Abstract:
:Chronic bladder catheterization is the treatment of last resort for incontinence. Urinary infection is a normal state in these patients. It should be treated only when there are signs of systemic illness. Accumulations of encrusted debris cause urinary leakage. This problem can be lessened by using silicone catheters and acidifying the urine. Urethritis is common, but catheters made of certain materials can reduce its severity. Bladder spasm can be treated pharmacologically.
journal_name
Am Fam Physicianjournal_title
American family physicianauthors
Weiss BDsubject
Has Abstractpub_date
1984-09-01 00:00:00pages
161-6issue
3eissn
0002-838Xissn
1532-0650journal_volume
30pub_type
杂志文章abstract::Pharmacologic agents that attenuate the influence of the renin-angiotensin-aldosterone system are known to reduce systemic arterial blood pressure through vasodilatory action and enhanced renal clearance of sodium and water. Angiotensin-converting enzyme inhibitors are known to antagonize the renin-angiotensin-aldoste...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1996-02-01 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::Industrial carbon tetrachloride is used in the synthesis of chlorofluorocarbons and chlorinated solvents. Although both production and use of carbon tetrachloride are declining, industrial and hazardous waste sites remain as sources of exposure. Workers using carbon tetrachloride or products that contain it are at hig...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1992-10-01 00:00:00
abstract::Effective management of life-threatening emergencies in infants and children demands a high level of technical skill. The Pediatric Advanced Life Support (PALS) provider course, developed jointly by the American Academy of Pediatrics and the American Heart Association, is highly recommended to help physicians prepare ...
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::Acute renal failure occurs in 5 percent of hospitalized patients. Etiologically, this common condition can be categorized as prerenal, intrinsic or postrenal. Most patients have prerenal acute renal failure or acute tubular necrosis (a type of intrinsic acute renal failure that is usually caused by ischemia or toxins)...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2000-04-01 00:00:00
abstract::Atrial fibrillation is associated with potentially life-threatening strokes. Anticoagulation with warfarin or aspirin reduces the risk of embolic events in patients with chronic atrial fibrillation and mitral valve stenosis or other underlying heart disease. In patients with acute onset of atrial fibrillation, anticoa...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1992-06-01 00:00:00
abstract::Contrast sensitivity vision testing is the new technology in visual screening. Easy to administer and quick to perform, contrast sensitivity vision testing appears to be cost-effective for use by family physicians. It is a more sensitive indicator of ocular disease than traditional Snellen acuity testing and may detec...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1992-02-01 00:00:00
abstract::Hepatitis A is a common viral illness worldwide, although the incidence in the United States has diminished in recent years as a result of extended immunization practices. Hepatitis A virus is transmitted through fecal-oral contamination, and there are occasional outbreaks through food sources. Young children are usua...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2012-12-01 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::Patients with type 2 diabetes (formerly known as non-insulin-resistant diabetes) have a significantly increased risk of developing cardiovascular disease. Once clinical cardiovascular disease develops, these patients have a poorer prognosis than normoglycemic patients. By inducing endothelial changes, hyperglycemia co...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2000-12-15 00:00:00
abstract::Tic disorders and Tourette's syndrome are conditions that primary care physicians are likely to encounter. Up to 20 percent of children have at least a transient tic disorder at some point. Once believed to be rare, Tourette's syndrome is now known to be a more common disorder that represents the most complex and seve...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1999-04-15 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
abstract::Outpatient intravenous antibiotic therapy is a cost-effective modality to shorten hospital stays and provide continued care to patients with infections. The recent availability of tamper-proof pumps that can deliver multiple antibiotics on independently timed regimens will further expand the use of home intravenous an...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1989-10-01 00:00:00
abstract::Otitis externa, green nail syndrome, toe web infections, hot tub folliculitis, superinfections in chronic antibiotic-treated acne and infectious eczematoid dermatitis are examples of mild cutaneous infections due to Pseudomonas aeruginosa. These may occur in otherwise healthy persons. In persons with lowered resistanc...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1984-01-01 00:00:00
abstract::Childhood bullying has potentially serious implications for bullies and their targets. Bullying involves a pattern of repeated aggression, a deliberate intent to harm or disturb a victim despite the victim's apparent distress, and a real or perceived imbalance of power. Bullying can lead to serious academic, social, e...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2004-11-01 00:00:00
abstract::Zidovudine is now used extensively in an effort to control infection with the human immunodeficiency virus (HIV). The drug is associated with major hematologic toxicity, especially anemia and granulocytopenia. Conservative management of hematologic toxicity includes dosage reduction or cessation of therapy, diagnosis ...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1990-05-01 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::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::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::Virology has become an increasingly important field of medicine in the past decade. Many infectious diseases that were once of unknown etiology can now be linked to the specific viral pathogen. New methods for diagnosing and treating viral diseases are being developed. In addition, antiviral therapy or prophylaxis is ...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1994-07-01 00:00:00
abstract::Idiopathic facial (Bell's) palsy is an affliction commonly seen and managed by the family physician. Although the prognosis is generally good, steroids and cromolyn sodium have each been advocated to enhance full recovery. Surgical exploration of the nerve is indicated when the diagnosis is unclear. Various measures m...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1989-08-01 00:00:00
abstract::Nocturnal enuresis is a common problem that can be troubling for children and their families. Recent studies indicate that nocturnal enuresis is best regarded as a group of conditions with different etiologies. A genetic component is likely in many affected children. Research also indicates the possibility of two subt...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2003-04-01 00:00:00
abstract::Family physicians can treat most finger fractures and dislocations, but when necessary, prompt referral to an orthopedic or hand surgeon is important to maximize future function. Examination includes radiography (oblique, anteroposterior, and true lateral views) and physical examination to detect fractures. Dislocatio...
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::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::Group B streptococcus (GBS) is a leading cause of morbidity and mortality among newborns. Universal screening for GBS among women at 35 to 37 weeks of gestation is more effective than administration of intrapartum antibiotics based on risk factors. Lower vaginal and rectal cultures for GBS are collected at 35 to 37 we...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2005-03-01 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::Concussion is the most common head injury in sports. The injury ranges from a simple "ding" to prolonged loss of consciousness with amnesia. Proper grading of the severity of the injury is necessary to establish a protocol for deciding when to allow an athlete to return to his or her sport. This approach to concussion...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1994-09-15 00:00:00
abstract::Scanning is based on the uptake of a nuclide by the crystal lattice of bone and is related to bone blood flow. Cancer cells do not take up the tracer. Normally, the scan visualizes the highly vascular bones. Scans are useful and are indicated in metastatic bone disease, primary bone tumors, hematologic malignancies an...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1975-03-01 00:00:00
abstract::Knee pain is a common presenting complaint with many possible causes. An awareness of certain patterns can help the family physician identify the underlying cause more efficiently. Teenage girls and young women are more likely to have patellar tracking problems such as patellar subluxation and patellofemoral pain synd...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2003-09-01 00:00:00
abstract::Management of a wide variety of musculoskeletal conditions requires the use of a cast or splint. Splints are noncircumferential immobilizers that accommodate swelling. This quality makes splints ideal for the management of a variety of acute musculoskeletal conditions in which swelling is anticipated, such as acute fr...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2009-09-01 00:00:00