2141. Risks for major bleeding from thrombolytic therapy in patients with acute pulmonary embolism. Consideration of noninvasive management.
To assess the relative risks for bleeding with thrombolytic therapy in patients who are managed using pulmonary angiograms compared with those managed using noninvasive tests, primarily the ventilation-perfusion lung scan.
2142. Drug treatment of hypertension in the elderly: a meta-analysis.
作者: J T Insua.;H S Sacks.;T S Lau.;J Lau.;D Reitman.;D Pagano.;T C Chalmers.
来源: Ann Intern Med. 1994年121卷5期355-62页
A meta-analysis of the effect of antihypertensive drug treatment on mortality and morbidity in elderly patients.
2143. Do nonsteroidal anti-inflammatory drugs affect blood pressure? A meta-analysis.
A meta-analysis of randomized trials studying the effect of nonsteroidal anti-inflammatory drugs (NSAIDs) on blood pressure.
2145. Nonvalvular infections of the cardiovascular system.
To review the risk factors, clinical presentation, diagnosis, and treatment of nonvalvular infections of the cardiovascular system.
2146. Ursodiol for hepatobiliary disorders.
To explain the rationale supporting the use of ursodiol (ursodeoxycholic acid) for the treatment of patients with cholesterol gallstones and chronic liver diseases and to describe the results obtained in clinical trials.
2147. Screening for ovarian cancer: recommendations and rationale. American College of Physicians.
来源: Ann Intern Med. 1994年121卷2期141-2页
2148. Published trials of nonmedicinal and noninvasive therapies for hip and knee osteoarthritis.
To review the efficacy of nonmedicinal, noninvasive therapies in hip and knee osteoarthritis.
2149. Screening for ovarian cancer.
To critically review the available evidence for screening asymptomatic women for ovarian cancer with ultrasonography or the CA 125 radioimmunoassay (CA 125) or both.
2154. Quantitation of plasma apolipoproteins in the primary and secondary prevention of coronary artery disease.
To review current knowledge of apolipoprotein quantitation used in the clinical management of persons with or at risk for the development of premature coronary artery disease.
2155. Fever: blessing or curse? A unifying hypothesis.
Considerable data indicate that fever and its mediators have the capacity both to potentiate and to inhibit resistance to infection. It is difficult to reconcile these apparently contradictory observations if they are viewed solely from the standpoint of the individual. However, when viewed from the perspective of the species, both fever's salutary effects on mild to moderately severe infections and its pernicious influence on fulminating infections become teleologically plausible. If one accepts preservation of the species, rather than survival of the individual, as the essence of evolution, fever and its mediators might have evolved as mechanisms both for accelerating recovery of individuals from localized or mild to moderately severe systemic infections in the interest of continued propagation of the species and for hastening the elimination of fulminantly infected individuals who pose a threat of epidemic disease to the species.
2156. Prophylaxis for opportunistic infections in patients with HIV infection.
To review the efficacy of chemoprophylaxis for opportunistic infections in persons infected with human immunodeficiency virus (HIV).
2157. NIH conference. Recent advances in the management of AIDS-related opportunistic infections.
作者: H C Lane.;B E Laughon.;J Falloon.;J A Kovacs.;R T Davey.;M A Polis.;H Masur.
来源: Ann Intern Med. 1994年120卷11期945-55页
Secondary infections remain the leading cause of death in patients with the acquired immunodeficiency syndrome (AIDS). Dealing with the rapidly evolving spectrum of infectious problems seen in patients with AIDS requires knowledge of current therapeutic and prophylactic strategies. Through an extensive preclinical trials network supported by both industry and government, an increasing number of new agents are being identified and rapidly moved into clinical trials. Several agents are now available to treat diseases caused by Pneumocystis carinii, and corticosteroids have become a useful adjunct to antimicrobial agents in the treatment of P. carinii pneumonia. Although the treatment of toxoplasmosis remains a challenge, alternatives to sulfadiazine and pyrimethamine are now available. Mycobacterial infections, particularly with Mycobacterium tuberculosis, have become an increasing problem for patients with AIDS, and both old and new combination drug regimens are being used. Cytomegalovirus disease, until recently an untreatable problem, can now at least be partially managed with antiviral agents. The use of more complete prophylactic regimens may decrease the morbidity and mortality from opportunistic infections.
2160. The clinical efficacy of magnetic resonance imaging in neuroimaging.
To assess the clinical efficacy of magnetic resonance imaging (MRI) for neuroimaging and to provide guidelines for clinical practice.
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