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991.
Decisional support to prevent adverse drug reactions of long latency: pilot randomized controlled intervention for glucocorticoid‐induced diabetes
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992.
993.
We report a case of aseptic meningitis thought to be associated with chronic sulindac use in a patient with osteoarthritis.
The patient was hospitalized with an acute onset of headache, nuchal rigidity, nausea, and blurred vision. Brain imaging was
unremarkable and a lumbar puncture revealed a lymphocytic pleocytosis. No infectious source was identified. The patient reported
taking sulindac over the past year, it was discontinued, and symptoms promptly resolved. This case underscores the importance
of obtaining a thorough drug history in conjunction with the knowledge of causative medications associated with aseptic meningitis.
Given the widespread use of nonsteroidal anti-inflammatory drugs, clinicians must recognize that aseptic meningitis is a possible
adverse effect of these medications. 相似文献
994.
Mamata Yanamadala Victoria S. Kaprielian Colleen O’Connor Grochowski Tiffany Reed Mitchell Tod Heflin 《Gerontology & geriatrics education》2018,39(2):122-131
ABSTRACTA geriatrics curriculum delivered to medical students was evaluated in this study. Students were instructed to review real patient cases, interview patients and caregivers, identify community resources to address problems, and present a final care plan. Authors evaluated the course feedback and final care plans submitted by students for evidence of learning in geriatric competencies. Students rated the efficacy of the course on a 5-point Likert scale as 3.70 for developing clinical reasoning skills and 3.69 for interdisciplinary teamwork skills. Assessment of an older adult with medical illness was rated as 3.87 and ability to perform mobility and functional assessment as 3.85. Reviews of written final care plans provided evidence of student learning across several different geriatric competencies such as falls, medication management, cognitive and behavior disorders, and self-care capacity. Assessment of the curriculum demonstrated that medical students achieved in-depth learning across multiple geriatric competencies through contact with real cases. 相似文献
995.
996.
Grace D. Appiah Lenee Blanton Tiffany D’Mello Krista Kniss Sophie Smith Desiree Mustaquim Craig Steffens Rosaline Dhara Jessica Cohen Sandra S. Chaves Joseph Bresee Teresa Wallis Xiyan Xu Anwar Isa Abd Elal Larisa Gubareva David E. Wentworth Jacqueline Katz Daniel Jernigan Lynnette Brammer 《MMWR. Morbidity and mortality weekly report》2015,64(21):583-590
997.
998.
Tiffany Astolfi Fabio Borrani Milos Savcic Vincent Gremeaux Grégoire P. Millet 《Annals of physical and rehabilitation medicine》2018,61(2):65-71
Background
An efficient cardiac rehabilitation programme (CRP) can improve the functional ability of patients after acute coronary syndrome (ACS).Objective
To examine the effect of a CRP on parasympathetic reactivation and heart rate recovery (HRR) measured after a 6-min walk test (6MWT), and correlation with 6MWT distance and well-being after ACS.Methods
Eleven normoweight patients after ACS (BMI < 25 kg/m2; 10 males; mean [SD] age 61 [9] years) underwent an 8-week CRP. Before (pre-) and at weeks 4 (W4) and 8 (W8) during the CRP, they performed a 6MWT on a treadmill, followed by 10-min of seated passive recovery, with HRR and HR variability (HRV) recordings. HRR was measured at 1, 3, 5 and 10 min after the 6MWT (HRR1, HRR3, HRR5, HRR10), then modelized by a mono-exponential function. Time-domain (square root of the mean of the sum of the squares of differences between adjacent normal R-R intervals [RMSSD]) and frequency-domain (with high- and low-frequency band powers) were used to analyse HRV. Participants completed a mental and physical well-being questionnaire at pre- and W8. Exhaustion after tests was assessed by the Borg scale. Pearson correlation was used to assess correlations.Results
HRR3, HRR5 and HRR10 increased by 37%, 36% and 28%, respectively, between pre- and W8 (P < 0.05), and were positively correlated with change in 6MWT distance (r = 0.58, 0.66 and 0.76; P < 0.05). Percentage change in HRR3 was positively correlated with change in well-being (r = 0.70; P = 0.01). Parasympathic reactivation (RMSSD) was improved only during the first 30 sec of recovery (P = 0.04).Conclusion
Among patients undergoing a CRP after ACS, increased HRR after a 6MWT, especially at 3 min, was positively correlated with 6MWT distance and improved well-being. HRR raw data seem more sensitive than post-exercise HRV analysis for monitoring functional and autonomic improvement after ACS. 相似文献999.
Tiffany F. Kautz Esteban E. Díaz-González Jesse H. Erasmus Iliana R. Malo-García Rose M. Langsjoen Edward I. Patterson Dawn I. Auguste Naomi L. Forrester Rosa Maria Sanchez-Casas Mauricio Hernández-ávila Celia M. Alpuche-Aranda Scott C. Weaver Ildefonso Fernández-Salas 《Emerging infectious diseases》2015,21(11):2070-2073
Since chikungunya virus (CHIKV) was introduced into the Americas in 2013, its geographic distribution has rapidly expanded. Of 119 serum samples collected in 2014 from febrile patients in southern Mexico, 79% were positive for CHIKV or IgM against CHIKV. Sequencing results confirmed CHIKV strains closely related to Caribbean isolates. 相似文献
1000.
Timeliness of Outpatient Follow-up: An Evidence-Based Approach for Planning After Hospital Discharge
Carlos Jackson Mohammad Shahsahebi Tiffany Wedlake C. Annette DuBard 《Annals of family medicine》2015,13(2):115-122