摘要:

“In a room where there's no room for error … only an MD will do. A Medical Doctor. A professional who has been extensively trained and rigorously tested …. When it comes to the health of you and your loved ones, insist on seeing an MD.”

ISSN:0361-1817    

出版商:OVID    

年代:1998

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Each year, 20,000 to 40,000 people in the United States die of influenza and associated complications. Influenza infections account for several billion dollars in health care expenditures each year. Two important measures to minimize the incidence of influenza infection are vaccination and chemoprophylaxls with antiviral agents. Vaccinations must be given annually for two reasons: the antigenic changes that influenza strains, particularly influenza A, undergo and the diminished antibody response that occurs over time. Specific efforts should be targeted to high-risk groups. The adverse effects of the vaccine are generally mild, with a sore arm being the most common complaint. Chemoprophylaxis is the recommended substitute for vaccination in peopie with egg allergy. The vaccine is effective 70% to 90% of the time in preventing illness in healthy individuals. Unfortunately, less than 30% of the targeted population receives the vaccination each year. More research must be conducted on ways to improve the organization and administration of influenza vaccinations.

ISSN:0361-1817    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Premenstrual syndrome (PMS) is a recurrent disorder that occurs in the Iuteal phase of the menstrual cycle. It is characterized by intense physical, psychologic, and behavioral changes that interrupt interpersonal relationships and disrupt the lives of affected women. Up to 40% of women of childbearing age have some form of PMS, and up to 10% have severe signs and symptoms. There are at least four types of PMS, each with its own constellation of signs and symptoms. Related illnesses or illnesses that need to be ruled out include diabetes meliltus, thyroid dysfunction, hypoglycemia, and primary and secondary dysmenorrhea. Difficulty in identifying the exact etiology of the disorder is documented. Diagnostic issues include confusion over exact signs and symptoms, differential diagnoses, pertinent laboratory data, careful history taking, and the importance of women recording a menstrual cycle history on a calendar. Recommended first-line treatments include a diet low in salt, fat, caffeine, and sugar; an aerobic exercise regimen; and stress reduction via changes in lifestyle.

ISSN:0361-1817    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

The number of cases of child abuse and neglect has risen steadily since reporting began in the 1960s. Today, child abuse and neglect is a major cause of injury and death in those ages 0 to 5. Studies have identified certain factors that increase the risk of maltreatment. The primary care practitioner is in an ideal position to assess for the presence of risk factors and to provide primary prevention interventions. This article defineschild abuse and neglectand reviews its epidemiology; the risk factors of child abuse and neglect are also summarized. The concept of attachment as a theoretical framework is discussed; its significance in the attainment of a positive adjustment to the maternal role should drive the clinician's throught process. Suggested interventions are aimed at strengthening the parent-child relationship, reducing stress, and providing support. A protocol is presented that may be a useful guide for the practitioner.

ISSN:0361-1817    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Pathologic gambling is recognized and clearly defined by the American Psychiatric Association. However, many Americans suffer from an addiction to gambling that is undiagnosed and, therefore, untreated. Pathologic gambling, like any other addiction, can be devastating. Because of the personality characteristic of the pathologic gambler, detecting and diagnosing the problem is difficult. In many cases, the symptoms of gambling addiction, although distinct, are not recognized until a devastating event occurs. The older adult in particular is at great risk for addiction to gambling. Health care providers must be aware of the warning signs and symptoms of addiction to gambling and be ready to provide information that will assist their clients in addressing it. Unfortunately, few programs exist in this country to treat the many people suffering from this addiction. With the current movement to legalize gambling and the increasing popularity of lotteries in many states, the problem of pathologic gambling is sure to escalate.

ISSN:0361-1817    

出版商:OVID    

年代:1998

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1998

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1998

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1998

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1998

数据来源: OVID