Integrating mental health and primary care.

abstract：:Injuries are the leading cause of death in children. Approximately 23,000 children are killed each year in the United States, and many more suffer from nonlethal injuries. This article discusses general principles of effective intervention strategies, the most serious injury categories, and practical injury prevention...

journal_title：Primary care

authors： Losh DP

更新日期：1994-12-01 00:00:00

abstract：:Cleaning and disinfection are two necessary and equally important steps to prevent transmission of infection from patient to patient by the endoscope and accessories. There is no evidence that complete sterility is necessary; high-level disinfection is recommended. Controversy remains as to how "high level" this disin...

journal_title：Primary care

authors： Tremain SC

更新日期：1995-09-01 00:00:00

abstract：:A significant minority of patients and parents are vaccine hesitant, defined as having the desire to delay or defer immunizations despite easy access to vaccines. Vaccine hesitancy exists along a spectrum, from patients who are concerned but willing to accept the recommended vaccine schedule to those who wish to use a...

journal_title：Primary care

authors： Loehr J

更新日期：2020-09-01 00:00:00

abstract：:Cancer is among the most preventable and the most curable of the major chronic life-threatening diseases. As the cancer burden grows, it is evident that new approaches must be developed to more effectively manage the disease. Given their unique role, primary care physicians and health workers are critically important ...

journal_title：Primary care

authors： Grey N,Garces A

更新日期：2009-09-01 00:00:00

abstract：:Gastroesophageal reflux disease (GERD) is a gastrointestinal motility disorder that results from the reflux of stomach contents into the esophagus or oral cavity resulting in symptoms or complications. The typical symptoms of GERD are heartburn and regurgitation of gastric contents into the oropharynx. GERD affects qu...

journal_title：Primary care

authors： Kellerman R,Kintanar T

更新日期：2017-12-01 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

authors： Barton MD

更新日期：1977-03-01 00:00:00

abstract：:Medical management may be beneficial for certain types of cataracts, depending on the visual needs of the patient and concomitant ocular or systemic conditions. Surgical intervention and postoperative visual rehabilitation with the use of glasses or contact lenses has a high success rate, although the patient should b...

journal_title：Primary care

authors： Kolder HE

更新日期：1982-12-01 00:00:00

abstract：:Nearly all the topics considered by medical ethics generally present themselves to those caring for cancer patients. Although most attention may be given to questions of resource allocation and limiting treatment, other issues are of equal importance. Providing respect and compassion for patients may be even more impo...

journal_title：Primary care

authors： Smith DH,McCarty K

更新日期：1992-12-01 00:00:00

abstract：:Most travel medical care is provided by patients' primary care physicians; only 10% of international travelers visit a travel clinic. The main purposes for travel include vacationing, visiting friends and family, business, and for educational purposes. The purposes of the pretravel consultation are to estimate risk an...

journal_title：Primary care

authors： Lohr J,Fredrick NB,Helm L,Cho J

更新日期：2018-09-01 00:00:00

abstract：:Palliative care begins with establishing goals of care based on estimated prognosis in end-stage renal disease (ESRD). Patients with ESRD are increasingly characterized by older age and multiple comorbid illnesses, and have a mortality rate 8 times higher than the general Medicare population. Dialysis patients are app...

journal_title：Primary care

authors： Werb R

更新日期：2011-06-01 00:00:00

abstract：:This chapter addresses key components of screening and preventive care for the older population. The older population is heterogeneous, ranging from the competent, active, well individual to the frail, demented individual. Certain preventive measures are important for all individuals such as counseling on exercise and...

journal_title：Primary care

authors： Parks SM,Hsieh C

更新日期：2002-09-01 00:00:00

abstract：:Fecal occult blood testing, proctosigmoidoscopy, and digital rectal examination have been recommended as screening tests for colorectal cancer in asymptomatic people. This article evaluates the advisability of recommendations by applying accepted principles of screening to the case of colorectal cancer. ...

journal_title：Primary care

authors： Realini JP

更新日期：1988-03-01 00:00:00

abstract：:Adolescents can be expected to inflict some pain on their environment periodically, and complete conformity of an adolescent is not necessarily a sign of mental health. With the exception of some particular behaviors such as a suicide attempt, auditory hallucinations, or a school phobia, one cannot make a prediction a...

journal_title：Primary care

authors： LeBow JA

更新日期：1975-06-01 00:00:00

abstract：:Although primary care physicians provide traditional diagnosis, treatment, and follow-up to patients with sexually transmitted diseases, their role in prevention efforts is becoming increasingly important. This reflects a younger patient group, often otherwise healthy patients who consult for contraception, as well as...

journal_title：Primary care

authors： Rosenberg MJ

更新日期：1990-03-01 00:00:00

abstract：:This article reviews the role of exercise testing in the assessment of patients with suspected coronary disease. To accomplish this, four major topics are considered: the general concept of risk stratification; the estimation of outcomes using data from the initial evaluation of the patient; diagnostic assessment with...

journal_title：Primary care

authors： Mark DB

更新日期：2001-03-01 00:00:00

abstract：:Reports of factitious disorders, Munchausen's syndrome, and self-induced illness exist throughout medical history. In practice, disease simulation represents a spectrum of behaviors that range from relatively common and benign (e.g., pleading illness to avoid an unwanted social obligation) to rare and malignant forms ...

journal_title：Primary care

authors： Wise MG,Ford CV

更新日期：1999-06-01 00:00:00

abstract：:Detoxification is the medical care that safely carries the patient through withdrawal. It is normally not an end point but is a step toward rehabilitation. Protocols should be tailored to meet the needs of individual patients. ...

journal_title：Primary care

authors： Cross GM,Hennessey PT

更新日期：1993-03-01 00:00:00

abstract：:The environment contains a huge array of allergens, primarily proteins or glycoproteins, to which the atopic individual may become sensitized. In situations of high exposure and highly reactive substances, even nonatopic individuals may develop allergic antibodies. The individual's response depends on the underlying i...

journal_title：Primary care

authors： Weber RW

更新日期：1987-09-01 00:00:00

abstract：:Guillain-Barré syndrome and its clinical variants are a group of rapidly progressing, potentially debilitating neurologic disorders that may have significant morbidity/mortality if left unrecognized or untreated. The most common symptoms include ascending limb weakness and paralysis, which may progress to respiratory ...

journal_title：Primary care

authors： Ansar V,Valadi N

更新日期：2015-06-01 00:00:00

abstract：:The pediatric cardiology field has developed rapidly over the past few decades. More children than ever born with congenital heart disease (CHD) are growing into adulthood. Primary care providers play a key role in diagnosis, management, and referral of children with CHD because many common cardiac complaints (eg, fee...

journal_title：Primary care

authors： Garcia RU,Peddy SB

更新日期：2018-03-01 00:00:00

abstract：:Decision rules help physicians make more accurate predictions about diagnosis, prognosis and response to treatment. In this article, guidelines for finding decision rules are outlined. A mnemonic is presented (Pre-Dic-TiVe) that assists physicians in evaluation of decision rules for clinical practice. A survey of deci...

journal_title：Primary care

authors： Ebell MH

更新日期：1995-06-01 00:00:00

abstract：:Urinary tract infections (UTIs) are a common infectious disease in primary care practice. This article reviews topics highlighting recent research, including UTIs in pregnancy and pediatric UTIs. The authors also discuss catheter-associated UTIs, given the large number of hospitalized patients undergoing catheterizati...

journal_title：Primary care

authors： Bass PF 3rd,Jarvis JA,Mitchell CK

更新日期：2003-03-01 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

authors： Holzbach RT

更新日期：1981-06-01 00:00:00

abstract：:Foot and ankle injuries account for a significant volume of primary care office visits each year. Given the incidence of injury and concern for long-term sequelae, it is imperative that primary care physicians familiarize themselves with commonly encountered foot and ankle injuries. Coupling a sound understanding of k...

journal_title：Primary care

authors： Albano AW Jr,Nelson V

更新日期：2020-03-01 00:00:00

abstract：:Anaphylaxis is a clinical syndrome and is caused by many different agents. Acute therapy is epinephrine. Chronic therapy depends on the agent causing the anaphylaxis, but usually consists of avoidance of the agent only. Individuals who suffer from this problem should be issued epinephrine and wear or carry medical ale...

journal_title：Primary care

authors： Freeman TM

更新日期：1998-12-01 00:00:00

abstract：:Breast self-exam, clinical breast exam and mammography are the primary screening modalities for the early detection of breast cancer. In this article, we review the epidemiology of breast cancer and methodologic considerations in screening for breast cancer. For each screening modality, we assess the evidence for its ...

journal_title：Primary care

authors： Humphrey LL,Ballard DJ

更新日期：1989-03-01 00:00:00

abstract：:The medical emergency of diabetic ketoacidosis is a particular problem for children with insulin-dependent diabetes because it is frequently associated with their initial presentation. Subsequent episodes can be prevented with proper use of personal glucose monitoring. The pathophysiology and diagnosis of diabetic ket...

journal_title：Primary care

authors： Schwenk WF 2nd,Haymond MW

更新日期：1983-12-01 00:00:00

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, ...

journal_title：Primary care

authors： Cathcart LM

更新日期：1977-03-01 00:00:00

abstract：:Child abuse is a common pediatric problem that can be recognized and treated appropriately by all primary care physicians who care for children. One of the necessary skills in this process involves being prepared to interface with the legal system. The physician is mandated to report suspected child abuse according to...

journal_title：Primary care

authors： Halverson KC,Elliott BA,Rubin MS,Chadwick DL

更新日期：1993-06-01 00:00:00

abstract：:Kidney stones affect more than 5% of adults in the United States, and the prevalence is rising. The fundamental cause for all stones is supersaturation of urine with respect to the stone components; factors affecting solubility include urine volume, pH, and total solute excretion. Calcium stones are the most common in...

journal_title：Primary care

authors： Worcester EM,Coe FL

更新日期：2008-06-01 00:00:00