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Cleveland Clinic Journal of Medicine最新文献

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What are options for my patients with erectile dysfunction who have an unsatisfactory response to PDE5 inhibitors? 对于对 PDE5 抑制剂反应不满意的勃起功能障碍患者,有哪些选择?
IF 3.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-01 DOI: 10.3949/ccjm.91a.24005
Vivian Hua, Bradley Roth, Andrew Shumaker, Raevti Bole, Petar Bajic
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引用次数: 0
Effective but inaccessible antiobesity medications: A call for sharing responsibility for improving access to evidence-based care. 有效但难以获得的抗肥胖药物:呼吁分担责任,改善循证医疗的可及性。
IF 3.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-01 DOI: 10.3949/ccjm.91a.24068
Bartolome Burguera, Marcio L Griebeler, W Timothy Garvey
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引用次数: 0
The history of blood cultures: From the research laboratory to the bedside. 血液培养的历史:从研究实验室到床边。
IF 3.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-01 DOI: 10.3949/ccjm.91a.24091
Adam J Brown
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引用次数: 0
Skin manifestations in a patient with acute bacterial infective endocarditis. 一名急性细菌性感染性心内膜炎患者的皮肤表现。
IF 3.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-01 DOI: 10.3949/ccjm.91a.24066
Basar Aykent, Ozlem Yilmaz
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引用次数: 0
It's time for a little history of medicine-introducing a new feature in CCJM. 是时候来点医学史了--介绍一下 CCJM 的新功能。
IF 3.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-01 DOI: 10.3949/ccjm.91b.11024
Brian F Mandell
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引用次数: 0
Primary adrenal insufficiency in adults. 成人原发性肾上腺功能不全。
IF 3.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-01 DOI: 10.3949/ccjm.91c.11001
Anup Katyal
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引用次数: 0
The PRECISE trial: How should patients with chest pain be tested? PRECISE 试验:胸痛患者应如何进行检测?
IF 3.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-01 DOI: 10.3949/ccjm.91a.24024
Rahul Aggarwal, Ron Blankstein, Deepak L Bhatt
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引用次数: 0
A man with chronic limb-threatening ischemia and no revascularization options: Can we save his foot? 一名男子患有危及肢体的慢性缺血,且没有血管再通的选择:我们能挽救他的脚吗?
IF 3.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-01 DOI: 10.3949/ccjm.91a.23077
Fachreza Aryo Damara, Khaled I Alnahhal, Hassan Dehaini, Georgeanne Botek, Ammar A Saati, Pulkit Chaudhury, Lee Kirksey
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引用次数: 0
Cervical cancer screening in high-risk patients: Clinical challenges in primary care. 高危患者的宫颈癌筛查:初级保健中的临床挑战。
IF 3.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-11-01 DOI: 10.3949/ccjm.91a.24023
Rebecca S Gold, Meagan Williams, Heather M Wainstein

The risk of developing cervical cancer is not equal across populations-individual health history, economic, political, and societal factors influence cervical cancer risk. Certain health conditions, including human immunodeficiency virus (HIV) infection, immunosuppression, and history of high-grade cervical dysplasia, are associated with higher cervical cancer risk and warrant distinct screening, surveillance, and management guidelines. It is imperative for clinicians to recognize high-risk groups and apply appropriate corresponding guidelines. However, this can be difficult in practice, as recommendations regularly evolve. This review offers up-to-date guidance in a case-based format on cervical cancer screening, surveillance, and management for high-risk patients.

不同人群罹患宫颈癌的风险并不相同--个人健康史、经济、政治和社会因素都会影响宫颈癌的风险。某些健康状况,包括人体免疫缺陷病毒(HIV)感染、免疫抑制和高级别宫颈发育不良病史,与宫颈癌的高风险相关,因此需要制定不同的筛查、监测和管理指南。临床医生必须认识到高危人群,并应用适当的相应指南。然而,由于建议经常变化,这在实践中可能很难做到。本综述以病例为基础,为高危患者的宫颈癌筛查、监测和管理提供了最新指导。
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引用次数: 0
Incidentally detected noninfectious thoracic aortitis: A clinical approach. 偶然发现的非感染性胸主动脉炎:临床方法。
IF 3.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-10-01 DOI: 10.3949/ccjm.91a.24030
Alison H Clifford

Noninfectious aortitis is occasionally detected incidentally, either on imaging or on histopathologic review after open thoracic aortic surgery. It can present as a clinically asymptomatic, seemingly focal lesion, as diffuse inflammation throughout several aortic segments but sparing the branch vessels, or as a manifestation of a widespread systemic condition. Treatment differs based on etiology, so once identified, all patients with aortitis need a thorough evaluation, laboratory tests, complete large-vessel imaging, and a referral to a vasculitis expert. All patients with aortitis are at high risk of future vascular complications and should be followed with serial clinical evaluations and imaging.

非感染性主动脉炎偶尔会在开胸主动脉手术后的影像学或组织病理学检查中偶然发现。它可以表现为临床上无症状、看似病灶的病变,也可以表现为贯穿多个主动脉节段但不包括分支血管的弥漫性炎症,还可以表现为广泛的全身性疾病。由于病因不同,治疗方法也不同,因此一旦发现大动脉炎,所有患者都需要进行全面评估、实验室检查、完整的大血管成像检查,并转诊给脉管炎专家。所有大动脉炎患者都有未来出现血管并发症的高风险,因此应进行连续的临床评估和影像学检查。
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引用次数: 0
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Cleveland Clinic Journal of Medicine
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