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1. |
Letters to the Editor |
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The Nurse Practitioner,
Volume 24,
Issue 8,
1999,
Page 12-13
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ISSN:0361-1817
出版商:OVID
年代:1999
数据来源: OVID
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2. |
Managing Alcohol‐related Problems in the Primary Care Setting |
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The Nurse Practitioner,
Volume 24,
Issue 8,
1999,
Page 14-41
ANGELA,
MARTIN SUSAN,
SCHAFFER ROBERT,
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摘要:
Although alchol-related problems are a significant source of morbidity and mortality in the United States, denial and resistance to treatment by patients and their families make detection challenging. Primary care providers may find it difficult to confront the patient who drinks excessively; however, early intervention can lower morbidity and prevent progressive damage to family and social relationships. Routine alcohol screening of all patients may assist the primary care provider in effectively identifying and treating alcohol abuse. Although abstinence is the primary goal for patients with alcohol-related problems, decreasing intake is also beneficial and may be accomplished with brief primary care interventions. The management of outpatient alcohol detoxification is increasingly provided by primary care providers in managed care environments, but requires careful assessment of the patient's support system, close provider supervision, and appropriate pharmacologic support.
ISSN:0361-1817
出版商:OVID
年代:1999
数据来源: OVID
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3. |
Recognizing the Various Presentations of Appendicitis |
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The Nurse Practitioner,
Volume 24,
Issue 8,
1999,
Page 42-55
VIRGINIA,
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摘要:
Appendicitis is one of the most common causes of acute abdominal pain in the industrialized world. Appendicitis must be considered in the differential diagnosis of any patient presenting with abdominal pain. Workup may include blood tests, abdominal radiographs, abdominal ultrasound, and focused appendix computed tomography. Unfortunately, none of these provides definitive results. Although several signs and symptoms are associated with appendicitis, their inconsistent presentation, especially among the young and the elderly, can lead to an erroneous diagnosis. The classic sequence of symptoms includes the onset of vague epigastric or periumbilical pain; associated nausea, anorexia, or unsustained vomiting; and pain migrating to the right lower quadrant. In uncomplicated cases, the treatment of appendicitis is appendectomy. However, less definitive presentations merit further diagnostic testing and close follow-up.
ISSN:0361-1817
出版商:OVID
年代:1999
数据来源: OVID
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4. |
Identifying Diabetic Patients at High Risk for Amputation |
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The Nurse Practitioner,
Volume 24,
Issue 8,
1999,
Page 56-72
LAURIE,
UMEH MARGARET,
WALLHAGEN NATALYA,
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摘要:
Lower-extremity amputation is a much feared complication of diabetes mellitus; however, 40% to 50% of these amputations are preventable. Peripheral neuropathy has been implicated as a cause in some 82% of diabetic amputations. Patient education on foot care is often not enough to prevent foot ulceration and potential amputation. Health care providers can lower the incidence of lower extremity amputation by using a Semmes-Weinstein monofilament to identify protective sensation loss and quickly taking measures to prevent ulceration. Diabetes patients who have a history of foot deformity, ulceration, or amputation of any part of the foot should be referred for special shoes or orthotics. This article reviews the methods for identifying those patients with diabetes that are at high risk for amputation and preventive interventions.
ISSN:0361-1817
出版商:OVID
年代:1999
数据来源: OVID
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5. |
Landmark Maine Bill Signed into Law |
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The Nurse Practitioner,
Volume 24,
Issue 8,
1999,
Page 73-78
Robert,
Howe Kathleen,
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ISSN:0361-1817
出版商:OVID
年代:1999
数据来源: OVID
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6. |
Cervical Dysplasia in Women with HIV |
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The Nurse Practitioner,
Volume 24,
Issue 8,
1999,
Page 79-85
LINDA,
GOODMAN VIRGINIA,
CROKE ANNE,
RODMAN MARY,
ALEXANDER Barbara,
Klaus Michael,
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PDF (737KB)
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ISSN:0361-1817
出版商:OVID
年代:1999
数据来源: OVID
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7. |
PracticePointers |
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The Nurse Practitioner,
Volume 24,
Issue 8,
1999,
Page 86-88
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PDF (128KB)
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ISSN:0361-1817
出版商:OVID
年代:1999
数据来源: OVID
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8. |
NP Abstracts |
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The Nurse Practitioner,
Volume 24,
Issue 8,
1999,
Page 89-97
Mary Murphy,
Nancy Risser,
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PDF (779KB)
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ISSN:0361-1817
出版商:OVID
年代:1999
数据来源: OVID
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9. |
Resources |
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The Nurse Practitioner,
Volume 24,
Issue 8,
1999,
Page 98-100
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PDF (444KB)
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ISSN:0361-1817
出版商:OVID
年代:1999
数据来源: OVID
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10. |
Short Communications |
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The Nurse Practitioner,
Volume 24,
Issue 8,
1999,
Page 101-107
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PDF (591KB)
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ISSN:0361-1817
出版商:OVID
年代:1999
数据来源: OVID
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