Abstract：
:The major obstacle to a recommendation for screening adults for NIDDM is the conflicting evidence that early detection and treatment reduce future complications. Because obesity is a risk factor for NIDDM, and hypertension in conjunction with NIDDM leads to early atherosclerosis, treatment is indicated for both hypertension and obesity whether or not NIDDM is present concurrently. It is clear that there are those who accept and those that reject the use of oral hypoglycemic agents. Accordingly, there are those who believe that the goal of NIDDM treatment is zealous glycemic control and those who are not so inclined. Whether or not to screen for NIDDM ultimately depends upon which view is adopted. While it may seem prudent to screen for and insist upon "tight" control of NIDDM, we should consider the effect of labeling asymptomatic persons from a positive test result. What are the repercussions regarding status of employment and insurance eligibility as compared to benefits of treatment? What is the psychosocial impact? Although no studies on the effect of labeling patients non-insulin-dependent diabetics could be located, a study of hypertension in an industrial setting demonstrated that patients labeled hypertensive had an increased absenteeism from work. Interestingly, the main factors associated with increased absenteeism were awareness of the condition and low compliance with treatment. Although the parallel to NIDDM is evident, additional studies are needed.
journal_name
Prim Carejournal_title
Primary careauthors
Trilling JSsubject
Has Abstractpub_date
1988-06-01 00:00:00pages
285-95issue
2eissn
0095-4543issn
1558-299Xjournal_volume
15pub_type
杂志文章,评审相关文献
PRIMARY CARE文献大全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：: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：: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：: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
pub_type： 杂志文章
doi：10.1016/s0095-4543(02)00005-2
更新日期：2002-09-01 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：: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：:Medications for obesity management can be divided into 4 groups: antidepressants (naltrexone/bupropion), stimulants (phentermine, phendimetrazine, diethylpropion, phentermine/topiramate), fat blockers (orlistat), and diabetes medications (liraglutide). Each group has specific therapeutic effects, adverse effects, and ...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2015.08.011
更新日期：2016-03-01 00:00:00
abstract：:There can be no question that smoking is a modern version of plague; that, as Camus points out, the public does not comprehend its true nature. As in the metaphorical community in Camus' narrative, the struggle of individuals against the pestilence (including official obstruction) is imperative. Physicians have multip...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1992-09-01 00:00:00
abstract：:Pulmonary rehabilitation does have a place in the medical management of COPD. It is the responsibility of the primary care practitioner to be sufficiently informed to make intelligent choices among programs for optimum benefit to the patient. Beyond bronchodilators and small volume nebulizers is the concept of pulmona...
journal_title：Primary care
pub_type： 杂志文章
doi：
更新日期：1985-06-01 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：: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：: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：:The major differences that have been recognized between black and white hypertensives are primarily epidemiologic, with hypertension being more prevalent, having an earlier onset, and having more severe sequelae in the black population. The cause of the problem in both black and white people remains obscure, but it ap...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1991-09-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2015.01.001
更新日期：2015-06-01 00:00:00
abstract：:Health and safety concerns have dramatically increased the consumption of bottled water in developed countries, including the United States. The economic and environmental impact of the many different bottled water products on the market is considerable, and the role and impact of bottled water for routine use is uncl...
journal_title：Primary care
pub_type： 杂志文章
doi：10.1016/j.pop.2008.07.008
更新日期：2008-12-01 00:00:00
abstract：:An approach to preconception health promotion by obtaining a history and through physical examination and laboratory investigation is outlined. The controversies are explained, and the current programs that have been developed in the United Kingdom, Canada, and the United States are described. All women of childbearin...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1993-09-01 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：:Gallstone disease continues to be one of the more common abdominal problems that prompts medical evaluation, particularly in the elderly population. The presentation is diverse, and the treatment options varied. Primary care physicians need to be familiar with the differential diagnosis, evaluation, and therapeutic op...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/s0095-4543(05)70343-2
更新日期：1996-09-01 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：: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：: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：: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：:The most common conditions of gastroenteritis in children and avoidance of errors in their management are emphasized in this article. ...
journal_title：Primary care
pub_type： 杂志文章
doi：
更新日期：1984-09-01 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：:Because patients with HIV are living longer, health maintenance and disease prevention have become important aspects of care. Clinical use of CD4 cell counts and viral load assays to monitor disease progression is reviewed. This article discusses the effect malnutrition has on disease progression and interventions to ...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1997-09-01 00:00:00
abstract：:The majority of mood-altering drugs that have significant abuse potential possess several properties that contribute to drug dependence, including behavioral reinforcing and rewarding actions, tolerance to behavioral effects, and development of physical dependence. Although various drug classes may differ in the relat...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1993-03-01 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
pub_type： 杂志文章
doi：
更新日期：1975-06-01 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：:Urticaria and angioedema are common medical problems. This article presents a classification and review of the diverse etiologic factors that can trigger these problems. A practical approach to differential diagnosis and various therapeutic modalities are also explained. ...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1987-09-01 00:00:00
abstract：:An overview of pericarditis, cardiomyopathy, and acute myocarditis is presented. Clinical presentation, causes, physical signs, laboratory testing, and various imaging procedures are discussed. Established pharmacologic and mechanical therapies are reviewed. Short-term and long-term prognoses, when relevant, are discu...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2012.11.009
更新日期：2013-03-01 00:00:00
