ISSN:0361-1817    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Rosacea is a common facial dermatitis that currently affects an estimated 13 million Americans. It is a chronic and progressive cutaneous vascular disorder, primarily involving the malar and nasal areas of the face. Rosacea is characterized by flushing, erythema, papules, pustules, telangiectasla, facial edema, ocular lesions, and, in its most advanced and severe form, rhinophyma. Ocular lesions are common, including mild conjunctivitis, burning, and grittiness. Blepharitis, the most common ocular manifestation, is a nonulcerative condition of the lid margins. Rosacea most commonly occurs between the ages of 30 to 60, and may be seen in women experiencing hormonal changes associated with menopause. Women are more frequently affected than men; the most severe cases, however, are seen in men. Fair complexioned individuals of Northern European descent are most likely to be at risk for rosacea; most appear to be predisposed to flushing and blushing. Alcohol, stress, spicy foods, and extremes of temperature have all been implicated, but have not been found to actually cause rosacea. Early diagnosis by the primary care practitioner, management with systemic antibiotics such as tetracycllne, and topical agents such as metronidazole, in conjunction with patient education and lifestyle modifications, can achieve remission in most instances.

ISSN:0361-1817    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Endometriosis is the presence of endometrial tissue outside of the uterine cavity, most commonly surrounding the ovaries and fallopian tubes. It is a relatively common disorder in reproductive-age women and is associated with significant pain and morbidity. In most cases, the spread of extrauterine endometrial tissue appears t o result from retrograde menstruation and capillary or lymph dissemination. Endometrial cells implanted ectopically respond to cyclical changes in estrogen and progesterone with proliferation and secretion. Their presence in extrauterine areas can initiate immune and inflammatory responses that lead t o pain and peritoneal adhesions, and may interfere with fertility. Diagnosis is based on the occurrence of cyclical symptoms and surgical validation via laparoscopy or laparotomy. Treatment is aimed at alleviating pain and preventing complications. Most treatments work by reducing estrogen levels and/or menstrual cycling. A primary practitioner must understand not only the medical aspects of this disease, but the enormous social and psychologic costs as well.

ISSN:0361-1817    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

The incidence of Alzheimer's disease (AD), representing about 50% of all dementias, is rising in the United States. By the year 2040 there will be an estimated 9 million persons with AD in the United States. The diagnosis of AD is sometimes made prematurely and incorrectly. A significant number of conditions, ranging from the irreversible to the fully reversible, can produce cognitive impairment, and thus may be mistaken for AD. These conditions include other forms of dementia, delirium, and pseudodementia and other psychiatric conditions. Knowledge of the most common of these conditions and their presenting symptoms and precipitating factors, combined with a thorough assessment, can prevent a misdiagnosis of AD. This article reviews several conditions that may be mistaken for AD. Actual case studies (with fictitious names) depict the typical presentation of some of them.

ISSN:0361-1817    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Family is the most important first source of learning about sexuality issues. Parental attitudes and behaviors begin to shape feelings about “male-ness” and “femaleness”; thus parents are the focus of teaching healthy sexuality to infants and children. The purpose of this article is to provide the clinician with practical information to promote healthy sexuality in children from infancy through preschool ages. A set of guidelines is presented for the infant, toddler, and preschooler that covers the assessment, rationale, and plan for the clinician. A parental patient education sheet is also presented for each of the age groups (i.e., the infant, toddler, and preschooler). The parental guidelines offer important information for the parent in how to best deal with sexuality issues during each main developmental task. Additionally, a sexuality-values scale is provided. This scale can be used to provide the clinician with information regarding the parents' sexuality knowledge, values, and beliefs (as influenced by their social circumstances, culture, and religion).

ISSN:0361-1817    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1997

数据来源: OVID