Mayo Clinic proceedings最新文献_第7页

Hypertension Management in Women With a Multidisciplinary Approach 多学科方法治疗女性高血压。

IF 6.9 2区医学

Mayo Clinic proceedings Pub Date : 2025-03-01 DOI: 10.1016/j.mayocp.2024.10.005

Niloofar Nobakht MD , Yalda Afshar MD, PhD , Marmar Vaseghi MD, PhD , Zhaoping Li MD, PhD , Ines Donangelo MD, PhD , Helen Lavretsky MD, MS , Thalia Mok MD , Christina S. Han MD , Susanne B. Nicholas MD, MPH, PhD

{"title":"Hypertension Management in Women With a Multidisciplinary Approach","authors":"Niloofar Nobakht MD , Yalda Afshar MD, PhD , Marmar Vaseghi MD, PhD , Zhaoping Li MD, PhD , Ines Donangelo MD, PhD , Helen Lavretsky MD, MS , Thalia Mok MD , Christina S. Han MD , Susanne B. Nicholas MD, MPH, PhD","doi":"10.1016/j.mayocp.2024.10.005","DOIUrl":"10.1016/j.mayocp.2024.10.005","url":null,"abstract":"<div><div>Current clinical practice guidelines were established by several organizations to guide the diagnosis and treatment of hypertension in men and women in a similar manner despite data demonstrating differences in underlying mechanisms. Few publications have provided a contemporary and comprehensive review focused on characteristics of hypertension that are unique to women across their life spectrum. We performed a computerized search using PubMed, OVID, EMBASE, and Cochrane library databases between 1995 and 2023 that highlighted relevant clinical studies, challenges to the management of hypertension in women, and multidisciplinary approaches to hypertension control in women, including issues unique to racial and ethnic minority groups. Despite our current understanding of underlying mechanisms and strategies to manage hypertension in women, numerous challenges remain. Here, we discuss potential factors contributing to hypertension in women, differences related to effects of lifestyle modifications and drug therapy between men and women, the impact of sleep, and the importance of recognizing disparities in socioeconomic conditions and access to care. This review outlines several opportunities for future studies to fill gaps in knowledge to achieve optimal control of hypertension in women using a multidisciplinary approach, particularly related to sex-specific treatment approaches while considering socioeconomic conditions and life stages from premenopause through the transition to menopause.</div></div>","PeriodicalId":18334,"journal":{"name":"Mayo Clinic proceedings","volume":"100 3","pages":"Pages 514-533"},"PeriodicalIF":6.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bias Experiences and Burnout: A Multispecialty, Cross-Sectional Survey of Residents and Fellows at a Multisite US Academic Medical Center 偏见经历和职业倦怠：一项对美国多地点学术医疗中心住院医师和研究员的多专业横断面调查。

IF 6.9 2区医学

Mayo Clinic proceedings Pub Date : 2025-03-01 DOI: 10.1016/j.mayocp.2024.07.014

Andrea N. Leep Hunderfund MD, MHPE , Shannon K. Laughlin-Tommaso MD , Barbara L. Jordan MA , Valerie A. Melson BS , Monique M. Montenegro MD , Felicity Enders PhD , Daniel V. Satele BS , Colin P. West MD, PhD , Liselotte N. Dyrbye MD, MHPE

{"title":"Bias Experiences and Burnout: A Multispecialty, Cross-Sectional Survey of Residents and Fellows at a Multisite US Academic Medical Center","authors":"Andrea N. Leep Hunderfund MD, MHPE , Shannon K. Laughlin-Tommaso MD , Barbara L. Jordan MA , Valerie A. Melson BS , Monique M. Montenegro MD , Felicity Enders PhD , Daniel V. Satele BS , Colin P. West MD, PhD , Liselotte N. Dyrbye MD, MHPE","doi":"10.1016/j.mayocp.2024.07.014","DOIUrl":"10.1016/j.mayocp.2024.07.014","url":null,"abstract":"<div><h3>Objective</h3><div>To explore associations of bias frequency, sources, and types with burnout in a large, multispecialty sample of residents and fellows and to determine whether and how odds of burnout change after adjustment for bias experiences in multiple demographic subgroups.</div></div><div><h3>Methods</h3><div>Trainees in graduate medical education programs at Mayo Clinic sites were surveyed between October 12, 2020, and November 22, 2020. Survey items measured personal experiences with bias (frequency, sources, types), burnout (2 Maslach Burnout Inventory items), and demographic characteristics (age, gender, race/ethnicity, lesbian-gay-bisexual-transgender-queer-nonbinary-other identification, disability, socioeconomic background, year in school, specialty). The <em>χ</em><sup>2</sup> test and logistic regression analyses examined relationships between variables.</div></div><div><h3>Results</h3><div>Of 1825 trainees surveyed, 942 (52%) from 77 programs responded. Overall, 16% (137/881) of respondents reported 1 or more personal bias experiences. Trainees reporting bias experiences weekly or more often had markedly higher odds of burnout in adjusted analyses (odds ratio [OR], 8.00; 95% CI, 2.68 to 23.89; <em>P</em><.001). Bias from education leaders/staff, fellow learners, and faculty was independently associated with burnout, whereas bias from patients/companions and other staff/employees was not. Trainees with a disability (OR, 3.16; 95% CI, 1.05 to 9.53; <em>P</em>=.04) and trainees from a low-income background (OR, 1.53; 95% CI, 1.03 to 2.26; <em>P</em>=.03) had higher odds of burnout in unadjusted analyses, but these associations were no longer statistically significant after adjustment for bias frequency.</div></div><div><h3>Conclusion</h3><div>Self-reported bias experiences relate strongly to trainee burnout. Some bias sources may be more strongly associated with burnout than others. More frequent bias experiences could account, at least in part, for higher odds of burnout in some demographic subgroups.</div></div>","PeriodicalId":18334,"journal":{"name":"Mayo Clinic proceedings","volume":"100 3","pages":"Pages 465-477"},"PeriodicalIF":6.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Congenital Keratoderma of Olmsted Syndrome 先天性奥姆斯特德综合征角化病

IF 6.9 2区医学

Mayo Clinic proceedings Pub Date : 2025-03-01 DOI: 10.1016/j.mayocp.2024.12.021

Jade Y. Ho BSc , Ahmad H. Al-Huniti MD , Nessa Aghazahdeh Mohandesi MD

引用次数: 0

Major Snowstorms: An Underappreciated Trigger of Acute Cardiac Events in Men 大暴风雪：男性急性心脏事件的未被充分认识的触发因素。

IF 6.9 2区医学

Mayo Clinic proceedings Pub Date : 2025-03-01 DOI: 10.1016/j.mayocp.2025.01.005

Barry A. Franklin PhD , Thijs M.H. Eijsvogels PhD , Paul D. Thompson MD

引用次数: 0

Type A Thymoma A型胸腺瘤

IF 6.9 2区医学

Mayo Clinic proceedings Pub Date : 2025-03-01 DOI: 10.1016/j.mayocp.2024.11.008

Anja C. Roden MD , Lara A. Walkoff MD , Sahar A. Saddoughi MD, PhD

引用次数: 0

Cardiorespiratory Fitness and Mayo Clinic Proceedings 心肺健康和梅奥诊所学报

IF 6.9 2区医学

Mayo Clinic proceedings Pub Date : 2025-03-01 DOI: 10.1016/j.mayocp.2025.01.015

Carl J. Lavie MD, Jari A. Laukkanen MD, PhD, Karl A. Nath MB.ChB (Editor-in-Chief)

引用次数: 0

Tricuspid Valve Regurgitation Trajectories: From Predicting the Unpredictable to Tailored and Timely Treatment Strategies 三尖瓣返流轨迹：从预测不可预测到量身定制和及时的治疗策略

IF 6.9 2区医学

Mayo Clinic proceedings Pub Date : 2025-03-01 DOI: 10.1016/j.mayocp.2025.01.014

Emiliano Fiori MD, Marc Vanderheyden MD, Jozef Bartunek MD, PhD

引用次数: 0

Esophageal Squamous Cell Carcinoma Causing Tracheal Invasion and Compression 食管鳞状细胞癌导致气管受侵和受压

IF 6.9 2区医学

Mayo Clinic proceedings Pub Date : 2025-03-01 DOI: 10.1016/j.mayocp.2024.11.023

John A. Damianos MD, Krishan R. Jethwa MD, Michael Camilleri MD, DSc, Frank A. Sinicrope MD

引用次数: 0

68-Year-Old Man With “Thick Blood” and Fatigue 68 岁男子 "血液粘稠 "并伴有疲劳。

IF 6.9 2区医学

Mayo Clinic proceedings Pub Date : 2025-03-01 DOI: 10.1016/j.mayocp.2024.03.013

Mackenzie D. Maberry MD , Jordan S. Nunnelee MD , Wilson I. Gonsalves MD

引用次数: 0

Comparison of Muscle Strength and Cardiorespiratory Fitness in Relation to Cardiovascular and All-Cause Mortality: The Copenhagen City Heart Study 肌肉力量和心肺健康与心血管和全因死亡率的关系：哥本哈根市心脏研究。

IF 6.9 2区医学

Mayo Clinic proceedings Pub Date : 2025-03-01 DOI: 10.1016/j.mayocp.2024.08.013

Peter Schnohr MD, DMSc , James H. O’Keefe MD , Carl J. Lavie MD , Charlotte Suetta MD, DMSc , Gorm Boje Jensen MD, DMSc , Jacob Louis Marott MSc, PhD

{"title":"Comparison of Muscle Strength and Cardiorespiratory Fitness in Relation to Cardiovascular and All-Cause Mortality: The Copenhagen City Heart Study","authors":"Peter Schnohr MD, DMSc , James H. O’Keefe MD , Carl J. Lavie MD , Charlotte Suetta MD, DMSc , Gorm Boje Jensen MD, DMSc , Jacob Louis Marott MSc, PhD","doi":"10.1016/j.mayocp.2024.08.013","DOIUrl":"10.1016/j.mayocp.2024.08.013","url":null,"abstract":"<div><h3>Objective</h3><div>To compare the association between muscle strength (MS), cardiorespiratory fitness (CRF), and all-cause and cardiovascular disease (CVD) mortality.</div></div><div><h3>Methods</h3><div>The Copenhagen City Heart Study is a prospective longitudinal study comprising a random sample of adults; we excluded participants with a history of coronary heart disease or cancer, leaving 9896 men and women for analyses. A self-administered questionnaire at baseline (from October 10, 1991, to September 16, 1994) documented self-rated MS and CRF, categorized as low, moderate, or high. MS was measured in 3299 participants by a hand grip strength of the dominant hand with isometric dynamometry. Multivariable adjusted analyses were performed adjusting for potential confounders.</div></div><div><h3>Results</h3><div>During follow-up of 27 years, 4971 all-cause deaths and 2128 CVD deaths occurred. Compared with moderate CRF, high CRF was associated with lower all-cause mortality (hazard ratio, 0.82; 95% CI, 0.75 to 0.90) and lower CVD mortality (hazard ratio, 0.81; 95% CI, 0.70 to 0.93). There were approximately 10% higher risk reductions for CRF than for MS in comparing high with moderate levels for both all-cause and CVD mortality; comparing moderate with low levels, CRF was 19% (95% CI, −5% to 48%) better than MS for decreasing risk of all-cause mortality and 33% (95% CI, −6% to 89%) better for reducing CVD mortality. The self-rated MS reports corresponded well with the hand grip results.</div></div><div><h3>Conclusion</h3><div>Both CRF and MS are inversely associated with CVD mortality and all-cause mortality, but of the 2, CRF confers stronger protection.</div></div>","PeriodicalId":18334,"journal":{"name":"Mayo Clinic proceedings","volume":"100 3","pages":"Pages 488-498"},"PeriodicalIF":6.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143364539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0