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Medscape General Medicine: April 9, 1999-December 31, 2007. This epilogue is not an epitaph. Medscape全科医学:1999年4月9日- 2007年12月31日。这篇结语不是墓志铭。
MedGenMed : Medscape general medicine
Pub Date : 2007-12-28
George D Lundberg
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引用次数: 0
Making payment reform in the US healthcare system possible. 使美国医疗体系的支付改革成为可能。
MedGenMed : Medscape general medicine
Pub Date : 2007-12-21
Karen Davis
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引用次数: 0
Improved mood and remission of symptoms in long-term major depression using vagus nerve stimulation. 迷走神经刺激对长期重度抑郁症患者情绪的改善和症状的缓解。
MedGenMed : Medscape general medicine
Pub Date : 2007-12-20
Amita R Patel, Shannon M Wozniak

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. The patient experienced broad gains in measures of depression severity and well-being under her current treatment regimen. She has had no serious adverse events associated with the regimen, which includes VNS therapy and decreased doses of common antidepressant medications.

这是一个68岁女性的案例研究，她之前患有持续的抑郁症。该患者于1994年来到我们这里接受一系列干预治疗，但并未改变慢性抑郁症的病程。我们报告了我们的治疗方法和结果，包括她对传统抗抑郁药的不温不火的反应，以及在过去一年中使用迷走神经刺激(VNS)治疗的积极结果。在目前的治疗方案下，患者在抑郁严重程度和幸福感方面取得了广泛的进展。她没有出现与治疗方案相关的严重不良事件，其中包括VNS治疗和减少常用抗抑郁药物的剂量。
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引用次数: 0
A conversation about sudden unexpected death (SUDA) in "healthy" adults, adults with known heart disease, athletes, adolescents, and infants (SIDS). Interview by George D. Lundberg. 关于“健康”成年人、已知患有心脏病的成年人、运动员、青少年和婴儿(SIDS)猝死(SUDA)的对话。George D. Lundberg采访。
MedGenMed : Medscape general medicine
Pub Date : 2007-12-19
Eric N Prystowsky
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引用次数: 0
Autism spectrum disorder, Klinefelter syndrome, and chromosome 3p21.31 duplication: a case report. 自闭症谱系障碍、Klinefelter 综合征和染色体 3p21.31 重复：病例报告。
MedGenMed : Medscape general medicine
Pub Date : 2007-12-18
Scott W Stuart, Casey H King, G Shashidar Pai

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. A genetic evaluation demonstrated Klinefelter syndrome 47, XXY karyotype with concurrent duplication of 3p21.31 by microarray analysis. Maternal genetic analysis demonstrated the same 3p21.31 duplication. The potential implication with regard to autism spectrum disorders has not been previously discussed in the literature.

自闭症谱系障碍的性质多种多样，有特发性的，也有遗传性的。我们为您介绍一名 7 岁男孩，他长期以来有多种行为问题、学习成绩差、重复/强迫倾向、社交能力差和语言发育迟缓。多学科评估得出结论，患者完全符合自闭症的标准。遗传评估显示，通过芯片分析，患者的 Klinefelter 综合征核型为 47 XXY，同时伴有 3p21.31 重复。母亲的基因分析也显示出同样的 3p21.31 重复。关于自闭症谱系障碍的潜在影响，以前的文献中还没有讨论过。
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引用次数: 0
We physicians preach what we practice, and that matters. 我们医生宣扬我们的实践，这很重要。
MedGenMed : Medscape general medicine
Pub Date : 2007-12-17
Erica Frank
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引用次数: 0
Going lean in the emergency department: a strategy for addressing emergency department overcrowding. 急诊科精简:解决急诊科过度拥挤问题的策略。
MedGenMed : Medscape general medicine
Pub Date : 2007-12-14
Rick G Kulkarni
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引用次数: 0
Part 2: A reader responds to "Ethics and evidence-based medicine: is there a conflict?". 第二部分:一位读者对“伦理学和循证医学:有冲突吗?”的回应。
MedGenMed : Medscape general medicine
Pub Date : 2007-12-13
Michael Rie
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引用次数: 0
Hypertension: what it is; what it isn't; how to think about it, to prevent it, and to manage it. Interview by George D. Lundberg. 高血压:它是什么;它不是什么;如何思考它，如何预防它，如何管理它。George D. Lundberg采访。
MedGenMed : Medscape general medicine
Pub Date : 2007-12-12
Suzanne Oparil
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引用次数: 0
A reader responds to "Tuberculosis and HIV-needed: a new paradigm for the control and management of linked epidemics". 一位读者对“需要结核病和艾滋病毒:控制和管理相关流行病的新范例”作出了回应。
MedGenMed : Medscape general medicine
Pub Date : 2007-12-11
Chinwe Owunna
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引用次数: 0
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