abstract：:Despite the successful growth of the hospice movement during the past 30 years in the United States, almost 85% of Americans continue to die in hospitals or nursing homes. While the benefits of palliative care principles are well established, palliative care interventions remain underused in clinical practice in the s...

journal_title：Mayo Clinic proceedings

authors： Rummans TA,Bostwick JM,Clark MM,Mayo Clinic Cancer Center Quality of Life Working Group.

更新日期：2000-12-01 00:00:00

abstract：OBJECTIVE:To compare coronary artery bypass grafting (CABG) with percutaneous transluminal coronary angioplasty (PTCA) in patients with proximal, isolated de novo left anterior descending coronary artery disease and left ventricular ejection fraction of 45%. PATIENTS AND METHODS:In the multicenter Stenting vs Internal...

journal_title：Mayo Clinic proceedings

authors： Goy JJ,Kaufmann U,Goy-Eggenberger D,Garachemani A,Hurni M,Carrel T,Gaspardone A,Burnand B,Meier B,Versaci F,Tomai F,Bertel O,Pieper M,de Benedictis M,Eeckhout E

更新日期：2000-11-01 00:00:00

abstract：OBJECTIVE:To gain information regarding long-term follow-up in patients with synchronous bilateral solid renal neoplasms in whom renal-preserving surgery is imperative. PATIENTS AND METHODS:We examined our surgical experience and the survival outcome, as evaluated by Kaplan-Meier and log-rank analysis, of 94 patients ...

journal_title：Mayo Clinic proceedings

authors： Blute ML,Amling CL,Bryant SC,Zincke H

更新日期：2000-10-01 00:00:00

abstract：:To our knowledge, we describe the first reported case of paradoxical embolization via a patent foramen ovale (PFO) in an adult with moderately severe cystic fibrosis (CF) and advanced lung disease. Fluctuating neurologic symptoms and signs suggestive of cerebrovascular disease in an adult patient with advanced CF may ...

journal_title：Mayo Clinic proceedings

authors： Espiritu JD,Kleinhenz ME

更新日期：2000-10-01 00:00:00

abstract：:Catastrophic infarcts of the cerebral hemisphere often involve occlusion of the middle cerebral artery. In approximately 50% of these patients, consciousness declines because of brain swelling. Management includes prevention of further systemic complications, and recent studies have suggested that decompressive hemicr...

journal_title：Mayo Clinic proceedings

authors： Wijdicks EF

更新日期：2000-09-01 00:00:00

abstract：OBJECTIVE:To determine the effect of sumatriptan on migraine-related workplace productivity loss. PATIENTS AND METHODS:In this randomized, double-blind, placebo-controlled, parallel-group trial, adult migraineurs self-injected 6 mg of sumatriptan or matching placebo to treat a moderate or severe migraine within the fi...

journal_title：Mayo Clinic proceedings

authors： Schulman EA,Cady RK,Henry D,Batenhorst AS,Putnam DG,Watson CB,O'Quinn SO

更新日期：2000-08-01 00:00:00

abstract：:Pyoderma gangrenosum is a painful, noninfectious, ulcerating skin disorder often associated with systemic disease. Thalidomide has been used to treat many inflammatory dermatologic conditions and has been reintroduced in the United States to treat immune-modulated diseases such as pyoderma gangrenosum. The patient des...

journal_title：Mayo Clinic proceedings

authors： Federman GL,Federman DG

更新日期：2000-08-01 00:00:00

abstract：:Nonalcoholic steatohepatitis (NASH) is a liver disease that, until recently, has been underrecognized as a common cause of elevated liver enzymes. This distinct clinical entity is characterized by liver biopsy findings similar to those seen in alcoholic hepatitis but in the absence of alcohol consumption sufficient to...

journal_title：Mayo Clinic proceedings

authors： Kumar KS,Malet PF

更新日期：2000-07-01 00:00:00

abstract：OBJECTIVE:To determine the frequency of pulmonary lymphangioleiomyomatosis (LAM), a rare cystic lung disorder that occurs almost exclusively in women of reproductive age, in women with tuberous sclerosis complex (TSC), an inheritable multiorgan hamartomatosis. PATIENTS AND METHODS:In this retrospective cohort study, t...

journal_title：Mayo Clinic proceedings

authors： Costello LC,Hartman TE,Ryu JH

更新日期：2000-06-01 00:00:00

abstract：OBJECTIVE:To determine how often patients with renal artery stenosis (RAS) managed without revascularization progress to accelerated hypertension and/or renal failure. PATIENTS AND METHODS:We examined the outcomes of 68 patients (mean +/- SEM age, 71.8 +/- 0.9 years) with high-grade (>70%) RAS identified between 1989 ...

journal_title：Mayo Clinic proceedings

authors： Chábová V,Schirger A,Stanson AW,McKusick MA,Textor SC

更新日期：2000-05-01 00:00:00

abstract：:Staphylococcus lugdunensis, a coagulase-negative staphylococcus, is being increasingly recognized as the cause of serious infections. We report 2 cases of total knee arthroplasty infection caused by S lugdunensis. S lugdunensis frequently produces a clumping factor that can result in a positive slide (short) coagulase...

journal_title：Mayo Clinic proceedings

authors： Sampathkumar P,Osmon DR,Cockerill FR 3rd

更新日期：2000-05-01 00:00:00

abstract：OBJECTIVE:To determine relationships among pregnancy (during and postpartum), acute pancreatitis, and gallstones. PATIENTS AND METHODS:In this retrospective population-based case-control study, we identified all 12- to 50-year-old Rochester, Minn, females diagnosed between 1976 and 1991 as having acute pancreatitis (c...

journal_title：Mayo Clinic proceedings

authors： Maringhini A,Lankisch MR,Zinsmeister AR,Melton LJ 3rd,DiMagno EP

更新日期：2000-04-01 00:00:00

abstract：OBJECTIVE:To evaluate the treatment strategies for primary and secondary management of malignancy-related pericardial effusions. PATIENTS AND METHODS:Retrospective review of Mayo Clinic Rochester charts and external records of patients with pericardial effusion associated with malignant disease who required treatment ...

journal_title：Mayo Clinic proceedings

authors： Tsang TS,Seward JB,Barnes ME,Bailey KR,Sinak LJ,Urban LH,Hayes SN

更新日期：2000-03-01 00:00:00

abstract：:Usual causes of intolerance to thyroxine sodium include coronary artery disease, advanced age, untreated adrenal insufficiency, and severe hypothyroidism. We describe 4 patients with iron deficiency anemia and primary hypothyroidism. After treatment with thyroxine sodium, these patients developed palpitations and feel...

journal_title：Mayo Clinic proceedings

authors： Shakir KM,Turton D,Aprill BS,Drake AJ 3rd,Eisold JF

更新日期：2000-02-01 00:00:00

abstract：:Sarcopenia is a debilitating condition that occurs with senescence. The present study places this entity in the context of life expectancy, then discusses the mechanism of muscle loss. The findings show deficits in muscle protein synthesis with advancing age and suggest that these deficits are specific to certain musc...

journal_title：Mayo Clinic proceedings

authors： Nair KS

更新日期：2000-01-01 00:00:00

abstract：:Recognizing the adverse metabolic effects of predominantly visceral body fat distribution associated with low testosterone levels, researchers have investigated the effects of androgen treatment on body fat distribution in men. This presentation reviews the results of research on acute and longer-term effects of treat...

journal_title：Mayo Clinic proceedings

authors： Jensen MD

更新日期：2000-01-01 00:00:00

abstract：:Giant cell myocarditis (GCM) is a rare and frequently fatal disorder with no proven treatment. Case reports and data from a rat model of GCM suggest that immunosuppressive therapy directed against T lymphocytes may have clinical benefit. We describe a 47-year-old man with severe acute heart failure due to GCM in whom ...

journal_title：Mayo Clinic proceedings

authors： Menghini VV,Savcenko V,Olson LJ,Tazelaar HD,Dec GW,Kao A,Cooper LT Jr

更新日期：1999-12-01 00:00:00

abstract：OBJECTIVE:To determine the effects of cardiac rehabilitation interventions on patients with hostility, or unexpressed anger, a coronary heart disease risk factor that adversely affects morbidity and mortality after major coronary heart disease events. METHODS:Using validated questionnaires to evaluate behavioral chara...

journal_title：Mayo Clinic proceedings

authors： Lavie CJ,Milani RV

更新日期：1999-10-01 00:00:00

abstract：:Diverticulitis has long been known to affect the right colon, and in recent years, our understanding has evolved in regard to the underlying cause. Appendiceal diverticulitis has yet to gain widespread recognition despite the fact that it was first described in 1893. Commonly dismissed by surgeons and pathologists as ...

journal_title：Mayo Clinic proceedings

authors： Phillips BJ,Perry CW

更新日期：1999-09-01 00:00:00

abstract：OBJECTIVE:To assess the value of adding remote pointer and dynamic display capabilities to a telemedicine system designed to provide consultative services for patients with congenital heart disease. MATERIAL AND METHODS:Independent observations by the referring physician and the consulting physician provided the data ...

journal_title：Mayo Clinic proceedings

authors： Julsrud PR,Breen JF,Jedeikin R,Peoples W,Wondrow MA,Bailey KR

更新日期：1999-08-01 00:00:00

abstract：:Noninvasive ventilation refers to the delivery of assisted ventilatory support without the use of an endotracheal tube. Noninvasive positive pressure ventilation (NPPV) can be delivered by using a volume-controlled ventilator, a pressure-controlled ventilator, a bilevel positive airway pressure ventilator, or a contin...

journal_title：Mayo Clinic proceedings

authors： Rabatin JT,Gay PC

更新日期：1999-08-01 00:00:00

abstract：:Autonomic failure and proximal skeletal myopathy are rare features of the Sjögren syndrome (SS). We describe a 51-year-old woman with primary SS who had development of esophageal dysmotility, urinary retention, severe orthostatism, and skeletal myopathy during a 3-month period after the diagnosis of SS. Her symptoms a...

journal_title：Mayo Clinic proceedings

authors： Sorajja P,Poirier MK,Bundrick JB,Matteson EL

更新日期：1999-07-01 00:00:00

abstract：OBJECTIVE:To study the incidence and prevalence of diagnosed myoclonus in Olmsted County, Minnesota. Little is known about the frequency and distribution of myoclonus in the general population. DESIGN:Descriptive study with case ascertainment through a records-linkage system. PATIENTS AND METHODS:We used a medical re...

journal_title：Mayo Clinic proceedings

authors： Caviness JN,Alving LI,Maraganore DM,Black RA,McDonnell SK,Rocca WA

更新日期：1999-06-01 00:00:00

abstract：:Scleromyxedema is a disorder characterized by a typical rash due to the accumulation of mucin in the dermis. It is always associated with a monoclonal protein in the serum and can have a wide variety of systemic manifestations. We describe a 40-year-old woman who had scleromyxedema associated with a monoclonal G lambd...

journal_title：Mayo Clinic proceedings

authors： Rayson D,Lust JA,Duncan A,Su WP

更新日期：1999-05-01 00:00:00

abstract：OBJECTIVE:To analyze the influence of recent changes in Minnesota statutes that generally require prior authorization for use of medical records for research from patients who received medical care after Jan. 1, 1997. MATERIAL AND METHODS:In this Mayo Clinic Institutional Review Board-approved study, we obtained a str...

journal_title：Mayo Clinic proceedings

authors： Jacobsen SJ,Xia Z,Campion ME,Darby CH,Plevak MF,Seltman KD,Melton LJ 3rd

更新日期：1999-04-01 00:00:00

abstract：:Currently, computer-assisted imaging can visualize very fast or very slow nonvisible motion events. We can create measurable geometric representations of physiology, including transformation, blood flow velocity, perfusion, pressure, contractility, image features, electricity, metabolism, and a vast number of other co...

journal_title：Mayo Clinic proceedings

authors： Seward JB,Belohlavek M,Kinter TM,Greenleaf JF

更新日期：1999-04-01 00:00:00

abstract：OBJECTIVE:To report the clinicopathologic findings in patients with Grover's disease. MATERIAL AND METHODS:We reviewed the medical records and biopsy specimens from 72 patients with transient acantholytic dermatosis (Grover's disease) examined at Mayo Clinic Rochester. Hematoxylin-eosin-stained biopsy specimens (from ...

journal_title：Mayo Clinic proceedings

authors： Davis MD,Dinneen AM,Landa N,Gibson LE

更新日期：1999-03-01 00:00:00

abstract：:The penicillin family of antibiotics remains an important part of our antimicrobial armamentarium. In general, these agents have bactericidal activity, excellent distribution throughout the body, low toxicity, and efficacy against infections caused by susceptible bacteria. The initial introduction of aqueous penicilli...

journal_title：Mayo Clinic proceedings

authors： Wright AJ

更新日期：1999-03-01 00:00:00

abstract：OBJECTIVE:To assess the pharmacokinetics, toxicity, and efficacy of antineoplastons A10 (NSC 648539) and AS2-1 (NSC 620261). DESIGN:We initiated a phase II trial in order to determine whether evidence of antitumor activity of A10 and AS2-1 could be documented. MATERIAL AND METHODS:Patients with anaplastic astrocytoma...

journal_title：Mayo Clinic proceedings

authors： Buckner JC,Malkin MG,Reed E,Cascino TL,Reid JM,Ames MM,Tong WP,Lim S,Figg WD

更新日期：1999-02-01 00:00:00

abstract：:The German Pflegeversicherung, introduced in January 1995, has been very successful. It has been well accepted by persons in need and by their relatives and friends, providing benefits for both parties. The insurance is financially sound and has helped to create new workplaces. ...

journal_title：Mayo Clinic proceedings

authors： Wahner-Roedler DL,Knuth P,Juchems RH

更新日期：1999-02-01 00:00:00

abstract：OBJECTIVE:To assess the results of laparoscopic splenectomy as a treatment for immune thrombocytopenic purpura (ITP). MATERIAL AND METHODS:We conducted a retrospective study of all patients who underwent laparoscopic splenectomy for ITP at our institution between August 1992 and May 1997. RESULTS:Of 27 patients who u...

journal_title：Mayo Clinic proceedings

authors： Harold KL,Schlinkert RT,Mann DK,Reeder CB,Noel P,Fitch TR,Braich TA,Camoriano JK

更新日期：1999-01-01 00:00:00

abstract：OBJECTIVE:To determine the prevalence of abnormalities in endothelium-dependent and endothelium-independent coronary flow reserve among patients with non-obstructive coronary artery disease and chest pain. MATERIAL AND METHODS:We studied endothelium-dependent (after infusion of 10(-6) M to 10(-4) M of acetylcholine) a...

journal_title：Mayo Clinic proceedings

authors： Hasdai D,Holmes DR Jr,Higano ST,Burnett JC Jr,Lerman A

更新日期：1998-12-01 00:00:00

abstract：:Acute disseminated encephalomyelitis, an inflammatory demyelinating disease of the central nervous system, can occur after viral infections or vaccinations. We report the clinical and neuroimaging findings in a 52-year-old man in whom acute disseminated encephalomyelitis developed after accidental self-injection of an...

journal_title：Mayo Clinic proceedings

authors： Dodick DW,Silber MH,Noseworthy JH,Wilbright WA,Rodriguez M

更新日期：1998-12-01 00:00:00

abstract：OBJECTIVE:To ascertain whether "harmonic imaging"--use of ultrasound signals with the frequency twice that of the transmitted signal for ultrasound image generation--can improve image contrast while reducing noise. METHODS:Technically difficult echocardiograms (nonvisualization of 2 or more endocardial segments in a 1...

journal_title：Mayo Clinic proceedings

authors： Belohlavek M,Tanabe K,Mulvagh SL,Foley DA,Greenleaf JF,Seward JB

更新日期：1998-11-01 00:00:00

abstract：OBJECTIVE:To establish prognostic factors for recurrence and outcome of surgical treatment, with or without postoperative radiation therapy, in patients with meningiomas. MATERIAL AND METHODS:From 1978 through 1988, 581 patients underwent initial resection of a previously untreated primary meningioma at Mayo Clinic Ro...

journal_title：Mayo Clinic proceedings

authors： Stafford SL,Perry A,Suman VJ,Meyer FB,Scheithauer BW,Lohse CM,Shaw EG

更新日期：1998-10-01 00:00:00

abstract：OBJECTIVE:To evaluate the frequency of osteosarcoma involving the foot and determine the clinical outcome of affected patients. MATERIAL AND METHODS:We retrospectively reviewed the cases of osteosarcoma encountered between 1911 and 1992 at the Rizzoli Orthopedic Institute. In particular, we analyzed whether common cli...

journal_title：Mayo Clinic proceedings

authors： Biscaglia R,Gasbarrini A,Böhling T,Bacchini P,Bertoni F,Picci P

更新日期：1998-09-01 00:00:00

abstract：OBJECTIVE:To review the diagnostic evaluation and the clinical course of patients with pretruncal nonaneurysmal subarachnoid hemorrhage. MATERIAL AND METHODS:The study population consisted of a consecutive series of patients with a pretruncal nonaneurysmal subarachnoid hemorrhage encountered at Mayo Clinic Rochester d...

journal_title：Mayo Clinic proceedings

authors： Wijdicks EF,Schievink WI,Miller GM

更新日期：1998-08-01 00:00:00

abstract：:As alternatives to transurethral resection of the prostate for treatment of benign prostatic hyperplasia, various types of laser prostatectomy-most notably, neodymium:yttrium-aluminum-garnet (YAG) and potassium titanyl phosphate laser procedures-have proved to be associated with considerably less morbidity (for exampl...

journal_title：Mayo Clinic proceedings

authors： Kabalin JN,Gilling PJ,Fraundorfer MR

更新日期：1998-08-01 00:00:00

abstract：OBJECTIVE:To ascertain the incidence and timing of fever in patients at risk for temperature modulation of brain injury resulting from ischemia or trauma. DESIGN:We retrospectively reviewed the medical records of patients admitted between January 1991 and December 1994. MATERIAL AND METHODS:We investigated three grou...

journal_title：Mayo Clinic proceedings

authors： Albrecht RF 2nd,Wass CT,Lanier WL

更新日期：1998-07-01 00:00:00

abstract：:Management of a solitary liver mass necessitates reliable distinction between primary hepatocellular carcinoma and metastatic lesions. The histologic differentiation can be difficult even with special stains such as alpha-fetoprotein, cytokeratin, and carcinoembryonic antigen. Albumin is a specific product of hepatocy...

journal_title：Mayo Clinic proceedings

authors： Rajkumar SV,Richardson RL,Goellner JR

更新日期：1998-06-01 00:00:00