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Maryland medical journal (Baltimore, Md. : 1985)最新文献

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Hepatic hydrothorax: diagnosis and management. Case report and review of the literature. 肝性胸水:诊断与处理。病例报告及文献复习。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1999-11-01
G S Ellis, J Laurin
{"title":"Hepatic hydrothorax: diagnosis and management. Case report and review of the literature.","authors":"G S Ellis,&nbsp;J Laurin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Current practice standards indicate the need for tube thoracostomy in the management of clinically significant recurrent pleural effusions. The following case presentation and review of the literature illustrate a contraindication to chest tube insertion with pleural effusions associated with portal hypertension (hepatic hydrothorax) and suggest alternative therapies.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 6","pages":"295-8"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21483604","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 future of medicine. 医学的未来。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1999-11-01
W J McDonald
{"title":"The future of medicine.","authors":"W J McDonald","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Speculation about the future of medicine is risky. Few would have predicted five years ago the sweeping changes that have occurred. Nonetheless, an analysis and projection of current trends would suggest that further substantial changes await us. These include, among other things, a return of double-digit inflation in health care, an increase in governmental oversight, an opportunity for both patients and physicians to reestablish their influence, a strain upon traditional medical ethics, and no resolution to the issues involving the uninsured. Taken together, these projections suggest a real need for physicians to be involved in helping to assure that those positive developments come to pass and that those unfavorable do not.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 6","pages":"280-6"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21484252","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
A case of post-streptococcal reactive arthritis. 链球菌感染后反应性关节炎1例。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1999-11-01
E E Howell, J Bathon
{"title":"A case of post-streptococcal reactive arthritis.","authors":"E E Howell,&nbsp;J Bathon","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Reactive arthritis is a term used to describe a sterile inflammatory arthritis occurring after a documented infection elsewhere in the body. Group A streptococcus is known to cause such an arthropathy in the setting of acute rheumatic fever. Friedberg first postulated that a reactive arthritis might occur in response to a streptococcal pharyngeal infection as a separate entity from rheumatic fever in the 1950s. Then, in the 1980s, other investigators began describing cases of reactive arthritis that were not characteristic of acute rheumatic fever based on certain observations and application of criteria. We present a patient whose clinical features are more consistent with post-streptococcal reactive arthritis than acute rheumatic fever.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 6","pages":"292-4"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21483596","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
Sexual practices of older adults in a high HIV prevalence environment. 艾滋病毒高流行环境中老年人的性行为。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1999-11-01
S Allison-Ottey, C Weston, G Hennawi, M Nichols, L Eldred, R P Ferguson
{"title":"Sexual practices of older adults in a high HIV prevalence environment.","authors":"S Allison-Ottey,&nbsp;C Weston,&nbsp;G Hennawi,&nbsp;M Nichols,&nbsp;L Eldred,&nbsp;R P Ferguson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Based on recent epidemiologic evidence, AIDS in older persons (ages 55-79) in Maryland appears to be increasingly contracted heterosexually, particularly in women. Little is known about sexual practices or beliefs about HIV in older persons living in high HIV prevalence urban populations. The purpose of this study was to assess sexual practices, particularly high risk behavior, modifications of behavior including condom use, and perceptions of risk. A behavioral survey, containing 41 potential responses, was developed through modification of The National AIDS Behavioral Survey, focusing on heterosexual activity. The survey was administered to a convenience sample of 55 to 79 year olds attending the Union Memorial Hospital medical clinic. Sexual activity is common within the older population, especially among men. Multiple partners is not unusual in older men. Condoms are commonly used. Older individuals typically are aware of HIV heterosexual transmission risk and a proportion have modified sexual behavior because of perceived risks.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 6","pages":"287-91"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21484253","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
Seroprevalence study of Hantavirus infection in the community based population. 社区人群汉坦病毒感染血清流行病学研究。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1999-11-01
G Diglisic, C A Rossi, A Doti, D K Walshe
{"title":"Seroprevalence study of Hantavirus infection in the community based population.","authors":"G Diglisic,&nbsp;C A Rossi,&nbsp;A Doti,&nbsp;D K Walshe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The genus Hantavirus, family Bunyaviridae, comprise at least 20 distinct viruses. Ten of these have been linked to specific human diseases. Hemorrhagic fever with renal syndrome has been recognized since the 1950s. Hantavirus pulmonary syndrome was recognized in the United States in 1993. Epizootiologic studies of Norway rats in the Baltimore area have shown that rodent infections with hantaviruses are common and geographically widespread with prevalence reaching 44% in tested rat populations. These viruses are antigenically related to the Seoul virus. Hantavirus infections in humans occur through transmission from a rodent reservoir, primarily by inhalation of virus laden rodent excreta. There is no evidence to support person-to-person transmission of any known Hantavirus. To establish the prevalence of Hantavirus infections in humans in the Baltimore area we collected sera from 1,212 persons attending a community based health care system. These were tested for antibodies against three reference Hantavirus strains: Hantaan (HTN), Seoul (SEO), and Convict Creek (HN017). HN017 was chosen to represent the SinNombre (SN-like) strains of Hantavirus. Sera from nine patients were positive to Hantavirus specific antibodies, HTN, and SEO by Enzyme Linked Imuno Sorbent Assay (ELISA). No sera were positive for HN017 antigen. All sera that were positive for HTN and SEO were tested by western blot for HTN. All nine sera were confirmed positive by western blot. This suggests that unrecognized infections with Hantaan or Seoul-like viruses occur in the Baltimore area in humans, although the prevalence rate in humans is low (0.74%). Epidemiologic monitoring may be warranted to establish the health implications of these infections.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 6","pages":"303-6"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21483607","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
Pneumomediastinum: the Valsalva crunch. 纵隔气肿:瓦尔萨尔瓦的嘎吱声。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1999-11-01
A K Shyamsunder, S M Gyaw
{"title":"Pneumomediastinum: the Valsalva crunch.","authors":"A K Shyamsunder,&nbsp;S M Gyaw","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The following case presentations illustrate the diverse clinical manifestations and benign self-limited course of spontaneous pneumomediastinum. The discussion includes the mechanisms involved, the symptoms, the radiographic findings, the potential complications, the exclusionary diagnosis, and the appropriate management of this condition.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 6","pages":"299-302"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21483598","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
Adherence to the JNC VI guidelines for the treatment of hypertension in the resident clinic. 住院医师诊所高血压治疗遵循JNC VI指南。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1999-11-01
D J Naiman, L R Barker
{"title":"Adherence to the JNC VI guidelines for the treatment of hypertension in the resident clinic.","authors":"D J Naiman,&nbsp;L R Barker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC VI) provided guidelines for the treatment of hypertension. This study examined the adherence to the JNC VI guidelines by a retrospective chart review of patients treated for hypertension in the internal medicine house staff practice at a university teaching hospital in the year after publication of the JNC VI.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 6","pages":"307-11"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21483602","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
Remembering Dr. John C. Krantz, Jr. 纪念小约翰·克兰兹博士。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1999-09-01
M Friedman
{"title":"Remembering Dr. John C. Krantz, Jr.","authors":"M Friedman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 5","pages":"217-9"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21429910","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
Was William Osler responsible for Gertrude Stein's failure to graduate from the Johns Hopkins University School of Medicine? 格特鲁德·斯坦没能从约翰·霍普金斯大学医学院毕业，威廉·奥斯勒该为此负责吗?
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1999-09-01
W J Hookman, P Hookman
{"title":"Was William Osler responsible for Gertrude Stein's failure to graduate from the Johns Hopkins University School of Medicine?","authors":"W J Hookman,&nbsp;P Hookman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 5","pages":"220-7"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21429912","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
Nathan Smith's gift to Maryland. 内森·史密斯送给马里兰的礼物。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1999-09-01
C E Putnam
{"title":"Nathan Smith's gift to Maryland.","authors":"C E Putnam","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 5","pages":"214-6"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21429909","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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