Medicina Clinica最新文献

{"title":"Las revistas depredadoras: un grave riesgo para las publicaciones científicas","authors":"Marta Pulido","doi":"10.1016/j.medcli.2025.107036","DOIUrl":"10.1016/j.medcli.2025.107036","url":null,"abstract":"","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":"165 2","pages":"Article 107036"},"PeriodicalIF":2.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalencia de adultos etiquetados como alérgicos a penicilina en un centro de salud urbano","authors":"Ángeles Morales Martínez , Sandra González Alonso , María José Gómez Castro","doi":"10.1016/j.medcli.2025.107005","DOIUrl":"10.1016/j.medcli.2025.107005","url":null,"abstract":"","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":"165 3","pages":"Article 107005"},"PeriodicalIF":2.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144168348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ketone-prone diabetes","authors":"Inmaculada Cuéllar Beltrán , Ángel Manuel Mesa Díaz , Pablo Rodríguez de Vera Gómez","doi":"10.1016/j.medcli.2025.107024","DOIUrl":"10.1016/j.medcli.2025.107024","url":null,"abstract":"","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":"165 2","pages":"Article 107024"},"PeriodicalIF":2.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Síndrome de Yao tratado de manera exitosa con anakinra durante el embarazo","authors":"Manuel Garrido Montes, Jose Salvador Garcia Morillo, Santiago Rodríguez Suárez","doi":"10.1016/j.medcli.2025.107022","DOIUrl":"10.1016/j.medcli.2025.107022","url":null,"abstract":"","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":"165 2","pages":"Article 107022"},"PeriodicalIF":2.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Miopericarditis aguda asociada a enfermedad de Still","authors":"Mateo Londoño Barrientos , Alejandro Fernández Palacio , Jairo Rivera Castro","doi":"10.1016/j.medcli.2025.107015","DOIUrl":"10.1016/j.medcli.2025.107015","url":null,"abstract":"","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":"165 2","pages":"Article 107015"},"PeriodicalIF":2.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative cardiac abnormalities associated with one-year mortality in elderly patients undergoing hip fracture surgery: role of focused transthoracic echocardiography","authors":"Kaihua Fan ,&nbsp;Jianwei Zhang ,&nbsp;Ying Gao,&nbsp;Weimei Li","doi":"10.1016/j.medcli.2025.107013","DOIUrl":"10.1016/j.medcli.2025.107013","url":null,"abstract":"<div><h3>Purpose</h3><div>We sought to identify preoperative cardiac abnormalities with routine preoperative transthoracic echocardiography (TTE) associated with postoperative mortality in elderly patients undergoing hip fractures surgery, in order to provide reference for focused TTE.</div></div><div><h3>Methods</h3><div>In this retrospective study, a total of 669 elderly patients (age over 65 years) undergoing hip fractures surgery were included, of which 58 (8.7%) died within one-year after discharge. Cox regression analysis models were used to identify the prognostic cardiac abnormalities of postoperative mortality.</div></div><div><h3>Results</h3><div>Univariate analysis showed that age (HR 1.065, 95%CI 1.030–1.101; <em>P</em> <!-->&lt;<!--> <!-->0.001), ASA score (III, IV vs. I, II) (HR 1.855, 95%CI 1.098–3.067; <em>P</em> <!-->=<!--> <!-->0.022), history of chronic obstructive pulmonary disease (COPD) (HR 4.446, 95%CI 1.909–10.355; <em>P</em> <!-->=<!--> <!-->0.001) and atrial fibrillation (AF) (HR 3.803, 95%CI 1.803–8.024; <em>P</em> <!-->&lt;<!--> <!-->0.001), presence of left ventricular ejection fraction (LVEF)<!--> <!-->&lt;<!--> <!-->50% (HR 5.009, 95%CI 2.151–11.665; <em>P</em> <!-->&lt;<!--> <!-->0.001), left ventricular dilatation (HR 3.813, 95%CI 1.730–8.403; <em>P</em> <!-->=<!--> <!-->0.001), pulmonary arterial systolic pressure (PASP)<!--> <!-->&gt;<!--> <!-->25<!--> <!-->mmHg (HR 4.388, 95%CI 2.492–7.725; <em>P</em> <!-->&lt;<!--> <!-->0.001), moderate–severe aortic valve stenosis (AS) (HR 4.702, 95%CI 1.471–15.035; <em>P</em> <!-->=<!--> <!-->0.009) were the dominant predictors of mortality within one-year. The presence of LVEF<!--> <!-->&lt;<!--> <!-->50%, left ventricular dilatation and elevated PASP were proved to be the independent predictors of one-year mortality in elderly patients in multivariate analysis.</div></div><div><h3>Conclusion</h3><div>Cardiac abnormalities derived from preoperative TTE, namely LVEF<!--> <!-->&lt;<!--> <!-->50%, AS, left ventricular dilatation and elevated PASP had prognostic value for elderly patients undergoing hip fracture surgery. We consider that these indices would be clinically important regarding the preoperative cardiac risk assessment of elderly hip fracture, which may be assessed in the focused TTE.</div></div>","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":"165 3","pages":"Article 107013"},"PeriodicalIF":2.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144168346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perforación diverticular secundaria a cuerpo extraño","authors":"Lucía Isabel Martínez Minuesa,&nbsp;Sagrario Fuerte Ruiz,&nbsp;Teresa Carrascosa Mirón","doi":"10.1016/j.medcli.2025.107017","DOIUrl":"10.1016/j.medcli.2025.107017","url":null,"abstract":"","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":"165 4","pages":"Article 107017"},"PeriodicalIF":2.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144178626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using computed tomography in fast stratification of intermediate risk pulmonary embolism and thrombus location: Real world evidence study","authors":"Macarena Lovera ,&nbsp;Santiago Menjura ,&nbsp;Toni Marín","doi":"10.1016/j.medcli.2025.107025","DOIUrl":"10.1016/j.medcli.2025.107025","url":null,"abstract":"","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":"165 4","pages":"Article 107025"},"PeriodicalIF":2.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144178634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neoplasias de órgano sólido en un paciente con síndrome VEXAS","authors":"Óscar Porto Fuentes,&nbsp;Lucía Ferreira González","doi":"10.1016/j.medcli.2025.107023","DOIUrl":"10.1016/j.medcli.2025.107023","url":null,"abstract":"","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":"165 2","pages":"Article 107023"},"PeriodicalIF":2.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abordaje integral de la pericarditis aguda: un enfoque clínico actualizado","authors":"José Rozado ,&nbsp;Luis Gutiérrez de la Varga ,&nbsp;María Martín","doi":"10.1016/j.medcli.2025.107032","DOIUrl":"10.1016/j.medcli.2025.107032","url":null,"abstract":"<div><div>Acute pericarditis is the most frequent pericardial syndrome in clinical practice. Its symptomatology, evolution and prognosis can be very diverse and are highly conditioned by its etiology. In Western countries, the idiopathic etiology associated with viral conditions is the most frequent, with a good prognosis under optimal medical treatment, however, other etiologies such as purulent, neoplastic or autoimmune present a worse prognosis with the need for specific treatments. Therefore, an adequate etiologic diagnosis is essential and risk stratification will also be key to detect those entities at risk of complications that require in-hospital diagnostic and therapeutic management. Individualized treatment is essential based on anti-inflammatory drugs with different therapeutic regimens depending on each etiology and form of presentation, but without forgetting a humanized and patient-centered approach to achieve results in health and quality of life for these patients.</div></div>","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":"165 2","pages":"Article 107032"},"PeriodicalIF":2.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}