Aggressive treatment of acute myocardial infarction. Management options for various settings.

abstract：:In 90% of children, otitis media with effusion resolves within 3 months. When it persists longer, it is considered chronic. Initial treatment of chronic otitis media with effusion is repeated courses of antibiotics, and a short course of steroids may be appropriate. Use of antihistamines and decongestants has not been...

journal_title：Postgraduate medicine

authors： Terris MH,Magit AE,Davidson TM

更新日期：1995-01-01 00:00:00

abstract：:Preview The number of cardiac drugs is growing every day, and their indications are changing as more is learned about each one. Choosing the appropriate drug for each patient is made difficult by these complexities, especially when a patient has already had a heart attack. The authors review the latest trials of the m...

journal_title：Postgraduate medicine

authors： Flaker GC,Singh VN

更新日期：1993-11-01 00:00:00

abstract：:The tools and methods of epidemiology, particularly the clinical trial, help guide the clinical practice of medicine. Dr Gorelick reviews the results of major clinical trials for prevention of transient cerebral ischemia and atherothrombotic stroke and assesses the effect of these findings on treatment. ...

journal_title：Postgraduate medicine

authors： Gorelick PB

更新日期：1989-12-01 00:00:00

abstract：:Auscultation is the core of pediatric cardiovascular evaluation and should be performed according to a routine. The four heart sounds should be sought in order at their usual locations, with particular attention to the second sound because of its important diagnostic role in congenital cyanotic heart disease. The next...

journal_title：Postgraduate medicine

authors： Kulangara RJ,Strong WB,Miller MD

更新日期：1982-07-01 00:00:00

abstract：BACKGROUND:Symptoms of irritable bowel syndrome (IBS) can have a profound impact on emotional health and quality of life, and current treatments are sometimes unsatisfactory for patients facing this lifelong disease. Probiotics, which can normalize gastrointestinal microflora, may alleviate symptoms of IBS. OBJECTIVE:...

journal_title：Postgraduate medicine

authors： Hun L

更新日期：2009-03-01 00:00:00

abstract：OBJECTIVE:Chronic kidney disease is a global public health concern. Glomerular filtration rate (GFR) prediction based on serum creatinine is used to assess renal function in the elderly. The Cockcroft-Gault (CG) formula, based on body surface area (CG/BSA formula), and the Modified Diet and Renal Disease formula (MDRD ...

journal_title：Postgraduate medicine

authors： Alagiakrishnan K,Senthilselvan A

更新日期：2010-11-01 00:00:00

abstract：:Treatment of immunologically mediated diseases has been hampered by the lack of therapeutic agents capable of selectively altering distinct areas of the immune network. Unfortunately, most immunomodulating drugs with such capability are not selective in their suppressive effects, often causing untoward reactions such ...

journal_title：Postgraduate medicine

authors： Katz P

更新日期：1983-10-01 00:00:00

abstract：:Probably nothing in the field of medicine has changed as rapidly over the last decade as antiretroviral (ARV) therapy for HIV infection. New insights into pathogenesis, new tests for measuring virus levels in plasma, and availability of powerful new drugs have combined to transform the care of persons with HIV infecti...

journal_title：Postgraduate medicine

authors： Henry K,Stiffman M,Feldman J

更新日期：1997-10-01 00:00:00

abstract：:More than one half of middle-aged Americans have undesirably high serum lipid levels. Diets high in fiber and carbohydrate and low in fat reduce serum lipid levels two to four times more than the widely recognized American Heart Association diet. High intake of soluble fiber is especially effective for lowering serum ...

journal_title：Postgraduate medicine

authors： Anderson JW,Gustafson NJ

更新日期：1987-09-15 00:00:00

abstract：:Preview Although headaches in elderly patients are usually benign, they are common and some can be life-threatening. Precise diagnosis is imperative for optimum pain management and early detection of underlying organic disorders. Dr Ruoff discusses the primary types of benign headache, current diagnostic criteria, and...

journal_title：Postgraduate medicine

authors： Ruoff GE

更新日期：1993-12-01 00:00:00

abstract：:Male factors play a role in up to half of subfertile couples, contrary to the myth that male factors rarely play a role. In this article, Dr Sandlow counters this and other myths about male infertility and suggests that primary care physicians can increase a couple's chance of conceiving by evaluating for male as well...

journal_title：Postgraduate medicine

authors： Sandlow JI

更新日期：2000-02-01 00:00:00

abstract：:Epileptiform seizures occurred in a 34-year-old woman who was receiving amitriptyline and lithium carbonate therapy for treatment of endogenous depression. While receiving amitriptyline maintenance therapy, she was given lithium on two separate occasions, and despite serum levels of lithium in the therapeutic range, g...

journal_title：Postgraduate medicine

authors： Solomon JG

更新日期：1979-09-01 00:00:00

abstract：:Breast pain is a common, often distressing problem among women. After significant disease is ruled out, most patients respond to simple reassurance. Others, however, require treatment because symptoms interfere with their lifestyle. The authors offer practical suggestions for tailoring treatment for these patients acc...

journal_title：Postgraduate medicine

authors： Steinbrunn BS,Zera RT,Rodriguez JL

更新日期：1997-11-01 00:00:00

abstract：:Pseudomonas aeruginosa infections are a frequent cause of morbidity and mortality in hospitalized patients. Treatment of these infections is complicated by the intrinsic and acquired resistance of this bacterium to many commonly used antimicrobial agents. In this article, Drs Hauser and Sriram argue that careful consi...

journal_title：Postgraduate medicine

authors： Hauser AR,Sriram P

更新日期：2005-01-01 00:00:00

abstract：:One way to nutritionally support patients who cannot swallow is to administer formula directly into the stomach. Placing a gastrostomy tube percutaneously using endoscopy avoids the risks of general anesthesia and wound healing that accompany surgical gastrostomy. Although certain conditions (eg, sepsis, coagulation d...

journal_title：Postgraduate medicine

authors： DiLorenzo J,Dalton B,Miskovitz P

更新日期：1992-01-01 00:00:00

abstract：OBJECTIVE:To describe the efficacy and safety of adjunctive aripiprazole, olanzapine, and quetiapine for major depressive disorder. DATA SOURCES:Published registration study reports, supplemented by clinical trial synopses as disclosed by manufacturers and product labeling. STUDY SELECTION:All available reports of st...

journal_title：Postgraduate medicine

authors： Citrome L

更新日期：2010-07-01 00:00:00

abstract：:The role of reflux in the development of esophagitis, stricture, and Barrett's esophagus is well recognized. However, reflux is not an infrequent cause of atypical chest pain, chronic pulmonary disorders, and pharyngeal and laryngeal changes. Increased insight into the pathogenesis of reflux and the relationship betwe...

journal_title：Postgraduate medicine

authors： Barr LL

更新日期：1996-04-01 00:00:00

abstract：:Evidence from epidemiologic, lipid intervention, and coronary angiographic studies demonstrates the importance of high-density lipoprotein cholesterol (HDL-C) in coronary artery disease (CAD) risk. Data from these studies strongly support the measurement of HDL-C in all patients screened for CAD. Patients with low lev...

journal_title：Postgraduate medicine

authors： Lavie CJ,O'Keefe JH,Blonde L,Gau GT

更新日期：1990-05-15 00:00:00

abstract：:Beta-blockers (beta-blockers) have demonstrated their value across the cardiovascular disease spectrum. Beta-blockers effectively lower blood pressure in patients with hypertension and provide symptomatic or mortality benefits in patients with heart failure and in post-myocardial infarction patients. However, despite ...

journal_title：Postgraduate medicine

authors： Kountz DS

更新日期：2009-01-01 00:00:00

abstract：:Self-monitoring of blood glucose (SMBG) levels provides important information regarding glycemic control for patients with diabetes, and is recommended by European and American diabetes organizations as an essential adjunct to periodic glycated hemoglobin (HbA1c) level monitoring. The benefits of SMBG in improving gly...

journal_title：Postgraduate medicine

authors： Blevins T

更新日期：2013-05-01 00:00:00

abstract：:To aid in making care of HIV-infected patients part of your office routine, Dr Coodley presents here a checklist that combines the various clinical aspects of initial management. Covering the steps from the history to plans for follow-up, this article should allay anxiety and promote confidence in your entire staff by...

journal_title：Postgraduate medicine

authors： Coodley GO

更新日期：1993-03-01 00:00:00

abstract：:Although chronic hepatitis B is a relatively common disease that may have a serious outcome, the outlook is by no means uniformly poor. Alpha interferon therapy may be helpful in up to one third of patients who have hepatitis B e antigen in serum and elevated serum aminotransferase levels. New drugs that may have even...

journal_title：Postgraduate medicine

authors： Di Bisceglie AM

更新日期：1995-07-01 00:00:00

abstract：:The patient with jaundice may be accurately diagnosed through clinical history, physical findings, and noninvasive laboratory and radiologic examinations available in most community hospitals. Ultrasonography is usually the procedure of choice in initial evaluation, but if acute cholecystitis is suspected, hepatobilia...

journal_title：Postgraduate medicine

authors： Marin GA

更新日期：1987-01-01 00:00:00

abstract：:External otitis is directly related to patient habit patterns. It is easily treated, but the habits must be changed to effect permanent cure. Serous otitis media is the most common cause of conductive hearing loss, and its presence my predispose to development of purulent otitis media. Removal of middle ear fluid may ...

journal_title：Postgraduate medicine

authors： Keim RJ

更新日期：1977-05-01 00:00:00

abstract：:Contrary to long-standing mores, what goes on in the person's home is not always sacred. When family relationships break down and family members deal violently with various stresses and problems, intervention is in order. Certain changes in societal attitudes would help prevent the problem. Physicians-alone or working...

journal_title：Postgraduate medicine

authors： Pelton CL

更新日期：1982-11-01 00:00:00

abstract：:With prostate cancer being diagnosed and treated in more than 300,000 men each year, the pool of long-term survivors is dramatically increasing. Because these patients are usually elderly, they are often receiving follow-up care for unrelated problems in a primary care setting. This offers the physician an excellent o...

journal_title：Postgraduate medicine

authors： Freedman A,Hahn G,Love N

更新日期：1996-09-01 00:00:00

abstract：:Regular aerobic exercise has significant cardiovascular benefits, including a reduction in incidence of and mortality from coronary artery disease--probably because of positive effects on blood lipid levels and blood pressure. Aerobic exercise can also be an important adjunct to a weight-loss program. Many persons who...

journal_title：Postgraduate medicine

authors： Mersy DJ

更新日期：1991-07-01 00:00:00

abstract：:Although evidence indicates that the incidence of stroke has declined over the past 30 years, stroke remains one of the leading causes of disability and death in the United States. Prevention appears to be the best treatment. According to the Straub Stroke Registry, 52% of strokes in its patient population can be attr...

journal_title：Postgraduate medicine

authors： Nakano KK

更新日期：1986-09-15 00:00:00

abstract：:Suprapubic bladder puncture was performed 185 times in 126 girls in a private pediatric practice. Cultures of urine obtained by aspiration confirmed symptoms as indicative of urinary tract infection in 59% of instances and confirmed positive cultures of urine obtained by voiding in 57% of instances. Since suprapubic b...

journal_title：Postgraduate medicine

authors： Simon G

更新日期：1982-07-01 00:00:00

abstract：:Unresolved grief refers either to the absence or to the prolongation of normal grief. It is identified by (1) painful response to recall of the deceased, (2) realization of not having accepted the loss or of not being able to grieve, and (3) unaccountable depression, emergence of medical symptoms on the anniversary of...

journal_title：Postgraduate medicine

authors： DeVaul RA,Zisook S

更新日期：1976-05-01 00:00:00