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Italian Journal of Medicine
Scopus
ISSN 1877-9344 · PAGEPress Publications · 1,352 articles in the index
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Journal Article Full text
Liver Imaging Reporting and Data System: current status and future perspectives in the diagnosis of hepatocellular carcinoma
Hepatocellular carcinoma (HCC) is the most common primary liver cancer and ranks third among cancer-related deaths globally, with over 900,000 new cases and approximately 830,000 deaths annually. Early detection is crucial, as 5-year survival exceeds 70% for lesions 95% positive predictive value…
Also available at: DOAJ
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Unveiling silent threats: incidental diagnosis and conservative management of spontaneous isolated celiac artery dissection
Spontaneous isolated celiac artery dissection (SICAD) is a rare vascular disorder involving a dissecting lesion confined to the celiac trunk, often detected incidentally due to advances in computed tomography (CT). We report the case of a 60-year-old asymptomatic woman in oncologic follow-up, in…
Also available at: DOAJ
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The evolving role of selective internal radiation therapy in hepatocellular carcinoma
Hepatocellular carcinoma (HCC) remains a major global oncological burden, accounting for over 900,000 new diagnoses and more than 800,000 deaths each year. Most patients present with intermediate or advanced disease on a background of cirrhosis, restricting curative strategies such as surgical…
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The research question: a first, essential step in study design
Dear Editor, The process of building and refining a research question is the first and most important step in the study design, since a research question that is not well considered makes the subsequent work a waste of time...
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Acute epiploic appendagitis: a case report and literature review
Acute epiploic appendagitis (AEA) is a rare cause of acute abdomen due to ischemic inflammation of an epiploic appendage, often from torsion or venous thrombosis. We report the case of an elderly woman with acute left lower quadrant abdominal pain, initially suspected of having an abdominal…
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Standardized emergency department protocol for non-traumatic chest pain: experience from the USL Umbria 1 Health Authority
This document describes the standardized corporate procedure developed by the USL Umbria 1 Health Authority to standardize the multidisciplinary approach to patients presenting with non-traumatic chest pain across its network of emergency departments, a common presentation requiring rapid…
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Fatal transfusion-related acute lung injury type II following red blood cell transfusion in a cancer patient with suspected endocarditis: a case report
Transfusion-related acute lung injury (TRALI) is a potentially fatal complication of blood transfusion. The 2019 classification distinguishes TRALI type I [no acute respiratory distress syndrome (ARDS) risk factors] from type II (pre-existing or concurrent ARDS risk factors). We describe a case of…
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Integrating WHO-HAEM5 classification, 18F-FDG PET/CT imaging, and molecular profiling in lymphoma management: implications for prognosis, follow-up, and personalized therapy (2020-2025 systematic review)
The classification of lymphomas represents a crucial element in the clinical management of these heterogeneous tumors, profoundly influencing prognosis, follow-up, and therapeutic strategies through the integration of clinical, imaging, and molecular aspects. The 5th Edition of the World Health…
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The health of migrants: the doctor-patient relationship
Dear Editor, The Consolidated Act on Immigration (Legislative Decree No. 286 of 1998) states: “Access to healthcare facilities by foreigners who are not in compliance with residence regulations shall not result in any type of report to the authorities, except in cases where reporting is mandatory…
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Influence of L-citrulline supplementation along with conventional treatment and its effect on inflammatory markers in patients with non-alcoholic fatty liver disease
This study evaluated the effect of L-citrulline supplementation combined with conventional therapy on inflammatory and hepatic markers in patients with non-alcoholic fatty liver disease (NAFLD). A total of 110 patients aged 35-45 years were enrolled in a 12-week quasi-experimental study and divided…
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La ventilazione meccanica non invasiva in medicina interna
La ventilazione meccanica non invasiva in medicina interna O. Para, F. Lari Il ventilatore A. Morano, E. Maggio, F. Pomero Maschere ed interfacce S. Beltrame, M.G. Procacci Ossigenoterapia, pressione positiva di fine espirazione, pressione positiva continua delle vie aeree e cannula nasale ad alto…
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ORAL COMMUNICATION | Rhythm control strategy and outcomes in very elderly atrial fibrillation patients: an analysis of the nationwide Italian START registry
Background. Researchers have limited evidence on antiarrhythmic drug (AAD) use in very elderly patients with atrial fibrillation (AF). We investigated clinical characteristics and outcomes associated with AAD use in this population. Materials and Methods. 4,244 very elderly (age ≥80 years) AF…
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Anti-LGI1 autoimmune encephalitis mimicking rapidly progressive dementia in an elderly patient: a case report and review of the literature
Autoimmune encephalitis is increasingly recognized as a major cause of potentially reversible encephalopathy and rapidly progressive dementia, yet it remains frequently underdiagnosed in elderly patients, particularly outside specialist neurological settings. Among these disorders…
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ORAL COMMUNICATION | Right ventricular function across different respiratory support strategies in severe community-acquired pneumonia
Introduction. Severe community-acquired pneumonia (CAP) often causes acute respiratory failure. The right ventricle (RV) is sensitive to increases in pulmonary vascular resistance from hypoxemia, hypercapnia, and acidosis. Non-invasive respiratory support may add positive pressure and raise RV…
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ORAL COMMUNICATION | Addressing sexuality in spinal cord injury patients: the nurse’s perspective
Introduction. Individuals with spinal cord injuries (SCI) remain sexual beings and require appropriate education, attention, and rehabilitation to maintain their sexual health. Sexuality remains underexplored and often neglected in clinical practice. In Italy, no standardized guidelines or…
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ORAL COMMUNICATION | Sex-related differences in multidrug resistance and outcomes among emergency department patients with urinary tract infections: the UTILY study
Background. Urinary tract infection represents one of the most common causes of admission to the Emergency Department. Biological sex may influence microbiological profiles and outcomes, but it is unclear whether these differences persist after accounting for age and comorbidity. Methods. A…
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ORAL COMMUNICATION | The phenomenon of caregiver burden in dementia: a cross-sectional study in the Ascoli Piceno Local Health Authority
Introduction and Aim. Dementia is a neurocognitive disorder characterized by a progressive and chronic decline in cognitive functions. In this context, the role of the caregiver is fundamental for the management of activities of daily living (ADL) but highly exposed to a marked physical…
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ORAL COMMUNICATION | Frailty as an independent risk factor for multidrug-resistant bacterial infections in hospitalized older adults: an observational study
Introduction. Multidrug-resistant (MDR) bacterial infections are an emerging threat in older patients, but the role of global frailty, beyond age and comorbidity, has not been fully clarified. Materials and Methods. We conducted an observational study including 208 acutely hospitalized older…
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