Abstract:
:An estimated 15% of children in the United States have at least one developmental delay, yet less than one-fifth of those children receive early intervention services before three years of age. Many barriers exist to implementing initial screening and referral, but screening tools can be easily incorporated into the workflow of the primary care practice with preparation. The use of a validated screening tool at regular, repeated intervals, in addition to physician surveillance at well-child visits, may improve early detection. Early intervention is effective in high-risk children and associated with improvements in cognitive and academic performance. Parent-completed tools are preferable to directly administered tools in the primary care setting because of time constraints. The most extensively evaluated parentcompleted tools are the Ages and Stages Questionnaire and the Parents' Evaluation of Developmental Status. Family physicians should be familiar with currently available screening tools and the limitations and strengths of these tools. Additional evaluations and referrals are recommended if screening suggests developmental delays are present.
journal_name
Am Fam Physicianjournal_title
American family physicianauthors
Vitrikas K,Savard D,Bucaj Msubject
Has Abstractpub_date
2017-07-01 00:00:00pages
36-43issue
1eissn
0002-838Xissn
1532-0650pii
d12989journal_volume
96pub_type
杂志文章,评审abstract::Serotonin syndrome is a potentially life-threatening condition caused by excessive serotonergic activity in the nervous system. It is characterized by mental status changes, autonomic instability, and neuromuscular hyperactivity. Most reported cases of serotonin syndrome are in patients using multiple serotonergic dru...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2010-05-01 00:00:00
abstract::Seizure patterns usually reflect known functions of the involved areas of the brain. The causes of epilepsy vary with the age at onset. For the purposes of determining drug therapy, seizures are divided into three groups. Focal and tonic-clonic seizures respond to one group of drugs, and absence seizures respond to an...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1984-08-01 00:00:00
abstract::Myasthenia gravis is a disorder that most commonly affects young adults but occasionally appears in the elderly. Muscle weakness and easy fatigability, particularly of the ocular muscles, are characteristic. Diagnosis is confirmed by electromyography and the edrophonium (Tensilon) test. The pathology results from inab...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1978-06-01 00:00:00
abstract::Rational use of psychoactive drugs in frail elderly patients requires an understanding of the physiologic changes produced by aging and chronic disease. Other drugs being used and the patient's nutritional status and lifestyle also must be considered. Affective disorders and thought disorders may be effectively treate...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1984-10-01 00:00:00
abstract::Ectopic pregnancy affects 1% to 2% of all pregnancies and is responsible for 9% of pregnancy-related deaths in the United States. When a pregnant patient presents with first-trimester bleeding or abdominal pain, physicians should consider ectopic pregnancy as a possible cause. The patient history, physical examination...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2014-07-01 00:00:00
abstract::Although laparoscopy has been available since the turn of the century, the technique did not become widely accepted for gastrointestinal surgery until it was used in cholecystectomy. Since then, various gastrointestinal operations have been performed using laparoscopic guidance. Laparoscopic operations must conform to...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1996-01-01 00:00:00
abstract::Tremor, an involuntary, rhythmic, oscillatory movement of a body part, is the most common movement disorder encountered in clinical practice. Rest tremors occur in a body part that is relaxed and completely supported against gravity. Action tremors occur with voluntary contraction of a muscle and can be further subdiv...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2011-03-15 00:00:00
abstract::Bowenoid papulosis usually appears as small papules on the penis or vulva. Histologically, these lesions display the atypia of Bowen's disease (squamous cell carcinoma in situ). Bowenoid papulosis is now considered to be a sexually transmitted disease, probably caused by human papillomavirus type 16. Malignant transfo...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1988-07-01 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
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journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1999-10-15 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1991-05-01 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:2006-03-01 00:00:00
abstract::The incidence of skin cancer is increasing by epidemic proportions. Basal cell cancer remains the most common skin neoplasm, and simple excision is generally curative. Squamous cell cancers may be preceded by actinic keratoses-premalignant lesions that are treated with cryotherapy, excision, curettage or topical 5-flu...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2000-07-15 00:00:00
abstract::Menstrual patterns can be an indicator of overall health and self-perception of well-being. Primary amenorrhea, defined as the lifelong absence of menses, requires evaluation if menarche has not occurred by 15 years of age or three years post-thelarche. Secondary amenorrhea is characterized by cessation of previously ...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2019-07-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2018-01-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1988-04-01 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:1985-02-01 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:1988-08-01 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:1994-01-01 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:2000-10-15 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1978-01-01 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:2000-03-15 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:1998-04-15 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:1998-12-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
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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,评审
doi:
更新日期:2012-12-01 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:1998-08-01 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
doi:
更新日期:1999-10-01 00:00:00