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

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Pfiesteria!? An introduction. Pfiesteria ! ?一个介绍。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1998-05-01
J G Morris
{"title":"Pfiesteria!? An introduction.","authors":"J G Morris","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"47 3","pages":"104-5"},"PeriodicalIF":0.0,"publicationDate":"1998-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20521324","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
Treatment of persistent Pfiesteria-human illness syndrome. 治疗持续性猪瘟-人病综合征。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1998-02-01
R Shoemaker
{"title":"Treatment of persistent Pfiesteria-human illness syndrome.","authors":"R Shoemaker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patients with exposure to Pfiesteria toxin have developed an illness, Pfiesteria-human illness syndrome, characterized by skin lesions, headache, myalgias, conjunctival irritation, bronchospasm, abdominal pain, secretory diarrhea, recent memory loss, and difficulties with number sequencing. Not all patients demonstrated all features of the syndrome. The natural history of Pfiesteria-human illness syndrome shows that most patients' symptoms improve without treatment. This article reports the improvement of symptoms that had persisted for over one month in five patients, which the author attributes to treatment with cholestyramine. These patients were self-referred to the Pocomoke River Rash and Associated Illness Center, a clinic that opened on August 6, 1997, in response to the need for a central facility for diagnosis of human illness acquired from Pfiesteria. Until the Pfiesteria toxin(s) is isolated and characterized, and laboratory diagnostic tests are available, physicians must be able to recognize Pfiesteria-human illness syndrome and intervene when symptoms, particularly memory loss and diarrhea, cause significant impairment in daily activities. There are no precedents for the treatment of Pfiesteria or any dinoflagellate toxin-related human illness reported in the literature. The successful use of cholestyramine reported here may provide a model for understanding dinoflagellate toxin physiology in the human body. This paper reports an uncontrolled observational study. When identification of the toxin is completed, a basis for properly controlled studies will be available.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"47 2","pages":"64-6"},"PeriodicalIF":0.0,"publicationDate":"1998-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20448064","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
Adult vaccination: not just for kids anymore. 成人疫苗接种:不再只针对儿童。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1998-02-01
{"title":"Adult vaccination: not just for kids anymore.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"47 2","pages":"83-9"},"PeriodicalIF":0.0,"publicationDate":"1998-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20448075","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
Advance directives in internal medicine outpatient residents' clinics. 内科门诊住院医师诊所的预先指示。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1998-02-01
J G Castro, M J Gloth, F M Gloth
{"title":"Advance directives in internal medicine outpatient residents' clinics.","authors":"J G Castro,&nbsp;M J Gloth,&nbsp;F M Gloth","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study assessed the frequency of obtaining advance directives from patients of internal medicine residents in two Baltimore teaching programs. A survey was conducted of the medical records of 130 patients in the medical clinics from these programs. Independent variables included age, sex, and race. Dependent variables included documentation of terminal illnesses, resuscitation or code status, and discussion regarding resuscitation status. Only 25 of 130 patients (19%) had a resuscitation status recorded, 24 were documented as full resuscitation and 1 as do not resuscitate. Of subjects older than 65 years, 23% had a resuscitation status. Although 4 of 37 subjects older than 65 years had a terminal illness, none had advance directives.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"47 2","pages":"74-6"},"PeriodicalIF":0.0,"publicationDate":"1998-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20448071","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
Hoarseness--current concepts on etiologies and treatment alternatives. 声音嘶哑——病因和治疗方案的当前概念。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1998-02-01
J N Hausfeld
{"title":"Hoarseness--current concepts on etiologies and treatment alternatives.","authors":"J N Hausfeld","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The care of the human voice has challenged medical practitioners for centuries. Over the last 25 years we have seen significant advancements in the diagnosis and treatment of vocal disorders. This article is an overview of the more common voice disorders encountered in clinical practice and the diagnostic and management alternatives currently available. A thorough understanding of these conditions can lead to a prompt diagnosis and improved clinical outcomes in all patients, especially professional voice users. The insights presented are compiled through the eyes of a clinician and the heart of a performer.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"47 2","pages":"59-63"},"PeriodicalIF":0.0,"publicationDate":"1998-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20448065","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
Early patriot physicians of Maryland and the First Provisional Convention, June 22, 1774. 马里兰早期的爱国医生和第一次临时会议，1774年6月22日。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1998-02-01
H V Chase
{"title":"Early patriot physicians of Maryland and the First Provisional Convention, June 22, 1774.","authors":"H V Chase","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"47 2","pages":"77-9"},"PeriodicalIF":0.0,"publicationDate":"1998-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20448073","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
Dietary controls produce positive results for a non-insulin-dependent diabetes mellitus patient. 饮食控制对非胰岛素依赖型糖尿病患者产生阳性结果。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1998-02-01
L I Silverberg, S Eng
{"title":"Dietary controls produce positive results for a non-insulin-dependent diabetes mellitus patient.","authors":"L I Silverberg,&nbsp;S Eng","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Renal disease is a leading cause of death and disability for diabetic patients. Diabetic nephropathy is responsible for half of the cases of end-stage renal disease in the United States. For non-insulin-dependent diabetes mellitus patients, the prevalence of diabetic nephropathy varies from 15% to 60% and is influenced by genetic background. Early screening and controlling of microalbumin levels are essential to affect the outcome of diabetic nephropathy. Studies show that clinical renal dysfunction in diabetics does not correlate well with the histological abnormalities. Strategies for nephropreservation include close lipid, glycemic, and blood pressure control, and tobacco termination. Use of angiotensin-converting enzyme inhibitors exert nephroprotective effects beyond their beneficial blood pressure-lowering effects. The importance of strict diet is emphasized in a case presentation.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"47 2","pages":"72-3"},"PeriodicalIF":0.0,"publicationDate":"1998-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20448066","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
Treatment of congestive heart failure with beta-adrenergic blockers: a brief review of literature. 用-肾上腺素能阻滞剂治疗充血性心力衰竭:文献综述。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1998-02-01
Y C Lee
{"title":"Treatment of congestive heart failure with beta-adrenergic blockers: a brief review of literature.","authors":"Y C Lee","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The importance of the adrenergic nervous system in support of hemodynamics in patients with congestive heart failure has been known for a long time. Thus, when beneficial effects of beta-blocker therapy in patients with resistant congestive heart failure were reported more than two decades ago, such an approach was deemed counterintuitive. Despite the skepticism, numerous reports, including well-planned, randomized studies, confirmed the beneficial effects of various beta-blockers on congestive heart failure. Recently, a new generation of beta-blocker, carvedilol (Coreg), which combines nonselective beta-blocking and vasodilating properties, was cleared by the U.S. Food and Drug Administration for the treatment of congestive heart failure. This article is a brief historical review of the literature regarding the use of beta-blockers for the treatment of congestive heart failure.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"47 2","pages":"67-71"},"PeriodicalIF":0.0,"publicationDate":"1998-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20448069","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
Breathing difficulties in wind instrument players. 管乐器演奏者呼吸困难。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1998-01-01
T B Gilbert
{"title":"Breathing difficulties in wind instrument players.","authors":"T B Gilbert","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Performance of a wind instrument requires appreciable lung volume and diaphragmatic mechanical force, skilled breath control, adequate patency and humidity of air passages, and precise coordination of the oropharyngeal cavity. Depending on the instrument class, variable rates of air flow, pressure, and duration are necessary to produce optimal tone quality. Wind players may be seriously impaired by respiratory diseases that, comparatively, might appear trivial to the nonperformer. The workplace environment should be assessed for occupational hazards when managing these patients, and smoking should be particularly discouraged. Controversy exists implicating wind instrument use in the exacerbation of respiratory disease, including bronchial, laryngeal, pharyngeal, and oral anatomic changes--a result of the constant barotrauma of performance. Asthma is the most common chronic pulmonary disorder among wind players, and therapeutic programs that include breath training and physical exercise improve symptoms, endurance, and general well-being.</p>","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"47 1","pages":"23-7"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20377748","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
Advance directives in internal medicine outpatient residents' clinics. 内科门诊住院医师诊所的预先指示。
Maryland medical journal (Baltimore, Md. : 1985) Pub Date : 1998-01-01 DOI: 10.1097/00007611-199610001-00081
J. Castro, Mark J. Gloth, F. Gloth
{"title":"Advance directives in internal medicine outpatient residents' clinics.","authors":"J. Castro, Mark J. Gloth, F. Gloth","doi":"10.1097/00007611-199610001-00081","DOIUrl":"https://doi.org/10.1097/00007611-199610001-00081","url":null,"abstract":"This study assessed the frequency of obtaining advance directives from patients of internal medicine residents in two Baltimore teaching programs. A survey was conducted of the medical records of 130 patients in the medical clinics from these programs. Independent variables included age, sex, and race. Dependent variables included documentation of terminal illnesses, resuscitation or code status, and discussion regarding resuscitation status. Only 25 of 130 patients (19%) had a resuscitation status recorded, 24 were documented as full resuscitation and 1 as do not resuscitate. Of subjects older than 65 years, 23% had a resuscitation status. Although 4 of 37 subjects older than 65 years had a terminal illness, none had advance directives.","PeriodicalId":77251,"journal":{"name":"Maryland medical journal (Baltimore, Md. : 1985)","volume":"7 1","pages":"74-6"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90763389","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: 3
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