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

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A brief account of the development of premedical education in the United States. 简述美国医学预科教育的发展。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1999-09-01
R H Fishbein
{"title":"A brief account of the development of premedical education in the United States.","authors":"R H Fishbein","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 5","pages":"228-30"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21429911","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
Philip Thomas (1747-1815) physician, patriot, politician. 菲利普·托马斯(1747-1815)医生、爱国者、政治家。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1999-09-01
H V Chase
{"title":"Philip Thomas (1747-1815) physician, patriot, politician.","authors":"H V Chase","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 5","pages":"207-13"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21429916","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
Skin cancer detection and prevention: a community program promoting sun safe behaviors. 皮肤癌的检测和预防:一个促进阳光安全行为的社区项目。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1999-07-01
E S Rusonis, P A Rusonis, C Miller, H A Oken
{"title":"Skin cancer detection and prevention: a community program promoting sun safe behaviors.","authors":"E S Rusonis,&nbsp;P A Rusonis,&nbsp;C Miller,&nbsp;H A Oken","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>New cases of skin cancer will be diagnosed over one million times in the United States in 1999. Basal and squamous cell types can cause significant cosmetic morbidity. Malignant melanoma can cause serious morbidity and mortality. Thus, early detection and prevention efforts are crucial for all skin cancers. Studies have identified genetic, hereditary, and environmental factors associated with increased risk of developing skin cancer. In this article, the incidence and risk factors are reviewed. The Howard County Skin Cancer Awareness Project, established in 1996, is presented as a community based program that aims to increase public awareness about the prevention and early detection of skin cancer. Future directions are also addressed.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 4","pages":"169-72"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21325724","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
Enhanced external counter pulsation: the Howard County experience in the first 18 patients. 增强外部反搏:霍华德县前18例患者的经验。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1999-07-01
S Gloth, H A Oken
{"title":"Enhanced external counter pulsation: the Howard County experience in the first 18 patients.","authors":"S Gloth,&nbsp;H A Oken","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Enhanced external counter pulsation is a noninvasive therapy that uses sequentially inflated pneumatic cuffs on the lower extremities to enhance coronary artery diastolic flow and decrease left ventricular afterload. We studied its effect on 18 patients with persistent angina despite maximal medical, surgical and catheter-based interventions. After enhanced external counter pulsation all subjects improved their functional class. Treatment with enhanced external counter pulsation improved functional class significantly from baseline 3.1 +/- 0.6 to 1.6 +/- 0.5 (p < .001). These results are consistent with the national experience. Growing physician awareness, recent Medicare approval status, and subsequent reimbursement will hopefully increase the use of this therapy.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 4","pages":"155-6"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21325839","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
Swallow syncope. 吞下晕厥。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1999-07-01
A Farb, S A Valenti
{"title":"Swallow syncope.","authors":"A Farb,&nbsp;S A Valenti","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Swallowing (or deglutition) syncope is an uncommon, vagally-mediated etiology for syncope that may be seen in children and adults. The mechanism of syncope involves afferent impulses from the upper gastrointestinal tract and efferent impulses to the heart that can produce a variety of bradyarrhythmias with atrioventricular block. Two cases of swallow syncope are reported, one associated with drinking a cold carbonated beverage, and the other precipitated by eating a large bolus of food (which we have termed \"Vaso-Bagel\" syncope). In evaluating patients with syncope, a history of a temporal relationship to eating or drinking should be sought. While changes in eating habits may be effective in some cases, permanent pacemaker placement is often indicated and is curative.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 4","pages":"151-4"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21325835","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 spinal fusion. 腹腔镜脊柱融合术。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1999-07-01
M K Bhatnagar, S K Mathur, C F Mess
{"title":"Laparoscopic spinal fusion.","authors":"M K Bhatnagar,&nbsp;S K Mathur,&nbsp;C F Mess","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We have reviewed the history of laparoscopic fusions and our results over the past two years, utilizing a femoral ring allograft and bone graft in 51 patients. The rate of fusion in this series is nearly 100%, with relief of radicular pain in about 90%. The average hospital stay is approximately two days and return to work is about six weeks. Minimally invasive techniques for spinal surgery will evolve with time and will become the standard of care in the near future.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 4","pages":"161-4"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21325836","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
Postural instability in Parkinson's disease. 帕金森病的体位不稳定。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1999-07-01
S Grill
{"title":"Postural instability in Parkinson's disease.","authors":"S Grill","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Persons with Parkinson's disease are at great risk of suffering traumatic injuries from falls. Intervention with physical therapy and the use of assistive devices are helpful in preventing falls. Unfortunately, many patients are not referred for these interventions until they have already suffered traumatic injury. A simple measure of balance, which can easily be performed in an office setting, is the functional reach. This measure has been shown to be predictive of falls in the elderly. In this study, the functional reach was measured in patients with idiopathic Parkinson's disease during each visit over at least one year. Patients deemed at risk of falling were referred for physical therapy and possibly assistive devices. Those patients subsequently suffering falls were noncompliant with the recommendations.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 4","pages":"179-81"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21325731","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
Ultrasonic assisted liposuction. 超声辅助抽脂。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1999-07-01
W R Kanter, M A Kanter
{"title":"Ultrasonic assisted liposuction.","authors":"W R Kanter,&nbsp;M A Kanter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ultrasonic assisted liposuction is a new and highly advanced technology that uses sound waves to emulsify body fat thereby allowing an efficient removal compared with the mechanical disruption of fat used in traditional liposuction. Safe application requires an exceptionally sophisticated plastic surgical, anesthetic, and operating room team. The media bombards patients with \"magic wand\" medical technology but seems less inclined to portray limitations, complications, and deaths. As with any emerging technology, ultrasonic assisted liposuction is producing its share of problems. This article provides an overview of this procedure and guidelines for patient selection. A conservative approach is emphasized for safety.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 4","pages":"165-8"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21325837","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
Carotid endarterectomy in a community hospital setting: a three-year experience. 颈动脉内膜切除术在社区医院设置:三年经验。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1999-07-01
R L Gelber, E C Tortolani, S S Ahn, M R Gheba, L Kao
{"title":"Carotid endarterectomy in a community hospital setting: a three-year experience.","authors":"R L Gelber,&nbsp;E C Tortolani,&nbsp;S S Ahn,&nbsp;M R Gheba,&nbsp;L Kao","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The need for all medical institutions that treat carotid artery occlusive disease to continuously monitor their surgical experience is quite evident. Nonetheless, a national survey in 1995 found that only 15% of physicians reported knowing the perioperative stroke rate at the hospitals where they perform or refer patients for carotid endarterectomy. Neurologic morbidity related to the performance of carotid endarterectomy has been continuously monitored at Howard County General Hospital for the past decade, but the true significance of this data could not be appreciated without a more comprehensive analysis of the clinical experience. The present study was undertaken with the intent of providing this information.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 4","pages":"157-60"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21325719","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
Bird fanciers' lung: a case report. 鸟类爱好者的肺:一个病例报告。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1999-07-01
B Farrell, K Farrell, H A Oken
{"title":"Bird fanciers' lung: a case report.","authors":"B Farrell,&nbsp;K Farrell,&nbsp;H A Oken","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The clinical course of a case of bird fanciers' lung is described along with the considerations that are important in the management of this form of hypersensitivity pneumonitis. Diagnostic parameters, therapeutic considerations, and environmental issues are discussed in the context of the current literature.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 4","pages":"174-5"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21325727","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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