Anales De Medicina Interna最新文献_第4页

[Postpartum thyroiditis with unusual evolution]. [产后甲状腺炎演变异常]。

Anales De Medicina Interna Pub Date : 2007-06-01 DOI: 10.4321/s0212-71992007000600011

E Sopena Bert, V Valentí Moreno, R Corcoy Pla

引用次数: 0

[Lung adenocarcinoma feigning an interstitial lung disease in a 30-year-old man]. [30岁男性肺腺癌为肺间质性疾病]。

Anales De Medicina Interna Pub Date : 2007-06-01 DOI: 10.4321/s0212-71992007000600008

S Casallo Blanco, F Marcos Sánchez, L de Matías Salces, A Viana Alonso, J Celdrán Gil, E Núñez Cuerda

引用次数: 6

[Evolution of anxiety and depression detected during hospitalization in an Internal Medicine service]. [内科住院期间焦虑和抑郁的演变]。

Anales De Medicina Interna Pub Date : 2007-05-01 DOI: 10.4321/s0212-71992007000500002

A Grau, P Comas, R Suñer, E Peláez, L Sala, M Planas

{"title":"[Evolution of anxiety and depression detected during hospitalization in an Internal Medicine service].","authors":"A Grau, P Comas, R Suñer, E Peláez, L Sala, M Planas","doi":"10.4321/s0212-71992007000500002","DOIUrl":"https://doi.org/10.4321/s0212-71992007000500002","url":null,"abstract":"Objective: To study the evolution of the symptoms of anxiety (Ax) and depression (Dp) two months after hospital release and factors associated with their persistence.Method: An observational longitudinal study. Patients with Ax or Dp, evaluated by the Hospital Anxiety and Depression (HAD) scale on the fourth day of hospitalisation, were followed over two months without the use of psychopharmacological drugs. Sociodemographic factors, psychiatric history, functional state, comorbidity and the HAD stage three weeks before admission were evaluated.Results: Thirty-eight patients with Ax (22 males) with a mean age of 62.2 years and 35 patients with Dp (22 males) with a mean age of 68.1 years were studied. Symptoms of Ax persisted in 23 patients (60.5%; CI95%: 43.4-76) and symptoms of Dp persisted in 18 (51.4%; CI95%: 34-68.6). Ax before admission and a lower educational level were associated with the persistence of Ax. An age of 70 or more, female gender and primary studies, Barthel Index on admission of < 100 and depression in the three weeks before admission were associated with persistence of Dp.Conclusions: Symptoms persisted in over half of the patients. The evaluation of HAD before admission may help in determining the treatment course to be followed.","PeriodicalId":50798,"journal":{"name":"Anales De Medicina Interna","volume":" ","pages":"212-6"},"PeriodicalIF":0.0,"publicationDate":"2007-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41004279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

[Hidden renal failure and drug prescription in hospitalized patients]. 【住院患者隐性肾衰竭与药物处方】。

Anales De Medicina Interna Pub Date : 2007-05-01 DOI: 10.4321/s0212-71992007000500004

J M Peña Porta, C V de Vera Floristán, M Bueno Lozano

{"title":"[Hidden renal failure and drug prescription in hospitalized patients].","authors":"J M Peña Porta, C V de Vera Floristán, M Bueno Lozano","doi":"10.4321/s0212-71992007000500004","DOIUrl":"https://doi.org/10.4321/s0212-71992007000500004","url":null,"abstract":"Objective: Equations used to estimate glomerular filtarion rate (GFR) are useful to detect \"hidden\" renal failure (RF) ( coexistence of normal serum creatinine together with GFR < 60 ml/mto/1.73 m2 ). The aim of this study was to analyze the prevalence of this phenomenon in hospitalized patients and how this affects drugs prescription.Patients and method: 567 patients admitted to the internal medicine section of Barbastro Hospital (Huesca, Spain) during a three months period (april-june 2006) were included. GFR was estimated applying abbreviated MDRD equation. By means of logistic regression analysis we analyzed the factors associated with the presence of \"hidden\" RF. We also recorded the potentially dangerous drugs prescribed at discharge from hospital.Results: Prevalence of \"Hidden\" RF was 10.8 %. NKF chronic kidney disease stages 3.4 or 5 were present in 35.2 % of patients. Variables associated with presence of \"hidden\" RF were age (expB = 1.035; IC95% 1.012 - 1.060; p = 0.004) and female sex (expB = 4.669; IC95% 2.461 - 8.856; p < 0.0001). Only in 1.8 % of cases GFR was calculated during hospitalisation period. A considerable number of patients with \"hidden\" RF received treatment with potentially dangerous drugs taking into account his degree of renal failure.Conclusions: Our results support the introduction of GFR estimation by means of MDRD equation in laboratory reports.","PeriodicalId":50798,"journal":{"name":"Anales De Medicina Interna","volume":" ","pages":"221-6"},"PeriodicalIF":0.0,"publicationDate":"2007-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41004281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

[Fluoroquinolone-induced tendon diseases]. [氟喹诺酮引起的肌腱疾病]。

Anales De Medicina Interna Pub Date : 2007-05-01 DOI: 10.4321/s0212-71992007000500005

M Medrano San Ildefonso, J A Mauri Llerda, C Bruscas Izu

引用次数: 9

[Evolution of anxiety and depression detected during hospitalization in an Internal Medicine service]. [内科住院期间焦虑和抑郁的演变]。

Anales De Medicina Interna Pub Date : 2007-05-01 DOI: 10.4321/s0212-71992007000500001

M I López Ibor

引用次数: 21

[Prognosis of patients who recovered after an episode of sudden death]. [猝死发作后恢复的患者预后]。

Anales De Medicina Interna Pub Date : 2007-05-01 DOI: 10.4321/s0212-71992007000500003

R Ridruejo, B Zalba, L Martín, A Cárcamo

{"title":"[Prognosis of patients who recovered after an episode of sudden death].","authors":"R Ridruejo, B Zalba, L Martín, A Cárcamo","doi":"10.4321/s0212-71992007000500003","DOIUrl":"https://doi.org/10.4321/s0212-71992007000500003","url":null,"abstract":"Objectives: Sudden death constitutes a major sanitary problem with high mortality and serious neurological complications. The objective of this study was to analyze the prognosis and the characteristics of patients who initially recovered after an episode of cardiac arrest and who were admitted to the intensive care unit (ICU).Method: We retrospectively studied the clinical characteristics and outcome of 65 patients admitted to the Intensive Care Unit during a 3 years period with aborted sudden death.Results: 65 patients, 44 (67.7%) men and 21 (32.3%) women. Middle ages 69.1 +/- 13.9. 29 (44.6%) out of hospital and 36 (55.4%) into hospital sudden death. Cardiopulmonary resuscitation was <10 minutes in 28 cases (43.1%), and > 10 minutes in 37 (56.9%). 36 (55.4%) of all sudden deaths were of cardiac origin. 37 patients (56.9%) died and 28 (43.1%) survived the episode. It was LET in 11 cases (16.9%). 29 (44.6%) of all had post- anoxic encephalopathy and most died before discharge from ICU. Of 28 survivors, 5 patients were discharged alive with post-anoxic encephalopathy (17.8%) and 23 were discharged without neurological disturbances (82.2%). This was more frequent when sudden death was into hospital (p 0.009) and cardiopulmonary resuscitation was < 10 minutes (p 0.045).Conclusions: High number of the patients admitted to a Intensive Care unit with aborted sudden death died during ICU stay. Many patients had post-anoxic encephalopathy and most of these died. So, up to 35% of the patients admitted after an episode of cardiac arrest were discharged alive and without severe neurological damage.","PeriodicalId":50798,"journal":{"name":"Anales De Medicina Interna","volume":" ","pages":"217-20"},"PeriodicalIF":0.0,"publicationDate":"2007-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41004280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

[Splenic irradiation: apropos of 8 cases. Clinical indications and literature review]. 脾照射:适宜8例。临床适应症及文献复习]。

Anales De Medicina Interna Pub Date : 2007-05-01 DOI: 10.4321/s0212-71992007000500006

C Ibáñez Villoslada, C González San Segundo, M V de Torres Olombrada, R García García, J A Santos Miranda

引用次数: 1

[Acute renal failure due to sulfadiazine crystalluria]. 磺胺嘧啶结晶尿致急性肾功能衰竭。

Anales De Medicina Interna Pub Date : 2007-05-01

F J de la Prada Alvarez, A M Prados Gallardo, A Tugores Vázquez, M Uriol Rivera, A Morey Molina

引用次数: 0

[Mycoplasma pneumoniae pneumonia and adult respiratory distress syndrome]. [肺炎支原体肺炎与成人呼吸窘迫综合征]。

Anales De Medicina Interna Pub Date : 2007-05-01 DOI: 10.4321/s0212-71992007000500013

M Iglesias Caamaño, L Fernández Hernández, J Campos Franco, F L Lado Lado

引用次数: 0