解剖学和形态学
麻醉学
听力与言语-语言病理学
行为科学
心脏和心血管系统
细胞和组织工程学
临床神经病学
危重症监护医学
牙科,口腔外科和医学
皮肤病学
急诊医学
内分泌学和新陈代谢
肠胃学和肝脏学
老人病学和老年医学
卫生保健科学和服务
血液学
免疫学
传染病
综合和补充性医学
医学伦理学
医学信息学
医学实验室技术
医学,全科和内科
医学,法律
医学,研究和试验
神经系统科学
护理
营养学和饮食学
产科医学和妇科医学
肿瘤学
眼科学
整形外科学
耳鼻喉科学
病理学
儿科学
周围血管疾病
药理学和药剂学
生理学
基本医疗保健
精神病学
公共、环境和职业卫生
放射学,核医学和医学成像
康复学
生殖生物学
呼吸系统
风湿病学
运动科学
外科学
毒理学
热带医学
泌尿学和肾脏学
病毒学
老年医学
健康政策和服务
心理学,临床
abstract::Hepatocellular carcinoma (HCC) is the most common primary liver neoplasm and one of the most common causes of death in patients with cirrhosis of the liver. In parallel, with recognition of the clinical relevance of this cancer, major new developments have recently appeared in its diagnosis, prognostic assessment and ...
journal_title:Medicina clinica
pub_type: 实务指引
doi:10.1016/j.medcli.2020.09.022
更新日期:2021-01-15 00:00:00
abstract:OBJECTIVE:In December 2019, Wuhan, China, experienced an outbreak of coronavirus disease 2019 (COVID-19). Some patients admitted to our hospital were treated with early prone positioning (PP). Here, we analyzed its clinical significance. METHODS:This was a retrospective observational study. We defined the early PP gro...
journal_title:Medicina clinica
pub_type:
doi:10.1016/j.medcli.2020.11.036
更新日期:2020-12-26 00:00:00
abstract:BACKGROUND:In the context of the COVID-19 pandemic the risk of misdiagnosis of other causes of respiratory infection is likely. In this work we aim to describe the clinical characteristics, treatment and outcome of pneumococcal infection in COVID-19 patients. PATIENTS AND METHODS:Every COVID-19 patient presenting with...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2020.05.022
更新日期:2020-12-11 00:00:00
abstract:INTRODUCTION:Hypertension has been associated with worse outcomes in patients with COVID-19 infection, so concerns have been raised about the possibility that inhibitors of the renin-angiotensin system (RAS) could influence the prognosis of these patients. METHODS:This is an observational study of 921 consecutive pati...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2020.07.004
更新日期:2020-12-11 00:00:00
abstract:INTRODUCTION/OBJECTIVES:To describe the clinical, radiological and microbiological characteristics of vertebral osteomyelitis patients, analysing the factors that played a role on their outcome. PATIENTS AND METHODS:Single-centre retrospective observational study including patients diagnosed with vertebral osteomyelit...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2019.12.029
更新日期:2020-10-23 00:00:00
abstract:BACKGROUND:Elevated blood urea nitrogen to serum albumin (BUN/ALB) ratio had been identified as an independent risk factor related to mortality in community-acquired and hospital-acquired pneumonia. This study aimed to investigate whether this clinical index can predict the clinical outcomes of E. coli bacteraemia. MA...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2020.06.060
更新日期:2020-10-12 00:00:00
abstract:INTRODUCTION:Neurosarcoidosis is a rare complication of sarcoidosis. There are small series on the condition and very few from Spain. We conducted a retrospective study of neurosarcoidosis in Virgen de la Victoria Hospital over the last 10 years. PATIENTS AND METHOD:the medical records of patients diagnosed with sarco...
journal_title:Medicina clinica
pub_type:
doi:10.1016/j.medcli.2020.04.027
更新日期:2020-10-09 00:00:00
abstract:INTRODUCTION AND OBJECTIVES:Common laboratory parameters are crucial in aiding coronavirus disease 2019 (COVID-19) case detection. This study aimed to determine the differences between laboratory parameters in (1) COVID-19 versus non-COVID-19 pneumonia, and (2) severe versus non-severe COVID-19 cases. METHODS:Studies ...
journal_title:Medicina clinica
pub_type: 杂志文章,meta分析
doi:10.1016/j.medcli.2020.05.017
更新日期:2020-08-28 00:00:00
abstract::Urinary tract infections are highly prevalent among women and when they are recurrent they can lead to patient discomfort and high healthcare costs, and they represent one of the most frequent causes of antibiotic consumption. There are several options to prevent RUTI which include both antibiotic treatment (continuou...
journal_title:Medicina clinica
pub_type: 杂志文章,评审
doi:10.1016/j.medcli.2020.04.026
更新日期:2020-08-28 00:00:00
abstract:BACKGROUND AND OBJECTIVES:To compare the efficacy of a self-monitoring programme vs. the conventional method used before the intervention in maintaining the international normalised ratio (INR) in the therapeutic range in patients receiving oral anticoagulants, as well as complications, quality of life and the time inv...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2019.06.016
更新日期:2020-05-22 00:00:00
abstract:OBJECTIVE:To determine if a more simplified medication regimen is associated with survival in polypathological patients. METHODS:Multicentre cohort study. We included polypathological patients admitted to internal medicine wards between March 1st and June 30rd, 2011. Patients that died during admission and readmission...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2019.06.023
更新日期:2020-04-10 00:00:00
abstract:BACKGROUND AND OBJECTIVE:To analyse articles retracted due to irregularities by authors helps to determine the state of scientific integrity of a discipline or country. The Retraction Watch (RW) database is the largest worldwide database on retracted articles. The objective was to determine the reasons for and features...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2019.04.018
更新日期:2020-02-28 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Sporadic inclusion body myositis (sIBM) diagnosis is frequently delayed or confused with another class of disorders, and misdiagnosis is common. Sometimes, we have problems diagnosing an sIBM in the early stages or predicting when a PM is going to become an sIBM. In this sense, we believe that...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2019.04.022
更新日期:2019-12-13 00:00:00
abstract:INTRODUCTION:There are gaps in our knowledge of the normative levels of haemoglobin and the prevalence of anaemia in our geographical area, and in certain population subgroups. OBJECTIVES:To study the mean values of haemoglobin in a mountainous Spanish region, according to sex, age range and residence altitude, and th...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2019.02.002
更新日期:2019-12-13 00:00:00
abstract:BACKGROUND AND OBJECTIVE:To assess the usefulness of a risk scale based on serum procalcitonin (PCT) compared to the Laboratory Risk Indicator for Necrotising Fasciitis (LRINEC) scale in the early discrimination between necrotising fasciitis (NF) and cellulitis of the extremities. MATERIALS AND METHODS:Retrospective s...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2019.01.032
更新日期:2019-11-15 00:00:00
abstract:BACKGROUND/OBJECTIVES:To assess the adherence to reporting confidence intervals (CI) for measures of association in multivariable regression models (MRM) in articles with observational design indexed in MEDLINE. MATERIAL AND METHODS:A literature search was conducted using the MEDLINE bibliographic database to obtain a...
journal_title:Medicina clinica
pub_type: 杂志文章,评审
doi:10.1016/j.medcli.2018.06.018
更新日期:2019-09-27 00:00:00
abstract:INTRODUCTION:a description of infective left endocarditis at the turn of the millennium. METHOD:A multicentre prospective study into the left endocarditis using data collected from the Andalusian cohort for the study of cardiovascular infections during 1984-2014. RESULTS:Of the 1,604 endocarditis cases collected, 382...
journal_title:Medicina clinica
pub_type: 杂志文章,多中心研究
doi:10.1016/j.medcli.2018.04.018
更新日期:2019-07-19 00:00:00
abstract:OBJECTIVE:To compare the occurrence of haemorrhages among the different oral anticoagulants (OAC) and to analyse factors that influence it. MATERIAL AND METHODS:Single-centre, observational, retrospective study. After studying the total population treated with OAC, patients who were treated with an OAC from July 2015 ...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2018.10.006
更新日期:2019-06-21 00:00:00
abstract:BACKGROUND AND OBJECTIVE:In recent years, many studies have investigated metformin and its effects on lung cancer. However, since previous studies have shown that the relationship between metformin and lung cancer is complicated, we performed a meta-analysis to analyze this relationship. MATERIAL AND METHODS:An electr...
journal_title:Medicina clinica
pub_type: 杂志文章,meta分析
doi:10.1016/j.medcli.2018.06.026
更新日期:2019-04-18 00:00:00
abstract::Chronic kidney disease is common in people >65years of age. The development and improvement of dialysis techniques has allowed its generalisation to the entire population, when there is a situation of terminal nephropathy, without limit of use due to chronological age. Decision making in elderly patients with advanced...
journal_title:Medicina clinica
pub_type: 杂志文章,评审
doi:10.1016/j.medcli.2018.07.011
更新日期:2019-03-01 00:00:00
abstract:INTRODUCTION AND OBJECTIVE:Hippotherapy is being used as a promising method in the physical treatment of multiple sclerosis (MS). MATERIAL AND METHOD:Comparative open clinical pre-post study into hippotherapy intervention during a 6-month period in patients with MS (n=6). Not randomised and with control group (n=4). T...
journal_title:Medicina clinica
pub_type: 临床试验,杂志文章
doi:10.1016/j.medcli.2018.02.015
更新日期:2019-01-18 00:00:00
abstract:INTRODUCTION AND OBJECTIVE:Epicardial fat has been associated with increased cardiovascular risk and the development of atherosclerosis. Transthoracic echocardiography provides a reliable measurement of epicardial fat thickness (EFT). The aim of this study is to evaluate the relationship between EFT and biochemical par...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2018.01.019
更新日期:2018-09-21 00:00:00
abstract::Vitamin K antagonists were the only choice for chronic oral anticoagulation for more than half a century. Over the past few years, direct oral anticoagulants have emerged, including one direct thrombin inhibitor (dabigatran etexilate) and three factor Xa inhibitors (apixaban, edoxaban and rivaroxaban). In randomised c...
journal_title:Medicina clinica
pub_type: 杂志文章,评审
doi:10.1016/j.medcli.2017.11.042
更新日期:2018-09-14 00:00:00
abstract:BACKGROUND AND OBJECTIVE:To determine the accuracy of clinical gestalt to identify patients with acute symptomatic pulmonary embolism (PE) at low-risk for short-term complications. PATIENTS AND METHODS:This study included a total of 154 consecutive patients diagnosed with acute symptomatic PE in a tertiary university ...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2017.11.023
更新日期:2018-08-22 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Pulmonary arterial hypertension associated with systemic lupus erythematosus (PAH-SLE) is a rare disease with a low incidence rate. In this study, PAH related genes and genetic modifiers were characterised molecularly in patients with PAH-SLE. PATIENTS AND METHODS:Three patients diagnosed with...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2018.01.023
更新日期:2018-08-10 00:00:00
abstract::The term cryptogenic stroke refers to a stroke for which there is no specific attributable cause after a comprehensive evaluation. However, there are differences between the diagnostic criteria of etiological classifications used in clinical practice. An improvement in diagnostic tools such advances in monitoring for ...
journal_title:Medicina clinica
pub_type: 杂志文章,评审
doi:10.1016/j.medcli.2018.01.024
更新日期:2018-08-10 00:00:00
abstract:BACKGROUND AND OBJECTIVE:To evaluate the adherence to the recommendations in clinical practice performed by the Therapeutic Positioning Report (TPR) of the Spanish Agency of Medicines and Sanitary Products about the treatment with oral anticoagulants in patients aged≥75 years old with nonvalvular atrial fibrillation (N...
journal_title:Medicina clinica
pub_type: 杂志文章,多中心研究
doi:10.1016/j.medcli.2017.07.025
更新日期:2018-07-13 00:00:00
abstract:INTRODUCTION AND OBJECTIVE:The albumin-cytologic dissociation in cerebrospinal fluid (CSF) supports the diagnosis of Guillain-Barre syndrome (GBS) but does not support the prognosis, so the aim of this study is to determine the usefulness of protein numbers in the CSF to predict progression in paediatric patients. PAT...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2017.06.063
更新日期:2018-05-11 00:00:00
abstract::Practicing sports at a professional level requires the body to be in good health. The fact of carrying out a continuous and high intensity physical activity in the presence of pathological conditions and/or a maladaptation of the body can be detrimental to the athletes' health and, therefore, to their performance. Man...
journal_title:Medicina clinica
pub_type: 杂志文章,评审
doi:10.1016/j.medcli.2017.09.008
更新日期:2018-04-13 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Direct oral anticoagulants (DOACs) require dose adjustment according to estimated clearance creatinine (eClCr) using the Cockcroft-Gault (CG) equation. There are discrepancies with the equations that estimate glomerular filtration rate (eGFR). We analyse how the use of the CKD-EPI and MDRD-4 ID...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2017.06.003
更新日期:2018-02-09 00:00:00
abstract:INTRODUCTION AND AIMS:A high quality colonoscopy is key in preventing colorectal cancer, but the risk of colorectal cancer (CRC) exists. The aims of the study were to investigate the incidence, characteristics and predictive factors of post-colonoscopy colorectal cancer (PCCRC). MATERIAL AND METHOD:A retrospective and...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2017.04.015
更新日期:2018-01-12 00:00:00
abstract::Non-alcoholic fatty liver disease (NAFLD) consists of an excessive depositing of fat in the liver, which can end up by causing inflammation, fibrosis and also cirrhosis with the corresponding complications including liver cancer. NAFLD has become the most common liver disease worldwide. The incidence has increased in ...
journal_title:Medicina clinica
pub_type: 杂志文章,评审
doi:10.1016/j.medcli.2017.06.026
更新日期:2017-12-20 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Arterial stiffness (AS) is a well-recognized target organ lesion. This study aims to determine: 1) the frequency of AS in community pharmacies; 2) if stiffened subjects identified by brachial oscillometry have more CV risk factors than normal subjects, and 3) the dependence of stiffness on usin...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2017.04.037
更新日期:2017-12-07 00:00:00
abstract:INTRODUCTION AND OBJECTIVES:Dilatation of the ascending aorta associated with bicuspid aortic valve is a major cause of morbidity and mortality in adults. The main objective was to recognize the aortic involvement in children, its characteristics and risk factors. METHODS:Aortic measures of all pediatric patients with...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2017.03.041
更新日期:2017-11-09 00:00:00
abstract:INTRODUCTION AND OBJECTIVE:To achieve control of rheumatoid arthritis (RA) it is necessary to be able to evaluate its activity. The American College of Rheumatology (ACR) recommends for this purpose indexes of activity that can be performed by the patient (PAS-II and RAPID-3) and IA including medical evaluation with la...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2017.02.025
更新日期:2017-10-11 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Functional assessment is especially relevant in patients with cognitive impairment (CI). The Disability Assessment for Dementia (DAD) scale assesses functional ability and its use is becoming increasingly popular. This study aims to perform the translation and cultural adaptation of the DAD sca...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2017.03.029
更新日期:2017-09-20 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Diffuse idiopathic skeletal hyperostosis (DISH) and abdominal aortic calcification (AAC) are related to an increased cardiovascular risk. The aim of this study was to analyse a possible relationship between both entities and also the association between metabolic disorders and DISH. PATIENTS A...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2017.01.030
更新日期:2017-09-08 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Alcohol and its metabolites play an important role in carcinogenesis. This effect could be modulated by polymorphisms in genes encoding enzymes involved in the metabolism of alcohol and folate. Therefore, we analyzed the effect of alcohol consumption and ADH1B Arg48His, ADH1B Arg370Cys, ADH1C I...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2016.12.033
更新日期:2017-06-21 00:00:00
abstract::Patients with inflammatory bowel disease constitute a population with a special predisposition to develop bacterial, viral and fungal infections. Iatrogenic immunosuppression, frequent contact with healthcare facilities and surgical interventions are some of the risk factors that explain why these infections are one o...
journal_title:Medicina clinica
pub_type: 杂志文章,评审
doi:10.1016/j.medcli.2016.12.041
更新日期:2017-05-10 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Strategies to improve the efficiency of bronchoalveolar lavage (BAL) are needed. We conducted a study to establish the diagnostic value of BAL in patients with hematological malignancies and pulmonary infiltrates. PATIENTS AND METHODS:The correlation of cytologic and flow cytometric study of ...
journal_title:Medicina clinica
pub_type: 临床试验,杂志文章
doi:10.1016/j.medcli.2016.10.045
更新日期:2017-04-07 00:00:00