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Internal medicine review (Washington, D.C. : Online)最新文献

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Retrospective study of the radiological findings of the mediastinum after end-of-treatment for a mediastinal lymphomatous mass in pediatric oncology 小儿肿瘤学纵隔淋巴瘤肿块治疗结束后纵隔放射学表现的回顾性研究
Pub Date : 2018-05-18 DOI: 10.1093/PCH/PXY054.111
Pauline Tibout, N. Ferguson, G. St-Laurent, Judith Rondeau-Legault, D. Simonyan, Valérie Larouche
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引用次数: 0
A comparison of visual problems in the parkinsonian syndromes 帕金森综合症患者视力问题的比较
Pub Date : 2018-03-31 DOI: 10.18103/imr.v4i3.679
R. Armstrong
Five disorders currently comprise the ‘Parkinsonian syndromes’, viz. Parkinson’s disease (PD), progressive supranuclear palsy (PSP), dementia with Lewy bodies (DLB), multiple system atrophy (MSA), and corticobasal degeneration (CBD). Differential diagnosis of these disorders can be challenging but if ocular signs and symptoms are present they may aid clinical diagnosis. Visual problems in the Parkinsonism syndromes may involve visual acuity (VA), contrast sensitivity (CS), color vision, pupil reactivity, and eye movements; more complex aspects of vision such as reading ability, visuo-spatial orientation, the identification and naming of objects, and visual hallucinations. No single visual feature can definitively diagnose a specific Parkinsonism syndrome. Nevertheless, the presence of visual hallucinations and color vision problems may be more characteristic of DLB and PD than CBD or PSP and vertical supranuclear gaze palsy may be a significant feature of PSP. In addition, variation in saccadic eye movement (SEM) problems may help to distinguish PD and CBD from PSP. A multidisciplinary approach is often necessary to manage the visual problems of patients with a Parkinsonism syndrome.
目前有五种疾病包括“帕金森综合征”,即帕金森病(PD)、进行性核上性麻痹(PSP)、路易体痴呆(DLB)、多系统萎缩(MSA)和皮质基底变性(CBD)。这些疾病的鉴别诊断可能具有挑战性,但如果眼部体征和症状存在,它们可能有助于临床诊断。帕金森综合征的视觉问题可能包括视力(VA)、对比敏感度(CS)、色觉、瞳孔反应性和眼球运动;更复杂的视觉方面,如阅读能力、视觉空间定向、物体的识别和命名,以及视觉幻觉。没有单一的视觉特征可以明确地诊断特定的帕金森综合征。然而,与CBD或PSP相比,DLB和PD可能更具有视觉幻觉和色觉问题的特征,而垂直核上凝视性麻痹可能是PSP的一个重要特征。此外,跳眼运动(SEM)问题的变化可能有助于区分PD和CBD与PSP。多学科的方法往往是必要的,以管理与帕金森综合征患者的视力问题。
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引用次数: 0
Global seasonal influenza disease and vaccination: a paradox with substantial public health implications 全球季节性流感疾病和疫苗接种:具有重大公共卫生影响的悖论
Pub Date : 2018-01-01 DOI: 10.18103/imr.v4i12.775
B. Palache
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引用次数: 5
The Heart of a Woman 一个女人的心
Pub Date : 2018-01-01 DOI: 10.18103/IMR.V3I12.609
Amber N. Boler, P. Best, R. Mankad
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引用次数: 0
Advances in the Prevention of Chemotherapy Induced Nausea and Vomiting 化疗引起恶心呕吐的预防研究进展
Pub Date : 2018-01-01 DOI: 10.18103/IMR.V4I4.705
R. Navari
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引用次数: 0
The Adjuvant Treatment of Cutaneous Melanoma Just Became Interesting 皮肤黑色素瘤的辅助治疗刚刚变得有趣起来
Pub Date : 2018-01-01 DOI: 10.18103/imr.v4i7.736
A. Kin, A. Weise
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引用次数: 0
Radiotherapy induced intracranial growing teratoma syndrome in a pediatric germ cell tumor: a case report and literature review 放疗诱导儿童生殖细胞肿瘤颅内生长畸胎瘤综合征1例报告并文献复习
Pub Date : 2018-01-01 DOI: 10.18103/IMR.V4I7.749
S. Richard
Case Presentation: We report a case of 4-year-old boy with three months history of headache and projectile vomiting which usually occurred at the early hours of the day. Computer tomographic (CT)-scan of the head showed lateral and third ventricles enlargement which signify hydrocephalus while magnetic resonance imaging (MRI) revealed an enhanced cystic mass around the pineal body. The patient was initially treated with radiotherapy and three months later his symptoms worsened. A follow-up MRI revealed aggressive recurrence of the tumor.
病例介绍:我们报告一个四岁男孩,有三个月的头痛和抛射性呕吐史,通常发生在清晨。头部计算机断层扫描(CT)显示侧脑室和第三脑室增大,表明脑积水,而磁共振成像(MRI)显示松果体周围有一个增强的囊性肿块。患者最初接受放射治疗,三个月后症状恶化。后续MRI检查显示肿瘤侵袭性复发。
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引用次数: 0
Dual Active Contour Models for Segmentation: Survey on Level Set and Variational Formulations 分割的双活动轮廓模型:水平集和变分公式的综述
Pub Date : 2018-01-01 DOI: 10.18103/imr.v4i9.748
G. Giraldi, Italo M. F. Santos, G. F. Miranda, P. Rodrigues
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引用次数: 0
Updates in the Medical Management of Crohn’s Disease 克罗恩病医学管理的最新进展
Pub Date : 2018-01-01 DOI: 10.18103/IMR.V4I5.709
John Vizuete, A. Tejani, L. Michael, N. Haddad, C. Randall
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引用次数: 1
The Role of Public Health Nurses in Bioterrorism Preparedness - 13 Years Later 公共卫生护士在防备生物恐怖主义中的作用——13年后
Pub Date : 2018-01-01 DOI: 10.18103/IMR.V4I5.716
R. Akins
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引用次数: 1
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Internal medicine review (Washington, D.C. : Online)
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