ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Infectious mononucleosis is an acute, self-limiting, nonneoplastic lymphoreticular proliferative disorder characterized by peripheral lymphocytosis and circulating atypical lymphocytes. Epstein-Barr virus is the causative agent in 90% of cases. Highest incidence is in the 15− to 25− year-old age-group, with 1% to 3% of all college students in the United States affected each year. Clinical manifestations vary according to age at presentation. Incubation period is 4 to 7 weeks. Diagnosis is primarily made with the monospot test but may include throat culture and complete blood count with differential. Cytomegalovirus and human immunodeficiency virus are among the many other conditions that may present initially as infectious mononucleosis. Treatment is supportive with prevention of complications as the goal; good personal hygiene and avoidance of contact sports should be stressed.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Being good at what you do is not enough. Despite strong evidence that the nurse practitioner delivers cost-efficient and outcome-based care, few consumers really understand the nurse practitioner's scope of practice. With the current rapidly changing status of health care, the nurse practitioner is presented with many opportunities. Strategies that ensure survival and growth are critical to longevity. Marketing strategies can offer solutions to these challenges. The 4 P's of marketing are discussed as an approach to promote the role of the nurse practitioner.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Primary care providers can manage the majority of pediatric lacerations presenting to a primary care setting. To facilitate planning for the care of children with lacerations, this article describes the children and lacerations who presented to an HMO pediatric urgent care setting. Most children were young, with a mean age of 6.4 years for girls and 7.4 years for boys. Most lacerations were small wounds requiring zero to five sutures. Forty-nine percent were on the face, and 97% of the wounds were repaired by primary care providers. The following issues are discussed: techniques for assessing and repairing simple facial lacerations, suggestions for helping parents and for facilitating cooperative behavior in children, how to care for an uncooperative child, criteria for referring a child to a specialist, and institutional policies that facilitate quality care for children with lacerations.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Pulmonary embolism is the third most common acute cause of death in the United States. There are approximately 500,000 cases annually in this country, leading to death in 50,000. Subjective symptoms and objective findings can oftentimes be confusing and nonspecific.Apulmonary embolismis defined as an occlusion of one or more pulmonary vessels by material that has traveled there from outside of the lung and is usually caused by a dislodged thrombus that originated in the deep veins of the legs or pelvis. Risk factors include older age, prior thromboembolism, immobility, cancer, chronic disease, congestive heart failure, pelvic and lower extremity surgery, varicosities, obesity, and oral contraception.This article will discuss current modalities that are used in the evaluation of deep venous thromboembolism and pulmonary embolism and include ventilation/perfusion scan, ultrasonography, impedance plethysmography, pulmonary anglography, and newer tests including D-dimer assays and spiral computed tomography. Medical management including simple and complex decision making, anticoagulation, and thrombolytic therapy will also be discussed.An ounce ofpreventionis worth a pound of gold—identification of risk factors and the use of appropriate therapeutic measures can reduce an individual's risk for deep venous thromboembolism and pulmonary embolism.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Escalating costs of health care and decreasing accessibility to care are growing dilemmas in America. Primary care is being delivered in nurse-managed clinics, or nursing centers, by nurses qualified for advanced nursing practice. The purpose of this study was to build a profile of the structure and function of nursing centers, noting major differences between those that are academic-based and those that are not. Questionnaires were developed and mailed to 234 subjects/agencies in every major region of the United States. Responses were tabulated and percentages were calculated to make comparisons and build a profile of nursing centers, based on the following factors identified in the literature and by nurse experts: (a) funding and fees, (b) organizational structure, (c) time elements, (d) demographics, (e) services, (f) qualifications and categories of staff, (g) functions of staff, (h) research endeavors, (i) major barriers, and (j) major sources of support.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

This is the sixteenth in a series of articles based on chapters excerpted from theClinician's Hand-book 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:1996

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID