Temporal artery temperature measurements in healthy infants, children, and adolescents.
Female; Male; Ohio; Child; Infant; Analysis of Variance; Confidence Intervals; Temporal Arteries; Human; Convenience Sample; Descriptive Research; Descriptive Statistics; Funding Source; Data Analysis Software; Adolescence; Blacks; Whites; Preschool; Newborn; Body Temperature Determination – In Adolescence; Body Temperature Determination – In Infancy and Childhood
Roy S; Powell K; Gerson L W
Clinical pediatrics
2003
2003-06
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1177/000992280304200508" target="_blank" rel="noreferrer noopener">10.1177/000992280304200508</a>
Recreational injuries among older Americans, 2001.
Female; Male; Aged; United States; Confidence Intervals; Human; Descriptive Statistics; Emergency Service; Disease Surveillance; Gerontologic Care; 80 and Over; Cycling – In Old Age; Exercise – In Old Age; Injury Pattern – Evaluation – In Old Age; Recreation – In Old Age – United States; Sex Factors – In Old Age; Sports – In Old Age; Wounds and Injuries – Epidemiology – In Old Age
OBJECTIVE: To describe the epidemiology of non-fatal recreational injuries among older adults treated in United States emergency departments including national estimates of the number of injuries, types of recreational activities, and diagnoses. METHODS: Injury data were provided by the National Electronic Injury Surveillance System-All Injury Program (NEISS-AIP), a nationally representative subsample of 66 out of 100 NEISS hospitals. Potential cases were identified using the NEISS-AIP definition of a sport and recreation injury. The authors then reviewed the two line narrative to identify injuries related to participation in a sport or recreational activity among men and women more than 64 years old. RESULTS: In 2001, an estimated 62 164 (95% confidence interval 35 570 to 88 758) persons \textgreater/=65 years old were treated in emergency departments for injuries sustained while participating in sport or recreational activities. The overall injury rate was 177.3/100 000 population with higher rates for men (242.5/100 000) than for women (151.3/100 000). Exercising caused 30% of injuries among women and bicycling caused 17% of injuries among men. Twenty seven percent of all treated injuries were fractures and women (34%) were more likely than men (21%) to suffer fractures. CONCLUSIONS: Recreational activities were a frequent cause of injuries among older adults. Fractures were common. Many of these injuries are potentially preventable. As more persons engage in recreational activities, applying known injury prevention strategies will help to reduce the incidence of these injuries.
Gerson L W; Stevens J A
Injury Prevention (1353-8047)
2004
2004-06
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1136/ip.2004.005256" target="_blank" rel="noreferrer noopener">10.1136/ip.2004.005256</a>
Herbal medicine: top 5 herbs your patients take... but don't tell you.
Female; Male; World Wide Web; Information Resources; Plants; Dietary Supplementation; Patient History Taking; Alternative Therapies; Echinacea; Ginkgo Biloba; Saw Palmetto; St. John's Wort; Depression – Drug Therapy; Dementia – Drug Therapy; Medicinal – Therapeutic Use; Perimenopausal Symptoms – Drug Therapy; Prostatic Hypertrophy – Drug Therapy
The safety of herbal supplements is often difficult to determine because the FDA does not require premarketing safety testing and reporting of adverse effects for such products. However, some information on adverse effects and drugherb interactions is available from the FDA's MedWatch spontaneous reporting system (www.fda.gov/medwatch). Another source of reliable information is the National Center for Complementary and Alternative Medicine (www.nccam.nih.gov). The evidence that echinacea helps prevent upper respiratory tract infections or hastens recovery from them is inconclusive; however, this herb is relatively benign and has few adverse effects. St John's wort is more effective than placebo for the short-term treatment of mild depression, but it should not be used in patients with moderate or severe depression; it also has multiple drug interactions. Ginkgo biloba improves cognitive function in patients with Alzheimertype dementia and also modestly increases pain-free walking distance in those with peripheral vascular disease. Saw palmetto reduces the incidence of nocturia and increases peak urinary flow in men with benign prostatic hyperplasia. Black cohosh may help alleviate menopausal hot flashes.
Crock R D
Consultant (00107069)
2003
2003-09
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Expressed attitudes of adolescents toward marriage and family life.
Female; Male; Texas; Human; Descriptive Statistics; Surveys; Adolescence; Attitude Measures; Random Sample; Divorce; Sexuality; Family – Psychosocial Factors; Attitude – In Adolescence; Marriage – Psychosocial Factors
In the U.S., modifications in family structure and in attitudes concerning marriage and family life have been numerous. Areas such as sexual behavior and alternative living arrangements have become highly varied and nontraditional compared to past generations. This study examined the attitudes of adolescents toward aspects of marriage and family life. The majority of adolescents expressed negative attitudes toward divorce and viewed marriage as a lifelong commitment. While only about a third of the adolescents expressed positive attitudes toward premarital sex, a majority indicated they would engage in sexual intercourse before marriage, or already have. Interestingly, about half of the adolescents held positive attitudes toward cohabitation. Lastly, the adolescents demonstrated a growing acceptance of premarital counseling and psychoeducational interventions regarding marriage and family life.
Martin P D; Specter G; Martin D; Martin M
Adolescence
2003
2003
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Effectiveness of a group exercise program in a long-term care facility: a randomized pilot trial.
Female; Male; Aged; Sensitivity and Specificity; Prospective Studies; Age Factors; Sex Factors; Analysis of Variance; Patient Compliance; Pliability; Frail Elderly; Nursing Homes; Confidence Intervals; Inpatients; Human; Descriptive Statistics; P-Value; Repeated Measures; Data Analysis Software; Pilot Studies; Clinical Trials; Summated Rating Scaling; Clinical Assessment Tools; Analysis of Covariance; Outcomes (Health Care); Range of Motion; Random Assignment; Treatment Outcomes; Gerontologic Care; Long Term Care; Functional Status; Geriatric Functional Assessment; Crossover Design; Housing for the Elderly; Muscle Strengthening; Recreation; 80 and Over; Group Exercise – In Old Age
Objective:The purpose of this pilot was to determine whether a strength and flexibility program in frail long-term care facility (LTC) residents would result in improved function.Design:A prospective, randomized, controlled, semicrossover trial was designed with participants assigned either to group exercise (EX) or recreational therapy (C). In the EX group, the intervention continued for 1 year. In the C group, recreation continued for 6 months; these controls were then crossed over to the same exercise intervention as the EX group and followed for an additional 6 months. Functional outcomes were measured at baseline and 3, 6, 9, and 12 months for both groups.Setting:A LTC facility, which included both assisted living (AL) and nursing home (NH) residents.Participants:Twenty frail residents (5 from NH, 15 from AL) aged 75 to 99 years at one LTC facility.Intervention:After random group assignment, the EX group met 1 hour three times per week. An exercise physiologist and LTC staff conducted sessions which included seated range of motion (ROM) exercises and strength training using simple equipment such as elastic resistance bands (therabands) and soft weights. The C group met three times per week and participated in activities such as painting during the first 6 months, before crossing over to exercise.Measurements and Methods:Objective measures of physical and cognitive function were obtained at baseline and 3, 6, 9, and 12 months using the timed get-up-and-go test (TUG), Berg balance scale, physical performance test (PPT), and mini-mental status exam (MMSE). Because we were interested in the impact of exercise on multiple endpoints and to protect the type I error rate, a global hypothesis test was used.Results:There was a significant overall impact across the four measures of the exercise intervention (P = 0.013). Exercise benefit as indicated by the difference between exercise and control conditions showed exercise decreased TUG by 18 seconds, which represents an effect size (in standard deviation units) of 0.50, increased PPT scores by 1.3, with effect size = 0.40, increased Berg scores by 4.8, with effect size of 0.32, and increased MMSE by 3.1, with effect size = 0.54. Except for the Berg, 90% confidence intervals on these exercise effects excluded 0.Conclusion:Frail elderly in a LTC facility were able to participate and benefit from a strength training program. The program was delivered with low-cost equipment by an exercise physiologist and LTC staff. The advantage of such a program is that it provides recreational and therapeutic benefits.
Baum EE; Jarjoura D; Polen AE; Faur D; Rutechi G
Journal of the American Medical Directors Association
2003
2003-04-03
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1016/s1525-8610(04)70279-0" target="_blank" rel="noreferrer noopener">10.1016/s1525-8610(04)70279-0</a>
Diagnosis at a glance.
Adult; Female; Male; Aged; Cysts – Diagnosis; Cysts – Surgery
Park Y W; Cook JC; Irwin BR
Emergency Medicine (00136654)
2002
2002-04
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Diagnosis at a glance.
Adult; Female; Male; Mouth Diseases – Diagnosis; Tongue Diseases – Diagnosis
Park Y W; Gilcrest P; Oliverio F
Emergency Medicine (00136654)
2002
2002-12
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Diagnosis at a glance.
Adult; Female; Male; Aged; Acneiform Eruptions – Diagnosis; Angioedema – Diagnosis
Park Y W; Bhe KH; Schleicher SM; Schiffman LA
Emergency Medicine (00136654)
2002
2002-11
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Diagnosis at a glance.
Adult; Male; Middle Age; Papilloma – Diagnosis; Stomatitis – Diagnosis
Park Y W; Littlejohn R; Husain I
Emergency Medicine (00136654)
2002
2002-10
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Diagnosis at a glance.
Female; Male; Child; Ear; Middle Age; Airway Obstruction – Diagnosis; Middle – Abnormalities; Nasal Septum – Abnormalities
Park Y W; Oliverio FG; Wallace JA
Emergency Medicine (00136654)
2003
2003-11
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Diagnosis at a glance.
Adult; Female; Male; Aged; Abscess – Diagnosis; Dentures – Adverse Effects; Gingival Diseases – Diagnosis; Soft Tissue Infections – Diagnosis
Park Y W; Tang T; Rucki P
Emergency Medicine (00136654)
2003
2003-10
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Diagnosis at a glance.
Male; Child; Middle Age; Carcinoma; Squamous Cell – Diagnosis; Cysts – Diagnosis – In Infancy and Childhood; Tongue Diseases – Diagnosis
Park Y W; Wu YT; Tang T
Emergency Medicine (00136654)
2003
2003-08
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Diagnosis at a glance.
Adult; Male; Aged; Mouth Diseases – Diagnosis; Mouth Diseases – Etiology; Paranasal Sinus Neoplasms – Diagnosis; Phenytoin – Adverse Effects
Park Y; Stokes JD; Rucki P
Emergency Medicine (00136654)
2003
2003-05
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Diagnosis at a glance.
Adult; Female; Male; Epiglottitis – Diagnosis; Uvula – Abnormalities
Park Y W; Coleman P
Emergency Medicine (00136654)
2003
2003-02
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Diagnosis at a glance.
Male; Middle Age; Carcinoma; Basal Cell – Diagnosis; Hemangioma – Diagnosis; Mouth Neoplasms – Diagnosis
Park Y W; Wu YT; Matthews M
Emergency Medicine (00136654)
2003
2003-01
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Diagnosis at a glance.
Adult; Female; Male; Ear; External; Sarcoidosis – Diagnosis; Ear Diseases – Diagnosis
Park Y W; Dar MA; Cook JC
Emergency Medicine (00136654)
2002
2002-08
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Diagnosis at a glance.
Adult; Male; Child; Cysts – Diagnosis; Ear Diseases – Diagnosis; Ludwig's Angina – Diagnosis
Park Y W; Yee D; Oliverio F
Emergency Medicine (00136654)
2004
2004-05
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Diagnosis at a glance.
Male; Aged; Child; Preschool; Acne Rosacea – Complications; Ankyloglossia – Diagnosis; Sebaceous Gland Diseases – Diagnosis
Park Y W; Matthews M; Coleman P
Emergency Medicine (00136654)
2004
2004-02
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Degenerative sternoclavicular arthritis and hyperostosis.
Adult; Female; Male; Osteoarthritis; Arthroplasty; Middle Age; Arthritis; Ossification; Osteitis; Heterotopic; Arthritis – Classification; Arthritis – Drug Therapy; Arthritis – Surgery; Athletic Injuries – Complications; Sternoclavicular Joint – Pathology
Symptomatic arthritic involvement of the sternoclavicular joint is relatively uncommon and can be a result of distant trauma, infection, and sternocostoclavicular hyperostosis, post-menopausal arthritis, condensing osteitis of the proximal clavicle, or secondary to an underlying arthropathy. Patients with degenerative osteoarthritis due to trauma most commonly have had either an anterior or posterior dislocation, subluxation, or periarticular fracture. Medical claviculectomy with or without ligamentous stabilization is indicated only in situations of painful primary and secondary rheumatoid arthritis, or in patients with neoplastic lesions. Numerous authors have recommended surgical reconstruction but few have reported series larger than two or three cases. This article reviews a few specific arthropathy conditions about the sternoclavicular joint and discusses their nonoperative and operative management. Copyright © 2003 by Elsevier Science (USA).
Noble J S
Clinics in sports medicine
2003
2003-04
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1016/s0278-5919(02)00097-2" target="_blank" rel="noreferrer noopener">10.1016/s0278-5919(02)00097-2</a>
Aging matters: strategies for optimal care of the elderly. The non-Alzheimer dementias: an approach to evaluation and management.
Male; Aged; Diagnosis; Differential; Dementia – Classification
Murphy DP; Kayani N
Consultant (00107069)
2004
2004-05
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Aging matters: strategies for optimal care of the elderly. Behavioral symptoms in Alzheimer dementia: a guide to evaluation and management.
Male; Aged; Behavior Therapy; Physical; Restraint; Long Term Care; Psychiatric Care; 80 and Over; Alzheimer's Disease – Drug Therapy; Alzheimer's Disease – Therapy
Kasper J
Consultant (00107069)
2004
2004-08
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
A systematic – and realistic – approach to functional assessment of elderly persons.
Male; Aged; Functional Status; Dementia – Diagnosis – In Old Age; Depression – Diagnosis – In Old Age; Geriatric Assessment – Utilization
Murphy DP; Cleveland M
Consultant (00107069)
2004
2004-01
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
The rules of three in oliguria: how to use this technique for evaluation.
Adult; Female; Male; Aged; Algorithms; Clinical Assessment Tools; Diagnosis; Laboratory; Urologic; Kidney – Ultrasonography; Oliguria – Etiology
A systematic approach to the successful investigation and management of oliguria uses a reproducible method called the Rules of Three: consideration of three sources of olguria (postrenal, prerenal, and renal), three noninvasive tools for evaluation (history and physical examination, ultrasonography, and urinalysis with urinary electrolyte values), and three helpful clinical maxims. Constant application of this system provides clues to the presence of hidden but reversible postrenal and prerenal causes of oliguria. This approach also yields consistent and accurate results when used to evaluate azotemia and proteinuria
Rutecki G W; Whittier F C
Consultant (00107069)
1993
1993-01
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Renal vascular disease: a look at two options that can preserve renal function.
Female; Male; Aged; Outpatients; Inpatients; Hypertension; Middle Age; Renal – Etiology; Renal Artery Obstruction – Surgery
Percutaneous transluminal angioplasty and renal artery bypass surgery are the most effective means of treating renal vascular disease and the hypertension it causes. Selection of the most appropriate treatment depends on the nature of the underlying stenotic lesion. This is readily determined from the patient's history, character of associated hypertension, physical and laboratory findings, and arteriography. Though specialists usually provide definitive therapy, primary care physicians must be prepared to explain the advantages and disadvantages of each kind of treatment.
Rutecki G W; Whittier F C
Consultant (00107069)
1994
1994-11
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Polycystic kidney disease: detecting and managing extrarenal complications.
Adult; Female; Antibiotics; Male; Middle Age; Hereditary Diseases; Kidney Diseases – Complications; Kidney Diseases – Diagnosis; Kidney Diseases – Therapy
Autosomal dominant polycystic kidney disease (ADPKD), the most common inherited disorder in this country, is more than just a renal disease. Major extrarenal sites are the cardiovascular system, liver, and GI tract. The most devastating cardiovascular abnormalities are occult CNS aneurysms; screening for such lesions is indicated in selected patients, including those with a family history of both ADPKD and berry aneurysms. Liver cysts are a common manifestation of ADPKD; hormonal factors may cause these cysts to enlarge during pregnancy. Colonic diverticula affect most patients with ADPKD; consider diverticular rupture in your differential diagnosis when a patient presents with abdominal pain or peritoneal signs. Instrumentation (eg, cystoscopy) increases the risk of urinary tract infection in ADPKD patients and should be avoided when possible.
Rutecki G W; Whittier F C
Consultant (00107069)
1995
1995-11
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Magnesium disorders: what to do when homeostasis goes awry.
Adult; Female; Male; Aged; Outpatients; Middle Age; Diagnosis; Laboratory; Magnesium; Hypermagnesemia; Hypomagnesemia; Hypermagnesemia – Diagnosis; Hypermagnesemia – Drug Therapy; Hypermagnesemia – Etiology; Hypomagnesemia – Diagnosis; Hypomagnesemia – Drug Therapy; Hypomagnesemia – Etiology; Magnesium – Analysis; Magnesium Sulfate – Administration and Dosage
Hypomagnesemia may be caused by renal losses (often related to drugs or diabetes), inadequate intake or inadequate intestinal absorption. Manifestations may include arrhythmias, particularly during myocardial ischemia or with digitalis use, and such neurologic findings tremors, seizures, and eventually coma. Measure magnesium levels in critically ill patients, those with diabetes or alcoholism, and those taking drugs associated with magnesium loss. Magnesium deficiency often coexists with hypokalemia and hypocalcemia: to correct the latter abnormalities, replete the magnesium deficit first. Base your decision to replace the magnesium orally or parenterally on symptom severity, rather than on absolute serum levels. Magnesium excess may lead to cardiac arrest, with symptoms resembling hyperkalemia. Treat as you would for hyperkalemia, with IV calcium gluconate, insulin, and dextrose.
Trehan S; Rutecki G W; Whittier F C
Consultant (00107069)
1996
1996-11
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Imaging quiz. 'Flesh-eating bacteria'?
Male; Education; Middle Age; Continuing (Credit); Arm – Physiopathology; Foreign Bodies – Diagnosis
Jain R; Bredle D L; Helms S E; Brodell R T
Physician & Sportsmedicine
1995
1995-10
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Hyponatremia: cause of hypotonicity directs management.
Adult; Female; Male; Aged; Middle Age; Intravenous Therapy; Addison's Disease – Diagnosis; Hypertonic – Administration and Dosage; Hyponatremia – Complications; Hyponatremia – Diagnosis; Hyponatremia – Etiology; Hyponatremia – Physiopathology; Hyponatremia – Therapy; Normal Saline – Administration and Dosage; Saline Solution
Four cases histories illustrate the process of defining the cause of hyponatremia: Categorize the patient's volume status; determine kidney function and kidney's response to volume stimulus; measure urine osmolality; consider other factors, including hypouricemia, thyroid status, and adrenal status. Treatment of patients in these four cases is reviewed in the context of CNS tonicity, and the complications encountered during correction of hyponatremic states are described. Specific details are given for administration of parenteral fluids.
Rutecki G W; Whittier F C
Consultant (00107069)
1994
1994-05
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Hypokalemia: clinical implications, consequences, and corrective measures.
Adult; Female; Male; Aged; Muscle Weakness; Outpatients; Electrocardiography; Physical Examination; Diagnosis; Differential; Laboratory; Acid-Base Imbalance; Premature Ventricular Contractions; Hypokalemia – Diagnosis; Hypokalemia – Complications; Hypokalemia – Drug Therapy; Hypokalemia – Etiology; Hypokalemia – Physiopathology; Potassium – Administration and Dosage; Potassium – Drug Effects; Potassium – Metabolism
Rutecki G W; Whittier F C
Consultant (00107069)
1996
1996-01
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Hyperkalemia: how to identify – and correct – the underlying cause... second of two articles.
Adult; Female; Dialysis; Male; Outpatients; Electrocardiography; Middle Age; Diagnosis; Differential; Laboratory; Insulin – Administration and Dosage; Adrenergic Beta-Agonists – Administration and Dosage; Calcium – Administration and Dosage; Cation Exchange Resins – Administration and Dosage; Diuretics – Administration and Dosage; Hyperkalemia – Diagnosis; Hyperkalemia – Drug Therapy; Hyperkalemia – Etiology; Potassium – Analysis; Sodium Bicarbonate – Administration and Dosage
Precipitants of hyperkalemia include diabetes, certain medications (eg, NSAIDs, ACE inhibitors), tissue injury, and hormonal abnormalities. Hyperkalemia alters the extracellular to intracellular potassium gradient, which decreases the resting membrane potential and may cause flaccid muscle paralysis and cardiac arrhythmias. Use the absolute serum potassium level and an ECG to measure the extent of end-organ dysfunction. ECG abnormalities include tall peaked T waves, decreased amplitude and/or absence of P waves, and QRS widening. To manage hyperkalemia, start with a membrane stabilizer (eg, IV calcium gluconate; also give agents (eg, insulin, sodium bicarbonate, or beta-agonists) that shift excess extracellular potassium into cells. To remove potassium altogether, consider diuretics, sodium polystyrene sulfonate, and/or dialysis.
Rutecki G W; Whittier F C
Consultant (00107069)
1996
1996-03
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Diagnosis at a glance... otofuruncle... hematoma.
Adult; Male; Ear; Hematoma; External – Injuries; Otitis – Diagnosis
Park Y W; Tang TH
Emergency Medicine (00136654)
1996
1996-04
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Diagnosis at a glance... nasal polyps... furunculosis.
Adult; Female; Male; Middle Age; Nasal Polyps – Diagnosis; Furunculosis – Diagnosis
Park Y W; Coleman P
Emergency Medicine (00136654)
1995
1995-06
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Diagnosis at a glance... lichen planus nasopharyngeal carcinoma.
Male; Aged; Middle Age; Skin Diseases – Diagnosis; Nose Neoplasms – Diagnosis; Pharyngeal Diseases – Diagnosis
Park Y W
Emergency Medicine (00136654)
1994
1994-07
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Diagnosis at a glance... carcinoma of the tonsil... antrochoanal polyp.
Adult; Female; Male; Middle Age; Tonsil; Neoplasms – Diagnosis; Nasal Polyps – Diagnosis
Park Y W; Lohmeter B
Emergency Medicine (00136654)
1995
1995-04
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Case finding for cognitive impairment in elderly emergency department patients.
Female; Male; Aged; Odds Ratio; Geriatric Assessment; Academic Medical Centers; Confidence Intervals; Psychological Tests; Human; Cross Sectional Studies; Funding Source; Logistic Regression; Emergency Service; Psychophysiology; Gerontologic Care; 80 and Over; Cognition Disorders – Diagnosis – In Old Age; Cognition Disorders – Epidemiology; Frail Elderly – Psychosocial Factors; Memory Disorders – Diagnosis
Gerson L W; Counsell S R; Fontanarosa P B; Smucker W D
Annals of emergency medicine
1994
1994-04
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1016/s0196-0644(94)70319-1" target="_blank" rel="noreferrer noopener">10.1016/s0196-0644(94)70319-1</a>
Case & comment: rheumatology. 'Is it the rheumatism, doc?'... polyarticular gout.
Male; Outpatients; Diagnostic Errors; Middle Age; Diagnosis; Laboratory; Gout – Diagnosis; Gout – Drug Therapy
Rothschild B M
Patient Care
1995
1995-10-30
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Superficial fungal infections. Errors to avoid in diagnosis and treatment.
Adult; Female; Humans; Male; Middle Aged; Animals; Aged; Child; Cattle; Antifungal Agents/*therapeutic use; Dermatomycoses/*diagnosis/*drug therapy/pathology; Nail Diseases/diagnosis/etiology; Psoriasis/diagnosis; Tinea/*diagnosis/*drug therapy/etiology; Middle Age; Diagnosis; Differential; Tinea – Diagnosis; Tinea – Drug Therapy; Antifungal Agents – Therapeutic Use; Dermatomycoses – Diagnosis; Dermatomycoses – Drug Therapy; Dermatomycoses – Pathology; Nail Diseases – Diagnosis; Nail Diseases – Etiology; Psoriasis – Diagnosis; Tinea – Etiology
Superficial fungal infections are easily managed once the proper diagnosis is made. However, misdiagnosis is not uncommon, and many standard approaches to treatment popular just a few years ago are now out of date or in need of refinement. Through nine illustrative cases, the authors describe pitfalls in diagnosis and treatment of common fungal infections involving the skin, hair, and nails.
Brodell R T; Elewski B; Brodell R T; Elewski B
Postgraduate medicine
1997
1997-04
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.3810/pgm.1997.04.209" target="_blank" rel="noreferrer noopener">10.3810/pgm.1997.04.209</a>
Gender differences in neurotoxicity of the nigrostriatal dopaminergic system: implications for Parkinson's disease.
Female; Male; Sex Factors; Postmenopause; Gender Specific Care; Toxins; Basal Ganglia – Pathology; Brain Stem – Pathology; Basal Ganglia – Physiopathology; Brain Stem – Physiopathology; Dopamine – Metabolism; Estrogens – Pharmacodynamics; Parkinson Disease – Metabolism; Parkinson Disease – Pathology; Parkinson Disease – Physiopathology
This article describes the progression of steps followed to demonstrate a gender difference associated with Parkinson's disease (PD) and to gain an understanding of the basis, mechanisms, and implications of this gender specificity. First, a review of the literature on PD shows a greater incidence in men. Next, data are presented from a series of laboratory studies in animal models of PD that suggest a basis for this gender difference: estrogen appears to act as a neuroprotectant of the striatal dopaminergic system. One mechanism for this effect may be that estrogen inhibits the uptake of neurotoxins capable of producing degeneration within dopaminergic neurons. Finally, some of the potential neurologic implications of manipulating estrogen in premenopausal and postmenopausal women are considered.
Dluzen D E; McDermott J L
Journal of Gender-Specific Medicine
2000
2000-09
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Evaluating spondylolysis in adolescent athletes: history and x-ray findings confirm the diagnosis.
Female; Male; Child; Adolescence; Diagnosis; Differential; Athletic Injuries – Diagnosis – In Adolescence; Fractures – In Adolescence; Low Back Pain – Diagnosis – In Adolescence; Lumbar Vertebrae – Injuries – In Adolescence; Orthoses – In Adolescence; Spondylolysis – Diagnosis – In Adolescence
Low back pain is less common in young people than in adults but more often can be traced to a specific cause. A common cause of back pain in adolescents is spondylolysis, a fatigue fracture of a lumbar vertebra that occurs most frequently in young athletes. This condition is caused by repetitive trunk hyperextension. Clinical detection of spondylolysis may involve physical examination, radiography, CT, or MRI. A careful differential diagnosis is necessary to distinguish spondylolysis from a number of other disorders that cause chronic back pain. A proper treatment protocol incorporates rest, NSAlDs, use of a brace, and physical therapy.
Congeni J
Journal of Musculoskeletal Medicine
2000
2000-03
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Drug-induced acute renal failure: recognizing and treating prerenal, postrenal, and pseudorenal injury.
Female; Male; Aged; Risk Factors; Hemodynamics; Physical Examination; Inpatients; Middle Age; Kidney Function Tests; Kidney Failure; Nephrotoxicity; Antiinflammatory Agents; Acute – Etiology; Angiotensin-Converting Enzyme Inhibitors – Adverse Effects; Antineoplastic Agents – Adverse Effects; Non-Steroidal – Adverse Effects; Acute – Chemically Induced; Acute – Diagnosis; Acute – Therapy; Enzyme Inhibitors – Adverse Effects; Renal Circulation – Drug Effects
Angiotensin-converting enzyme (ACE) inhibitors and NSAIDs are among the drugs most commonly associated with acute renal failure (ARF). Patients at risk for ACE inhibitor-induced ARF include those with congestive heart failure (CHF) or compromised left ventricular (IV) function and those receiving diuretics. In these settings, discontinue the ACE inhibitor and direct therapy toward correcting volume or improving the ineffective circulation (by appropriately reducing afterload, by ensuring adequate IV filling pressures, and by treating ischemia). Risk factors for NSAID-included ARF include CHI, poor renal perfusion, and recent hospitalization. Postrenal ARF may be precipitated by drugs that are highly insoluble in addic urine, such as antineoplastic agents and HmG-CoA reductase inhibitors. Alkalinization of urine and hydration are the cornerstones of management of this type of ARF.
Frazee L A; Rutecki G W; Whittier F C
Consultant (00107069)
1997
1997-05
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