Intensive glycemic control and cardiovascular disease: are there patients who may benefit?

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：:Stenosis in the right common iliac artery of a 61-year-old man was manifested as pain in the right leg and foot and cyanosis of the second and third toes. Dilatation of the lesion was performed using a Grüntzig catheter; arteriography and measurement of femoral artery pressure confirmed a successful result. The patien...

journal_title：Postgraduate medicine

authors： Mathis JM,Goncharenko V,Zelenik ME

更新日期：1980-09-01 00:00:00

abstract：:Books received are listed as space permits, and those of particular interest to our readers are reviewed. ...

journal_title：Postgraduate medicine

authors： Scott D

更新日期：1985-10-01 00:00:00

abstract：:In a case of rheumatic disease, the patient's history and a careful physical examination should yield most of the information needed to identify the specific disorder present. A convenient classification is based on four differentiating features: number of joints affected, acuteness or chronicity of disease, absence o...

journal_title：Postgraduate medicine

authors： Weiss TE,Gum OB,Biundo JJ Jr

更新日期：1976-12-01 00:00:00

abstract：:A varied and balanced diet is usually adequate to meet the energy, protein, vitamin, and mineral requirements of adults and the elderly. However, some high-risk groups may require supplementation or special dietary recommendations. Some examples are persons on a weight-loss diet, alcoholics, premenopausal women, women...

journal_title：Postgraduate medicine

authors： Fahey PJ,Boltri JM,Monk JS

更新日期：1987-05-01 00:00:00

abstract：:Platelets play a key role in the initiation of hemostatic mechanisms during vascular injury. When contemplating prescription of antiplatelet agents (APAs) for patients as primary prevention for cardiovascular events, the physician should carefully weigh the potential benefits of cardiovascular risk reduction with the ...

journal_title：Postgraduate medicine

authors： Acharji S,Lakshmanadoss U,Rudzinski W,Stapleton DD,Kaluski E

更新日期：2013-09-01 00:00:00

abstract：:Most changes that occur in the aging face are related to gravity working on skin that is becoming progressively thinner, drier, and less elastic. Exposure to sunlight hastens these changes, and protection from the sun is the only proved way to delay them. Dermabrasion, chemabrasion, and collagen implant (Zyderm) injec...

journal_title：Postgraduate medicine

authors： Larrabee WF Jr,Caro I

更新日期：1984-11-15 00:00:00

abstract：:In public whirlpools, low disinfectant levels and inadequate monitoring are clearly a public health concern. Implementing guidelines published by the Centers for Disease Control seems to be the most reasonable approach to preventing dermatitis in persons who use these facilities. Physicians should be on the alert for ...

journal_title：Postgraduate medicine

authors： Breitenbach RA

更新日期：1991-09-01 00:00:00

abstract：OBJECTIVE:This study aims to compare the effectiveness of insulin glargine 300 U/mL (Gla-300) with its accompanying patient support program with that of other basal insulin and available patient support programs in patients with type 2 diabetes (T2D) in a real-world setting in terms of achieving HEDIS (Healthcare Effec...

journal_title：Postgraduate medicine

authors： Oster G,Sullivan SD,Dalal MR,Kazemi MR,Rojeski M,Wysham CH,Sung J,Johnstone B,Cali AM,Wei LJ,Traylor L,Anhalt H,Hull M,Van Vleet J,Meneghini LF

更新日期：2016-11-01 00:00:00

abstract：:Preview An elevated serum calcium level requires thorough investigation. Is hyperparathyroidism at the root of the abnormality? Malignant disease? Vitamin toxicity? In this article, Dr Kaye discusses clinical evaluation of hypercalcemia and outlines pharmacologic therapy, surgical intervention, and other treatment opt...

journal_title：Postgraduate medicine

authors： Kaye TB

更新日期：1995-01-01 00:00:00

abstract：:Oat cell carcinoma is the one variety of primary lung cancer which is sufficiently responsive to a variety of drugs and drug combinations that a very high rate of response and significant prolongation of survival can be consistently achieved. The question of whether anyone has been "cured" by drug treatment awaits mor...

journal_title：Postgraduate medicine

authors： Golbey RB

更新日期：1978-02-01 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：:Diagnosing acute otitis media (AOM) is quite challenging for physicians and especially other healthcare providers. Although the new guidelines from the American Academy of Pediatrics/American Academy of Family Physicians provide some guidance for making the correct diagnosis of AOM, overdiagnosis will still remain a p...

journal_title：Postgraduate medicine

authors： Block SL

更新日期：2005-12-01 00:00:00

abstract：:Sjögren's syndrome is a chronic, systemic, autoimmune inflammatory disorder characterized by lymphocytic infiltration of exocrine glands, most notably the salivary and lacrimal glands. It results in loss of functional epithelium, diminished exocrine function, and gradual onset of dryness of the eyes, mouth, and other ...

journal_title：Postgraduate medicine

authors： Derk CT,Vivino FB

更新日期：2004-09-01 00:00:00

abstract：:Diabetic foot infections (DFIs) are a commonly encountered medical problem. They are associated with an increased frequency and length of hospitalization and risk for lower-extremity amputation. Furthermore, they have substantial economic consequences. Patients with diabetes mellitus are particularly susceptible to fo...

journal_title：Postgraduate medicine

authors： Bader MS,Brooks A

更新日期：2012-03-01 00:00:00

abstract：:Pulmonary artery hypertension (PAH) refers to several subgroups of disease in which the mean pulmonary artery pressure (mPAP) is elevated to more than 25 mm Hg, pulmonary artery wedge pressure (PAWP) ≤ 15 mmHg, and an elevated pulmonary vascular resistance (PVR) > 3 Wood units as confirmed by right heart catheterizati...

journal_title：Postgraduate medicine

authors： Velayati A,Valerio MG,Shen M,Tariq S,Lanier GM,Aronow WS

更新日期：2016-06-01 00:00:00

abstract：:Asthma is a common and eminently treatable disease. Most asthma patients are initially seen by primary care physicians, who are likely to have a significant part in management. Research has provided physicians with a better understanding of the pathophysiologic basis of asthma and new antiasthma agents. Guidelines hav...

journal_title：Postgraduate medicine

authors： Keenan JM

更新日期：1998-03-01 00:00:00

abstract：:Acute cardiac events involving coronary symptoms, elevated enzyme levels, and electrocardiographic changes without the development of Q waves often result in higher rates of reinfarction and unstable angina than do more severe myocardial infarctions. The incidence of these non-Q wave events is on the rise, possibly be...

journal_title：Postgraduate medicine

authors： Tamberella MR 3rd,Warner JG Jr

更新日期：2000-02-01 00:00:00

abstract：:When confronted with a patient with an alteration in mental status following surgery, the physician must consider both organic and psychosocial causes and their synergistic interactions. A careful medical assessment will rule out metabolic disorders, sepsis, cardiopulmonary complications, and adverse drug effects. A m...

journal_title：Postgraduate medicine

authors： Thompson TL 2nd,Feinberg LE

更新日期：1980-03-01 00:00:00

abstract：:Preview Several dermatoses are potentially fatal, and the mortality rate for some is quite high; prompt recognition and treatment are essential. Dr Gannon's succinct discussions of pemphigus vulgaris, necrotizing fasciitis, toxic epidermal necrolysis, Stevens-Johnson syndrome, toxic shock syndrome, and urticaria and a...

journal_title：Postgraduate medicine

authors： Gannon T

更新日期：1994-07-01 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：:Management of patients with diabetes mellitus and chronic kidney disease (CKD) is a challenging task because multiple factors in each condition may impact the other. Glycemic control offers significant benefits in the prevention of diabetic kidney disease (DKD), but other associated morbidities are also important to a...

journal_title：Postgraduate medicine

authors： Ahmed Z,Simon B,Choudhury D

更新日期：2009-05-01 00:00:00

abstract：:Systolic hypertension, especially isolated systolic hypertension (ISH) is very common in older subjects aged ≥ 65 years and is a major risk factor for cardiovascular disease (CVD), strokes, heart failure (HF) and chronic kidney disease (CKD). It is also, directly and linearly related with these complications irrespect...

journal_title：Postgraduate medicine

authors： Chrysant SG

更新日期：2018-03-01 00:00:00

abstract：:On the basis of currently available information, the following recommendations can be made for treating osteoporosis. Women with no contraindications should maintain a total calcium intake of 1,000 mg daily before menopause and 1,500 mg daily after menopause. Calcium supplementation should be considered adjunct treatm...

journal_title：Postgraduate medicine

authors： Trachtenbarg DE

更新日期：1990-03-01 00:00:00

abstract：:Serum electrolyte levels by themselves may be difficult to interpret. For example, an abnormal serum potassium concentration cannot be understood without taking into account the patient's history, other serum electrolyte values, and possibly results of other laboratory tests. Knowledge of the principles of serum elect...

journal_title：Postgraduate medicine

authors： Kapsner CO,Tzamaloukas AH

更新日期：1991-12-01 00:00:00

abstract：:Hand eczema continues to bedevil both patients and physicians. While appropriate and judicious intervention minimizes aggravation, discomfort, and inconvenience, recurrences are frequent. Treatment with corticosteroids is often effective for irritant dermatitis. Efforts to avoid the irritant, protect the hands, and us...

journal_title：Postgraduate medicine

authors： Landow K

更新日期：1998-01-01 00:00:00

abstract：OBJECTIVE:To review glucose-lowering efficacy and changes in renal function associated with sodium-glucose co-transporter 2 (SGLT2) inhibitors among patients with chronic kidney disease (CKD) and type 2 diabetes mellitus (T2DM). DATA SOURCES:A literature search of MEDLINE and Cochrane databases was performed from 2000...

journal_title：Postgraduate medicine

authors： Kelly MS,Lewis J,Huntsberry AM,Dea L,Portillo I

更新日期：2019-01-01 00:00:00

abstract：:Patients with chronic obstructive lung disease (COLD) experience one or more episodes of acute respiratory failure in the late years of their illness. Initial evaluation is aimed at assessing the precipitating factor or factors as well as the severity of the acute episode and the need for intubation and mechanical ven...

journal_title：Postgraduate medicine

authors： Francis PB

更新日期：1986-01-01 00:00:00

abstract：:Primary care physicians have a crucial role in recognition of potentially emergent conditions in patients with known or suspected cancer. This task presents a significant challenge because the initial manifestations of these conditions are usually nonspecific. In most cases, therapy is far more effective when diagnosi...

journal_title：Postgraduate medicine

authors： Love N

更新日期：1990-12-01 00:00:00

abstract：:Colonic cancer remains a major cause of death because diagnosis is usually delayed. Improved methods for earlier detection will maximize the patient's chances for survival. At present, surgery offers the greatest possibility of cure, but even in those instances where less than definitive resection is possible, there i...

journal_title：Postgraduate medicine

authors： Wallack MK,Rosato FE,Brown AS,Rosato EF

更新日期：1975-04-01 00:00:00