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Simulated Experiences in Accessing Standard Manual Wheelchairs Through Medicare-Listed Suppliers 通过医疗保险供应商获取标准手动轮椅的模拟经验。
IF 6.7 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Mayo Clinic proceedings
Pub Date : 2026-02-01 DOI: 10.1016/j.mayocp.2025.09.009
Waqas Haque MD , Margaret R. Crosby MD , Helen M. Parsons PhD, MPH , Stacie B. Dusetzina PhD , Anne H. Blaes MD, MS , Laura M. Keohane PhD , Arjun Gupta MD
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引用次数: 0
75-Year-Old Woman With Epigastric Pain, Nausea, and Vomiting 75岁女性，上腹疼痛，恶心，呕吐。
IF 6.7 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Mayo Clinic proceedings
Pub Date : 2026-02-01 DOI: 10.1016/j.mayocp.2024.11.037
Vijayvardhan Kamalumpundi MD , Stephanie A. Saey MD , Matthew P. Heinrich MD, MBA
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引用次数: 0
31-Year-Old Man With Right Arm Swelling and Discomfort 31岁男性，右臂肿胀不适。
IF 6.7 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Mayo Clinic proceedings
Pub Date : 2026-02-01 DOI: 10.1016/j.mayocp.2024.12.025
Nicholas P. Bergeron MD , David R. Bayless MD , Deandra K. Chetram MD
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引用次数: 0
Planetary Health Diet Index and Risk of Chronic Kidney Disease in Middle-Aged and Older Adults: Insights From Two Large Prospective Cohorts 行星健康饮食指数与中老年人慢性肾脏疾病的风险：来自两个大型前瞻性队列的见解
IF 6.7 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Mayo Clinic proceedings
Pub Date : 2026-02-01 DOI: 10.1016/j.mayocp.2025.09.020
Danni Yang PhD , Yeqing Gu MD, PhD , Hongmei Wu MD, PhD , Ge Meng MD, PhD , Qing Zhang MD, PhD , Li Liu MD, PhD , Shaomei Sun MD, PhD , Xing Wang MD, PhD , Qiyu Jia MD, PhD , Kun Song MD, PhD , Shunming Zhang MD, PhD , Tao Huang MD, PhD , Kaijun Niu MD, PhD

Objective

To assess whether the EAT-Lancet reference diet is related to the risk of chronic kidney disease (CKD) in middle-aged and older adults.

Participants and Methods

This multicohort study included 12,259 and 176,720 participants without baseline CKD from the Tianjin Chronic Low-Grade Systemic Inflammation and Health (TCLSIH) cohort (May 1, 2013, to December 31, 2018) and the UK Biobank cohort (March 13, 2006, to October 10, 2010), respectively. The EAT-Lancet reference diet was assessed by the Planetary Health Diet Index (PHDI). Incident CKD was defined according to the 4-variable Modification of Diet in Renal Disease Study equation in the TCLSIH cohort and the International Classification of Diseases, Tenth Revision codes in the UK Biobank. Cox proportional hazards models were used to determine the relationship between PHDI and risk of CKD.

Results

The median follow-up was 4.10 years and 10.48 years in the TCLSIH cohort and UK Biobank, respectively. The fully adjusted hazard ratios (95% confidence intervals) of incident CKD for increasing quartiles of the PHDI were 1.00 (reference), 1.15 (0.67 to 1.96), 1.47 (0.87 to 2.48), and 0.80 (0.46 to 1.41) (P=.55 for trend) in males and 1.00 (reference), 0.68 (0.35 to 1.35), 0.63 (0.32 to 1.24), and 0.38 (0.18 to 0.82) (P=.01 for trend) in females in the TCLSIH cohort and 1.00 (reference), 0.96 (0.85 to 1.09), 0.84 (0.74 to 0.96), and 0.90 (0.79 to 1.03) (P=.03 for trend) in males and 1.00 (reference), 0.87 (0.77 to 0.98), 0.85 (0.74 to 0.96), and 0.79 (0.69 to 0.90) (P<.001 for trend) in females in the UK Biobank, respectively. Interactions with sex were observed (P<.10 for interaction).

Conclusion

Adherence to the PHDI is related to a decreased risk of CKD, and the relationship is stronger in females than in males.
目的：评估EAT-Lancet参考饮食是否与中老年慢性肾脏疾病（CKD）的风险相关。参与者和方法：该多队列研究分别包括来自天津慢性低度全身性炎症与健康（TCLSIH）队列（2013年5月1日至2018年12月31日）和英国生物银行队列（2006年3月13日至2010年10月10日）的12259名和176720名无基线CKD的参与者。通过行星健康饮食指数（PHDI）评估EAT-Lancet参考饮食。根据TCLSIH队列中4变量肾脏疾病饮食修正研究方程和英国生物银行国际疾病分类第十版代码定义偶发性CKD。采用Cox比例风险模型确定PHDI与CKD风险之间的关系。结果：TCLSIH队列和UK Biobank的中位随访时间分别为4.10年和10.48年。在TCLSIH队列中，随着PHDI增加四分位数，男性发生CKD的完全调整风险比（95%置信区间）分别为1.00（参考）、1.15（0.67 ~ 1.96）、1.47（0.87 ~ 2.48）和0.80 (0.46 ~ 1.41)（P= 0.55趋势），女性为1.00（参考）、0.68（0.35 ~ 1.35）、0.63（0.32 ~ 1.24）和0.38 (0.18 ~ 0.82)（P= 0.01趋势），女性为1.00（参考）、0.96（0.85 ~ 1.09）、0.84（0.74 ~ 0.96）。男性为0.90(0.79 ~ 1.03)（趋势值P= 0.03），参考值为1.00、0.87（0.77 ~ 0.98）、0.85（0.74 ~ 0.96）、0.79(0.69 ~ 0.90)(结论：坚持PHDI与降低CKD风险相关，且这种关系在女性中较男性强。
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引用次数: 0
Symplastic Leiomyoma of the Scrotum 阴囊共塑性平滑肌瘤
IF 6.7 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Mayo Clinic proceedings
Pub Date : 2026-02-01 DOI: 10.1016/j.mayocp.2025.12.002
Jorge Torres-Mora MD, Burak Tekin MD, Lori A. Erickson MD
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引用次数: 0
Approach to Insomnia 治疗失眠的方法
IF 6.7 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Mayo Clinic proceedings
Pub Date : 2026-02-01 DOI: 10.1016/j.mayocp.2025.11.014
Mithri R. Junna MD , Melissa C. Lipford MD , R. Robert Auger MD
Chronic insomnia disorder is a clinical diagnosis that in most instances does not require specific sleep testing. Daytime dysfunction is a requirement for diagnosis and can manifest with myriad symptoms. Address common associated comorbid conditions to ensure a successful treatment outcome. Additional treatment strategies include multicomponent cognitive-behavioral therapy for insomnia and pharmacotherapy. Typically, primary care providers can address chronic insomnia disorder and refer to a sleep specialist when initial treatment approaches are unsuccessful or if providers suspect comorbid sleep disorders.
慢性失眠症是一种临床诊断，在大多数情况下不需要专门的睡眠测试。日间功能障碍是诊断的必要条件，可表现为多种症状。解决常见的相关合并症，以确保成功的治疗结果。其他治疗策略包括失眠的多成分认知行为疗法和药物疗法。通常，初级保健提供者可以解决慢性失眠问题，当最初的治疗方法不成功或提供者怀疑共病性睡眠障碍时，可以参考睡眠专家。
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引用次数: 0
Diagnostic Agreement Between Coronary Flow Reserve Measured by Doppler and Thermodilution Techniques 多普勒测量冠状动脉血流储备与热稀释技术诊断的一致性。
IF 6.7 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Mayo Clinic proceedings
Pub Date : 2026-02-01 DOI: 10.1016/j.mayocp.2025.09.011
Naba Farooqui MBBS , Amr Moustafa MD , Timothy D. Henry MD , Amir Lerman MD , Claire E. Raphael MBBS, PhD
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引用次数: 0
Takayasu Arteritis Presenting as Stress-Induced Chest Pain 高须动脉炎表现为应激性胸痛。
IF 6.7 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Mayo Clinic proceedings
Pub Date : 2026-02-01 DOI: 10.1016/j.mayocp.2025.10.008
Yumiko Yoshida MD, Yuichi Takahashi MD, PhD, MBA, Yuichiro Mine MD, Toshio Naito MD, PhD
{"title":"Takayasu Arteritis Presenting as Stress-Induced Chest Pain","authors":"Yumiko Yoshida MD,&nbsp;Yuichi Takahashi MD, PhD, MBA,&nbsp;Yuichiro Mine MD,&nbsp;Toshio Naito MD, PhD","doi":"10.1016/j.mayocp.2025.10.008","DOIUrl":"10.1016/j.mayocp.2025.10.008","url":null,"abstract":"","PeriodicalId":18334,"journal":{"name":"Mayo Clinic proceedings","volume":"101 2","pages":"Pages 351-352"},"PeriodicalIF":6.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145912104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
78-Year-Old Woman With Shortness of Breath 78岁妇女呼吸短促。
IF 6.7 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Mayo Clinic proceedings
Pub Date : 2026-02-01 DOI: 10.1016/j.mayocp.2024.11.036
Fiona Murphy MB, BCh, BAO, MSc , George Cholack MD, MSc , Bradley R. Salonen MD
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引用次数: 0
Obesity, Visceral Adiposity, and Cardiometabolic Complications: Limelight, February 2026 肥胖、内脏脂肪和心脏代谢并发症：Limelight， 2026年2月
IF 6.7 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Mayo Clinic proceedings
Pub Date : 2026-02-01 DOI: 10.1016/j.mayocp.2025.12.013
Karl A. Nath MBChB (Editor-in-Chief)
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引用次数: 0
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