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 drugs (zidovudine and lamivudine) with or without a protease inhibitor. The use of interferon alfa-2b has not been extensive but may be of benefit in cases of massive exposure. Both the HIV-source patient and the person exposed to HIV should be tested for hepatitis B and C and syphilis, as well as HIV antibody.
journal_name
Am Fam Physicianjournal_title
American family physicianauthors
Perlmutter BL,Harris BRsubject
Has Abstractpub_date
1997-02-01 00:00:00pages
507-12, 515-7issue
2eissn
0002-838Xissn
1532-0650journal_volume
55pub_type
杂志文章,评审abstract::In patients with type 2 diabetes mellitus, insulin may be used to augment therapy with oral glycemic medications or as insulin replacement therapy. The American Diabetes Association suggests the use of long-acting (basal) insulin to augment therapy with one or two oral agents or one oral agent plus a glucagon-like pep...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2018-01-01 00:00:00
abstract::Wide complex tachycardias are cardiac rhythm disorders with three or more consecutive beats, rates exceeding 100 beats per minute and a QRS duration of 120 msec (0.12 second) or greater. The width of the QRS complex should be verified in a number of leads, since the QRS complex often appears mistakenly narrower (i.e.,...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1996-10-01 00:00:00
abstract::Defined as three hours of crying per day occurring more than three days in any one week, colic affects 10 to 20 percent of infants during the first three to four months of life. Food allergy, parental attitude, flatulence, maternal medication and parental smoking have been implicated. Dietary modification, pharmacothe...
journal_title:American family physician
pub_type: 杂志文章
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更新日期:1987-09-01 00:00:00
abstract::In many cases, the family physician will set the tone for rehabilitation of the stroke patient. It is imperative that the physician understand the recovery process, as well as the nature, benefits and limitations of rehabilitation. Since there are no precise predictors of individual outcome, no patient should be exclu...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1982-11-01 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::Garlic has long been used medicinally, most recently for its cardiovascular, antineoplastic, and antimicrobial properties. Sulfur compounds, including allicin, appear to be the active components in the root bulb of the garlic plant. Studies show significant but modest lipid-lowering effects and antiplatelet activity. ...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2005-07-01 00:00:00
abstract::Treatment of eating disorders is difficult regardless of the methods employed. Pharmacologic management in anorexia nervosa and in bulimia nervosa is especially helpful when it is part of a multimodal treatment approach that includes individual, family and behavioral therapy. Care must be taken to guard against side e...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1988-05-01 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
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journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1977-01-01 00:00:00
abstract::Hemolytic anemias usually present with persistent reticulocytosis, a characteristic that differentiates them from other types of anemia. Once the presence of a hemolytic process has been documented, simple observation of red blood cell morphology will yield important etiologic information. Hemolysis may result from in...
journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1979-07-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2020-05-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1986-10-01 00:00:00
abstract::Patients who have been or may have been bitten by a snake should receive prompt and careful clinical and laboratory evaluation. Fang marks, pain and swelling are characteristic of pit viper envenomation. Although no therapy is universally accepted, a number of treatment plans appear to be effective. If envenomation ha...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1991-07-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:2011-06-01 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::Although VDRL and RPR tests are excellent screens for syphilis, false-positive reactions do occur. A positive VDRL or RPR test must be confirmed with an FTA-ABS test. Patients with positive serologic tests should have a thorough physical examination to determine the stage of syphilis. A patient with a low-titer VDRL o...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1988-01-01 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
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journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2002-06-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1975-03-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1996-11-01 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:2004-04-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1977-09-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1981-11-01 00:00:00
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journal_title:American family physician
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doi:
更新日期:1978-10-01 00:00:00
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journal_title:American family physician
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更新日期:1999-12-01 00:00:00
abstract::Vertigo is the illusion of motion, usually rotational motion. As patients age, vertigo becomes an increasingly common presenting complaint. The most common causes of this condition are benign paroxysmal positional vertigo, acute vestibular neuronitis or labyrinthitis, Ménière's disease, migraine, and anxiety disorders...
journal_title:American family physician
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doi:
更新日期:2005-03-15 00:00:00
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journal_title:American family physician
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doi:
更新日期:2001-09-15 00:00:00
abstract::Alzheimer's disease accounts for about 60 percent of dementia cases. Misdiagnosis of the treatable dementias can have devastating results. Pseudodementia accompanying major depression and chronic cognitive dysfunction due to psychoactive drugs are among the most commonly missed diagnoses. Although cortical atrophy is ...
journal_title:American family physician
pub_type: 杂志文章
doi:
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journal_title:American family physician
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doi:
更新日期:1981-03-01 00:00:00