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Italian Journal of Medicine

eISSN 1877-9352 - pISSN 1877-9344

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Editor-in-Chief: Michele Meschi, Italy

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  • Complexity in hospital internal medicine departments: what are we talking about?

    Roberto Nardi, Franco Berti, Antonio Greco, Giovanni Scanelli, Paolo Leandri, Massimo Reta, Magda Mazzetti, Angelo Pasquale, Gelorma Belmonte, Mirco Magnani, Stefania Frasson, Concetta Baldo, Gualberto Gussoni, Giorgio Vescovo, Micaela La Regina, Mauro Campanini, Ido Iori, Giovanni Mathieu, Antonino Mazzone, Carlo Nozzoli
    142-155
    19-09-2013
    https://doi.org/10.4081/itjm.2013.142
    2697
    PDF: 1263
    HTML: 1095
  • Clinical factors affecting short- and long-term mortality in older patients with COVID-19: a retrospective cohort study

    Benedetta Pennella, Francesca Rotunno, Martina Mercuri, Marco Guerci, Mauro Molteni, Marta Biancucci, Clelia Berton, Francesca Troian, Paolo Maria Tripodi, Alessia Gilio, Antea Milano, Daniela Dalla Gasperina, Francesco Dentali, Aldo Bonaventura, Andrea Maria Maresca
    08-03-2024
    https://doi.org/10.4081/itjm.2024.1707
    756
    PDF: 442
    SUPPLEMENTARY MATERIAL: 121
    HTML: 7
  • Sepsis in frail patient

    Andrea Beltrame, Emanuele Nadir Malfatto, Marco Anselmo
    349-353
    15-12-2016
    https://doi.org/10.4081/itjm.2016.799
    1698
    PDF: 1155
    HTML: 919
  • Critical issues in the relationships between patient relatives and hospital staff: qualitative research based on focus group

    Beatrice Cecchini, Valeria Del Longo, Emanuela Grandesso, Alessandro Gamba, Andrea Semplicini
    182-188
    17-01-2014
    https://doi.org/10.4081/itjm.2014.99
    1125
    PDF: 1183
    HTML: 475
  • Folate deficiency and psycho-organic syndrome in elderly subjects: review of the literature

    Flavio Cursi
    116-125
    20-06-2018
    https://doi.org/10.4081/itjm.2018.958
    1752
    PDF: 869
    HTML: 291
  • An update on methods for sarcopenia diagnosis: from bench to bedside

    Andrea P. Rossi, Sofia Rubele, Alessia D'Introno, Elena Zoico, Piero Bradimarte, Giulia Amadio, Nicole Nori, Paola Gnerre, Gloria Mazzali, Francesco Fantin, Mauro Zamboni
    97-107
    20-06-2018
    https://doi.org/10.4081/itjm.2018.995
    3612
    PDF: 1066
    HTML: 1247
  • Could clustering of comorbidities be useful for better defining the internal medicine patients' complexity?

    Flavio Tangianu, Paola Gnerre, Fabrizio Colombo, Roberto Frediani, Giuliano Pinna, Franco Berti, Giovanni Mathieu, Micaela La Regina, Francesco Orlandini, Antonino Mazzone, Clelia Canale, Daniele Borioni, Roberto Nardi
    137-144
    20-06-2018
    https://doi.org/10.4081/itjm.2018.940
    2421
    PDF: 913
    HTML: 452
  • The revolving door syndrome in internal medicine: a study on 11,846 subjects discharged from all Internal Medicine Departments of Tuscany with diagnosis of heart failure and pneumonia

    Matteo Tellini, Alessandra Petrioli, Silvia Forni, Alessandro Morettini
    150-156
    08-05-2015
    https://doi.org/10.4081/itjm.2015.488
    2068
    PDF: 996
    HTML: 428
  • P56 | Analysis of emergency department use by frailty patients coming from long-term care facilities: impact on the medicine department D. Dalla Gasperina1, E. Morosi2, M. Lanciani2, G. Cappellari2, A. Galantino2, W. Ageno3, F. Dentali3 | 1Dipartimento di Medicina e Innovazione Tecnologica, Università dell’Insubria, ASST Sette Laghi, Varese, 2ASST Sette Laghi, Varese, 3Dipartimento di Medicina e Chirurgia, Università dell’Insubria, ASST Sette Laghi, Varese, Italy

    26-08-2025
    https://doi.org/10.4081/itjm.2025.2249
    54
  • From Internal Wards to Intensive Care Units and backwards: the paths of the difficult patient

    Antonio Sacchetta, Alberto Da Rold, Samuele Guzzon, Diana Piccolo, Antonio Vendrame
    354-359
    15-12-2016
    https://doi.org/10.4081/itjm.2016.800
    1446
    PDF: 949
    HTML: 451
  • P67 | The clinical frailty scale and the Barthel index: can they be used to predict the workload of healthcare professions in an Internal Medicine department? P. Ferretto, G. Turcato, D. Milazzo, M. Trentin, M. Parodi, M. Marchetti | Department of Internal Medicine, Intermediate Care Unit, Hospital Alto Vicentino, Santorso (VI), Italy

    26-08-2025
    https://doi.org/10.4081/itjm.2025.2260
    104
  • Prevention is better than healing. Clinical and economic implications of oral antiviral agents in COVID-19: a prospective study

    Filomena Pietrantonio, Francesco Rosiello, Matteo Ruggeri, Maria Sofia Cattaruzza, Antonio Vinci, Margherita Lordi, Enrica Cipriano
    03-06-2024
    https://doi.org/10.4081/itjm.2024.1737
    1380
    PDF: 543
    HTML: 30
  • Outlier admissions of medical patients: prognostic implications of outlying patients. The experience of the Hospital of Mestre

    Francesco Serafini, Giuseppe Fantin, Roberto Brugiolo, Onofrio Lamanna, Anna Aprile, Fabio Presotto
    299-302
    23-01-2015
    https://doi.org/10.4081/itjm.2015.528
    3777
    PDF: 1396
    HTML: 793
  • Intermediate care units in internal medicine: the case of Apulia

    Francesco Ventrella, Anna Belfiore, Antonio Greco, Franco Mastroianni, Salvatore Lenti, Domenico Ruggiero, Michele Cannone, Vincenzo Ostilio Palmieri, Massimo Errico
    27-05-2025
    https://doi.org/10.4081/itjm.2025.1960
    809
    PDF: 251
    HTML: 0
  • Consensus document ANMCO/FADOI/SIAARTI/SIC/SIMG/SIMI/SIMEU: The clinical-diagnostic and therapeutic pathway of patients with acute heart failure in the Emergency Department

    Mariavittoria Vescovo
    247-276
    28-11-2019
    https://doi.org/10.4081/itjm.2019.1230
    1766
    PDF: 920
    HTML: 136
  • Use of the Flugelman index for identifying patients who are difficult to discharge from the hospital

    Chiara Bozzano, Ilario Lancini, Elena Mei, Maida Lucarini, Roberta Mastriforti, Nunzia Zuccone, Dino Vanni, Claudio Pedace
    103-108
    07-03-2013
    https://doi.org/10.4081/itjm.2011.103
    1174
    PDF: 1811
  • The pharmacological deprescription in elderly patients

    Chelsey Ali, Daniel Huang, Charlene Tugwete, Stefano Del Canale, Vittorio Maio
    19-12-2023
    https://doi.org/10.4081/itjm.2023.1676
    1256
    PDF: 388
    HTML: 37
  • Osteoporosis and diabetes mellitus

    Andrea Montagnani, Massimo Alessandri
    63-69
    07-03-2013
    https://doi.org/10.4081/itjm.2011.63
    1212
    PDF: 1257
  • Is a terminally ill non-cancer patient really forced to stay at the hospital?

    Francesco Serafini, Maria Gabriella Procacci, Elia Vettore, Giulia Cardinali, Fabio Presotto
    13-12-2024
    https://doi.org/10.4081/itjm.2024.1850
    1000
    HTML: 29
    PDF: 365
  • The hospital Internal Medicine specialist today: a literature review and strength, weaknesses, opportunity, threats (SWOT) analysis to develop a working proposal

    Emilio Scotti, Filomena Pietrantonio
    278-286
    17-12-2013
    https://doi.org/10.4081/itjm.2013.278
    4543
    PDF: 2418
    HTML: 459
  • P62 | Patient-related complexity management in lack of resources: our experience M. Di Sazio, E. Di Timoteo, N. Panico, A. Reho, L. Trucco, M. Uccelli | SC Medicina, ASL 1, Ospedale di Sanremo (IM), Italy

    26-08-2025
    https://doi.org/10.4081/itjm.2025.2255
    77
  • Maximizing the success of percutaneous nephrolithotomy under spinal anesthesia by postoperative bleeding and fever prediction using demographic and intraoperative risk factors

    Muhammad Yasin Chaudhry, Muhammad Rizwan Farooqi, Asad Munir, Umaima Jalil, Razia Parveen Chaudhry, Andleeb Tariq, Rabia Noor, Umair Ahmed, Arbaz Munir
    04-09-2025
    https://doi.org/10.4081/itjm.2025.2035
    372
    PDF: 198
    HTML: 31
  • Carbapenemase-producing Klebsiella pneumoniae in elderly frail patients admitted to medical wards

    Antonio Nouvenne, Andrea Ticinesi, Tiziana Meschi
    116-119
    04-02-2014
    https://doi.org/10.4081/itjm.2014.476
    2078
    PDF: 1309
    HTML: 330
  • Characteristics, comorbidities and laboratory measures associated with disease severity and poor prognosis in young and elderly patients with COVID-19 admitted to medical wards in Emilia-Romagna region, Italy: a multicentre retrospective study

    Sirio Fiorino, Andrea Carusi, Alessandro Zappi, Fabio Tateo, Luca Peruzzo, Melissa Zanardi, Francesco Savelli, Giulia Di Marzio, Silvia Cesaretti, Francesca Dazzani, Raffaella Francesconi , Paolo Leandri , Gianfranco Tortorici , Susanna Vicari , Dora Melucci, Federico Lari
    21-06-2023
    https://doi.org/10.4081/itjm.2023.1608
    1599
    PDF: 492
    HTML: 27
  • From sciatica pain to a complex diagnosis: a case of pyomyositis and chronic lymphocytic leukemia

    Ottavia Magnani, Matteo Caiti, Elisabetta Cenni, Paolo Moscatelli
    24-09-2021
    https://doi.org/10.4081/itjm.2021.1386
    1269
    PDF: 555
    HTML: 56
  • P20 | Always keep in Mucor-mind fungal infections! K. Borrelli, G. Ghigliazza, C. Folli, C. Casiraghi, G. Gazzano, P. Massironi, S. Serafini, M. Vaccari, C. Canetta | High Care Internal Medicine Unit Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milano, Italy

    25-08-2025
    https://doi.org/10.4081/itjm.2025.2208
    65
  • Assessment and predictors of inappropriate dose of direct oral anticoagulants

    Mosaad O. Almegren
    09-01-2024
    https://doi.org/10.4081/itjm.2024.1679
    1093
    pdf: 554
    HTML: 146
  • Toward a sustainable and wise healthcare approach: potential contributions from hospital Internal Medicine Departments to reducing inappropriate medical spending

    Roberto Nardi, Franco Berti, Leonardo M. Fabbri, Giuseppe Di Pasquale, Ido Iori, Giovanni Mathieu, Giorgio Vescovo, Andrea Fontanella, Antonino Mazzone, Mauro Campanini, Carlo Nozzoli, Dario Manfellotto, on behalf of the FADOI and their Friends in the FFA Project Group
    65-81
    24-04-2013
    https://doi.org/10.4081/itjm.2013.65
    1917
    PDF: 1438
    HTML: 816
  • Management of syncope: from evidence to clinical practice

    Tiziana M. Attardo, Immacolata Ambrosino, Elena Magnani, Nathan Artom, Nicola Battino, Deasy Cervo, Massimiliano Chiuch, Mariella Frualdo, Miriam Gino, Federico Pasin, Carlo Zaninetti
    23-36
    17-06-2016
    https://doi.org/10.4081/itjm.2016.732
    2018
    PDF: 1358
    HTML: 1406
  • P29 | Orthostatic hypotension in hypertensive patients hospitalized in Internal Medicine: baseline results of IpOp study R. Buso1, C. Ferri2, A. Mazza3, A. Moggi Pignone4, F. Dentali5, M. D’Avino6, S. Maule7, M. Rattazzi1, P. Minuz8, D. Manfellotto9 | 1Ospedale Cà Foncello, Università degli Studi di Padova, Dipartimento di Medicina, DIMED, Medicina Interna 1, Treviso, 2University of L’Aquila, MeSVA Department, San Salvatore Hospital, UOC of Internal Medicine and Nephrology, 3ESH Excellence Hypertension Centre and Dept. of Internal Medicine, Santa Maria Regina degli Angeli General Hospital, Adria (RO), AULSS 5 Polesana, 4Azienda Ospedaliera-Universitaria Careggi, Firenze Dipartimento di Medicina Clinica e Sperimentale, SOD complessa di Medicina Interna 4, 5Università dell’Insubria, Dipartimento di Area Medica, Asst Sette Laghi, Medicina Generale, Varese, 6Ospedale Cardarelli, Napoli, 7Ospedale “Città della Salute”, Torino, 8UOC General Medicine C, Department of Medicine, AOUI Verona and University of Verona, 9Internal Medicine Department, Isola Tiberina Hospital Gemelli Isola, Rome, Italy

    26-08-2025
    https://doi.org/10.4081/itjm.2025.2221
    78
  • Stroke prevention in atrial fibrillation: findings from Tuscan FADOI Stroke Registry

    Luca Masotti, Rinaldo Innocenti, Stefano Spolveri, Irene Chiti, Grazia Panigada, Cristiana Seravalle, Giancarlo Landini, Alberto Fortini, Rino Migliacci, Raffaele Laureano, for Tuscan FADOI Stroke Registry Investigators
    134-140
    12-06-2014
    https://doi.org/10.4081/itjm.2014.450
    1697
    PDF: 1326
    Appendix: 619
    HTML: 624
  • The 2023 hypertension guidelines of the European Society of Hypertension: a commentary

    Giuseppe Mancia, Guido Grassi, Enrico Agabiti-Rosei, Claudio Borghi, Maria Lorenza Muiesan, Paolo Palatini, Gianfranco Parati, Stefano Taddei, Reinhold Kreutz
    19-12-2023
    https://doi.org/10.4081/itjm.2023.1675
    2396
    PDF: 648
    HTML: 26
  • A model to improve the appropriateness in the management of acute poly-pathological patients: the Acute Complex Care Model

    Francesco Orlandini, Filomena Pietrantonio, Luca Moriconi, Micaela La Regina, Antonino Mazzone, Mauro Campanini
    1-7
    06-04-2016
    https://doi.org/10.4081/itjm.2016.697
    1997
    PDF: 1259
    HTML: 420
  • Diagnostic and therapeutic care pathway of the Cardiac Network for Heart Failure

    Pasquale Palmiero, Matteo Durante, Maria Maiello, Valentina D’Andria, Cosima Caputo, Lucia Giordano
    13-03-2025
    https://doi.org/10.4081/itjm.2025.1927
    895
    PDF: 413
    HTML: 91
  • Decision-making in the implementation or withdrawal of dialysis in the old complex patient

    Nicola Panocchia, Maurizio Bossola, Luigi Tazza
    6-10
    17-03-2014
    https://doi.org/10.4081/itjm.2014.172
    1784
    PDF: 1093
    HTML: 665
  • Characteristics and clinical management of acute pulmonary embolism in real world: findings from TUSCAN-PE study

    Luca Masotti, Filippo Pieralli, Grazia Panigada, Francesco Corradi, Rino Migliacci, Salvatore Lenti, Alessandro Tafi, Carlo Nozzoli, Giancarlo Landini, for TUSCAN-PE Investigators
    125-133
    03-06-2014
    https://doi.org/10.4081/itjm.2014.504
    2201
    PDF: 1433
    Appendix: 1130
    HTML: 762
  • Complexity of patients with chronic obstructive pulmonary disease hospitalized in internal medicine: a survey by FADOI

    Carlo Nozzoli, Luigi Anastasio, Leonardo M. Fabbri, Pietro Marino, Roberto Nardi, Antonio Sacchetta, Franco Mastroianni, Giovanni Mangano, Fabrizio Lombardini, Angela Zappaterra, Antonella Valerio, Giorgio Vescovo, Giancarlo Agnelli, Mauro Campanini, for the Research Department of FADOI
    120-124
    08-05-2015
    https://doi.org/10.4081/itjm.2015.516
    2089
    PDF: 1013
    Appendix: 560
    HTML: 689
  • COVID-19 effects on mental health of children and adolescents with intellectual disabilities in North Kosovo

    Snežana R. Markovic-Jovanovic, Aleksandar N. Jovanovic, Marina Petrovic, Dragoslava Ristic, Gordana Dzeletovic, Ana Karanovic, Dejan Tabakovic, Danijela Jovanovic
    04-12-2023
    https://doi.org/10.4081/itjm.2023.1667
    1105
    PDF: 436
    HTML: 32
  • Outcomes of middle meningeal artery embolization for treating chronic subdural hematoma

    Dao Xuan Hai, Pham Minh Thong, Dong-Van He, Le Thanh Dung, Duong Duc Hung, Nguyen-Thi Huyen, Nguyen Minh Duc
    03-07-2024
    https://doi.org/10.4081/itjm.2024.1759
    3207
    PDF: 1195
    HTML: 726
  • Severity stratification of patients hospitalized on the Internal Medicine ward: work in progress

    Giuseppe Chesi, Roberto Nardi
    231-233
    17-12-2013
    https://doi.org/10.4081/itjm.2013.231
    1323
    PDF: 1054
    HTML: 309
  • FADOI survey on chronic kidney disease and anaemia in internal medicine departments of Italian hospitals

    Pietro Bocchi, Andrea Montagnani, Michele Meschi, Fulvio Pomero, Paola Piccolo, Antonella Valerio, Gualberto Gussoni, Dario Manfellotto, Francesco Dentali, Chronic Kidney Disease and Anaemia in Internal Medicine (CKD-AIM) FADOI Study Group
    29-05-2023
    https://doi.org/10.4081/itjm.2023.1605
    1411
    PDF: 560
    HTML: 11
  • P10 | Hypoalbuminemia predicts 6-month all-cause mortality in patients with acute decompensated heart failure R. Barbiero1, M. Baccillieri2, M. Biancucci3, B. Pennella3, F. Tangianu3, A.M. Maresca4, F. Dentali4, A. Bonaventura3 | 1Internal Medicine Residency Program, School of Medicine, University of Insubria, Varese, 2University of Insubria, Varese, 3Department of Internal Medicine, Medical Center, SC Medicina Generale 1, Ospedale di Circolo and Fondazione Macchi, ASST Sette Laghi, Varese, 4Department of Medicine and Surgery, University of Insubria, Varese, Italy

    25-08-2025
    https://doi.org/10.4081/itjm.2025.2200
    90
  • Delirium: the invisible syndrome

    Paola Gnerre, Micaela La Regina, Chiara Bozzano, Fulvio Pomero, Roberta Re, Michele Meschi, Domenico Montemurro, Annalisa Marchetti, Mariangela Di Lillo, Daniela Tirotta
    119-127
    23-06-2016
    https://doi.org/10.4081/itjm.2016.626
    2335
    PDF: 1287
    HTML: 672
  • Thrombolytic treatment in the oldest-old patient with acute ischemic stroke: an update on current evidence

    Fabiola Maioli, Gaetano Procaccianti, Valeria Nativio, Giorgia Arnone, Roberto Nardi, Tommaso Sacquegna, Maura Coveri
    160-165
    19-09-2013
    https://doi.org/10.4081/itjm.2013.160
    1553
    PDF: 1048
    HTML: 660
  • The management of the patient with osteoporosis: from evidence to clinical practice

    Immacolata Ambrosino, Angela Riccardo, Paola Gnerre, Grace Massiah, Laura Castelnovo, Riccardo Muscariello, Marco Vacante
    253-266
    11-09-2017
    https://doi.org/10.4081/itjm.2017.784
    1860
    PDF: 874
    HTML: 686
  • P74 | Sarcopenia and clinical outcomes in elderly chronic obstructive pulmonary disease patients: a prospective cohort study V. Gianturco1, B.D. Bodini2, C. Ocelli3, L. Gianturco4 | 1ASL Roma 5, Coniugi Bernardini Hospital, Tor Vergata University, Rome, 2ASST-Rhodense, Casati Hospital, UOC Pulmonology, Pulmonary Rehabilitation, Passirana (MI), 3ASL Roma 5, Coniugi Bernardini Hospital, Palestrina, Rome, 4Department of Cardio-Thoracic-Vascular Diseases, Foundation IRCCS Cà Granda Ospedale Maggiore Policlinico, Italy

    26-08-2025
    https://doi.org/10.4081/itjm.2025.2267
    85
  • P16 | Real calculation of nursing activity expenditure and factors correlated with per-patient nursing over-activities in an Internal Medicine department N. Bertoncello1, M. Parodi1, G. Turcato1, D. Milazzo1, M. Trentin1, S. Greselin1, P. Ferretto1, A. Zaboli2, E. Mantiero1, M. Marchetti1 | 1Department of Internal Medicine, Intermediate Care Unit, Hospital Alto Vicentino, Santorso (VI), 2Innovation, Research and Teaching Service (SABES-ASDAA), Teaching Hospital of the Paracelsus Medical Private University (PMU), Bolzano, Italy

    25-08-2025
    https://doi.org/10.4081/itjm.2025.2204
    101
  • The FADOI (Federation of Associations of Hospital Doctors on Internal Medicine) position paper on cardiovascular prevention in the higher risk complex patients

    Mauro Campanini, Giuliano Pinna, Roberto Nardi, on behalf of the FADOI Cardiovascular Prevention Position Statements Group
    387-404
    15-12-2015
    https://doi.org/10.4081/itjm.2015.669
    2244
    PDF: 951
    Appendix: 496
    HTML: 1462
  • Management of stable coronary artery disease: from evidence to clinical practice

    Riccardo Gerloni, Luciano Mucci, Tiziana Ciarambino, Manuel Ventura, Valeria Baglio, Massimiliano Chiuch, Francesca Saladini, Stefania Dorigoni, Davide Tizzani, Paola Gnerre
    114-133
    14-06-2017
    https://doi.org/10.4081/itjm.2017.755
    2780
    PDF: 1214
    HTML: 1753
  • When should antihypertensive drug treatment be started? Discrepancies between the 2023 European Society of Hypertension and the 2024 European Society of Cardiology guidelines

    Giuseppe Mancia, Guido Grassi, Sverre E. Kjeldsen
    16-04-2025
    https://doi.org/10.4081/itjm.2025.1981
    1056
    PDF: 348
    HTML: 0
  • The clinical impact of hypoglycemia in hospitalized patients

    Vito Borzì, Andrea Fontanella
    11-19
    20-03-2015
    https://doi.org/10.4081/itjm.2015.549
    2306
    PDF: 1056
    HTML: 985
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