenal ulcer (DU) and 65 non-ulcer dyspepsia (NUD)]. In this study, allelic variants of iceA 1 , iceA 2 and babA 2 were identified by polymerase chain reaction. The overall prevalence of babA 2 gene was 40.6% (65/160). The prevalence of babA 2 gene was 95% with gastric cancer, 18.1% with duodenal ulcer and 26.1% with non ulcer dyspepsia, respectively. The prevalence of babA 2 in GC patients was significantly higher as compared to either NUD or UD patients (P = 0.0004), while no statistical significance was found between the latter two p... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4904479 Sat, 21 May 2011 23:07:00 +0100 4904479 http://www.medworm.com/index.php?rid=4904480&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm680261323m7w477%2F Content Type Journal ArticlePages 1-2DOI 10.1007/s11739-011-0632-5Authors Chian-Ze Peng, Emergency Department, Taipei Veterans General Hospital, 201, Sec. 2, Shih-Pai Rd, Taipei, 112 TaiwanChorng-Kuang How, Emergency Department, Taipei Veterans General Hospital, 201, Sec. 2, Shih-Pai Rd, Taipei, 112 TaiwanChien-Ying Wang, Emergency Department, Taipei Veterans General Hospital, 201, Sec. 2, Shih-Pai Rd, Taipei, 112 TaiwanDavid Hung-Tsang Yen, Emergency Department, Taipei Veterans General Hospital, 201, Sec. 2, Shih-Pai Rd, Taipei, 112 TaiwanMu-Shun Huang, Emergency Department, Taipei Veterans General Hospital, 201, Sec. 2, Shih-Pai Rd, Taipei, 112 Taiwan Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4904480 Sat, 21 May 2011 23:06:59 +0100 4904480 http://www.medworm.com/index.php?rid=4854662&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F03gx7022gk0n0063%2F Content Type Journal ArticlePages 1-1DOI 10.1007/s11739-011-0626-3Authors Alberto Palazzuoli, Cardiology Section, Department of Internal Medicine and Metabolic Diseases, University of Siena, Siena, ItalyRanuccio Nuti, Cardiology Section, Department of Internal Medicine and Metabolic Diseases, University of Siena, Siena, Italy Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4854662 Thu, 19 May 2011 16:33:03 +0100 4854662 http://www.medworm.com/index.php?rid=4854663&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fcq134576122h227m%2F Abstract  Congestive heart failure (CHF) worsening is a worldwide cause of rehospitalization and mortality, specially during the early period after hospitalization. Fluid accumulation plays a key role in the pathophysiology of both acute heart decompensation and disease progression. The effective use of drugs to maintain restored clinical stabilization in recently discharged patients is a difficult task, and it relies on matching the most appropriately tailored therapy to specific clinical profiles. However, no successful treatment has been shown to reduce post-discharge readmission. We evaluated in a case-control study the effectiveness of an early and personalized congestion-guided ambulatory program on medium-term (6 months) compensation in recently discharged CHF p... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4854663 Wed, 18 May 2011 21:24:29 +0100 4854663 http://www.medworm.com/index.php?rid=4854664&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx541042076h7w759%2F Abstract  Prior longitudinal observational studies have examined the practice patterns and outcomes of anaemia management, including the use of erythropoiesis-stimulating agents (ESAs). Several dimensions of effectiveness remain unaddressed; especially considering the revised ESA label (target Hb levels between 10 and 12 g/dL), the recently published TREAT study, and the European approval of the first ESA biosimilar (HX575). Anecdotal evidence suggests that patient outcomes are influenced by physician-related variables and whether anaemia management is congruent with practice guidelines, but this has not been studied systematically. MONITOR-CKD5 is an international, prospective, observational, pharmacoepidemiological study evaluating the multi-level factors and outcome... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4854664 Wed, 18 May 2011 06:16:45 +0100 4854664 http://www.medworm.com/index.php?rid=4854665&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe1605p02002k5084%2F Content Type Journal ArticlePages 1-3DOI 10.1007/s11739-011-0623-6Authors Yuichiro Shindo, The Institute for Advanced Research, Nagoya University, Nagoya, JapanYoshinori Hasegawa, Department of Respiratory Medicine, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550 Japan Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4854665 Wed, 18 May 2011 06:16:44 +0100 4854665 http://www.medworm.com/index.php?rid=4854667&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm46612700202h227%2F Abstract  Chest ultrasonography is a useful tool to assess extravascular lung water at bedside. In presence of interstitial-alveolar imbibition, vertical artifacts arising from the pleura are detected; these are called B-lines. Although a positive linear correlation between B-lines and extravascular lung water has been shown in symptomatic heart failure patients, the subclinical phase of pulmonary imbibition and the clearance of B-lines after rapid body fluid removal have been less investigated. The aim of this study was to assess if chest ultrasound could detect lung water imbibition and its variations induced by dialysis, an experimental model of controlled rapid fluid loss. Forty-one patients undergoing hemodialysis were studied. Total number of B-lines from ultrasound c... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4854667 Wed, 18 May 2011 06:16:43 +0100 4854667 http://www.medworm.com/index.php?rid=4854666&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw27846774921r712%2F Content Type Journal ArticlePages 1-3DOI 10.1007/s11739-011-0616-5Authors Walter Ageno, Department of Clinical Medicine, University of Insubria, Varese, ItalyAlessandro Squizzato, Department of Clinical Medicine, University of Insubria, Varese, Italy Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4854666 Wed, 18 May 2011 06:16:43 +0100 4854666 http://www.medworm.com/index.php?rid=4854669&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn80v151818782w26%2F Abstract  The Prolong study shows that continuing vitamin K antagonists (VKA) in patients with abnormal d-dimer (evaluated by a qualitative assay, Clearview Simplify d-dimer) results in a significant reduction of venous thromboembolism (VTE) recurrence. The present study retrospectively analyzes a subgroup of patients enrolled in the Prolong study with a view to calculate cut-off values for six quantitative d-dimer methods to predict the risk of VTE recurrence. We measured d-dimer levels by VIDAS d-dimer Exclusion (bioMerieux), STA Liatest d-dimer (DiagnosticaStago), HemosIL d-dimer and HemosIL d-dimer HS (Instrumentation Laboratory), Innovance d-dimer (Siemens) and AutoDimer (Trinity Biotech) in frozen plasma aliquots sampled 30 ± 10 days after VKA cessation in ... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4854669 Tue, 17 May 2011 05:58:09 +0100 4854669 http://www.medworm.com/index.php?rid=4854668&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F75r6836677123087%2F Abstract  Low bone mineral density, which increases the risk of stress fragility fractures, is a frequent, often persistent finding in patients with major depressive disorder (MDD). The clinical association between major depressive disorder and osteopenia is still unclear, although several factors are associated with a loss of bone mass. The aim of our study, therefore, was to evaluate bone mineral density and bone metabolism in patients with MDD. Bone mineral density was evaluated in fifty postmenopausal women with MDD, and in 50 matched postmenopausal control women by dual-energy X-ray absorptiometry of the lumbar spine and femur, and by ultrasonography of the calcaneus and phalanges. Serum levels of 25-hydroxivitamin D, parathyroid hormone, Osteoprotegerin/Receptor Activ... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4854668 Tue, 17 May 2011 05:58:09 +0100 4854668 http://www.medworm.com/index.php?rid=4832242&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F25r56513j42w6654%2F Content Type Journal ArticlePages 1-2DOI 10.1007/s11739-011-0620-9Authors Masanori Shimodaira, Department of Endocrinology and Metabolism, Tokyo Metropolitan Hiroo Hospital, 2-34-10 Ebisu, Shibuya-ku, Tokyo, 150-0013 JapanNaoko Kumagai, Department of Endocrinology and Metabolism, Tokyo Metropolitan Hiroo Hospital, 2-34-10 Ebisu, Shibuya-ku, Tokyo, 150-0013 JapanErisa Sorimachi, Department of Endocrinology and Metabolism, Tokyo Metropolitan Hiroo Hospital, 2-34-10 Ebisu, Shibuya-ku, Tokyo, 150-0013 JapanMitsuhiko Hara, Department of Pediatrics, Tokyo Metropolitan Hiroo Hospital, Tokyo, JapanKazufumi Honda, Department of Endocrinology and Metabolism, Tokyo Metropolitan Hiroo Hospital, 2-34-10 Ebisu, Shibuya-ku, Tokyo, 150-0013 Japan Journal Internal and Emergency MedicineOnline IS... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4832242 Sat, 14 May 2011 16:03:19 +0100 4832242 http://www.medworm.com/index.php?rid=4832243&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F17640247133wn47r%2F Content Type Journal ArticlePages 1-2DOI 10.1007/s11739-011-0594-7Authors Anna Maria Rusconi, Medicina Interna II, Dipartimento di Scienze Cliniche, Ospedale L. Sacco, Università degli Studi di Milano, Via GB grassi 74, 20157 Milan, ItalyElisa Ceriani, Medicina Interna I, Dipartimento di Emergenza Urgenza, Ospedale L. Sacco, Università degli Studi di Milano, Milan, ItalyGruppo di Autoformazione Metodologica (GrAM) Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4832243 Sat, 14 May 2011 16:03:16 +0100 4832243 http://www.medworm.com/index.php?rid=4832244&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0p1175787t254274%2F Content Type Journal ArticlePages 1-2DOI 10.1007/s11739-011-0617-4Authors Paola Ilaria Bianchi, Coeliac Centre, First Department of Internal Medicine, Fondazione IRCCS Policlinico San Matteo, University of Pavia, P.le Golgi, 19, 27100 Pavia, ItalyFederico Biagi, Coeliac Centre, First Department of Internal Medicine, Fondazione IRCCS Policlinico San Matteo, University of Pavia, P.le Golgi, 19, 27100 Pavia, ItalyGino Roberto Corazza, Coeliac Centre, First Department of Internal Medicine, Fondazione IRCCS Policlinico San Matteo, University of Pavia, P.le Golgi, 19, 27100 Pavia, Italy Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4832244 Sat, 14 May 2011 16:03:15 +0100 4832244 http://www.medworm.com/index.php?rid=4822406&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg8422201575v0011%2F In this study,54 patients (40 men, mean age 44 ± 17 years) affected by IA and 50 healthy subjects (34 men, mean age 45 ± 9) were evaluated. IA, defined as dysrhythmias with no evidence of other cardiac pathology, were either supraventricular (SVA, 23 patients; mean age 45 ± 15 years) or ventricular (VA, 31 patients; mean age 42 ± 18 years). H. pylori infection and gastrointestinal (GI) symptoms were evaluated. H. pylori strains expressing the cytotoxin-associated gene A (cagA) and the vacuolating-cytotoxin A (vacA) were also assessed through western blot. The prevalence of H. pylori is similar in IA patients and in controls (42 vs. 44%; p > 0.05); H. pylori infection is observed in 48 and 39% of the patients are aff... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4822406 Wed, 11 May 2011 15:49:00 +0100 4822406 http://www.medworm.com/index.php?rid=4822407&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk616084322643660%2F This study provides cross-sectional and meta-analytic evidence that, in euthyroid patients, high-though-normal TSH values are independently associated with NASH. Further work is needed to ascertain the role, if any, of lower cholesterol serum levels in assisting in the diagnosis of NASH. Content Type Journal ArticlePages 1-9DOI 10.1007/s11739-011-0609-4Authors Lucia Carulli, Department of Internal Medicine, Endocrinology, Metabolism and Geriatrics, Unit of Internal Medicine, University of Modena and Reggio Emilia, Nuovo Ospedale Civile Sant’Agostino Estense, Via Giardini 1355, 41100 Modena, ItalyStefano Ballestri, Department of Internal Medicine, Endocrinology, Metabolism and Geriatrics, Unit of Internal Medicine, University of Modena and Reggio Emilia, Nuovo Ospedale Civile San... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4822407 Wed, 11 May 2011 05:49:19 +0100 4822407 http://www.medworm.com/index.php?rid=4822409&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj1p25t3832882752%2F Content Type Journal ArticlePages 1-3DOI 10.1007/s11739-011-0612-9Authors Leon C. Adelman, Harvard-Affiliated Emergency Medicine Residency at Beth Israel Deaconess Medical Center, West Campus Clinical Center, One Deaconess Road, 2nd Floor, Boston, MA 02215, USADaniel C. McGillicuddy, Harvard-Affiliated Emergency Medicine Residency at Beth Israel Deaconess Medical Center, West Campus Clinical Center, One Deaconess Road, 2nd Floor, Boston, MA 02215, USA Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4822409 Wed, 11 May 2011 05:49:18 +0100 4822409 http://www.medworm.com/index.php?rid=4822408&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb14q807280741773%2F In this study, we determined the relationship between digestive diseases and the horB gene of H. pylori infection. Fresh antral biopsy specimens were obtained from 140 dyspeptic patients (67 men and 73 women; mean age 41.5, aged 19–63 years). They were examined for presence of the horB gene of H. pylori clinical isolates. Bacterial DNA content was extracted directly from the antral biopsy. Statistical analysis was performed with SPSS version 16.0. Prevalence of the horB gene in H. pylori isolated from patients with gastric cancer, gastric ulcer, gastritis and duodenal ulcer is (5/32) 15.6%, (4/25) 16%, (30/43) 70%, and (9/40) 22.5%, respectively. No significant relationship is observed between age, pathologic findings and gender factors with respect to the four digestive diseas... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4822408 Wed, 11 May 2011 05:49:18 +0100 4822408 http://www.medworm.com/index.php?rid=4822410&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa1363u615077088w%2F Abstract  Increased heart rate (HR) is a risk factor for cardiovascular morbidity and mortality in the general population and in some clinical conditions. Endothelial dysfunction is an adverse prognostic factor for cardiovascular events. The aim of the study was to evaluate the effect of HR on central hemodynamic parameters and endothelial function in hypertension. We evaluated forearm blood flow (FBF) response to intra-arterial infusion of acetylcholine (ACh) and sodium nitroprusside (SNP) in 30 patients with HR ≤60 min−1 and 30 with HR ≥80 min−1. The FBF was measured by strain-gauge plethysmography. Transesophageal atrial pacing was used to increase the HR. Radial artery applanation tonometry and pulse wave analysis were used to derive central aortic pres... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4822410 Wed, 11 May 2011 05:49:17 +0100 4822410 http://www.medworm.com/index.php?rid=4806575&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F453844800w043m6v%2F Abstract  Tissues exposed to ischemia and reperfusion develop an inflammatory response. We investigate the morphological and immunological changes occurring in the mucosa of a jejunal loop transplanted in the oropharynx of a man undergoing circular pharyngolaryngectomy. Jejunal biopsies were collected during the transplantation procedures (cold and warm ischemia, reperfusion), during the 7 post-operative days through an exteriorized jejunal segment for flap monitoring, and 45 days after transplantation through an upper endoscopy. Matrix metalloproteinase (MMP)-3 and MMP-12 increase was accompanied by a parallel rise in apoptotic enterocytes, and by a concomitant reduction of surface area to volume ratio and enterocyte height. Goblet cell hyperplasia is coupled with Pan... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4806575 Sat, 07 May 2011 15:44:02 +0100 4806575 http://www.medworm.com/index.php?rid=4806577&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ftkgwg247w466t525%2F Abstract  Crohn’s disease is a chronic inflammatory bowel disorder resulting from an inappropriate innate and acquired immune response to commensal microorganisms in genetically susceptible individuals. This disease has a fluctuating course, with alternating periods of remission and relapses, and it is characterized by a remarkable clinical heterogeneity; it may be complicated by perianal fistulas, abscesses, and intestinal strictures leading to obstructions, besides several systemic manifestations. However, a complete resolution of the disease is currently not possible, yet Crohn’s disease can be managed with established and novel therapies, which achieve long-term remission and acceptable quality of life. This review is focused on novel advances in basic and clinical ... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4806577 Sat, 07 May 2011 15:44:01 +0100 4806577 http://www.medworm.com/index.php?rid=4806576&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk36r1874164gj837%2F Abstract  Patients with inoperable chronic thromboembolic pulmonary hypertension (Inop-CTEPH) treated with conventional therapy have a poor survival. We compare the 3-year survival between those treated with conventional therapy and those treated with conventional therapy and a combination of novel drugs. We also evaluate the clinical course. A total of 34 Inop-CTEPH consecutive patients were evaluated from 1991 to 2009 including right heart catheterization (RHC) and perfusion lung scan (PLS): 7 underwent surgical treatment while 27 were confirmed inoperable. Of these 27 patients, 12 evaluated from 1991 to 2003 (Group 1) were treated with conventional therapy and 15 evaluated from 2004 to 2009 (Group 2) were treated with conventional and novel therapies. At baseline, no gro... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4806576 Sat, 07 May 2011 15:44:01 +0100 4806576 http://www.medworm.com/index.php?rid=4806578&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0114402t43v75g8v%2F Content Type Journal ArticlePages 1-3DOI 10.1007/s11739-011-0613-8Authors Giovanni Davì, Internal Medicine, University of Chieti, Chieti, ItalyFrancesca Santilli, Internal Medicine, University of Chieti, Chieti, Italy Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4806578 Fri, 06 May 2011 16:21:48 +0100 4806578 http://www.medworm.com/index.php?rid=4806580&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F7r533315493v3332%2F Content Type Journal ArticlePages 1-2DOI 10.1007/s11739-011-0604-9Authors Giuseppe Fanciulli, Istituto di Clinica Medica, University of Sassari, Viale San Pietro 8, 07100 Sassari, ItalyAlessandro Palmerio Delitala, Dipartimento-Struttura Clinica Medica-Patologia Speciale Medica, University of Sassari, Viale San Pietro 8, 07100 Sassari, ItalyCarlo Andrea Usai, Dipartimento-Struttura Clinica Medica-Patologia Speciale Medica, University of Sassari, Viale San Pietro 8, 07100 Sassari, ItalyGiuseppe Delitala, Dipartimento-Struttura Clinica Medica-Patologia Speciale Medica, University of Sassari, Viale San Pietro 8, 07100 Sassari, Italy Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4806580 Fri, 06 May 2011 16:21:44 +0100 4806580 http://www.medworm.com/index.php?rid=4806579&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F7107g136km8107ru%2F Content Type Journal ArticlePages 1-1DOI 10.1007/s11739-011-0607-6Authors Daniele Torres, Biomedical Department of Internal and Specialty Medicine (Di.Bi.M.I.S.), A.O.U. ‘‘Policlinico Paolo Giaccone’’, University of Palermo, Piazza delle Cliniche 2, 90127 Palermo, ItalyGaspare Parrinello, Biomedical Department of Internal and Specialty Medicine (Di.Bi.M.I.S.), A.O.U. ‘‘Policlinico Paolo Giaccone’’, University of Palermo, Piazza delle Cliniche 2, 90127 Palermo, ItalyCaterina Trapanese, Biomedical Department of Internal and Specialty Medicine (Di.Bi.M.I.S.), A.O.U. ‘‘Policlinico Paolo Giaccone’’, University of Palermo, Piazza delle Cliniche 2, 90127 Palermo, ItalyMauro Cardillo, Biomedical Department of Internal and Specialty Medicine (Di.Bi.M.I.S.), A.O.U. ‘‘... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4806579 Fri, 06 May 2011 16:21:44 +0100 4806579 http://www.medworm.com/index.php?rid=4806581&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4176186n10812um5%2F Content Type Journal ArticlePages 1-3DOI 10.1007/s11739-011-0595-6Authors Emanuela Scannella, Dipartimento di Scienze Cliniche L. Sacco, Università degli Studi di Milano, Ospedale Luigi Sacco, Via G.B. Grassi 74, 20157 Milan, ItalyLaura Angaroni, Dipartimento di Scienze Cliniche L. Sacco, Università degli Studi di Milano, Ospedale Luigi Sacco, Via G.B. Grassi 74, 20157 Milan, ItalyAnna Coerezza, Dipartimento di Scienze Cliniche L. Sacco, Università degli Studi di Milano, Ospedale Luigi Sacco, Via G.B. Grassi 74, 20157 Milan, ItalyMonica Solbiati, Dipartimento di Scienze Cliniche L. Sacco, Università degli Studi di Milano, Ospedale Luigi Sacco, Via G.B. Grassi 74, 20157 Milan, ItalyFabrizio Foieni, Dipartimento di Scienze Cliniche L. Sacco, Università degli Studi di Milano, Ospedal... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4806581 Thu, 05 May 2011 15:47:10 +0100 4806581 http://www.medworm.com/index.php?rid=4790561&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F438t4w5574152qh6%2F Abstract  Although evidence from epidemiological studies examining a relationship between cholesterol level and stroke is less than definitive, there is a compelling evidence from the clinical therapy trials primarily designed to examine the coronary benefits of statins that statin therapy also causes a reduction in the risk of stroke. Even though a stroke does not have the same exact pathophysiology as a heart attack, specific trials in stroke patients confirm advantages and risks of statin therapy in this kind of population. In primary prevention, statins are effective both when low-density lipoprotein (LDL) is raised and when hs-CRP is elevated. In secondary prevention, an absolute reduction of recurrent stroke can be obtained with statins, with a number needed to treat ... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4790561 Wed, 04 May 2011 14:51:49 +0100 4790561 http://www.medworm.com/index.php?rid=4806584&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj8020gp418321764%2F Abstract  No data is so far available on the relation between glucose values and insulin resistance and mortality, both at short- and long-term, in patients with acute heart failure syndromes (AHF). We prospectively assessed in 100 consecutive non-diabetic AHF patients whether acute glucose metabolism, as indicated by fasting glycemia and insulin resistance (HOMA index) was able to affect short- and long-term mortality. In the overall population, 51 patients showed admission glucose values >140 mg/dl. No significant difference was observed in admission and peak glycemia, insulin and C-peptide values and in HOMA-index between dead and survived patients. At multivariate logistic backward stepwise analysis the following variables were independent predictors for in-ICCU... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4806584 Wed, 04 May 2011 14:51:48 +0100 4806584 http://www.medworm.com/index.php?rid=4806583&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft741wv8727121281%2F Content Type Journal ArticlePages 1-3DOI 10.1007/s11739-011-0611-xAuthors Alessandra Vultaggio, Department of Biomedicine, Immunoallergology Unit, Policlinico di Careggi, AOU Careggi, Viale Morgagni 85, Florence, ItalyAndrea Matucci, Department of Biomedicine, Immunoallergology Unit, Policlinico di Careggi, AOU Careggi, Viale Morgagni 85, Florence, ItalyFrancesca Nencini, Center for Research, Transfer and High Education DENOTHE, University of Florence, Florence, ItalySara Pratesi, Center for Research, Transfer and High Education DENOTHE, University of Florence, Florence, ItalyEnrico Maggi, Department of Biomedicine, Immunoallergology Unit, Policlinico di Careggi, AOU Careggi, Viale Morgagni 85, Florence, Italy Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISS... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4806583 Wed, 04 May 2011 14:51:48 +0100 4806583 http://www.medworm.com/index.php?rid=4806582&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft352852qn34526x7%2F Content Type Journal ArticlePages 1-2DOI 10.1007/s11739-011-0592-9Authors Giuseppina Novo, Chair and Division of Cardiology, University of Palermo, Palermo, ItalyDavide Noto, Department of Clinical Medicine and Emerging Diseases, University of Palermo, Palermo, ItalyMaurizio Averna, Department of Clinical Medicine and Emerging Diseases, University of Palermo, Palermo, ItalySalvatore Novo, Chair and Division of Cardiology, University of Palermo, Palermo, Italy Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4806582 Wed, 04 May 2011 14:51:48 +0100 4806582 http://www.medworm.com/index.php?rid=4790563&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F2803928r821j7253%2F Abstract  Soft drinks and sugar-sweetened beverages have been targeted as one of the primary culprits in the escalating rates of obesity and diabetes and reduction of added sugars is considered between the goals to achieve in order to promote cardiovascular health and to reduce deaths from cardiovascular causes. Many reliable mechanisms, such as dislypidemia, inflammation and enhanced oxidative stress, have been proposed to support a causal link between sugar sweetened beverages intake and cardiovascular risk, but the ultimate underlying pathways remain to be determined in adequately designed studies. Furthermore, while epidemiological evidence strongly supports an association between sugar sweetened beverages consumption and obesity, type 2 diabetes mellitus or cardiovascu... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4790563 Wed, 04 May 2011 14:51:47 +0100 4790563 http://www.medworm.com/index.php?rid=4790562&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa178059l60t20155%2F In conclusion, anaemia diagnosed at hospital admission for acute HF is a frequent comorbidity with meaningful implications on the clinical management and prognosis both in patients with reduced and preserved EF. Content Type Journal ArticlePages 1-9DOI 10.1007/s11739-011-0601-zAuthors Luigi Tarantini, Cardiology Department, St. Martino Hospital ASL 1, Belluno, ItalyFabrizio Oliva, Cardiologia 2, Azienda Ospedaliera Niguarda Cà Granda, Milan, ItalySilvia Cantoni, SC di Ematologia, Azienda Ospedaliera Niguarda Cà Granda, Milan, ItalyGiovanni Cioffi, Cardiology Department, Villa Bianca Hospital, Trento, ItalyVirginia Agnoletto, Cardiology Unit, Nuovo Ospedale Sant’Agostino-Estense, Modena, ItalyGianfranco Alunni, Division of Cardiology, University of Perugia, Perugia, ItalyFrances... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4790562 Wed, 04 May 2011 14:51:47 +0100 4790562 http://www.medworm.com/index.php?rid=4790564&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe741120t11213121%2F Content Type Journal ArticlePages 1-2DOI 10.1007/s11739-011-0593-8Authors Laura Ferrari, Medicina III, Ospedale San Paolo, Università degli Studi di Milano, Milan, ItalyGian Marco Podda, Medicina III, Ospedale San Paolo, Università degli Studi di Milano, Milan, Italy Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4790564 Tue, 03 May 2011 19:47:04 +0100 4790564 http://www.medworm.com/index.php?rid=4790565&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn50850x857k53131%2F Content Type Journal ArticlePages 1-2DOI 10.1007/s11739-011-0605-8Authors Silvio Antonio Ñamendys-Silva, Department of Critical Care Medicine, Instituto Nacional de Cancerología, Avenida San Fernando No. 22, Col Seccion XVI, Delegacion Tlalpan, CP 14080 Mexico City, MexicoMarisol Hernández-Garay, Department of Anesthesiology, The American British Cowdray Medical Center, Mexico City, MexicoEduardo Rivero-Sigarroa, Department of Critical Care Medicine, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4790565 Tue, 03 May 2011 05:57:26 +0100 4790565 http://www.medworm.com/index.php?rid=4790566&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm61727762t677431%2F Abstract  Elderly patients are at increased risk for peptic ulcer and cancer. Predictive factors of relevant endoscopic findings at upper endoscopy in the elderly are unknown. This was a post hoc analysis of a nationwide, endoscopic study. A total of 3,147 elderly patients were selected. Demographic, clinical, and endoscopic data were systematically collected. Relevant findings and new diagnoses of peptic ulcer and malignancy were computed. Both univariate and multivariate analyses were performed. A total of 1,559 (49.5%), 213 (6.8%), 93 (3%) relevant findings, peptic ulcers, and malignancies were detected. Peptic ulcers and malignancies were more frequent in >85-year-old patients (OR 3.1, 95% CI = 2.0–4.7, p = 0.001). The presence of dysphagia (OR&n... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4790566 Tue, 03 May 2011 05:57:25 +0100 4790566 http://www.medworm.com/index.php?rid=4783133&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff08m3371668u86u3%2F Content Type Journal ArticlePages 1-1DOI 10.1007/s11739-011-0600-0Authors Michele Correale, Department of Cardiology, University of Foggia, “Ospedali Riuniti”OO.RR, viale L Pinto, 1, 71100 Foggia, ItalyAntonio Totaro, Department of Cardiology, University of Foggia, “Ospedali Riuniti”OO.RR, viale L Pinto, 1, 71100 Foggia, ItalyCarmen Greco, Department of Cardiology, University of Foggia, “Ospedali Riuniti”OO.RR, viale L Pinto, 1, 71100 Foggia, ItalyNatale Daniele Brunetti, Department of Cardiology, University of Foggia, “Ospedali Riuniti”OO.RR, viale L Pinto, 1, 71100 Foggia, ItalyMatteo Di Biase, Department of Cardiology, University of Foggia, “Ospedali Riuniti”OO.RR, viale L Pinto, 1, 71100 Foggia, Italy Journal Internal and Emergency MedicineOnline ISSN 197... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4783133 Sat, 30 Apr 2011 23:40:17 +0100 4783133 http://www.medworm.com/index.php?rid=4783134&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fxv47512r78202583%2F Content Type Journal ArticlePages 1-5DOI 10.1007/s11739-011-0576-9Authors Giuseppe Stefano Netti, Department of Biomedical Sciences and Research Centre “BioAgroMed”, University of Foggia, Foggia, ItalyMaddalena Gigante, Department of Biomedical Sciences and Research Centre “BioAgroMed”, University of Foggia, Foggia, ItalyAnna Maria Di Palma, Division of Nephrology, Dialysis and Transplantation, Hospital University “Ospedali Riuniti”, Foggia, ItalyFrancesca Bruno, Division of Nephrology, Dialysis and Transplantation, Hospital University “Ospedali Riuniti”, Foggia, ItalyClelia Prattichizzo, Division of Nephrology, Dialysis and Transplantation, Hospital University “Ospedali Riuniti”, Foggia, ItalyBarbara Infante, Division of Nephrology, Dialysis and Transplantation, Ho... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4783134 Fri, 29 Apr 2011 05:43:05 +0100 4783134 http://www.medworm.com/index.php?rid=4748925&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp01028715151h613%2F Abstract  The aim of this study was to assess whether adherence to a restricted-calorie, Mediterranean-type diet improves endothelial dysfunction and markers of oxidative stress in patients with metabolic syndrome. A moderately low-calorie (600 calories/day negative energy balance), low-fat, high-carbohydrate diet (<30% energy from fat, <10% from saturated fat and 55% from carbohydrate) was prescribed to 53 outpatients with the metabolic syndrome. Participants were divided into two groups according to body weight loss > or < 5% after 6 months. Group A (n = 23) showed a remarkable decrease in body weight (−6.8%), body-mass-index (−4.6%), waist circumference (−4.8%), HOMA-IR (−27.2%), plasma glucose, glycosylated haem... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4748925 Thu, 21 Apr 2011 18:01:38 +0100 4748925 http://www.medworm.com/index.php?rid=4748926&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F7h0138x764364731%2F In conclusion the results seem to suggest that the majority of patients who survive for more than 5 years after an operation for colorectal malignancy return to an almost normal life. The awareness among individuals about their disease, the improvements in surgical techniques and medical treatments are among the factors responsible for these positive results. Content Type Journal ArticlePages 1-7DOI 10.1007/s11739-011-0590-yAuthors Federica Domati, Department of Internal Medicine, University of Modena and Reggio Emilia, Modena, ItalyGiuseppina Rossi, Department of Internal Medicine, University of Modena and Reggio Emilia, Modena, ItalyPiero Benatti, Department of Internal Medicine, University of Modena and Reggio Emilia, Modena, ItalyLuca Roncucci, Department of Internal Med... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4748926 Thu, 21 Apr 2011 18:01:36 +0100 4748926 http://www.medworm.com/index.php?rid=4745277&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F1438693l03v0646t%2F Abstract  The Glasgow Coma Scale (GCS) is the most widely accepted tool for the evaluation of consciousness, despite several reported shortcomings. A new coma scale, named Full Outline of UnResponsiveness (FOUR) score, is now available. The aim of the present study is to provide and validate the Italian version of the FOUR score. The Italian version of the FOUR score was developed according to a standardized protocol, and thereafter validated in a series of patients with acute neurological illness. For each patient, the FOUR and the GCS scores were recorded by two physicians randomly selected. The inter-rater agreement for the FOUR and the GCS scores was evaluated using the weighted kappa (κw). The receiving operating characteristic curve was also calculated to determine th... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4745277 Wed, 20 Apr 2011 06:05:33 +0100 4745277 http://www.medworm.com/index.php?rid=4745278&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff77t140170223835%2F Content Type Journal ArticlePages 1-2DOI 10.1007/s11739-011-0589-4Authors Aftab Ahmad, Division of Neurology, National University Hospital, Singapore, 119074 SingaporeVijay K. Sharma, Division of Neurology, National University Hospital, Singapore, 119074 Singapore Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine) Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4745278 Sat, 16 Apr 2011 05:55:41 +0100 4745278 http://www.medworm.com/index.php?rid=4710568&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu523875738341813%2F Content Type Journal ArticlePages 1-3DOI 10.1007/s11739-011-0584-9Authors Maria Cristina Bravi, Department of Internal Medicine, S. Camillo-Forlanini Hospital, P.za C. Forlanini n.1, 00151 Rome, ItalySerena Salvadei, Department of Internal Medicine, S. Camillo-Forlanini Hospital, P.za C. Forlanini n.1, 00151 Rome, ItalyPietro Scarponi, Department of Internal Medicine, S. Camillo-Forlanini Hospital, P.za C. Forlanini n.1, 00151 Rome, ItalyAntonio Loforte, Department of Cardiac Surgery and Transplantation, S. Camillo-Forlanini Hospital, P.za C. Forlanini n.1, 00151 Rome, ItalyFrancesco Musumeci, Department of Cardiac Surgery and Transplantation, S. Camillo-Forlanini Hospital, P.za C. Forlanini n.1, 00151 Rome, ItalyLaura Gasbarrone, Department of Internal Medicine, S. Camillo-Forlanini H... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4710568 Fri, 08 Apr 2011 16:58:56 +0100 4710568 http://www.medworm.com/index.php?rid=4693996&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fhx77131787023712%2F Abstract  Celiac disease (CD) is a gluten-triggered enteropathy, presenting with insidious clinical patterns. It can occasionally be diagnosed in asymptomatic subjects. Our aim was to define the relationship among symptoms at diagnosis, serological markers [tissue transglutaminase antibodies (tTGA), anti-endomysium antibodies (EMA) anti-actin antibodies (AAA)] and degree of mucosal damage. A total of 68 consecutive adult patients with CD were enrolled. Intestinal biopsies were scored according to the Marsh classification modified by Oberhuber: I–II minimal lesions or absent villous atrophy; IIIA partial villous atrophy; IIIB–C total villous atrophy (TVA). HLA-typing was done for all patients. No association between clinical presentation and severity of mucosal damage wa... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4693996 Wed, 06 Apr 2011 06:44:38 +0100 4693996 http://www.medworm.com/index.php?rid=4686933&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F8651848v02382641%2F In conclusion, venipuncture from a butterfly needle decreases the rate of hemolysis and may decrease the overall ED LOS. Content Type Journal ArticlePages 1-3DOI 10.1007/s11739-011-0568-9Authors Shannon M. Straszewski, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, One Deaconess Road, WCC-2, Boston, MA 02215, USALeon Sanchez, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, One Deaconess Road, WCC-2, Boston, MA 02215, USADaniel McGillicuddy, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, One Deaconess Road, WCC-2, Boston, MA 02215, USAKirsten Boyd, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, One Deaconess Road, WCC-2, Boston, MA 02215, USAJane DuFresne, Department of Emergency Medic... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4686933 Tue, 05 Apr 2011 16:57:57 +0100 4686933 http://www.medworm.com/index.php?rid=4686932&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F1hmq32143185x353%2F In conclusion, the new algorithm proved to consistently overlap with the manual method. The algorithm is useful but must be tested in a multi-center, prospective, interventional study. Content Type Journal ArticlePages 1-9DOI 10.1007/s11739-011-0581-zAuthors Michela Basileo, Department of Internal and Cardiovascular Medicine, University of Perugia, Perugia, ItalyCarlo Micheluzzi, EDP Progetti Srl, Bolzano, ItalyMarina Minozzi, Department of Diagnosis and Treatment Service in Thromboembolic Disorders, University “La Sapienza”, Roma, ItalyLuigi Lazzaroni, Roche Diagnostics Italy S.p.A., Milano, ItalyAlfonso Iorio, Department of Clinical Epidemiology and Biostatistics and Medicine, Hamilton Health Sciences, McMaster University, Hamilton, ON, Canada Journal Internal and Emer... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4686932 Tue, 05 Apr 2011 16:57:57 +0100 4686932 http://www.medworm.com/index.php?rid=4686934&cid=s_35975_14_f&fid=35975&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy76008x4q0k4106q%2F Content Type Journal ArticlePages 1-3DOI 10.1007/s11739-011-0573-zAuthors Davide Ermacora, Clinical Cardiology, Department of Cardiac Thoracic and Vascular Sciences, Padua University Hospital, Padua, ItalyBeatrice Segafredo, Clinical Cardiology, Department of Cardiac Thoracic and Vascular Sciences, Padua University Hospital, Padua, ItalyGentian Denas, Clinical Cardiology, Department of Cardiac Thoracic and Vascular Sciences, Padua University Hospital, Padua, ItalySeena Padayattil Jose, Clinical Cardiology, Department of Cardiac Thoracic and Vascular Sciences, Padua University Hospital, Padua, ItalyVittorio Pengo, Clinical Cardiology, Department of Cardiac Thoracic and Vascular Sciences, Padua University Hospital, Padua, Italy Journal Internal and Emergency MedicineOnline ISSN 19... Internal and Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=4686934 Tue, 05 Apr 2011 16:57:56 +0100 4686934