abstract：:With the ever-expanding elderly population in the United States, benign prostatic hyperplasia (BPH) has become a widespread condition. Although surgical intervention (open prostatectomy and transurethral resection of the prostate) was the typical management approach for BPH in the past, other options currently include...

journal_title：Mayo Clinic proceedings

authors： Blute ML,Larson TR,Hanson KA,King BF

更新日期：1998-06-01 00:00:00

abstract：OBJECTIVE:To assess the frequency and significance of GB virus-C infection in type 1 autoimmune hepatitis. MATERIAL AND METHODS:Serum specimens from 94 patients with type 1 autoimmune hepatitis were tested for GB virus-C RNA by reverse transcription and polymerase chain reaction. Serum samples from 50 normal subjects ...

journal_title：Mayo Clinic proceedings

authors： Czaja AJ,Abdulkarim AS,Carpenter HA,Perez RG,Persing DH,Zein NN

更新日期：1998-05-01 00:00:00

abstract：:Hepatitis C virus infection is common, often silent, and almost always chronic and can lead to cirrhosis and hepatocellular cancer. Deaths related to chronic hepatitis C are expected to increase dramatically in the future. Many cases of infection are asymptomatic and are undiagnosed because of a lack of recognition by...

journal_title：Mayo Clinic proceedings

authors： Gross JB Jr

更新日期：1998-04-01 00:00:00

abstract：:Aortic valve replacement is a lifesaving measure in patients with severe aortic valve disease. In the United States, the most commonly used prostheses are the mechanical and bioprosthetic valves. With mechanical valves, long-term anticoagulation is necessary because of high thrombogenic potential. Bioprosthetic valves...

journal_title：Mayo Clinic proceedings

authors： Staab ME,Nishimura RA,Dearani JA,Orszulak TA

更新日期：1998-03-01 00:00:00

abstract：:High blood pressure is a major individual and public-health issue because of its wide prevalence and associated complications. More women than men have hypertension, but until recently, women have been relatively underrepresented in clinical trials. Gender differences in the physiology, genetics, and treatment benefit...

journal_title：Mayo Clinic proceedings

authors： Hayes SN,Taler SJ

更新日期：1998-02-01 00:00:00

abstract：:The assessment of a patient with binocular vertical diplopia begins with a thorough history and neuro-ophthalmologic examination. The neuro-ophthalmologic examination includes observation for a compensatory head, face, or chin position; ocular ductions and versions in the nine cardinal positions of gaze; the three-ste...

journal_title：Mayo Clinic proceedings

authors： Brazis PW,Lee AG

更新日期：1998-01-01 00:00:00

abstract：OBJECTIVE:To summarize results of telemedicine evaluations of speech and language disorders in patients in a small, rural hospital and in large multidisciplinary medical practices. MATERIALS AND METHODS:Eight patients underwent assessment as part of experiments with the National Aeronautics and Space Administration-la...

journal_title：Mayo Clinic proceedings

authors： Duffy JR,Werven GW,Aronson AE

更新日期：1997-12-01 00:00:00

abstract：:All women who enter menopause experience amenorrhea unless they receive hormone replacement therapy. In younger women, amenorrhea unrelated to pregnancy and lactation can be a distressing symptom. In addition to its psychologic morbidity, amenorrhea may be the manifesting feature of a wide array of anatomic and endocr...

journal_title：Mayo Clinic proceedings

authors： McIver B,Romanski SA,Nippoldt TB

更新日期：1997-12-01 00:00:00

abstract：:A decrease in blood androgen levels is well documented in women who experience natural or surgical menopause. This change may be associated with various negative effects on bone metabolism in addition to psychosocial and sexuality aspects of life. A review of published information on androgen replacement therapy shows...

journal_title：Mayo Clinic proceedings

authors： Abraham D,Carpenter PC

更新日期：1997-11-01 00:00:00

abstract：OBJECTIVE:To determine and quantify the in vivo effects of octreotide on the cell cycle kinetics of growth hormone-producing pituitary adenomas. DESIGN:A multicenter randomized trial had been conducted to assess the clinical efficacy of octreotide, and we studied tissue specimens from pituitary macroadenomas in 32 pat...

journal_title：Mayo Clinic proceedings

authors： Thapar K,Kovacs KT,Stefaneanu L,Scheithauer BW,Horvath E,Lloyd RV,Li J,Laws ER Jr

更新日期：1997-10-01 00:00:00

abstract：:The literature was reviewed to quantify the risk of complications related to the relief of obstruction in urinary retention. We also sought to determine whether the risk of complications is higher with rapid or gradual decompression (or "clamping") of the obstructed urinary bladder. The medical literature was identifi...

journal_title：Mayo Clinic proceedings

authors： Nyman MA,Schwenk NM,Silverstein MD

更新日期：1997-10-01 00:00:00

abstract：OBJECTIVE:To assess whether patients with pancreatic cancer-associated pain living near a pain control center were more likely to undergo neurolytic celiac plexus block (NCPB) than those living at a distance and to determine the rationale of physicians at our institution for referring patients for NCPB. DESIGN:We retr...

journal_title：Mayo Clinic proceedings

authors： Brown DL,Caswell RE,Wong GY,Nauss LA,Offord KP

更新日期：1997-09-01 00:00:00

abstract：OBJECTIVE:To document our evolving surgical management of colonoscopic perforation and examine factors crucial to the improvement of patient care. DESIGN:We conducted a computer-based retrospective analysis of medical records (1980 through 1995). MATERIAL AND METHODS:Among 57,028 colonoscopic procedures performed, 43...

journal_title：Mayo Clinic proceedings

authors： Farley DR,Bannon MP,Zietlow SP,Pemberton JH,Ilstrup DM,Larson DR

更新日期：1997-08-01 00:00:00

abstract：OBJECTIVE:To report a case of eosinophilic myocarditis with remarkable initial clinical manifestations and outcome. MATERIAL AND METHODS:A 67-year-old woman with hypertension and a history of asthma and drug hypersensitivity was referred to our institution with a diagnosis of acute myocardial infarction on the basis o...

journal_title：Mayo Clinic proceedings

authors： Galiuto L,Enriquez-Sarano M,Reeder GS,Tazelaar HD,Li JT,Miller FA Jr,Gleich GJ

更新日期：1997-07-01 00:00:00

abstract：:Health-care organizations have recognized the need to prepare physicians for various leadership and management positions within their own institutions. In the past, those who desired further education had to search beyond the boundaries of their practice to fulfill this need. The demands of a dynamic and changing heal...

journal_title：Mayo Clinic proceedings

authors： Scott HM,Tangalos EG,Blomberg RA,Bender CE

更新日期：1997-07-01 00:00:00

abstract：:The increasing prevalence and far-reaching medical, social, and economical implications of obesity have made it a national health-care crisis in the United States. About one in every three persons is at least 20% above "ideal" body weight, and approximately 5% have direct weight-related serious health problems (morbid...

journal_title：Mayo Clinic proceedings

authors： Balsiger BM,Luque de Leon E,Sarr MG

更新日期：1997-06-01 00:00:00

abstract：OBJECTIVE:To determine the effect of adding a trained intensivist on patient care and educational outcomes in a community teaching hospital. MATERIAL AND METHODS:We retrospectively reviewed outcomes for patients admitted to the medical intensive-care unit (MICU) of a 270-bed community teaching hospital between July 19...

journal_title：Mayo Clinic proceedings

authors： Manthous CA,Amoateng-Adjepong Y,al-Kharrat T,Jacob B,Alnuaimat HM,Chatila W,Hall JB

更新日期：1997-05-01 00:00:00

abstract：:In ancient times, the sun was venerated as a source of life in some cultures. Scientifically, the relationship between vitamin D and sunlight and the deficiency of vitamin D in patients with rickets were ultimately discovered. In 1903, Niels Finsen was awarded the Nobel Prize in medicine or physiology for his "Finsen ...

journal_title：Mayo Clinic proceedings

authors： Randle HW

更新日期：1997-05-01 00:00:00

abstract：:A 33-year-old woman with acute idiopathic postganglionic panautonomic neuropathy experienced prompt recovery of all dysautonomic symptoms after receiving high-dose intravenous immunoglobulin therapy. Her recovery was complete within 6 months after onset of disease. This unusually rapid and complete recovery in compari...

journal_title：Mayo Clinic proceedings

authors： Smit AA,Vermeulen M,Koelman JH,Wieling W

更新日期：1997-04-01 00:00:00

abstract：:During the 1960s, the Mustard or Senning operation was the conventional palliative therapy for patients with transposition of the great arteries. Many of these patients are now adults, and the durability of the morphologic right ventricle to function as the systemic ventricle is being questioned. Surgical options for ...

journal_title：Mayo Clinic proceedings

authors： Cetta F,Bonilla JJ,Lichtenberg RC,Stasior C,Troman JE,Deleon SY

更新日期：1997-03-01 00:00:00

abstract：:Psychosocial and spiritual factors influence a broad spectrum of medical and surgical disorders. The adverse effects of stress have been most clearly documented in cardiovascular disease. In cancer, unresolved questions include the following: Do emotional factors have a causal role in either initiating or promoting a ...

journal_title：Mayo Clinic proceedings

authors： Creagan ET

更新日期：1997-02-01 00:00:00

abstract：OBJECTIVE:To assess overall perioperative and anesthetic care-specific patient satisfaction. DESIGN:We mailed questionnaires postoperatively to three groups of surgical patients (those who underwent anesthesia without complications, those who experienced airway management difficulties, and those who had cardiovascular...

journal_title：Mayo Clinic proceedings

authors： Brown DL,Warner ME,Schroeder DR,Offord KP

更新日期：1997-01-01 00:00:00

abstract：:In this article, we report a case of Leuconostoc bacteremia in a 7-month-old infant who had short-gut syndrome after a gastroschisis repair and who was dependent on total parenteral nutrition through a central venous catheter. The organism was initially misidentified as viridans group streptococcus. Detection of vanco...

journal_title：Mayo Clinic proceedings

authors： Dhodapkar KM,Henry NK

更新日期：1996-12-01 00:00:00

abstract：:Migraine, an episodic headache disorder, is one of the most common complaints encountered by primary-care physicians and neurologists. Nevertheless, it remains underdiagnosed and undertreated. Rational migraine treatment necessitates an accurate diagnosis, identification and removal of potential triggering factors, an...

journal_title：Mayo Clinic proceedings

authors： Capobianco DJ,Cheshire WP,Campbell JK

更新日期：1996-11-01 00:00:00

abstract：:The old paradigm states that the greater the stenosis, the greater the risk of cardiac events. Revascularization procedures are the only effective approach to improving prognosis associated with coronary artery disease. In contrast, on the basis of the new paradigm, the nature of the plaque determines the risk of acut...

journal_title：Mayo Clinic proceedings

authors： O'Keefe JH Jr,Conn RD,Lavie CJ,Bateman TM

更新日期：1996-10-01 00:00:00

abstract：OBJECTIVE:To ascertain the usefulness of bone marrow and cerebrospinal fluid (CSF) examinations in identifying or predicting relapse in children with acute lymphoblastic leukemia (ALL) before discontinuation of chemotherapy. MATERIAL AND METHODS:We retrospectively reviewed the medical records of 113 children with ALL ...

journal_title：Mayo Clinic proceedings

authors： Hutt PJ,Sabio H,Gilchrist GS,O'Brien C

更新日期：1996-09-01 00:00:00

abstract：:Epilepsy is a common condition that affects 0.5 to 1% of all children. Although most children with epilepsy have well-controlled seizures with use of one antiepileptic drug (AED), some children have medically refractory seizures. This situation can be the result of inaccurate classification of the paroxysmal event, us...

journal_title：Mayo Clinic proceedings

authors： Zupanc ML

更新日期：1996-09-01 00:00:00

abstract：:Generalized convulsive status epilepticus (GCSE) is a medical emergency that may be associated with severe neuronal injury. The mortality attributable to GCSE ranges from 3 to 35%. The disorder occurs most frequently in the young and the old extremes of the population. GCSE commonly occurs in patients with no history ...

journal_title：Mayo Clinic proceedings

authors： Cascino GD

更新日期：1996-08-01 00:00:00

abstract：:Myoclonus is defined as sudden, brief, shocklike, involuntary movements caused by muscular contractions or inhibitors. Myoclonic movements have now been recognized to have many possible variants and pathophysiologic features. Myoclonus may arise from several sites within the neuraxis, of which the cortex and brain ste...

journal_title：Mayo Clinic proceedings

authors： Caviness JN

更新日期：1996-07-01 00:00:00

abstract：OBJECTIVE:To review the association of coronary artery calcification with coronary atherosclerosis and its potential clinical application as detected on electron beam computed tomography (EBCT). DESIGN:A literature review of coronary artery calcification, coronary artery disease, and EBCT is presented, and clinical ap...

journal_title：Mayo Clinic proceedings

authors： Rumberger JA,Sheedy PF 2nd,Breen JF,Fitzpatrick LA,Schwartz RS

更新日期：1996-04-01 00:00:00

abstract：OBJECTIVE:To determine the effect of application of back supports on back strength in subjects with osteoporosis. DESIGN:In a prospective, randomized, controlled study, we compared compliance and evaluated changes in back strength in 45 women with osteoporosis who were older than 40 years of age and were randomly assi...

journal_title：Mayo Clinic proceedings

authors： Kaplan RS,Sinaki M,Hameister MD

更新日期：1996-03-01 00:00:00

abstract：:Prompt and appropriate management measures are critical in order to achieve a favorable outcome after a major overdose of intrathecally (IT) administered methotrexate (MTX). Published information available to guide clinicians in the immediate management of this medical emergency is scant. Herein we describe a 6-year-o...

journal_title：Mayo Clinic proceedings

authors： O'Marcaigh AS,Johnson CM,Smithson WA,Patterson MC,Widemann BC,Adamson PC,McManus MJ

更新日期：1996-02-01 00:00:00

abstract：:Coronary artery fistulas are infrequently encountered vascular communications that are either congenital or due to cardiac trauma. Most patients with these anomalies are asymptomatic, but late complications can occur and include congestive heart failure, myocardial ischemia, arrhythmias, and endocarditis. Therefore, m...

journal_title：Mayo Clinic proceedings

authors： Harris WO,Andrews JC,Nichols DA,Holmes DR Jr

更新日期：1996-01-01 00:00:00

abstract：OBJECTIVE:To describe the causes, evaluation, and management of urinary incontinence in the elderly population. DESIGN:We reviewed pertinent articles in the medical literature and summarized the types of incontinence and contributing factors. RESULTS:Urinary incontinence is common in elderly patients and often has a ...

journal_title：Mayo Clinic proceedings

authors： Chutka DS,Fleming KC,Evans MP,Evans JM,Andrews KL

更新日期：1996-01-01 00:00:00

abstract：:Reperfusion therapy (by either administration of thrombolytic agents or immediate angioplasty) is the mainstay of treatment of acute myocardial infarction, yet it remains underutilized. Additionally, many patients do not experience optimal reperfusion because of suboptimal flow rate in the infarct-related artery, abno...

journal_title：Mayo Clinic proceedings

authors： Reeder GS

更新日期：1995-12-01 00:00:00

abstract：OBJECTIVE:To describe the two variants of Castleman's disease--the hyaline-vascular type and the plasma-cell type--and discuss the associated histologic features. DESIGN:We present a case of the hyaline-vascular type and review the literature. RESULTS:Castleman's disease was once thought to be localized and self-limi...

journal_title：Mayo Clinic proceedings

authors： Shahidi H,Myers JL,Kvale PA

更新日期：1995-10-01 00:00:00

abstract：:Transesophageal echocardiography (TEE) is used frequently in patients with cerebrovascular ischemia. On TEE, a typical appearance of a cardiac fibroelastoma is that of a pedunculated, mobile mass attached to a leaflet of a valve. Surgical excision of the lesion may lead to resolution of the symptoms and prevent furthe...

journal_title：Mayo Clinic proceedings

authors： Brown RD Jr,Khandheria BK,Edwards WD

更新日期：1995-09-01 00:00:00

abstract：OBJECTIVE:To determine the effect of psychologic distress, measured with a commonly used screening questionnaire, on 6-month morbidity and rehospitalization costs in coronary patients. DESIGN:Psychologic distress was determined by screening with the Symptom Checklist-90--Revised (SCL-90-R) self-report inventory during...

journal_title：Mayo Clinic proceedings

authors： Allison TG,Williams DE,Miller TD,Patten CA,Bailey KR,Squires RW,Gau GT

更新日期：1995-08-01 00:00:00

abstract：OBJECTIVE:To describe lymphoma associated with human immunodeficiency virus (HIV) infection. DESIGN:A review of HIV-related lymphoma and its associated epidemiology, etiopathogenesis, and clinicopathologic characteristics is presented. Major studies of therapeutic regimens for HIV-related lymphoma are discussed. Facto...

journal_title：Mayo Clinic proceedings

authors： Wang CY,Snow JL,Su WP

更新日期：1995-07-01 00:00:00

abstract：OBJECTIVE:To determine the frequency of fetal urinary tract anomalies and to characterize the types of such abnormalities detected on ultrasonography and the outcome of affected patients during a 15-year period at our institution. DESIGN:We retrospectively reviewed the findings on maternal prenatal ultrasound examinat...

journal_title：Mayo Clinic proceedings

authors： Gloor JM,Ogburn PL Jr,Breckle RJ,Morgenstern BZ,Milliner DS

更新日期：1995-06-01 00:00:00