Viral infections in the elderly. The challenges of managing herpes zoster, influenza, and RSV.

abstract：:Hepatitis C virus (HCV) is responsible for most cases of non-A non-B hepatitis and is primarily spread by a parenteral route, although familial, sexual, and maternal transmission may occur rarely. Second-generation assays and the polymerase chain reaction facilitate detection of HCV infection. The association between ...

journal_title：Postgraduate medicine

authors： Dana F,Becherer PR,Bacon BR

更新日期：1994-05-01 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：:Psychotic disorders usually develop by middle age, but initial onset can be later in life. Delusions, hallucinations, and other psychotic symptoms may accompany medical conditions, mood disorders, and Alzheimer's disease, thereby confusing the diagnosis. In this review, Dr Harris describes some of the more common psyc...

journal_title：Postgraduate medicine

authors： Harris MJ

更新日期：1997-12-01 00:00:00

abstract：:Many controversies, only a few of which have been discussed here, are now raging in the field of resuscitation. Much is expected to change in the next five to ten years. The American Heart Association is now considering changes for its new advanced cardiac life support course, which should be ready this year. The cour...

journal_title：Postgraduate medicine

authors： Hankins DG

更新日期：1986-05-15 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：:Patients with chronic obstructive lung disease (COLD) experience one or more episodes of acute respiratory failure in the late years of their illness. Initial evaluation is aimed at assessing the precipitating factor or factors as well as the severity of the acute episode and the need for intubation and mechanical ven...

journal_title：Postgraduate medicine

authors： Francis PB

更新日期：1986-01-01 00:00:00

abstract：:Psoriasis, like diabetes, is a multifactorial genetic disease with complex interactions of deranged metabolism. Factors that affect epidermal differentiation and proliferation include cyclic nucleotide interactions, polyamine metabolism, cell surface--cytoskeleton interactions, and arachidonic acid--prostaglandin casc...

journal_title：Postgraduate medicine

authors： Anderson TF,Voorhees JJ

更新日期：1980-06-01 00:00:00

abstract：OBJECTIVES:We investigated whether there was a higher prevalence of cognitive impairment (CI) and/or physical frailty (PF) in persons with diabetes compared to their non-diabetic counterparts, and the individual and combined impact of CI and PF on functional and mortality outcomes among diabetic older persons. METHOD:...

journal_title：Postgraduate medicine

authors： Thein FS,Li Y,Nyunt MSZ,Gao Q,Wee SL,Ng TP

更新日期：2018-08-01 00:00:00

abstract：INTRODUCTION:With rising health care costs in the United States, trainees will be increasingly challenged in discussing testing stewardship with patients. OBJECTIVE:We piloted a high-value care (HVC) communication skills curriculum utilizing the Four Habits Model for communication. We hoped residents would 1) learn to...

journal_title：Postgraduate medicine

authors： Duran A,Donelan C,Bowman Peterson J,Gladding SP,Weissmann P,Roth CS

更新日期：2020-08-22 00:00:00

abstract：:Occlusive peripheral arterial disease is rather easy to diagnose because of its characteristic symptoms and the ease with which the extremities and their circulation can be examined. Elevation and dependency tests give a rough but reliable estimate of the degree of ischemia, and if more objective data are desired, the...

journal_title：Postgraduate medicine

authors： Spittell JA Jr

更新日期：1982-02-01 00:00:00

abstract：:Pelvic inflammatory disease (PID) is a common infection in women of reproductive age. PID is actually a spectrum of disease, beginning with cervicitis and progressing to endometritis and eventually salpingitis. Sequelae include ectopic pregnancy, infertility, chronic pelvic pain, hydrosalpinx, and tubo-ovarian abscess...

journal_title：Postgraduate medicine

authors： Ault KA,Faro S

更新日期：1993-02-01 00:00:00

abstract：:Prompt and accurate diagnosis of patients presenting with symptoms suggestive of pulmonary arterial hypertension (PAH) is of outmost importance as delays in identifying this clinical entity have detrimental effects on both morbidity and mortality. Initial noninvasive assessment of these patients has traditionally incl...

journal_title：Postgraduate medicine

authors： Vargas PE,Lopez-Candales A

更新日期：2016-01-01 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：:Infectious diseases in the institutionalized elderly are emerging as 1 of the major issues challenging physicians treating adult patients. The most common syndromes encountered are nursing home-acquired pneumonia, urinary tract infections, and skin and soft tissue infections. As a complicating factor, immunocompromise...

journal_title：Postgraduate medicine

authors： Bonomo RA

更新日期：2001-02-01 00:00:00

abstract：OBJECTIVES:Naloxone is indicated for reversal of opioid-induced respiratory depression. The objective of this study is to evaluate patterns of naloxone use in hospitalized patients. METHODS:Retrospective chart review at the University of California, San Diego Health. Subjects included adults ≥18 years old who were adm...

journal_title：Postgraduate medicine

authors： Yung L,Lee KC,Hsu C,Furnish T,Atayee RS

更新日期：2017-01-01 00:00:00

abstract：:In public whirlpools, low disinfectant levels and inadequate monitoring are clearly a public health concern. Implementing guidelines published by the Centers for Disease Control seems to be the most reasonable approach to preventing dermatitis in persons who use these facilities. Physicians should be on the alert for ...

journal_title：Postgraduate medicine

authors： Breitenbach RA

更新日期：1991-09-01 00:00:00

abstract：:Use of "designer drugs" has created a new dilemma for physicians. Generally, it is possible to recognize symptoms and signs of intoxication that fit a specific class of substances, such as amphetamine-like effects for the phenylethylamines and opioid effects for the fentanyl analogues. Designer compounds have crossed ...

journal_title：Postgraduate medicine

authors： Evanko D

更新日期：1991-05-01 00:00:00

abstract：:Regular aerobic exercise has significant cardiovascular benefits, including a reduction in incidence of and mortality from coronary artery disease--probably because of positive effects on blood lipid levels and blood pressure. Aerobic exercise can also be an important adjunct to a weight-loss program. Many persons who...

journal_title：Postgraduate medicine

authors： Mersy DJ

更新日期：1991-07-01 00:00:00

abstract：:Thrombosis results from the dynamic interaction of venous stasis, hypercoagulability, and endothelial injury. Protection against thrombosis may be lost if there is deficiency of any of the factors that mediate platelet deaggregation, block fibrin deposition, or initiate fibrinolysis. A thrombus lodged in the pulmonary...

journal_title：Postgraduate medicine

authors： Giudice JC,Komansky HJ,Gordon R

更新日期：1980-05-01 00:00:00

abstract：:Autonomic neural impulses that accompany discharges during a seizure can cause a variety of cardiac manifestations, including cardiac arrhythmias, sudden death, anginal chest pain, neurogenic pulmonary edema, and symptoms of pheochromocytoma. Either generalized or focal seizures may generate such signs and symptoms. A...

journal_title：Postgraduate medicine

authors： Kothari SS

更新日期：1990-11-01 00:00:00

abstract：:Preview Just when it appeared that diuretics were becoming obsolete in the attack against hypertension, they have come charging back to the fore. This is especially true in treatment of systolic hypertension in the elderly. The perspective on diuretics and their recommendations for administration have changed recently...

journal_title：Postgraduate medicine

authors： Cushman WC

更新日期：1993-08-01 00:00:00

abstract：OBJECTIVE:To evaluate the efficacy and safety of colesevelam in Hispanic subjects with primary hyperlipidemia and prediabetes. MATERIALS AND METHODS:A 16-week, randomized, double-blind, placebo-controlled, multinational study evaluating colesevelam in participants with primary hyperlipidemia (low-density lipoprotein c...

journal_title：Postgraduate medicine

authors： Rosenstock J,Hernandez-Triana E,Handelsman Y,Misir S,Jones MR

更新日期：2012-07-01 00:00:00

abstract：:Deep neck infection has ominous implications if not detected and treated in an early stage. The anatomic relationships of head and neck spaces encourage spread of infection. Immediate hospitalization and constant monitoring of the patient after diagnosis are mandatory. ...

journal_title：Postgraduate medicine

authors： Johnson JT,Tucker HM

更新日期：1976-06-01 00:00:00

abstract：:Is the degree of risk involved in providing health care to people infected with human immunodeficiency virus (HIV) acceptable? Every health care worker, even if only for a few anxious minutes, has certainly worried about this risk. Drs Wilson, Williams, and Robinson discuss these concerns and summarize the indications...

journal_title：Postgraduate medicine

authors： Wilson SE,Williams RA,Robinson G

更新日期：1990-09-01 00:00:00

abstract：:Pregnancy is an important risk factor for venous thrombosis, and venous thromboembolism is a leading cause of preventable death in pregnancy. Diagnosis of venous thromboembolism is complicated in that the symptoms of dyspnea and lower extremity edema are relatively common complaints of pregnant patients. Physicians sh...

journal_title：Postgraduate medicine

authors： Sellman JS,Holman RL

更新日期：2000-09-15 00:00:00

abstract：:Many medical conditions that clearly have a strong genetic component are not transmitted in a straightforward dominant, recessive, or X-linked pattern. Recent progress in understanding other modes of inheritance, such as imprinting, trinucleotide repeat expansion, mitochondrial inheritance, and mosaicism, has allowed ...

journal_title：Postgraduate medicine

authors： Wagstaff J

更新日期：2000-09-01 00:00:00

abstract：:Diagnostic paracentesis with ascitic fluid analysis is critical to the accurate diagnosis and management of ascites. Recent advances have improved the evaluation of ascitic fluid, among them the serum-ascites albumin difference for discriminating between ascites caused by liver disease and ascites due to malignancy. T...

journal_title：Postgraduate medicine

authors： Marshall JB

更新日期：1988-06-01 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：:Pulmonary artery hypertension (PAH) refers to several subgroups of disease in which the mean pulmonary artery pressure (mPAP) is elevated to more than 25 mm Hg, pulmonary artery wedge pressure (PAWP) ≤ 15 mmHg, and an elevated pulmonary vascular resistance (PVR) > 3 Wood units as confirmed by right heart catheterizati...

journal_title：Postgraduate medicine

authors： Velayati A,Valerio MG,Shen M,Tariq S,Lanier GM,Aronow WS

更新日期：2016-06-01 00:00:00

abstract：:Auscultation is the core of pediatric cardiovascular evaluation and should be performed according to a routine. The four heart sounds should be sought in order at their usual locations, with particular attention to the second sound because of its important diagnostic role in congenital cyanotic heart disease. The next...

journal_title：Postgraduate medicine

authors： Kulangara RJ,Strong WB,Miller MD

更新日期：1982-07-01 00:00:00