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Medical alert bracelet: an effective way to preserve veins for future dialysis vascular access in patients with chronic kidney disease. 医疗警报手环:为慢性肾病患者未来透析血管通路保护静脉的有效方法。
Medscape journal of medicine Pub Date : 2009-01-01 Epub Date: 2009-01-02
Tushar Vachharajani
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引用次数: 0
Trends in levonorgestrel emergency contraception use, births, and abortions: the Utah experience. 左炔诺孕酮紧急避孕使用、分娩和流产的趋势:犹他州的经验。
Medscape journal of medicine Pub Date : 2009-01-01 Epub Date: 2009-01-29
David K Turok, Sara E Simonsen, Nicole Marshall
{"title":"Trends in levonorgestrel emergency contraception use, births, and abortions: the Utah experience.","authors":"David K Turok,&nbsp;Sara E Simonsen,&nbsp;Nicole Marshall","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Context: </strong>Published reports to date have failed to demonstrate a decrease in abortion rates with increased dispersal of levonorgestrel emergency contraception (LNG EC).</p><p><strong>Objective: </strong>To evaluate whether there is an association between statewide increases in LNG EC use and birth, fertility, and abortion rates.</p><p><strong>Design: </strong>Ecological study. The number of LNG EC doses dispensed at all Planned Parenthood Association of Utah (PPAU) sites (n = 6) were obtained for 2000-2006. For this time period, birth and abortion data were obtained from the Utah Department of Health.</p><p><strong>Setting: </strong>State of Utah.</p><p><strong>Patients: </strong>Women of childbearing age.</p><p><strong>Main outcome measures: </strong>Birth rates were calculated as the number of live births per 1000 population; general fertility rates, abortion rates, and LNG EC rates were calculated per 1000 women of childbearing age (15-44 years).</p><p><strong>Results: </strong>Between 2000 and 2006, yearly distribution of LNG EC increased from 11,263 to 52,083 doses. Over this period, the rate of Plan B use per 1000 women age 15-44 years increased from 21.30 doses/1000 to 87.82 doses/1000, an increase of 312%. During the same period, there were corresponding changes in the statewide birth rate (-2.94%), general fertility rate (0.73%), and abortion rate (-6.36%). Pearson correlation coefficients were statistically significant for the association between the LNG EC rate and the birth rate (-0.9053; P = .0050) and the abortion rate (-0.8749; P < .001), but not between the Plan B rate and the general fertility rate (0.2446; P = .5970).</p><p><strong>Conclusion: </strong>This ecological study represents, to the authors' knowledge, the first statistically significant association between increasing rates of LNG EC distribution and decreasing abortion rates.</p>","PeriodicalId":87690,"journal":{"name":"Medscape journal of medicine","volume":"11 1","pages":"30"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2654688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28052419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sleep apnea as a cause of gout flares. 睡眠呼吸暂停是痛风发作的一个原因。
Medscape journal of medicine Pub Date : 2009-01-01 Epub Date: 2009-01-05
Burton Abrams
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引用次数: 0
Part 2: a reader responds to "Does primary care matter?". 第二部分:一位读者对“初级保健重要吗?”的回答。
Medscape journal of medicine Pub Date : 2009-01-01 Epub Date: 2009-01-09
Margery Bower
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引用次数: 0
Plant foods in the American diet? As we sow... 美国人饮食中的植物性食物?当我们播种时……
Medscape journal of medicine Pub Date : 2009-01-01 Epub Date: 2009-01-26
David L Katz
{"title":"Plant foods in the American diet? As we sow...","authors":"David L Katz","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":87690,"journal":{"name":"Medscape journal of medicine","volume":"11 1","pages":"25"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2654699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28052414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical audit of inadvertent parathyroidectomy during total thyroidectomy: incidence, risk factors, and outcome. 全甲状腺切除术中意外切除甲状旁腺的手术审计:发生率、危险因素和结果。
Medscape journal of medicine Pub Date : 2009-01-01 Epub Date: 2009-01-28
J Rajinikanth, M J Paul, Deepak T Abraham, C K Ben Selvan, Aravindan Nair
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引用次数: 0
A reader's response to "Mustard gas poisoning of hundreds of Americans in the United States in 1996". 一位读者对“1996年美国数百名美国人因芥子气中毒”的回应。
Medscape journal of medicine Pub Date : 2009-01-01 Epub Date: 2009-01-29
George Lane
{"title":"A reader's response to \"Mustard gas poisoning of hundreds of Americans in the United States in 1996\".","authors":"George Lane","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":87690,"journal":{"name":"Medscape journal of medicine","volume":"11 1","pages":"31"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2654705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28052420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A diabetes drama for President Obama. 奥巴马总统的糖尿病大戏。
Medscape journal of medicine Pub Date : 2009-01-01 Epub Date: 2009-01-30
Michael Dansinger
{"title":"A diabetes drama for President Obama.","authors":"Michael Dansinger","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":87690,"journal":{"name":"Medscape journal of medicine","volume":"11 1","pages":"32"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2654703/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28052421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Arigato, postdocs. Arigato, postdocs.
Medscape journal of medicine Pub Date : 2009-01-01 Epub Date: 2009-01-15
Ariel A Benson
{"title":"Arigato, postdocs.","authors":"Ariel A Benson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":87690,"journal":{"name":"Medscape journal of medicine","volume":"11 1","pages":"14"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2654683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28052458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A systematic review of Cochrane anticoagulation reviews. Cochrane抗凝评价的系统综述。
Medscape journal of medicine Pub Date : 2009-01-01 Epub Date: 2009-01-06
David Keith Cundiff
{"title":"A systematic review of Cochrane anticoagulation reviews.","authors":"David Keith Cundiff","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Context: </strong>I coauthored a published review of anticoagulation for venous thromboembolism in the Cochrane Database of Systematic Reviews and published a review on the same topic in MedGenMed (now the Medscape Journal of Medicine). In contrast to the article in Medscape, the discussion and conclusions in the Cochrane review were altered appreciably during the review process. Consequently, I decided to critique all anticoagulation drug-related reviews and protocols in the Cochrane database with feedback letters concerning any issues of potential controversy.</p><p><strong>Evidence acquisition: </strong>Using key words in the search engine of the Cochrane Reviews, I located reviews and protocols involving anticoagulant drugs. I critiqued each anticoagulation review and protocol and sent a total of 57 feedback letters to Cochrane concerning each publication to elicit a response/rebuttal from the authors.</p><p><strong>Evidence synthesis: </strong>Cochrane anticoagulation review editors acknowledged receipt of all letters. As of 12 months after receipt of my last letter, the Cochrane authors have replied to 13 of the 57 and agreed with many of my points. Two protocols were withdrawn after my feedback letters were acknowledged. The 58 Cochrane anticoagulation drug reviews, including mine, contained 9 categories of methodological errors (207 total instances) and 4 types of biases (18 total instances). This review of those Cochrane reviews suggests that the effectiveness of anticoagulants for 30 medical indications is questionable.</p><p><strong>Conclusions: </strong>The efficacy of anticoagulants for treatment and prophylaxis for 30 current medical indications should be reconsidered by the scientific community and medical regulatory agencies. At least 50,000 people per year worldwide have fatal bleeding due to anticoagulant treatment or prophylaxis for these indications.</p>","PeriodicalId":87690,"journal":{"name":"Medscape journal of medicine","volume":"11 1","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2654677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28051973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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