Surgery in the elderly. Lowering risks by understanding special needs.

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：:Inflammatory bowel disease is a conglomeration of disorders of unclear etiology and pathogenesis. Confirming the diagnosis of active disease may be difficult but is critical to judicious therapy. Sulfasalazine (Azulfidine) and its newer derivatives mesalamine (Asacol, Rowasa) and olsalazine sodium (Dipentum) are used ...

journal_title：Postgraduate medicine

authors： Butt JH

更新日期：1992-11-01 00:00:00

abstract：:Currently, surveillance or risk-oriented follow-up of patients in the individual practice setting may be the most efficacious means of reducing the morbidity and mortality associated with selected types of cancer. Intervention into carcinogenesis or alteration of the natural history of cancer requires a clear understa...

journal_title：Postgraduate medicine

authors： Lamon JM

更新日期：1985-09-01 00:00:00

abstract：:When patients have a clear understanding of the etiology and pathophysiology of Parkinson's disease, management is easier for the physician and the patient is better able to cope with the disease. Patients also should be made aware of the proper use of antihistamines and anticholinergics that control tremor, as well a...

journal_title：Postgraduate medicine

authors： Riley TL,Massey EW

更新日期：1980-09-01 00:00:00

abstract：:In the evaluation of male and female infertility the history, family history, physical examination, and endocrine and gonadal functional evaluations are the most informative measures. The cause of the infertility is never found in some 17.5% of couples and in almost one fourth of males. In over one third of cases male...

journal_title：Postgraduate medicine

authors： Opitz JM,Shapiro SS,Uehling DT

更新日期：1979-07-01 00:00:00

abstract：BACKGROUND:Point-of-care testing (POCT) is widely used to measure blood glucose levels in people with diabetes, although its use in measuring glycated hemoglobin (HbA1c) levels is less common, perhaps due to perceived performance issues and access to the technology. METHODS:Forty blood samples were analyzed in duplica...

journal_title：Postgraduate medicine

authors： Knaebel J,Irvin BR,Xie CZ

更新日期：2013-05-01 00:00:00

abstract：:Thymomas may be discovered during routine evaluation, through reported symptoms, or increasingly, during evaluation for myasthenia gravis. Histologic details of these tumors have little bearing on prognosis or evaluation of malignant potential. Malignancy is determined by evidence of invasion through the tumor capsule...

journal_title：Postgraduate medicine

authors： Cohen DJ

更新日期：1986-03-01 00:00:00

abstract：:Abdominal aortic aneurysms are believed to result from several factors, one probably being inflammation that leads to dilatation, plaque deposition, and degeneration of the arterial wall. Most of these aneurysms are asymptomatic, but abdominal or back pain, shock, and a pulsatile abdominal mass indicate rupture. Initi...

journal_title：Postgraduate medicine

authors： Gorski Y,Ricotta JJ

更新日期：1999-08-01 00:00:00

abstract：:Coronary artery disease (CAD) remains the major cardiovascular health issue in contemporary clinical practice. Treatment options for multivessel CAD include medical therapy, percutaneous coronary intervention (PCI), and coronary artery bypass grafting (CABG). Here, the authors review the most recent data that compare ...

journal_title：Postgraduate medicine

authors： Almeda FQ,Snell RJ

更新日期：2005-12-01 00:00:00

abstract：:Providing medical care for patients with mental disabilities may be challenging and financially unappealing because of the need for extra time and effort. Nonetheless, primary care physicians can meet the medical needs of these patients and benefit from working with a team approach that fosters open communication and ...

journal_title：Postgraduate medicine

authors： Councilman DL

更新日期：1999-11-01 00:00:00

abstract：:Preview No physician would treat hypertension without monitoring blood pressure, but some treat bronchial asthma without objectively measuring pulmonary function. This empirical approach is inappropriate, according to the authors, who discuss key measurements that should be taken to assess disease status, guide therap...

journal_title：Postgraduate medicine

authors： Weiss SM,Petty TL

更新日期：1995-06-01 00:00:00

abstract：:Liver transplantation revolutionized the management of liver disease. Although the number of patients who could benefit from a transplant far exceeds the number of available cadaveric donors, new strategies, such as splitting cadaveric organs and using living donors, have expanded access to transplantation. Here, a te...

journal_title：Postgraduate medicine

authors： Tran TT,Nissen N,Poordad FF,Martin P

更新日期：2004-05-01 00:00:00

abstract：:The practitioner plays an important role in providing guidance for exercise. Physical activity is one component of a life-style aimed at enhancing the health of the individual. When entered into with appropriate understanding and with reasonable expectations and goals, exercise can also be a major source of enjoyment....

journal_title：Postgraduate medicine

authors： Smith LK

更新日期：1988-01-01 00:00:00

abstract：:Inhalation of pressurized 100% oxygen is a helpful adjunctive treatment for certain patients, because the increased oxygen carried by the blood to the tissue enhances new growth of microcirculation and, thus, healing. Patients with tissue breakdown after radiation therapy, refractory osteomyelitis, gas gangrene, soft-...

journal_title：Postgraduate medicine

authors： Cohn GH

更新日期：1986-02-01 00:00:00

abstract：:Preview The ultrasensitive third-generation assay for thyrotropin (TSH) is now the "gold standard" for measuring thyroid activity. Who should be screened with it, and what further studies should be done if results are abnormal? Which patients with subclinical disease should receive treatment? Drs Brody and Reichard di...

journal_title：Postgraduate medicine

authors： Brody MB,Reichard RA

更新日期：1995-08-01 00:00:00

abstract：:Obesity is currently a worldwide epidemic, and will likely only increase in prevalence in the coming years. The incidence of the metabolic syndrome (MetS) seems to be paralleling obesity. The MetS is strongly linked to insulin resistance, abdominal obesity, diabetes mellitus, and dyslipidemia. Nonalcoholic fatty liver...

journal_title：Postgraduate medicine

authors： Boppidi H,Daram SR

更新日期：2008-07-31 00:00:00

abstract：:Fungal infections usually have characteristics that make them easily identifiable. In most cases, clinical diagnosis can be readily confirmed by examining the lesions under Wood's light or by placing infected material in potassium hydroxide solution and examining the preparation microscopically. Dermatophytes can be r...

journal_title：Postgraduate medicine

authors： Millikan LE

更新日期：1976-07-01 00:00:00

abstract：:Whether preparticipation sports examinations are necessary and what they should include are matters of debate, especially in the young because of the low yield of new medical diagnoses. The goal of the examining physician is to determine whether the athlete is mentally, developmentally, and physically capable of safel...

journal_title：Postgraduate medicine

authors： Bratton RL,Agerter DC

更新日期：1995-08-01 00:00:00

abstract：:Preview The success of calcium channel antagonists in controlling hypertension, angina pectoris, and arrhythmias is well known. In recent years, second-generation agents have been introduced that are also effective against migraine headaches and Raynaud's phenomenon and appear to improve atherosclerosis and congestive...

journal_title：Postgraduate medicine

authors： Salerno SM,Zugibe FT Jr

更新日期：1994-01-01 00:00:00

abstract：:Despite cervical cancer being considered a preventable disease, it still remains the second most common malignancy in women worldwide, with a higher incidence in underdeveloped countries. Human papillomavirus (HPV) is considered the causative agent of cervical cancer. The major mechanisms through which HPV contributes...

journal_title：Postgraduate medicine

authors： Subramanya D,Grivas PD

更新日期：2008-11-01 00:00:00

abstract：:This article on microcytic anemia is the first of several on laboratory investigation of anemia. Microcytic anemia, characterized by a mean corpuscular volume of less than 80 cu mu, is usually due to iron deficiency or chronic disease but may signify thalassemia minor. Exact identification of the cause is important, s...

journal_title：Postgraduate medicine

authors： Ward PC

更新日期：1979-01-01 00:00:00

abstract：:A carefully taken history and thorough physical examination are the first steps in establishing the cause of a neck mass. Location, size, consistency, and mobility of the mass provide clues and are useful for comparison during follow-up. Further studies are ordered on the basis of the impressions gathered from this ev...

journal_title：Postgraduate medicine

authors： Damion J,Hybels RL

更新日期：1987-05-01 00:00:00

abstract：:Bedside pulmonary artery catheterization has proven to be an important addition to the clinical assessment of critically ill patients. Properly used, the procedure may provide hemodynamic information that is not apparent from physical examination or radiography. It may be safely accomplished through various venous rou...

journal_title：Postgraduate medicine

authors： Zimmerman FH

更新日期：1991-02-01 00:00:00

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：:Objectives: To understand the role of ophthalmoscopic examination (dilated retina examination and widefield fundus photography) in the diagnosis and management of nosocomial acquisition of Mycobacterium chimaera following open heart surgery with cardiopulmonary bypass utilizing a heater-cooler unit, an entity that is ...

journal_title：Postgraduate medicine

authors： Colucciello M

更新日期：2020-03-01 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：BACKGROUND:Symptoms of irritable bowel syndrome (IBS) can have a profound impact on emotional health and quality of life, and current treatments are sometimes unsatisfactory for patients facing this lifelong disease. Probiotics, which can normalize gastrointestinal microflora, may alleviate symptoms of IBS. OBJECTIVE:...

journal_title：Postgraduate medicine

authors： Hun L

更新日期：2009-03-01 00:00:00

abstract：:A young man with exertional dyspnea, maculopapular skin lesions, and generalized lymphadenopathy was found to have a posterior mediastinal density on a chest roentgenogram. Sarcoidosis was diagnosed on the basis of lymph node and skin biopsy findings, and corticosteroid therapy was started. After six months of treatme...

journal_title：Postgraduate medicine

authors： Kutty CP,Varkey B

更新日期：1982-01-01 00:00:00

abstract：:Preview Manifestations of thyroid dysfunction may be totally misleading in severely ill and elderly patients, often confounding clinical diagnosis. To prevent undue morbidity and mortality in these patients, appropriate selection and accurate interpretation of thyroid function tests are crucial. In this article, Dr Is...

journal_title：Postgraduate medicine

authors： Isley WL

更新日期：1993-09-01 00:00:00

abstract：:Ultraviolet (UV) radiation is a notorious environmental carcinogen. Acute and chronic UV radiation exposure increase the risk for skin cancer. Protecting oneself from both UVA and UVB radiation with broad-based sunscreen can prevent certain skin cancers, their precursors, and photoaging. Although sun protection factor...

journal_title：Postgraduate medicine

authors： Stechschulte SA,Kirsner RS,Federman DG

更新日期：2011-07-01 00:00:00