ISSN:0361-1817    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Infectious skin conditions of the adult patient that primary care providers may often encounter in practice include those of viral (herpes simplex, herpes zoster, verruca and condylomata, molluscum), fungal (candidiasis, dermatophyte infections) and ectoparasitic (scables, pediculosis) origin. Correct diagnosis and treatment of these conditions can provide relief to the patient and prevent spread to household and sexual contacts. This article discusses the epidemiology, etiology, history, appearance, diagnosis, and treatment of these commonly encountered infectious skin conditions. The primary care provider can differentiate these skin conditions by history, appearance, and laboratory tests, and should be able to diagnose and provide cost-effective therapy and secondary prevention for them. The primary care provider should also be able to recognize those lesions that are harbingers of systemic diseases and appropriately refer for further management.

ISSN:0361-1817    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Approximately 60% of all pregnancies are unintended at the time of conception, either unwanted or mistimed. Emergency contraception (i.e., use of a birth control method after intercourse has occurred) is a preventive treatment that has been underutilized. Six brands of oral contraceptives have recently been found by the U.S. Food and Drug Administration to be safe and effective as emergency contraceptive pills. These pills have been shown to reduce the likellhood of pregnancy occurring by at least 74% Treatment with emergency contraceptive pills should be initiated within 72 hours of unprotected intercourse. Adverse effects include nausea, vomiting, headache, and a change in menstrual bleeding pattems. Postcoital Insertion of an intrauterine device is also highly effective as a postcoital contraceptive, but only in a select group of patients at low risk for sexually transmitted diseases. Promotion of access to emergency contraception includes educating both patients and providers about the method and making emergency contraceptive pills avallable to patients even before the need arises.

ISSN:0361-1817    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Gastroesophageal reflux disease (GERD) is a condition frequently seen in the primary care setting and is more common among the elderly. Its manifestations may mimic other disease processes, and therefore the practitioner must be able to determine the cause of the presenting symptoms and know when to refer the patient for further diagnostic testing. When the presentation is straightforward, the practitioner should initiate treatment for GERD. Management of GERD must include patient education regarding postural measures, dietary and lifestyle modifications, and pharmacologic intervetions.

ISSN:0361-1817    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

The purpose of this article is to provide the clinician with practical information to promote the healthy sexuality of the school-age child through adolescence. Much of the current literature related to sexuality is problem-focused; this article focuses on sexuality from a health promotion viewpoint. The development of a healthy sexuality is a life-long process with different issues and problems pertaining to each age group. Issues common to the school-age child and adolescent include changing physical characteristics and body image concerns. A set of guidelines has been developed that can be used in the clinical setting. In order to follow a holistic approach to health promotion with these age groups, the clinician must address sexuallty. These guidelines will provide the information the clinician will need to initiate a discussion about sexuality. patient education guidelines are also presented that will help the parent, child, and adolescent in sexual issues and understanding. Suggested reading materials about sexuality are also presented.

ISSN:0361-1817    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1997

数据来源: OVID