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The natural and unnatural history of gallstones. 胆结石的自然和非自然的历史。
Rhode Island medical journal Pub Date : 1991-12-01
E R Feller
{"title":"The natural and unnatural history of gallstones.","authors":"E R Feller","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21256,"journal":{"name":"Rhode Island medical journal","volume":"74 12","pages":"575-7"},"PeriodicalIF":0.0,"publicationDate":"1991-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12925787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Doctors, drug companies and gifts. 医生，制药公司和礼物。
Rhode Island medical journal Pub Date : 1991-12-01
M M Chren, C S Landefeld
{"title":"Doctors, drug companies and gifts.","authors":"M M Chren,&nbsp;C S Landefeld","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper by Chren and Landefeld was originally presented at the Miriam Hospital on March 21, 1991, as the 1991 Lichtman Oration, an annual meeting devoted to ethical problems in medicine honoring Herbert C. Lichtman, MD, former physician-in-chief at the hospital. Because of the importance of this paper, and its controversial character, the Journal has asked a number of practicing physicians and other concerned persons to offer their opinions on this paper. These commentaries will then be published in a subsequent issue of the Journal, along with reactions by our readers.</p>","PeriodicalId":21256,"journal":{"name":"Rhode Island medical journal","volume":"74 12","pages":"603-10"},"PeriodicalIF":0.0,"publicationDate":"1991-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12925790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The varied uses of gallstones. 胆结石的各种用途。
Rhode Island medical journal Pub Date : 1991-12-01
S M Aronson
{"title":"The varied uses of gallstones.","authors":"S M Aronson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21256,"journal":{"name":"Rhode Island medical journal","volume":"74 12","pages":"569-70"},"PeriodicalIF":0.0,"publicationDate":"1991-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12925784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assisted reproductive technics for the treatment of male factor infertility. 辅助生殖技术治疗男性因素不育。
Rhode Island medical journal Pub Date : 1991-12-01
M Sigman
{"title":"Assisted reproductive technics for the treatment of male factor infertility.","authors":"M Sigman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Several treatment choices remain for the couple with male factor infertility due to idiopathic male infertility or in couples in which specific therapy has failed. Empiric medical therapy continues as a viable option; however, the physician and patient must understand that the success rates with any of the pharmacological therapies remain suboptimal. In addition, this therapy should only be used for patients with idiopathic male infertility. It is not indicated for other classes of infertile males. Another option is that of IVF and related technologies. These technics continue to improve and we can expect more specific technics to be developed to optimize fertilization and pregnancy rates in those couples with male factor infertility. At the present time, the pregnancy rates achieved with this technology in male factor couples are less than those in non-male factor patients. In addition, all of these technics entail considerable expense, often not covered by insurance. The third alternative for the patient with idiopathic male infertility is that of therapeutic insemination with the husband's sperm. Recent studies combining ovarian hyperstimulation with IUI suggest a clear advantage of this technic over other insemination approaches. As this treatment is significantly less expensive and time-consuming than the prior therapies, it should be considered when choosing therapy. Additional choices the couple with male factor infertility should consider are adoption and therapeutic donor insemination. It is only after careful consideration of all the available options that an appropriate decision can be made. This will vary, depending on the particular clinical characteristics of the couple as well as their social and financial situation.</p>","PeriodicalId":21256,"journal":{"name":"Rhode Island medical journal","volume":"74 12","pages":"591-6"},"PeriodicalIF":0.0,"publicationDate":"1991-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12925788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The language of epidemiology (VI): prevalence. 流行病学的语言(六):流行。
Rhode Island medical journal Pub Date : 1991-12-01
S M Aronson
{"title":"The language of epidemiology (VI): prevalence.","authors":"S M Aronson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21256,"journal":{"name":"Rhode Island medical journal","volume":"74 12","pages":"570-1"},"PeriodicalIF":0.0,"publicationDate":"1991-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12925786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hospitalizations for biliary tract disease, 1990. 胆道疾病住院治疗，1990年。
Rhode Island medical journal Pub Date : 1991-12-01
{"title":"Hospitalizations for biliary tract disease, 1990.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21256,"journal":{"name":"Rhode Island medical journal","volume":"74 12","pages":"598-9"},"PeriodicalIF":0.0,"publicationDate":"1991-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12925789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Laparoscopic cholecystectomy. 腹腔镜胆囊切除术。
Rhode Island medical journal Pub Date : 1991-12-01
F J Schaberg
{"title":"Laparoscopic cholecystectomy.","authors":"F J Schaberg","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21256,"journal":{"name":"Rhode Island medical journal","volume":"74 12","pages":"579-83"},"PeriodicalIF":0.0,"publicationDate":"1991-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12998976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Coronary angioplasty in the management of acute myocardial infarction. 冠状动脉成形术在急性心肌梗死治疗中的应用。
Rhode Island medical journal Pub Date : 1991-11-01
K S Korr
{"title":"Coronary angioplasty in the management of acute myocardial infarction.","authors":"K S Korr","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21256,"journal":{"name":"Rhode Island medical journal","volume":"74 11","pages":"535-42"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13001848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transesophageal echocardiography (TEE): its use in today's cardiology. 经食管超声心动图(TEE):其在当今心脏病学中的应用。
Rhode Island medical journal Pub Date : 1991-11-01
N Aebischer, A Katz, C McNulty, A Parisi
{"title":"Transesophageal echocardiography (TEE): its use in today's cardiology.","authors":"N Aebischer,&nbsp;A Katz,&nbsp;C McNulty,&nbsp;A Parisi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21256,"journal":{"name":"Rhode Island medical journal","volume":"74 11","pages":"511-6"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12960838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
PET scanning in evaluation of ischemic heart disease. PET扫描对缺血性心脏病的评价。
Rhode Island medical journal Pub Date : 1991-11-01
H Gewirtz
{"title":"PET scanning in evaluation of ischemic heart disease.","authors":"H Gewirtz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The question regarding the use of PET for the diagnosis and evaluation of treatment of patients with known or suspected ischemic heart disease is one of defining the proper test. The data available indicate so long as relatively crude information is required that thallium (or new technetium labeled agents, sestamibi and teboroxime) may provide such information almost as well as PET. Examples include simple yes/no answers to questions such as 1) the presence of relatively advanced coronary disease or 2) amelioration of same with CABG or PTCA or 3) the presence of any viable myocardium bordering an infarct area. It also is clear that once more subtle or more precise information is required regarding response to therapy, functional significance of coronary stenosis, or extent of viable myocardium present that PET technology is superior to that of SPECT and therefore should be employed in the evaluation and treatment of patients with known or suspected ischemic heart disease. Finally, were cost not a consideration, it is clear that PET should be used in all cardiac patients and could supplant all currently available conventional radionuclide techniques.</p>","PeriodicalId":21256,"journal":{"name":"Rhode Island medical journal","volume":"74 11","pages":"527-31"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12960840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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