Abstract:
:The protein-sparing modified fast is a safe and effective method for losing a large amount of weight relatively quickly. This diet should be used in combination with an exercise program, behavior modification and patient education. Caloric intake is in the range of 400 to 800 per day. Candidates for the diet should be generally healthy; they should have at least 40 lb to lose or be at more than 120 percent of their ideal body weight.
journal_name
Am Fam Physicianjournal_title
American family physicianauthors
Seim HC,Rigden SRsubject
Has Abstractpub_date
1990-11-01 00:00:00pages
51S-56Sissue
5 Suppleissn
0002-838Xissn
1532-0650journal_volume
42pub_type
杂志文章,评审abstract::Stroke can be categorized as ischemic stroke, intracerebral hemorrhage, or subarachnoid hemorrhage. Awakening with or experiencing the abrupt onset of focal neurologic deficits is the hallmark of the diagnosis of ischemic stroke. The most common presenting symptoms of ischemic stroke are speech disturbance and weaknes...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2015-04-15 00:00:00
abstract::Superficial bursitis most often occurs in the olecranon and prepatellar bursae. Less common locations are the superficial infrapatellar and subcutaneous (superficial) calcaneal bursae. Chronic microtrauma (e.g., kneeling on the prepatellar bursa) is the most common cause of superficial bursitis. Other causes include a...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2017-02-15 00:00:00
abstract::Although early management of children with hearing loss is extremely important, diagnosis is often delayed because the development of hearing-impaired children parallels that of normal infants until the age of nine months. A high-risk registry aids in recognition of hearing-impaired children, but fails to identify tho...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1980-03-01 00:00:00
abstract::AIDS dementia complex is a major source of disability for many AIDS patients. Less commonly, the spinal cord or peripheral nerves are affected by HIV infection. Physicians working with AIDS patients must differentiate these manifestations from those caused by the infectious, neoplastic and vascular complications. ...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1987-12-01 00:00:00
abstract::Senile dementia of the Binswanger's type is a term used to describe a dementia syndrome characterized by onset in the sixth or seventh decade of life, subcortical neurologic deficits, psychiatric disorders and evidence of hypertension or systemic vascular disease. The status of senile dementia of the Binswanger's type...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1998-12-01 00:00:00
abstract::The specific type of epilepsy must be identified. The history and the EEG provide the evidence. Drug selection is then based on the classification of the patient's epilepsy. Major drugs used in the management of epilepsy are phenytoin, phenobarbital, primidone, carbamazepine, ethosuximide and valproic acid. The physic...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1978-10-01 00:00:00
abstract::While abdominoperineal resection with permanent colostomy is still required for most distal [corrected] rectal cancers, sphincter-saving local treatment by means of local excision, electrocoagulation or endocavitary contact radiation can be used for some highly selected distal tumors. Local treatment avoids a permanen...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1997-10-15 00:00:00
abstract::Genetic testing may be applied in a variety of clinical situations, including preconception counseling, prenatal diagnosis and postnatal determination of genetic predisposition to disease. The family physician needs to become familiar with the full range of genetic testing possibilities in all phases of the human life...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1996-05-01 00:00:00
abstract::Most of the nearly 4 million births in the United States annually are normal spontaneous vaginal deliveries. In the first stage of labor, normal birth outcomes can be improved by encouraging the patient to walk and stay in upright positions, waiting until at least 6 cm dilation to diagnose active stage arrest, providi...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2015-08-01 00:00:00
abstract::Congenital hearing loss is estimated to affect one in every 1,000 newborns. Causes of hearing loss can be conductive, sensorineural, mixed, or central. Known risk factors for congenital hearing loss include cytomegalovirus infection and premature birth necessitating a stay in the neonatal intensive care unit. However,...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2007-05-01 00:00:00
abstract::Gastroesophageal reflux is defined as the passage of stomach contents into the esophagus with or without accompanied regurgitation (spitting up) and vomiting. It is a normal physiologic process that occurs throughout the day in infants and less often in children and adolescents. Gastroesophageal reflux disease (GERD) ...
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::The physician needs to know the signs, symptoms and recommended treatments of drug overdoses. Overdose of hallucinogens usually does not require drug therapy. Overdose of amphetamines ("uppers") may be complicated by the presence of PCP, a dissociative substance. It is important for the physician to be familiar with t...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1986-03-01 00:00:00
abstract::Nephrolithiasis is a rare but important condition in pregnant women. The most common presenting complaint is flank pain. Recurrent or persistent urinary tract infections may also be due to nephrolithiasis. Ultrasound is the first-line diagnostic study, but a limited intravenous pyelogram can be obtained when indicated...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1989-09-01 00:00:00
abstract::Vomiting, amnesia, a history of falls and other injuries, and depression and anxiety may all be clues to a drinking problem. Decreased work performance, absenteeism and difficulty in getting along with others may be present. Coming to grips with the problem is essential. Once the patient accepts the need for abstinenc...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1978-11-01 00:00:00
abstract::The lives of patients with borderline personality disorder are characterized by turmoil, and their interpersonal relationships by conflict. As a result, these patients can be very difficult to treat. However, an accurate diagnosis and an understanding of the psychodynamics and emotional development of borderline patie...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1987-01-01 00:00:00
abstract::Infectious endocarditis results from bacterial or fungal infection of the endocardial surface of the heart and is associated with significant morbidity and mortality. Risk factors include the presence of a prosthetic heart valve, structural or congenital heart disease, intravenous drug use, and a recent history of inv...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2012-05-15 00:00:00
abstract::Hearing conservation programs have not kept pace with changes in the workplace and in the work force. Heavy industry and noisy factories have yielded to quiet computers and high technology. Chemicals, self-administered or prescribed, may replace noise as a chief source of hearing loss. The aging working population and...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1988-09-01 00:00:00
abstract::Injuries from power lawnmowers most frequently involve the toes or the foot. The most common injury is caused by an extremity being caught in the moving parts of the machine. The greatest injury is to the skin and soft tissue by degloving or avulsion. Most of these injuries, especially those which occur to children wh...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1976-05-01 00:00:00
abstract::In evaluating recurrent childhood infections, the physician must keep in mind the rarity of true immunodeficiency and the frequency of atopy, day care, exposure to cigarette smoke and anatomic variations as predisposing factors in recurrent childhood illnesses. Determining true immunodeficiency involves exclusion of r...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1996-11-15 00:00:00
abstract::Atrial fibrillation, a common cardiac arrhythmia, is now recognized as a powerful risk factor for stroke. Previously, atrial fibrillation was thought to predispose persons to stroke only in the presence of rheumatic heart disease with mitral stenosis. The significant impact of nonvalvular atrial fibrillation on stroke...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1997-12-01 00:00:00
abstract::Breast milk is universally recommended as the preferred source of infant nutrition, in part because of its superior nutrient and immunologic properties. Successful breast feeding requires nursing on demand, prevention of sore nipples and convenient access to medical advice. For mothers relying on bottle feeding, cow's...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1996-07-01 00:00:00
abstract::Spinal cord compression from metastatic cancer is a medical emergency. Prompt intervention affords the best chance for successful recovery, while delay may result in devastating neurologic impairment. In the appropriate clinical setting, emergency myelography should be done to confirm the diagnosis of metastatic disea...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1983-03-01 00:00:00
abstract::Eating disorders are potentially life-threatening conditions characterized by disordered eating and weight-control behaviors that impair physical health and psychosocial functioning. Early intervention may decrease the risk of long-term pathology and disability. Clinicians should interpret disordered eating and body i...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2021-01-01 00:00:00
abstract::To complement the 2005 Annual Clinical Focus on medical genomics, AFP is publishing a series of short reviews on genetic syndromes. This series was designed to increase awareness of these diseases so that family physicians can recognize and diagnose children with these disorders and understand the kind of care they mi...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2005-12-01 00:00:00
abstract::This is a minimally invasive imaging technique designed to evaluate patients for suspected coronary artery disease. It is usually performed in conjunction with stress ECG testing. It can accurately determine the presence and extent of coronary artery disease and help determine whether cardiac catheterization is necess...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1984-04-01 00:00:00
abstract::Group B streptococci and Escherichia coli are the most frequently isolated etiologic agents in neonatal septicemia. Neonatal infection that is caused by Pseudomonas aeruginosa is usually late in onset, nosocomial in origin and epidemic in pattern. However, P. aeruginosa must be considered in all neonatal infections, r...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1986-03-01 00:00:00
abstract::Arnold-Chiari malformation is a disorder of embryologic development. In Type I, there is cerebellar displacement into the spinal canal, but hydrocephalus and syringomyelia are variable. Type II usually is manifested by severe hydrocephalus and myelomeningocele in infancy. Type I malformations may pose diagnostic chall...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1989-03-01 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
abstract::Zidovudine, the first widely used antiretroviral agent, prevents replication of the human immunodeficiency virus (HIV) by inhibiting reverse transcriptase. Its use in patients with acquired immunodeficiency syndrome slows progression of the disease and prolongs survival. Zidovudine also significantly reduces the rate ...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1990-08-01 00:00:00
abstract::The exposed and unprotected position of the auricle makes it susceptible to injuries. Because many of these injuries are initially managed in a primary care setting, family physicians should have an understanding of the management of auricular hematomas, lacerations, abrasions and thermal injuries. Auricular hematoma ...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1996-05-15 00:00:00