December 2019

16 Articles

No Section

Nutritional status is associated with physical function and disability in older adults with chronic heart failure

21 December 2019
Author(s): Diana Lelli, Stefano Tolone, Giovanni Pulignano, Maria Denitza Tinti, Donatella Del Sindaco, Giulia Dipasquale Mazzilli, Raffaele Antonelli Incalzi, Claudio Pedone

Heart failure (HF) has a high prevalence worldwide, that increases with age [1], and a natural history characterized, beside hospitalizations [3] and death, also by a progressive functional decline [... more

Mobile Intensive Care Unit versus Hospital walk-in patients, in the treatment of first episode ST- elevation myocardial infarction

21 December 2019
Author(s): Rubén Viejo-Moreno, Alberto Cabrejas-Aparicio, Noemí Arriero-Fernández, Manuel Quintana-Díaz, Enrique Galván-Roncero, María de las Nieves Gálvez-Marco, Cristina Carriedo-Scher, Javier Balaguer-Recena, Carlos Marian-Crespo

Ischemic heart disease (IHD) continues to be a major public health problem worldwide [1]. It generates a huge social impact in terms of disability; potential years of life lost, and constitutes the... more

Long term clinical outcomes in survivors after out-of-hospital cardiac arrest

19 December 2019
Author(s): Juan R Rey, Juan Caro-Codón, Laura Rodríguez Sotelo, Esteban López-de-Sa, Sandra O. Rosillo, Óscar González Fernández, Jaime Fernández de Bobadilla, Ángel M. Iniesta, Laura Peña Conde, Isabel Antorrena Miranda, Eduardo Armada, José Ruiz Cantador, José Luis López-Sendón

Out-of-hospital cardiac arrest (OHCA) remains a first order public health problem. In recent studies about 90% of OHCA die prior to hospital admission, only 10% are admitted to an emergency unit and... more

The dark age of Italian general practice research – An Italian matter

13 December 2019
Author(s): Marco Badinella Martini, Fabrizio D’Ascenzo, Augusto Zaninelli, Livio Garattini, Pier Mannuccio Mannucci

Dear Editor,

Impact of left ventricular dysfunction and fluid balance on the outcomes of patients with sepsis

13 December 2019
Author(s): Jun Young Hong, Jungho Shin, Won-Young Kim

Sepsis is a common and severe disorder characterized by life-threatening organ dysfunction caused by dysregulated host responses to infection and has high morbidity and mortality [1]. Along with... more

Trends in mechanical ventilation use and mortality over time in patients receiving mechanical ventilation in Spain from 2001 to 2015.

7 December 2019
Author(s): Javier de-Miguel-Díez, Rodrigo Jiménez-García, Valentín Hernández-Barrera, Jose J Zamorano-Leon, Rosa Villanueva-Orbaiz, Romana Albaladejo-Vicente, Ana López-de-Andrés

Mechanical ventilation continues to be a cornerstone of supportive management of patients with acute respiratory failure [1]. Patients receiving this life supporting modality often have an increased... more

Prospective blinded Evaluation of the smartphone-based AliveCor Kardia ECG monitor for Atrial Fibrillation detection: The PEAK-AF study

2 December 2019
Author(s): Felix K. Wegner, Simon Kochhäuser, Christian Ellermann, Philipp S. Lange, Gerrit Frommeyer, Patrick Leitz, Lars Eckardt, Dirk G. Dechering

Stroke is the second leading cause of death worldwide and causes significant morbidity, especially if the source is a cardiogenic embolism [1,2]. Atrial fibrillation (AF) substantially increases an... more

Commentary

Can we predict mortality in the emergency department?

18 December 2019
Author(s): Alessandro Jachetti, Giorgio Costantino

Conway et al. performed a retrospective study using administrative data to assess the utility of two parameters to predict 30-day mortality during an emergency department (ED) visit [1]. They... more

Editorial

Comprehensive heart failure assessment: A challenge to modify the course of heart failure

5 December 2019
Author(s): F. Javier Martín-Sánchez

Heart failure (HF) is a syndrome linked to ageing that entails poor health outcomes [1]. HF patients usually present a high number of comorbidities [1]. Grade of comorbidity is increased with age and... more

Letter to the Editor

Medication reconciliation in hospital patients over the age of 65: How long does it take and how much does it cost? A time-motion study in an internal medicine ward

17 December 2019
Author(s): L. Alix, E. Bajeux, J. Hubert, B. Cador, J.M. Josselin, S. Tuffier, V. Gicquel, D. Somme, P. Jego, A. Bacle, B. Hue

Hospitalization is associated with a higher risk of medication errors [1]. Indeed, many of the patient's usual prescriptions may be modified on admission, during the hospital stay itself, and/or on... more

Invasive disease due to Streptococcus pyogenes: A household cluster in Northwest Spain

13 December 2019
Author(s): Hortensia Álvarez, Susana Méndez-Lage, María Fernanda Peña-Rodríguez, José Francisco García-Rodríguez

Dear Editor:

Original Article

Point-of-care ultrasound in internal medicine: A position paper by the ultrasound working group of the European federation of internal medicine

12 December 2019
Author(s): J. Torres-Macho, T. Aro, I. Bruckner, C. Cogliati, O.H. Gilja, A. Gurghean, E. Karlafti, M. Krsek, Z. Monhart, A. Müller-Marbach, J. Neves, R. Sabio, C. Serra, N. Smallwood, C. Tana, O.A. Uyaroğlu, F. Von Wowern, F.H. Bosch, EFIM´s ultrasound working group.

Point-of-care ultrasound (POCUS) is based on the systematic application of ultrasound as an extension to conventional physical examination. It helps with anatomical visualization, and detecting... more

Cardiovascular target organ damage in premenopausal systemic lupus erythematosus patients and in controls: Are there any differences?

9 December 2019
Author(s): Massimo Salvetti, Anna Paini, Laura Andreoli, Deborah Stassaldi, Carlo Aggiusti, Fabio Bertacchini, Claudia Agabiti Rosei, Silvia Piantoni, Franco Franceschini, Angela Tincani, Maria Lorenza Muiesan

Since 1976 the bimodal pattern of mortality in patients with Systemic Lupus Erythematosus (SLE) was described: the first peak (3 years after diagnosis) due to active disease and the later peak (4–20... more

Rivaroxaban for extended antithrombotic prophylaxis after laparoscopic surgery for colorectal cancer. Design of the PRO-LAPS II STUDY

6 December 2019
Author(s): Cecilia Becattini, Ugo Pace, Fabio Rondelli, Paolo Delrio, Graziano Ceccarelli, Michela Boncompagni, Luigina Graziosi, Adriana Visonà, Damiano Chiari, Giampiero Avruscio, Stefania Frasson, Gualberto Gussoni, Alessia Biancafarina, Giuseppe Camporese, Annibale Donini, Andrea Fares Bucci, Giancarlo Agnelli

The incidence of venous thromboembolism (VTE) after cancer surgery is about two-fold higher than after similar non-cancer surgery, with an incidence of fatal pulmonary embolism that is about three-... more

Treating periodontal disease in patients with myocardial infarction: A randomized clinical trial

4 December 2019
Author(s): Marcelo G. Lobo, Marcia M. Schmidt, Renato D. Lopes, Thiago Dipp, Ivan P. Feijó, Karine E.S. Schmidt, Cristina A. Gazeta, Mariana L. Azeredo, Melissa Markoski, Lucia C. Pellanda, Carlos A.M. Gottschall, Alexandre S. Quadros

Periodontitis has been associated with coronary artery disease, but the impact of a periodontal treatment on the endothelial function of patients with a recent ST-segment elevation myocardial... more

Review Article

Natriuretic peptides in acute kidney injury – A sojourn on parallel tracks?

4 December 2019
Author(s): Bhagwan Dass, Thomas M. Beaver, Michiko Shimada, Kawther F. Alquadan, Abhilash Koratala, Girish Singhania, Amardeep Singh, A. Ahsan Ejaz

In 1981, de Bold reported that injection of supernatants of atrial and ventricular myocardial homogenates into rats resulted in 30-fold increase of sodium and chloride excretions and 10-fold increase... more

Relevant EFIM Publications

Clinical practice guidelines adaptation for internists - An EFIM methodology

Author(s): Wiktoria Leśniak, Laura Morbidoni, Dror Dicker, Ignacio Marín-León
Date:25 June 2020

The challenge of implementing Less is More medicine: A European perspective

Author(s): Omar Kherad, Nathan Peiffer-Smadja, Lina Karlafti, Margus Lember, Nathalie Van Aerde, Orvar Gunnarsson, Cristian Baicus, Miguel Bigotte Vieira, António Vaz-Carneiro, Antonio Brucato, Ivica Lazurova, Wiktoria Leśniak, Thomas Hanslik, Stephen Hewitt, Eleni Papanicolaou, Olga Boeva, Dror Dicker, Biljana Ivanovska, Pinar Yldiz, Patrick Lacor, Mark Cranston, Frauke Weidanz, Giorgio Costantino, Nicola Montano
Date:16 April 2020

Medical and surgical co-management – A strategy of improving the quality and outcomes of perioperative care

Author(s): Carmen Fierbinţeanu-Braticevicia, Matthias Raspeb, Alin Liviu Predac, Evija Livčāned, Leonid Lazebnike, Soňa Kiňováf, Evert- Jan de Kruijfg, Radovan Hojsh, Thomas Hansliki, Mine Durusu-Tanrioverj, Francesco Dentalik, Xavier Corbellal, Pietro Castellinom, Monica Bivoln, Stefano Bassettio, Vasco Barretop, Eduardo Montero Ruizq, Luis Camposr, The Working Group on Professional Issues and Quality of Care of the European Federation of Internal Medicine (EFIM)
Date:15 November 2018


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What is EFIM?

The principal objectives of EFIM is to promote internal medicine on a scientific educational, ethical and professional level and to support internists in providing better care for patients throughout Europe.

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What is internal medicine?

The specialty of internal medicine covers a wide range of conditions affecting the internal organs of the body. Although some diseases specifically affect individual organs, the majority of common diseases. The internist must then be trained to recognise and manage a broad range of diseases and, with the aging population, many patients with chronic and multiple disorders.

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