Abstract:
:Public awareness of the benefits of a healthy transition through menopausal and postmenopausal stages offers women a new perspective on aging and empowers them to take greater responsibility for their own health and well-being. Primary care physicians are a chief influence on information regarding health behaviors, risk assessment, and medical interventions that preserve health and that prevent premature death and disability. Clinicians can help identify therapy goals for short-term relief of menopausal symptoms and long-term relief and prevention of osteoporosis and fractures. Physicians must consider individual needs and concerns and be cognizant that because a woman's needs can change, re-evaluation is needed.
journal_name
Prim Carejournal_title
Primary careauthors
Weismiller DGdoi
10.1016/j.pop.2008.10.007subject
Has Abstractpub_date
2009-03-01 00:00:00pages
199-226, xissue
1eissn
0095-4543issn
1558-299Xpii
S0095-4543(08)00105-Xjournal_volume
36pub_type
杂志文章,评审相关文献
PRIMARY CARE文献大全abstract::Mental health and primary care delivery systems have evolved to operate differently. For example, attention to multiple medical issues, health maintenance, and structured diagnostic procedures are standard elements of primary care rarely incorporated into mental health care. A multidisciplinary treatment approach, gro...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2007.05.007
更新日期:2007-09-01 00:00:00
abstract::Depression, chronic fatigue, and premenstrual syndrome often coexist in women seeking treatment for premenstrual distress. A reliable diagnosis can be made by prospectively rating symptoms for two cycles, taking a careful history, performing physical and gynecologic examinations, and obtaining basic laboratory test re...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1991-06-01 00:00:00
abstract::Persistent or chronic cough is defined as a cough lasting more than 3 weeks. A systematic approach to the diagnosis and treatment of chronic cough involves a detailed history. The age of the child, descriptive qualities of the cough, and environmental exposures are particularly important. A thorough physical examinati...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(05)70368-7
更新日期:1996-12-01 00:00:00
abstract::Chronic kidney disease is encountered by the primary care physician, in no small part owing to the high rates of hypertension and diabetes, the 2 most common etiologies of chronic kidney disease in the United States. As a primary care physician, it is important to understand the epidemiology, pathophysiology, and eval...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2020.08.001
更新日期:2020-12-01 00:00:00
abstract::Mosquito-borne diseases have become more common as previously geographically isolated diseases have spread globally. Chikungunya, dengue, Japanese encephalitis, malaria, West Nile, yellow fever, and Zika are a few of the common and emerging viral diseases spread by mosquitoes. A thorough patient history, physical, and...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2018.05.001
更新日期:2018-09-01 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
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(05)70009-9
更新日期:2001-03-01 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
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2008.01.005
更新日期:2008-06-01 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::Language disorder is often mistaken for confusion, psychosis, or memory loss, and thorough evaluation may require much time. A simple beside examination can often separate aphasic syndromes, and the anatomic location of the lesion can be inferred. Speech therapy, although not entirely satisfactory, is helpful in most ...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1979-12-01 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
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(05)70089-0
更新日期:1998-12-01 00:00:00
abstract::Pilonidal disease commonly is seen by all primary care practitioners, and guidelines for office management and referral are provided. Less commonly seen entities, such as hidradenitis suppurativa, anal cancer, and Bowen's and Paget's diseases, also may affect this anatomic area. Knowledge that they may be encountered ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(05)70107-x
更新日期:1999-03-01 00:00:00
abstract::Prevention of infection in the elderly is far preferable to treatment of the disease, and can be promoted through precautionary measures when undertaking invasive procedures in older patients as well as through the administration of available vaccines. Difficulties in diagnosing bacterial pneumonia, influenza, tubercu...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1982-03-01 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::A computerized database will serve a practice well if physicians and staff make their expectations and needs explicit, establish clear database specifications, and use those specifications as the basis for selecting appropriate data management software and computer hardware. Any computerized database management system...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1985-09-01 00:00:00
abstract::The family practitioner has an important role in the detection of infants and young children with developmental delays. The physician may be the first or only professional in regular contact with infants and young children. Interpretation of a child's developmental status is best done with a clear understanding of the...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1994-12-01 00:00:00
abstract::When prescribing drugs for patients who are pregnant or lactating, a clinician needs to ask the following questions: (1) Is pharmacotherapy necessary? (2) What drug can be used that has the lowest potential toxicity according to current knowledge? (3) What pharmacokinetic parameters does the drug follow during pregnan...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1990-09-01 00:00:00
abstract::Heart failure (HF) often presents as dyspnea either with exertion and/or recumbency. Patients also experience dependent swelling and fatigue. Measurement of the left ventricular ejection fraction (LVEF) identifies HF patients who may respond to pharmacologic therapy and/or electrophysiologic device implantation. Angio...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2012.11.010
更新日期:2013-03-01 00:00:00
abstract::Continuous subcutaneous insulin infusion has provided patients who have diabetes with a system for achieving treatment targets with a lower incidence of severe hypoglycemia. Patients prefer the flexibility, convenience, and physiologic glycemic control of continuous subcutaneous insulin infusion. Future insulin pumps ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2007.07.005
更新日期:2007-12-01 00:00:00
abstract::Sound without external stimuli may warn of serious conditions. Accurate history and physical examination along with ancillary testing, including audiograms, are essential in evaluation of these patients. Evaluation of sudden tinnitus may save hearing. Extra-auditory tinnitus may arise from respiratory, vascular, and m...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1990-06-01 00:00:00
abstract::The recently completed NHLBI sponsored multicenter double-blind Coronary Heart Disease Prevention Trial has provided the long sought-after proof that hyperlipidemia is a major CAD risk factor and that the incidence of CHD and its complications can be favorable modified by control of hyperlipidemia with appropriate die...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1985-03-01 00:00:00
abstract::The most important factors that influence development of the eye, kidney, and nerve complications of diabetes are the duration and degree of exposure to hyperglycemia. Hypertension is also very important. The risk of complications appears to be similar for all patients with diabetes; differences in complication rates ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(05)70131-7
更新日期:1999-12-01 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
pub_type: 杂志文章
doi:
更新日期:1975-06-01 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
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2018.05.012
更新日期:2018-09-01 00:00:00
abstract::Smokers expect health care professionals to help them stop smoking. Brief physician advice effectively increases cessation rates and should be given in a supportive and positive atmosphere emphasizing short-term benefits of cessation. Accurate information on withdrawal, weight gain, and nicotine gum should be offered,...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1989-03-01 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
pub_type: 杂志文章,评审
doi:
更新日期:1989-03-01 00:00:00
abstract::Protocols for clinical exercise stress testing aid functional evaluation of cardiac impairment of ambulatory persons. Normal standards, criteria for functional impairment and exercise-enhanced prediction of risk of future cardiac events provide guidelines for clinical management. This review highlights development and...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1994-09-01 00:00:00
abstract::Heart failure is a clinical syndrome that results in diminished tissue perfusion and volume overload. Because of increasing population age and improved survival after myocardial infarction, the prevalence of heart failure is likely to increase dramatically. Primary care physicians are in an ideal position to care for ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2005.09.005
更新日期:2005-12-01 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::STI are among the most common pathological conditions affecting sexually active adolescents. Both screening of asymptomatic adolescents and a thoughtful, thorough approach to the evaluation of symptoms are critical measures in STI identification and control. ...
journal_title:Primary care
pub_type: 杂志文章
doi:10.1016/j.pop.2006.01.007
更新日期:2006-06-01 00:00:00
abstract::Adolescents are often at higher risk for acquiring sexually transmitted infections (STIs). Medical providers should be alert for both asymptomatic and symptomatic STIs, and follow appropriate screening guidelines. Moreover, providers need to know how to best administer adolescent-friendly confidential care, treatment,...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2014.05.011
更新日期:2014-09-01 00:00:00