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The British journal of clinical practice最新文献

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Report from the XVIIth Congress of the European Society of Cardiology, Birmingham, UK, 25-29 August 1996. 1996年8月25日至29日在英国伯明翰举行的欧洲心脏病学会第十七届大会报告。
The British journal of clinical practice Pub Date : 1996-10-01
H Purcell
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引用次数: 0
Antidepressant therapy and behavioural competence. 抗抑郁治疗和行为能力。
The British journal of clinical practice Pub Date : 1996-10-01
J F O'Hanlon
{"title":"Antidepressant therapy and behavioural competence.","authors":"J F O'Hanlon","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Major depression can impair an individual's motivation to perform routine daily activities and cause a deterioration in cognitive and psychomotor function. Some antidepressants add to pathological dysfunction through unwanted side-effects. Although most patients eventually recover as a simultaneous consequence of tolerance and therapeutic response, some may not. Where side-effects continue to retard normal recovery they can be called behaviourally toxic, which can be classified as disruptive, inhibitory or provocative. Disruptive behavioural toxic effects are measured using either psychometric tests or simulations of real-life activities (for example, a driving test). There are no widely-accepted tests for inhibitory or provocative behavioural toxicity, and assessments of antidepressants are made on the basis of case studies. This review summarises the results of psychometric and real-life simulation tests and compares the effects of antidepressants on behaviour competence. The purpose is to identify those drugs that seem to be the most and least likely to produce behavioural toxicity.</p>","PeriodicalId":22312,"journal":{"name":"The British journal of clinical practice","volume":"50 7","pages":"381-5"},"PeriodicalIF":0.0,"publicationDate":"1996-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19975179","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
Gastroenteritis causing critical limb ischaemia. 引起严重肢体缺血的肠胃炎。
The British journal of clinical practice Pub Date : 1996-10-01
N Mamode, K Mercer, D G Gilmour
{"title":"Gastroenteritis causing critical limb ischaemia.","authors":"N Mamode,&nbsp;K Mercer,&nbsp;D G Gilmour","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Six days after admission to hospital with Salmonella gastroenteritis, this patient presented with a critically ischaemic leg, having developed an iliac occlusion, and a subcutaneous Salmonella abscess in the anterior compartment of the leg. Critical limb ischaemia and abscess formation can be added to infective aortic aneurysm as vascular complications of Salmonella gastroenteritis.</p>","PeriodicalId":22312,"journal":{"name":"The British journal of clinical practice","volume":"50 7","pages":"410"},"PeriodicalIF":0.0,"publicationDate":"1996-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19976302","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
Serum anion gap: reevaluation of normal values. 血清阴离子间隙:重新评估正常值。
The British journal of clinical practice Pub Date : 1996-10-01
M S Elisaf, K C Siamopoulos
{"title":"Serum anion gap: reevaluation of normal values.","authors":"M S Elisaf,&nbsp;K C Siamopoulos","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":22312,"journal":{"name":"The British journal of clinical practice","volume":"50 7","pages":"411"},"PeriodicalIF":0.0,"publicationDate":"1996-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19976304","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
Modern lines of management of ectopic pregnancy. 异位妊娠的现代管理方法。
The British journal of clinical practice Pub Date : 1996-10-01
E S Dimitry, R K Atalla
{"title":"Modern lines of management of ectopic pregnancy.","authors":"E S Dimitry,&nbsp;R K Atalla","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The recent increase in the incidence of ectopic pregnancies was associated with rapid improvement in the diagnostic and therapeutic techniques. Quantitative serum B-HCG radioimmunoassay and high resolution vaginal ultrasonography have facilitated early diagnosis of ectopic pregnancy allowing a more conservative approach to patient management. Different conservative surgical and medical lines of management recently developed were associated with and increased chance of subsequent intrauterine pregnancy with no increase in the incidence of repeat ectopic pregnancy. Outpatient systemic medical treatment seems to be a preferred alternative to conservative surgery. In selected cases, it is associated with a lower complication rate and promising result for fertility.</p>","PeriodicalId":22312,"journal":{"name":"The British journal of clinical practice","volume":"50 7","pages":"376-80"},"PeriodicalIF":0.0,"publicationDate":"1996-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19975178","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
Hairdryer syncope. 吹风机晕厥。
The British journal of clinical practice Pub Date : 1996-10-01
R I Birkinshaw, A Gleeson, A J Gray
{"title":"Hairdryer syncope.","authors":"R I Birkinshaw,&nbsp;A Gleeson,&nbsp;A J Gray","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Six cases of hairdryer syncope are presented. This is a recurrent phenomenon, never previously described in medical literature, though it has been recognised for some time by some hairdressers. Elderly ladies sit under hood hairdryers at hairdressing salons for periods of up to 30 minutes. We observed that under these circumstances, some ladies attended the Accident and Emergency department with a history of 'fainting'. A brief survey of hairdressers was conducted around the Stockport area. Possible causes of hairdryer syncope are discussed.</p>","PeriodicalId":22312,"journal":{"name":"The British journal of clinical practice","volume":"50 7","pages":"398-9"},"PeriodicalIF":0.0,"publicationDate":"1996-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19976299","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
Heparin induced thrombocytopenia causing life-threatening postoperative haemorrhage. 肝素引起的血小板减少症导致危及生命的术后大出血。
The British journal of clinical practice Pub Date : 1996-10-01
P Rice, S Dace, M F McMullin, W D Clements
{"title":"Heparin induced thrombocytopenia causing life-threatening postoperative haemorrhage.","authors":"P Rice,&nbsp;S Dace,&nbsp;M F McMullin,&nbsp;W D Clements","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Heparin is ubiquitously employed in surgery in the prevention and treatment of thromboembolic disorders. A small but significant number of patients receiving heparin develop thrombocytopenia and are at risk of both serious thromboembolic disease and haemorrhage. A case is reported where a young woman developed life-threatening postoperative haemorrhage associated with heparin induced thrombocytopenia (HIT).</p>","PeriodicalId":22312,"journal":{"name":"The British journal of clinical practice","volume":"50 7","pages":"404-5"},"PeriodicalIF":0.0,"publicationDate":"1996-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19976303","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
Making money out of babies: rights without responsibility. 从婴儿身上赚钱:没有责任的权利。
The British journal of clinical practice Pub Date : 1996-10-01
G Jackson
{"title":"Making money out of babies: rights without responsibility.","authors":"G Jackson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":22312,"journal":{"name":"The British journal of clinical practice","volume":"50 7","pages":"353"},"PeriodicalIF":0.0,"publicationDate":"1996-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19977174","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
Audit of patient acceptance of nasal surgery as a day case procedure. 患者接受鼻手术作为日常病例的审计。
The British journal of clinical practice Pub Date : 1996-10-01
P A Tierney, D Samuel, K S Patel, D M Thomas
{"title":"Audit of patient acceptance of nasal surgery as a day case procedure.","authors":"P A Tierney,&nbsp;D Samuel,&nbsp;K S Patel,&nbsp;D M Thomas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A greater emphasis on day case surgery within the health service is seen as a method of improving efficiency and reducing expenditure. We interviewed 90 consecutive patients undergoing nasal surgery who had been preoperatively assessed as being fit for day case surgery. They were randomised into three groups regarding the duration of postoperative nasal packing. All patients stayed overnight following surgery and were interviewed prior to discharge. Some 52% of the overall sample would be happy to have nasal surgery performed as a day case. If the nasal pack was removed after two hours, this figure rose to 67%. This difference in patient acceptance did not attain statistical significance overall, but there was a significant difference in those undergoing submucosal resection. There was no difference in the age, sex distribution or type of surgery performed between each group. The audit commission quotes patient satisfaction with day case surgery at 80%. Nasal surgery was not examined in their report, but was included as one of a set of procedures suitable for consideration. Although day case nasal surgery may be safe, further research regarding patient acceptance is required.</p>","PeriodicalId":22312,"journal":{"name":"The British journal of clinical practice","volume":"50 7","pages":"357-9"},"PeriodicalIF":0.0,"publicationDate":"1996-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19977176","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
An unusual cause of dysphagia. 吞咽困难的不寻常原因。
The British journal of clinical practice Pub Date : 1996-10-01
S Ghiacy, A Khan
{"title":"An unusual cause of dysphagia.","authors":"S Ghiacy,&nbsp;A Khan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We report a rare case of a bronchogenic cyst in an adult presenting with dysphagia. The benign nature of the lesion was established preoperatively by a series of radiological investigations. This enabled surgical planning and prediction of prognosis. The presentation, radiological findings and its differential diagnosis are discussed.</p>","PeriodicalId":22312,"journal":{"name":"The British journal of clinical practice","volume":"50 7","pages":"402-3"},"PeriodicalIF":0.0,"publicationDate":"1996-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19976300","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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