The epidemic challenge of chronic kidney disease in older patients.

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：:According to Cato Institute chairman William A. Niskanen, government-mandated managed competition will fail to control healthcare costs and will pose a serious threat to the quality of American medical care. Mr Niskanen elaborates on this viewpoint in the following remarks, which were originally delivered in a speech....

journal_title：Postgraduate medicine

authors： Niskanen WA

更新日期：1994-03-01 00:00:00

abstract：:The sexual addiction model enables physicians to understand the self-destructive behavior of patients whose actions may otherwise appear inexplicable. When a person is preoccupied with sex and continues to engage in compulsive sexual activity despite adverse consequences (eg, loss of marriage, job, health, freedom), h...

journal_title：Postgraduate medicine

authors： Schneider JP

更新日期：1991-11-01 00:00:00

abstract：:The maximal exercise stress test continues to be an important diagnostic and prognostic tool in the primary care office setting. But are you getting the most accurate information possible? Drs Driggers and Marchant discuss several factors that are crucial to the test's validity--and thus to its usefulness in your clin...

journal_title：Postgraduate medicine

authors： Driggers DA,Marchant D

更新日期：1999-05-01 00:00:00

abstract：:Exercise-induced asthma can appear as one of many forms of airway hyperreactivity or as a unique clinical entity. Simple spirometry confirms the suspected clinical diagnosis in most instances, although more sensitive measurements of airway obstruction may be required. In general, the asthmatic need not restrict physic...

journal_title：Postgraduate medicine

authors： Gerhard H,Schachter EN

更新日期：1980-03-01 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：:Since the sexual revolution of the 1960s, medical complications of sexual activity and sexual side effects related to use of medications have become a significant part of healthcare practice. Specifically, there has been an expanding interest in the treatment of headaches and their relationship to sexual function. Mos...

journal_title：Postgraduate medicine

authors： Goldstein J

更新日期：2001-01-01 00:00:00

abstract：:Patients "lucky" enough to have a nondisabling transient ischemic attack as a warning sign of impending stroke deserve the best possible prophylactic treatment in an attempt to avert that catastrophe. Dr Edmeads provides a step-by-step discussion of diagnostic studies and therapeutic regimens that help avoid stroke in...

journal_title：Postgraduate medicine

authors： Edmeads J

更新日期：1992-08-01 00:00:00

abstract：:Chronic stable angina (CSA) impairs patient quality of life, is associated with increased patient mortality, and is a prominent symptom of coronary artery disease (CAD), the latter being prevalent worldwide in patients. Currently, therapeutic options for patients with CSA include β-blockers, calcium channel blockers, ...

journal_title：Postgraduate medicine

authors： Kloner RA,Hines ME,Geunes-Boyer S

更新日期：2013-11-01 00:00:00

abstract：:More than half of new mothers may be affected by mood disorders after childbirth. Possible causes and recommended management depend on the type of disorder and its severity. In this article, Dr Knops discusses recognition, prevention, and management of three types of postpartum mood disorders as well as the need for s...

journal_title：Postgraduate medicine

authors： Knops GG

更新日期：1993-02-15 00:00:00

abstract：:Ovulatory dysfunctional uterine bleeding (DUB), a disease prevalent in the latter half of the reproductive years, is diagnosed when organic causes for bleeding have been excluded by clinical, laboratory, and surgical diagnostic means. Disordered prostaglandin metabolism within the endometrium explains most cases of DU...

journal_title：Postgraduate medicine

authors： Strickler RC

更新日期：1985-01-01 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：:Infective endocarditis refers to infection of the endocardium or heart valves by microbes, resulting in tissue destruction. Clinical presentation is quite variable, and a high level of suspicion is essential for recognition. Diagnosis is dependent on identification of the causative agent in blood cultures. Cultures th...

journal_title：Postgraduate medicine

authors： Nunley DL,Perlman PE

更新日期：1993-04-01 00:00:00

abstract：:The goals of therapy for congestive heart failure (CHF) are to improve quality of life and to prolong it. Improvement in patients with CHF can only be realized, however, if a multidisciplinary healthcare team can provide effective management in both the inpatient and outpatient settings. Inhibition of compensatory mec...

journal_title：Postgraduate medicine

authors： Sorrentino MJ

更新日期：1997-01-01 00:00:00

abstract：:The prevalence of obesity and diabetes is epidemic. Severe insulin resistance (defined as the need for > or = 200 units of insulin per day to achieve glycemic control) is commonly seen with obesity and can complicate diabetes management. The management of patients with diabetes who have severe insulin resistance is di...

journal_title：Postgraduate medicine

authors： Brown A,Desai M,Taneja D,Tannock LR

更新日期：2010-01-01 00:00:00

abstract：:Common variable immunodeficiency (CVID) is readily considered in patients presenting with recurrent sino-pulmonary infections, however this disease has a broad range of clinical manifestations and diagnosis can be delayed by several years. We present the case of a 44-year-old postpartum female who presented with nause...

journal_title：Postgraduate medicine

authors： Arays R,Goyal S,Jordan KM

更新日期：2016-08-01 00:00:00

abstract：:As sex, drugs, and rock 'n' roll have given way to STDs, HIV, and AIDS, adolescent sex has become an increasingly high-risk behavior. Dr Kay strongly believes that primary care physicians can have a prominent role in educating teens and their parents about the consequences of premature sexual activity and in promoting...

journal_title：Postgraduate medicine

authors： Kay LE

更新日期：1995-06-01 00:00:00

abstract：:While the appropriateness of giving medical advice on the telephone could be debated, this discussion is based on the assumption that few physicians can avoid providing this service to their patients. In fact, most physicians must respond often to telephone requests for advice. A large portion of these "emergency" cal...

journal_title：Postgraduate medicine

authors： Davidhizar RE,Wehlage DF

更新日期：1987-02-01 00:00:00

abstract：:Good personal hygiene is one of the most important measures for control of hepatitis infection. Hepatitis is transmitted by close contact with an infected person or nonhuman primate, exposure to infected food or water, transfusion of infected blood, dialysis, or contact with hepatitis-containing laboratory specimens. ...

journal_title：Postgraduate medicine

authors： Bryan JA

更新日期：1980-11-01 00:00:00

abstract：:Breast pain is a common, often distressing problem among women. After significant disease is ruled out, most patients respond to simple reassurance. Others, however, require treatment because symptoms interfere with their lifestyle. The authors offer practical suggestions for tailoring treatment for these patients acc...

journal_title：Postgraduate medicine

authors： Steinbrunn BS,Zera RT,Rodriguez JL

更新日期：1997-11-01 00:00:00

abstract：:Parents of a child who is diagnosed as defective face a crisis for which they are usually unprepared. They need an opportunity to work through their intense feelings. In addition, they need specific information about how to be of use to their child. Self-help groups composed of parents of children with a similar handi...

journal_title：Postgraduate medicine

authors： Vernon M

更新日期：1979-03-01 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：:Dementia is one of the most devastating illnesses that affect the elderly. The progressive decline in memory, judgment, intellectual function, and adaptive ability places an immense burden on families, healthcare providers, and communities. Because advancing age is the leading risk factor for most types of dementia, t...

journal_title：Postgraduate medicine

authors： O'Brien ME

更新日期：1994-04-01 00:00:00

abstract：:While a wide variety of thyroid function tests are currently available, all are sometimes abnormal in patients without thyroid disease. To interpret test results properly, the clinician needs to be aware of factors altering thyroid function tests. In every instance, the clinician needs to begin by asking whether the p...

journal_title：Postgraduate medicine

authors： de los Santos ET,Mazzaferri EL

更新日期：1989-04-01 00:00:00

abstract：:Bulimia nervosa is a common eating disorder among women. Sociocultural and interpersonal pressures are thought to be highly influential in the development of the syndrome. An association with depression has also been suggested. Recognizing bulimia nervosa is usually difficult, because patients are hesitant to reveal t...

journal_title：Postgraduate medicine

authors： Fitzgerald BA,Wright JH,Atala KD

更新日期：1988-08-01 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：: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：BACKGROUND:The use of 2-way audiovisual (AV) technology for delivery of acute stroke evaluation and management, termed "telestroke," is supported by a rapidly growing literature base. A systematic review that provides a comprehensive, easily digestible overview of telestroke science and practice is lacking. PURPOSE:To...

journal_title：Postgraduate medicine

authors： Rubin MN,Wellik KE,Channer DD,Demaerschalk BM

更新日期：2013-01-01 00:00:00

abstract：:The best way to detect Cushing's syndrome is to measure urinary free cortisol and to conduct a 1-mg dexamethasone suppression test. The best way to distinguish among the varieties of Cushing's syndrome is to measure plasma adrenocorticotropic hormone (ACTH). Urinary 17-ketosteroid and plasma testosterone determination...

journal_title：Postgraduate medicine

authors： Burke MD

更新日期：1981-01-01 00:00:00

abstract：:Despite a plethora of clinical guidelines and evidence outlining the efficacy of inhaled corticosteroids, these medications continue to be underused in the treatment of asthma. This article reviews the justification for prescribing inhaled steroids as first-line therapy, discusses indications for their use, and compar...

journal_title：Postgraduate medicine

authors： Laurie S,Khan D

更新日期：2001-05-01 00:00:00