摘要:

TheNurse Practitionerwelcomes readers' comments and invites readers to share information with each other in the Letters to the Editor forum. This column is divided into three sections:In Response, Info & Research Exchange, andNP Dialogue. In Responsefeatures comments by readers and authors on articles and letters that have appeared in earlier Issues of the journal; letters referring to a particular article are forwarded to the author for a response to be printed along with the letter.Info & Research Exchangeenables clinicians to trade practice tips, information, and research findings.NP Dialoguegives practitioners the opportunity to share comments, thoughts, and experiences of interest to other NPs. Please note that all three sections may not appear In every issue of the journal.

ISSN:0361-1817    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Fetal alcohol syndrome (FAS) and fetal alcohol effects (FAE) encompass a pattern of birth defects in persons whose mother ingested alcohol during pregnancy. Persons with FAE display fewer of the FAS traits. The hallmarks of FAS are pre-and postnatal growth retardation, central nervous system dysfunction, and characteristic facial dysmorphology. However, Its effects can be multi-systemic—encompassing the cardiac, skeletal, and muscular systems, as well as presenting as lack of coordination, hyper-activity, diminished or distorted sense of danger, and lack of ability to function as an independent adult. The frequent incidence of this constellation of symptoms has a far-reaching impact (familial, medical, educational, and societal) because a myriad of professionals and large amounts of funding are used to help manage FAS/FAE children and adults. This article identifies, for a primary care provider, the essential characteristics of FAS/FAE and discusses available management options. Early diagnosis and continued education are advantageous at all levels, benefiting the Individual and all of society.

ISSN:0361-1817    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Pretravel medical history and itinerary review coupled with education and counseling precedes a mutual plan between the provider and the traveler for appropriate immunizations, prophylaxis for malaria, and precautions against travelers' diarrhea. This article provides a useful tool for taking a travel history, an overview of the immunizations recommended, and behavioral practices for prevention of illness and injury. Traveler-friendly resources are available for pretravel advice, health care abroad, emergency medical transport, special needs travelers, and U.S. State Department advisories. Planning should begin as early as possible to allow time for vaccine series, separation of vaccines to avoid adverse interactions, as well as prophylactic antimalarials that need to be initiated in advance of travel. Travelers with special needs should prepare ahead for access to care, medications, and medical Identification. Returning travelers need to be counselled to report their travel to their provider If seeking medical attention post travel.

ISSN:0361-1817    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Allergic rhinitis is frequently seen by primary care providers. Symptoms Include rhlnorrhea, itching of nose and eyes, nasal congestion, and sneezing. They occur when the patient is exposed to antigens stimulating mediator release. History is essential to assist differential diagnosis and provide education. This article reviews common findings of the physical exam, diagnostic testing, and differential diagnosis. The first line of treatment is avoidance, followed by medications such as antihistamines, decongestants, and nasal steroids. If these treatments are not effective, then referral to an allergist is necessary for further workup and possible treatment with immunotherapy.

ISSN:0361-1817    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

State boards of nursing (BON) and medicine (BOM) promulgate regulations that affect nurse practitioners (NPs). Certain characteristics of board structure have an Impact on two potential barriers to NP practice: the absence of direct third-party reimbursement and authority to prescribe. The percentage of consumers on BONs and BOMs increases the likelihood of direct third-party reimbursement for NPs. The presence of an NP committee providing Input to a board Increases the likelihood of authority to prescribe for NPs. The availability of NPs Is enhanced by the presence of NP educational programs in the state, the level of effort by the state related to NP recruitment and retention, and the presence of direct third-party reimbursement.

ISSN:0361-1817    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

This is the twelfth in n series of articles based on chapters excerpted from theClinician's Handbook of Preventive Services, part of the Put Prevention Into Practice Program from the U.S. Public Health Service.

ISSN:0361-1817    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1995

数据来源: OVID