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

authors： Krsnik I,Cabero M,Morillo D,Segovia J,García-Pavía P,Gómez-Bueno M,Salas C

更新日期：2015-01-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Atrial fibrillation (AF) is the most common type of arrhythmia. The purpose of this study was to determine the prevalence of atrial fibrillation and its relationship with cardiovascular risk factors in Spain. METHODOLOGY:Cross-sectional study based on a grouped analysis of 17,291 randomized i...

journal_title：Revista clinica espanola

authors： Baena-Díez JM,Grau M,Forés R,Fernández-Bergés D,Elosua R,Sorribes M,Félix-Redondo FJ,Segura A,Rigo F,Cabrera de León A,Sanz H,Marrugat J,Sala J,en representación del estudio DARIOS.

更新日期：2014-12-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:The Computerized Registry of Patients with Venous Thromboembolism (RIETE) is a prospective registry that consecutively includes patients diagnosed with venous thromboembolism. We compared the clinical presentation and response to anticoagulant treatment in patients with idiopathic venous throm...

journal_title：Revista clinica espanola

authors： Pedrajas JM,Garmendia C,Portillo J,Gabriel F,Mainez C,Yera C,Monreal M

更新日期：2014-10-01 00:00:00

abstract：BACKGROUND:Sarcopenia is characterized by the loss of skeletal muscle mass and strength and represents a risk factor for frailty, loss of independence and physical disabilities. This study aimed to assess the prevalence of sarcopenia in a population of patients admitted to a media and long-stay unit. PATIENTS AND METH...

journal_title：Revista clinica espanola

authors： Rubio-Maicas C,Duarte-Alfonso E,Beseler-Soto MR,Moreno-Muñoz I,Moral-Moral P,Merino-Torres JF

更新日期：2014-08-01 00:00:00

abstract：BACKGROUND:There are no simple and validated instruments for evaluating the training of specialists. OBJECTIVES:To analyze the reliability and validity of a computerized self-assessment method to quantify the acquisition of medical competences during the Internal Medicine residency program. METHODS:All residents of o...

journal_title：Revista clinica espanola

authors： Oristrell J,Casanovas A,Jordana R,Comet R,Gil M,Oliva JC,equipo de residentes de Medicina Interna de la Corporació Sanitària i Universitària Parc Taulí.

更新日期：2012-12-01 00:00:00

abstract：:Psychology shows that what is free is poorly valued. Free of cost national health systems may become blocked due to misuse and may even become unfeasible. Copayment already exist in Spain. It was introduced in pharmaceutical prescriptions as a solidarity measure. This copayment has generated abuses. Its introduction h...

journal_title：Revista clinica espanola

authors： Sánchez-Sagrado T

更新日期：2012-10-01 00:00:00

abstract：:The limitation of the therapeutic effort (LTE) consists in not applying extraordinary or disproportionate measures for therapeutic purposes that are proposed for a patient with poor life prognosis and/or poor quality of life. There are two types. The first is to not initiate certain measures or to withdraw them when t...

journal_title：Revista clinica espanola

authors： Herreros B,Palacios G,Pacho E

更新日期：2012-03-01 00:00:00

abstract：INTRODUCTION:The day hospital is an alternative to hospitalization. This alternative improves accessibility and comfort of the patients, and avoids hospitalizations. Nevertheless, the efficacy of the polyvalent medical day hospital in avoiding hospitalizations has not been evaluated. OBJECTIVE:To analyze hospital stay...

journal_title：Revista clinica espanola

authors： Escobar MA,García-Egido AA,Carmona R,Lucas A,Márquez C,Gómez F,Representación del Grupo para la Atención Médica Integral y Continuada de Cádiz-Hospital de día Médico Polivalente.

更新日期：2012-02-01 00:00:00

abstract：:A 67-year-old woman with a history of hypertension, hyperlipidemia and 6 years of evolution of type 2 diabetes mellitus presented with fever, purulent sputum and right chest pain. She was on treatment with metformin 850 mg/bid, glimepiride 4 mg/day, candesartan 16 mg/day, atorvastatin 10mg/day and acetylsalicylic acid...

journal_title：Revista clinica espanola

authors： Jansen S,Buonaiuto V,Márquez-Gómez I,Gómez-Huelgas R

更新日期：2012-02-01 00:00:00

abstract：BACKGROUND AND OBJECTIVE:In the last decades, variations have been described in the epidemiology of lung cancer. In our study, we have analyzed if changes have occurred in the epidemiology and survival of lung cancer. PATIENTS AND METHODS:All the cases with the diagnosis of lung cancer having cytohistological confirma...

journal_title：Revista clinica espanola

authors： Gullón JA,Suárez I,Medina A,Martín A,Cabrera C,González IJ

更新日期：2012-01-01 00:00:00

abstract：:The editors of Revista Clínica Española (Rev Clin Esp) inform on their editorial activity during the last 12 months (November 2010 to October 2011): (a) Objectives and attainments during 2011, (b) editorial activity, and (c) objectives for 2012. In 2011 we have updated the editorial algorithm (revision by the responsi...

journal_title：Revista clinica espanola

authors： García Puig J,Gaspar Alonso-Vega G,Ríos Blanco JJ

更新日期：2012-01-01 00:00:00

abstract：:Laughter is associated to many physiological and psychological benefits. Although women laugh more than men do, the daily frequency of laughter does not seem to differ. Laughter in all its forms and manifestations is an indicator of family vitality and healthy couples. Laughter is very attractive at the interpersonal ...

journal_title：Revista clinica espanola

authors： Mora-Ripoll R,Ubal-López R

更新日期：2011-07-01 00:00:00

abstract：:Chronic obstructive pulmonary disease (COPD) encompasses a group of diseases characterized by chronic airway obstruction. This broad diagnostic umbrella includes several clinical phenotypes that overlap and respond differently to each type of therapeutic intervention. Roflumilast is a drug belonging to the new therape...

journal_title：Revista clinica espanola

authors： Izquierdo Alonso JL

更新日期：2011-03-01 00:00:00

abstract：OBJECTIVES:Heart failure decompensation is the most common reason for hospitalization in persons over 65 years old. There is limited information on the prevalence of precipitating factors of heart failure decompensation in this population. In this study we prospectively examined the factors associated with decompensati...

journal_title：Revista clinica espanola

authors： Domínguez JP,Harriague CM,García-Rojas I,González G,Aparicio T,González-Reyes A

更新日期：2010-11-01 00:00:00

abstract：:Knowledge of cardiovascular disease is advancing at a vertiginous pace. Cardiology has always been one of the most scientifically dynamic specialties. Indeed, no other medical specialty presents such a large number of randomized studies aiming to determine the efficacy of distinct therapeutic interventions each year. ...

journal_title：Revista clinica espanola

authors： Aguiar-Souto P,Raposeiras-Roubín S,González-Juanatey JR

更新日期：2010-09-01 00:00:00

abstract：OBJECTIVE:To identify the main characteristics in patients with COPD exacerbation, capables to predict the short-term COPD mortality. MATERIALS AND METHODS:This is a case-control retrospective study of admitted patients with COPD to identify risk factors of mortality. The control group was constituted by alive patient...

journal_title：Revista clinica espanola

authors： Cervera MP,Damiá Ade D,Fábregas ML,Gutiérrez FJ,Torrego LC

更新日期：2010-07-01 00:00:00

abstract：OBJECTIVES:To determine which social and individual factors may predict adherence to medication in patients with more than two chronic symptomatic diseases (polypathological patients) under polypharmacy. METHODS:Cross-sectional observational study. In a primary care area assigned to our teaching hospital 265 patients ...

journal_title：Revista clinica espanola

authors： Galindo-Ocaña J,Ortiz-Camúñez Mde L,Gil-Navarro MV,Porras EG,Bernabeu-Wittel M,Santos-Ramos B

更新日期：2010-05-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:To determine which factors are associated with a functional gain above 19 on Barthel's index (CSFG) and also factors associated with a new post-discharge institutionalisation (NPDI) in patients who a underwent rehabilitation intervention whilst admitted to a medium long term care unit. PATIEN...

journal_title：Revista clinica espanola

authors： Castellano Vela E,Gómez Pajares F,Rochina Puchades A,Gil Egea M

更新日期：2010-01-01 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

authors： Fernández Cotarelo MJ,Guerra Vales JM

更新日期：2009-07-01 00:00:00

abstract：:Since the beginning of the 20th century, there has been a progressive increase in the Earth's temperature. This warming of the Earth's surface is largely due to the so-called green house effect that can alter the natural behavior of some natural phenomena such as El Niño. Several articles on climate change have been p...

journal_title：Revista clinica espanola

authors： Iniesta Arandia N,Ríos Blanco JJ,Fernández Capitán MC,Barbado Hernández FJ

更新日期：2009-05-01 00:00:00

abstract：OBJECTIVE:To determine the appearance of type 2 diabetes mellitus (DM2) and impaired fasting glucose (IFG) at five years of follow-up in a known non-diabetic population. PATIENTS AND METHODS: DESIGN:nested case control studies (case s-control into a cohort) developed in two stages: 1) identification and characterizat...

journal_title：Revista clinica espanola

authors： Vernet Vernet M,Sender Palacios MJ,Jovell Fernández E,Casals Riera R,Tor Figueras E,Anglada Barceló J

更新日期：2009-01-01 00:00:00

abstract：:The contributions of Santiago Ramon y Cajal to Modern medicine are innumerable. This large scientist and humanist, a man ahead of his time, spoke for the first time such concepts as angiogenesis, which represents one of the most innovative fields for oncology today, in addition to conducting experimental research on t...

journal_title：Revista clinica espanola

authors： Soto Abánades CI,Ríos Blanco JJ,Barbado Hernández FJ

更新日期：2008-12-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Quantification of stroke risk is not always performed in hypertensive patients in Primary Care. METHODS:This was an epidemiological study in hypertensive patients aged 55 years and older attending primary care centres in Spain. The D'Agostino Stroke Risk Scale, using data from the Framingham ...

journal_title：Revista clinica espanola

authors： Roca-Cusachs Coll A,Muñoz Lloret A,de Castellar R,Garrido Costa C,ICTUS study.

更新日期：2008-11-01 00:00:00

abstract：BACKGROUND:In recent years, there has been an increase of drugs poisoning cases seen in the Emergency Department. This study has aimed to evaluate the characteristics of these cases in the Ramón and Cajal Hospital in Madrid. MATERIALS AND METHODS:A descriptive analysis about the drug poisonings diagnosed in 2004 was p...

journal_title：Revista clinica espanola

authors： Medina González L,Fuentes Ferrer ME,Suárez Llanos JP,Arranz Peña MI,Ochoa Mangado E

更新日期：2008-10-01 00:00:00

abstract：INTRODUCTION:This study has aimed to describe cardiovascular risk factors (CVRF) associated to stroke and their detection and monitoring during the acute episode and the recommendations on hospital discharge. The hypothesis was to check if the integral care of the internist improved the care to these patients. MATERIA...

journal_title：Revista clinica espanola

authors： Sanclemente Ansó C,Pedragosa Vall A,Rovira Pujol E,Vigil Martín D

更新日期：2008-07-01 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

authors： Rodríguez Artalejo F,Guallar-Castillón P,Montoto Otero C,Conde Herrera M,Carreño Ochoa C,Tabuenca Martín AI,Olcoz Chiva M,Conthe P,Banegas JR,Rodríguez Pascual C

更新日期：2008-06-01 00:00:00

abstract：INTRODUCTION AND OBJECTIVES:There is a great variability in the prevalence of anemia in heart failure (HF) according to cohort based studies where the majority of patients have depressed left ventricular ejection fraction (LVEF). Our study has aimed to evaluate the prevalence of anemia in HF within the usual hospital c...

journal_title：Revista clinica espanola

authors： Grau-Amorós J,Formiga F,Jordana-Comajuncosa R,Urrutia A,Aramburu Bodas O,Ceresuela LM,GESAIC Study.

更新日期：2008-05-01 00:00:00

abstract：:Our objective has been to elaborate an updated Clinical Guide of the Spanish Society of Internal Medicine (SEMI) for the prevention and treatment of glucocorticoids-induced osteoporosis (GIO), identifying and measuring the grade of evidence that supports the given recommendations. For this, we reviewed studies perform...

journal_title：Revista clinica espanola

authors： Sosa Henríquez M,Díaz Curiel M,Díez Pérez A,Gómez Alonso C,González Macías J,Farrerons Minguella J,Filgueira Rubio J,Mellibovsky Saidler L,Nogués Solán X,Hernández Hernández D,Sociedad Española de Medicina Interna.

更新日期：2008-01-01 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

authors： Sosa Henríquez M,Saavedra Santana P,grupo de trabajo en osteoporosis de la Sociedad Española de Medicina Interna (SEMI).

更新日期：2007-10-01 00:00:00

abstract：:Study of the human proteome has given rise to the appearance of abundant and increasing scientific literature. This has resulted in the proposal to use proteomic techniques in the management of some diseases and the suggestion of its future use in clinical laboratories. In order to identify which proteomic techniques ...

journal_title：Revista clinica espanola

authors： Caballero-Villarraso J,Márquez-Calderón S,Villegas-Portero R

更新日期：2007-07-01 00:00:00

abstract：:Painful legs and moving toes syndrome is a rare medical picture characterized by involuntary movements of the toes or the whole foot and pain in lower limbs. However, this must be kept in mind due to its association with other diseases and its possibility of being the first symptom. Spinal cord and cauda equina diseas...

journal_title：Revista clinica espanola

authors： Bermejo PE,Cruz A

更新日期：2007-05-01 00:00:00

abstract：OBJECTIVE:Analyze whether the tablets available in Spain are useful for oral replacement in the treatment of vitamin B12 deficiency. METHODS:From June 2003 to December 2005, patients with vitamin B12 deficiency attended at the Internal Medicine Clinic, were offered the possibility of starting or switching to oral ther...

journal_title：Revista clinica espanola

authors： Rabuñal Rey R,Monte Secades R,Peña Zemsch M,Bal Alvaredo M,Gómez Gigirey A

更新日期：2007-04-01 00:00:00

abstract：OBJECTIVES:To analyze the effect of a global approach on patients with high cardiovascular risk for the integral control of cardiovascular risk factors. PATIENTS AND METHODS:Multicentric prospective study of patients with high vascular risk, followed-up for one year in internal medicine consultations. We measured the ...

journal_title：Revista clinica espanola

authors： de la Peña Fernández A,Roca Villanueva B,Cuende Melero I,Calabuig Alborch JR,Montes Santiago J,Muñoz Rodríguez M,Piedracausa Selfa M,Suárez Fernández C,CIFARC group.

更新日期：2007-03-01 00:00:00

abstract：:Clostridium difficile is the leading cause of infectious nosocomial diarrhea in the elderly. It may cause colitis of variable severity and extraintestinal involvement. Hand transmission is the most important, and it is related to prolonged antibiotic therapies in elderly patients with severe baseline disease. Diagnosi...

journal_title：Revista clinica espanola

authors： Pareja Sierra T,Hornillos Calvo M

更新日期：2007-02-01 00:00:00

abstract：:Results of clinical studies are contradictories, with different results in adults and children. Some studies detected a beneficial effect of Omega 3 (w3) fatty acid dietary intake in the risk of asthma and other studies have demonstrated a beneficial effect on clinical symptoms. In our area, a low intake of w3 fatty a...

journal_title：Revista clinica espanola

authors： de Luis DA,León R,Izaola O

更新日期：2007-01-01 00:00:00

abstract：:Blood pressure (BP) control is inadequate among treated hypertensive patients in Spain. Control rates are lower than 40% of all treated patients and the cause of this problem is multifactorial. Despite the fact that possible solutions to this problem have been repeatedly suggested by expert groups along the last 10 ye...

journal_title：Revista clinica espanola

authors： Coca A,Aranda P,Bertomeu V,Bonet A,Esmatjes E,Guillén F,Hernández-Moreno J,Llisterri JL,Marín-Iranzo R,Megía C,Rodríguez-Mañas L,Suárez C

更新日期：2006-11-01 00:00:00

abstract：OBJECTIVE:C-reactive protein (CRP) is considered a marker of subclinical atherosclerosis. The aim of the study was to assess whether the metabolic syndrome (MS) and parameters involved in its diagnosis might influence serum CRP values. PATIENTS AND METHOD:Cross-sectional study in outpatients of a HTA and Vascular Risk...

journal_title：Revista clinica espanola

authors： Rodilla E,Costa JA,Mares S,Miralles A,González C,Sánchez C,Pascual JM

更新日期：2006-09-01 00:00:00

abstract：UNLABELLED:Wolfram's syndrome (SW): diabetes mellitus (DM), diabetes insipidus (DI), blindness and deafness, is multiorganic, hereditary and uncommon. Mitochondrial dysfunction damages the oxidative pathway. OBJECTIVE:To analyze the clinical characteristics, diagnostic delay in constituent diseases and early diagnosti...

journal_title：Revista clinica espanola

authors： Esteban Bueno G,Gómez Trujillo FM

更新日期：2006-07-01 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

authors： Fácila L,Bertomeu-González V,Sanchís J,Bodí V,Núñez J,Llácer A,Bellido V

更新日期：2006-06-01 00:00:00

abstract：:The aim or our study was to evaluate the main clinical and etiological features or primary acute pericarditis with severe pericardial effusion without cardiac tamponade. Our experience included 35 patients with this problem diagnosed in the last 5 years. Patients with a previous potential etiology for acute pericardit...

journal_title：Revista clinica espanola

authors： Siles Rubio JR,Anguita Sánchez MP,Ruiz de Castroviejo del Campo J,Castillo Domínguez JC

更新日期：2006-03-01 00:00:00