Mayo Clinic proceedings
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To describe the indications, rationale, techniques, alternatives, contraindications, complications, and efficacy of lumbar and caudal epidural corticosteroid injections. ⋯ A thorough analysis of the few available controlled studies and their limitations indicates that this treatment is probably efficacious for patients with certain lower-extremity radicular pain syndromes when intermediate-term (2 weeks to 3 months) results are assessed after injection. More studies are needed to elucidate further the most beneficial candidates and techniques.
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To analyze the clinical and pathologic features of biopsy-proven pulmonary hamartomas at a tertiary referral center. ⋯ Pulmonary hamartomas are benign lung neoplasms that, in our referral population occurred most commonly in asymptomatic older men. A substantial number of our patients had concurrent neoplasms; however, many had been referred for cancer treatment. We found no evidence of either a malignant transformation or an unexplained association with other lung neoplasms.
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Mayo Clinic proceedings · Jan 1996
Comparative StudyThe importance of urinary magnesium values in patients with gut failure.
To determine whether urinary magnesium (Mg) values in patients with gut failure would be more helpful than serum Mg measurements in assessment of Mg deficiency. ⋯ Urinary Mg declines before serum Mg and is an earlier and more reliable indicator of evolving Mg deficiency. On the basis of these observations and those showing beneficial effects of parenterally administered Mg supplements on urinary citrate excretion (and, presumably, formation of calcium oxalate stones), replacement of Mg in patients with gut failure should be targeted at normalizing urinary Mg.
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Mayo Clinic proceedings · Jan 1996
Biography Historical ArticleDumitru Bagdasar--father of Romanian neurosurgery.
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To describe the role of geriatric rehabilitation, the methods of practice, and the mechanisms underlying integrated care in rehabilitation medicine. ⋯ Rehabilitation of elderly patients can assist in preserving functional independence and improving the quality of life. Assessment and management in an individual patient are best performed by a team approach.