Mayo Clinic proceedings
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Mayo Clinic proceedings · May 2010
Epidemiological trends of infective endocarditis: a population-based study in Olmsted County, Minnesota.
To provide a contemporary profile of epidemiological trends of infective endocarditis (IE) in Olmsted County, Minnesota. ⋯ The incidence of IE among women increased from 1970 to 2006. Ongoing surveillance is warranted to determine whether the incidence change in women will be sustained. Subsequent analysis of infection site of acquisition and its impact on the epidemiology of IE are planned.
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To describe the population served and issues encountered by Hospital Ethics Committee consultation, to describe the incidence of consultation per hospital admission, and to describe the resource utilization per consult. ⋯ Little data exist on the practice of ethics consultation services. To our knowledge, this series represents the largest to date. Specific issues, patient characteristics, and hospital services were more prevalent in the most time-consuming consults. These data can be used to target the education of residents and inform hospital quality initiatives.
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Mayo Clinic proceedings · May 2010
Posterior reversible encephalopathy syndrome: associated clinical and radiologic findings.
To identify and define clinical associations and radiologic findings of posterior reversible encephalopathy syndrome (PRES). ⋯ A substantial proportion of patients with PRES have underlying autoimmune conditions that may support endothelial dysfunction as a pathophysiologic mechanism. On brain imaging, the location and severity of vasogenic edema were mostly similar for the different clinical subgroups.
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Mayo Clinic proceedings · May 2010
ReviewNoninvasive measurement of central vascular pressures with arterial tonometry: clinical revival of the pulse pressure waveform?
The arterial pulse has historically been an essential source of information in the clinical assessment of health. With current sphygmomanometric and oscillometric devices, only the peak and trough of the peripheral arterial pulse waveform are clinically used. Several limitations exist with peripheral blood pressure. ⋯ Radial artery applanation tonometry is a noninvasive, reproducible, and affordable technology that can be used in conjunction with peripherally obtained blood pressure to guide patient management. Keywords for the PubMed search were applanation tonometry, radial artery, central pressure, cardiovascular risk, blood pressure, and arterial pulse. Articles published from January 1, 1995, to July 1, 2009, were included in the review if they measured central pressure using radial artery applanation tonometry.