共查询到20条相似文献,搜索用时 15 毫秒
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Alpert JS 《The American journal of cardiology》2000,86(6):675-676
The job of Chief of Medicine demands considerably more administrative effort than the Chief of Cardiology. However, one can still maintain a significant presence in cardiology as a Chief of Medicine. Each job has its own merits, joys, and irritations. 相似文献
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Martina Zucchetti Michela Casella Antonio DelloRusso Gaetano Fassini Corrado Carbucicchio Eleonora Russo Vittoria Marino Valentina Catto Claudio Tondo 《World journal of cardiology》2015,7(8):499-503
A 69-year-old man was admitted to our center to undergo catheter ablation of paroxysmal atrial fibrillation refractory to antiarrhythmic drug therapy. This procedure required access to the left atrium through the interatrial septum. During hospitalization, the patient performed routinely pre-procedure transthoracic echocardiography and gadolinium-enhanced cardiac magnetic resonance showing a normal anatomy of both the fossa ovalis and the interatrial septum. Access to the left atrium proved difficult and several unsuccessful attempts to perform the trans-septal puncture were made under both fluoroscopy and intracardiac echocardiography guidance, even with radiofrequency energy delivery. Finally, trans-septal puncture was successfully carried out using a novel nitinol J-shaped “SafeSept” trans-septal guidewire, designed to cross the interatrial septum through the trans-septal needle thanks to a special sharp tip. Moreover, thanks to its rounded J shape that reduces the risk of atrial perforation, the “SafeSept” guidewire, when advanced into the left atrium, becomes atraumatic. 相似文献
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Hakamada K Miura T Kimura A Nara M Toyoki Y Narumi S Sasak M 《World journal of gastroenterology : WJG》2008,14(1):132-135
Oncogenesis of anaplastic carcinoma of the pancreas is a subject of controversy, because it shows sarcomatous nature with extremely poor prognosis. We herein report an unusual case of anaplastic carcinoma occurring with a recurrent mucinous cystic neoplasm in a 38-year-old female. A 10-cm retroperitoneal cystic mass was pointed out in the first pregnancy and a probable diagnosis of mucinous cystic neoplasm was made in October 2000. She refused surgery first and delivered her baby uneventfully. During her second pregnancy in 2002, however, she presented hematemesis and underwent urgent distal pancreatectomy, splenectomy and partial resection of the gastric wall where the tumor perforated. A diagnosis of borderline-type mucinous cystic neoplasm with ovarian-like stroma was made. Nine months later, CT visualized a recurrent cystic tumor near the pancreatic stump, which was subsequently resected. Pathology revealed that the tumor was composed of two different components of borderline-type mucinous cystic neoplasm and anaplastic carcinoma. The latter was intensely positive for vimentin, CD68, p53 and focally for cytokeratin, suggesting both sarcomatous and carcinomatous differentiation. She survived four years after the second surgery without tumor recurrence. Although the origin of anaplastic carcinoma has not been determined yet, it should be remembered that anaplastic carcinoma can occur in association with mucinous cystic neoplasm of more benign histology. 相似文献
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Damian M Kreis M Krumm B Syren M Hentschel F 《Zeitschrift für Gerontologie und Geriatrie》2003,36(3):197-203
In a recent study addressing the contribution of neuropsychology and neuroradiology to the improvement of the dementia diagnoses of a memory clinic more than 45% of the patients (45 out of 101) did not meet the criteria for dementia. This finding was unexpected because all patients had been referred for the diagnosis and differential diagnosis of dementia. The aim of the present study was to examine whether the proportion of nondemented patients varies with the "modus of referral". This was not found to be true. The frequency of the diagnosis "no dementia" was not significantly different for the two patient groups "general practitioner" vs. "neuropsychiatrist" referred patients (p=0.859). In conclusion, there is no difference between the two groups of physicians in the reliability judging whether a "cognitive complainer" needs to be referred to a specialized memory clinic. 相似文献
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Toward a definition of colonic inertia 总被引:1,自引:1,他引:0
Gabrio Bassotti Giuseppede Roberto Luca Sediari Antonio Morelli 《World journal of gastroenterology : WJG》2004,(17)
Chronic constipation is a relatively frequent symptom;amongits subtypes,the so called-colonic inertia represents a diseasecondition that is often considered for surgery.However,todate,there has been no agreement on definition of colonicinertia,and a literature review showed that this definitionwas given to numerous entities that differ from each other.In this paper these concepts are reviewed and a morestringent definition of colonic inertia is proposed. 相似文献
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Planer D Leibowitz D Elitzur Y Korach A Hiller N Chajek-Shaul T 《Clinical rheumatology》2007,26(3):457-459
A 20-year-old man with Behcet's disease characterized by recurrent arterial aneurysms presented with a new aortic root aneurysm.
This patient previously had aneurysms of the coronary arteries and vein, as well as ruptured renal artery aneurysm. Chronic
maintenance immunosuppressive therapy was recommended due to the catastrophic nature of the disease, which the patient refused
to take. The patient died shortly after admission. This case demonstrates the unique catastrophic natural history of vascular
Behcet's disease with recurrent life-threatening arterial events, and this case stresses the therapeutic dilemma of maintenance
immunosuppressive therapy in selected patients. 相似文献
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Kian-Lee Tan Wah-Siew Tan Jit-Fong Lim Kong-Weng Eu 《International journal of colorectal disease》2010,25(2):233-238
Background
Krukenberg tumor (KT) is described as metastases of the ovary usually from a tumor of gastric origin. As colorectal cancer (CRC) is now the most common cancer in Singapore, we are seeing more KT with colorectal origin. 相似文献20.
McKendrick MW Care CC Kudesia G Bates CJ Oxley MK Eley A 《The Journal of infection》1999,39(3):209-212
OBJECTIVE: Pain is a common reason for patients to present to a doctor. Many patients with zoster have seen their doctor with pain during the days before the rash and zoster sine herpete is well described. If early varicella zoster virus (VZV) reactivation could be identified confidently, it could provide an opportunity for early antiviral intervention. This prospective study was performed to assess how often patients presenting to their general practitioner with unilateral pain of no obvious clinical cause proved to have evidence of VZV reactivation. METHODS: Fifty-seven patients were recruited and followed for 28 days; laboratory testing included VZV polymerase chain reaction (PCR) from peripheral blood mononuclear cells, VZV IgG, IgA and IgM. The control group consisted of 81 blood donors. RESULTS: Only two study patients developed the rash of zoster. There was no significant difference in PCR or serological responses between the study group and control group. Clinical characteristics did not enable identification of patients presenting to their doctor with unilateral pain who had prodromal zoster. CONCLUSION: There was no evidence on clinical or laboratory tests used in this study to support the view that reactivation of VZV is a common cause of unexplained unilateral pain. 相似文献