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991.
992.
Arti Hurria MD Kevin P. High MD MS Lona Mody MD Frances McFarland Horne PhD MA Marcus Escobedo MPA Jeffrey Halter MD William Hazzard MD Kenneth Schmader MD Heidi Klepin MD MS Sei Lee MD MAS Una E. Makris MD MSCS Michael W. Rich MD Stephanie Rogers MD Jocelyn Wiggins BM BCh Rachael Watman MSW Jennifer Choi BS Nancy Lundebjerg MPA Susan Zieman MD PhD 《Journal of the American Geriatrics Society》2017,65(4):680-687
Historically, the medical subspecialties have not focused on the needs of older adults. This has changed with the implementation of initiatives to integrate geriatrics and aging research into the medical and surgical subspecialties and with the establishment of a home for internal medicine specialists within the annual American Geriatrics Society (AGS) meeting. With the support of AGS, other professional societies, philanthropies, and federal agencies, efforts to integrate geriatrics into the medical and surgical subspecialties have focused largely on training the next generation of physicians and researchers. They have engaged several subspecialties, which have followed parallel paths in integrating geriatrics and aging research. As a result of these combined efforts, there has been enormous progress in the integration of geriatrics and aging research into the medical and surgical subspecialties, and topics once considered to be geriatric concerns are becoming mainstream in medicine, but this integration remains a work in progress and will need to adapt to changes associated with healthcare reform. 相似文献
993.
Mahmoud U. Sani Gad Cotter Beth A. Davison Bongani M. Mayosi Albertino Damasceno Christopher Edwards Okechukwu S. Ogah Charles Mondo Anastase Dzudie Dike B. Ojji Charles Kouam Kouam Ahmed Suliman Gerald Yonga Sergine Abdou Ba Fikru Maru Bekele Alemayehu Karen Sliwa 《Journal of cardiac failure》2017,23(10):739-742
Background
Symptoms and signs of heart failure (HF) are the most common reasons for admission to hospital for acute HF (AHF) and are used routinely throughout admission to assess the severity of disease and response to therapy.Methods and Results
The data were collected in The Sub-Saharan Africa Survey on Heart Failure (THESUS-HF) study, a prospective, multicenter, observational survey of AHF from 9 countries in sub-Saharan Africa. A total of 1006 patients, ≥12 years of age, hospitalized for AHF were recruited. Symptoms and signs of HF and changes in dyspnea and well-being, relative to admission, were assessed at entry and on days 1, 2, and 7 (or on discharge if earlier) and included oxygen saturation, degree of edema and rales, body weight, and level of orthopnea. The patient determined dyspnea and general well-being, whereas the physician determined symptoms and signs of HF, as well as improvements in vital sign measurement, throughout the admission. After multivariable adjustment, baseline rales and changes to day 7 or discharge in general well-being predicted death or HF hospitalization through day 60, and baseline orthopnea, edema, rales, oxygen saturation, and changes to day 7 or on discharge in respiratory rate and general well-being were predictive of death through day 180.Conclusions
In AHF patients in sub-Saharan Africa, symptoms and signs of HF improve throughout admission, and simple assessments, including edema, rales, oxygen saturation, respiratory rate, and asking the patient about general well-being, are valuable tools in patients' clinical assessment. 相似文献994.
995.
Comparison of glucose‐lowering agents after dual therapy failure in type 2 diabetes: A systematic review and network meta‐analysis of randomized controlled trials
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![点击此处可从《Diabetes, obesity & metabolism》网站下载免费的PDF全文](/ch/ext_images/free.gif)
996.
997.
Blood pressures immediately following ischemic strokes are associated with cerebral perfusion and neurologic function
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![点击此处可从《Journal of clinical hypertension (Greenwich, Conn.)》网站下载免费的PDF全文](/ch/ext_images/free.gif)
Mingli He MD Bing Cui MS Cunjin Wu MD Pin Meng MMed Taotao Wu MMed Mingyu Wang MMed Ru Yang BM Lin Zhou BM Xiaobin He MMed Bingchao Xu MMed Zaipo Li MMed Bei Xu BM Zenglin Cai MD Yong’an Sun MMed Rutai Hui MD PhD Yibo Wang PhD 《Journal of clinical hypertension (Greenwich, Conn.)》2018,20(6):1008-1015
The optimal range of blood pressure levels in the early phase of ischemic stroke with hypertension is still controversial. Based on our stroke registry database, we explored the relationship between blood pressure levels and cerebral perfusion in the early phase of ischemic stroke with hypertension and neurofunctional recovery at 3 months after stroke. Total 732 stroke patients with hypertension were finally analyzed. Patients were divided into quintiles according to systolic blood pressure (SBP) and diastolic blood pressure (DBP) to perform multivariable logistic regression to analyze their relation with neurofunctional recovery, respectively. The cerebral perfusion levels displayed a reverse “U” shape curve with the change of blood pressure levels. Sufficient estimated cerebral blood flow (ECBF) in the early phase of ischemic stroke was associated with good neurofunctional recovery at 3 months after stroke. The best neurofunctional recovery was observed in the middle quintiles with SBP at 161 to 177 mm Hg and DBP at 103 to 114 mm Hg, respectively. So maintaining appropriate blood pressure levels in the early phase of ischemic stroke might be beneficial to cerebral perfusion and neurofunctional recovery. 相似文献
998.
Cardiac magnetic resonance imaging provides new insight into hypertensive heart disease—a reply
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Stephen Rohan BSc Amardeep Ghosh Dastidar MBBS MRCP Adam Trickey MSc Gergely Szantho MD MRCP Laura E. K. Ratcliffe BSc MBBS MRCP Amy E. Burchell MA BM BCh MRCP Emma C. Hart BSc PhD Chiara Bucciarelli‐Ducci MD PhD FESC FRCP Mark C. K. Hamilton MBChB MRCP FRCR Angus K. Nightingale MA MB BChir FRCP MD Julian F. R. Paton BSc PhD Nathan E. Manghat MBChB MRCP FRCR MD FSCCT David H. MacIver MBBS MD FRCP FESC 《Journal of clinical hypertension (Greenwich, Conn.)》2017,19(3):335-336
999.
Diet‐independent relevance of serum uric acid for blood pressure in a representative population sample
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Danika Krupp PhD Jonas Esche MSc Gert BM Mensink PhD Hannelore K Neuhauser MD PhD MPH Thomas Remer PhD 《Journal of clinical hypertension (Greenwich, Conn.)》2017,19(10):1042-1050
A direct relationship between serum uric acid and blood pressure (BP) has been reported, but the possible confounding impact of diet on this association is unclear. The authors performed a cross‐sectional analysis in the representative German Health Interview and Examination Survey for Adults (n=6788, aged 18–79 years). In adjusted regression models considering dietary factors, each 1‐mg/dL higher uric acid value was associated with a 1.10‐mm Hg (P=.0002) and a 0.60‐mm Hg (P=.04) higher systolic BP among participants younger than 50 years and participants 50 years and older, respectively. For diastolic BP, uric acid was a significant predictor (β=0.71 mm Hg, P=.0001) among participants younger than 50 years and for participants 50 years and older without antihypertensive treatment. Adjusted odds ratios of hypertension for participants with hyperuricemia were broadly similar in younger (odds ratio, 1.71; P=.02) and older (odds ratio, 1.81; P=.0003) participants. Uric acid is a significant predictor of systolic BP and hypertension prevalence in the general adult population in Germany independently of several known dietary BP influences. 相似文献
1000.
Integrated care in cancer: What is it,how is it used and where are the gaps? A textual narrative literature synthesis
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L.J. Cortis B. Pharm P.R. Ward PhD R.A. McKinnon PhD B. Koczwara BM BS MBioethics 《European journal of cancer care》2017,26(4)
Integrated care is an underpinning concept of contemporary health care policy proffered as a strategy to overcome the fragmentations in care encountered by people with complex care needs (Shaw et al. [2011] What is Integrated Care? An Overview of Integrated Care in the NHS). Cancer patients have potential to benefit from such policy, often having needs that extend beyond cancer. This paper seeks to understand how the concept of integrated care is used in the cancer literature. A search of leading databases was conducted for original research relating to integrated care or an integration intervention aiming to improve outcomes of cancer patients, and analysed using textual narrative synthesis. 38 papers were included, each with a focus on improving cancer‐specific aspects of care enhancing the capabilities of the cancer multidisciplinary team. Of the eight studies involving integration between the cancer service and other care providers, all focused on utilising the external provider to deliver aspects of cancer care or placed them in a passive role, as survey participant, a recipient of cancer‐related clinical information or as the comparator “usual care” arm. Within the cancer literature, integration is predominantly used to describe initiatives to improve cancer‐related aspects of care. Less attention is given to integration initiatives that enhance coordination across levels of the healthcare system or service providers. 相似文献