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Efficacy and safety of a new mometasone furoate nasal spray formulation in patients with acute rhinosinusitis: a randomized clinical trial 糠酸莫米松新型鼻喷雾剂治疗急性鼻窦炎的疗效和安全性:一项随机临床试验
IF 0.4 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-11-28 DOI: 10.4081/itjm.2022.1533
Y. Mehmood, H. Shahid, Aysha Tariq, Syeda Omama Ali
Common inflammatory airway disorders, such as seasonal and perennial allergic rhinitis, acute sinusitis, and nasal polyposis, can have a significant impact on patient health and quality of life. Intranasal corticosteroids are recommended as part of treatment plans for each of these illnesses because they reduce inflammation and thus symptoms. In order to compare the efficacy and safety of a new nano formulation of mometasone furoate nano-nasal spray (MF-NNS) with a commercially available nasal spray called mometasone furoate nasal spray (MFNS) for the treatment of allergic rhinitis, 20 rhinitis patients were enrolled in this randomized controlled trial (10 to 50 years). Patients were given 50 mcg MF-NNS doses in the morning and evening. This regimen was administered as a nasal spray for a 3-week efficacy and safety phase. The primary endpoints changed from baseline in the subjects’ congestion as determined by the physicians’ assessment of allergic rhinitis. Analysis of variance was used to evaluate all efficacy end points. More clinical trials have shown that MF-NNS reduces both objective and subjective markers of inflammation in adults, adolescents, and children.
常见的炎症性气道疾病,如季节性和常年性过敏性鼻炎、急性鼻窦炎和鼻息肉病,会对患者的健康和生活质量产生重大影响。建议将鼻内皮质类固醇作为每种疾病治疗计划的一部分,因为它们可以减轻炎症,从而减轻症状。为了比较新型纳米制剂糠酸莫米松纳米鼻喷雾剂(MF-NNS)与市售鼻喷雾剂糠酸莫莫米松鼻腔喷雾剂(MFNS)治疗过敏性鼻炎的疗效和安全性,20名鼻炎患者参加了这项随机对照试验(10至50年)。患者在早上和晚上服用50mcg MF-NNS剂量。该方案以鼻喷雾剂的形式给药,有效期和安全期为3周。根据医生对过敏性鼻炎的评估,受试者充血的主要终点与基线相比发生了变化。方差分析用于评估所有疗效终点。更多的临床试验表明,MF-NNS可以降低成人、青少年和儿童炎症的客观和主观标志物。
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引用次数: 1
Low birth weight, nephron number and chronic kidney disease 低出生体重、肾单位数与慢性肾脏疾病
IF 0.4 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-11-28 DOI: 10.4081/itjm.2022.1538
D. Manfellotto, Monica Cortinovis, N. Perico, G. Remuzzi
Chronic kidney diseases have a significant impact on morbidity and mortality worldwide. Low birth weight, fetal growth restriction and prematurity are indicators of fetal growth and development disorders associated with a congenital reduction in nephron number, which predisposes to an increased risk for chronic kidney disease. On an individual basis, a small nephron number at birth is not always enough to determine the onset of chronic kidney disease, but it decreases the ability of the kidneys to resist any insults to renal tissue that may occur later in life, such as exposure to nephrotoxic drugs or episodes of acute kidney injury. The high incidence of low birth weight and preterm birth globally suggests that, at the population level, the impact of alterations in fetal development on the subsequent onset of chronic kidney disease could be significant. The implementation of strategies aimed at reducing the incidence of prematurity, fetal growth restriction, as well as other conditions that lead to low birth weight and a reduced nephron number at birth, provides an opportunity to prevent the development of chronic kidney disease in adulthood. For these purposes the coordinated intervention of several specialists, including obstetricians, gynecologists, neonatologists, nephrologists, and family doctors, is necessary. Such strategies can be particularly useful in resource-poor countries, which are simultaneously burdened by maternal, fetal and child malnutrition; poor health; epidemics caused by communicable diseases; and little access to screening and primary care.
慢性肾脏疾病对全世界的发病率和死亡率有着重大影响。低出生体重、胎儿生长受限和早产是与先天性肾单位数量减少相关的胎儿生长发育障碍的指标,这容易增加患慢性肾脏疾病的风险。就个体而言,出生时肾单位数量较小并不总是足以确定慢性肾脏疾病的发作,但它会降低肾脏抵抗日后可能发生的肾组织损伤的能力,例如接触肾毒性药物或急性肾损伤。全球低出生体重和早产的高发病率表明,在人群层面上,胎儿发育变化对随后慢性肾脏疾病发作的影响可能是显著的。实施旨在降低早产、胎儿生长受限以及其他导致出生体重低和出生时肾单位数量减少的疾病发生率的策略,为预防成年后慢性肾脏疾病的发展提供了机会。出于这些目的,包括产科医生、妇科医生、新生儿科医生、肾脏科医生和家庭医生在内的几位专家的协调干预是必要的。这种战略在资源匮乏的国家尤其有用,因为这些国家同时承受着孕产妇、胎儿和儿童营养不良的负担;健康状况不佳;传染病引起的流行病;以及很少获得筛查和初级保健。
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引用次数: 0
Anemia and iron in internal medicine: an Italian survey and a review on iron intravenous therapy in medical patients 内科贫血与铁:意大利对内科患者静脉注射铁治疗的调查和综述
IF 0.4 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-10-18 DOI: 10.4081/itjm.2022.1532
A. Montagnani, S. Frasson, G. Gussoni, F. Dentali, A. Fontanella, D. Manfellotto
In Italy, Internal Medicine Units hospitalize approximately 1,300,000 patients, often elderly and comorbid. The prevalent diagnoses are respiratory diseases, heart failure, or pneumonia. As a matter of fact, anemia is probably underestimated in the compilation of the official discharge forms (SDO) according to ICD-9 diagnostic codes. We promoted a survey among the Members the Italian Scientific Society of Internal Medicine (FADOI) with the aim to investigate the prevalence of anemia and iron deficiency, over than certain aspects related to the therapeutic management of patients with anemia. Furthermore, we performed a review summarizing current evidence for iron intravenous therapy in these patients. According to the survey, anemia is present in around half of the patients hospitalized in Internal Medicine, and about a quarter of them shows iron metabolism alterations. In the evaluation of iron metabolism, the dosage of ferritin is the most requested exam, whereas transferrin saturation is less considered. By focusing on some categories of patients, the awareness of the usefulness of intravenous iron therapy in patients with heart failure seems to be sufficiently common (76% of physicians), while it seems lower (60%) in the management of patients with chronic kidney disease (CKD) and anemia. Finally, more than 75% of the physicians answered that, in their hospital, there are few outpatients’ offices or diagnostic pathways dedicated to patients with anemia. Anemia due to absolute or functional iron deficiency is particularly prevalent in Internal Medicine inpatients. For this reason, an accurate evaluation of iron profile and an adequate iron therapy is mandatory in these patients. Recent studies show that, in patients with heart failure, intravenous iron therapy is an effective way of improving patients’ health, regardless of the presence of anemia. Similarly, iron therapy results fundamental to optimize erythropoiesis-stimulating agent efficacy in patients with chronic renal failure. In the next future, other therapeutic aspects of intravenous iron therapy will be probably clarified by several interesting ongoing studies focused on these patients.
在意大利,内科部门收治了大约130万名患者,通常是老年人和合并症患者。常见的诊断是呼吸系统疾病、心力衰竭或肺炎。事实上,根据ICD-9诊断代码,在编制官方出院表(SDO)时,贫血可能被低估了。我们在意大利内科科学学会(FADOI)成员中推动了一项调查,目的是调查贫血和缺铁的患病率,而不是与贫血患者治疗管理相关的某些方面。此外,我们进行了一项综述,总结了目前这些患者铁静脉治疗的证据。根据调查,大约一半的内科住院患者患有贫血,其中约四分之一的患者表现出铁代谢改变。在铁代谢的评价中,铁蛋白的剂量是最重要的检查,而转铁蛋白的饱和度则较少被考虑。通过关注某些类别的患者,对心力衰竭患者静脉铁治疗有效性的认识似乎足够普遍(76%的医生),而对慢性肾脏疾病(CKD)和贫血患者的管理似乎较低(60%)。最后,超过75%的医生回答说,在他们的医院,很少有门诊部或专门针对贫血患者的诊断途径。由于绝对或功能性缺铁而引起的贫血在内科住院病人中尤为普遍。因此,对这些患者进行准确的铁谱评估和适当的铁治疗是必要的。最近的研究表明,在心力衰竭患者中,静脉铁治疗是改善患者健康的有效方法,无论是否存在贫血。同样,铁治疗是优化促红细胞生成剂在慢性肾功能衰竭患者疗效的基础。在接下来的未来,静脉铁治疗的其他治疗方面可能会被一些有趣的正在进行的研究所澄清。
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引用次数: 1
Progetto FADOI “EUCLIDE”. Clinica, comunicazione, telemedicina e governance: le esperienze da COVID-19 per il futuro della Medicina Interna 项目FADOI“EUCLIDE”。临床、通信、远程医疗和治理:新冠肺炎对内科学未来的经验
IF 0.4 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-09-26 DOI: 10.4081/itjm.q.2022.2
D. Manfellotto, Francesco Dentali, A. Fontanella
IntroduzioneDario Manfellotto, Francesco Dentali, Andrea FontanellaMateriali e MetodiDario Manfellotto, Francesco Dentali, Andrea FontanellaGestione clinica del paziente complesso con patologie cardiovascolari e comorbilitàGiuseppe Campagna, Claudia Ferrigno, Franco MastroianniGestione clinica del paziente complesso con diabete e comorbilitàAda Maffettone, Ernesto De Menis, Maria Serena FioreCura e comunicazione: l’esperienza nella pandemia e le prospettive futureLuigi Magnani, Lara Bellardita, Salvatore LentiGestione a distanza del paziente complesso: la medicina digitaleFilippo Pieralli, Flavio Tangianu, Maria Gabriella CoppolaGovernance per la Medicina InternaAndrea Montagnani, Roberta Re, Ilario StefaniConsiderazioni conclusiveDario Manfellotto, Francesco Dentali, Andrea Fontanella
简介Dario Manfellotto,Francesco Dentali,Andrea Fontanella材料和方法Dario Manfellotto,弗朗西斯科·丹塔利,Andrea fontanella心血管疾病复杂患者的临床管理Giuseppe Campagna,Claudia Ferrigno,Franco Mastroianni糖尿病和合并症复杂患者的临床管理,Maria Serena FioreCure和沟通:疫情中的经验和未来前景Luigi Magnani、Lara Bellardita、Salvatore Lentire复杂患者的远程管理:数字医生Filippo Pieralli、Flavio Tangianu、Maria Gabriella Coppola内科治理Andrea Montagnani、Roberta Re、Ilario Stefani,Francesco Dentali,Andrea Fontanella
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引用次数: 0
Esiti dei pazienti COVID-19 positivi ricoverati durante la quarta ondata pandemica in relazione alle caratteristiche cliniche e allo stato vaccinale 第四次大流行期间住院的covi -19阳性患者的临床特征和疫苗状况
IF 0.4 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-09-23 DOI: 10.4081/itjm.q.2022.3
P. Gnerre, Mercedes Pasquali, Giuseppe Aiosa, A. Daniele, Stefania Crivellari, Marinella Bertolotti, Christian Salerno, A. Di Dio, G. Pacileo, A. Maconi, Sara Marchisio
Non disponibile
不可用
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引用次数: 0
Abstract book of the XXVII Congresso Nazionale della Società Scientifica FADOI, 21-23 maggio 2022 FADOI科学学会第二十七届全国代表大会摘要,2022年5月21日至23日
IF 0.4 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-05-18 DOI: 10.4081/itjm.2022.s1
D. Manfellotto
Abstract book of the XXVII Congresso Nazionale della Società Scientifica FADOI, 21-23 maggio 2022.
FADOI科学学会第二十七届全国代表大会摘要,2022年5月21日至23日。
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引用次数: 0
Considerazioni condivise alla luce delle recenti novità nell’ambito dello scompenso cardiaco: ottimizzazione della gestione del paziente con scompenso cardiaco in medicina interna - Dal ricovero al follow-up 根据心力衰竭领域的最新创新分享的考虑因素:优化内科心力衰竭患者的管理-从住院到随访
IF 0.4 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-01-14 DOI: 10.4081/itjm.q.2021.5
Francesco Dentali, G. Campagna, Maurizio Cavalleri, Fernando Gallucci, Filippo Pieralli
Nuova classificazione dello scompenso cardiaco: ridenominazione di Heart failure with mid-range ejection fraction in Heart failure with mildly reduced ejection fraction (HFmrEF), con raccomandazioni terapeutiche più precise in questa fascia di pazienti Il nuovo algoritmo per il trattamento dello scompenso cardiaco a frazione di eiezione ridotta: Simultaneous or Rapid Sequence Initiation of Quadruple Medical Therapy for Heart Failure Ottimizzazione della terapia: l’ospedalizzazione come opportunità. Impiego precoce di sacubitril/valsartan nel paziente ospedalizzato, stabilizzato. Effetti sulla riduzione della mortalità e delle re-ospedalizzazioni. Effetti sul rimodellamento cardiaco. Effetti sulla QoL Sicurezza dell’uso di sacubitril/valsartan anche in presenza di comorbidità e gestione dell’ipotensione Intervento di ottimizzazione della terapia anche nel paziente con scompenso cardiaco cronico ricoverato per altra patologia acuta Terapia delle comorbidità - non cardiovascolari: diabete, iperkaliemia, carenza di ferro e cancro Terapia non farmacologica ed educazione/formazione del paziente e del caregiver Gestione post-ricovero dello scompenso cardiaco: l’ambulatorio divisionale e la rete territoriale
射血分数中度降低的心力衰竭(HFmrEF),在这组患者中有更精确的治疗建议射血分数降低心力衰竭治疗的新算法:同时或快速启动四重药物治疗心力衰竭治疗优化:住院治疗是一个机会。在稳定的住院患者中早期使用沙库必曲/缬沙坦。对降低死亡率和再次住院的影响。对心脏重塑的影响。对生活质量的影响在存在合并症和低血压管理的情况下使用沙库必曲/缬沙坦的安全性在因其他急性病理住院的慢性心力衰竭患者中也优化治疗合并症的治疗-非心血管疾病:糖尿病、高钾血症、高钾症铁缺乏与癌症非药物治疗与患者和护理人员教育/培训心力衰竭的出院后管理:分区手术和地区网络
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引用次数: 0
Gravidanza e malattie autoimmuni 妊娠和自身免疫性疾病
IF 0.4 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2021-12-22 DOI: 10.4081/itjm.q.2021.4
Guest Editor: Paola Gnerre
Gravidanza e patologie autoimmuniC. Politi, V. Donvito, A. Tincani La contraccezione e la terapia estroprogestinica nelle donne con malattie autoimmuniM. Montesano, R. Picilli, G. Nova, M. Vignali Gravidanza e monitoraggio fetale in pazienti con malattie reumatiche autoimmuniI. Cetin, R. Milazzo, L. Basili Lupus eritematoso sistemico e gravidanzaM. Larosa, A. Doria Artrite reumatoideV.L. Ramoni Sindrome da anticorpi anti-fosfolipidi in gravidanza e puerperioM.C. Gerardi, C. Nalli, D. Lini, A. Tincani Gravidanza e sclerosi sistemica (sclerodermia)A. Brucato, M. Nivuori, A. Mazzone Anticorpi anti-Ro/SSA, sindrome di Sjögren, lupus neonatale e blocco cardiaco congenitoC. Picchi, E. Tombetti, A.L. Brucato Patologie della tiroide in gravidanzaS. De Carolis, E. Barbagelata, I. Ambrosino, S. Tabacco Gestione della gravidanza nelle donne con malattia di Behçet e vasculitiM. Gerosa, M. Cornalba, A. Sinelli, R. Cimaz, R. Caporali Sclerosi multiplaA. Protti, E.L. Susani, L. Saraceno, M.R. Marazzi, E.C. Agostoni Malattie autoinfiammatorie ereditarie e gravidanzaL. Obici Pericardite in gravidanzaE. Barbagelata, I. Ambrosino, E. Bernero, A. Brucato Fisiologia del rene in gravidanzaT. Ciarambino, F. Saladini, D. Manfellotto Terapia con farmaci antireumatici in corso di gravidanza e allattamentoM.C. Gerardi, D. Lini, L. Andreoli Il ruolo delle analisi di laboratorio nella gravidanza delle donne con malattie immunoreumatologicheF. Bartoli, C.B. Chighizola Gravidanza e malattie autoimmuni: il bambinoM. Romano, R. Cimaz Fecondazione medicalmente assistita nelle malattie autoimmuni sistemicheS. Truglia, S. Mancuso, F. Conti Il punto di vista delle pazienti: la ricerca che accarezzaI. Galetti, S. Ostuzzi
怀孕和自身免疫性疾病。A.对患有自身免疫性疾病的妇女进行节育和外延治疗。Montesano, R. Picilli, G. Nova, M. Vignali在风湿性自身免疫性疾病患者中怀孕和胎儿监测。Cetin, R. Milazzo, L. Basili全身红斑狼疮和怀孕。拉罗萨,A.多利亚关节炎风湿性关节炎。怀孕和产期抗磷脂抗体综合征。Gerardi, C. Nalli, D. leny, A.妊娠和全身硬化症(硬化症)Brucato, M . Nivuori,马佐尼anti-Ro / SSA抗体,Sjö综合症是,新生儿狼疮和心率congenitoC封锁。啄木鸟,E. tom贝蒂,a.l.。E .始于,De Carolis。女性怀孕的Ambrosino, S .烟草管理与嗯çet和vasculitiM的疾病。Gerosa, M. Cornalba, A. Sinelli, R. Cimaz,Protti, e.l. Susani, L. Saraceno, m.r. Marazzi, e.c. Agostoni遗传性自燃疾病和怀孕。怀孕的心包炎。Barbagelata, I. ambroosino, E. Bernero, A.在怀孕期间烧伤的肾脏生理。ciambino, F. salati, D. Manfellotto妊娠和哺乳抗风湿性药物治疗。Gerardi, D. Lini, L. Andreoli,实验室分析在免疫病理妇女怀孕中的作用。怀孕和自身免疫性疾病:婴儿。罗马诺,R. Cimaz,在自体免疫系统疾病中接受药物治疗。特鲁格利亚,S.曼库索,F.从病人的角度来看:我所做的研究。Galetti, S. Ostuzzi
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引用次数: 0
Position Paper FADOI – SIGG 立场文件FADOI - SIGG
IF 0.4 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2021-10-13 DOI: 10.4081/itjm.q.2021.s1
A. Fontanella, D. Manfellotto, F. Landi
Il presente documento è stato redatto nell’ambito del progetto di sensibilizzazione sul tema di Fondazione Onda.
本文件是作为关于翁达基金会主题的宣传项目的一部分编写的。
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引用次数: 0
Assessment of quality of life in type 2 diabetes mellitus patients using World Health Organization quality of life-BREF questionnaire and appraisal of diabetes scale - a cross-sectional study 采用世界卫生组织生活质量问卷和糖尿病量表评价2型糖尿病患者生活质量的横断面研究
IF 0.4 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2021-10-05 DOI: 10.4081/itjm.2021.1444
Supriya Patil, Yamini Patil, S. Patil
Diabetes is a chronic metabolic disorder that disturbs the quality of life (QOL) of patients. Therefore, evaluation of diabetes- related QOL could be a key outcome measure for its management. This study assessed the QOL in type 2 diabetes mellitus (T2DM) patients using the World Health Organization (WHO) quality of life (QOL)˗BREF questionnaire and disease-specific appraisal of diabetes scale (ADS). In this cross-sectional study, 520 T2DM patients were included. Patients’ demographic data, clinical information was collected through interviews, and the WHOQOL-BREF instrument and ADS were used for the QOL of patients. Statistical analysis was performed by using R software (Version 3.6.0). The mean ADS scores were lower in controlled diabetic subjects (18.50±3.08) and higher in uncontrolled diabetic subjects (19.29±2.73) (P<0.05). For WHOQOL-BREF, the mean scores for all the domains (overall general health, physical, psychological, social, and environmental) were significantly higher in controlled diabetic subjects (P<0.001). In addition, the age, duration of diabetes, associated comorbidities, treatment, and HbA1c level of patients showed a highly significant correlation with WHOQOL-BREF (P<0.001). Diabetic patients had poor-to-average QOL. Therefore, public health measures and education of diabetic patients are essential to create more awareness for improving the QOL of T2DM.
糖尿病是一种影响患者生活质量的慢性代谢性疾病。因此,糖尿病相关生活质量的评估可能是其管理的关键结果指标。本研究采用世界卫生组织(WHO)生活质量(QOL)问卷,对2型糖尿病(T2DM)患者的生活质量进行评估。在这项横断面研究中,纳入了520例T2DM患者。通过访谈收集患者的人口学资料、临床资料,采用WHOQOL-BREF仪器和ADS对患者的生活质量进行评估。采用R软件(Version 3.6.0)进行统计分析。糖尿病控制组平均得分较低(18.50±3.08),未控制组平均得分较高(19.29±2.73)(P<0.05)。对于WHOQOL-BREF,控制糖尿病受试者的所有领域(总体健康、生理、心理、社会和环境)的平均得分显著高于对照组(P<0.001)。此外,患者的年龄、糖尿病病程、相关合并症、治疗、HbA1c水平与WHOQOL-BREF呈极显著相关(P<0.001)。糖尿病患者的生活质量低于平均水平。因此,公共卫生措施和糖尿病患者的教育对于提高T2DM患者的生活质量至关重要。
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引用次数: 1
期刊
Italian Journal of Medicine
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