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The Western journal of medicine最新文献

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Generalized anxiety and panic disorder. 广泛性焦虑和恐慌症。
The Western journal of medicine Pub Date : 2002-05-01 DOI: 10.1136/ewjm.176.3.164
Joseph Rabatin, Lynn Buckvar Keltz
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引用次数: 10
Dyspepsia, peptic ulcer disease, and esophageal reflux disease. 消化不良、消化性溃疡和食道反流病。
The Western journal of medicine Pub Date : 2002-03-01
Mark D Schwartz
{"title":"Dyspepsia, peptic ulcer disease, and esophageal reflux disease.","authors":"Mark D Schwartz","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":101371,"journal":{"name":"The Western journal of medicine","volume":"176 2","pages":"98-103"},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1071675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71490945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surf's up! Protecting the privacy of health information on the Internet: we need new privacy laws and better encryption of information. 冲浪保护互联网上的健康信息隐私：我们需要新的隐私法和更好的信息加密。
The Western journal of medicine Pub Date : 2002-03-01
Mark A Graber
{"title":"Surf's up! Protecting the privacy of health information on the Internet: we need new privacy laws and better encryption of information.","authors":"Mark A Graber","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":101371,"journal":{"name":"The Western journal of medicine","volume":"176 2","pages":"79-81"},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1071667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The ethics of surrogate decision making. 代理决策的伦理问题。
The Western journal of medicine Pub Date : 2002-03-01
Ben A Rich
{"title":"The ethics of surrogate decision making.","authors":"Ben A Rich","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":101371,"journal":{"name":"The Western journal of medicine","volume":"176 2","pages":"127-9"},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1071685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Legal implications of the Wendland case for end-of-life decision making. 温德兰案对临终决策的法律影响。
The Western journal of medicine Pub Date : 2002-03-01
Jon B Eisenberg, J Clark Kelso
{"title":"Legal implications of the Wendland case for end-of-life decision making.","authors":"Jon B Eisenberg, J Clark Kelso","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":101371,"journal":{"name":"The Western journal of medicine","volume":"176 2","pages":"124-7"},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1071696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71490946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medications for smoking cessation. 戒烟药物
The Western journal of medicine Pub Date : 2002-03-01
Robin L Corelli, Karen Suchanek Hudmon
{"title":"Medications for smoking cessation.","authors":"Robin L Corelli, Karen Suchanek Hudmon","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":101371,"journal":{"name":"The Western journal of medicine","volume":"176 2","pages":"131-5"},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1071687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Why the disease-based model of medicine fails our patients. 为什么以疾病为基础的医学模式会让我们的病人失望？
The Western journal of medicine Pub Date : 2002-03-01
Alexander R Green, J Emilio Carrillo, Joseph R Betancourt
{"title":"Why the disease-based model of medicine fails our patients.","authors":"Alexander R Green, J Emilio Carrillo, Joseph R Betancourt","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":101371,"journal":{"name":"The Western journal of medicine","volume":"176 2","pages":"141-3"},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1071693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Helicobacter pylori eradication in dyspeptic primary care patients: a randomized controlled trial of a pharmacy intervention. 为消化不良的初级保健患者根除幽门螺杆菌：药房干预的随机对照试验。
The Western journal of medicine Pub Date : 2002-03-01
Victor J Stevens, Robert J Shneidman, Richard E Johnson, Myde Boles, Paul E Steele, Nancy L Lee
{"title":"Helicobacter pylori eradication in dyspeptic primary care patients: a randomized controlled trial of a pharmacy intervention.","authors":"Victor J Stevens, Robert J Shneidman, Richard E Johnson, Myde Boles, Paul E Steele, Nancy L Lee","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To determine the effectiveness of structured adherence counseling by pharmacists on the eradication of Helicobacter pylori when using a standard drug treatment regimen.</p><p><strong>Design: </strong>Randomized controlled clinical trial.</p><p><strong>Setting: </strong>Nonprofit group-practice health maintenance organization (HMO).</p><p><strong>Participants: </strong>HMO primary care providers referred 1,393 adult dyspeptic patients for carbon 14 urea breath testing (UBT).</p><p><strong>Interventions: </strong>Those whose tests were positive for H pylori (23.3%) were provided a standard antibiotic regimen and randomly assigned to receive either usual-care counseling from a pharmacist or a longer adherence counseling session and a follow-up phone call from the pharmacist during drug treatment. All subjects were given the same 7-day course of omeprazole, bismuth subsalicylate, metronidazole, and tetracycline hydrochloride (OBMT). Dyspepsia symptoms were recorded at baseline and following therapy.</p><p><strong>Outcomes: </strong>The main outcome was eradication of H pylori as measured by UBT at 3-month follow-up. Secondary outcomes were patient satisfaction and dyspepsia symptoms at 3-month follow-up.</p><p><strong>Results: </strong>Of the 333 participants randomly assigned to treatment, 90.7% completed the 3-month follow-up UBT and questionnaires. Overall eradication rate with the OBMT regimen was 80.5% with no significant difference in eradication rates between the 2 groups (P=0.98). Conclusions In this study, additional counseling by pharmacists did not affect self-reported adherence to the treatment regimen, eradication rates, or dyspepsia symptoms but did increase patient satisfaction.</p>","PeriodicalId":101371,"journal":{"name":"The Western journal of medicine","volume":"176 2","pages":"92-6"},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1071673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Death--whose decision? Physician-assisted dying and the terminally ill. 死亡——谁的决定？医生协助垂死和病入膏肓的病人。
The Western journal of medicine Pub Date : 2002-03-01
Sharon I Fraser, James W Walters
{"title":"Death--whose decision? Physician-assisted dying and the terminally ill.","authors":"Sharon I Fraser,&nbsp;James W Walters","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":101371,"journal":{"name":"The Western journal of medicine","volume":"176 2","pages":"120-3"},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1071682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71432154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Breast cancer characteristics of Vietnamese women in the Greater San Francisco Bay Area. 大旧金山湾区越南妇女的乳腺癌特征。
The Western journal of medicine Pub Date : 2002-03-01
Scarlett S Lin, John C Phan, Albert Y Lin
{"title":"Breast cancer characteristics of Vietnamese women in the Greater San Francisco Bay Area.","authors":"Scarlett S Lin, John C Phan, Albert Y Lin","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>To examine breast cancer characteristics of women of Vietnamese ancestry living in the San Francisco Bay Area in comparison with those of other racial or ethnic groups in the same area.</p><p><strong>Design: </strong>Data were obtained from the population-based Greater Bay Area Cancer Registry, part of the Surveillance, Epidemiology, and End Results program. We included breast cancer cases diagnosed from 1988 to 1999 and compared the age at diagnosis, stage and histologic grade at diagnosis, estrogen- and progesterone-receptor status, and surgery types across racial or ethnic groups. We also modeled the effect of patient and clinical characteristics and hospital and physician on the racial or ethnic variations in surgery type.</p><p><strong>Results: </strong>Vietnamese women were younger at diagnosis than other racial or ethnic subgroups (mean age, 51.0 years), with 49.6% of the diagnoses occurring in patients younger than 50. They were also significantly more likely to have received mastectomy for their in situ and localized tumors (61.1% having mastectomy) than women of other racial or ethnic groups. The increased likelihood of having mastectomy among Vietnamese women was not affected greatly by age, year of diagnosis, tumor stage, histologic grade, or physician, but was partly attributable to the hospital of diagnosis.</p><p><strong>Conclusions: </strong>The effects of a lower mean age at diagnosis and the reasons for an unexpectedly higher percentage of mastectomies in this Asian subgroup should be further explored.</p>","PeriodicalId":101371,"journal":{"name":"The Western journal of medicine","volume":"176 2","pages":"87-91"},"PeriodicalIF":0.0,"publicationDate":"2002-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1071671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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