Infectious diseases and antibiotic resistance in long-term care facilities.

abstract：:Women predominate at all ages among patients diagnosed as having primary fibromyalgia. Of 100 patients reviewed, the average age at onset of fibromyalgia was 46. Of 65 patients in whom menopause occurred before diagnosis of fibromyalgia, the average age at menopause was 42, and most of these women had menopause relate...

journal_title：Postgraduate medicine

authors： Waxman J,Zatzkis SM

更新日期：1986-09-15 00:00:00

abstract：:By being aware of which patients are at high risk for ingestion or insertion of foreign bodies, physicians can be on the lookout for objects in the gastrointestinal tract and ready to institute initial care. Esophageal foreign bodies and other objects that increase the chance of perforation or obstruction may require ...

journal_title：Postgraduate medicine

authors： Clarkston WK

更新日期：1992-10-01 00:00:00

abstract：:Primary prophylaxis is advisable for all patients with moderate-sized or large esophageal varices. After the first episode of bleeding, secondary prophylaxis should be initiated to prevent rebleeding. Multiple treatment modalities are available for each circumstance. Optimal regimens have not yet been established but ...

journal_title：Postgraduate medicine

authors： Shah VH,Kamath P

更新日期：2006-09-01 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：:Simple screening tests are available to detect abnormalities in the plasma coagulation system and platelet function. Prothrombin time reflects the integrity of the extrinsic system, while activated partial thromboplastin time indicates whether the intrinsic system is intact. Thrombin clotting time is a measure of the ...

journal_title：Postgraduate medicine

authors： Horwitz CA

更新日期：1981-03-01 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：:Non-steroidal anti-inflammatory drugs (NSAIDs) have been widely used to treat inflammatory pain for decades. More recently, newer NSAIDs were developed to target the inducible isoform of cyclooxygenase (COX), COX-2, with the aim of reducing gastrointestinal toxicity. While the COX-2 selective inhibitors were effective...

journal_title：Postgraduate medicine

authors： Walker C,Biasucci LM

更新日期：2018-01-01 00:00:00

abstract：:The skin is a window of internal malignancies and other diseases. The cutaneous signs of internal malignancy can be divided into four major groups: (1) hypersensitivity or toxic reactions, (2) infections, (3) metabolic disorders, and (4) tumors. A diagnosis of the many signs of systemic malignancy is made by inspectio...

journal_title：Postgraduate medicine

authors： Bergfeld WF

更新日期：1986-02-15 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：:As understanding of the natural history of breast cancer has increased, radical mastectomy has given way to a preference for breast-sparing surgery and greater reliance on radiation therapy and chemotherapy. Probably the most important factor for selection of treatment is consultation with a multidisciplinary team ski...

journal_title：Postgraduate medicine

authors： Schwade JG,Robinson DS,Love N

更新日期：1989-10-01 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：: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：:Increasing evidence has contraindicated extended radical dissection of pancreatic adenocarcinoma (PC). With the recent improvement of perioperative management techniques and multimodal treatment strategy for PC, concomitant major vessel resection and reconstruction has thus been aggressively attempted in association w...

journal_title：Postgraduate medicine

authors： Tsuchikawa T,Hirano S,Nakamura T,Okamura K,Tamoto E,Shichinohe T

更新日期：2015-04-01 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：: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：:Community-acquired pneumonia is still a significant cause of morbidity and mortality and is often misdiagnosed and inappropriately treated. Although it can be caused by a wide variety of micro-organisms, the pneumococcus, atypicals, such as Mycoplasma pneumoniae and Chlamydophila pneumoniae, Staphylococcus aureus and ...

journal_title：Postgraduate medicine

authors： Mandell LA

更新日期：2015-08-01 00:00:00

abstract：:Preview Although the early symptoms of Parkinson's disease can be ameliorated, the illness is relentlessly progressive. Studies have therefore been conducted in hopes of finding therapy to delay its disabling course. In this article, Dr Ahlskog examines recent proposals and their application in cases of early and adva...

journal_title：Postgraduate medicine

authors： Ahlskog JE

更新日期：1994-05-01 00:00:00

abstract：:Human sexuality is a lifelong process with biologic, psychosocial, and moral consequences. During adolescence, coping with sexual feelings and controlling sexual drive become urgent tasks that are made more difficult by today's society. Recent studies document a dramatic increase in the frequency of sexual activity am...

journal_title：Postgraduate medicine

authors： Shen JT

更新日期：1982-04-01 00:00:00

abstract：:Suicide is a major public health problem in the United States. Psychiatric disorders that feature or lead to suicidal ideation may be overlooked in the primary care setting because patients are reluctant to broach the subject. In this article, Dr Hamilton describes how physicians can open a dialogue with patients so t...

journal_title：Postgraduate medicine

authors： Hamilton NG

更新日期：2000-11-01 00:00:00

abstract：:Not all of the costs of private practice, particularly those related to government regulation, are within your control. However, there are steps, both large and small, that you can take to get fees under control and to eliminate or reduce expenditures. Dr Orient suggests a number of these. ...

journal_title：Postgraduate medicine

authors： Orient JM

更新日期：1994-02-15 00:00:00

abstract：:Extracorporeal shock wave lithotripsy has become a valuable asset to the urologist and greatly benefits urologic stone patients. Eight years of clinical use have proven its clinical efficacy, with more than 400,000 successfully performed treatments worldwide. In a short period of time, ESWL has completely changed the ...

journal_title：Postgraduate medicine

authors： Cass AS

更新日期：1988-05-01 00:00:00

abstract：:Male factors play a role in up to half of subfertile couples, contrary to the myth that male factors rarely play a role. In this article, Dr Sandlow counters this and other myths about male infertility and suggests that primary care physicians can increase a couple's chance of conceiving by evaluating for male as well...

journal_title：Postgraduate medicine

authors： Sandlow JI

更新日期：2000-02-01 00:00:00

abstract：:The evaluation of the bleeding patient starts with the integration of data from the history and physical examination. From this results either one probable explanation that can easily be substatniated by laboratory studies or, as more commonly occurs in practice, several possibilities that are reasonable and must be i...

journal_title：Postgraduate medicine

authors： Marengo-Rowe AJ,Leveson JE

更新日期：1977-07-01 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：:Cough in children, even in infants under 1 year of age, is a frequent problem in clinical practice. Many causes are possible and should be considered, but only a few are likely. In primary care, appropriate evaluation is based on skillful history taking. In an ostensibly healthy child or infant with recurrent episodes...

journal_title：Postgraduate medicine

authors： Schneider AP 2nd,Daws WR,Adams RD

更新日期：1983-09-01 00:00:00

abstract：:Hair loss is a common problem likely to be encountered by a clinical practitioner. The most frequent causes of hair loss in pediatric patients include tinea capitis, alopecia areata, traction alopecia, and trichotillomania. In the adult population, causes to be considered are alopecia areata and hair loss associated w...

journal_title：Postgraduate medicine

authors： Phillips JH 3rd,Smith SL,Storer JS

更新日期：1986-04-01 00:00:00

abstract：:Part 1, which begins on page 64, discusses diagnosis of rheumatic disease by radiography. The most popular laboratory tests in rheumatic disease are nonspecific and include those based on the formation of autoantibodies. Rheumatoid factor assays actually are of little diagnostic help in rheumatoid arthritis, but antin...

journal_title：Postgraduate medicine

authors： Bluestone R

更新日期：1979-03-01 00:00:00

abstract：:Treatment of asymptomatic diverticulosis is geared to the prevention of constipation, with vigilance for possible signs of complications. A bulky stool decreases colonic intraluminal pressures, probably lessening pain and the chance of development of new diverticula. Increased stool weight may be achieved by the addit...

journal_title：Postgraduate medicine

authors： Herrera AF

更新日期：1976-12-01 00:00:00

abstract：:Therapy for osteomyelitis requires a multidisciplinary approach. A precise microbiologic diagnosis and adequate debridement of necrotic tissue are essential. Acute hematogenous osteomyelitis usually responds to antimicrobial therapy. The presence of an abscess or a metaphyseal cavity in hematogenous osteomyelitis and ...

journal_title：Postgraduate medicine

authors： Bamberger DM

更新日期：1993-10-01 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