1,721 results match your criteria MedGenMed : Medscape general medicine[Journal]


A systematic review of Cochrane anticoagulation reviews.

Medscape J Med 2009 6;11(1). Epub 2009 Jan 6.

Los Angeles County Hospital and USC Medical Center, Long Beach, California, USA.

Context: I coauthored a published review of anticoagulation for venous thromboembolism in the Cochrane Database of Systematic Reviews and published a review on the same topic in MedGenMed (now the Medscape Journal of Medicine). In contrast to the article in Medscape, the discussion and conclusions in the Cochrane review were altered appreciably during the review process. Consequently, I decided to critique all anticoagulation drug-related reviews and protocols in the Cochrane database with feedback letters concerning any issues of potential controversy. Read More

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January 2011
14 Reads

Readers' and author's responses to "The disappearing patient".

Authors:
Peggy Finston

MedGenMed 2007 ;9(4):14; author reply 14

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April 2008
7 Reads

Readers' and author's responses to "The disappearing patient".

Authors:
David M Magder

MedGenMed 2007 ;9(4):14; author reply 14

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April 2008
4 Reads

Making payment reform in the US healthcare system possible.

Authors:
Karen Davis

MedGenMed 2007 Dec 21;9(4):63. Epub 2007 Dec 21.

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December 2007
7 Reads

Improved mood and remission of symptoms in long-term major depression using vagus nerve stimulation.

MedGenMed 2007 Dec 20;9(4):62. Epub 2007 Dec 20.

Wright State University, Boonshoft School of Medicine, Dayton, Ohio, USA.

This is a case study of a 68-year-old woman with previously unremitting depression. The patient came to our care in 1994 following a series of treatment interventions that did not alter the course of chronic depression. We report our treatment approach and results seen with this patient, including her tepid response to traditional antidepressants and the positive results seen in the past year using vagus nerve stimulation (VNS) therapy. Read More

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December 2007
3 Reads

Autism spectrum disorder, Klinefelter syndrome, and chromosome 3p21.31 duplication: a case report.

MedGenMed 2007 Dec 18;9(4):60. Epub 2007 Dec 18.

Developmental Pediatrics Medical University of South Carolina, Children's Hospital, Charleston, South Carolina, USA.

Autism spectrum disorders are heterogeneous in nature with idiopathic and genetic origins. We present a 7-year-old boy with a long history of multiple behavioral concerns, poor school performance, repetitive/compulsive tendencies, poor social skills, and language delays. A multidisciplinary evaluation concluded that the patient met full criteria for autism. Read More

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December 2007
4 Reads

We physicians preach what we practice, and that matters.

Authors:
Erica Frank

MedGenMed 2007 Dec 17;9(4):59. Epub 2007 Dec 17.

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December 2007
7 Reads

A reader and author respond to "Getting control of health costs - for real".

Authors:
J D Smucker

MedGenMed 2007 Dec 10;9(4):53; author reply 53. Epub 2007 Dec 10.

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December 2007
4 Reads

Sudden death in competitive athletes.

Authors:
Steven R Neish

MedGenMed 2007 Dec 7;9(4):52. Epub 2007 Dec 7.

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December 2007
6 Reads

A reader and author respond to "should doctors force-feed prisoners?".

Authors:
Steven S Spencer

MedGenMed 2007 Dec 7;9(4):51; author reply 51. Epub 2007 Dec 7.

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December 2007
3 Reads

Lifestyle discussions during doctor-older patient interactions: the role of time in the medical encounter.

MedGenMed 2007 Dec 4;9(4):48. Epub 2007 Dec 4.

School of Rural Public Health, Texas A&M Health Science Center, College Station, Texas, USA.

Context: Although physician influence can be especially powerful with older adults, relatively little is known about how primary care physicians (PCPs) interact with their patients regarding lifestyle issues.

Objective: To document the length of time that PCPs discuss lifestyle issues with their older patients and to examine patient, physician, and contextual correlates.

Design: Descriptive and multivariate analysis of videotapes of physician-patient encounters. Read More

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December 2007
6 Reads

Human growth hormone: a Paul Bunyan drug or a drug for Paul's bunion.

MedGenMed 2007 Dec 3;9(4):47. Epub 2007 Dec 3.

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December 2007
4 Reads

How do we involve patients in their own healthcare decisions?

Authors:
Carolyn Clancy

MedGenMed 2007 Nov 30;9(4):46. Epub 2007 Nov 30.

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November 2007
4 Reads

Part 2: Readers' and author's responses to "We all need healthcare; who needs 'insurance"?

Authors:
Melvin Stern

MedGenMed 2007 Nov 29;9(4):45; author reply 45. Epub 2007 Nov 29.

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November 2007
5 Reads

A rare ovarian tumor - Sertoli-Leydig cell tumor with heterologous element.

MedGenMed 2007 Nov 28;9(4):44. Epub 2007 Nov 28.

Department of Obstetrics & Gynecology, Government Medical College & Hospital, Chandigarh, India.

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November 2007
7 Reads

The problem with ADAGE (A1c-derived average glucose equivalent).

Authors:
George Treviño

MedGenMed 2007 Nov 27;9(4):43. Epub 2007 Nov 27.

CHIRES, Inc., San Antonio, Texas, USA.

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November 2007
6 Reads

Good primary care is obesity medicine.

Authors:
Ingrid Kohlstadt

MedGenMed 2007 Nov 26;9(4):42. Epub 2007 Nov 26.

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November 2007
4 Reads

A World Health Organization primer.

Authors:
Srimathy Vijayan

MedGenMed 2007 Nov 21;9(4):41. Epub 2007 Nov 21.

University of East Anglia, Norwich, United Kingdom.

Unlabelled: The World Health Organization (WHO) can be considered the primary agency of the United Nations that promotes global public health. This article provides a general overview of WHO by exploring the history, current, and future practices of the organization, and by addressing its major roles and functions in the present day.

Background: Srimathy Vijayan is a fourth-year medical student at the University of East Anglia, Norwich, United Kingdom. Read More

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November 2007
5 Reads

Characteristics of patients prescribed angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, or the combination at an urban medical center.

MedGenMed 2007 Nov 20;9(4):40. Epub 2007 Nov 20.

Department of Medicine, University of Florida College of Medicine, Jacksonville, Florida, USA.

Background: The realization that angiotensin-converting enzyme (ACE) inhibitors do not provide complete blockade of angiotensin II synthesis has resulted in an increased use of combinations of ACE inhibitors and angiotensin receptor blockers (ARBs). This study examines the characteristics of patients in whom this combination was prescribed.

Methods: Seventy-two patients diagnosed with primary hypertension and receiving an ACE inhibitor, an ARB, or their combinations were included. Read More

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November 2007
9 Reads

Be prepared to use the hot mic to counter pandemics.

Authors:
Randall N Hyer

MedGenMed 2007 Nov 19;9(4):39. Epub 2007 Nov 19.

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November 2007
4 Reads

A reader and author respond to "Who killed healthcare?".

MedGenMed 2007 Nov 19;9(4):38; author reply 38. Epub 2007 Nov 19.

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November 2007
5 Reads

How much is too much?

MedGenMed 2007 Nov 16;9(4):37. Epub 2007 Nov 16.

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November 2007
6 Reads

A reader responds to "By financial disclosures, we're fixing the wrong problem".

Authors:
E S Prakash

MedGenMed 2007 Nov 16;9(4):36. Epub 2007 Nov 16.

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November 2007
4 Reads

Risk for second nonlymphoid neoplasms in chronic lymphocytic leukemia.

MedGenMed 2007 Nov 15;9(4):35. Epub 2007 Nov 15.

Major advances have occurred in understanding the biology, immunology, and modalities of treatment of chronic lymphocytic leukemia (CLL) in the last decade. B-cell CLL is the most common type of leukemia occurring in the US and Western nations. B-cell CLL is characterized by progressive defects in both cell-mediated and humoral-mediated immunity. Read More

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November 2007
4 Reads

The role of TGF-beta-1 protein and TGF-beta-R-1 receptor in immune escape mechanism in bladder cancer.

MedGenMed 2007 Nov 13;9(4):34. Epub 2007 Nov 13.

Theodor Bilharz Research Institute, Electron Microscopy Department, Cairo, Egypt.

Background: Tumor cells have numerous immune surveillance escape mechanisms as well as means of resistance to apoptosis. This study tried to clarify one of these mechanisms in bladder cancer with the hope of being able to develop targeted therapy that will sensitize the tumor cells to immune-mediated apoptosis.

Methods: In this study, electron microscopic examination and expression of TGF-beta-1 protein and TGF-beta-R-1 receptor using immunoelectronmicroscopic and immunocytochemical techniques were investigated in urine and peripheral blood mononuclear cells (PBMNCs). Read More

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November 2007
9 Reads
5 Citations

Medical tourism: globalization of the healthcare marketplace.

MedGenMed 2007 Nov 13;9(4):33. Epub 2007 Nov 13.

Global Perspectives Program, Goizueta Business School, Emory University, Atlanta, Georgia, USA.

The citizens of many countries have long traveled to the United States and to the developed countries of Europe to seek the expertise and advanced technology available in leading medical centers. In the recent past, a trend known as medical tourism has emerged wherein citizens of highly developed countries choose to bypass care offered in their own communities and travel to less developed areas of the world to receive a wide variety of medical services. Medical tourism is becoming increasingly popular, and it is projected that as many as 750,000 Americans will seek offshore medical care in 2007. Read More

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November 2007
25 Reads

Antimicrobial use in hospitals: managing a medical treasure.

Authors:
Robert Gaynes

MedGenMed 2007 Nov 12;9(4):32. Epub 2007 Nov 12.

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November 2007
5 Reads

Enabling people with disabilities.

MedGenMed 2007 Nov 9;9(4):31. Epub 2007 Nov 9.

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November 2007
4 Reads

Comparing healthcare systems: outcomes, ethical principles, and social values.

MedGenMed 2007 Nov 7;9(4):29. Epub 2007 Nov 7.

Department of Philosophy, University of Victoria, British Columbia, Canada.

The question of how healthcare should be structured has been at the forefront of public debate for quite some time. In particular, debate has raged over the acceptability of socialized and rights-oriented approaches to healthcare as opposed to privatized and commodity-oriented approaches. The present discussion looks at the underlying logic of the debate and at the use of outcome measures as a primary determinant. Read More

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November 2007
5 Reads

Reforms for rating media: disclosure, not censorship.

MedGenMed 2007 Nov 5;9(4):27. Epub 2007 Nov 5.

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November 2007
5 Reads

Integrative medicine: sorting fact from fiction.

MedGenMed 2007 Nov 2;9(4):26. Epub 2007 Nov 2.

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November 2007
4 Reads

Should diabetes healthcare abandon its gold standard?

Authors:
George Treviño

MedGenMed 2007 Nov 1;9(4):25. Epub 2007 Nov 1.

CHIRES, Inc., San Antonio, Texas, USA.

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November 2007
9 Reads