ISSN:0361-1817    

出版商:OVID    

年代:1991

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1991

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1991

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Ventricular arrhythmia is a common problem in the ambulatory setting. Ventricular arrhythmias that appear to be similar on the electrocardiograph may have different prognostic significance, depending on the patient's age and the presence of underlying heart disease or ventricular dysfunction. The ultimate goal in the care of any patient with ventricular arrhythmia is prevention of sudden cardiac death. Patients can usually be classified into one of five diagnostic categories, based on symptoms and evidence of underlying heart disease. This article discusses the classification of ventricular arrhythmias as either benign, potentially malignant or malignant. The risks of antiarrhythmic therapy and specific management plans for each of the five diagnostic categories are provided. These management plans are meant to serve as a framework for the clinician who provides primary care to these patients. An explanation of terms used commonly in the interpretation of ventricular arrhythmias is included, as well as guidelines for the assessment of patients with ventricular arrhythmias.

ISSN:0361-1817    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Inflammatory bowel disease encompasses both ulcerative colitis and Crohn's disease, two conditions so alike clinically that they are frequently indistinguishable from one another. Inflammatory bowel disease occurs at a rate of approximately five per 100,000 people. It tends to cluster in families and is seen four to five times more often in Jewish Caucasians than in other Caucasians. The etiology is unknown. Increasing attention is being paid to autoimmune factors, genetic factors and food allergies, and the notion that inflammatory bowel disease has its roots in a psychological disorder continues to pale for want of empirically sound evidence. Disease pattern is one of remission and exacerbation. The aim of therapy is to maintain an optimal lifestyle in remission through an individually tailored protocol of medications. Sulfasalazine remains the medication of choice; corticosteroids have short-term utility in exacerbation; and immunosuppressants, though controversial, are thought to have some steroid-sparing benefits during acute flare-ups. Indications for surgery vary, depending on whether or not a clear differential diagnosis has been made between ulcerative colitis and Crohn's disease. There is no cure for inflammatory bowel disease except for total colectomy in clearly diagnosed ulcerative colitis. Current research endeavors seek a cause or causes for inflammatory bowel disease, but the literature does not solidly support any one possibility above other rival etiologies.

ISSN:0361-1817    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

The National Practitioner Data Bank is a new federal repository of data on malpractice payments and adverse actions taken against the clinical privileges and licenses of all health care practitioners. This article summarizes the law governing the data bank and its implications for nurse practitioners. Specific reporting requirements are discussed, as well as guidelines for those who must and those who can access the data bank. This article also explains how NPs are notified when reports are made and gives methods for correcting errors in reports.

ISSN:0361-1817    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

AIDS and sexually transmitted diseases (STBs) are common today, but many parents, teachers and students do not fully understand the diseases or what constitutes their prevention. Young persons, for a variety of reasons (e.g., developmental issues, peer pressure, societal influences) are becoming sexually active at earlier ages than ever before. However, early sexual activity often is not accompanied by knowledge about the consequences. Three nurse practitioners and one nurse educator from a university in the Northeast developed creative ways of educating students to help them avoid becoming the AIDS and STD patients of tomorrow. The nurses' efforts led to the development of an education program for parents and students (grades 7 through 12). The information obtained from these programs can help serve as a model for clinicians interested in conducting AIDS and STD secondary-school education programs.

ISSN:0361-1817    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

The following resources were recently received byThe Nurse Practitioner.They are listed for the readers' information and as an acknowledgment to the publishers for sending them to us. No endorsement byThe Nurse Practitioneris intended.

ISSN:0361-1817    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

This column is provided for announcements of conferences, committee meetings and various items of general interest to nurse practitioners. Readers are invited to submit relevant material. Inclusion will be based on general interest, date of receipt and available space. Items should be submitted as early as possible to give readers time to respond, and should be submitted no later than the first of each month prior to publication.

ISSN:0361-1817    

出版商:OVID    

年代:1991

数据来源: OVID