The current management of carcinoma of the head of the pancreas.

abstract：:New insights into atherosclerosis, the most common disease affecting coronary arteries, may change therapeutic strategies from largely symptomatic to causal. Atherosclerotic plaques contain a lipid-related, immune-mediated inflammation, with release of secretory products capable of changing plaque morphology. Plaques ...

journal_title：Annual review of medicine

authors： Becker AE,de Boer OJ,van Der Wal AC

更新日期：2001-01-01 00:00:00

abstract：:Post-transplant lymphoproliferative disorder (PTLD) is a life-threatening complication after hematopoietic stem cell or solid organ transplantation. The majority of PTLD is of B-cell origin and associated with Epstein-Barr virus (EBV). During the past decade progress has been made in better understanding the pathogene...

journal_title：Annual review of medicine

authors： Gottschalk S,Rooney CM,Heslop HE

更新日期：2005-01-01 00:00:00

abstract：:The overexpression and aberrant function of members of the erbB family of receptors, particularly erbB1 (also known as epidermal growth factor receptor), and its ligands in many human cancers have provided a rationale for targeting this signaling network with novel approaches. erbB1 is a selective target for inhibitin...

journal_title：Annual review of medicine

authors： Rowinsky EK

更新日期：2004-01-01 00:00:00

abstract：:The familial nature of multiple endocrine neoplasia syndromes (FMEN) has been recognized for some time but little is known about their cause. Recent application of new molecular techniques has mapped FMEN syndromes to specific chromosomes and provided evidence for the mechanism through which neoplasia occurs. In this ...

journal_title：Annual review of medicine

authors： Nanes MS,Catherwood BD

更新日期：1992-01-01 00:00:00

abstract：:1. Patients should be divided preoperatively into low- or high-risk categories, depending on their probability of developing postoperative pulmonary complications. The evaluation should include spirometry as well as an assessment of the previously defined risk factors. 2. Patients in a low-risk category need only inst...

journal_title：Annual review of medicine

authors： Pierce AK,Robertson J

更新日期：1977-01-01 00:00:00

abstract：:Tuberculosis (TB) remains an important public health problem worldwide, resulting in a estimated 8 to 10 million new cases and 2 to 3 million deaths each year. Between 1953 and 1985, the number of TB cases in the US declined by an average of 6% per year. However, since 1985, TB has been increasing in the US. Approxima...

journal_title：Annual review of medicine

authors： Huebner RE,Castro KG

更新日期：1995-01-01 00:00:00

abstract：:The selective distal splenorenal shunt has been shown to be equally as effective as total portal-systemic shunting procedures in the control of variceal hemorrhage and it can now be performed with an equivalent operative mortality. It is superior to other shunts in metabolic aspects and results in a markedly decreased...

journal_title：Annual review of medicine

authors： Smith RB 3rd,Warren WD

更新日期：1975-01-01 00:00:00

abstract：:The International HapMap Project produced a genome-wide database of human genetic variation for use in genetic association studies of common diseases. The initial output of these studies has been overwhelming, with over 150 risk loci identified in studies of more than 60 common diseases and traits. These associations ...

journal_title：Annual review of medicine

authors： Manolio TA,Collins FS

更新日期：2009-01-01 00:00:00

abstract：:Complementary and alternative medicine (CAM) consists of diverse clinical interventions that are practiced because of their popularity rather than the prior demonstration of safety and efficacy required for conventional agents. CAM therapies can be grouped into five categories: biologically based therapies, manipulati...

journal_title：Annual review of medicine

authors： Berman JD,Straus SE

更新日期：2004-01-01 00:00:00

abstract：:The basis of the current treatment of rectal cancer is a radical total mesorectal excision of the rectum, and although this provides excellent oncological control, it is associated with morbidity and functional problems in cancer survivors. Organ-preservation alternatives are local excision alone for very early tumors...

journal_title：Annual review of medicine

authors： Beets GL,Figueiredo NF,Beets-Tan RG

更新日期：2017-01-14 00:00:00

abstract：:CCR5 antagonists inhibit HIV-1 entry by blocking the interaction of HIV-1 with the CCR5 cellular receptor. In patients with established HIV-1 infection, some viral strains use an alternative coreceptor for HIV-1 entry, CXCR4; CCR5 antagonists are not effective in patients harboring these viral strains. Coreceptor trop...

journal_title：Annual review of medicine

authors： Wilkin TJ,Gulick RM

更新日期：2012-01-01 00:00:00

abstract：:The role of the complement system in mediating human renal disease has long been recognized in immune-complex excess syndromes such as systemic lupus erythematosus and in dense deposit disease in which no immunoglobulin (Ig) is present. Over the past 15 years, mutations in complement regulatory genes have been demonst...

journal_title：Annual review of medicine

authors： Java A,Atkinson J,Salmon J

更新日期：2013-01-01 00:00:00

abstract：:Both genetic and environmental factors contribute to the etiology of non-insulin-dependent diabetes. The genetic component is heterogeneous and in some patients is probably complex, involving multiple genes. Specific genetic defects have been identified for rate monogenic forms of NIDDM: maturity-onset diabetes of the...

journal_title：Annual review of medicine

authors： Kahn CR,Vicent D,Doria A

更新日期：1996-01-01 00:00:00

abstract：:Acute renal failure is a serious consequence of renal ischemia. The diagnosis carries an associated high mortality rate. When blood flow to the kidneys is inadequate to supply metabolic demands, a number of pathophysiological changes occur that ultimately result in cell death and tissue dysfunction, characterized by a...

journal_title：Annual review of medicine

authors： Bonventre JV

更新日期：1988-01-01 00:00:00

abstract：:Major inhalational anesthetics cause inhibition in the electron transport chain in the region of Complex I resulting in decreased oxygen utilization, inhibition of metabolism of NAD-linked substrates, but not of succinate, inhibition of mitochondrial calcium uptake, and depression of synaptic transmission because of p...

journal_title：Annual review of medicine

authors： Brunner EA,Cheng SC,Berman ML

更新日期：1975-01-01 00:00:00

abstract：:Pathogenesis of thrombotic thrombocytopenic purpura (TTP) was a mystery for over half a century until the discovery of ADAMTS13. ADAMTS13 is primarily synthesized in the liver, and its main function is to cleave von Willebrand factor (VWF) anchored on the endothelial surface, in circulation, and at the sites of vascul...

journal_title：Annual review of medicine

authors： Zheng XL

更新日期：2015-01-01 00:00:00

abstract：:The National Diabetes Data Group and the World Health Organization recently made recommendations concerning the classification of diabetes mellitus and proposed new diagnostic criteria. These recommendations are summarized and their bases elucidated. Certain discrepancies between the recommendations are apparent and t...

journal_title：Annual review of medicine

authors： Bennett PH

更新日期：1983-01-01 00:00:00

abstract：:Clostridium difficile infection is associated with broad-spectrum antibiotic therapy and is the most common cause of infectious diarrhea in hospital patients. Pathogenic strains of C. difficile produce two protein exotoxins, toxin A and toxin B, which cause colonic mucosal injury and inflammation. Infection may be asy...

journal_title：Annual review of medicine

authors： Kelly CP,LaMont JT

更新日期：1998-01-01 00:00:00

abstract：:Cyclosporine-A is primary therapy for organ transplantation. Its immunosuppressive effect might suggest a therapeutic role in autoimmune diseases, including several idiopathic and secondary glomerular conditions. Various forms of idiopathic nephrotic syndrome, including focal segmental glomerulosclerosis (FSGS), minim...

journal_title：Annual review of medicine

authors： Klein M,Radhakrishnan J,Appel G

更新日期：1999-01-01 00:00:00

abstract：:The intestinal immune system has the challenge of maintaining both a state of tolerance toward intestinal antigens and the ability to combat pathogens. This balance is partially achieved by reciprocal regulation of proinflammatory, effector CD4(+) T cells and tolerizing, suppressive regulatory T cells. Inflammatory bo...

journal_title：Annual review of medicine

authors： Abraham C,Cho JH

更新日期：2009-01-01 00:00:00

abstract：:Cardiac resynchronization therapy (CRT) is well established as a treatment for patients with moderate to severe heart failure on optimal medical therapy. Early studies demonstrated improved functional capacity and evidence of reverse remodeling; more recently, CRT has been associated with a survival benefit in advance...

journal_title：Annual review of medicine

authors： Hasan A,Abraham WT

更新日期：2007-01-01 00:00:00

abstract：:An effective host response to infection or tissue damage requires focal accumulation of leukocytes. Leukocyte adhesion to the vessel wall, a key step in this process, depends on the ordered expression of specific endothelial cell surface molecules. The endothelial molecules that support adhesion include selectins that...

journal_title：Annual review of medicine

authors： Bevilacqua MP,Nelson RM,Mannori G,Cecconi O

更新日期：1994-01-01 00:00:00

abstract：:Airway hyperresponsiveness to a large number of stimuli is a characteristic of asthma in humans. Various components of the tracheobronchial tree might contribute to this characteristic, such as smooth muscle, the bronchial epithelium, various neurohumoral mechanisms, and the mechanical linkages between the lung parenc...

journal_title：Annual review of medicine

authors： Ingram RH Jr

更新日期：1991-01-01 00:00:00

abstract：:Implantable cardiac pacing and defibrillation devices are effective and commonly used therapies for patients with cardiac rhythm disorders. Because device implantation is not easily reversible, as well as the high healthcare costs inherent in device use, a clear understanding of the clinical benefits relative to costs...

journal_title：Annual review of medicine

authors： Groeneveld PW,Dixit S

更新日期：2017-01-14 00:00:00

abstract：:Idiopathic thrombocytopenic purpura (ITP) is a common hematologic disorder manifested by immune-mediated thrombocytopenia. The diagnosis remains one of exclusion, after other thrombocytopenic disorders are ruled out based on history, physical examination, and laboratory evaluation. The goal of treatment is to raise th...

journal_title：Annual review of medicine

authors： Cines DB,McMillan R

更新日期：2005-01-01 00:00:00

abstract：:The incidence of esophageal adenocarcinoma (EAC) has risen dramatically over the past three decades in western countries. The importance of Barrett's esophagus (BE) derives from its potential to transform to adenocarcinoma. BE is characterized by endoscopically recognized displacement of the squamocolumnar junction pr...

journal_title：Annual review of medicine

authors： Bresalier RS

更新日期：2009-01-01 00:00:00

abstract：:Racial and ethnic disparities span the continuum of cancer care and are driven by a complex interplay among social, psychosocial, lifestyle, environmental, health system, and biological determinants of health. Research is needed to identify these determinants of cancer health disparities and to develop interventions t...

journal_title：Annual review of medicine

authors： Freedman JA,Al Abo M,Allen TA,Piwarski SA,Wegermann K,Patierno SR

更新日期：2021-01-27 00:00:00

abstract：:Preeclampsia, a major cause of fetal and maternal morbidity and mortality, may be difficult to distinguish clinically from other hypertensive disorders of pregnancy. Signs helpful in its diagnosis include presentation during late gestation in a nullipara with edema and proteinuria, and one or more of the following: he...

journal_title：Annual review of medicine

authors： Lindheimer MD,Katz AI

更新日期：1989-01-01 00:00:00

abstract：:It is clear from the preceding material that bacterial infection is a significant threat to the newborn infant. The most common gram-negative organism causing meningitis in the neonate is E. coli, and the invasive capacity of this organism is correlated with its polysaccharide antigen, K1. Careful studies of supportiv...

journal_title：Annual review of medicine

authors： Wilfert CM

更新日期：1978-01-01 00:00:00

abstract：:In the practice of internal medicine, the value of genetic testing in common (mono)genetic diseases such as familial hemochromatosis, hypercholesterolemia, Mediterranean fever, and thrombophilia is limited. The genotype insufficiently predicts the phenotype because of the powerful effects of other modifying genes, env...

journal_title：Annual review of medicine

authors： Lamberts SW,Uitterlinden AG

更新日期：2009-01-01 00:00:00