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New measurements such as the coronary calcium score can determine risk for heart attack. 冠状动脉钙评分等新的测量方法可以确定心脏病发作的风险。
MedGenMed : Medscape general medicine Pub Date : 2007-12-10
William H Bestermann
{"title":"New measurements such as the coronary calcium score can determine risk for heart attack.","authors":"William H Bestermann","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"54"},"PeriodicalIF":0.0,"publicationDate":"2007-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27296448","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
A reader and author respond to "Getting control of health costs - for real". 一位读者和作者对 "真正控制医疗费用 "做出回应。
MedGenMed : Medscape general medicine Pub Date : 2007-12-10
J D Smucker
{"title":"A reader and author respond to \"Getting control of health costs - for real\".","authors":"J D Smucker","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"53; author reply 53"},"PeriodicalIF":0.0,"publicationDate":"2007-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27296447","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
Sudden death in competitive athletes. 竞技运动员的猝死。
MedGenMed : Medscape general medicine Pub Date : 2007-12-07
Steven R Neish
{"title":"Sudden death in competitive athletes.","authors":"Steven R Neish","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"52"},"PeriodicalIF":0.0,"publicationDate":"2007-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27296446","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
A reader and author respond to "should doctors force-feed prisoners?". 一位读者兼作者回应了“医生应该强迫囚犯喂食吗?”
MedGenMed : Medscape general medicine Pub Date : 2007-12-07
Steven S Spencer
{"title":"A reader and author respond to \"should doctors force-feed prisoners?\".","authors":"Steven S Spencer","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"51; author reply 51"},"PeriodicalIF":0.0,"publicationDate":"2007-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27296445","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
Based upon the results of the COURAGE clinical trial, what is the best treatment for stable angina? Interview by George D. Lundberg. 根据COURAGE临床试验的结果，稳定型心绞痛的最佳治疗方法是什么?George D. Lundberg采访。
MedGenMed : Medscape general medicine Pub Date : 2007-12-05
Raymond J Gibbons
{"title":"Based upon the results of the COURAGE clinical trial, what is the best treatment for stable angina? Interview by George D. Lundberg.","authors":"Raymond J Gibbons","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"49"},"PeriodicalIF":0.0,"publicationDate":"2007-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27296444","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
Lifestyle discussions during doctor-older patient interactions: the role of time in the medical encounter. 医生与老年患者互动期间的生活方式讨论:时间在医疗接触中的作用。
MedGenMed : Medscape general medicine Pub Date : 2007-12-04
Marcia G Ory, B Mitchell Peck, Colette Browning, Samuel N Forjuoh
{"title":"Lifestyle discussions during doctor-older patient interactions: the role of time in the medical encounter.","authors":"Marcia G Ory,&nbsp;B Mitchell Peck,&nbsp;Colette Browning,&nbsp;Samuel N Forjuoh","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Context: </strong>Although physician influence can be especially powerful with older adults, relatively little is known about how primary care physicians (PCPs) interact with their patients regarding lifestyle issues.</p><p><strong>Objective: </strong>To document the length of time that PCPs discuss lifestyle issues with their older patients and to examine patient, physician, and contextual correlates.</p><p><strong>Design: </strong>Descriptive and multivariate analysis of videotapes of physician-patient encounters.</p><p><strong>Setting: </strong>Medical encounters from 3 primary care ambulatory settings.</p><p><strong>Patients: </strong>There were 116 ongoing medical encounters with patients aged 65 years or older.</p><p><strong>Main outcome measures: </strong>Total time spent in physical activity (PA) discussions and total time spent discussing PA, nutrition, and smoking during the medical encounter.</p><p><strong>Results: </strong>Very little time was spent in lifestyle discussions. On average, PA was discussed for less than a minute (58.28 seconds) and nutrition for slightly less than 90 seconds (83.11 seconds). Only about 10% of the average 17-minute, 22-second encounter was spent on physical activity, nutrition, or smoking topics. Physician supportiveness score (beta = 8.92, P <or= .001) and the number of topics discussed (beta = 106.39, P <or= .001) were significantly correlated with the length of all lifestyle discussion. Lifestyle discussions were also more likely to occur during longer visits.</p><p><strong>Conclusion: </strong>There is a critical need for additional training of primary care providers on how to discuss lifestyle issues in the most time-efficient but effective manner to achieve positive behavior change associated with improved health outcomes. There is also a need for the institutionalization of policies to encourage more lifestyle discussions.</p>","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"48"},"PeriodicalIF":0.0,"publicationDate":"2007-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27296443","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
Human growth hormone: a Paul Bunyan drug or a drug for Paul's bunion. 人类生长激素:保罗班扬药物或保罗拇囊炎药物。
MedGenMed : Medscape general medicine Pub Date : 2007-12-03
George T Griffing
{"title":"Human growth hormone: a Paul Bunyan drug or a drug for Paul's bunion.","authors":"George T Griffing","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"47"},"PeriodicalIF":0.0,"publicationDate":"2007-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27296442","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
How do we involve patients in their own healthcare decisions? 我们如何让病人参与到他们自己的医疗决策中来?
MedGenMed : Medscape general medicine Pub Date : 2007-11-30
Carolyn Clancy
{"title":"How do we involve patients in their own healthcare decisions?","authors":"Carolyn Clancy","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"46"},"PeriodicalIF":0.0,"publicationDate":"2007-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27296441","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
Part 2: Readers' and author's responses to "We all need healthcare; who needs 'insurance"? 第2部分:读者和作者对“我们都需要医疗保健;谁需要“保险”?
MedGenMed : Medscape general medicine Pub Date : 2007-11-29
Melvin Stern
{"title":"Part 2: Readers' and author's responses to \"We all need healthcare; who needs 'insurance\"?","authors":"Melvin Stern","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"45; author reply 45"},"PeriodicalIF":0.0,"publicationDate":"2007-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27296440","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
A rare ovarian tumor - Sertoli-Leydig cell tumor with heterologous element. 一种罕见的卵巢肿瘤-异源性上皮细胞瘤。
MedGenMed : Medscape general medicine Pub Date : 2007-11-28
Rimpy Tandon, Poonam Goel, Pradip Kumar Saha, Navneet Takkar, R P S Punia
{"title":"A rare ovarian tumor - Sertoli-Leydig cell tumor with heterologous element.","authors":"Rimpy Tandon,&nbsp;Poonam Goel,&nbsp;Pradip Kumar Saha,&nbsp;Navneet Takkar,&nbsp;R P S Punia","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"44"},"PeriodicalIF":0.0,"publicationDate":"2007-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27296439","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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