Abstract:
:The proportion of diabetic patients who are hospitalised for stroke has been increasing in recent years, currently reaching almost a third of all cases of stroke. In addition, about half of patients with acute stroke present hyperglycaemia in the first hours of the stroke. Although hyperglycaemia in the acute phase of stroke is associated with a poor prognosis, its treatment is currently a topic of debate. There is no evidence that the adminstration of intravenous insulin to these patients offers benefits in terms of the evolution of the stroke. New studies in development, such as the SHINE study (Stroke Hyperglycemia Insulin Network Effort), may contribute to clarifying the role of intensive control of glycaemia during the acute phase of the stroke. Ultimately, patients who have presented with stroke should be screened for diabetes.
journal_name
Rev Clin Espjournal_title
Revista clinica espanolaauthors
Castilla-Guerra L,Fernández-Moreno MC,Hewitt Jdoi
10.1016/j.rce.2015.06.005subject
Has Abstractpub_date
2016-03-01 00:00:00pages
92-8issue
2eissn
0014-2565issn
1578-1860pii
S0014-2565(15)00188-5journal_volume
216pub_type
杂志文章abstract::Three new cases of diffuse pulmonary lymphangioleiomyomatosis are presented. Case number 1 is a female patient who presented repeated pneumotorax and dyspnea without evidence by CT scan and gynecological ultrasound of extrathoracic lesions. This patient did not respond to medroxiprogesterone and died 5 years after the...
journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:
更新日期:1990-04-01 00:00:00
abstract:BACKGROUND:Fractures are the clinical complication of osteoporosis. There are no previous studies that describe the prevalence of vertebral fractures (VF) in patients admitted into a hospital due to a hip fracture (HF). OBJECTIVE:To study the prevalence of vertebral fractures in elderly women in the moment of their ad...
journal_title:Revista clinica espanola
pub_type: 杂志文章,多中心研究
doi:10.1157/13109839
更新日期:2007-10-01 00:00:00
abstract::Natriuretic peptides are a useful laboratory tool for the diagnosis, prognosis and treatment of patients with heart failure. Natriuretic peptides are used in various healthcare settings (consultations, emergency department, hospitalization, laboratory) and by various primary care and specialised professionals. However...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2016.02.008
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:The increase in intraabdominal pressure (IAP) has been correlated with increased creatinine levels in patients with heart failure with severely reduced left ventricular ejection fraction (HFrEF). However, IAP has not been examined in more stable patients or those with heart failure with preserved ejection fr...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2020.01.011
更新日期:2020-07-09 00:00:00
abstract:BACKGROUND:Description of the patients admitted in the general Internal Medicine (IM) departments of the Public Health System in Andalusia (Spain) (PHSA) during 2002. PATIENTS AND METHODS:It is an analysis of the Minimum Basic Set of Data (MBSD) and its management by the Diagnostic Related Groups (DRG) of admission ep...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1157/13084760
更新日期:2006-01-01 00:00:00
abstract::Anisakis simplex is a nematode which parasitizes mainly fish and cephalopods and accidentally human beings after ingestion. Apart from the different digestive syndromes, this organism has recently been involved as cause of IgE-mediated allergic reactions of variable degree (urticaria to severe angioedema). In this rep...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1998-09-01 00:00:00
abstract::Liver transplant is the first therapeutic choice in most of the advanced liver diseases. Nevertheless, its performance originates a number of complications derived from: a) conservation techniques of the organ (in our study a prolonged time of hot ischemia was significantly associated with); b) surgery (all patients w...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1991-10-01 00:00:00
abstract::Coeliac disease is the most frequent malabsortive syndrome in daily practice. However, its true prevalence is not exactly known. The symptoms vary from patient to patient, ranging from the classic presentation with diarrhea, weight loss and fatigue to oligosymptomatic forms, being the latter more common in adults. We ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract::Basing heart failure (HF) classification on the echocardiographic values of left ventricular ejection fraction (LVEF) has been useful in defining two sub-types of HF: HF with reduced LVEF and HF with preserved LVEF. A new category has recently been defined: HF with midrange LVEF (40-49%). When current information is t...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2017.01.013
更新日期:2017-01-01 00:00:00
abstract::Amongst 1.202 genital samples studied, the microscopic exam revealed in 179 (14.8%) cases flora compatible with bacterial vaginitis. Of these 179 samples, Mobiluncus SP was observed in 35 (19.6%) using Gram staining and in 18 (10.1%) this microorganism was isolated in agar RLK and anaerobic atmosphere. Using biochemic...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1991-06-01 00:00:00
abstract::We discuss the case of a 22-year-old female, carrying of antibodies to against human immunodeficiency virus (HIV), who developed several tumors on different bone localizations, which corresponded to plurifocal bone tuberculosis. We reviewed multifocal bone tuberculosis reports in the literature. The exceptionally of t...
journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:
更新日期:1992-06-01 00:00:00
abstract::We have studied a group of 33 (27 female and 6 male) patients suffering pure essential arterial hypertension, with a mean age of 54.06 years, and who received a daily monodose of chlortalidone. Arterial pressure, blood viscosity at different shearing levels, as well as those parameters capable of modifying this viscos...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1990-09-01 00:00:00
abstract:UNLABELLED:The increase in the mean populational age has increased the number of elderly people eligible for cardiac surgery. The aortic pathology represents the most common valvular pathology, mainly of degenerative etiology. The efficiency of the aortic valve replacement in people aged over 75 years was studied, with...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1998-05-01 00:00:00
abstract::A case report of severe digitalis poisoning in a patient with prosthetic heart valve is presented. He complained of nausea, vomiting, drowsiness, temporal disorientation and lethargy. The electrocardiogram showed idioventricular rhythm, and plasma levels of digoxin were 6.78 ng/ml. Predisposing factors por digitalis p...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1991-11-01 00:00:00
abstract::Clinical ultrasonography should be considered a complementary examination that can change clinical practice, as well as a tool to add to the medical history. Systemic autoimmune diseases (SAD) can involve numerous structures and organs. Ultrasonography has broad applied utility in detecting complications such as the p...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2019.07.014
更新日期:2020-01-01 00:00:00
abstract::For patients to be able to make decisions autonomously (and to grant informed consent), they must have information, understanding, freedom and willingness, with competence a prerequisite for autonomy. Clinicians are often faced with patients lacking competence to make decisions but detect less than half of such cases ...
journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:10.1016/j.rce.2019.04.009
更新日期:2020-05-01 00:00:00
abstract:OBJECTIVE:To study the prevalence of hepatitis delta and hepatitis C viruses (HDV and HCV) in patients infected with hepatitis B virus (HBV) with and without risk behaviors for the infection by these viruses and by the human immunodeficiency virus (HIV). MATERIALS AND METHODS:Clinical and serological study (January 19...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1994-10-01 00:00:00
abstract::We have studied in the present report 86 sera from healthy individuals from Granada province with the aim of determining the serum antibody threshold level which would correlate in our media with the absence of tuberculous disease. These antibodies were detected by an ELISA method (Anda Tb) which looks for the presenc...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1990-11-01 00:00:00
abstract:OBJECTIVES:To assess the routine indication of chest roentgenogram after thoracentesis in function of iatrogenic pneumothorax causation, following a procedure protocol. PATIENTS AND METHODS:Prospective study of 104 consecutive thoracentesis procedures performed in 76 patients. The procedure was protocolized and after ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1157/13044921
更新日期:2003-03-01 00:00:00
abstract::The use of ambulatory monitorization of blood pressure has shown the importance of the alarm reaction or white coat reaction and its conditioning factors in some patients. The influence of place (medical facility or home) and person who performs the procedure (doctor or nurse) on the taking of blood pressure is studie...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1994-03-01 00:00:00
abstract:INTRODUCTION:This study examined the association of self-care behavior and patients' knowledge about self-care with rehospitalization among older adults with heart failure (HF). METHODS:Case-control comparison (116 cases and 209 controls) nested in a prospective cohort of patients aged 65 years and older admitted for ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1157/13123185
更新日期:2008-06-01 00:00:00
abstract::We have been interested in demonstrating the usefulness of the reverse endoscopic cholangiopancreatography, a technique already accepted in extrahepatic biliary pathology and the cholangiocarcinoma diagnosis. First of all we reviewed those cases diagnosed as cholangiocarcinoma using the REC and we found that only in 1...
journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:
更新日期:1990-05-01 00:00:00
abstract:INTRODUCTION:The role of glucose elevation above levels considered normal in non- diabetic patients with acute coronary syndromes (ACS) is not adequately defined. The aim of this study was to determine the association between serum glucose at admission and 1-year mortality in this type of patients. METHODS:We studied ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1157/13088586
更新日期:2006-06-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:AL amyloidosis is a rare condition whose management is undergoing changes due to recent advances in diagnosis and treatment. We describe a contemporary series of patients with AL amyloidosis to analyze the features that enable early diagnosis and optimal management. PATIENTS AND METHODS:We re...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2014.08.013
更新日期:2015-01-01 00:00:00
abstract::Inflammatory pseudotumor (IP) is a rare pathological entity. Although, the pulmonary affection is the most frequent, any other organ can be involved. Its etiopathology is unknown. The disease is considered as a reactive process constituted by chronic inflammatory elements and a benign behavior. The lack of a specific ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1991-12-01 00:00:00
abstract::The therapeutic effect of captopril in treating mild to moderate arterial hypertension has been evaluated in 20 patients. During 15 days patients underwent a washout period. Patients then received a single dose of 50 mg of captopril by mouth per day during 4 weeks. Before and after treatment, blood pressure (BP) was c...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1989-03-01 00:00:00
abstract::Cancer of unknown primary site (CUPS) is a heterogeneous entity defined by the presence of a histologically-proven metastatic neoplasm, in which the original tumor cannot be identified after a targeted study. The current guidelines for CUPS focus is not based on the search for the primary neoplasm but rather on the id...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/s0014-2565(09)71820-x
更新日期:2009-07-01 00:00:00
abstract::After recognizing smoking habit as a relevant problem in our media, the complex implications of this type of lifestyle are commented. After revising the main obstacles for achieving primary health care preventive measures not only for the patient, who frequently looks for a "treatment", but also for the professional w...
journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:
更新日期:1989-03-01 00:00:00
abstract::Malign small cell tumors in the thoracopulmonary region is a tumor of neuroectodermic origins with polymorphous and infrequent presentation. It is mostly found among young people, developing an aggressive and severe course. It is a small cell tumor involving small quantities of cytoplasm without glucogen, round or ova...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1994-05-01 00:00:00
abstract:OBJECTIVE:Several studies have reported that a higher degree of hemoconcentration in patients admitted for the treatment of acute heart failure (HF) constitutes a favorable prognostic factor in the year following the index episode. The objective of this study was to evaluate whether the highest degree of hemoconcentrat...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2018.07.003
更新日期:2019-01-01 00:00:00