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Wearable monitors for patients following discharge from an intensive care unit: practical lessons learnt from an observational study 下载免费PDF全文
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Dinesh Bhugra MB BS MRCPsych 《Sexual and Relationship Therapy》2013,28(2):197-204
A questionnaire looking at attitudes towards male homosexuality was circulated to 94 members of the Gay Medical Association (GMA) and 510 members of various homophile organisations. The response rates were 56% and 34.7% respectively. Some clear differences emerged between the two groups in looking at stereotypes of male homosexuals. Nearly hlf the respondents in both the groups agreed that male homosexuals in general are promiscuous. The differences are discussed and suggestions made for further research. 相似文献
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Impact of severe tricuspid regurgitation on accuracy of systolic pulmonary arterial pressure measured by Doppler echocardiography: Analysis in an unselected patient population 下载免费PDF全文
Beini Fei MB Ting Fan MB Ling Zhao MB Xiaoli Pei MD Xianhong Shu PhD MD Xiaoyan Fang MD Leilei Cheng PhD MD 《Echocardiography (Mount Kisco, N.Y.)》2017,34(7):1082-1088
Pulmonary arterial pressure is an important index in cardiovascular disorders, especially for pulmonary hypertension (PH). Doppler echocardiography (DE) is widely used as a noninvasive method to assess pulmonary arterial pressure. However, recent studies have found several hemodynamic factors that affect its accuracy in estimating systolic pulmonary arterial pressure (sPAP). But the effect of tricuspid regurgitation (TR) has not been investigated. Therefore, our study is aimed to determine whether the severity of TR will affect the accuracy of sPAP measured by DE in an unselected patient population. We retrospectively studied 177 patients who underwent DE and right heart catheterization (RHC) examinations. Patients were categorized into 3 groups according to the severity of TR (mild, moderate, and severe). The discrepancy in sPAP measured by DE and RHC was calculated and compared in each group. Determinants of discordant results between two methods were also evaluated. Age, gender, interval between DE and RHC, sequence of DE and RHC were similar among groups (all P>.05). Differences in sPAP, RAP, and tricuspid regurgitation pressure gradient (TR‐PG) were similar in group 1 and 2 (all P>.05), while all significantly higher in group 3 (all P<.05). The difference in sPAP between DE and RHC was affected independently by severe TR and severe PH (both P<.05). Severe TR and severe PH affect the accuracy of sPAP measured by DE. Modification of echocardiographic sPAP measurements by taking into consideration of these factors may lead to reduced systemic errors. 相似文献
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Reji Pappy MD Thomas A. Hennebry MB BCH BAO FACC FSCAI Mazen S. Abu‐Fadel MD FACC FSCAI 《Catheterization and cardiovascular interventions》2011,78(4):625-631
Subintimal recanalization is beneficial in selected patients with peripheral chronic total occlusions (CTO). However, in complex cases, re‐entry into the true arterial lumen may prove to be unsuccessful with a conventional guidewire or a re‐entry catheter when using standard femoral artery access. Our case series describes these technical dilemmas along with strategies that can be utilized to overcome these challenges. © 2011 Wiley‐Liss, Inc. 相似文献
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Peter A. Sims MSc MB MFCM MRCGP 《Medicine, conflict, and survival》2013,29(3):199-200
Community physicians have recently, albeit often reluctantly, been involved in preparations for nuclear war. This paper suggests an alternative: that they should use their skills in epidemiology and in preventive and social medicine in the prevention of nuclear war. 相似文献
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Francisco Leyva MD Abbasin Zegard MB ChB Kiran Patel PhD Jonathan Panting MB ChB Howard Marshall MD Tian Qiu PhD 《Pacing and clinical electrophysiology : PACE》2018,41(3):290-298