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Mucormycosis. Adjunctive therapy with hydrogen peroxide. 毛霉菌病。双氧水辅助治疗。
Virginia medical quarterly : VMQ
Pub Date : 1996-01-01
D A Blaine, M A Frable

Mucormycosis is a devastating fungal disease affecting mainly diabetic and immunosuppressed patients and frequently causing death. Mucor rhizopus, the opportunistic fungus, has been controlled via radical extirpation and intravenous Amphotericin B. Hyperbaric oxygen also has been used. The authors present two interesting patients: 1) A diabetic female with rhinoorbital mucormycosis post total maxillectomy with recurrent mucormycosis and 2) A diabetic female with acute myelogenous leukemia and sphenoid sinus mucormycosis post functional endoscopic sinus surgery with residual mucormycosis. Both patients were receiving Amphotericin B without improvement. Both fungal infections were apparently eradicated with 1/2 strength topical hydrogen peroxide soaks. It appears the hydrogen peroxide destroys mucor and supporting host tissue by oxidation. The authors propose adding 1/2 strength topical hydrogen peroxide soaks to the list of possible adjunctive treatments of mucormycosis.

毛霉病是一种毁灭性的真菌疾病，主要影响糖尿病和免疫抑制患者，并经常导致死亡。毛霉根霉是一种机会性真菌，通过根治和静脉注射两性霉素b来控制。作者报告了两例有趣的患者:1)女性糖尿病患者在上颌全切除术后出现鼻眶粘膜真菌病并复发性粘膜真菌病;2)女性糖尿病患者在鼻窦内镜手术后出现急性髓性白血病和蝶窦粘膜真菌病并残留粘膜真菌病。两例患者均接受两性霉素B治疗，未见改善。两种真菌感染明显被1/2强度的过氧化氢局部浸泡根除。过氧化氢似乎通过氧化破坏毛霉和支持宿主组织。作者建议增加1/2强度的局部过氧化氢浸泡到毛霉病可能的辅助治疗列表中。
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引用次数: 0
Retirement savings. Safe haven or open season for feeding creditors in bankruptcy? 退休储蓄。安全港还是向破产债权人提供资金的开放季节?
Virginia medical quarterly : VMQ
Pub Date : 1996-01-01
H S Dabney, R N Saffelle, T J Keeley
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引用次数: 0
Sports participation in children and adolescents with neurological impairments. 患有神经损伤的儿童和青少年的体育参与。
Virginia medical quarterly : VMQ
Pub Date : 1996-01-01
A D Rothner
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引用次数: 0
Hospital acquisitions of medical practices. The physician's perspective. 医院收购医疗业务。医生的观点。
Virginia medical quarterly : VMQ
Pub Date : 1996-01-01
P C Devine
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引用次数: 0
Headaches in children and adolescents. 儿童和青少年头痛。
Virginia medical quarterly : VMQ
Pub Date : 1996-01-01
A D Rothner
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引用次数: 0
Narcolepsy. 嗜睡症。
Virginia medical quarterly : VMQ
Pub Date : 1996-01-01
J C Ware

Narcolepsy is a commonly under diagnosed or misdiagnosed problem that results in severe daytime sleepiness. There is a strong genetic component with some immune system involvement. It may occur in combination with other sleep disorders such as sleep apnea complicating its treatment. An objective diagnosis requires a polysomnogram and Multiple Sleep Latency Test. Management depends on the careful use of stimulant medication to control the sleepiness and other medications to control the auxiiliary symptom of cataplexy.

嗜睡症是一种常被误诊或漏诊的疾病，会导致白天严重嗜睡。有很强的遗传成分与免疫系统有关。它可能与其他睡眠障碍(如睡眠呼吸暂停)合并，使其治疗复杂化。客观诊断需要多导睡眠图和多次睡眠潜伏期试验。治疗依赖于谨慎使用兴奋剂药物来控制嗜睡和其他药物来控制中风的辅助症状。
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引用次数: 0
Understanding managed care contracts. 理解管理式医疗合同。
Virginia medical quarterly : VMQ
Pub Date : 1996-01-01
S N Klewans
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引用次数: 0
Medical-legal aspects of critical care. 重症监护的医疗法律方面。
Virginia medical quarterly : VMQ
Pub Date : 1996-01-01
G R Walsh
{"title":"Medical-legal aspects of critical care.","authors":"G R Walsh","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77458,"journal":{"name":"Virginia medical quarterly : VMQ","volume":"123 2","pages":"112-4"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19779734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advice for organized medicine. 对组织医学的建议。
Virginia medical quarterly : VMQ
Pub Date : 1996-01-01
W T Shinn, R B Smith
{"title":"Advice for organized medicine.","authors":"W T Shinn,&nbsp;R B Smith","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77458,"journal":{"name":"Virginia medical quarterly : VMQ","volume":"123 3","pages":"152"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19725144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The pickwickian syndrome revisited. New treatment for an old disease. 匹克威克综合症再次出现。老病的新疗法。
Virginia medical quarterly : VMQ
Pub Date : 1996-01-01
P M Suratt, B Read
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引用次数: 0
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