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Internal and Emergency Medicine

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Internal and Emergency Medicine

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  1. Article

    Open Access

    Safety and effectiveness of oral anticoagulants in patients with atrial fibrillation and stage 4 chronic kidney disease: a real-world experience

    It is still uncertain whether direct oral anticoagulants (DOACs) perform better than vitamin K antagonists (VKAs) in subjects with non-valvular atrial fibrillation (NVAF) and advanced chronic kidney disease (C...

    Rosa Talerico, Elisa Brando, Lorenzo Luzi in Internal and Emergency Medicine (2024)

  2. Article

    Open Access

    Use of a gas-operated ventilator as a noninvasive bridging respiratory therapy in critically Ill COVID-19 patients in a middle-income country

    During the COVID-19 pandemic, there was a notable undersupply of respiratory support devices, especially in low- and middle-income countries. As a result, many hospitals turned to alternative respiratory thera...

    Pedro P. Arias-Sanchez, Pedro D. Wendel-Garcia in Internal and Emergency Medicine (2024)

  3. Article

    Open Access

    Neutrophil to lymphocyte ratio (NLR) and short-term mortality risk in elderly acute medical patients admitted to a University Hospital Emergency Department

    Early identification of patients with a poorer prognosis in the Emergency Department (ED) is crucial for prompt treatment and resource allocation. We investigated the relationship between the Neutrophil to Lym...

    Gioacchino Galardo, Luca Crisanti, Andrea Gentile in Internal and Emergency Medicine (2024)

  4. Article

    Open Access

    Insights into geriatric health: primary sarcopenia and innate immunity dynamics, examining SARC-F, serum TLR 4, TLR 9, and resolvin levels

    The aim of this study is to evaluate the relationship between serum TLR (Toll Like Receptor) 4, 9 and Resolvin E1 levels and primary sarcopenia in geriatric patients and to compare the diagnostic accuracy of t...

    Seyda Bilgin, Veysel Suzan, Suna Avci, Hakan Yavuzer in Internal and Emergency Medicine (2024)

  5. Article

    Open Access

    Infections and gender: clues for diagnosis of adrenal insufficiency—a case report and a review of the literature

    The clinical presentation of adrenal insufficiency, a condition causing adrenal hormone deficiency, is characterised by non-specific symptoms and signs: consequently, an important diagnostic delay is often evi...

    Giacomo Grandi, Michele Di Stefano, Chiara Cebrelli in Internal and Emergency Medicine (2024)

  6. Article

    Open Access

    Agreement of point of care ultrasound and final clinical diagnosis in patients with acute heart failure, acute coronary syndrome, and shock: POCUS not missing the target

    Point-of-care ultrasound (POCUS) is an important tool for clinical diagnosis and decision-making in critical and non-critical scenarios. Dyspnea, chest pain, and shock are conditions susceptible to evaluation ...

    José Atilio Núñez-Ramos, Dagoberto Duarte-Misol in Internal and Emergency Medicine (2024)

  7. Article

    Open Access

    Subclinical hypothyroidism predicts outcome in heart failure: insights from the T.O.S.CA. registry

    Subclinical hypothyroidism (SH), defined as increased serum thyroid-stimulating hormone (TSH) with normal free T4 (fT4) levels, is frequently observed in the general population. Prevalence ranges from 0.6% to ...

    Mariarosaria De Luca, Roberta D’Assante in Internal and Emergency Medicine (2024)

  8. Article

    Open Access

    Healthcare professionals’ perceptions of patient safety in European emergency departments: a comparative analysis of survey results

    Patient safety is a significant concern worldwide. The Emergency Departments (EDs) are vulnerable to adverse events. Europe, with its diverse healthcare systems, differs in patient safety. This study aimed to ...

    Roberta Petrino, Carola Biondi, Luis Garcia Castrillo in Internal and Emergency Medicine (2024)

  9. Article

    Open Access

    Factors triggering familial mediterranean fever attacks, do they really exist?

    Several possible factors are hypothesized to trigger familial Mediterranean fever (FMF) attacks; however, there is no consensus on this matter. We aimed to identify these triggering factors and analyze their r...

    Kerem Parlar, Muhammed Bahaddin Ates, Mehmet Erinc Onal in Internal and Emergency Medicine (2024)

  10. Article

    Open Access

    Pericarditis recurrence is associated with milder electrocardiographic, echocardiographic, and laboratory findings

    Recurrent pericarditis (RP) complicates approximately 30% of acute pericarditis (AP) cases. We sought to compare the prevalence and severity of objective findings seen in patients with RP. A retrospective sing...

    Tal Weiss, Edward Itelman, Dor Lotan, Amitai Segev in Internal and Emergency Medicine (2024)

  11. Article

    Open Access

    Enhancing discharge decision-making through continuous monitoring in an acute admission ward: a randomized controlled trial

    In Acute Admission Wards, vital signs are commonly measured only intermittently. This may result in failure to detect early signs of patient deterioration and impede timely identification of patient stability,...

    Niels Kant, Sjoerd H. Garssen, Carlijn A. Vernooij in Internal and Emergency Medicine (2024)

  12. Article

    Open Access

    Increased epicardial adipose tissue thickness as a sign of subclinical atherosclerosis in patients with rheumatoid arthritis and ıts relationship with disease activity ındices

    Epicardial adipose tissue is a novel cardiometabolic risk factor and indicator of subclinical atherosclerosis. We aimed to evaluate the epicardial adipose tissue thickness in rheumatoid arthritis (RA) patients...

    Ayşe Bahar Keleşoğlu Dinçer, Haluk Furkan Şahan in Internal and Emergency Medicine (2024)

  13. Article

    Open Access

    Clinical outcomes of clostridioides difficile infection in the very elderly

    Clostridioides difficile infection (CDI) causes considerable morbidity, mortality, and economic cost. Advanced age, prolonged stay in healthcare facility, and exposure to antibiotics are leading risk factors f...

    Sameer Kassem, Nizar Hijazi, Nili Stein, Adnan Zaina in Internal and Emergency Medicine (2024)

  14. Article

    Open Access

    Prediction of cardiovascular risk in patients with hepatocellular carcinoma receiving anti-angiogenic drugs: lessons from sorafenib

    Antiangiogenics are associated with an increased risk of major adverse cardiac and cerebrovascular events (MACE). The identification of at-risk subjects is relevant in the case of hepatocellular carcinoma (HCC...

    Bernardo Stefanini, Francesco Tovoli, Franco Trevisani in Internal and Emergency Medicine (2024)

  15. Article

    Open Access

    Impact of healthcare-associated infections within 7-days of acute stroke on health outcomes and risk of care-dependency: a multi-centre registry-based cohort study

    Healthcare-associated infections (HCAIs) in patients admitted with acute conditions remain a major challenge to healthcare services. Here, we assessed the impact of HCAIs acquired within 7-days of acute stroke...

    David Fluck, Christopher H. Fry, Jonathan Robin in Internal and Emergency Medicine (2024)

  16. Article

    Open Access

    Sepsis in elderly patients: the role of neutrophils in pathophysiology and therapy

    Sepsis is among the most important causes of mortality, particularly within the elderly population. Sepsis prevalence is on the rise due to different factors, including increasing average population age and th...

    Davide Ramoni, Amedeo Tirandi, Fabrizio Montecucco in Internal and Emergency Medicine (2024)

  17. Article

    Open Access

    Renal arterial resistive index versus novel biomarkers for the early prediction of sepsis-associated acute kidney injury

    Acute kidney injury (AKI) is a critical complication of sepsis. There is a continuous need to identify and validate biomarkers for early detection. Serum and urinary biomarkers have been investigated, such as ...

    Taysser Zaitoun, Mohamed Megahed, Hesham Elghoneimy in Internal and Emergency Medicine (2024)

  18. Article

    Open Access

    Diabetes mellitus in patients with heart failure and reduced ejection fraction: a post hoc analysis from the WARCEF trial

    Patients with heart failure with reduced ejection fraction (HFrEF) and diabetes mellitus (DM) have an increased risk of adverse events, including thromboembolism. In this analysis, we aimed to explore the asso...

    Giulio Francesco Romiti, Katarzyna Nabrdalik in Internal and Emergency Medicine (2024)

  19. Article

    Open Access

    Unveiling cancer risk in ANCA-associated vasculitis: result from the Turkish Vasculitis Study Group (TRVaS)

    To investigate cancer incidence in patients with ANCA-associated vasculitis (AAV), compare it with the age/sex-specific cancer risk of the Turkish population, and explore independent risk factors associated wi...

    Emre Bilgin, Tuba Demirci Yıldırım, Bahar Özdemir Ulusoy in Internal and Emergency Medicine (2024)

  20. Article

    Open Access

    Clinical and atopic features of patients with primary eosinophilic colitis: an Italian multicentre study

    Eosinophilic colitis (EC) is the rarest among primary eosinophilic gastrointestinal disorders (EGID). EC is underdiagnosed due to its blurred and proteiform clinical manifestations. To explore the clinical and...

    Carlo Maria Rossi, Marco Vincenzo Lenti, Stefania Merli in Internal and Emergency Medicine (2024)

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