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, regardless of the age of onset, so that early, appropriate and often lifesaving antibiotic therapy may be instituted.
journal_name
Am Fam Physicianjournal_title
American family physicianauthors
Barton LL,Lustig RH,Fong CT,Walentik CAsubject
Has Abstractpub_date
1986-03-01 00:00:00pages
147-51issue
3eissn
0002-838Xissn
1532-0650journal_volume
33pub_type
杂志文章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::The peak expiratory flow rate (PEFR) may be measured in the office or at home with an inexpensive, hand-held meter. Measurement of the PEFR provides a rapid, objective means of diagnosing and monitoring asthma. Use of the peak flow meter permits early detection of deteriorating function, allowing timely institution of...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1986-12-01 00:00:00
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 w...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2017-07-01 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::An educational dialog founded on open communication between clinician and patient is necessary for a successful partnership in asthma care. Educating patients in self-management of asthma has become a major challenge in primary care practice. The process should begin at the time of diagnosis and should be integrated i...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1997-07-01 00:00:00
abstract::Ectopic pregnancy occurs at a rate of 19.7 cases per 1,000 pregnancies in North America and is a leading cause of maternal mortality in the first trimester. Greater awareness of risk factors and improved technology (biochemical markers and ultrasonography) allow ectopic pregnancy to be identified before the developmen...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2000-02-15 00:00:00
abstract::Myocardial perfusion imaging with stress testing by exercise or pharmacologic methods and functional evaluation of the left ventricle are useful in many patients. Uses include determination of diagnosis and prognosis of patients with coronary artery disease, preoperative evaluation, management and risk stratification ...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1997-01-01 00:00:00
abstract::Pregnant women commonly use over-the-counter medications. Although most over-the-counter drugs have an excellent safety profile, some have unproven safety or are known to adversely affect the fetus. The safety profile of some medications may change according to the gestational age of the fetus. Because an estimated 10...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2003-06-15 00:00:00
abstract::Urinary tract infections in children are sometimes associated with vesicoureteral reflux, which can lead to renal scarring if it remains unrecognized. Since the risk of renal scarring is greatest in infants, any child who presents with a urinary tract infection prior to toilet training should be evaluated for the pres...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1999-03-15 00:00:00
abstract::Kawasaki disease is an acute vasculitis of childhood that predominantly affects the coronary arteries. The etiology of Kawasaki disease remains unknown, although an infectious agent is strongly suspected based on clinical and epidemiologic features. A genetic predisposition is also likely, based on varying incidences ...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2006-10-01 00:00:00
abstract::Hematuria, symptomatic and incidental, that involves more than three red blood cells per high-power field on two of three properly collected urinalysis specimens warrants some type of imaging to evaluate the upper tracts. Traditionally, excretory urography or the intravenous pyelogram has been the mainstay of the hema...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2008-08-01 00:00:00
abstract::Dorsal penile nerve block with lidocaine is safe and effective for reducing the pain associated with newborn circumcision. Administering the anesthesia adds little time or expense to the overall routine. Complications are minor, limited to local bleeding and hematoma formation. Family physicians performing circumcisio...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1991-04-01 00:00:00
abstract::Aspirin should not be used to treat acute febrile viral illness in children. (Strength of Recommendation [SOR]: C, based on case-control studies). Although no causal link has been proven, data from case-control and historic cohort studies demonstrate an association between aspirin use and Reye syndrome. The risk of Re...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2009-12-15 00:00:00
abstract::Knee osteoarthritis is a common disabling condition that affects more than one-third of persons older than 65 years. Exercise, weight loss, physical therapy, intra-articular corticosteroid injections, and the use of nonsteroidal anti-inflammatory drugs and braces or heel wedges decrease pain and improve function. Acet...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2011-06-01 00:00:00
abstract::The prognosis remains poor for patients with congestive heart failure (CHF), despite reduced mortality rates resulting from the addition of angiotensin converting enzyme inhibitors to traditional treatment regimens. Because much of the myocardial damage that occurs in patients with CHF may be related to sympathetic ac...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1998-11-01 00:00:00
abstract::Ginger (Zingiber officinale) is one of the more commonly used herbal supplements. Although often consumed for culinary purposes, it is taken by many patients to treat a variety of conditions. Ginger has been shown to be effective for pregnancy-induced and postoperative nausea and vomiting. There is less evidence to su...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2007-06-01 00:00:00
abstract::A 56-year-old man, who had previously been treated for arthritis of the hands, was admitted to the hospital because of abdominal pain and fever. Physical examination, laboratory tests and liver biopsy led to the diagnosis of hemochromatosis. The patient's brother, who had also been treated for arthritis, was then foun...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1987-06-01 00:00:00
abstract::Herpes zoster ophthalmicus occurs when the varicella-zoster virus is reactivated in the ophthalmic division of the trigeminal nerve. Herpes zoster ophthalmicus represents up to one fourth of all cases of herpes zoster. Most patients with herpes zoster ophthalmicus present with a periorbital vesicular rash distributed ...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2002-11-01 00:00:00
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::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::Acute abdominal pain in children presents a diagnostic dilemma. Although many cases of acute abdominal pain are benign, some require rapid diagnosis and treatment to minimize morbidity. Numerous disorders can cause abdominal pain. The most common medical cause is gastroenteritis, and the most common surgical cause is ...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2003-06-01 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::Family physicians should be aware of the potential effects and complications of vasectomy so they can appropriately counsel patients seeking sterilization. Vasectomy produces anatomic, hormonal and immunologic changes and, although not substantiated by clinical studies, has been reputed to be associated with atheroscl...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1993-11-15 00:00:00
abstract::Health literacy includes a set of skills needed to make appropriate health decisions and successfully navigate the health care system. These skills include reading, writing, numeracy, communication, and, increasingly, the use of electronic technology. National data indicate that more than one-third of U.S. adults have...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2015-07-15 00:00:00
abstract::For many years, there were no guidelines for evaluating patients with chronic neck pain. However, in the past 15 years, considerable research has led to recommendations regarding whiplash-associated disorders. This article summarizes the American College of Radiology Appropriateness Criteria for chronic neck pain. Ima...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2010-10-15 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
abstract::The safety of vaginal birth after cesarean (VBAC) delivery has been documented. Fetal and neonatal morbidity is not increased, and the mortality rate is less than one in 2,000 deliveries. Maternal morbidity and mortality rates for VBAC delivery are significantly lower than those for repeat cesarean section. Family phy...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1988-06-01 00:00:00
abstract::Delirium is characterized by a sudden deterioration in cognitive function and an inability to sustain attention. It is a medical emergency that occurs in more than 20 percent of hospitalized elderly patients. Misdiagnosis is common and contributes to high morbidity and mortality. Patients may present in hypoactive, hy...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1994-11-01 00:00:00
abstract::The interrupted vertical and horizontal mattress suture techniques are two of the most commonly used skin closure methods. These mattress sutures promote wound edge eversion and less prominent scarring. Vertical and horizontal mattress sutures allow for skin edges to be closed under tension when wound edges have to be...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2002-12-15 00:00:00
abstract::Neck pain is a common presenting symptom in the primary care setting and causes significant disability. The broad differential diagnosis requires an efficient but global assessment; therefore, emphasis is typically placed on red flags that can assist in the early recognition and treatment of more concerning diagnoses,...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2020-08-01 00:00:00