Managing highly insulin-resistant diabetes mellitus: weight loss approaches and medical management.

abstract：:An understanding of the causes and course of acute allergic contact dermatitis aids in recognition of this common problem. The most frequent cause is the Rhus group (poison ivy, oak, and sumac), and a large percentage of the US population is sensitized to this group of allergens. With severe cases, prompt administrati...

journal_title：Postgraduate medicine

authors： Wooldridge WE

更新日期：1990-03-01 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：:Cecal volvulus is a malrotational abnormality of the intestine that causes obstruction. Diagnosis is difficult and, if delayed, the results may be intestinal ischemia, perforation, sepsis, and even death. Cecal ischemia or gangrene cannot always be determined from physical and laboratory findings. Although not always ...

journal_title：Postgraduate medicine

authors： Weiss BD

更新日期：1982-08-01 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

abstract：:Chronic kidney disease (CKD) is a frequent complication of type 2 diabetes mellitus (T2DM) and is associated with poor clinical outcomes, including an increased risk of all-cause and cardiovascular mortality, as well as adverse economic and social effects. Slowing the development and progression of CKD remains an unme...

journal_title：Postgraduate medicine

authors： Davidson JA

更新日期：2019-05-01 00:00:00

abstract：:Eradication of H pylori and cure of peptic ulcer disease are possible if effective regimens are used correctly. Treatment markedly improves clinical outcomes and significantly decreases cost of care. As primary care physicians take a larger role in management of these infections, they need to understand the importance...

journal_title：Postgraduate medicine

authors： Laine L,Fendrick AM

更新日期：1998-03-01 00:00:00

abstract：OBJECTIVE:To identify attitudes and practices of endocrinologists (ENDOs), family practitioners (FPs), internists (IMs), primary care nurse practitioners (NPs), physician assistants (PAs), certified diabetes educators (CDEs), retail pharmacists (R-PHs), and hospital pharmacists (H-PHs) with respect to type 2 diabetes m...

journal_title：Postgraduate medicine

authors： Williamson C,Glauser TA,Burton BS,Schneider D,Dubois AM,Patel D

更新日期：2014-05-01 00:00:00

abstract：OBJECTIVES:With advancements in medical imaging and current emphasis on regular physical examinations, multiple pulmonary lesions increasingly are being detected, including bilateral pulmonary lesions. Video-assisted thoracic surgery is an important method for treating such lesions. Most of video-assisted thoracic surg...

journal_title：Postgraduate medicine

authors： Yang X,Wang L

更新日期：2018-01-01 00:00:00

abstract：:Ingested ethylene glycol is readily absorbed and metabolized into toxic metabolites that can cause CNS depression, cardiopulmonary failure, and renal failure. Thorough history taking, physical examination, and laboratory testing are essential for diagnosis. Careful differential diagnosis is important because symptoms ...

journal_title：Postgraduate medicine

authors： de Chazal I,Houghton B,Frock J

更新日期：1999-10-01 00:00:00

abstract：:Not since the early 1950s has the number of new cases of syphilis been as high as it is now. The infectious agent, Treponema pallidum, is extremely difficult to culture in vitro and almost impossible to see by conventional light microscopy. A nonspecific antibody test is used for screening and a specific treponemal an...

journal_title：Postgraduate medicine

authors： Farnes SW,Setness PA

更新日期：1990-02-15 00:00:00

abstract：:Clinicians are often perplexed by patients with bacterial infection who are not responding to oral antibiotic therapy. Since most of the commonly used antibiotics are excreted in the urine, inhibitory activity of urine against susceptible organisms can be used as a measure of patient compliance. To assess the reliabil...

journal_title：Postgraduate medicine

authors： Kumar A,Nankervis GA

更新日期：1979-03-01 00:00:00

abstract：:Gastroesophageal reflux disease is a very common condition that is usually manifested by heartburn or regurgitation. Reflux esophagitis, caused by mucosal exposure to the backflow of caustic gastric contents, is primarily a result of lower esophageal sphincter dysfunction. Diagnostic workup varies but commonly include...

journal_title：Postgraduate medicine

authors： Sutherland JE

更新日期：1991-05-15 00:00:00

abstract：:Although coronary heart disease (CHD) remains the No. 1 cause of death in the United States, the CHD mortality rate has shown a recent decline. This has been attributed to lower fat consumption in the general population, with associated lower serum cholesterol levels. Thus, diet seems to be an important factor in cont...

journal_title：Postgraduate medicine

authors： Fletcher DJ,Rogers DA

更新日期：1985-04-01 00:00:00

abstract：:The best treatment for adenocarcinoma of the prostate depends on the patient's age, general medical condition, life expectancy, and willingness to accept such side effects as impotence. Radical prostatectomy or full-dose radiation therapy are usually curative when cancer is confined to the gland. The technique of pros...

journal_title：Postgraduate medicine

authors： Soloway MS

更新日期：1988-11-15 00:00:00

abstract：:Twenty of 24 hypertensive patients, six of whom had severe disease, had a reduction in standing blood pressure to less than 140/90 mm Hg after six weeks of treatment with prazosin alone or prazosin plus other antihypertensive drugs. The absence of significant side effects was impressive. ...

journal_title：Postgraduate medicine

authors： Turner AS,Watson OF,Peel JO

更新日期：1975-11-01 00:00:00

abstract：:Systolic dysfunction of the heart represents a state of "prerenal" azotemia, in which the excess of total body salt and water is redistributed to venous and interstitial fluid compartments. This results in a diminished effective circulating blood volume and thereby decreases tissue perfusion. The kidneys perceive the ...

journal_title：Postgraduate medicine

authors： Riley DJ,Weir M,Bakris GL

更新日期：1994-06-01 00:00:00

abstract：:The urine of less than 3% of healthy persons shows more than three red cells per high-power field, which is about the limit of sensitivity of test strips for occult blood. Even minimal hematuria may herald serious problems and must be investigated. Common causes include infection, urethritis, and urethrotrigonitis (25...

journal_title：Postgraduate medicine

authors： Brown DC

更新日期：1987-09-15 00:00:00

abstract：:Performing office surgery well is an art. You can accomplish this by being attentive to several factors. These include, but are not limited to, providing an office environment that is pleasant, restful, and happy; using proper lighting, instruments, and suture techniques; using gentle techniques for local infiltration...

journal_title：Postgraduate medicine

authors： Clavin HD

更新日期：1983-08-01 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：:Preview Practical assessment of the functional and support factors affecting quality of life in older patients should be an integral part of medical management. This approach allows physicians to focus on remediable problems that compromise patients' daily functioning and may hinder them from living independently. In ...

journal_title：Postgraduate medicine

authors： Paist SS 3rd,Jafri A

更新日期：1996-05-01 00:00:00

abstract：:Granulomatous inflammation of the peritoneal surfaces resulting from exposure to cornstarch granules from surgical gloves produces a syndrome of abdominal pair, adynamic ileus, fever, peritonitis, variable white blood cell count, and inflammatory ascites. Symptoms develop three to four weeks after a routine abdominal ...

journal_title：Postgraduate medicine

authors： Berkow AE

更新日期：1976-01-01 00:00:00

abstract：:Readers are invited to submit questions relating to problem cases. Inquiries will be answered by qualified consultants and replies forwarded by mail promptly. Selected problems and solutions are published every month in this section. ...

journal_title：Postgraduate medicine

authors： Spitzer AR,Berberian DA,Moe JH

更新日期：1985-02-01 00:00:00

abstract：:Even healthy persons may experience some form of altitude illness when they hike or ski in high mountains. Therefore, it is imperative that those with compromised cardiac or pulmonary function take extra precautions by allowing time for ascent, by recognizing and accepting their limitations, and by descending promptly...

journal_title：Postgraduate medicine

authors： Houston CS

更新日期：1990-07-01 00:00:00

abstract：:A hepatitis B vaccine derived from the plasma of carriers of hepatitis B virus has recently become generally available in the United States. Its use is recommended in groups considered to be at high risk of hepatitis B because of their exposure to potentially infectious blood, saliva, or semen. Experience in more than...

journal_title：Postgraduate medicine

authors： Kutcher WL

更新日期：1983-05-01 00:00:00

abstract：:A 15-year-old boy who had sharp pains in the right side of the chest and was unable to breathe deeply was tentatively diagnosed as having congenital cystic disease of the lung on the basis of chest x-ray studies and bronchography. The diagnosis was confirmed after thoracotomy and right lower lobectomy, carried out bec...

journal_title：Postgraduate medicine

authors： Darrow GL

更新日期：1984-03-01 00:00:00

abstract：:Trigger points (TPs) in muscles of the lower torso associated with the spine are an important cause of low back pain. The quadratus lumborum is the muscle most commonly involved, but TPs located there are often overlooked because of inadequate physical examination techniques. TPs in the lower rectus abdominis refer pa...

journal_title：Postgraduate medicine

authors： Simons DG,Travell JG

更新日期：1983-02-01 00:00:00

abstract：:Self-assessment case studies illustrating prudent selection of antimicrobial agents in septic shock following urinary catheterization, bacteremia and skin lesions in an immunocompromised patient, and endocarditis in a patient with a prosthetic heart valve. ...

journal_title：Postgraduate medicine

authors： Rahal JJ Jr,Simberkoff MS

更新日期：1978-03-01 00:00:00

abstract：:Although chronic hepatitis B is a relatively common disease that may have a serious outcome, the outlook is by no means uniformly poor. Alpha interferon therapy may be helpful in up to one third of patients who have hepatitis B e antigen in serum and elevated serum aminotransferase levels. New drugs that may have even...

journal_title：Postgraduate medicine

authors： Di Bisceglie AM

更新日期：1995-07-01 00:00:00

abstract：:Migraine is a common hereditary disorder manifested by episodic headache, irritability, and gastrointestinal upset. The condition may be triggered by dietary, environmental, psychological, or pharmacologic factors. With proper diagnosis and judicious use of abortive and prophylactic therapy, patients often obtain exce...

journal_title：Postgraduate medicine

authors： Diamond S,Freitag FG,Solomon GD,Millstein E

更新日期：1987-06-01 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