Abstract:
:Paralysis agitans may be mimicked by other disease processes and drugs which disturb the structural or functional integrity of the dopaminergic nigrostriatal system. In another group of patients, isolated symptoms or signs such as tremor or increased muscle tone are considered out of the context of the total clinical picture and may suggest parkinsonism.
journal_name
Prim Carejournal_title
Primary careauthors
Baxter DWsubject
Has Abstractpub_date
1977-09-01 00:00:00pages
429-39issue
3eissn
0095-4543issn
1558-299Xjournal_volume
4pub_type
杂志文章相关文献
PRIMARY CARE文献大全abstract::Most disease states giving rise to pulmonary symptoms represent a composite of physiologic changes involving ventilation and perfusion. The major initial physiologic abnormality is identified for a number of problems commonly encountered. ...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1978-09-01 00:00:00
abstract::It is estimated that 8% to 12% of American youths have experienced at least one sexual assault in their lifetime, making childhood sexual abuse (CSA) an important public health problem that is likely to be encountered by primary care providers. Use of screening tools and understanding the principles behind targeted cl...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2016.01.005
更新日期:2016-06-01 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::The clinician handling skin disorders may be confounded in a number of ways. By being aware of the general types of errors seen in clinical medicine and the specific, clinical pitfalls of common dermatoses, the physician should be better able to triage and treat skin problems accurately. ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1989-09-01 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
pub_type: 杂志文章,评审
doi:
更新日期:1993-03-01 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
pub_type: 杂志文章,评审
doi:
更新日期:1988-03-01 00:00:00
abstract::Early in the 21st century, control of cancer is considered a major public health issue. Research advances are rapidly unraveling molecular genetic changes, which are the basis of human cancer. These advances are changing the way primary care providers will practice in the future. New genetic screening tools, early det...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2009.07.003
更新日期:2009-12-01 00:00:00
abstract::Sexuality is an important part of a person's life continuing into older age. Physiologic changes that occur with aging can affect sexual function and may be exacerbated by comorbid disease. To diagnose sexual dysfunction, providers must obtain a thorough history and physical examination, including psychosocial factors...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2017.04.004
更新日期:2017-09-01 00:00:00
abstract::This article reviewed the parasitic signs and symptoms most likely to be seen in the office setting. Particular attention has been given to the endemic parasites. The physician will be called upon increasingly to recognize the often subtle and seemingly unrelated symptom complex. Nowhere else in the animal kingdom has...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1991-03-01 00:00:00
abstract::Depression is the most frequent psychiatric complication of serious medical illness, occurring in up to 20 per cent of cases. Criteria for its diagnosis and guidelines for its treatment are presented. ...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1987-12-01 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::We have reviewed the current uses of ultrasound in obstetrics. The referring physician must have a clear understanding of the limitations and potential of obstetric ultrasound. The reason for requesting a particular examination should be conveyed to the ultrasonographer. Accurate dating of a particular pregnancy requi...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1983-06-01 00:00:00
abstract::Upper extremity musculoskeletal disorders such as DeQuervain's tendonitis, carpal tunnel syndrome, and rotator cuff tendonitis have become increasingly common among working people in the United States. Extensive epidemiological investigation indicates that the adverse ergonomic exposures of force, repetition, vibratio...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(05)70180-9
更新日期:2000-12-01 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::Peptic ulcer disease is a common gastrointestinal disease whose management and treatment has changed dramatically over the last 25 years. Treatment of peptic ulcer disease has evolved from dietary modifications and antacids to gastric acid suppression with H2-receptor antagonists and proton pump inhibitors to eradicat...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(05)70049-x
更新日期:2001-09-01 00:00:00
abstract::Cardiovascular disease is the most prevalent health challenge to the global health care industry. The goal of prevention is compression of morbidity and enhancement of quality of life through modification of lifestyle and environmental risk factors. Treatment of established cardiovascular disease is expensive and inef...
journal_title:Primary care
pub_type: 杂志文章
doi:10.1016/j.pop.2008.07.007
更新日期:2008-12-01 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::Psychiatric problems constitute one of the prime reasons for failure in levodopa therapy in Parkinson's disease. While a variety of symptoms may be seen, the levodopa itself does not produce a defined set of psychiatric symptoms. The single most important factor determining the psychiatric response to levodopa therapy...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1977-09-01 00:00:00
abstract::Overuse injuries are caused by intrinsic and extrinsic factors. Exercise exposes even the most subtle anatomic imperfections and extrinsic influences. Overuse that is not musculoskeletal in nature and new information pertaining to the role of bursae are discussed. Treatment philosophy is approached with an emphasis on...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1991-12-01 00:00:00
abstract::Management of chronic diseases is often palliative by definition. Empowering primary care providers to manage symptoms and effectively prognosticate is necessary for this challenging population. In this article, the authors focus specifically on end-stage congestive heart failure, chronic obstructive pulmonary disease...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2019.05.008
更新日期:2019-09-01 00:00:00
abstract::This article attempts to illustrate ways in which family physician practices are able to demonstrate high value, enhanced quality, and streamlined costs, essential components of practice sustainability. Specific examples are provided to assist practices to consider questions and information that allow for skillful eng...
journal_title:Primary care
pub_type: 杂志文章
doi:10.1016/j.pop.2012.08.004
更新日期:2012-12-01 00:00:00
abstract::The ankle is the site of frequent athletic injuries, the most significant of which include Achilles' rupture, peroneal tendon dislocation, and lateral ligamentous rupture. Evaluation techniques and treatment methods stressing an early but graduated return to function are discussed for the major soft tissue injuries of...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1980-06-01 00:00:00
abstract::Ascaris lumbricoides is a significant health problem. One billion people worldwide are infected. Most frequently it is seen in malnourished people residing in developing countries. Areas with modern water and waste treatment have a low incidence. The major serious sequelae associated with the parasite is intestinal ob...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1991-03-01 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::Adolescence is marked by complex physical, cognitive, social, and emotional development, which can be stressful for families and adolescents. Before the onset of puberty, providers should clearly lay the groundwork for clinical care and office visits during the adolescent years. This article addresses the guidelines a...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2014.05.001
更新日期:2014-09-01 00:00:00
abstract::Pediatric sleep disorders represent a heterogeneous collection of disturbances that require varied intervention strategies. The diagnosis of some sleep disorders (eg, OSAS, narcolepsy, PLMD) require PSG, whereas others can be diagnosed during an office visit with a thorough medical,psychiatric, and sleep history. Slee...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2005.02.005
更新日期:2005-06-01 00:00:00
abstract::Urinary tract infections, including cystitis and pyelonephritis, are the most common bacterial infection primary care clinicians encounter in office practice. Dysuria and frequency in the absence of vaginal discharge and vaginal irritation are highly predictive of cystitis. Urine culture is recommended for the diagnos...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2019.01.001
更新日期:2019-06-01 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::Acute gastroenteritis is a common cause of emergency and office visits. This article reviews causes, pathogenesis, diagnosis, prevention, and treatment. The incidence of antibiotic-associated colitis is increasing worldwide as a consequence of widespread use of broad-spectrum antibiotics for various illnesses. The pat...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(02)00060-x
更新日期:2003-03-01 00:00:00
abstract::Primary care physicians are confronted daily with questions from their patients about alternative medicine. When maternity care patients seek information about such therapies, careful attention must be paid to issues of safety and efficacy for both the mother and her unborn child. This article clarifies the role of al...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(05)70151-2
更新日期:2000-03-01 00:00:00