Annals of clinical research最新文献_第9页

Left ventricular wall mass and wall thickness in insulin dependent diabetic patients without clinical signs of ischaemic heart disease. 无缺血性心脏病临床症状的胰岛素依赖型糖尿病患者左心室壁质量和壁厚

Annals of clinical research Pub Date : 1988-01-01

L Thuesen, J S Christiansen, C E Mogensen, P Henningsen

{"title":"Left ventricular wall mass and wall thickness in insulin dependent diabetic patients without clinical signs of ischaemic heart disease.","authors":"L Thuesen, J S Christiansen, C E Mogensen, P Henningsen","doi":"","DOIUrl":"","url":null,"abstract":"Left ventricular wall mass and thickness were investigated by echocardiography in 80 insulin dependent diabetic patients with no signs of ischaemic heart disease and in 40 healthy controls. In diabetics with duration of disease greater than 30 years, with urinary albumin excretion rate greater than 200 micrograms/min (clinical nephropathy), with proliferative retinopathy or with autonomic neuropathy both the posterior wall thickness and the septal thickness were increased compared to controls. The posterior wall thickness and the septal thickness were positively correlated to blood pressure (p less than 0.001), duration of disease (p less than 0.001), urinary albumin excretion rate (p less than 0.001) and negatively correlated to the heart rate variation during deep respiration (p less than 0.01). The left ventricular wall mass was correlated to both blood pressure (p less than 0.01) and to urinary albumin excretion rate (p less than 0.01). By multiple regression analysis urinary albumin excretion rate, duration of disease and heart rate variation during deep respiration did not add significantly to the correlation between left ventricular wall mass/wall thickness and blood pressure. In conclusion, left ventricular wall thickness and wall mass were related to blood pressure in insulin dependent diabetics.","PeriodicalId":8084,"journal":{"name":"Annals of clinical research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1988-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14377804","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 sauna and rheumatic diseases. 桑拿和风湿病。

Annals of clinical research Pub Date : 1988-01-01

H Isomäki

引用次数: 0

Type A behaviour pattern and ischaemic heart disease. A型行为模式与缺血性心脏病

Annals of clinical research Pub Date : 1988-01-01

A Reunanen

引用次数: 0

Preparing primary care for prevention. 为预防做好初级保健准备。

Annals of clinical research Pub Date : 1988-01-01

L Råstam

引用次数: 0

International trends in mortality and morbidity from ischaemic heart disease. 缺血性心脏病死亡率和发病率的国际趋势。

Annals of clinical research Pub Date : 1988-01-01

F H Epstein

引用次数: 0

The effect of ethanol with a meal on the mucosa of the stomach and duodenal bulb. 乙醇餐对胃黏膜及十二指肠球部的影响。

Annals of clinical research Pub Date : 1987-01-01

J Lehtola, H Pirttiaho, S Niemelä, P Sipponen, M Olsén, P Järvensivu, P Saukko

引用次数: 0

Psychosomatic factors in gastrointestinal disorders. 胃肠疾病的心身因素。

Annals of clinical research Pub Date : 1987-01-01

K Varis

{"title":"Psychosomatic factors in gastrointestinal disorders.","authors":"K Varis","doi":"","DOIUrl":"","url":null,"abstract":"Gastrointestinal functions such as food intake, propulsive peristalsis, inhibition of reflux, secretion, digestion and defecation are controlled by a complex autonomous neurohumoral system, which is influenced by higher cortical impulses. Life stress may modulate these impulses and in this way cause two types of gastrointestinal reactions. Psychophysiological reactions involve accentuations, inhibition or distortion of the pattern of function of gastrointestinal organs without changes in their structure. Examples of this type of reaction are often painful accentuation of bowel movements in patients with the irritable bowel syndrome, and increased gastric secretion elicited by emotional stress. Psychosomatic reactions lead to morphological changes in the end organ, e.g. activation of peptic ulcer or ulcerative colitis. Psychophysiological reactions may be important in the onset of symptoms in some functional diseases, e.g. in the irritable bowel syndrome. These patients need support from the physician, but specific psychiatric therapy is required only in cases with severe psychopathology, e.g. in patients with anorexia nervosa. The role of psychosomatic reactions in the development of organic gastrointestinal diseases is still unclear, as is the value of specific psychiatric therapy in the treatment of diseases such as peptic ulcer or ulcerative colitis. If this kind of therapy has some effect, it may be directed mainly towards subjective symptoms.","PeriodicalId":8084,"journal":{"name":"Annals of clinical research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14603180","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

Social determinants of disease. 疾病的社会决定因素。

Annals of clinical research Pub Date : 1987-01-01

S L Syme

{"title":"Social determinants of disease.","authors":"S L Syme","doi":"","DOIUrl":"","url":null,"abstract":"The primary purpose for identifying psychosocial risk factors is to prevent disease and disease complications. For 30 years, we have been doing research in this field and have been successful in identifying such risk factors as Type A behavior, social isolation, stressful life events, and various psychological patterns. However, our success in using this information to help prevent disease has been much more limited. One reason for this limited success is that we have focused virtually all of our attention on the study of individuals and almost no attention on the social environment within which people live. There are two major limitations of such a one-to-one approach: it is difficult for people to change their behavior and their life situation and even if some people do change, others enter the \"at risk\" population because no action has been taken to change those forces in society that stimulated the problem in the first place. In discussing the social determinants of disease, it is important that we develop a new approach that permits us to study not only individuals but also the social environment. An example of this approach is provided by researchers who were successful in preventing infectious diseases. The work of these researchers focused not on clinical entities or on individuals but on the environment. This resulted in a disease classification system that included concepts such as air-borne, food-borne, water-borne, and vector-borne diseases. We have no such system for the study of non-infectious diseases. Considerable data already are available to help us to think about such a new classification system.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":8084,"journal":{"name":"Annals of clinical research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14782674","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

International Symposium on Implanted Phrenic Nerve Stimulators for Respiratory Insufficiency. 植入式膈神经刺激器治疗呼吸功能不全国际研讨会。

Annals of clinical research Pub Date : 1987-01-01

G A Baer, P P Talonen

引用次数: 0

The influence of blood hydrogen ion concentration on the level of consciousness in diabetic ketoacidosis. 血氢离子浓度对糖尿病酮症酸中毒患者意识水平的影响。

Annals of clinical research Pub Date : 1987-01-01

V Rosival

引用次数: 0