681. The role of numeracy in understanding the benefit of screening mammography.
Quantitative information about risks and benefits may be meaningful only to patients who have some facility with basic probability and numerical concepts, a construct called numeracy.
682. Efficacy of automatic continuous positive airway pressure therapy that uses an estimated required pressure in the treatment of the obstructive sleep apnea syndrome.
Continuous positive airway pressure (CPAP) is effective therapy for the obstructive sleep apnea syndrome (OSAS). Automatic CPAP devices continuously adjust the positive pressure to the required levels.
683. Three methods of opioid detoxification in a primary care setting. A randomized trial.
作者: P G O'Connor.;K M Carroll.;J M Shi.;R S Schottenfeld.;T R Kosten.;B J Rounsaville.
来源: Ann Intern Med. 1997年127卷7期526-30页
Opioid detoxification in a primary care setting followed by ongoing substance abuse treatment may be appropriate for selected opioid-dependent patients.
684. Functional recovery after myocardial infarction in men: the independent effects of social class.
Social class has been repeatedly associated with cardiovascular-related illness and death, but no studies have examined the effect of social class on recovery from myocardial infarction. Moreover, few studies have simultaneously evaluated a broad array of f1p4graphic, clinical, and psychosocial factors that may influence health outcomes after myocardial infarction.
686. Ultrasonographic screening before hospital discharge for deep venous thrombosis after arthroplasty: the post-arthroplasty screening study. A randomized, controlled trial.
作者: K S Robinson.;D R Anderson.;M Gross.;D Petrie.;R Leighton.;W Stanish.;D Alexander.;M Mitchell.;B Flemming.;M Gent.
来源: Ann Intern Med. 1997年127卷6期439-45页
The clinical significance of asymptomatic deep venous thrombosis that develops after joint arthroplasty and the value of screening tests to detect thrombi are uncertain.
687. Central venous catheters coated with minocycline and rifampin for the prevention of catheter-related colonization and bloodstream infections. A randomized, double-blind trial. The Texas Medical Center Catheter Study Group.
作者: I Raad.;R Darouiche.;J Dupuis.;D Abi-Said.;A Gabrielli.;R Hachem.;M Wall.;R Harris.;J Jones.;A Buzaid.;C Robertson.;S Shenaq.;P Curling.;T Burke.;C Ericsson.
来源: Ann Intern Med. 1997年127卷4期267-74页
Central venous catheters are a principal source of nosocomial bloodstream infections, which are difficult to control.
688. Prevention of central venous catheter-related bloodstream infection by use of an antiseptic-impregnated catheter. A randomized, controlled trial.
Bloodstream infection related to short-term use of noncuffed central venous catheters is a common and serious problem. Technologic innovations to reduce the risk for these infections are needed.
689. Short-course, low-dose amphotericin B lipid complex therapy for visceral leishmaniasis unresponsive to antimony.
作者: S Sundar.;N K Agrawal.;P R Sinha.;G S Horwith.;H W Murray.
来源: Ann Intern Med. 1997年127卷2期133-7页
Visceral leishmaniasis (kala-azar) is a worldwide, disseminated intracellular protozoal infection for which prolonged, conventional therapy with pentavalent antimony has become increasingly less effective.
691. Predictive power of duplex ultrasonography in asymptomatic carotid disease.
Duplex ultrasonography is considered a valid measure of stenosis of the carotid arteries, but the prognostic value of repeated ultrasonographic examinations is unknown.
692. Patient preferences for communication with physicians about end-of-life decisions. SUPPORT Investigators. Study to Understand Prognoses and Preference for Outcomes and Risks of Treatment.
作者: J C Hofmann.;N S Wenger.;R B Davis.;J Teno.;A F Connors.;N Desbiens.;J Lynn.;R S Phillips.
来源: Ann Intern Med. 1997年127卷1期1-12页
Physicians are frequently unaware of patient preferences for end-of-life care. Identifying and exploring barriers to patient-physician communication about end-of-life issues may help guide physicians and their patients toward more effective discussions.
693. Mefloquine compared with doxycycline for the prophylaxis of malaria in Indonesian soldiers. A randomized, double-blind, placebo-controlled trial.
作者: C Ohrt.;T L Richie.;H Widjaja.;G D Shanks.;J Fitriadi.;D J Fryauff.;J Handschin.;D Tang.;B Sandjaja.;E Tjitra.;L Hadiarso.;G Watt.;F S Wignall.
来源: Ann Intern Med. 1997年126卷12期963-72页
Mefloquine and doxycycline are the two drugs recommended for prophylaxis of malaria for visitors to areas where Plasmodium falciparum is resistant to chloroquine.
694. Metabolic and cardiovascular effects of carvedilol and atenolol in non-insulin-dependent diabetes mellitus and hypertension. A randomized, controlled trial.
作者: D Giugliano.;R Acampora.;R Marfella.;N De Rosa.;P Ziccardi.;R Ragone.;L De Angelis.;F D'Onofrio.
来源: Ann Intern Med. 1997年126卷12期955-9页
Diabetic patients are considered less suitable than nondiabetic patients for beta-blocker therapy because of the risk for worsened glucose and lipid metabolism and more severe hypoglycemic attacks.
695. Changes in plasma HIV RNA levels and CD4+ lymphocyte counts predict both response to antiretroviral therapy and therapeutic failure. VA Cooperative Study Group on AIDS.
作者: W A O'Brien.;P M Hartigan.;E S Daar.;M S Simberkoff.;J D Hamilton.
来源: Ann Intern Med. 1997年126卷12期939-45页
Markers are needed for assessing response to antiretroviral therapy over time. The CD4+ lymphocyte count is one such surrogate, but it is relatively weak.
696. Monitoring plasma HIV-1 RNA levels in addition to CD4+ lymphocyte count improves assessment of antiretroviral therapeutic response. ACTG 241 Protocol Virology Substudy Team.
作者: M D Hughes.;V A Johnson.;M S Hirsch.;J W Bremer.;T Elbeik.;A Erice.;D R Kuritzkes.;W A Scott.;S A Spector.;N Basgoz.;M A Fischl.;R T D'Aquila.
来源: Ann Intern Med. 1997年126卷12期929-38页
CD4+ lymphocyte counts and plasma HIV-1 RNA levels predict progression of HIV-related disease, but the relative importance of these and other virological factors in defining response to antiretroviral therapy is not yet clear.
697. Endoscopic sclerotherapy compared with percutaneous transjugular intrahepatic portosystemic shunt after initial sclerotherapy in patients with acute variceal hemorrhage. A randomized, controlled trial.
作者: J P Cello.;E J Ring.;E W Olcott.;J Koch.;R Gordon.;J Sandhu.;D R Morgan.;J W Ostroff.;D C Rockey.;P Bacchetti.;J LaBerge.;J R Lake.;K Somberg.;C Doherty.;M Davila.;K McQuaid.;S D Wall.
来源: Ann Intern Med. 1997年126卷11期858-65页
Hemorrhage from esophageal varices remains a substantial management problem. Endoscopic sclerotherapy was preferred for more than a decade, but fluoroscopically placed intrahepatic portosystemic stents have recently been used with increasing frequency.
698. Transjugular intrahepatic portosystemic shunts compared with endoscopic sclerotherapy for the prevention of recurrent variceal hemorrhage. A randomized, controlled trial.
作者: A J Sanyal.;A M Freedman.;V A Luketic.;P P Purdum.;M L Shiffman.;P E Cole.;J Tisnado.;S Simmons.
来源: Ann Intern Med. 1997年126卷11期849-57页
Transjugular intrahepatic portosystemic shunts (TIPS) have widened the use of portal decompression as therapy for variceal hemorrhage. However, no controlled studies have examined the efficacy of TIPS compared with that of other treatments.
699. Intravenous iron and erythropoietin for anemia associated with Crohn disease. A randomized, controlled trial.
作者: C Gasché.;C Dejaco.;T Waldhoer.;W Tillinger.;W Reinisch.;G F Fueger.;A Gangl.;H Lochs.
来源: Ann Intern Med. 1997年126卷10期782-7页
Anemia often complicates Crohn disease and affects quality of life.
700. Treatment of shigellosis: V. Comparison of azithromycin and ciprofloxacin. A double-blind, randomized, controlled trial.
Treatment of shigellosis is currently limited by the high prevalence of multidrug-resistant strains of Shigella.
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