Migraine treatment consensus document of the Spanish Society of Neurology (SEN), Spanish Society of Family and Community Medicine (SEMFYC), Society of Primary Care Medicine (SEMERGEN) and Spanish Association of Migraine and Headache (AEMICE) on migraine treatment
Med Clin (Barc). 2024 Apr 19:S0025-7753(24)00137-4. doi: 10.1016/j.medcli.2024.02.006. Online ahead of print.ABSTRACTMigraine is a disease with a high prevalence and incidence, in addition to being highly disabling, causing a great impact on the patient's quality of life at a personal, family and work level, but also social, given its high expense due to its direct (care) and indirect (presenteeism and work absenteeism) costs. The multiple and recent developments in its pathophysiological knowledge and in its therapy require updating and, therefore, in this article the Spanish scientific societies most involved in its stud...
Source: Medicina Clinica - April 20, 2024 Category: General Medicine Authors: Robert Belv ís Pablo Irimia Nuria Gonz ález J ésica García-Ull Patricia Pozo-Rosich Alba L ópez-Bravo Noem í Morollón Sonia Quintas Antoni Plana Pablo Gregorio Baz Ana Tentor Natalia Gallego Artiles Francisco Javier Le ón Miguel P érez Martín In Source Type: research

Oscillometric devices vs. arterial Doppler in measuring the ankle-arm index for the diagnosis of peripheral arterial disease
CONCLUSION: Automated oscillometric devices could be useful in asymptomatic patients as an alternative to arterial Doppler.PMID:38643026 | DOI:10.1016/j.medcli.2024.02.003 (Source: Medicina Clinica)
Source: Medicina Clinica - April 20, 2024 Category: General Medicine Authors: Irene Mart ín-Rubio Beatriz Mar ín-García Elisa Romero-Velasco Israel John Thuissard-Vasallo Azucena Bautista-Hern ández Daniel Abad-P érez Source Type: research

Arbovirus - a threat to transfusion safety in Spain: a narrative review
Med Clin (Barc). 2024 Apr 19:S0025-7753(24)00166-0. doi: 10.1016/j.medcli.2024.01.028. Online ahead of print.ABSTRACTArboviruses represent a threat to transfusion safety for several reasons: the presence of vectors and the notification of autochthonous cases in our region, the recent increase in the number of cases transmitted through blood and/or blood component transfusion, the high prevalence rates of RNA of the main arboviruses in asymptomatic blood donors, and their ability to survive processing and storage in the different blood components. In an epidemic outbreak caused by an arbovirus in our region, transfusion cen...
Source: Medicina Clinica - April 20, 2024 Category: General Medicine Authors: Ángel Giménez-Richarte Cristina Arbona Casta ño Jos é-Manuel Ramos-Rincón Source Type: research

Bilateral endophthalmitis secondary to endocarditis due to Aggregatibacter actinomycetemcomitans
Med Clin (Barc). 2024 Apr 18:S0025-7753(24)00143-X. doi: 10.1016/j.medcli.2024.01.021. Online ahead of print.NO ABSTRACTPMID:38641507 | DOI:10.1016/j.medcli.2024.01.021 (Source: Medicina Clinica)
Source: Medicina Clinica - April 19, 2024 Category: General Medicine Authors: V íctor Mallen Gracia Elena Oliver Garc ía Jacobo Y áñez Merino Source Type: research

Effect of probiotics on cognitive function in adults with mild cognitive impairment or Alzheimer's disease: A meta-analysis of randomized controlled trials
CONCLUSION: This meta-analysis found that probiotic supplementation is associated with an improvement in cognitive performance among patients with AD and MCI. However, current evidence is limited, and more reliable large-scale RCTs with higher methodological quality are needed.PMID:38641508 | DOI:10.1016/j.medcli.2024.01.013 (Source: Medicina Clinica)
Source: Medicina Clinica - April 19, 2024 Category: General Medicine Authors: Rui Mo Man Jiang Hongwei Xu Ruzhen Jia Source Type: research

Bronchiectasis not due to cystic fibrosis
Med Clin (Barc). 2024 Apr 17:S0025-7753(24)00145-3. doi: 10.1016/j.medcli.2024.01.023. Online ahead of print.ABSTRACTBronchiectasis is a clinical-radiological condition composed of irreversible bronchial dilation due to inflammation and infection of the airways, which causes respiratory symptoms, usually productive cough and infectious exacerbations. Bronchiectasis can have multiple causes, both pulmonary and extrapulmonary, and its clinical presentation is very heterogenous. Its prevalence is unknown, although up to 35-50% of severe COPD and 25% of severe asthma present them, so their underdiagnosis is evident. Chronic ba...
Source: Medicina Clinica - April 18, 2024 Category: General Medicine Authors: Rosa Gir ón Rafael Golpe Miguel Ángel Martínez-García Source Type: research

Associated factors with the occurrence of in-hospital cardiac arrest in patients admitted to internal medicine wards for non-cardiovascular causes
CONCLUSION: In admitted patients for non-cardiovascular causes, the use of drugs with a known risk of torsades de pointes, as well as the detection of electrical LVH and atrial fibrillation in the initial electrocardiogram, is independently associated with a higher probability of suffering a IHCA.PMID:38637218 | DOI:10.1016/j.medcli.2024.01.014 (Source: Medicina Clinica)
Source: Medicina Clinica - April 18, 2024 Category: General Medicine Authors: Raimundo Carmona-Puerta Jos é Luis Choque-Laura Elibet Ch ávez-González Joel Pe ñaló-Batista Marielys Del Carmen Mart ínez-Sánchez Elizabeth Lorenzo-Mart ínez Source Type: research

Inappropriate Hospitalization: Measurement approaches
Med Clin (Barc). 2024 Apr 17:S0025-7753(24)00144-1. doi: 10.1016/j.medcli.2024.01.022. Online ahead of print.NO ABSTRACTPMID:38637219 | DOI:10.1016/j.medcli.2024.01.022 (Source: Medicina Clinica)
Source: Medicina Clinica - April 18, 2024 Category: General Medicine Authors: Jorge Vicente-Guijarro Diego San Jose-Saras Jes ús María Aranaz-Andres Source Type: research

Disability Degree Assessment: A Comprehensive Approach According to Royal Decree 888/2022
CONCLUSIONS: The pathology that causes the disability must have been previously diagnosed by the Healthcare System and considered permanent. Its evaluation is based on the evidence of objective clinical findings that are documented and supported by clinical reports. For this reason, it is important to maintain an accurate medical history, document reviews, and provide all relevant evidence.PMID:38632033 | DOI:10.1016/j.medcli.2024.02.009 (Source: Medicina Clinica)
Source: Medicina Clinica - April 17, 2024 Category: General Medicine Authors: Antonio Rodr íguez Valiente Ar ánzazu Vázquez Sasot Source Type: research

Value of multi-modality small fiber assessments in a genotypically diverse cohort of transthyretin-related amyloidosis in the early stages of disease
CONCLUSIONS: In a diverse cohort of ATTRv patients, CCM was the most frequent abnormal measurement. CCM can be a useful test to triage patients in the early disease stages and with few or equivocal symptoms.PMID:38616431 | DOI:10.1016/j.medcli.2024.02.012 (Source: Medicina Clinica)
Source: Medicina Clinica - April 15, 2024 Category: General Medicine Authors: Monica Alcantara Shabber Mannan James de la Cruz Vera Bril Source Type: research

Long-term effectiveness and safety of tolvaptan in autosomal dominant polycystic kidney disease
CONCLUSIONS: This study shows a modest benefit of tolvaptan in ADPKD patients, as well as safety concerns.PMID:38616432 | DOI:10.1016/j.medcli.2024.01.026 (Source: Medicina Clinica)
Source: Medicina Clinica - April 15, 2024 Category: General Medicine Authors: Lorenzo Cantarelli Marta Guti érrez Valencia Leire Leache Alegria Luis Carlos Sainz Fernandez Juan Erviti Lopez Fernando Guti érrez Nicolas Gloria Julia Nazco Casariego Source Type: research

Value of multi-modality small fiber assessments in a genotypically diverse cohort of transthyretin-related amyloidosis in the early stages of disease
CONCLUSIONS: In a diverse cohort of ATTRv patients, CCM was the most frequent abnormal measurement. CCM can be a useful test to triage patients in the early disease stages and with few or equivocal symptoms.PMID:38616431 | DOI:10.1016/j.medcli.2024.02.012 (Source: Medicina Clinica)
Source: Medicina Clinica - April 15, 2024 Category: General Medicine Authors: Monica Alcantara Shabber Mannan James de la Cruz Vera Bril Source Type: research

Long-term effectiveness and safety of tolvaptan in autosomal dominant polycystic kidney disease
CONCLUSIONS: This study shows a modest benefit of tolvaptan in ADPKD patients, as well as safety concerns.PMID:38616432 | DOI:10.1016/j.medcli.2024.01.026 (Source: Medicina Clinica)
Source: Medicina Clinica - April 15, 2024 Category: General Medicine Authors: Lorenzo Cantarelli Marta Guti érrez Valencia Leire Leache Alegria Luis Carlos Sainz Fernandez Juan Erviti Lopez Fernando Guti érrez Nicolas Gloria Julia Nazco Casariego Source Type: research

Resolution of cardiac involvement with cobimetinib in Erdheim-Chester disease
Med Clin (Barc). 2024 Apr 12:S0025-7753(24)00020-4. doi: 10.1016/j.medcli.2023.11.039. Online ahead of print.NO ABSTRACTPMID:38614902 | DOI:10.1016/j.medcli.2023.11.039 (Source: Medicina Clinica)
Source: Medicina Clinica - April 13, 2024 Category: General Medicine Authors: Silvia Su árez-Díaz Joaqu ín Bernardo-Cofiño Jos é Antonio Fernández-Villameytide Luis Caminal-Montero Source Type: research