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

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The challenges of cardiac pacing: an illustrative case. 心脏起搏的挑战:一个说明性案例。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1999-01-01
M Alikhan, J H Biddison
{"title":"The challenges of cardiac pacing: an illustrative case.","authors":"M Alikhan,&nbsp;J H Biddison","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The history of transvenous pacing encompasses the past five decades. Multiple lead complications have been described, including problems related to central venous access, venous thrombosis, extravascular bleeding, lead and pacemaker pocket infections, lead fractures, lead dislodgment, lead perforation, diaphragmatic pacing, and chronic lead threshold changes. Potential solutions to these problems have included: improvements in lead composition and tip technology, multiple pacemaker lead and generator insertions, alternative lead sites, pacemaker lead extenders, extraction of infected leads, multiprogrammable pacemaker generators, high output generators, antibiotics and anticoagulants, and venous reconstruction. This case illustrates complications and solutions over a 20-year period. The indications for temporary transfemoral and permanent iliac vein transvenous pacing are reviewed, including a new indication for the iliac venous approach.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 1","pages":"12-4"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20922282","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 community care initiative: Maryland and Hopkins students take to the streets in Baltimore City. 社区关怀倡议:马里兰大学和霍普金斯大学的学生走上巴尔的摩市的街头。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1999-01-01
J McCary, E Schainker, P Liu
{"title":"A community care initiative: Maryland and Hopkins students take to the streets in Baltimore City.","authors":"J McCary,&nbsp;E Schainker,&nbsp;P Liu","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Medical students from University of Maryland and Johns Hopkins University, with a grant from the Maryland Chapter of the American College of Physicians, held a free health fair in a Baltimore City neighborhood. The goals were to heighten awareness of common health problems, learn more about a medically underserved community, and increase access to primary care services in that community. The students planned booths to offer information and screening on 19 common health topics. Fair organizers worked with a local clinic, People's Community Health Center, and a neighborhood development organization, the Safe and Smart Center, to create an event that would engage and educate people on relevant issues. Approximately 100 medical students participated in the event and 350 people attended the fair. An optional survey filled out by fair participants revealed that a diverse group of people attended the event. Comments about the day from medical students and fair participants show that the event was enjoyable and offered a tremendous learning opportunity for both groups. This paper also discusses problems that arose during the planning stages as well as suggestions for those interested in planning a similar event.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 1","pages":"26-32"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20922290","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 prion dementias. 朊病毒痴呆。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1999-01-01
C Lyketsos
{"title":"The prion dementias.","authors":"C Lyketsos","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 1","pages":"18-22"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20922286","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 DiGeorge's syndrome considered in the setting of conotruncal congenital cardiac defects? 在圆锥状先天性心脏缺陷的情况下是否考虑迪乔治综合征?
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1999-01-01
D Alexander
{"title":"Was DiGeorge's syndrome considered in the setting of conotruncal congenital cardiac defects?","authors":"D Alexander","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"48 1","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20921223","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
Thoracic transplantation in 1998. 1998年的胸腔移植手术。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1998-11-01
J V Conte
{"title":"Thoracic transplantation in 1998.","authors":"J V Conte","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Thoracic transplantation has been a clinical option for patients with end-stage heart and lung disease for three decades. Heart, lung, and combined heart-lung transplantations are no longer experimental procedures; they are a standard part of the treatment algorithm for selected patients with end-stage heart and lung disease. This article summarizes the current status of heart, lung, and heart-lung transplantations and provides an insight into the future of this field.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"47 5","pages":"235-40"},"PeriodicalIF":0.0,"publicationDate":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20711071","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
Antoine Marfan and his syndrome: one hundred years later. 安托万·马凡和他的综合症:一百年后。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1998-11-01
V L Gott
{"title":"Antoine Marfan and his syndrome: one hundred years later.","authors":"V L Gott","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 1896, in the Bulletin of the Medical Society of Paris, Antoine Marfan described a five-year-old girl with arachnodactyly. It took almost 50 years to fully elucidate this syndrome including aneurysm of the ascending aorta. It is critical to make an early diagnosis of Marfan aneurysm because there is a high frequency of dissection and rupture once the aortic diameter reaches 6 cm. Before the availability of the Bentall composite graft procedure in 1968, the operative results were very poor. The Bentall operation now carries a 30-day mortality rate of less than 5% at major cardiac surgical centers. Two hundred and thirty-one Marfan patients underwent aortic root replacement at The Johns Hopkins Hospital between September 1976 and December 1997. The 30-day mortality for 198 patients undergoing elective aortic root replacement was 0%. Two of 33 patients undergoing urgent surgery died in the first 30 days after surgery; both of these patients arrived in the operating room with ruptured aortas. The actuarial survival for the 231 patients undergoing aortic root replacement was 88% at five years, 81% at ten years, and 75% at 20 years. Clearly, the outlook for Marfan patients undergoing elective aortic root replacement has been excellent. Accompanying the steadily improving surgical results have been spectacular developments in understanding the genetic role in Marfan families. Since 1991, over 150 mutations have been discovered in the gene that is critical in the production of the structural protein fibrillin. The identification of mutations in the fibrillin gene has enabled the diagnosis of Marfan disease in some patients before they become symptomatic; prenatal diagnosis has been achieved in some patients. The ultimate hope for Marfan families is to eliminate the disease by genetic manipulation; however, this may be years away.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"47 5","pages":"247-52"},"PeriodicalIF":0.0,"publicationDate":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20711073","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
Management of coronary artery disease including transmyocardial laser revascularization. 冠状动脉疾病的治疗包括经心肌激光血运重建术。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1998-11-01
S Gupta, G L Henry, A H Foster
{"title":"Management of coronary artery disease including transmyocardial laser revascularization.","authors":"S Gupta,&nbsp;G L Henry,&nbsp;A H Foster","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"47 5","pages":"241-6"},"PeriodicalIF":0.0,"publicationDate":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20711072","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
Neonatal cardiac surgery. 新生儿心脏手术。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1998-11-01
M G Cardarelli, R Ringel
{"title":"Neonatal cardiac surgery.","authors":"M G Cardarelli,&nbsp;R Ringel","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"47 5","pages":"230-4"},"PeriodicalIF":0.0,"publicationDate":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20710535","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
Endobronchial stents: primary and adjuvant therapy for endobronchial airway obstruction. 支气管内支架:支气管内气道阻塞的主要和辅助治疗。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1998-11-01
J R Sonett
{"title":"Endobronchial stents: primary and adjuvant therapy for endobronchial airway obstruction.","authors":"J R Sonett","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Endoscopic management of symptomatic tracheobronchial airway stenosis can be an important adjunct to the care of patients with malignant, benign, and lung transplantation airway complications. For most of these patients, endobronchial dilation, debridement, and/or stenting offer significant palliation and improved quality of life. The underlying etiology of the stenosis is critical in directing the most effective and safe endobronchial therapy. The use of stents in both malignant disease and lung transplantation may offer considerable symptomatic relief with minimal complications. However, the use of stents in benign disease should be reserved for inoperable patients with no other therapeutic options.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"47 5","pages":"260-3"},"PeriodicalIF":0.0,"publicationDate":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20711076","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
Surgical education via the Internet: the Cardiothoracic Surgery Network. 通过互联网进行外科教育:心胸外科网络。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1998-11-01
J R Doty, J R Liddicoat, N W Salomon, P S Greene
{"title":"Surgical education via the Internet: the Cardiothoracic Surgery Network.","authors":"J R Doty,&nbsp;J R Liddicoat,&nbsp;N W Salomon,&nbsp;P S Greene","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Cardiothoracic Surgery Network is an international collaborative effort among cardiothoracic surgeons that provides a common platform for the exchange of information. The Cardiothoracic Surgery Network website provides peer-reviewed journals, multimedia applications, and a database repository.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"47 5","pages":"264-6"},"PeriodicalIF":0.0,"publicationDate":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20711077","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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