ISSN:0361-1817    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

This article provides concrete, practical information designed to increase the knowledge base of the health care provider who works with psychiatric emergencies. Psychiatric emergency intervention is differentiated from crisis intervention. Numerous treatment aspects are addressed, including assessment of psychiatric emergencies and intervention principles. The specialized emergency situations of environmental disasters, families of dying patients, and psychiatric emergencies with children are discussed. The article includes a discussion of frequently used psychiatric emergency medications and their effects and side effects. Legal issues integral to psychiatric emergency care, including confidentiality and involuntary commitment, are addressed.

ISSN:0361-1817    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

Parents often seek orthopedic evaluation of their young children because of apparent abnormalities. However, many of these are simply developmental variations that are part of normal growth and development. Pes planus, or flat foot, is one of the earliest and most common concerns. Torsional variations are also often seen; the presenting complaint may be intoeing (metatarsus adductus, tibial torsion and increased femoral anteversion) or out-toeing (pes calcaneovalgus and external rotation contractures of the hips). Angular variations (genu varum and genu valgum) are also seen frequently in young children. In assessing each finding, consideration must be given to the age at which the finding may be considered within normal limits, methods of examination and documentation, the expected course, findings that may signify abnormality, and appropriate follow-up and referral. An understanding of these common developmental variations in the orthopedic assessment of young children will enable the health care provider to respond to parents' concerns with accurate information and counseling.

ISSN:0361-1817    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

Urinary tract infections (URIs) can be difficult to diagnose positively in the pediatric patient. The patient with such an infection, however, is at risk for subsequent morbidity such as recurrence, renal damage and hypertension. Accurate diagnosis in the very young child may require multiple urine specimens involving repeating bag specimens, catheterization, or suprapubic aspiration. Septic children and those with pyelonephritis must be hospitalized. Children younger than 6 years old need follow-up with radiographic studies to rule out reflux and congenital anomalies. The clinician plays a significant role in detecting possible UTIs, and providing patient education and support.

ISSN:0361-1817    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

This article outlines current knowledge of the health problems of the homeless, describes the experience of a primary health care clinic for the homeless and discusses interventions that primary care providers can take to improve the health of the homeless population. Homelessness in America has become a major political and social issue during this decade. The homeless population is subject to greater health problems than the general population. Primary care providers are well-suited to act as advocates for homeless people wherever they are served. An awareness of this population's special health issues is necessary for the provision of quality health care.

ISSN:0361-1817    

出版商:OVID    

年代:1989

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1989

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1989

数据来源: OVID