Abstract:
:A significant portion of the adult population uses one or more medications on a regular basis to manage chronic conditions. As the number of medications that patients are prescribed increases, an increase in pharmacologic-related issues and complications may occur, such as polypharmacy, inappropriate prescribing, medication nonadherence and nonpersistence, and adverse drug reactions and events. Risk factors and consequences of these issues have been identified and are discussed in this article. In addition, a review is presented of the numerous methods that have been evaluated to help prevent and minimize these pharmacologic issues in the management of chronic disease.
journal_name
Prim Carejournal_title
Primary careauthors
DeSevo G,Klootwyk Jdoi
10.1016/j.pop.2012.03.007subject
Has Abstractpub_date
2012-06-01 00:00:00pages
345-62issue
2eissn
0095-4543issn
1558-299Xpii
S0095-4543(12)00021-8journal_volume
39pub_type
杂志文章,评审相关文献
PRIMARY CARE文献大全abstract::In this article, two cases are presented that illustrate that the principles underlying medical practice and religious scruples are often the same. The author argues, therefore, that better understanding of religious traditions that inform patients' views might diminish seeming conflicts in the provision of medical ca...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1986-06-01 00:00:00
abstract::AIDS is a progressively debilitating disease in which the infected individual will require a diverse range and often intensive set of formal and informal services. With assistance from health care providers, community-based organizations, family, and friends, quality of life can be maintained. Community-based organiza...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1992-03-01 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
pub_type: 杂志文章,评审
doi:
更新日期:1995-06-01 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::Infectious arthritis should be suspected in any patient with a swollen joint but especially in children, debilitated patients, immunocompromised persons, those with infection elsewhere (even if on antibiotics), and those with other types of arthritis or a prosthetic joint. Diagnosis depends on obtaining joint fluid fo...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1993-12-01 00:00:00
abstract::The disease of addiction is upon us and it is obvious that the elderly are not immune. There is every reason to believe from early reports that the elderly respond favorably to treatment, perhaps more so than their younger counterparts. It is believed that treating chemical dependency as a primary disease rather than ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1989-06-01 00:00:00
abstract::The kidney has anatomic and physiologic features that prevent protein from reaching the urine. In disease processes, this natural mechanism is disrupted, causing protein to leak into the urine. Proteinuria can be used as a marker for disease and disease progression. The general anatomy of the glomerulus along with pre...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2014.08.010
更新日期:2014-12-01 00:00:00
abstract::This article addresses two primary issues: partner violence and sexual assault. Partner violence refers to the infliction of harm by one intimate partner to the other, with the intention of causing pain or controlling the other's behavior. Sexual assault is sex without consent, obtained by force or threat. Sexual assa...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1997-03-01 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::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::Although many complementary therapies are promoted for the treatment of obesity, few are truly therapeutic. Evidence suggests that food containing diacylglycerol oil, acupuncture, and hypnosis are the only evidence-based complementary therapies for the treatment of obesity, and, at best, these should be used as adjuva...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2009.01.011
更新日期:2009-06-01 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::This article deals with common injuries to the elbow. Elbow anatomy is reviewed. Diagnosis and treatment of pronator syndrome,lateral epicondylitis (tennis elbow), radial tunnel syndrome, posterior interosseous nerve syndrome, medial epicondylitis (golfer's elbow), ulnar collateral ligament injury, cubital tunnel synd...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2004.11.001
更新日期:2005-03-01 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::SLE is an illness of unknown cause(s) affecting multiple organ systems, whose diagnosis depends upon a high index of suspicion and knowledge of its clinical manifestations. The American Rheumatism Association criteria may be used as a guide to help direct one's clinical and laboratory approaches. Survivorship appears ...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1978-03-01 00:00:00
abstract::Most patients with diabetes are managed in an outpatient primary care setting. This article reviews common dilemmas in outpatient insulin therapy and presents the evidence regarding the rational use of insulin therapy and combination oral agent-insulin therapy. ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(03)00037-x
更新日期:2003-09-01 00:00:00
abstract::There have been important expansions in knowledge about alcohol recently. In this chapter a number of advances pertinent to the family practitioner are summarized. However, technology is not our focus. We are talking first about troubled people. The applications of research may help such people in practice. However, o...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1979-06-01 00:00:00
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::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::Finding cancer at its earliest, most treatable stage gives patients the greatest chance of survival. For a number of cancers, screening tests allow for early detection and treatment, and thereby, reduce cancer-related mortality. However, many cancers are discovered by symptomatic presentation rather than screening. Th...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2009.07.005
更新日期:2009-12-01 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::Double reading of radiographs increases the likelihood of detecting pulmonary disease and, accordingly, physicians have an obligation to view the radiographic examinations performed on their patients, either with the radiologist or independently. It is also essential that the radiologist be proved with the clinical fi...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1976-03-01 00:00:00
abstract::Classification of patients with prostatic complaints into one of the categories of bacterial or nonbacterial prostatitis or prostatodynia (see Table 3) enables a physician to give rational advice to men with confusing symptoms. By examining the prostatic fluid of patients with prostatic symptoms, a physician may easil...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1985-12-01 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::New and existing rheumatic disease is frequently encountered in the primary care setting. The number of medications used to treat various rheumatic conditions continues to increase. Some medications have very specific indications, whereas others have increasing off-label uses. Regardless of the indication, the medicat...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2018.02.003
更新日期:2018-06-01 00:00:00
abstract::This review provides an update on lung cancer screening with low-dose computed tomography (LDCT) and its implications for primary care providers. One of the unique features of lung cancer screening is the potential complexity in patient management if an LDCT scan reveals a small pulmonary nodule. Additional tests, con...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2014.02.007
更新日期:2014-06-01 00:00:00
abstract::Acute lower respiratory illness (LRI) is the leading cause of disease worldwide as measured by disability-adjusted life years. New strategies are necessary to decrease the disease burden that is largely borne by infants. Respiratory syncytial virus is the most important cause of LRI in infants. Lower respiratory illne...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(05)70041-5
更新日期:2001-12-01 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::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
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2017.07.001
更新日期:2017-12-01 00:00:00
abstract::This article is based on educating readers and physicians about the use of footwear and orthotics for themselves and their patients, to treat diseases and enhance functionality in sports and daily life. ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2013.08.013
更新日期:2013-12-01 00:00:00