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:

Once regarded as an inevitable part of aging, osteoporosis and fracture risk are now recognized as preventable and treatable. Detecting fracture risk and preventing fractures are key intervention strategies. Comprehensive evaluation and treatment of individuals at risk include making the correct diagnosis, identifying correctable factors that can contribute to low bone mass and increased fracture risk, and treating at-risk patients with pharmacologic and nonpharmacologic therapies. Patients must employ sound nutrition practices and reduce the potential for injuries sustained in falls through exercise and environmental safeguards.

ISSN:0361-1817    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Most bleeding occurring early in pregnancy is benign; occasionally, however, it can represent an abnormally developing fetus. Vaginal spotting occurs in about 25% of early pregnancies. Other common causes of bleeding during the first trimester of pregnancy are spontaneous abortion, ectopic pregnancy, and gestational trophoblastic disease. Second-trimester bleeding is usually related to an incompetent cervix. Third-trimester bleeding is most likely a sign of placental abnormalities. Most cases of bleeding after the first trimester need prompt referral. This article provides information to help clinicians diagnose, assess, and manage obstetric bleeding. Accurate diagnosis and prompt intervention are crucial in reducing the impact on maternal and perinatal morbidity and mortality.

ISSN:0361-1817    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Since the March 1995 Food and Drug Administration approval of the varicella vaccine for the prevention of varicella and the early 1996 American Academy of Pediatrics recommendation for universal vaccination for all susceptible children age 12 months and older, controversy over the need for a universal vacination has existed. This article reviews the pathogenesis and epidemiology of the varicella zoster virus, the historic development of the vaccine, and the benefits and barriers to adoption of a universal varicella vaccination schedule. It concludes with the public health perspective on this controversial vaccine and future research recommendations.

ISSN:0361-1817    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

This study's purpose was to describe the practice patterns of nurse practitioners (NPs) in Tennessess—specifically, the demographic characteristics and health problems of their clients and the therapeutic services they provide. A random sample of NPs practicing 20 or more hours per week in primary care in Tennessee provided data on a total of 680 clients seen during one selected day of care. An instrument adapted from the National Ambulatory Medical Care Survey (NAMCS) allowed comparison of the NP findings with a national survey of office-based physicians in five areas: client demographics, client health status, diagnostic tests ordered, therapeutic interventions provided, and client disposition. Although many similarities were seen, differences included the tendency of NPs to care for more younger and female clients, to perform fewer office surgical procedures, and to provide more health teaching/counseling interventions.

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

ISSN:0361-1817    

出版商:OVID    

年代:1999

数据来源: OVID