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The Journal of the Oklahoma State Medical Association最新文献

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The Impact of PACT and MHIC Programs in the Evolution of Patient Centered Mental Health Care in OkIahoma. 俄克拉何马州PACT和MHIC计划在以患者为中心的精神卫生保健发展中的影响。
Amy Liu, Phebe Tucker
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引用次数: 0
PRESIDENT'S PAGE. 总统的页面。
Woody Jenkins
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引用次数: 0
Bracing for reality.... 迎接现实....
J Michael Pontious
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引用次数: 0
Clinical Question: In adults with COPD does roflumilast reduce the frequency of exacerbations compDared to standard therapies aIone? 临床问题:在成人COPD患者中,罗氟米司特与单独标准治疗相比是否能降低急性加重的频率?
John Marshall Huser, Jeffrey Dean Hodgden
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引用次数: 0
RE: November 2015 Smoking Issue. 回复:2015年11月吸烟问题。
Patrick D Lester
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引用次数: 0
Hold Thy Tongue, O Thou Holy Physician.... 闭嘴吧,圣洁的医生....
J Michael Pontious
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引用次数: 0
Consultation Dilemma Catatonia in a Patient with Prior TBI: MentaI or Medical Disorder? 创伤性脑损伤患者的紧张症:精神障碍还是医学障碍?
Andrey Khalafian, Charles Dukes, Phebe Tucker

Mr. R, a 27 year old Hispanic male with history of traumatic brain injury (TBI) over ten years prior but no psychiatric history, presents to the psychiatric consultation service with recent onset of mutism, psychotic behavior and new diagnosis of epilepsy. The differential diagnosis is broad and includes both medical and psychiatric causes: post-ictal state, non-convulsive status epilepticus, delirium due to metabolic conditions, drugs, catatonia, conversion disorder, major depression with psychotic features, new onset schizophrenia or a combination of these possible diagnoses. We explore different medical causes that can present with symptoms of catatonia, as it is crucial to rule out a possible treatable medical cause.

R先生,27岁西班牙裔男性,创伤性脑损伤(TBI)病史超过10年,无精神病史,因近期出现缄默症、精神病行为和新诊断癫痫而来精神科会诊。鉴别诊断是广泛的,包括医学和精神病学原因:癫痫后状态、非惊厥性癫痫持续状态、代谢条件引起的谵妄、药物、紧张症、转换障碍、具有精神病特征的重度抑郁症、新发精神分裂症或这些可能诊断的组合。我们探索不同的医学原因,可以呈现紧张症的症状,因为它是至关重要的,以排除一个可能的可治疗的医学原因。
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引用次数: 0
PRESIDENT'S PAGE. 总统的页面。
Woody Jenkins
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引用次数: 0
Blood Donor Screening for West NiIe Virus in Oklahoma and Its Contribution to Disease Surveillance, 2003 -2013. 2003 -2013年俄克拉荷马州西尼埃病毒献血者筛查及其对疾病监测的贡献
Walter E Kelley, Kristy Bradley, Ashten Duncan, James Smith

Upon recognition that West Nile virus (WNV) was transmissible by transfusion, universal testing of blood donors by nucleic acid testing (NAT) was initiated in 2003. A retrospective review of 2003-2013 blood donor records and public health surveillance data in Oklahoma was undertaken to determine the percentage of WNV-positive blood donors who developed clinical symptoms post-donation and to examine the incidence and timing of WNV viremic donors in the context of WNV disease reported statewide. Among all WNV NAT-positive blood donors, 19% had self-described symptoms consistent with WNV disease. A viremic blood donor was the seasonal index case of WNV transmission in Oklahoma during one year [2006] of the study period. Blood donors remain an important surveillance component for epidemiologic monitoring of WNV in Oklahoma.

在认识到西尼罗病毒(WNV)可通过输血传播后,2003年开始通过核酸检测(NAT)对献血者进行普遍检测。对俄克拉荷马州2003-2013年献血者记录和公共卫生监测数据进行回顾性审查,以确定捐献后出现临床症状的西尼罗河病毒阳性献血者的百分比,并在全州报告的西尼罗河病毒疾病背景下检查西尼罗河病毒血症献血者的发病率和时间。在所有西尼罗河病毒抗体阳性的献血者中,19%的人自述有与西尼罗河病毒疾病一致的症状。在研究期间的一年中[2006年],一名病毒血症献血者是俄克拉荷马州西尼罗河病毒传播的季节性指数病例。献血者仍然是俄克拉荷马州西尼罗河病毒流行病学监测的重要监测组成部分。
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引用次数: 0
Adult Bowel Preparations for Colonoscopy. 成人结肠镜检查的肠道准备。
Sian Chisholm, Aatish M Patel, William M Tierney, Mohammad Madhoun

Colon cancer is the third leading cause of cancer among men and women in the United States. Colonoscopy is largely used as a screening tool to detect pre-cancerous polyps and to detect colorectal cancers early. Optimal bowel preparation prior to colonoscopy allows the endoscopist the ability to increase adenoma detection rates and perform the procedure more safely. This article reviews the various bowel preparations on the market today with evidence based findings on optimal use, safety profiles, timing and adjuncts.

结肠癌是美国男性和女性癌症的第三大原因。结肠镜检查主要被用作检测癌前息肉和早期发现结直肠癌的筛查工具。结肠镜检查前的最佳肠道准备使内窥镜医师能够提高腺瘤的检出率并更安全地执行手术。这篇文章回顾了目前市场上的各种肠道制剂,在最佳使用、安全性、时间和辅助方面有基于证据的发现。
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引用次数: 0
期刊
The Journal of the Oklahoma State Medical Association
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