ISSN:0361-1817    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

The 1997 recommendations for diagnosing, evaluating, and treating mild to moderate hypertension, made in the Sixth Report of the Joint National Committee on Prevention, Detection and Treatment of High Blood Pressure, are reviewed in this article. Because drug therapy may actually increase the risk of morbidity and mortality for hypertensive patients at low risk for adverse cardiovascular outcomes, not all patients with borderline hypertension should be treated with pharmacotherapy. Treatment decisions should be based not only on blood pressure level but also on the presence of additional risk factors, the existence of clinical cardiovascular disease, and evidence of target ogan damage. The reviewed national guidelines recommend a risk stratification approach to determining the appropriate therapy level for patients with hypertension. The newest hypertension classifications and recommendations for risk assessment, patient classification, the appropriate initial level of therapy, and follow-up are presented.

ISSN:0361-1817    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Coronary artery disease (CAD) remains the number one cause of death and disability in men and women in the United States and all Industrialized societies. The prevalence of CAD is increasing as the population ages. The predominant presenting symptom is angina, classified as chronic stable, microvascular, Prinzmetal's, or unstable. Chronic stable angina is the frm most often encountered in the primary care setting. With appropriate managment, long-term prognosis is good. Because anginal thresholds vary, treatment must address individual patients' needs. Patients should be counseled throughout follow-up and educated about modifying risk factors and managing routine activities. Most patients can be treated pharmacologically with single or combination therapy including long-acting nitrates, beta-blockers, and calcium channel blockers. Consultation with a cardiologist during follow-up may also be warranted.

ISSN:0361-1817    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Although progestational agents have been widely used for gynecologic conditions, treatment options have usually been limited to synthetic agents with adverse effects and sparse patient acceptance. Recent Food and Drug Administration approval of oral micronized progesterone (MP) has introduced therapy with a safe, effective, well-tolerated drug. This article reviews therapeutic indications for MP as illustrated in five case studies. Issues in five case studies. Issues of patient compliance, individualized treatment plans, and patient partnership to obtain the most beneficial outcomes are discussed.

ISSN:0361-1817    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Primary care providers commonly perform the mandatory Department of Transportation Federal Highway Administration physical examination for individuals who drive commercial motor vehicles. Although these examinations may be offered at the worksite or in occupational health clinics, many drivers prefer to have them performed in the primary care setting. Performing the examination and subsequently certifying the driver is a highly regulated process with potentially serious consequences for the driver, the examiner, and the public. This article discusses the regulations and recommendations for certification of commercial drivers and the problems commonly encountered in the clinical setting.

ISSN:0361-1817    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Wilms' Tumor, also know as nephroblastoma, is a childhood renal tumor. The assessment and diagnosis of a Wilms' tumor is one of the many challenges faced in the primary care setting. This article presents a brief review of Wilms' tumor in the pediatric population and its occurrence in a case presentation.

ISSN:0361-1817    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1999

数据来源: OVID