Abstract:
:Type 2 diabetes mellitus is a major health problem with high prevalence, morbidity and mortality, and its medical treatment is growing in complexity due to patients' diverse clinical conditions. This article presents a consensus document by the Diabetes, Obesity and Nutrition Group of the Spanish Society of Internal Medicine, with recommendations for the medical treatment of type 2 diabetes mellitus. The main objective of this article is to facilitate the therapeutic decision-making process to improve the care of patients with diabetes. The document prioritises treatments with cardiovascular benefits, especially those that benefit patients with heart and renal failure.
journal_name
Rev Clin Espjournal_title
Revista clinica espanolaauthors
Carrasco-Sánchez FJ,Fernández-Rodríguez JM,Ena J,Gómez-Huelgas R,Carretero-Gómez J,en representación del Grupo de trabajo de Diabetes, Obesidad y Nutrición de la Sociedad Española de Medicina Interna.doi
10.1016/j.rce.2020.06.005subject
Has Abstractpub_date
2020-07-13 00:00:00eissn
0014-2565issn
1578-1860pii
S0014-2565(20)30175-2pub_type
杂志文章abstract:OBJECTIVES:To ascertain the correlation between the partial pressure of oxygen (PaO2) and oxyhaemoglobin saturation by pulse oximetry (SpO2) in patients who were admitted to the emergency department with suspected acute respiratory failure. MATERIAL AND METHODS:A prospective, observational multicentre study was conduc...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2017.08.006
更新日期:2017-12-01 00:00:00
abstract::Cutaneous larva migrans (CLM) is a frequent dermal disease in travelers, caused by larvae of nonhuman ancylostoma. We describe 34 outside cases of CLM diagnosed since January 1991 to June 2002. Nineteen male and female. Age: 35.7 years (20-60). The total number of CLM infestations was 73, 83.5% in feet. In five cases ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/s0014-2565(04)71567-2
更新日期:2004-12-01 00:00:00
abstract:OBJECTIVE:To study the prevalence and presentation forms of hereditary hemorrhagic telangiectasia (HHT) among the population in our hospital area. MATERIALS AND METHODS:Descriptive, retrospective study of patients with the diagnosis of HHT from to 1999 at La Fe Hospital, Valencia. Family history, repeated epistaxis, m...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/s0014-2565(01)70935-6
更新日期:2001-11-01 00:00:00
abstract:BACKGROUND:Diagnosis of acute kidney injury (AKI) during acute decompensations of heart failure (ADHF) remain challenging. We analysed the incidence and prognosis of AKI, and the significance of small increases of creatinine, during ADHF and after stabilization. PATIENTS AND METHODS:Patients admitted for ADHF were pro...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2019.11.008
更新日期:2019-12-24 00:00:00
abstract::The antibiotherapy resistance evolution and the appearance of new enterobacter in our ICU's flora have been studied. A total of 638 bacterial samples were studied. The most frequent isolated pathogens were: Pseudomonas aeruginosa (182 strands), Escherichia coli (108 strands), Staphylococcus epidermidis (99 strands) an...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1990-04-01 00:00:00
abstract:OBJECTIVE:To demonstrate the validity of diurnal polysomnography for the diagnosis of obstructive sleep apnea syndrome (OSAS). METHODS:Twenty-five patients with suspect of OSAS were studied with two serial polysomnographic recordings: one during nighttime-nocturnal polysomnography (NPLS) and then a second polysomnogra...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1998-06-01 00:00:00
abstract:OBJECTIVE:To identify factors associated with poor anticoagulation control with vitaminK antagonists (VKA) among outpatients with nonvalvular atrial fibrillation (NVAF) attended in Neurology and Internal Medicine in Spain. METHODS:Cross-sectional and multicenter study, from the ALADIN database, of outpatients with NVA...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2018.04.020
更新日期:2018-10-01 00:00:00
abstract::Antibodies (type IgG) against the A 60 antigen (Mycobacterium bovis, BCG) and an antigen of Mycobacterium tuberculosis were studied by ELISA in 79 patients with not tuberculous disease: 16 lung carcinoma, 16 hepatic cirrhosis and 47 patients with pulmonary disease. 59.5% and 50.6% of the patients showed antibodies aga...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1992-04-01 00:00:00
abstract::Sarcoidosis is a disease which presents important clinical differences according to its geographical distribution. Thus, the objective of this study was to evaluate the epidemiologic, clinical, radiologic, and diagnostic characteristics in a series of 30 sarcoidosis patients in the province of Salamanca (representing ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1991-09-01 00:00:00
abstract::A case of gastroenteritis due to Giardia lamblia with severe dehydration and complicated with arterial thrombosis, accompanied by eosinophilia and increased serum IgE levels, is presented. The relationship between Giardia and eosinophilia and allergic manifestations is discussed as well as its pathogenesis. ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1990-06-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Clinical management for terminal patients should consider various aspects, particularly the patient's functional assessment, which correlates well with the short-term prognosis. The prognosis could improve if the presence of symptoms strongly associated with a poorer progression were included....
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2019.01.003
更新日期:2019-01-01 00:00:00
abstract::Cyclophosphamide is used both in the treatment of malignant and non-malignant diseases. Urinary neoplasms secondary to its use have been described. We discuss the case of a patient with panarteritis nodosa treated with cyclophosphamide during 63 months, with a total dose of 210 grams, and that showed a bladder neoplas...
journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:
更新日期:1992-05-01 00:00:00
abstract:OBJECTIVE:Although the genetic component in colorectal carcinoma (CRC) is well established, some environmental factors, mainly dietary, can favor its development. The objective of this study is to evaluate the relationship between daily consumption of specific food groups and development of CRC. METHODS:We carried out...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1157/13063526
更新日期:2004-07-01 00:00:00
abstract:BACKGROUND:Despite a steady decrease in its incidence, pneumonia caused by Pneumocystis carinii (PCP) are still diagnosed, and they occur frequently in patients unaware of being infected with the human immunodeficiency virus (HIV). Since it is a disease with a high mortality risk, its early diagnosis and therapy would ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/s0014-2565(02)71100-4
更新日期:2002-08-01 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:OBJECTIVE:To evaluate whether fast track of patients with myocardial infarction, from the emergency department to the intensive care unit, significantly decreased the intrahospital delay in the administration of anti-thrombolytic agents. PATIENTS AND METHODS:Descriptive study performed in two phases (12 and 15 months,...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1999-09-01 00:00:00
abstract::Aortic stenosis (AS) is the most common valvular heart disease in developed countries. Its prevalence increases progressively due the aging of the population. Transcatheter aortic valve implantation (TAVI), however, has revolutionised the treatment of AS. With the current data, we can confirm that TAVI is the treatmen...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2017.05.001
更新日期:2017-11-01 00:00:00
abstract:OBJECTIVE:To determine the primary drug resistance (PDR) of Mycobacterium tuberculosis in ten hospitals in the Castile-León Community for a five-year period (1991-1995), in a sanitary area with almost two millions of inhabitants. MATERIAL AND METHODS:The sensitivity of 825 strains of Mycobacterium tuberculosis to anti...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1999-03-01 00:00:00
abstract:OBJECTIVES:Elderly patients with acute myocardial infarction constitute a population that is not adequately represented in clinical trials or medical registries. Our objective was to compare the clinical characteristics, treatments administered and mortality among patients younger and older than 75 years. MATERIAL AND...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2014.11.003
更新日期:2015-05-01 00:00:00
abstract::We present the case of a patient with negative serology asymmetric polyarthritis and erythematous-squamous cutaneous lesions of two years evolution, initially attributed to psoriasis, which histopathology (hyperkeratosis, epidermic infiltration due to atypical CD4+ lymphocytes with formation of Pautrier's microabscess...
journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:
更新日期:1993-02-01 00:00:00
abstract:INTRODUCTION:Obesity is a chronic, complex and multifactorial metabolic disease involved in the development of chronic noncommunicable diseases such as type 2 diabetes mellitus, cardiovascular disease and cancer. The care of individuals with obesity is an essential part of the holistic approach provided by internal med...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2020.06.008
更新日期:2020-07-25 00:00:00
abstract::Hereditary hemorrhagic telangiectasia (HHT) is a hereditary dominant autosoma clinical entity characterized by repeated hemorrhages (being epistaxis the more frequent) and telangiectasia in skin, mucosa and internal organs. Incidence in Europe is 1,2 per 100,000 pop. We discuss the experience of an Internal Medicine D...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1992-10-01 00:00:00
abstract::Correct functioning of the Ethics Committee (EC) guarantees respect to the rights of the subjects participating in clinical research. The European transposition of the clinical trial guidelines by the Royal Decree (RD) 223/2004 February 6 speeds up and simplifies the administrative procedures for the authorization of ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1157/13079764
更新日期:2005-10-01 00:00:00
abstract::The cerebral trunk infection by Listeria monocytogenes is a very rare process, with only 24 described cases and only 2 in immunodepressed patients. We present a new case of cerebral trunk encephalitis caused by Listeria in a patient diagnosed of Polyarteritis nodosa on steroids and cyclophosamide treatment and fatal e...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1990-11-01 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::We here present the case of a patient who starts with a progressive vision loss, observing in the radiologic exam herniation of optic chiasma in a primary empty sella turcica. Based on this case, we have performed a review of this clinical picture and point out the most important aspects in the literature. ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1991-04-01 00:00:00
abstract::A patient who had been successfully treated of Hodgkin's disease (nodular sclerotic type) with mediastinal radiotherapy and polychemotherapy, suffered an acute pericarditis immediately after radiotherapy and a complete atrial-ventricular block 14 years later. Five years later she presented refractory hemorrhagic perit...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1991-10-01 00:00:00
abstract:OBJECTIVE:To prospectively and comparatively study the usefulness of urine (viruria) and blood (antigenemia pp65 and culture) (viremia) for the diagnosis of cytomegalovirus (CMV) infection in renal transplant (RT) recipients. MATERIAL AND METHODS:All RT recipients at our hospital were studied from January 1995 to Dece...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract::The clinical features of 30 patients with carcinomatous meningitis caused by solid tumors are reported. The most common originating sites of tumors were lung (12 cases) and breast (9 cases). Headache was the most common presenting symptom and there was involvement in more than one level of neuro-axis in 53% of cases. ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1994-07-01 00:00:00
abstract::255 patients diagnosed of pulmonary and/or pleural tuberculosis are prospectively studied. All patients received four drugs: isoniazine (INH), rifampin, pirazinamide and ethambutol during the first two months of treatment. Afterwards they continued for four months with two drugs in order to complete the six month trea...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1990-02-01 00:00:00