解剖学和形态学
麻醉学
听力与言语-语言病理学
行为科学
心脏和心血管系统
细胞和组织工程学
临床神经病学
危重症监护医学
牙科,口腔外科和医学
皮肤病学
急诊医学
内分泌学和新陈代谢
肠胃学和肝脏学
老人病学和老年医学
卫生保健科学和服务
血液学
免疫学
传染病
综合和补充性医学
医学伦理学
医学信息学
医学实验室技术
医学,全科和内科
医学,法律
医学,研究和试验
神经系统科学
护理
营养学和饮食学
产科医学和妇科医学
肿瘤学
眼科学
整形外科学
耳鼻喉科学
病理学
儿科学
周围血管疾病
药理学和药剂学
生理学
基本医疗保健
精神病学
公共、环境和职业卫生
放射学,核医学和医学成像
康复学
生殖生物学
呼吸系统
风湿病学
运动科学
外科学
毒理学
热带医学
泌尿学和肾脏学
病毒学
老年医学
健康政策和服务
心理学,临床
abstract::Developing an integrated model of health care for refugees, asylees, immigrants, and special immigrant visa holders requires a multifaceted approach due to their unique and complex health care needs. This article provides an in-depth understanding of the components necessary to develop a model of care addressing the n...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2020.10.003
更新日期:2021-03-01 00:00:00
abstract::Chronic kidney disease is encountered by the primary care physician, in no small part owing to the high rates of hypertension and diabetes, the 2 most common etiologies of chronic kidney disease in the United States. As a primary care physician, it is important to understand the epidemiology, pathophysiology, and eval...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2020.08.001
更新日期:2020-12-01 00:00:00
abstract::A significant minority of patients and parents are vaccine hesitant, defined as having the desire to delay or defer immunizations despite easy access to vaccines. Vaccine hesitancy exists along a spectrum, from patients who are concerned but willing to accept the recommended vaccine schedule to those who wish to use a...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2020.05.010
更新日期:2020-09-01 00:00:00
abstract::With multiple vaccines for adolescents recommended, it is imperative providers remain up to date with the current recommendations. With misinformation of vaccine safety and effectiveness in the mainstream media and social media, adolescents are a vulnerable population that needs to be reviewed and educated. Adolescent...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2020.02.002
更新日期:2020-06-01 00:00:00
abstract::Development of SOGIE (sexual orientation and gender identity and expression) is not unique to minority populations, as all adolescents grapple with their sexuality and identity. Health care providers straddle the unique positions of authority figure and advocate and can help these young people establish behaviors that...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2020.02.012
更新日期:2020-06-01 00:00:00
abstract::Foot and ankle injuries account for a significant volume of primary care office visits each year. Given the incidence of injury and concern for long-term sequelae, it is imperative that primary care physicians familiarize themselves with commonly encountered foot and ankle injuries. Coupling a sound understanding of k...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2019.10.007
更新日期:2020-03-01 00:00:00
abstract::As the health system shifts toward population health approach, there is increasing attention to decreasing costs and improving quality. Measuring and improving patient engagement will become a requisite core competency for health systems and care providers. Approximately 70% of deaths and 40% of costs are attributable...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2019.07.007
更新日期:2019-12-01 00:00:00
abstract::Management of chronic diseases is often palliative by definition. Empowering primary care providers to manage symptoms and effectively prognosticate is necessary for this challenging population. In this article, the authors focus specifically on end-stage congestive heart failure, chronic obstructive pulmonary disease...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2019.05.008
更新日期:2019-09-01 00:00:00
abstract::Urinary tract infections, including cystitis and pyelonephritis, are the most common bacterial infection primary care clinicians encounter in office practice. Dysuria and frequency in the absence of vaginal discharge and vaginal irritation are highly predictive of cystitis. Urine culture is recommended for the diagnos...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2019.01.001
更新日期:2019-06-01 00:00:00
abstract::Vaccination is one of the most effective preventative health measures in modern times. It has positively affected the incidence and prevalence of a myriad of diseases, as well as improved both their morbidity and mortality. It is essential that health care providers understand the value of this intervention, promote c...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2018.10.007
更新日期:2019-03-01 00:00:00
abstract::Providing culturally competent and medically knowledgeable care to the transgender community is increasingly falling within the realms of practice for primary care providers. The purpose of this article is to provide an overview of best practices as they relate to transgender care. This article is by no means a compre...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2018.07.007
更新日期:2018-12-01 00:00:00
abstract::Mosquito-borne diseases have become more common as previously geographically isolated diseases have spread globally. Chikungunya, dengue, Japanese encephalitis, malaria, West Nile, yellow fever, and Zika are a few of the common and emerging viral diseases spread by mosquitoes. A thorough patient history, physical, and...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2018.05.001
更新日期:2018-09-01 00:00:00
abstract::Most travel medical care is provided by patients' primary care physicians; only 10% of international travelers visit a travel clinic. The main purposes for travel include vacationing, visiting friends and family, business, and for educational purposes. The purposes of the pretravel consultation are to estimate risk an...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2018.05.012
更新日期:2018-09-01 00:00:00
abstract::New and existing rheumatic disease is frequently encountered in the primary care setting. The number of medications used to treat various rheumatic conditions continues to increase. Some medications have very specific indications, whereas others have increasing off-label uses. Regardless of the indication, the medicat...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2018.02.003
更新日期:2018-06-01 00:00:00
abstract::The pediatric cardiology field has developed rapidly over the past few decades. More children than ever born with congenital heart disease (CHD) are growing into adulthood. Primary care providers play a key role in diagnosis, management, and referral of children with CHD because many common cardiac complaints (eg, fee...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2017.10.005
更新日期:2018-03-01 00:00:00
abstract::Gastroesophageal reflux disease (GERD) is a gastrointestinal motility disorder that results from the reflux of stomach contents into the esophagus or oral cavity resulting in symptoms or complications. The typical symptoms of GERD are heartburn and regurgitation of gastric contents into the oropharynx. GERD affects qu...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2017.07.001
更新日期:2017-12-01 00:00:00
abstract::Anorectal disorders are very common among a wide population of patients. Because patients may be embarrassed about the anatomic location of their symptoms, they may present to care late in the course of their illness. Care should be taken to validate patient concerns and normalize fears. This article discusses the dia...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2017.07.012
更新日期:2017-12-01 00:00:00
abstract::Sexuality is an important part of a person's life continuing into older age. Physiologic changes that occur with aging can affect sexual function and may be exacerbated by comorbid disease. To diagnose sexual dysfunction, providers must obtain a thorough history and physical examination, including psychosocial factors...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2017.04.004
更新日期:2017-09-01 00:00:00
abstract::An integrative approach to individuals with mood, emotional or mental health concerns involves a comprehensive model of care that is person-centered. Integrative medicine builds on a patient's personal meaning and goals (spiritual aspects) and includes herbal therapies, nutritional support, movement and physical manip...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2017.02.003
更新日期:2017-06-01 00:00:00
abstract::Rural populations have different demographics and health issues compared to their metropolitan counterparts, including higher mortalities from ischemic heart disease, chronic obstructive pulmonary disease, unintentional injuries, motor vehicle accidents, and suicide. Rural primary care physicians (PCPs) have a unique ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2016.09.003
更新日期:2017-03-01 00:00:00
abstract::Homeless persons die significantly younger than their housed counterparts. In many cases, relatively straightforward primary care issues escalate into life-threatening, expensive emergencies. Poor health outcomes driven by negative interactions between comorbid symptoms meet the definition of a health syndemic in this...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2016.09.009
更新日期:2017-03-01 00:00:00
abstract::Eosinophilia is defined as elevation of eosinophils in the bloodstream (450-550 cell/μL). There are many reasons for eosinophilia to exist, including parasitic disease, allergic disease, autoimmune, connective tissue disease, rheumatologic disease, primary eosinophilia such as hypereosinophilic syndrome, and as part o...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2016.07.010
更新日期:2016-12-01 00:00:00
abstract::An adverse drug reaction relates to an undesired response to administration of a drug. Type A reactions are common and are predictable to administration, dose response, or interaction with other medications. Type B reactions are uncommon with occurrences that are not predictable. Appropriate diagnosis, classification,...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2016.04.005
更新日期:2016-09-01 00:00:00
abstract::This article explains the proposed pathophysiology, evidence of efficacy, and adverse effects of several complementary and alternative medicine modalities, for the treatment of allergic conditions, such as traditional Chinese medicine formula, herbal treatments, acupuncture, and homeopathy. ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2016.04.012
更新日期:2016-09-01 00:00:00
abstract::The primary care medical home continues to adapt by applying new research to population health approaches to care. With the discovery that life experiences trigger a chain of biologic events linked to chronic illnesses, the role of patient-centered multidisciplinary care teams becomes of paramount importance. Subseque...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2016.01.003
更新日期:2016-06-01 00:00:00
abstract::It is estimated that 8% to 12% of American youths have experienced at least one sexual assault in their lifetime, making childhood sexual abuse (CSA) an important public health problem that is likely to be encountered by primary care providers. Use of screening tools and understanding the principles behind targeted cl...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2016.01.005
更新日期:2016-06-01 00:00:00
abstract::Medications for obesity management can be divided into 4 groups: antidepressants (naltrexone/bupropion), stimulants (phentermine, phendimetrazine, diethylpropion, phentermine/topiramate), fat blockers (orlistat), and diabetes medications (liraglutide). Each group has specific therapeutic effects, adverse effects, and ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2015.08.011
更新日期:2016-03-01 00:00:00
abstract::Skin and soft tissue infections account for 0.5% of outpatient visits to primary care. Skin and soft tissue infections can usually be managed in an outpatient setting. However, there are certain circumstances as discussed in this article that require more urgent care or inpatient management. Primary care providers sho...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2015.08.001
更新日期:2015-12-01 00:00:00
abstract::Multidisciplinary management in the diagnosis and management of patients with ocular inflammatory disease is often critical. The workup of uveitis or scleritis may reveal an underlying systemic disease. Recognition of inflammation by the primary care physician can facilitate prompt referral to a uveitis specialist and...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2015.05.003
更新日期:2015-09-01 00:00:00
abstract::Guillain-Barré syndrome and its clinical variants are a group of rapidly progressing, potentially debilitating neurologic disorders that may have significant morbidity/mortality if left unrecognized or untreated. The most common symptoms include ascending limb weakness and paralysis, which may progress to respiratory ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2015.01.001
更新日期:2015-06-01 00:00:00
abstract::Asthma is a complex disease, involving many different allergic, inflammatory, and environmental components. It is a disease for which patient and family education and a team-based approach are paramount for successful management. Guidelines have been put forth by the National Heart, Lung and Blood Institute, which pro...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2014.09.013
更新日期:2015-03-01 00:00:00
abstract::The kidney has anatomic and physiologic features that prevent protein from reaching the urine. In disease processes, this natural mechanism is disrupted, causing protein to leak into the urine. Proteinuria can be used as a marker for disease and disease progression. The general anatomy of the glomerulus along with pre...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2014.08.010
更新日期:2014-12-01 00:00:00
abstract::Kidney transplant recipients (KTRs) commonly present with complex medical issues that are best managed jointly by both their primary care physician and the kidney transplant center. Hypertension, diabetes, dyslipidemias, and obesity are frequently present in the KTR population and the successful management of these co...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2014.08.009
更新日期:2014-12-01 00:00:00
abstract::Adolescence is marked by complex physical, cognitive, social, and emotional development, which can be stressful for families and adolescents. Before the onset of puberty, providers should clearly lay the groundwork for clinical care and office visits during the adolescent years. This article addresses the guidelines a...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2014.05.001
更新日期:2014-09-01 00:00:00
abstract::Adolescents are often at higher risk for acquiring sexually transmitted infections (STIs). Medical providers should be alert for both asymptomatic and symptomatic STIs, and follow appropriate screening guidelines. Moreover, providers need to know how to best administer adolescent-friendly confidential care, treatment,...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2014.05.011
更新日期:2014-09-01 00:00:00
abstract::This review provides an update on lung cancer screening with low-dose computed tomography (LDCT) and its implications for primary care providers. One of the unique features of lung cancer screening is the potential complexity in patient management if an LDCT scan reveals a small pulmonary nodule. Additional tests, con...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2014.02.007
更新日期:2014-06-01 00:00:00
abstract::Although sinusitis is common, controversy exists regarding terminology, diagnostic criteria, indications for imaging, and treatment guidelines. Patients who are diagnosed with bacterial sinusitis should be started on amoxicillin-clavulanate unless an allergy to penicillin is reported, in which case doxycycline or a re...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2013.10.006
更新日期:2014-03-01 00:00:00
abstract::Osteoarthritis presents in primary and secondary forms. The primary, or idiopathic, form occurs in previously intact joints without any inciting agent, whereas the secondary form is caused by underlying predisposing factors (eg, trauma). The diagnosis of osteoarthritis is primarily based on thorough history and physic...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2013.08.003
更新日期:2013-12-01 00:00:00
abstract::This article is based on educating readers and physicians about the use of footwear and orthotics for themselves and their patients, to treat diseases and enhance functionality in sports and daily life. ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2013.08.013
更新日期:2013-12-01 00:00:00
abstract::Patients with illnesses caused by ticks may present with flulike symptoms. Physicians should learn how to recognize these illnesses by specific aspects in the patients' histories and physical examinations. Prevention of mortality and morbidity may depend on correct early diagnosis and treatment. Illness prevention may...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2013.05.003
更新日期:2013-09-01 00:00:00