现在位置 >首页 > 基本知识
0℃
The 50 Most Influential Physicians in History, Part 2: #35-#21 Steven Rourke; Grace Ellis  |  February 19, 2016 In this second part of a four-part series, we continue our examination of the leaders in medicine throughout history whose accomplishments have helped define medical knowledge and practice as we know it. From Dr Mahmut Gazi Yaşargil to Dr Barry J. Marshall, read up on these outstanding thinkers and accomplished clinicians, as we review their specific contributio...
阅读全文
0℃
0℃
Keys to Diagnosing Broken Heart Syndrome (Takotsubo Cardiomyopathy) Mark P. Brady, PA-C   |  February 17, 2016 Electrocardiography The most common ECG finding in acute TCM is ST-segment elevation in the precordial leads (usually V2-V3),[1,3,20] although an initially normal or nonspecific ECG finding is seen in 20%-30% of affected patients.[1] The ST-segment elevation is then followed by diffuse T-wave inversions (as the ST segments normalize) along with QT prolongation. T...
阅读全文
0℃
Keys to Diagnosing Broken Heart Syndrome (Takotsubo Cardiomyopathy) Mark P. Brady, PA-C   |  February 17, 2016 Takotsubo cardiomyopathy (TCM), first described in 1990 by Sato et al,[1,2] is a transient cardiac syndrome that involves left ventricular (LV) apical akinesis and basal hypercontraction that may symptomatically mimic acute coronary syndrome (ACS).[1,3] A significant emotional (eg, an unexpected death of a loved one, a divorce, bad financial news) or physical ...
阅读全文
0℃
The 50 Most Influential Physicians in History, Part 1: #50-#36 Steven Rourke  |  February 5, 2016 Compiling a ranking of the most influential physicians throughout history is a perilous undertaking that has fueled animated discussions between Medscape editors and advisors. Influence is a tricky thing to gauge, after all, and depends entirely on one's viewpoint, background, location, and specialty. And "history" is a rather long timeframe. Some prickly questions were raised...
阅读全文
0℃
Physical Manifestations of 8 Drugs of Abuse Michael J. Payette, MD, MBA  |  February 2, 2016 Anabolic Steroids Anabolic steroids, also referred to as "Arnolds," "juice," and "roids," are synthetically produced variants of testosterone.[1,3] Their clinical use has been for hormone replacement therapy and for illness-related cachexia.[22] As drugs of abuse, anabolic steroids are used as performance enhancing agents—for promoting muscle growth, enhancing athletic and/or sexu...
阅读全文
0℃
Physical Manifestations of 8 Drugs of Abuse Michael J. Payette, MD, MBA  |  February 2, 2016 Discussion of substance abuse generally revolves around addiction, with a focus on the neurologic, psychosocial, and medicolegal consequences of this disorder. It is known that most drugs of abuse can alter a person's thinking and judgment, as well as lead to health risks that include addiction, drugged driving, and infectious disease.[1,2] One important issue that may not be cons...
阅读全文
0℃
Ten old antibiotics that will never disappear. Matteo Bassetti, Matthew E. Falagas, Marin Kollef. Intensive Care Med DOI 10.1007/s00134-015-3705-5 抗生素耐药问题在世界范围内令人担忧且日益严重。仅有极少数新的抗生素进入药物研发过程,同时在很多国家,有些老的药物尽管属于基本药物,却由于缺乏利润或管理结构新的要求等其他原因,逐渐从市场上消失或暂时无法供应。但是,哪些抗生素目前仍很有帮助而且永远也不会消失呢?我们相信,多粘菌素、磷霉素、氨基糖甙、万古霉素、利福平、苯唑西林、头孢...
阅读全文
0℃
Can Deaths From Acute Kidney Injury Be Eliminated Worldwide? CME/CE News Author: Diedtra Henderson CME Author: Charles P. Vega, MD CME/CE Released: 05/21/2015 ; Valid for credit through 05/21/2016 临床背景 全球每年约有13,300,000人罹患急性肾损伤(AKI),其中约有85%的患者在发展中国家。根据社会经济状况不同,AKI的临床表现也显著不同。富裕国家中AKI主要见于医院内。总体而言,每5名成年住院患者及每3名住院患儿中分别有1人发生AKI,ICU中AKI的比例更高。在高收入国家的一项AKI研究发现,ICU中...
阅读全文
0℃
(CNN) MERS-CoV是中东呼吸综合征冠状病毒的缩写,于2012年春季在沙特阿拉伯最早发现。 根据WHO报告,时至6月8日,25个国家共确诊超过1000例MERS患者。全球死亡病例超过400例。 以下是有关MERS你需要了解的5个事实: MERS属于冠状病毒 MERS与SARS病毒属于同一种病毒。SARS于2003年导致超过8000人感染,全球死亡773例,与此不同,MERS在人群之间并不容易传播—至少现在还是如此。 CDC指出,MERS-CoV感染与感冒相似,累及呼吸系统。但是临床症状(包括发热和咳嗽)更为严重,可导致肺炎和肾功能衰竭。WHO报告,也可...
阅读全文
×
腾讯微博