Abstract:
:Healing by primary intention is a threefold process, consisting of an initial phase in which red and white blood cells bind the wound; epithelialization and fibroplasia, and a maturation phase involving collagen synthesis. The appearance of the wound reflects its maturation. Skillful wound management is based on biologic principles. Time factors in wound closure, the effects of anesthetic techniques, debridement, the selection of sutures and the methods of suturing have profound effects on the outcome.
journal_name
Am Fam Physicianjournal_title
American family physicianauthors
Rappaport NHsubject
Has Abstractpub_date
1984-10-01 00:00:00pages
115-23issue
4eissn
0002-838Xissn
1532-0650journal_volume
30pub_type
杂志文章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::Tay-Sachs disease is a fatal genetic disease affecting Jewish infants of eastern European ancestry. While the disease may go unrecognized until nearly one year of age, death occurs by age three or four. Community screening programs have been organized to detect carriers of this autosomal recessive trait. Prenatal diag...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1976-04-01 00:00:00
abstract::Preterm birth is a major cause of infant morbidity and mortality. Although studies have been complicated by problems of definition and methodology, certain strategies have the potential to reduce both the incidence and the impact of preterm birth. These strategies include accurate assessment of gestational age, educat...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1992-08-01 00:00:00
abstract::The U.S. Preventive Services Task Force (USPSTF) has issued recommendations on behavioral counseling to prevent sexually transmitted infections (STIs) and recommendations about screening for individual STIs. Clinicians should obtain a sexual history to assess for behaviors that increase a patient's risk. Community and...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2016-12-01 00:00:00
abstract::Early prophylaxis after exposure to human immunodeficiency virus (HIV) can reduce the risk of HIV infection 10-fold and should be recommended or offered after all parenteral exposures. The current recommendations from the Centers for Disease Control and Prevention call for the use of two nucleoside antiretroviral drug...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1997-02-01 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::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::Patients with restless legs syndrome often have difficulty describing their symptoms. Three features characterize the classic syndrome: an unusual, almost indescribable sensation in the lower extremities; an irresistible urge to move the legs, and the exclusive occurrence of the symptoms at rest, with their relief by ...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1986-01-01 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
abstract::Minor neurologic signs or transient ischemic attacks (TIAs) precede stroke in 50 percent of patients. In men, antiplatelet therapy decreases the risk of recurrent TIA and stroke. Carotid endarterectomy for TIA is now one of the most commonly performed vascular operations. Preoperatively, the arterial anatomy of the pa...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1987-05-01 00:00:00
abstract::Disposable soft contact lenses are an alternative to conventional extended-wear lenses and provide an acceptable margin of safety and convenience for the wearer. The lenses are worn for one to two weeks and then discarded. Buildup of tear film deposits is minimized, and the need for cleaning and disinfecting solutions...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1991-05-01 00:00:00
abstract::Post-traumatic stress disorder evolved from the concepts of shell shock and traumatic war neurosis. In Vietnam veterans, the disorder is associated with unemployment, marital discord, alcoholism and increased autonomic system response to perceived symbols of war trauma. A combination of psychotherapy and pharmacothera...
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::Melanoma is an increasingly common malignancy, and it affects a younger population than most cancers. Risk factors for melanoma include white race, sun sensitivity, family history of melanoma, and melanocytic nevi. Sunburn and intermittent sun exposure appear to increase the risk of developing melanoma. The role of po...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2005-07-15 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::Primary carcinoma of the fallopian tube is a rare disease and has traditionally been managed in the same manner as epithelial ovarian cancer. However, unlike ovarian cancer, fallopian tube cancer is not routinely suspected and treatment may be delayed. The clinical presentations of seven cases of fallopian tube cancer...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1988-11-01 00:00:00
abstract::Systemic lupus erythematosus, chronic cutaneous lupus erythematosus and subacute and acute cutaneous lupus erythematosus are associated with distinct cutaneous manifestations, and each disease has a particular clinical course and prognosis. Dermatomyositis, an immune-mediated disorder of unknown etiology that is often...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1996-04-01 00:00:00
abstract::Vacuum extractors have replaced forceps for many situations in which assistance is required to achieve vaginal delivery. Compared with metal-cup vacuum extractors, soft-cup devices are easier to use and cause fewer neonatal scalp injuries; however, they detach more frequently. Vacuum extractors can cause neonatal inju...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2000-09-15 00:00:00
abstract::Portal hypertension is a frequent consequence of liver disease, especially alcoholic cirrhosis. Unabated elevations in portal pressure may presage an esophageal variceal hemorrhage. Propranolol or isosorbide therapy is effective in the prophylaxis of variceal bleeding. In patients with acute variceal hemorrhage, endos...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1997-04-01 00:00:00
abstract::A throat culture is necessary for accurate diagnosis of group A beta-hemolytic streptococcal tonsillopharyngitis. The use of penicillin therapy in every patient with sore throat results in overtreatment of 85 percent of children and 95 percent of adults presenting to family physicians with the complaint of sore throat...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1992-01-01 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
abstract::Use of a diaphragm plus spermicide provides effective protection against pregnancy in motivated women and decreases the risk for some sexually transmitted diseases. Potential risks of this contraceptive method include the development of urinary tract infections and the possible teratogenic effects of nonoxynol-9, the ...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1989-05-01 00:00:00
abstract::Some skin conditions, such as blistering diseases, guttate and pustular psoriasis, exfoliative erythroderma, reactive erythemas and acute contact dermatitis have an acute onset and require prompt intervention. Acute vesicular or weeping dermatoses are best treated with cool, wet compresses and topical lotions, whereas...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1986-11-01 00:00:00
abstract::The birth of twins can be an exciting and challenging experience for a family. However, circumstances unique to the relationship between the twin and the family and the relationship between the twins themselves may exacerbate existing problems or create new ones. Parents are often overwhelmed by the amount of time and...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1994-03-01 00:00:00
abstract::Peritonsillar abscess remains the most common deep infection of the head and neck. The condition occurs primarily in young adults, most often during November to December and April to May, coinciding with the highest incidence of streptococcal pharyngitis and exudative tonsillitis. A peritonsillar abscess is a polymicr...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2008-01-15 00:00:00
abstract::External hemorrhoids represent distended vascular tissue in the anal canal distal to the dentate line. Persons with thrombosed external hemorrhoids usually present with pain on standing, sitting or defecating. Acutely tender, thrombosed external hemorrhoids can be surgically removed if encountered within the first 72 ...
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::Family physicians should be familiar with the various drugs available for treating and preventing viral infections. Part II of this two-part article focuses on agents used to manage influenza and respiratory syncytial virus. Rimantadine and amantadine traditionally have been used to prevent and treat influenza type A ...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2003-02-15 00:00:00
abstract::Laparoscopic cholecystectomy is a commonly performed procedure for the removal of symptomatic gallstones. Compared with open cholecystectomy, laparoscopic cholecystectomy is associated with less postoperative pain, earlier discharge from the hospital and a more rapid recovery. However, there are specific contraindicat...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1994-12-01 00:00:00
abstract::A systematic approach to the interpretation of ambulatory electrocardiographic recordings facilitates analysis and improves accuracy. The method suggested includes a mnemonic and a standardized interpretation form. The mnemonic facilitates recall of key technical and patient-specific parameters involved in the prepara...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1992-04-01 00:00:00
abstract::Primary closure of intraoral wounds can be done up to 24 hours after the injury. A mucosal seal decreases the possibility of infection and allows the wound to heal more rapidly and less painfully than a wound left open to heal by secondary intention. Defects of the lips must be closed with exact alignment of the vermi...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1978-11-01 00:00:00
abstract::Asthmatics may develop a considerable increase in airways obstruction during the night or early hours of the morning. In most patients, this causes only mild symptoms. In others, the effects may be severe, resulting in sudden death. Greater awareness of the potential severity of nocturnal asthma, together with actual ...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1976-12-01 00:00:00