Vaccination update. Hib, hepatitis, polio, varicella, influenza, pneumococcal and meningococcal disease.

abstract：:Gastroesophageal reflux provokes asthma in many patients. Conversely, asthma predisposes to gastroesophageal reflux. In many patients, reflux therapy will ameliorate asthma. Recognition of this relationship is facilitated by physician awareness, clinical history, selected laboratory tests, and ultimately, a careful mo...

journal_title：Postgraduate medicine

authors： Mansfield LE

更新日期：1989-07-01 00:00:00

abstract：:An exploratory subgroup analysis of a prospective, randomized, double-blind, forced-titration study comparing the efficacy and safety of once-daily olmesartan medoxomil (OM) and losartan potassium (LOS) in patients with stage 1 or stage 2 hypertension is reported. After a 3- to 4-week placebo run-in period, eligible p...

journal_title：Postgraduate medicine

authors： Flack JM,Graff A,Li W,Chavanu KJ

更新日期：2012-05-01 00:00:00

abstract：PURPOSE:To evaluate patient access, provider productivity, and patient satisfaction during a 24-month redesign process of an academic medical center, which requires balance between clinical and educational missions. METHODS:A series of activities were conducted to optimize primary care across 17 attending physicians, ...

journal_title：Postgraduate medicine

authors： Egede LE,Walker RJ,Nagavally S,Thakkar M,O'Sullivan M,Stulac Motzel W

更新日期：2020-09-01 00:00:00

abstract：:Drug acquisition cost is an important component in the analysis of economic and clinical outcomes in the treatment of respiratory tract infections (RTIs). However, bacterial resistance has emerged as a crucial variable that must also be considered. Drug-resistant infections result in more expensive drug therapy, longe...

journal_title：Postgraduate medicine

authors： Rapp RP

更新日期：2002-09-01 00:00:00

abstract：BACKGROUND:In October 2012, the American College of Rheumatology (ACR) published recommendations for chronic gout treatment goals and pharmacotherapy. OBJECTIVES:Identify potential gaps between real-world chronic gout treatment, ACR guideline recommendations, and physicians' perceived guideline adherence by evaluating...

journal_title：Postgraduate medicine

authors： Oderda GM,Shiozawa A,Walsh M,Hess K,Brixner DI,Feehan M,Akhras K

更新日期：2014-05-01 00:00:00

abstract：:Infective endocarditis refers to infection of the endocardium or heart valves by microbes, resulting in tissue destruction. Clinical presentation is quite variable, and a high level of suspicion is essential for recognition. Diagnosis is dependent on identification of the causative agent in blood cultures. Cultures th...

journal_title：Postgraduate medicine

authors： Nunley DL,Perlman PE

更新日期：1993-04-01 00:00:00

abstract：:Review of: Wallentin L, Becker RC, Budaj A, et al. Ticagrelor versus clopidogrel in patients with acute coronary syndromes. N Eng J Med 2009; 361(11): 1045-1057. For acute coronary syndrome (ACS), a dual antiplatelet regimen comprised of treatment with aspirin and either P2Y12 adenosine diphosphate receptor antagonist...

journal_title：Postgraduate medicine

authors： Amico F,Amico A,Mazzoni J,Moshiyakhov M,Tamparo W

更新日期：2016-01-01 00:00:00

abstract：:In acutely injured patients, recognition of profound shock may be difficult initially. Ensuring adequate oxygenation, restoring intravascular volume, and controlling ongoing blood loss are key principles of treatment in these patients. Additionally, an appreciation for and recognition of the possible adverse consequen...

journal_title：Postgraduate medicine

authors： Phillips GR 3rd,Kauder DR,Schwab CW

更新日期：1994-03-01 00:00:00

abstract：:Oxygen therapy is tremendously valuable for patients with chronic respiratory insufficiency. A physician's prescription is needed to obtain Medicare, Medicaid, or insurance-company reimbursement, and certain guidelines must be followed: Patients are selected if significant hypoxemia is present, appropriate pharmacolog...

journal_title：Postgraduate medicine

authors： Petty TL

更新日期：1988-11-01 00:00:00

abstract：BACKGROUND:This study aimed to determine if there is an association between lipid levels, serum albumin, and C-reactive protein (CRP) levels in patients on dialysis. METHODS:Lipid profiles, albumin, and CRP levels were collected after a 12-hour fast from patients with end-stage renal disease (N = 105) who were on chro...

journal_title：Postgraduate medicine

authors： Bowden RG,Wilson RL

更新日期：2010-05-01 00:00:00

abstract：:Aspiration results from abnormal structure or from dysfunction during the oral, pharyngeal, or esophageal stage of deglutition. Chemically induced inflammation of the lungs and obstruction of the airways may ensue. Feeding and swallowing problems may occur at any age, but they are particularly prevalent in the elderly...

journal_title：Postgraduate medicine

authors： Khawaja IT,Buffa SD,Brandstetter RD

更新日期：1992-07-01 00:00:00

abstract：:Considering that over half of Americans will die from cardiovascular disease, the over-whelming majority of those deaths being from atherosclerosis, we need to accept and act on the vast body of information derived from investigation of coronary risk factors. Identification of persons at risk needs to be done early--w...

journal_title：Postgraduate medicine

authors： Glatter TR

更新日期：1984-11-01 00:00:00

abstract：:Scleroderma is no longer the diagnostic or therapeutic dilemma it previously was. New diagnostic techniques facilitate earlier diagnosis, and many symptoms are amenable to treatment. ...

journal_title：Postgraduate medicine

authors： Phillips RM Jr,Wasner CK

更新日期：1981-09-01 00:00:00

abstract：:In view of all the controversy surrounding travelers' diarrhea, how should patients be counseled regarding its prevention and treatment? First, all patients should be instructed on the importance of eating and drinking only safe food and water and on methods of dietary manipulation and oral rehydration therapy. The tr...

journal_title：Postgraduate medicine

authors： Lange WR,Kreider S

更新日期：1985-03-01 00:00:00

abstract：:Anemia is one of the consistent findings with inflammation. Whether the anemia is helpful or harmful in the general context of the illness is unclear. It may be recognized by demonstration of iron-deficient erythropoiesis due to an internal block in iron supply. Only when its severity is disproportionate to the severi...

journal_title：Postgraduate medicine

authors： Finch CA

更新日期：1978-10-01 00:00:00

abstract：:Primary prophylaxis is advisable for all patients with moderate-sized or large esophageal varices. After the first episode of bleeding, secondary prophylaxis should be initiated to prevent rebleeding. Multiple treatment modalities are available for each circumstance. Optimal regimens have not yet been established but ...

journal_title：Postgraduate medicine

authors： Shah VH,Kamath P

更新日期：2006-09-01 00:00:00

abstract：:The incidence of nonmelanoma skin cancer is rapidly increasing. With early diagnosis and treatment, almost all basal cell and squamous cell carcinomas can be cured. Premalignant actinic keratoses are treated with cryosurgery; the CO2 laser is the treatment of choice for actinic cheilitis. Generally, nonmelanoma skin c...

journal_title：Postgraduate medicine

authors： Kibarian MA,Hruza GJ

更新日期：1995-12-01 00:00:00

abstract：:Abdominal paracentesis is a useful and safe technique in the evaluation of ascites. The withdrawn ascitic fluid should be routinely analyzed for appearance, blood cell count, and amylase and total protein concentrations; examined cytologically; and cultured. Results should either substantiate the clinical diagnosis or...

journal_title：Postgraduate medicine

authors： Babb RR

更新日期：1978-05-01 00:00:00

abstract：:In most cases, patients presenting with "the worst headache ever" are found to have a benign condition, notably migraine, toxic vascular headache, or exertion-induced headache. However, ominous causes first must be excluded by appropriate investigation, such as computed tomographic or magnetic resonance imaging scans ...

journal_title：Postgraduate medicine

authors： Edmeads J

更新日期：1989-07-01 00:00:00

abstract：:Preview The success of calcium channel antagonists in controlling hypertension, angina pectoris, and arrhythmias is well known. In recent years, second-generation agents have been introduced that are also effective against migraine headaches and Raynaud's phenomenon and appear to improve atherosclerosis and congestive...

journal_title：Postgraduate medicine

authors： Salerno SM,Zugibe FT Jr

更新日期：1994-01-01 00:00:00

abstract：:GRATEFUL MED is a computer program for searching the medical literature, designed with the novice in mind. It contains an extensive list of medical subject headings, so the user does not have to page through an index of key words before starting the search. Because of its efficiency and ease of operation, the program ...

journal_title：Postgraduate medicine

authors： Schell CL,Rathe RJ

更新日期：1988-01-01 00:00:00

abstract：:Heart transplantation is the treatment of choice for a select group of patients with end-stage heart failure. Survival rates have increased and complication rates have decreased due to better immunosuppressive agents, improvement in organ procurement and surgical technique, and overall increase in experience for perfo...

journal_title：Postgraduate medicine

authors： Kansara P,Kobashigawa JA

更新日期：2012-07-01 00:00:00

abstract：:The sexual addiction model enables physicians to understand the self-destructive behavior of patients whose actions may otherwise appear inexplicable. When a person is preoccupied with sex and continues to engage in compulsive sexual activity despite adverse consequences (eg, loss of marriage, job, health, freedom), h...

journal_title：Postgraduate medicine

authors： Schneider JP

更新日期：1991-11-01 00:00:00

abstract：:Preview Severe metabolic complications of diabetes mellitus are a common cause of morbidity and death in both type I and type II disease. The distinctions between diabetic ketoacidosis and hyperosmolar nonketotic state are clearly defined, and accurate recognition is important for proper treatment. This article focuse...

journal_title：Postgraduate medicine

authors： Gonzalez-Campoy JM,Robertson RP

更新日期：1996-06-01 00:00:00

abstract：:When a patient presents with a hard, painless lump in the neck, one should assume that it is a cancer and that it is metastatic from a primary lesion located above the clavicle. A careful physical examination with the appropriate instruments most often will determine the site of the primary lesion. Laryngograms or lat...

journal_title：Postgraduate medicine

authors： Devine KD

更新日期：1975-05-01 00:00:00

abstract：OBJECTIVES:Lorcaserin is a selective 5-HT2C (5-hydroxytryptamine 2C) receptor agonist indicated for weight management. Here, we assess the impact of lorcaserin on progression from prediabetes to type 2 diabetes (T2D) and on reversion from prediabetes to euglycemia. METHODS:This is a post hoc analysis of pooled data fr...

journal_title：Postgraduate medicine

authors： Nesto R,Fain R,Li Y,Shanahan W

更新日期：2016-05-01 00:00:00

abstract：OBJECTIVE:There is a need to identify safe and effective opioid-sparing multimodal alternative treatment strategies and approaches, including topical analgesics, for opioid-experienced chronic pain patients to mitigate the risk of addiction, misuse, and abuse of opioids. METHODS:This subset analysis from a prospective...

journal_title：Postgraduate medicine

authors： Gudin JA,Brennan MJ,Harris ED,Hurwitz PL,Dietze DT,Strader JD

更新日期：2018-01-01 00:00:00

abstract：:Theophylline has long been a cornerstone of bronchodilator therapy for asthma and chronic obstructive lung disease, but until recently its use carried the risk of serious, even fatal, toxicity. With recent advances in understanding of this drug's pharmacologic properties and pharmacokinetic characteristics, serious to...

journal_title：Postgraduate medicine

authors： Uden DL,Wyatt RA,Zaske DE

更新日期：1984-06-01 00:00:00

abstract：:Thymomas may be discovered during routine evaluation, through reported symptoms, or increasingly, during evaluation for myasthenia gravis. Histologic details of these tumors have little bearing on prognosis or evaluation of malignant potential. Malignancy is determined by evidence of invasion through the tumor capsule...

journal_title：Postgraduate medicine

authors： Cohen DJ

更新日期：1986-03-01 00:00:00

abstract：:Nonalcoholic fatty liver disease (NAFLD) is quickly emerging as a global epidemic in parallel with the rise in obesity and the Metabolic Syndrome. NAFLD, once seen simply as a passive consequence of the Metabolic Syndrome (MetS), has been found to interact with other features of MetS to exacerbate insulin resistance, ...

journal_title：Postgraduate medicine

authors： Jensen T,Wieland A,Cree-Green M,Nadeau K,Sullivan S

更新日期：2019-01-01 00:00:00