Abstract：
:The inventive physician may find ways of making releasing cuts or openings with existing shoes to alleviate points of pressure. Many patients will suffer misery of pressure in shoes without giving a thought to cutting them, or opening them to allow for more freedom of movement. Releasing cuts may be made along seams, or between sole and upper with leather inserts to increase shoe size at points of major need for improved fit. Soft shoes may be resorted to. Elasticized material or sandals are preferable to the hard, resistant leather which aggravates so many lesions in our offices. Shoes custom made for disordered feet are very expensive. They may have to be ordered for some feet deformed beyond the capacity for ordinary shoes. Again, unless foot care is convenient and helpful in offsetting pain, the patient will usually not comply. Careful explanation of objectives for present and future is as important here as in any condition treated by family practitioners.
journal_name
Prim Carejournal_title
Primary careauthors
Cathcart LMkeywords:
subject
Has Abstractpub_date
1977-03-01 00:00:00pages
161-72issue
1eissn
0095-4543issn
1558-299Xjournal_volume
4pub_type
杂志文章相关文献
PRIMARY CARE文献大全abstract：:This article addresses advance directives and methods to establish the goals of care for remaining life in the decisional and nondecisional patient. Without these discussions, patient autonomy is negated, and the opportunity to provide patient-centered care using shared decision making is lost. ...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/s0095-4543(05)70027-0
更新日期：2001-06-01 00:00:00
abstract：:An adverse drug reaction relates to an undesired response to administration of a drug. Type A reactions are common and are predictable to administration, dose response, or interaction with other medications. Type B reactions are uncommon with occurrences that are not predictable. Appropriate diagnosis, classification,...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2016.04.005
更新日期：2016-09-01 00:00:00
abstract：:With Internet access available to all, patients are increasingly gaining access to medical information, and then looking to their primary care physician for interpretation. Physicians encounter an "information jungle"--there were 682,121 articles recorded in PubMed in 2005. If clinicians read two articles per day, in ...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2006.09.012
更新日期：2006-12-01 00:00:00
abstract：:The nature and treatment of the three major types of juvenile rheumatoid arthritis--systemic, polyarticular, and pauciarticular--are presented. ...
journal_title：Primary care
pub_type： 杂志文章
doi：
更新日期：1984-06-01 00:00:00
abstract：:Physical therapy and manual medicine for low back pain encompass many different treatment modalities. There is a vast variety of techniques that physical therapists commonly use in the treatment of low back pain. Some of the therapies include, but are certainly not limited to, education, exercise, lumbar traction, man...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2012.06.006
更新日期：2012-09-01 00:00:00
abstract：:Anorectal disorders are very common among a wide population of patients. Because patients may be embarrassed about the anatomic location of their symptoms, they may present to care late in the course of their illness. Care should be taken to validate patient concerns and normalize fears. This article discusses the dia...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2017.07.012
更新日期：2017-12-01 00:00:00
abstract：:Primary dysmenorrhea is commonly a straightforward diagnosis that can be made accurately with an attentive history. In young women who have classic symptoms and no specific indication, a pelvic examination is often unnecessary in the initial evaluation. The opportunity for primary care practitioners to support women i...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2008.10.004
更新日期：2009-03-01 00:00:00
abstract：:The radiographic evaluation of the arthritides still relies primarily on the plain films that are readily available to every practicing clinician. The radiographic examination serves primarily to confirm the clinician's diagnosis based on the history, clinical findings, and laboratory studies and to document the sever...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1993-12-01 00:00:00
abstract：:The diagnosis for an acute monarthritis may still be elusive, even after an extensive initial evaluation. For example, what should be done for a patient who has a paucity of extra-articular findings on physical examination and an inflammatory synovial fluid with negative Gram's stain, cultures, and crystals? Conservat...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2006.06.010
更新日期：2006-09-01 00:00:00
abstract：:Patients with asthma and allergic rhinitis may benefit from hydration and a diet low in sodium, omega-6 fatty acids, and transfatty acids, but high in omega-3 fatty acids (i.e., fish, almonds, walnuts, pumpkin, and flax seeds), onions, and fruits and vegetables (at least five servings a day). Physicians may need to be...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/s0095-4543(01)00008-2
更新日期：2002-06-01 00:00:00
abstract：:Sexually transmitted disease poses an increasing challenge for the clinician in the 1980s, with increasing numbers of pathogens and diseases. This article discusses the diagnosis and outpatient management of gonorrhea, herpes virus type II, chlamydia trachomatis, and condyloma accuminatum. In addition, the diagnosis a...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1988-09-01 00:00:00
abstract：:There are many types of miscellaneous primary headache, but two groups have been selected for discussion: trigeminal autonomic cephalalgias (TAC) and cephalalgias without autonomic dysfunction(CWAD). TAC are strictly unilateral and CWAD are usually bilateral. Sudden onset and relatively short duration characterize mos...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2004.02.006
更新日期：2004-06-01 00:00:00
abstract：:Care of the patient with tracheostomy is not difficult if care is taken to define clearly the needs of the particular patient. An awareness of the goals of care, daily maintenance, and possible complications is necessary to successful management. ...
journal_title：Primary care
pub_type： 杂志文章
doi：
更新日期：1978-09-01 00:00:00
abstract：:Anthroposophically Extended Medicine (AEM) is a truly integrative healing system. AEM represents an expansion, not an alternative to conventional medicine. Its unique understanding of the interplay among physiological, soul and spiritual processes in healing and illness serves to bridge allopathy with naturopathy, hom...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/s0095-4543(05)70314-6
更新日期：1997-12-01 00:00:00
abstract：:The objective of an exercise program for persons with or without disease should be the development or maintenance of cardiorespiratory fitness, strength and muscular endurance, and flexibility. The basic principles of prescribing exercise--frequency, intensity, and duration of training--and the mode of activity as rec...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1994-09-01 00:00:00
abstract：:The 2009 influenza A (H1N1) pandemic provided a major test to the public health system in the United States and abroad. Although the virus was rapidly identified, it took longer than expected to bring an effective vaccine to market. During the interim the virus demonstrated a predilection for infecting younger persons...
journal_title：Primary care
pub_type： 历史文章,杂志文章,评审
doi：10.1016/j.pop.2011.07.007
更新日期：2011-12-01 00:00:00
abstract：:Sinusitis is common in children and adolescents, most frequently as a complication of a viral upper respiratory tract infection or allergic rhinitis. The diagnosis usually is suggested by symptoms of a viral upper respiratory tract infection persisting beyond 10 days without improvement or severe symptoms with fever a...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/s0095-4543(05)70358-4
更新日期：1996-12-01 00:00:00
abstract：:This article discusses alternative therapies for secondary prevention and treatment of major cardiac disorders: congestive heart failure, hypertension, dyslipidemias, and peripheral vascular disease. The role of various therapies (eg, herbal and botanic preparations, supplements, mind/body interventions, other alterna...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2010.02.010
更新日期：2010-06-01 00:00:00
abstract：:The various forms and manifestations of drug-induced liver disease depend on the operation and interaction of several potential factors. First, there is metabolism by the hepatic microsomal mixed-function oxidase (MFO) enzyme system, the most important component of which is cytochrome P-450. The microsomal membranes a...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1981-06-01 00:00:00
abstract：:Chiropractic is now more than a century old, and it is licensed throughout the United States and Canada and recognized in more than 60 countries worldwide. Doctors of Chiropractic receive training that is focused on the treatment of NMS conditions through manual and physical procedures, such as manipulation, massage, ...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/s0095-4543(01)00005-7
更新日期：2002-06-01 00:00:00
abstract：:Shared decision making respects patient autonomy and allows patients to select how much they wish to become involved in various health care decisions. Advance care planning allows a person to document preferences that can become operative at a later time when the person has lost decision-making capacity. Structured me...
journal_title：Primary care
pub_type： 杂志文章
doi：10.1016/j.pop.2005.06.004
更新日期：2005-09-01 00:00:00
abstract：:As the health system shifts toward population health approach, there is increasing attention to decreasing costs and improving quality. Measuring and improving patient engagement will become a requisite core competency for health systems and care providers. Approximately 70% of deaths and 40% of costs are attributable...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2019.07.007
更新日期：2019-12-01 00:00:00
abstract：:A decline in host defense mechanisms and concurrent diseases combine to make the elderly patient particularly susceptible to common infections. The bacterial cause and antimicrobial sensitivity patterns may also be different in the elderly. The appropriate selection and dosing of antibiotics for elderly patients with ...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1990-12-01 00:00:00
abstract：:Cost-effectiveness and cost containment are becoming increasingly more important in medicine as health care costs continue to rise and as public attention continues to focus on these costs. This article examines the major issues and terminology of cost-effectiveness and cost containment in the context of primary care....
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/s0095-4543(05)70265-7
更新日期：1996-03-01 00:00:00
abstract：:Outpatient surgery and anesthesia are offered as a means of reducing the costs of health care delivery. Certain principles for outpatient anesthesia are apparent. Inhalational anesthesia is preferred over many intravenous agents. If intravenous agents are used, the doses must be limited. Intravenous agents that are qu...
journal_title：Primary care
pub_type： 杂志文章
doi：
更新日期：1977-03-01 00:00:00
abstract：:Irritable bowel syndrome (IBS) is a common gastrointestinal disorder that leads to crampy pain, gassiness, bloating, and changes in bowel habits in the absence of any currently identifiable organic disorder. Patients with IBS may be classified by their predominant bowel habit: diarrhea-predominant, constipation-predom...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2011.05.003
更新日期：2011-09-01 00:00:00
abstract：:EGD, using 1986 models of either the fiberoptic gastroscope or the videoscope, is a safe and accurate procedure that can be performed by any physician trained in the technique of endoscope passage. It may be performed at large medical centers or small rural hospitals, outpatient clinics, or even private offices. Patie...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1988-03-01 00:00:00
abstract：:Development of SOGIE (sexual orientation and gender identity and expression) is not unique to minority populations, as all adolescents grapple with their sexuality and identity. Health care providers straddle the unique positions of authority figure and advocate and can help these young people establish behaviors that...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2020.02.012
更新日期：2020-06-01 00:00:00
abstract：:Asthma is a complex disease, involving many different allergic, inflammatory, and environmental components. It is a disease for which patient and family education and a team-based approach are paramount for successful management. Guidelines have been put forth by the National Heart, Lung and Blood Institute, which pro...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2014.09.013
更新日期：2015-03-01 00:00:00
abstract：:Medical decision making (MDM) contains tools that can contribute to the skill and expertise of physicians. MDM is especially useful for primary care physicians. Practicing in this clinical world is practicing in a world of great uncertainty--the world in which many of these tools were designed to be useful. ...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1995-06-01 00:00:00
