Genetic testing in clinical practice.

abstract：:Airway hyperresponsiveness to a large number of stimuli is a characteristic of asthma in humans. Various components of the tracheobronchial tree might contribute to this characteristic, such as smooth muscle, the bronchial epithelium, various neurohumoral mechanisms, and the mechanical linkages between the lung parenc...

journal_title：Annual review of medicine

authors： Ingram RH Jr

更新日期：1991-01-01 00:00:00

abstract：:Atrial fibrillation is the most common dysrhythmia encountered in clinical practice. For some patients, satisfactory rate control is not possible by pharmacologic means. This led us to develop a surgical approach to its cure, which in turn has led to a deeper understanding of the electrophysiologic basis of atrial fib...

journal_title：Annual review of medicine

authors： Cox JL,Sundt TM 3rd

更新日期：1997-01-01 00:00:00

abstract：:The number of patients with end-stage heart failure (HF) continues to increase over time, but there has been little change in the availability of organs for cardiac transplantation, intensifying the demand for left ventricular assist devices (LVADs) as a bridge to transplantation. There is also a growing number of pat...

journal_title：Annual review of medicine

authors： Miller RJH,Teuteberg JJ,Hunt SA

更新日期：2019-01-27 00:00:00

abstract：:Human immunodeficiency virus type 1 (HIV-1) entry into target cells is a multistep process involving the interaction of viral envelope proteins with cell surface receptors. Binding to CD4 is followed by engagement of specific chemokine receptors (CCR5 or CXCR4), triggering molecular rearrangements in the envelope tran...

journal_title：Annual review of medicine

authors： Tsibris AM,Kuritzkes DR

更新日期：2007-01-01 00:00:00

abstract：:Pharmacogenetics deals with inherited differences in the response to drugs. The best-recognized examples are genetic polymorphisms of drug-metabolizing enzymes, which affect about 30% of all drugs. Loss of function of thiopurine S-methyltransferase (TPMT) results in severe and life-threatening hematopoietic toxicity i...

journal_title：Annual review of medicine

authors： Eichelbaum M,Ingelman-Sundberg M,Evans WE

更新日期：2006-01-01 00:00:00

abstract：:It is now well recognized that the atherosclerotic plaques responsible for thrombus formation are not necessarily those that impinge most on the lumen of the vessel. Nevertheless, clinical investigations for atherosclerosis still focus on quantifying the degree of stenosis caused by plaques. Many of the features assoc...

journal_title：Annual review of medicine

authors： Owen DR,Lindsay AC,Choudhury RP,Fayad ZA

更新日期：2011-01-01 00:00:00

abstract：:The primary or hereditary form of distal renal tubular acidosis (dRTA), although rare, has received increased attention recently because of dramatic advances in the understanding of its genetic basis. The final regulation of renal acid excretion is effected by various acid/base transporters localized in specialized ce...

journal_title：Annual review of medicine

authors： Batlle D,Ghanekar H,Jain S,Mitra A

更新日期：2001-01-01 00:00:00

abstract：:CD40 is a cell-surface member of the TNF (tumor necrosis factor) receptor superfamily. Upon activation, CD40 can license dendritic cells to promote antitumor T cell activation and re-educate macrophages to destroy tumor stroma. Numerous agonist CD40 antibodies of varying formulations have been evaluated in the clinic ...

journal_title：Annual review of medicine

authors： Vonderheide RH

更新日期：2020-01-27 00:00:00

abstract：:Overdoses of tricyclic antidepressants (TCAs) leave no doubt that TCA drugs at high concentrations have serious cardiac effects. It has been assumed that, to a lesser extent, these effects will occur at usual therapeutic concentration. Recent prospective, plasma-level-controlled studies have improved our understanding...

journal_title：Annual review of medicine

authors： Glassman AH

更新日期：1984-01-01 00:00:00

abstract：:The National Diabetes Data Group and the World Health Organization recently made recommendations concerning the classification of diabetes mellitus and proposed new diagnostic criteria. These recommendations are summarized and their bases elucidated. Certain discrepancies between the recommendations are apparent and t...

journal_title：Annual review of medicine

authors： Bennett PH

更新日期：1983-01-01 00:00:00

abstract：:Nonsteroidal antinflammatory drugs (NSAIDs) inhibit prostaglandin formation by cyclooxygenases (COX) 1 and 2. NSAIDs selective for inhibition of COX-2 are less likely than traditional drugs to cause serious gastrointestinal adverse effects, but predispose to adverse cardiovascular events, such as heart failure, myocar...

journal_title：Annual review of medicine

authors： Grosser T,Yu Y,Fitzgerald GA

更新日期：2010-01-01 00:00:00

abstract：:Carcinoma of the head of the pancreas can be diagnosed and staged effectively by computed tomography (CT) scan and by visceral angiography. If the tumor appears to be resectable, no further studies such as percutaneous biopsy are required. Pancreaticoduodenectomy is the only potentially curable treatment. This operati...

journal_title：Annual review of medicine

authors： Cameron JL

更新日期：1995-01-01 00:00:00

abstract：:All potent CNS depressant drugs can depress cardiac function in man in a dose-dependent manner. The dose-effect curve is considerably flatter with several drugs (diethyl ether, cyclopropane, fluroxene, isoflurane, and ketamine), presumably from sympathetic nervous-system activation. Potent analgesics and tranquilizers...

journal_title：Annual review of medicine

authors： Merin RG

更新日期：1977-01-01 00:00:00

abstract：:Both genetic and environmental factors contribute to the etiology of non-insulin-dependent diabetes. The genetic component is heterogeneous and in some patients is probably complex, involving multiple genes. Specific genetic defects have been identified for rate monogenic forms of NIDDM: maturity-onset diabetes of the...

journal_title：Annual review of medicine

authors： Kahn CR,Vicent D,Doria A

更新日期：1996-01-01 00:00:00

abstract：:Racial and ethnic disparities span the continuum of cancer care and are driven by a complex interplay among social, psychosocial, lifestyle, environmental, health system, and biological determinants of health. Research is needed to identify these determinants of cancer health disparities and to develop interventions t...

journal_title：Annual review of medicine

authors： Freedman JA,Al Abo M,Allen TA,Piwarski SA,Wegermann K,Patierno SR

更新日期：2021-01-27 00:00:00

abstract：:Volume reduction surgery is based on the removal of volume-occupying but nonfunctioning emphysematous lung, which is thought to improve pulmonary elastic recoil. The reduction in thoracic volume may also improve thoracic cage and inspiratory muscle function. In addition, dyspnea is lessened, exercise tolerance is incr...

journal_title：Annual review of medicine

authors： Lefrak SS,Yusen RD,Trulock EP,Pohl MS,Patterson A,Cooper JD

更新日期：1997-01-01 00:00:00

abstract：:Natural killer (NK) cells are a subpopulation of lymphocytes, with azurophilic granules in their cytoplasm, that have spontaneous cytotoxicity against a variety of tumor cells, virus-infected cells, and some normal cells in the bone marrow and thymus. When lymphocytes are cultured in the presence of interleukin 2 (IL ...

journal_title：Annual review of medicine

authors： Herberman RB

更新日期：1986-01-01 00:00:00

abstract：:Given the increasing understanding of cancer as a heterogeneous group of diseases, detection methods should offer a sensitivity profile that ensures perfect sensitivity for biologically important cancers while screening out self-limiting pseudocancers. However, mammographic screening is biased toward detection of duct...

journal_title：Annual review of medicine

authors： Kuhl CK

更新日期：2019-01-27 00:00:00

abstract：:Recent advances in our understanding of and ability to treat panic disorders and various types of phobia have been reviewed. A case of agoraphobia was presented in detail to illustrate clinical issues and serve as a basis for discussing differential diagnosis. The presence or absence of spontaneous panic attacks has c...

journal_title：Annual review of medicine

authors： Liebowitz MR,Klein DF

更新日期：1981-01-01 00:00:00

abstract：:GnRH and its analogues have led to exciting new avenues of therapy in virtually every subspecialty of internal medicine as well as in gynecology, pediatrics, and urology. Since their discovery in 1971, it has been demonstrated that GnRH and its analogues enable medical professionals to influence the hypothalamic-pitui...

journal_title：Annual review of medicine

authors： Conn PM,Crowley WF Jr

更新日期：1994-01-01 00:00:00

abstract：:Advances in our knowledge of the physiology of pain transmission and modulation have created new surgical options for the control of chronic pain. The pain modulation network can be activated by administration of spinal opiates or by electrical stimulation of the nervous system with transcutaneous, peripheral nerve, s...

journal_title：Annual review of medicine

authors： Landau B,Levy RM

更新日期：1993-01-01 00:00:00

abstract：:1. Patients should be divided preoperatively into low- or high-risk categories, depending on their probability of developing postoperative pulmonary complications. The evaluation should include spirometry as well as an assessment of the previously defined risk factors. 2. Patients in a low-risk category need only inst...

journal_title：Annual review of medicine

authors： Pierce AK,Robertson J

更新日期：1977-01-01 00:00:00

abstract：:Alzheimer's disease (AD) is unique in medicine in that millions of people suffer from what appears to be the same form of disease, and unlike most other late-onset diseases, the genetic etiologies have been well identified. Three early onset forms of AD inherited as autosomal dominant traits account for less than 2% o...

journal_title：Annual review of medicine

authors： Roses AD

更新日期：1996-01-01 00:00:00

abstract：:Obesity is perhaps the most significant public health problem facing the United States today. Obese patients are at increased risk for numerous medical problems, which can adversely affect surgical outcome. However, these risks have not uniformly translated into increased or prohibitive operative morbidity and mortali...

journal_title：Annual review of medicine

authors： Flancbaum L,Choban PS

更新日期：1998-01-01 00:00:00

abstract：:Cystic diseases of the kidney are common, often progressive disorders. The best of several alternative hypotheses to explain their development cites tubular dilation and compression of adjacent tissue. The initiating event may involve focal proliferation of epithelial cells and a consequent increase in the resistance ...

journal_title：Annual review of medicine

authors： Gardner KD Jr

更新日期：1988-01-01 00:00:00

abstract：:Monoclonal antibodies of defined specificity can be produced using hybridoma technology. New attempts are being made to explore the potential of antibody therapy for cancer. Preliminary studies show that problems such as antigenic modulation, circulating free antigen, effector cell shortage, and host anti-mouse immuno...

journal_title：Annual review of medicine

authors： Levy R,Miller RA

更新日期：1983-01-01 00:00:00

abstract：:Fecal microbiota transplantation (FMT) is a well-established treatment for recurrent Clostridioides difficile infection. FMT has become a more readily available and useful new treatment option as a result of stool banks. The current state of knowledge indicates that dysbiosis of the gut microbiota is implicated in sev...

journal_title：Annual review of medicine

authors： Ooijevaar RE,Terveer EM,Verspaget HW,Kuijper EJ,Keller JJ

更新日期：2019-01-27 00:00:00

abstract：:Chronic myelogenous leukemia (CML) is a clonal hematopoetic stem cell disorder characterized by the Philadelphia chromosome and resultant production of the constitutively activated Bcr-Abl tyrosine kinase. Characterized clinically by marked myeloid proliferation, it invariably terminates in an acute leukemia. Conventi...

journal_title：Annual review of medicine

authors： O'Dwyer ME,Mauro MJ,Druker BJ

更新日期：2002-01-01 00:00:00

abstract：:Collagenous and lymphocytic colitis are newly recognized causes of chronic watery diarrhea that typically affect middle-aged patients. Although endoscopic studies are normal, inflammatory changes and (in the case of collagenous colitis) collagen deposition occur histologically in the colonic mucosa. The pathogenesis o...

journal_title：Annual review of medicine

authors： Zeroogian JM,Chopra S

更新日期：1994-01-01 00:00:00

abstract：:A viral reservoir is a cell type or anatomical site in association with which a replication-competent form of the virus accumulates and persists with more stable kinetic properties than the main pool of actively replicating virus. This article reviews several cell types and anatomical sites proposed as potential reser...

journal_title：Annual review of medicine

authors： Blankson JN,Persaud D,Siliciano RF

更新日期：2002-01-01 00:00:00