Otitis media.

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

authors： Mechler K,Liantonio J

更新日期：2019-09-01 00:00:00

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 hypert...

journal_title：Primary care

authors： Trilling JS

更新日期：1988-06-01 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

authors： Chaisson N,Shore WB

更新日期：2014-09-01 00:00:00

abstract：:Various forms of vegetarian diets are discussed and evaluated for their nutritional adequacy. Health, philosophical, religious, ecological, and economic concerns are suggested as possible reasons for these alternate dietary lifestyles. Nutrients of specific concern ot the vegetarian are highlighted and suggestions giv...

journal_title：Primary care

authors： Krey SH

更新日期：1982-09-01 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

authors： Davies D,Bailey J

更新日期：2017-12-01 00:00:00

abstract：:This article addresses advance directives and methods to establish the goals of care for remaining life in the decisional and nondecisional patient. Without these discussions, patient autonomy is negated, and the opportunity to provide patient-centered care using shared decision making is lost. ...

journal_title：Primary care

authors： Leland J

更新日期：2001-06-01 00:00:00

abstract：:The high prevalence of stimulant abuse and its harmful consequences make the screening, diagnosis, and referral for treatment of persons with stimulant abuse a top concern for primary care providers. Having a working knowledge of use patterns, clinical symptomatology, end-organ effects, and advances in treatment of st...

journal_title：Primary care

authors： Ciccarone D

更新日期：2011-03-01 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：: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 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

authors： DeWitt DE,Dugdale DC

更新日期：2003-09-01 00:00:00

abstract：:Diagnostic testing for CAD is aided by the calculation of the pretest probability using either the Diamond-Forrester score or the Morise score. Patients who have a low risk of CAD should not undergo testing. Exercise ECG testing should be reserved for patients who have pretest probabilities lower than 20%, because a n...

journal_title：Primary care

authors： Anthony D

更新日期：2005-12-01 00:00:00

abstract：:The shoulder is one of the most complex joints in the body requiring coordinated, functioning muscles and joints to have a fluid, rhythmic motion. The shoulder consists of the glenohumeral (GH) joint, the acromioclavicular (AC) joint, the scapulothoracic (ST) joint, and the sternoclavicular (SC) joint. This article wi...

journal_title：Primary care

authors： Spiegel TM,Crues JV 3rd

更新日期：1988-12-01 00:00:00

abstract：:Psychoactive drug use by teens is a common occurrence. This article examines the influences that promote and deter experimentation with and hazardous use of psychoactive substances. Clinical guidance is offered on how to assess and intervene with teens and their parents at various developmental phases and levels of in...

journal_title：Primary care

authors： Liepman MR,Keller DM,Botelho RJ,Monroe AD,Sloane MA

更新日期：1998-03-01 00:00:00

abstract：:This article is intended as an overview of emergencies that could and often do present to the physician's office, especially when a hospital emergency department may not be nearby. It is not intended as an in-depth view of every problem but should be considered as a presentation of essential management in the emergenc...

journal_title：Primary care

authors： Runge JW,Schafermeyer RW

更新日期：1986-03-01 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

authors： Guild DG

更新日期：2012-09-01 00:00:00

abstract：:Evidence for the effectiveness of lipid-lowering therapy in reducing CHD risk continues to emerge. In primary prevention, clinical trials have demonstrated a benefit for middle-aged, high-risk men with high LDL cholesterol and, more recently, for men and women with "average" LDL and low HDL cholesterol. Although low H...

journal_title：Primary care

authors： Green ML

更新日期：2003-12-01 00:00:00

abstract：:This article discusses the technique of cervical electrosurgical loop excision, which allows for treatment of premalignant conditions of the cervix. The primary goal of cervical loop excision is to provide a method of managing preneoplastic cervical conditions in a safe, effective manner while minimizing the chance of...

journal_title：Primary care

authors： Newkirk GR

更新日期：1997-06-01 00:00:00

abstract：:The nature and treatment of the three major types of juvenile rheumatoid arthritis--systemic, polyarticular, and pauciarticular--are presented. ...

journal_title：Primary care

authors： Alepa FP

更新日期：1984-06-01 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

authors： Hill LM,Breckle R

更新日期：1983-06-01 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：:The diagnostic criteria for eating disorders are described, including assessment of complications related to semi-starvation, binge eating, and purging. The key components of treatment are presented, including normalization of eating, individual and family therapy, and cognitive behavioral therapy. The role of the pri...

journal_title：Primary care

authors： Powers PS,Santana CA

更新日期：2002-03-01 00:00:00

abstract：:Patients with asthma and allergic rhinitis may benefit from hydration and a diet low in sodium, omega-6 fatty acids, and transfatty acids, but high in omega-3 fatty acids (i.e., fish, almonds, walnuts, pumpkin, and flax seeds), onions, and fruits and vegetables (at least five servings a day). Physicians may need to be...

journal_title：Primary care

authors： Jaber R

更新日期：2002-06-01 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

authors： Barton MD

更新日期：1977-03-01 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：: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

authors： Ward IM,Knott A

更新日期：2018-06-01 00:00:00

abstract：:Vaccination is one of the most effective preventative health measures in modern times. It has positively affected the incidence and prevalence of a myriad of diseases, as well as improved both their morbidity and mortality. It is essential that health care providers understand the value of this intervention, promote c...

journal_title：Primary care

authors： Wilde BB,Park DJ

更新日期：2019-03-01 00:00:00

abstract：:Major concerns about physical injury, emotional stress, poor adult leadership, and interference with junior high school football programs contribute to the Junior League Football controversy. In the final analysis, benefits of participation in these football programs are shown to far outweigh the risks. ...

journal_title：Primary care

authors： Godshall RW

更新日期：1980-06-01 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

authors： Fennessy JJ

更新日期：1976-03-01 00:00:00

abstract：:With multiple vaccines for adolescents recommended, it is imperative providers remain up to date with the current recommendations. With misinformation of vaccine safety and effectiveness in the mainstream media and social media, adolescents are a vulnerable population that needs to be reviewed and educated. Adolescent...

journal_title：Primary care

authors： Adelman M,Barrickman AL,Garofoli GK

更新日期：2020-06-01 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

authors： Giurgiu DI,Roslyn JJ

更新日期：1996-09-01 00:00:00