Abstract：
:Patients with myopia, hyperopia and astigmatism can now reduce or eliminate their dependence on contact lenses and eyeglasses through refractive surgery that includes radial keratotomy (RK), photorefractive keratectomy (PRK), laser-assisted in situ keratomileusis (LASIK), laser thermal keratoplasty (LTK) and intrastromal corneal rings (ICR). Since the approval of the excimer laser in 1995, the popularity of RK has declined because of the superior outcomes from PRK and LASIK. In patients with low-to-moderate myopia, PRK produces stable and predictable results with an excellent safety profile. LASIK is also efficacious, predictable and safe, with the additional advantages of rapid vision recovery and minimal pain. LASIK has rapidly become the most widely performed refractive surgery, with high patient and surgeon satisfaction. Noncontact Holium: YAG LTK provides satisfactory correction in patients with low hyperopia. ICR offers patients with low myopia the potential advantage of removal if the vision outcome is unsatisfactory. Despite the current widespread advertising and media attention about laser refractive surgery, not all patients are good candidates for this surgery. Family physicians should be familiar with the different refractive surgeries and their potential complications.
journal_name
Am Fam Physicianjournal_title
American family physicianauthors
Bower KS,Weichel ED,Kim TJsubject
Has Abstractpub_date
2001-10-01 00:00:00pages
1183-90issue
7eissn
0002-838Xissn
1532-0650journal_volume
64pub_type
杂志文章,评审abstract：:Neuroleptic malignant syndrome may occur in patients taking neuroleptics and other psychotropic drugs. The syndrome is characterized by hyperthermia, muscular rigidity, altered consciousness and autonomic instability. Cerebrospinal fluid examination is normal. Treatment includes intensive supportive measures and the u...
journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：1988-02-01 00:00:00
abstract：:Causes of congestive heart failure include hypertension, coronary artery disease, alcohol abuse and valvular heart disease. Two-dimensional echocardiography with Doppler examination is excellent for identifying valvular heart disease. While noninvasive screening for coronary artery disease may seem cost-effective, the...
journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：1990-09-01 00:00:00
abstract：:Streptomycin is still the treatment of choice for tularemia and plague, and is effective in a few other diseases. Neomycin is used primarily as a topical agent. The other aminoglycoside antibiotics are indicated in serious infections caused by the gram-negative enterobacteria and, except for kanamycin, are also effect...
journal_title：American family physician
pub_type： 杂志文章
doi：
更新日期：1980-05-01 00:00:00
abstract：:Proteinuria is a common laboratory finding in children. It can be identified as either a transient or a persistent finding and can represent a benign condition or a serious disease. A rapid but qualitative assessment of proteinuria can be made using dipstick or sulfosalicylic acid methods. More precise quantitation is...
journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：1998-10-01 00:00:00
abstract：:Carpal tunnel syndrome, the most common entrapment neuropathy of the upper extremity, is caused by compression of the median nerve as it travels through the carpal tunnel. Classically, patients with the condition experience pain and paresthesias in the distribution of the median nerve, which includes the palmar aspect...
journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：2016-12-15 00:00:00
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journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：1997-05-01 00:00:00
abstract：:Many normal children have heart murmurs, but most children do not have heart disease. An appropriate history and a properly conducted physical examination can identify children at increased risk for significant heart disease. Pathologic causes of systolic murmurs include atrial and ventricular septal defects, pulmonar...
journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：1999-08-01 00:00:00
abstract：:Defined as three hours of crying per day occurring more than three days in any one week, colic affects 10 to 20 percent of infants during the first three to four months of life. Food allergy, parental attitude, flatulence, maternal medication and parental smoking have been implicated. Dietary modification, pharmacothe...
journal_title：American family physician
pub_type： 杂志文章
doi：
更新日期：1987-09-01 00:00:00
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journal_title：American family physician
pub_type： 杂志文章
doi：
更新日期：2012-03-15 00:00:00
abstract：:Asymptomatic bacteriuria, defined as the presence of bacteria in the urine in the absence of urinary symptoms, is a common clinical finding that often warrants a decision about whether to initiate antimicrobial therapy. There are few indications to treat asymptomatic bacteriuria, and inappropriate treatment contribute...
journal_title：American family physician
pub_type： 杂志文章
doi：
更新日期：2020-07-15 00:00:00
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journal_title：American family physician
pub_type： 杂志文章
doi：
更新日期：1975-02-01 00:00:00
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journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：1999-05-15 00:00:00
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journal_title：American family physician
pub_type： 杂志文章
doi：
更新日期：2009-09-01 00:00:00
abstract：:Suicide attempts by drug overdose are a growing health care problem, now reaching epidemic proportions. The patient who attempts suicide is typically a young, single adult female with interpersonal conflicts who takes an overdose of a prescribed drug, frequently a benzodiazepine. Patients who have recently been separa...
journal_title：American family physician
pub_type： 杂志文章
doi：
更新日期：1986-04-01 00:00:00
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journal_title：American family physician
pub_type： 杂志文章
doi：
更新日期：2001-09-15 00:00:00
abstract：:Stridor is a sign of upper airway obstruction. In children, laryngomalacia is the most common cause of chronic stridor, while croup is the most common cause of acute stridor. Generally, an inspiratory stridor suggests airway obstruction above the glottis while an expiratory stridor is indicative of obstruction in the ...
journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：1999-11-15 00:00:00
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journal_title：American family physician
pub_type： 杂志文章
doi：
更新日期：2020-11-15 00:00:00
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journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：1994-11-01 00:00:00
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journal_title：American family physician
pub_type： 杂志文章
doi：
更新日期：1988-03-01 00:00:00
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journal_title：American family physician
pub_type： 杂志文章
doi：
更新日期：2018-07-01 00:00:00
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journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：2006-12-15 00:00:00
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journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：2016-04-15 00:00:00
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journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：2002-04-15 00:00:00
abstract：:Nitrates are frequently found in vegetables and ground water. Nitrate levels in ground water have increased over the past two decades because of the heightened use of nitrogenous fertilizers. Following ingestion, nitrates are converted to nitrites by fecal organisms. Nitrites are absorbed and form methemoglobin, which...
journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：1992-07-01 00:00:00
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journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：2005-07-01 00:00:00
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journal_title：American family physician
pub_type： 杂志文章,病人教育讲义
doi：
更新日期：2015-10-15 00:00:00
abstract：:Flexible sigmoidoscopy is a procedure that is commonly used by primary care physicians for the evaluation of rectal disorders and for colorectal screening. Retroflexion of the endoscope improves views of the anorectum and rectal vault, which increases the diagnostic yield of sigmoidoscopy. We report three cases of rec...
journal_title：American family physician
pub_type： 杂志文章
doi：
更新日期：1995-05-15 00:00:00
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journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：2004-08-01 00:00:00
abstract：:When first seen, the overtranquilized patient may already be in withdrawal, may have other medical problems or may be seeking psychiatric help. The patient may, however, be primarily interested in obtaining more medication. Abuse and withdrawal of sedatives, tranquilizers, narcotics or alcohol, or a combination of the...
journal_title：American family physician
pub_type： 杂志文章
doi：
更新日期：1979-10-01 00:00:00
abstract：:Patients with symptomatic lumbar disk disease may present with back pain, referred leg pain, radicular leg pain, sensory changes and leg weakness. Because neurologic deficits are commonly localized to the L5 or S1 nerve roots, evaluation of patients with such symptoms should focus on these dermatomes and muscle groups...
journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：1993-04-01 00:00:00
