Delivering value: provider efforts to improve the quality and reduce the cost of health care.

abstract：:This brief review highlights the rise in asthma mortality witnessed in many countries. It outlines the multifactorial character of this phenomenon, which in most instances is a complex interplay between physician, patient, and environment. The pathophysiology of airflow obstruction and in particular the role of hyperi...

journal_title：Annual review of medicine

authors： FitzGerald JM,Macklem P

更新日期：1996-01-01 00:00:00

abstract：:Until recently, platelet production was the least understood aspect of blood cell development. This gap in our understanding resulted from the scarcity of megakaryocytes, the marrow precursor of blood platelets, and from confusion surrounding the cytokines and hormones that support their development. The recent clonin...

journal_title：Annual review of medicine

authors： Kaushansky K

更新日期：1997-01-01 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：:Invasive electrophysiologic studies are used to guide drug and non-pharmacologic therapy, including surgery, in patients with ventricular tachycardia. We discuss the indications, methods, and results of electrophysiologic studies in these patients. Both catheter and intraoperative studies are described. This approach ...

journal_title：Annual review of medicine

authors： Freedman RA,Anderson KP,Mason JW

更新日期：1986-01-01 00:00:00

abstract：:Significant progress has been made in identifying changes in cholinergic, monoaminergic, and peptidergic neurotransmitter systems in the brains of individuals with Alzheimer's disease. Moreover, neurobiological approaches are beginning to reveal the relationships between these neurotransmitter abnormalities and histol...

journal_title：Annual review of medicine

authors： Price DL,Whitehouse PJ,Struble RG

更新日期：1985-01-01 00:00:00

abstract：:The genomic era is changing the understanding of cancer, although translation of the vast amount of data available into decision-making algorithms is far from reality. Molecular profiling of hepatocellular carcinoma (HCC), the most common cause of death among cirrhotic patients and a fast-growing malignancy in Western...

journal_title：Annual review of medicine

authors： Villanueva A,Minguez B,Forner A,Reig M,Llovet JM

更新日期：2010-01-01 00:00:00

abstract：:Paget's disease affects approximately 3% of the population over age forty. It may be genetically transmitted (autosomal-dominant), but recent evidence suggests a viral etiology. Effective agents for control of the disorder have been developed over the past decade, but all have significant drawbacks. Calcitonin tends t...

journal_title：Annual review of medicine

authors： Ryan WG

更新日期：1977-01-01 00:00:00

abstract：:Stress and starvation, especially when complicated by sepsis, will give rise to a rapid erosion of the cellular mass, which significantly affects morbidity and mortality. The best clinical evaluation of the nutritional state is obtained from the medical history and the physical examination. In the patient who cannot e...

journal_title：Annual review of medicine

authors： Shizgal HM

更新日期：1991-01-01 00:00:00

abstract：:Epidermolysis bullosa is a group of genetically determined diseases characterized by abnormal fragility of the skin and mucosa. In this chapter, we review current thinking about classification, pathogenesis, and molecular genetics, and we discuss management guidelines. ...

journal_title：Annual review of medicine

authors： Lin AN,Carter DM

更新日期：1993-01-01 00:00:00

abstract：:Cystic fibrosis (CF) lung disease reflects the failure of airways defense against chronic bacterial infection. Studies of CF cultures, transgenic mice, and CF patients suggest that the initiating event in CF airways disease pathogenesis is reduced airway surface liquid (ASL) volume, i.e., dehydration. CF ASL volume re...

journal_title：Annual review of medicine

authors： Boucher RC

更新日期：2007-01-01 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：:Thyroid cancer is rapidly increasing in incidence, but the mortality rate remains flat. Debate has arisen over the need to detect or treat most thyroid cancers early, given their favorable natural history. The appropriate extent of surgery for thyroid cancer is also controversial: some researchers advocate partial and...

journal_title：Annual review of medicine

authors： Carling T,Udelsman R

更新日期：2014-01-01 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：:Atrial flutter is a macroreentrant tachyarrhythmia most often contained within the right atrium. Typical atrial flutter is defined on an electrocardiogram by the classic "sawtooth" pattern of flutter waves with negative polarity in leads II, III, and aVF. In contrast to atrial fibrillation, which is sustained by multi...

journal_title：Annual review of medicine

authors： Daoud EG,Morady F

更新日期：1998-01-01 00:00:00

abstract：:Infantile autism probably has many etiologies. Several specific genetic disorders appear to be associated with the syndrome much more often than would be expected by chance, but these account for only a minority of cases. In the majority of cases, where etiology is still unknown, genetic factors probably also play a r...

journal_title：Annual review of medicine

authors： Folstein SE

更新日期：1985-01-01 00:00:00

abstract：:Fecal microbiota transplantation (FMT) is a well-established treatment for recurrent Clostridioides difficile infection. FMT has become a more readily available and useful new treatment option as a result of stool banks. The current state of knowledge indicates that dysbiosis of the gut microbiota is implicated in sev...

journal_title：Annual review of medicine

authors： Ooijevaar RE,Terveer EM,Verspaget HW,Kuijper EJ,Keller JJ

更新日期：2019-01-27 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：: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：:Improved immunosuppressive regimens, advances in surgical proficiency and techniques, and improved supportive medical care have translated into dramatic increases in graft survival in organ transplantation and in patient outcome in bone marrow transplantation. Though effective immunosuppression has also led to an incr...

journal_title：Annual review of medicine

authors： Robbins RA,Floreani AA,Buchalter SE,Spurzem JR,Sisson JH,Rennard SI

更新日期：1992-01-01 00:00:00

abstract：:Techniques of recombinant DNA and molecular biology have recently been applied to the study of hepatitis B virus (HBV) in human tissues and have enhanced our knowledge of viral persistence and chronic liver disease. These molecular studies strengthen previous epidemiologic evidence for an association between HBV chron...

journal_title：Annual review of medicine

authors： Shafritz DA,Lieberman HM

更新日期：1984-01-01 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：: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

abstract：:5-Azacytidine transiently augments fetal hemoglobin production in patients with beta-thalassemia or sickle cell anemia. This change would probably be beneficial to such patients (e.g. a normal fetal gene product is substituted for a deficient or defective adult gene product) if HbF production could be sustained at hig...

journal_title：Annual review of medicine

authors： Ley TJ,Nienhuis AW

更新日期：1985-01-01 00:00:00

abstract：:Macrophage activation syndrome (MAS) is an acute episode of overwhelming inflammation characterized by activation and expansion of T lymphocytes and hemophagocytic macrophages. In rheumatology, it occurs most frequently in patients with systemic juvenile idiopathic arthritis (SJIA) and systemic lupus erythematosus. Th...

journal_title：Annual review of medicine

authors： Schulert GS,Grom AA

更新日期：2015-01-01 00:00:00

abstract：:In 2012, a zoonotic coronavirus was identified as the causative agent of Middle East respiratory syndrome and was named MERS coronavirus (MERS-CoV). As of August 11, 2016, the virus has infected 1,791 patients, with a mortality rate of 35.6%. Although MERS-CoV generally causes subclinical or mild disease, infection ca...

journal_title：Annual review of medicine

authors： Fehr AR,Channappanavar R,Perlman S

更新日期：2017-01-14 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：:Arrhythmogenic right ventricular cardiomyopathy (ARVC) is an inherited heart disease characterized by fibrofatty replacement of the ventricular myocardium, a high risk of ventricular arrhythmias, and progressive ventricular dysfunction. The clinical course is highly variable, and optimal approaches to management remai...

journal_title：Annual review of medicine

authors： James CA,Calkins H

更新日期：2019-01-27 00:00:00

abstract：:Hypertensive disorders (gestational hypertension, preeclampsia, chronic hypertension, superimposed preeclampsia) are the most common medical complications of pregnancy and constitute a major cause of maternal and perinatal morbidity and mortality. Prediction of those women destined to develop preeclampsia remains elus...

journal_title：Annual review of medicine

authors： Witlin AG,Sibai BM

更新日期：1997-01-01 00:00:00

abstract：:Solid tumors derived from epithelial tissues (carcinomas) are responsible for 90% of all new cancers in Europe, and the main four tumor entities are breast, prostate, lung, and colon cancer. Present tumor staging is mainly based on local tumor extension, metastatic lymph node involvement, and evidence of overt distant...

journal_title：Annual review of medicine

authors： Alix-Panabières C,Schwarzenbach H,Pantel K

更新日期：2012-01-01 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