When is pulmonary artery catheterization worth the risks?

abstract：:Preview Management of otitis media in children is a controversial matter: The basic questions of why, in whom, and how it should be treated are undergoing continual reassessment. In this article, Drs Shapiro and Bluestone provide answers to these and other questions, such as Why is treatment of acute otitis media just...

journal_title：Postgraduate medicine

authors： Shapiro AM,Bluestone CD

更新日期：1995-05-01 00:00:00

abstract：:Several risks can be posed by travel, even when the stay is not protracted nor the destination exotic. Air travelers should consider the potential problems associated with decreased cabin pressure, hypoxia, and circadian dysrhythmia, problems that can contraindicate flying for some. Motion sickness can affect those tr...

journal_title：Postgraduate medicine

authors： Lange WR,Kreider SD

更新日期：1983-04-01 00:00:00

abstract：:Many new, minimally invasive interventional radiology procedures are now viable alternatives to traditional invasive therapy. The radiology procedures can often be performed in the outpatient setting, and although expensive technology may be required, the overall cost to the patient may be lower in the long run. Endov...

journal_title：Postgraduate medicine

authors： Montgomery ML,Sullivan JP

更新日期：2001-06-01 00:00:00

abstract：:Most patients with community-acquired pneumonia are treated as outpatients, and choice of therapy is usually empirical because the etiologic agent is unknown. Therapy should include coverage for both typical and atypical organisms. In geographic areas with highly resistant S pneumoniae, one of the newer fluoroquinolon...

journal_title：Postgraduate medicine

authors： Farber MO

更新日期：1999-04-01 00:00:00

abstract：:Fear of the needle is a real issue with some patients and may be an obstacle to inducing anesthesia before minor surgical procedures are performed. Adults may express this fear verbally or, out of embarrassment, even avoid coming to the physician's office. Children may become intensely anxious and hysterical. In this ...

journal_title：Postgraduate medicine

authors： Holmes HS

更新日期：1991-02-15 00:00:00

abstract：:Primary carcinoid tumor of the thymus is a rare, slow-growing neoplasm occurring most commonly in middle-aged men. The usual clinical manifestations are those of a mediastinal mass, although in asymptomatic patients, the diagnosis may be suggested by a routine chest roentgenogram. Excision is the most common treatment...

journal_title：Postgraduate medicine

authors： Kogan J

更新日期：1984-01-01 00:00:00

abstract：:Transgenderism and gender dysphoria are becoming more prevalent diagnoses and the patient population is increasing. Primary care practitioners, endocrinologists, and mental health professionals are all part of the medical care team that treats these patients, but family and internal medicine physicians continue to del...

journal_title：Postgraduate medicine

authors： Wilczynski C,Emanuele MA

更新日期：2014-11-01 00:00:00

abstract：:In addition to prolonged glucocorticoid therapy (not discussed here), at least five other conditions cause Cushing's syndrome. They are excessive corticotropin secretion by the pituitary gland (which results in Cushing's disease), ectopic production of corticotropin by malignant nonpituitary tumors, benign adrenal ade...

journal_title：Postgraduate medicine

authors： Felicetta JV

更新日期：1989-12-01 00:00:00

abstract：:The term "autoimmune thyroid disease" encompasses all of the autoimmune thyroid conditions, including Hashimoto's thyroiditis, Graves' disease, most cases of silent thyroiditis, and postpartum thyroiditis. Extrathyroidal manifestations (e.g., ophthalmopathy, dermopathy) can occur in Graves' disease and, less commonly,...

journal_title：Postgraduate medicine

authors： Fatourechi V

更新日期：2000-01-01 00:00:00

abstract：:The patient with jaundice may be accurately diagnosed through clinical history, physical findings, and noninvasive laboratory and radiologic examinations available in most community hospitals. Ultrasonography is usually the procedure of choice in initial evaluation, but if acute cholecystitis is suspected, hepatobilia...

journal_title：Postgraduate medicine

authors： Marin GA

更新日期：1987-01-01 00:00:00

abstract：:Our review describes potential weight-altering effects of psychotropic medications (antipsychotics, antidepressants, anti-anxiety medications, mood stabilizers, sedative-hypnotics, medications for attention-deficit/hyperactivity disorder, and other psychotropic medications) and offers guidance on switching a medicatio...

journal_title：Postgraduate medicine

authors： Hasnain M,Vieweg WV

更新日期：2013-09-01 00:00:00

abstract：:Pregabalin is one of the first-line treatments approved for the management of neuropathic pain (NeP). While many patients benefit from treatment with pregabalin, they are often treated with suboptimal doses, possibly due to unfamiliarity around prescribing the drug and/or side effects that can occur with up-titration....

journal_title：Postgraduate medicine

authors： Freynhagen R,Baron R,Kawaguchi Y,Malik RA,Martire DL,Parsons B,Rey RD,Schug SA,Jensen TS,Tölle TR,Ushida T,Whalen E

更新日期：2021-01-01 00:00:00

abstract：:Patients presenting with typical signs and symptoms of allergic rhinitis may respond to avoidance of allergens and to medications for symptomatic relief. Treatment may include antihistamines, decongestants, cromolyn sodium, and/or topical nasal steroids. Patients whose symptoms are refractory to these therapeutic meas...

journal_title：Postgraduate medicine

authors： Stafford CT

更新日期：1987-01-01 00:00:00

abstract：:Patients with dyslipidemia receive a cardiovascular benefit from lowering low-density lipoprotein cholesterol (LDL-C). Atorvastatin is currently one of the most effective approved medications for lowering LDL-C, and has been shown to significantly reduce cardiovascular risk in many patient groups. However, even with s...

journal_title：Postgraduate medicine

authors： McKenney JM

更新日期：2012-01-01 00:00:00

abstract：:The term "brain failure" implies only dysfunction of a major organ system, not that an exact diagnosis has been made. Assessment and treatment of older patients with diminished cognitive ability can be challenging; however, the experience can also be extremely rewarding when a reversible condition is alleviated and th...

journal_title：Postgraduate medicine

authors： Paist SS 3rd,Martin JR

更新日期：1996-05-01 00:00:00

abstract：BACKGROUND:Adults with attention-deficit/hyperactivity disorder treated with atomoxetine were examined for time-to-onset and -resolution of common treatment-emergent adverse events (TEAEs) and male sexual dysfunction, and for changes in blood pressure (BP) and heart rate (HR) upon atomoxetine discontinuation. METHODS:...

journal_title：Postgraduate medicine

authors： Upadhyaya H,Tanaka Y,Lipsius S,Kryzhanovskaya LA,Lane JR,Escobar R,Trzepacz PT,Allen AJ

更新日期：2015-01-01 00:00:00

abstract：:The work of psychotherapists who have a cognitive-behavioral orientation and are trained in time-limited, focused psychotherapy has proved to be beneficial in the setting of a comprehensive medical and health maintenance organization. Group interventions that deal with relaxation, social skills, depression, agoraphobi...

journal_title：Postgraduate medicine

authors： Upper D,Kantor LE,Kulich RJ,Wurzelmann H,Bigwood GF

更新日期：1984-02-15 00:00:00

abstract：:The spectrum of interaction between drugs and the kidney is broad. Most drugs are excreted at least partially by the kidney, and renal function affects drug bioavailability, volume of drug distribution, and drug metabolism and rate of drug elimination. Drug therapy not only is potentially hazardous in patients with re...

journal_title：Postgraduate medicine

authors： Henrich WL,Anderson RJ

更新日期：1978-11-01 00:00:00

abstract：:High blood pressure is unquestionably a risk factor for premature morbidity and mortality, especially from coronary artery disease and stroke. Risk of clinical manifestations of coronary artery disease increases dramatically if other risk factors, such as a history of cigarette smoking, hypercholesterolemia, left vent...

journal_title：Postgraduate medicine

authors： Borhani NO

更新日期：1989-11-01 00:00:00

abstract：:Irritable bowel syndrome (IBS), which is characterized by recurrent abdominal pain and disordered bowel habits, is one of the most common functional bowel disorders. IBS is a substantial burden on both patient health-related quality of life and healthcare costs. Several pathophysiologic mechanisms have been postulated...

journal_title：Postgraduate medicine

authors： Harris LA,Baffy N

更新日期：2017-11-01 00:00:00

abstract：:Healthcare providers usually assess glycemic control in diabetic patients by measuring fasting plasma glucose and preprandial glucose levels, as well as hemoglobin A1c (HbA1c). Evidence now suggests that elevated postprandial glucose concentrations may contribute to suboptimal glycemic control. Several medications and...

journal_title：Postgraduate medicine

authors： Fasy EA,Buse JB

更新日期：2001-12-01 00:00:00

abstract：:Preview Although heartburn is the most common symptom of gastroesophageal reflux, many patients with reflux have other, more obscure manifestations. Recognition of all potential signs and symptoms of reflux is important for expeditious management. This article focuses on these atypical presentations and discusses how ...

journal_title：Postgraduate medicine

authors： Barr LL

更新日期：1996-04-01 00:00:00

abstract：:Five common conditions and several less common ones cause eyelid dermatitis. Diagnosis and treatment depend on recognizing their characteristics, obtaining a good history, performing a careful skin examination, administering and interpreting patch tests, prescribing the proper medications at the right time, and teachi...

journal_title：Postgraduate medicine

authors： Parkinson RW

更新日期：1996-08-01 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：:Objectives: The commonest types of peripheral neuropathy in the context of Coeliac Disease (CD) and gluten sensitivity (GS) are length-dependent symmetrical sensorimotor neuropathies and sensory ganglionopathies. In patients with such neuropathy, (gluten neuropathy), peripheral neuropathic pain is prevalent suggesting...

journal_title：Postgraduate medicine

authors： Zis P,Sarrigiannis PG,Rao DG,Sanders DS,Hadjivassiliou M

更新日期：2019-09-01 00:00:00

abstract：:Spirometry is a simple but underutilized test that is particularly well suited for office practice. With it, the physician can distinguish among different types of ventilatory impairment and follow the patient's course. It also permits detection of small-airway disease at an early stage, when measures to prevent devel...

journal_title：Postgraduate medicine

authors： Francis PB

更新日期：1978-01-01 00:00:00

abstract：:Chronic pain is considered one of the most prevalent causes of costly and disabling medical conditions. This review will define chronic pain and its categories and then will summarize the effectiveness and side effects associated with the use of various antidepressants, including the tricyclics, the selective serotoni...

journal_title：Postgraduate medicine

authors： Khouzam HR

更新日期：2016-01-01 00:00:00

abstract：AIM:To demonstrate the impact of the parathyroid hormone-related peptide (PTHrP) on the large conductance calcium-activated potassium (BKCa) channels in vascular smooth muscle cells (VSMC) and hyperpolarization of the cell membrane and its dependence on calcium. MATERIALS AND METHODS:VSMC were isolated from rat aorta ...

journal_title：Postgraduate medicine

authors： Burgazli KM,Foerster N,Meriçliler M,Chasan R,Parahuleva M,Erdogan A

更新日期：2014-03-01 00:00:00

abstract：:Although low-dose oral corticosteroid therapy cannot be considered remittive, it has earned a place in the therapeutic armamentarium for rheumatoid arthritis. Major clinical trials of a group using corticosteroid compared with a control group have not been done since the 1950s. One of these three large trials showed s...

journal_title：Postgraduate medicine

authors： Iannuzzi LP

更新日期：1987-10-01 00:00:00

abstract：:The new oral anticoagulants have many advantages over vitamin K antagonists, but they are still associated with a troublesome incidence of major bleeding. Additionally, the absence of a reversal agent for the new oral anticoagulants is a barrier to their more widespread use. Currently, there are 3 potential reversal a...

journal_title：Postgraduate medicine

authors： Costin J,Ansell J,Laulicht B,Bakhru S,Steiner S

更新日期：2014-11-01 00:00:00