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Imaging in the evaluation of dementia 影像学在痴呆评估中的应用
Pub Date : 2009-02-01 DOI: 10.1016/j.mpfou.2008.11.002
Rizwan Basit, Deena Neriman, David C. Howlett

Dementia is an increasingly common problem in an ageing population, and poses a serious public health burden with potentially grave social and financial implications. It is now possible following the recent advancements in specialist imaging techniques to demonstrate both structural and functional changes associated with dementia. This has not only allowed the diagnosis of dementia to be made with greater confidence and substantially earlier than previously, but also, crucially, the actual subtype of dementia can often now be accurately characterized, thus facilitating the earlier introduction of newer pharmacological treatment, where appropriate.

痴呆症是老龄化人口中日益普遍的问题,造成严重的公共卫生负担,并可能造成严重的社会和财政影响。随着专业成像技术的最新进展,现在有可能证明与痴呆症相关的结构和功能变化。这不仅使痴呆症的诊断比以前更有信心和更早,而且,至关重要的是,痴呆症的实际亚型现在通常可以准确地表征,从而促进在适当的情况下更早地引入新的药物治疗。
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引用次数: 1
Assessment and management of Alzheimer’s disease 阿尔茨海默病的评估和管理
Pub Date : 2009-02-01 DOI: 10.1016/j.mpfou.2008.12.009
Pravin Prabhakaran, James Lindesay

Dementia is a syndrome due to a disease of the brain, which is usually of a chronic or progressive nature. The key to the assessment of dementia is a full and comprehensive history and mental state examination from the patient, and a collateral history from a carer or next of kin. A number of other investigations can help to identify the type of dementia, which provides information on prognosis and management. The management of Alzheimer’s disease depends on the setting, and must always include an assessment of risk, and support for families and carers. As the general population ages, dementia will become an increasing priority for health and social services.

痴呆症是一种由大脑疾病引起的综合征,通常是慢性或进行性的。评估痴呆症的关键是对患者进行全面的病史和精神状态检查,以及从护理人员或近亲处获得的附带病史。许多其他调查可以帮助确定痴呆症的类型,从而提供有关预后和管理的信息。阿尔茨海默病的管理取决于环境,必须始终包括风险评估,以及对家庭和护理人员的支持。随着一般人口的老龄化,痴呆症将日益成为卫生和社会服务的优先事项。
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引用次数: 1
Using coaching and mentoring skills to become an effective educational supervisor 使用指导和指导技能,成为一个有效的教育主管
Pub Date : 2009-01-01 DOI: 10.1016/j.mpfou.2008.07.007
Hugh A. Stradling
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引用次数: 2
Intravenous cannulation, intravenous infusion and prescription of intravenous fluids 静脉插管、静脉输液及静脉输液处方
Pub Date : 2009-01-01 DOI: 10.1016/j.mpfou.2008.08.005
Peter Winstanley, Kim Hammond, Tracy Elton
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引用次数: 0
Nasogastric tube insertion 鼻胃管插入
Pub Date : 2009-01-01 DOI: 10.1016/j.mpfou.2008.07.011
Joanne Willcox
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引用次数: 1
Quality assuring foundation training 质量保证基础培训
Pub Date : 2009-01-01 DOI: 10.1016/j.mpfou.2008.08.004
Sue Cavendish
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引用次数: 2
Making sense of the numbers: CER, EER, ARR, RR, RRR, NNT, CIs 理解这些数字:CER, EER, ARR, RR, RRR, NNT, CIs
Pub Date : 2009-01-01 DOI: 10.1016/j.mpfou.2008.08.011
Helen A. Doll
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引用次数: 3
Ever thought of becoming an anaesthetist? 有没有想过成为一名麻醉师?
Pub Date : 2009-01-01 DOI: 10.1016/j.mpfou.2008.09.001
Gordon W.G. French
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引用次数: 0
The essentials of critical appraisal of randomized controlled trials 随机对照试验的关键评价要点
Pub Date : 2009-01-01 DOI: 10.1016/j.mpfou.2008.07.015
Carl Heneghan, Rafael Perera
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引用次数: 0
Back Pain: background, aetiology, diagnosis and treatment 背部疼痛:背景、病因、诊断和治疗
Pub Date : 2008-12-01 DOI: 10.1016/j.mpfou.2008.10.002
Alexander D.L. Baker, John G. Burke

Key topics for doctors in their foundation years covering the aetiology, diagnosis and management of back pain are reviewed. Back pain is a common cause of pain and disability particularly in adults of working age. It is also a common cause for attendance at General Practitioners and a frequent reason given by employees for days of work. NICE estimate the cost associated with treating all types of back pain is more than £1000 million a year. A complex mixture of conditions can present with the symptom of back pain. At their most trivial they require only minimal treatment but at their most serious urgent investigation and surgical intervention are required to prevent severe disability. Most medical practitioners will encounter patients with back pain and will be required to diagnose common causes, manage symptoms and refer as appropriate. Balancing the need to detect treatable conditions and not miss serious spinal pathology against the complications and cost of over investigation requires a sound knowledge of how conditions present and good clinical skills. Some of the causes of serous spinal pathology are reviewed as well as some of the surgically treatable conditions. As some patients may choose to consult complementary practitioners a short review of different therapies that are used to treat back pain, and the available evidence for them is included.

在他们的基础年涵盖的病因,诊断和背部疼痛的管理医生的关键话题进行了审查。背部疼痛是疼痛和残疾的常见原因,特别是在工作年龄的成年人中。这也是全科医生出勤的一个常见原因,也是员工连续几天工作的一个常见原因。NICE估计,每年用于治疗各种类型背痛的费用超过10亿英镑。背痛的症状是由多种复杂的情况共同引起的。在最轻微的情况下,他们只需要最少的治疗,但在最严重的情况下,他们需要紧急检查和手术干预,以防止严重的残疾。大多数医生都会遇到背部疼痛的病人,他们会被要求诊断出常见的原因,控制症状,并酌情转诊。在发现可治疗的疾病和不遗漏严重的脊柱病理与过度检查的并发症和成本之间取得平衡,需要对疾病的现状和良好的临床技能有充分的了解。一些浆液性脊髓病理的原因,以及一些手术治疗的条件进行了审查。由于一些患者可能会选择咨询补充从业人员,对用于治疗背痛的不同疗法进行了简短的回顾,并包括了现有的证据。
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引用次数: 0
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