A computerized simulator for critical-care training: new technology for medical education.

abstract：OBJECTIVE:To investigate whether patients with traumatic brain injury (TBI) have an increased risk of stroke or poststroke mortality. PARTICIPANTS AND METHODS:Using Taiwan's National Health Insurance Research Database, we conducted a retrospective cohort study of 30,165 patients with new TBI and 120,660 persons withou...

journal_title：Mayo Clinic proceedings

authors： Liao CC,Chou YC,Yeh CC,Hu CJ,Chiu WT,Chen TL

更新日期：2014-02-01 00:00:00

abstract：:A follow-up study of 224 male patients from Rochester, Minnesota, diagnosed with cryptorchidism during the period from 1935 through 1974 was conducted to assess the frequency of subsequent testicular neoplasms. Age-specific rates for testicular neoplasm in this community were used to estimate an expected number for co...

journal_title：Mayo Clinic proceedings

authors： Benson RC Jr,Beard CM,Kelalis PP,Kurland LT

更新日期：1991-04-01 00:00:00

abstract：:Autonomic failure and proximal skeletal myopathy are rare features of the Sjögren syndrome (SS). We describe a 51-year-old woman with primary SS who had development of esophageal dysmotility, urinary retention, severe orthostatism, and skeletal myopathy during a 3-month period after the diagnosis of SS. Her symptoms a...

journal_title：Mayo Clinic proceedings

authors： Sorajja P,Poirier MK,Bundrick JB,Matteson EL

更新日期：1999-07-01 00:00:00

abstract：:Live attenuated influenza vaccine (LAIV), commercially available since 2003, has not gained widespread acceptance among prescribers. This underuse can be traced to several misperceptions and fears regarding LAIV. This review examines both the facts (safety, immunogenicity, and effectiveness) and the most pervasive myt...

journal_title：Mayo Clinic proceedings

authors： Tosh PK,Boyce TG,Poland GA

更新日期：2008-01-01 00:00:00

abstract：:Psychosocial and spiritual factors influence a broad spectrum of medical and surgical disorders. The adverse effects of stress have been most clearly documented in cardiovascular disease. In cancer, unresolved questions include the following: Do emotional factors have a causal role in either initiating or promoting a ...

journal_title：Mayo Clinic proceedings

authors： Creagan ET

更新日期：1997-02-01 00:00:00

abstract：:Thirty-one patients with low back pain resistant to medical and surgical treatment were studied. On admission to the psychiatric service, these patients revealed apparent features of conversion and hysterical personality, as characterized also by the MMPI profile. During hospitalization, however, there was increased a...

journal_title：Mayo Clinic proceedings

authors： Maruta T,Swanson DW,Swenson WM

更新日期：1976-01-01 00:00:00

abstract：OBJECTIVE:To report the long-term follow-up of a matched comparison of radical nephrectomy (RN) and nephron-sparing surgery (NSS) in patients with single unilateral renal cell carcinoma (RCC) and a normal contralateral kidney. PATIENTS AND METHODS:Between August 1966 and March 1999, 1492 and 189 patients with unilater...

journal_title：Mayo Clinic proceedings

authors： Lau WK,Blute ML,Weaver AL,Torres VE,Zincke H

更新日期：2000-12-01 00:00:00

abstract：OBJECTIVE:To describe management of patients with permanent pacemaker (PPM)- and implantable cardioverter-defibrillator (ICD)-related endocarditis. PATIENTS AND METHODS:We retrospectively reviewed all cases of infection involving PPMs and ICDs among patients presenting to Mayo Clinic's site in Rochester, MN, between J...

journal_title：Mayo Clinic proceedings

authors： Sohail MR,Uslan DZ,Khan AH,Friedman PA,Hayes DL,Wilson WR,Steckelberg JM,Jenkins SM,Baddour LM

更新日期：2008-01-01 00:00:00

abstract：:Seven vertex-positive potentials--the brainstem auditory response--can be recorded from the human scalp within 10 milliseconds of an appropriate acoustic stimulus. The first of these potentials is generated in the acoustic nerve, the third in the pons, and the fifth in the midbrain. Measurement of the relative latenci...

journal_title：Mayo Clinic proceedings

authors： Stockard JJ,Stockard JE,Sharbrough FW

更新日期：1977-12-01 00:00:00

abstract：:The assessment of a patient with binocular vertical diplopia begins with a thorough history and neuro-ophthalmologic examination. The neuro-ophthalmologic examination includes observation for a compensatory head, face, or chin position; ocular ductions and versions in the nine cardinal positions of gaze; the three-ste...

journal_title：Mayo Clinic proceedings

authors： Brazis PW,Lee AG

更新日期：1998-01-01 00:00:00

abstract：:An interactive audio and video telemedicine feasibility program was established to provide counseling on breast cancer risk-reducing strategies for underserved, high-risk Alaskan native women through a collaboration among the Alaska Native Medical Center, the Mayo Clinic Breast Clinic, Mayo's Center for Innovation, an...

journal_title：Mayo Clinic proceedings

authors： Pruthi S,Stange KJ,Malagrino GD Jr,Chawla KS,LaRusso NF,Kaur JS

更新日期：2013-01-01 00:00:00

abstract：:Vitamin K antagonists were the only class of oral anticoagulants available to clinicians for decades. However, with the US Food and Drug Administration approval of new oral anticoagulants, such as dabigatran, rivaroxaban, and apixaban, clinicians now have a broader choice. Given the recent approval and availability of...

journal_title：Mayo Clinic proceedings

authors： Gonsalves WI,Pruthi RK,Patnaik MM

更新日期：2013-05-01 00:00:00

abstract：:We describe a patient who had severe myalgias, bronchial asthma, pulmonary infiltrates, and eosinophilia. The findings on physical examination and the erythrocyte sedimentation rate were normal; there was no elevation of the serum creatine kinase. Muscle biopsy demonstrated an inflammatory exudate that contained eosin...

journal_title：Mayo Clinic proceedings

authors： Lakhanpal S,Duffy J,Engel AG

更新日期：1988-01-01 00:00:00

abstract：:Atherosclerosis is a diffuse, systemic disease that affects the coronary, cerebral, and peripheral arterial trees. Disruption of atherosclerotic plaques leads to thrombus formation and arterial occlusion. This unpredictable and potentially life-threatening atherothrombotic sequence underlies clinical events such as an...

journal_title：Mayo Clinic proceedings

authors： Vorchheimer DA,Becker R

更新日期：2006-01-01 00:00:00

abstract：:To our knowledge, we describe the first reported case of paradoxical embolization via a patent foramen ovale (PFO) in an adult with moderately severe cystic fibrosis (CF) and advanced lung disease. Fluctuating neurologic symptoms and signs suggestive of cerebrovascular disease in an adult patient with advanced CF may ...

journal_title：Mayo Clinic proceedings

authors： Espiritu JD,Kleinhenz ME

更新日期：2000-10-01 00:00:00

abstract：:Thirty-five patients with a diagnosis of pure ovarian dysgerminoma underwent assessment at our institution between 1950 and 1984. The median age of these patients was 21 years (range, 8 to 41 years). The surgical pathologic stages of the tumors were as follows: stage IA1 in 18 patients, stage IA2 in 2, stage IB1 in 2,...

journal_title：Mayo Clinic proceedings

authors： Buskirk SJ,Schray MF,Podratz KC,Lee RA,Stanhope CR,Gaffey TA,Weber FC,Earle JD,Naessens JM,Malkasian GD

更新日期：1987-12-01 00:00:00

abstract：OBJECTIVE:To compare the efficacy and tolerability of extended-release oxybutynin chloride and tolterodine tartrate at 12 weeks in participants with overactive bladder. SUBJECTS AND METHODS:The OBJECT (Overactive Bladder: Judging Effective Control and Treatment) study was a prospective, randomized, double-blind, paral...

journal_title：Mayo Clinic proceedings

authors： Appell RA,Sand P,Dmochowski R,Anderson R,Zinner N,Lama D,Roach M,Miklos J,Saltzstein D,Boone T,Staskin DR,Albrecht D,Overactive Bladder: Judging Effective Control and Treatment Study Group.

更新日期：2001-04-01 00:00:00

abstract：:Ulcerative colitis diagnosis and management represent a challenge for clinicians. The disguises of ischemia and acute infectious colitis continue to confound the diagnosis. The therapeutic options have remarkably expanded in the way of immunomodulators, biologics, or ileoanal pouch surgery, yet all carry potential con...

journal_title：Mayo Clinic proceedings

authors： Katz S

更新日期：2013-08-01 00:00:00

abstract：:We conducted a prospective, randomized trial to study the efficacy and tolerance of long-term versus short-term treatment with recombinant interferon alfa-2a in patients with chronic hepatitis B. Ten patients were randomly assigned to a 6-month interferon regimen, and 10 patients were assigned to a 3-week interferon t...

journal_title：Mayo Clinic proceedings

authors： Rakela J,Wood JR,Czaja AJ,O'Brien PC,Taswell HF,Bowyer BA,Lange SM,Anderson ML,Parent K

更新日期：1990-10-01 00:00:00

abstract：:Brugada syndrome (BrS) is a common occult cause of sudden cardiac arrest in otherwise healthy-appearing adults. The pathognomonic electrocardiographic pattern may be unmasked only by certain medications, many of which are unknown. We report a case of a depressed but otherwise healthy man with an asymptomatic right bun...

journal_title：Mayo Clinic proceedings

authors： Alampay MM,Haigney MC,Flanagan MC,Perito RM,Love KM,Grammer GG

更新日期：2014-11-01 00:00:00

abstract：:In almost all dialysis patients, bone aluminum content (BAC) is elevated in comparison with levels in normal subjects. Extremely high BAC (200 micrograms or more of aluminum per gram of bone) is significantly associated with classic aluminum-related osteomalacia. We noted three patients with elevated BAC but without h...

journal_title：Mayo Clinic proceedings

authors： McCarthy JT,Kurtz SB,McCall JT

更新日期：1985-05-01 00:00:00

abstract：OBJECTIVE:To determine the separate effects of exercise intensity and amount on interindividual cardiorespiratory fitness (CRF) response. PARTICIPANTS AND METHODS:Participants were 121 (75 females, 62%) sedentary, middle-aged (mean [SD] age, 53.2 [7.5] years), abdominally obese adults who completed at least 90% of 5 w...

journal_title：Mayo Clinic proceedings

authors： Ross R,de Lannoy L,Stotz PJ

更新日期：2015-11-01 00:00:00

abstract：:Genitourinary syndrome of menopause (GSM), previously known as atrophic vaginitis or vulvovaginal atrophy, affects more than half of postmenopausal women. Caused by low estrogen levels after menopause, it results in bothersome symptoms, including vaginal dryness, itching, dyspareunia, urinary urgency and increased fre...

journal_title：Mayo Clinic proceedings

authors： Faubion SS,Sood R,Kapoor E

更新日期：2017-12-01 00:00:00

abstract：:Multiple sclerosis is thought, by many investigators, to be an immunologic disease. Therefore, a rationale exists for treating this disease by immunosuppressive therapy. In exacerbating-remitting multiple sclerosis, corticosteroids and adrenocorticotropic hormone are the most widely used drugs; high doses of intraveno...

journal_title：Mayo Clinic proceedings

authors： Carter JL,Rodriguez M

更新日期：1989-06-01 00:00:00

abstract：OBJECTIVE:To investigate presenting signs and symptoms of ovarian cancer and stage of tumor in a community cohort of women with the diagnosis of ovarian cancer. PATIENTS AND METHODS:We reviewed retrospectively the medical records of all women who sought primary and specialty care in Olmsted County, Minnesota, between ...

journal_title：Mayo Clinic proceedings

authors： Yawn BP,Barrette BA,Wollan PC

更新日期：2004-10-01 00:00:00

abstract：:Effective antituberculous drugs have radically improved the prognosis of the patient with active tuberculosis. Surgical therapy is rarely needed, and sanitoriums have largely vanished. Triple-drug therapy may be indicated initially for cavitary pulmonary disease, meningitis, miliary disease, and moderate to severe ren...

journal_title：Mayo Clinic proceedings

authors： Van Scoy RE,Wilkowske CJ

更新日期：1983-04-01 00:00:00

abstract：:Amyotrophic lateral sclerosis is an insidiously developing, adult-onset, progressive anterior horn cell degeneration with associated degeneration of descending motor pathways. It has been recognized as an important clinical syndrome since the middle of the 19th century. Despite increasing clinical and research interes...

journal_title：Mayo Clinic proceedings

authors： Williams DB,Windebank AJ

更新日期：1991-01-01 00:00:00

abstract：:In the three major morphologic groups of lupus nephritis--diffuse, focal proliferative, and membranous--glomerular deposition of immunoglobulins is usually a combination of IgG, IgM, and IgA and is not a good indicator of initial renal severity or outcome. In this study of 60 patients with systemic lupus erythematosus...

journal_title：Mayo Clinic proceedings

authors： Donadio JV Jr,Conn DL,Holley KE,Ilstrup DM

更新日期：1978-06-01 00:00:00

abstract：:Dyspnea is a common symptom that is difficult to define and can result from a wide variety of causes. This complex sensation that arises from multiple stimuli involves both subjective perceptions and objective reactions. In the assessment of patients with dyspnea, use of a systematic approach to determine the precipit...

journal_title：Mayo Clinic proceedings

authors： Gillespie DJ,Staats BA

更新日期：1994-07-01 00:00:00

abstract：:To identify the wishes of patients with amyotrophic lateral sclerosis (ALS) for information, participation in decision making, and life-sustaining therapy and to determine whether these wishes are stable over time, we conducted a prospective survey (baseline and 6-month follow-up interviews) of 38 consecutive patients...

journal_title：Mayo Clinic proceedings

authors： Silverstein MD,Stocking CB,Antel JP,Beckwith J,Roos RP,Siegler M

更新日期：1991-09-01 00:00:00