Low agreement between the modified diet and renal disease formula and the Cockcroft-Gault formula for assessing chronic kidney disease in cognitively impaired elderly outpatients.

abstract：:Septic shock is a multisystem disorder that represents the host's response to microbial invasion in its most fulminant form. One of the critical defects is a widespread inability to use available substrate for energy production. Endogenous mediators, particularly the cytokines, appear to play an essential role in this...

journal_title：Postgraduate medicine

authors： DePriest JL

更新日期：1989-09-01 00:00:00

abstract：:To our knowledge, this is the first reported case of primary Pseudomonas maltophilia pneumonia. Presenting symptoms were fever and chills of two days' duration and a density in the right upper lobe. Sputum culture showed normal flora, and multiple blood cultures were negative. Antibiotic therapy initially with penicil...

journal_title：Postgraduate medicine

authors： Sarkar TK,Gilardi G,Aguam AS,Josephson J,Leventhal GL

更新日期：1979-02-01 00:00:00

abstract：:Scleroderma, psoriasis, lichen planus, and other skin disorders may signal a more serious internal disease. Physicians who recognize such clues can initiate early treatment while disease is in its early stages. The authors of this article describe several of the more common dermatologic conditions linked to systemic d...

journal_title：Postgraduate medicine

authors： Kirsner RS,Federman DG

更新日期：1997-06-01 00:00:00

abstract：:Chronic neck and shoulder pain is a complex, multifactorial problem. Often many months have passed since its onset. During this time the patient may have seen many physicians and tried many medications, some with abuse potential. Most patients are depressed and have lost their ability to cope with the stresses of dail...

journal_title：Postgraduate medicine

authors： Grosshandler SL,Stratas NE,Toomey TC,Gray WF

更新日期：1985-02-15 00:00:00

abstract：:The stress treatment program at Ochsner, New Orleans, provides participants with knowledge of necessary skills and opportunities for rehearsal and practice within the setting. In addition, the modalities chosen reinforce what Lazarus and Opton described as "perceived control," which was found to be as instrumental as ...

journal_title：Postgraduate medicine

authors： Wakeman RJ,Mestayer RF 3rd

更新日期：1985-05-01 00:00:00

abstract：:Preview Heparin is used worldwide to prevent arterial and venous thrombosis and to treat established thromboembolic disorders. It is also the mainstay of anticoagulation therapy for cardiopulmonary bypass and hemodialysis circuits. In this article, the authors examine the common indications for heparin therapy and des...

journal_title：Postgraduate medicine

authors： Berry BR,Nantel S

更新日期：1996-06-01 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：: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：:Preview Although no one theory on aging explains satisfactorily why or how this process occurs, we know that aging causes physiologic changes and a progressive decline of functional organ reserve. The implications of these changes are increasingly important as the elderly segment of the population grows. In this artic...

journal_title：Postgraduate medicine

authors： Troncale JA

更新日期：1996-05-01 00:00:00

abstract：:Management of the acutely poisoned patient should start with decontamination of the skin and irrigation of the eyes, if necessary, and assessment of cardiorespiratory status, neurologic status, and pupils and eye movement. If a definable toxic syndrome is present, the specific "antidote" should be given. If no such sy...

journal_title：Postgraduate medicine

authors： Saxena K,Kingston R

更新日期：1982-05-01 00:00:00

abstract：:Many controversies, only a few of which have been discussed here, are now raging in the field of resuscitation. Much is expected to change in the next five to ten years. The American Heart Association is now considering changes for its new advanced cardiac life support course, which should be ready this year. The cour...

journal_title：Postgraduate medicine

authors： Hankins DG

更新日期：1986-05-15 00:00:00

abstract：:Hypertension in diabetic patients must be treated aggressively if patients are to benefit from reduced risk of morbidity and mortality. Diabetes itself must be diagnosed promptly, particularly in at-risk patients, so appropriate lifestyle modifications can be made at the earliest opportunity. Although this may reduce ...

journal_title：Postgraduate medicine

authors： Sowers JR,Williams M,Epstein M,Bakris G

更新日期：2000-04-01 00:00:00

abstract：:Phencyclidine (PCP) is a dissociative anesthetic whose abuse is a growing problem. Historically, its effects have been considered remarkably like those of the schizophrenic state, but in vitro and in vivo neuropharmacologic data are somewhat inconsistent with the dopaminergic hypothesis of schizophrenia. The physiolog...

journal_title：Postgraduate medicine

authors： Beede MS

更新日期：1980-11-01 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：: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：BACKGROUND:Binge eating disorder (BED) is now a formal diagnosis in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5). However, post-DSM-5 patient profiles and viewpoints on BED diagnosis and treatment remain unclear. This study used a focus group methodology to examine demographic and cl...

journal_title：Postgraduate medicine

authors： Herman BK,Safikhani S,Hengerer D,Atkins N Jr,Kim A,Cassidy D,Babcock T,Agus S,Lenderking WR

更新日期：2014-09-01 00:00:00

abstract：:Pain is one of the most common problems for cancer patients, and its management is often hindered by barriers created by patients and physicians alike. By avoiding potential barriers and understanding the principles of pain management and drug selection and titration provided here by Dr Hartmann and colleagues, physic...

journal_title：Postgraduate medicine

authors： Hartmann LC,Zahasky KM,Grendahl DC

更新日期：2000-03-01 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：OBJECTIVE:To evaluate the proportion and the long-term prognostic significance of heart failure (HF) in sarcoidosis patients. METHODS:Data extracted from a large Israeli healthcare provider's database were used to study sarcoidosis patients and matched non-sarcoidosis controls since 2000 to 2016. The proportion of HF ...

journal_title：Postgraduate medicine

authors： Etinger R,Comaneshter D,Amital H,Cohen AD,Tiosano S

更新日期：2020-11-01 00:00:00

abstract：:Preview Early diagnosis of sickle cell disease enables physicians to initiate prompt treatment and provide appropriate education and counseling for patients and their families. In this article, Dr Burdick reviews the management of major complications of the disorder, discusses the psychosocial impact, and examines the...

journal_title：Postgraduate medicine

authors： Burdick E

更新日期：1994-12-01 00:00:00

abstract：:Preview Just when it appeared that diuretics were becoming obsolete in the attack against hypertension, they have come charging back to the fore. This is especially true in treatment of systolic hypertension in the elderly. The perspective on diuretics and their recommendations for administration have changed recently...

journal_title：Postgraduate medicine

authors： Cushman WC

更新日期：1993-08-01 00:00:00

abstract：:When many physicians think of managed care, they think first of Kaiser Permanente, the nation's largest HMO. That perception is misguided, according to David M. Lawrence, MD, the chief executive officer and chairman of the boards of the Kaiser Foundation health plan and hospitals. During a phone interview recently, La...

journal_title：Postgraduate medicine

authors： Lawrence DM,Stenger A

更新日期：1994-05-15 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：:Patient Notes are indexed alphabetically and by subject. The number immediately following the title is the number of the Patient Note, and the number in parentheses is the date of publication. This index includes all 82 Patient Notes published so far, from February 1, 1988, through this issue. ...

journal_title：Postgraduate medicine

authors：

更新日期：1993-01-01 00:00:00

abstract：:Gallstones are very common, but at least two thirds of detected stones are asymptomatic and a large number undoubtedly go undetected. The presence of symptoms or complications is the indication for surgery. It is important to accurately identify which symptoms are caused by gallstones, because removing the gallbladder...

journal_title：Postgraduate medicine

authors： Egbert AM

更新日期：1991-10-01 00:00:00

abstract：:Findings from 441 patient evaluations performed at the Taste and Smell Clinic of the Connecticut Chemosensory Clinical Research Center are presented. Taste and smell dysfunction was the chief complaint in all patients. The diagnostic approach included tests of taste and smell function; history taking; physical, neurol...

journal_title：Postgraduate medicine

authors： Goodspeed RB,Gent JF,Catalanotto FA

更新日期：1987-01-01 00:00:00

abstract：:Electroconvulsive therapy is controversial and readily arouses the passions of both its supporters and detractors. In this article, Dr Schoen, an internist, discusses various aspects of this 50-year-old technique, including risks, contraindications, and physiologic effects. ...

journal_title：Postgraduate medicine

authors： Schoen RE

更新日期：1990-05-01 00:00:00

abstract：:Although uncommon, hypertensive emergencies require prompt recognition and treatment to reduce very high morbidity and mortality rates. Admission to an intensive care unit for treatment and monitoring is essential for optimal care. A Swan-Ganz catheter is often helpful in management. Intravenous nitroprusside sodium (...

journal_title：Postgraduate medicine

authors： Smith CB,Flower LW,Reinhardt CE

更新日期：1991-04-01 00:00:00

abstract：:Although statin therapy has revolutionized management of coronary heart disease (CHD), the lowering of low-density lipoprotein cholesterol (LDL-C) levels is not the whole story. Increased plasma concentrations of high-density lipoprotein cholesterol (HDL-C) have a cardioprotective effect that is just as important for ...

journal_title：Postgraduate medicine

authors： McGovern ME

更新日期：2005-04-01 00:00:00

abstract：:Captopril (Capoten) and minoxidil (Loniten) have recently become generally available for treatment of hypertension, and calcium channel blockers, although not yet officially approved for this indication, clearly have potential as antihypertensive agents. Captopril, the only available inhibitor of angiotensin-convertin...

journal_title：Postgraduate medicine

authors： Kaplan NM

更新日期：1983-01-01 00:00:00