ISSN:0091-3847    

DOI:10.1080/00913847.1995.11947832

出版商:Taylor&Francis    

年代:1995

数据来源: Taylor

ISSN:0091-3847    

DOI:10.1080/00913847.1995.11947833

出版商:Taylor&Francis    

年代:1995

数据来源: Taylor

ISSN:0091-3847    

DOI:10.1080/00913847.1995.11947834

出版商:Taylor&Francis    

年代:1995

数据来源: Taylor

ISSN:0091-3847    

DOI:10.1080/00913847.1995.11947835

出版商:Taylor&Francis    

年代:1995

数据来源: Taylor

摘要:

In briefThe sternoclavicular (SC) joint can incur significant injuries. These injuries are often subtle, and, without a high index of suspicion, hard to diagnose. However, specific diagnostic methods can help clarify the extent of injury, and relatively straightforward treatment protocols can help resolve all but the most severe injuries. Two areas of concern are physeal injuries and posterior dislocations. In children and young adults, injuries of the SC joint must be considered physeal fractures until proven otherwise. Disastrous complications of posterior SC dislocations have been reported, but detecting vascular compromise or other serious sequelae will help minimize their occurrence.

ISSN:0091-3847    

DOI:10.1080/00913847.1995.11947836

出版商:Taylor&Francis    

年代:1995

数据来源: Taylor

摘要:

In briefA 16-year-old cross-country runner and Nordic skier presented for a preparticipation examination with primary amenorrhea and a 3-month history of right fourth metatarsal stress fracture. The history and physical exam narrowed the cause to a hypothalamic disorder; inadequate nutrition might have played a role. The stress fracture resolved after 2 months of oral contraceptive use. The case illustrates the multifactorial nature of amenorrhea and the need for an individualized approach to diagnosis and treatment.

ISSN:0091-3847    

DOI:10.1080/00913847.1995.11947837

出版商:Taylor&Francis    

年代:1995

数据来源: Taylor

摘要:

In briefFor treatment of depression many physicians use exercise as an important adjunct to psychotherapy and antidepressant therapy. Low-intensity exercise and exercise that elicits an increase ino2max are equally effective in lessening depressive symptoms. Evidence has shown that exercise is as effective as psychotherapy and antidepressant therapy in treating mild-to-moderate depression, and even more effective when used in conjunction with the conventional therapies. When recommending exercise to their depressed patients, physicians should be aware of the pharmacology of various antidepressants to avoid unwanted interactions. Staying alert to the risks of overtraining and exercise addiction is also important.

ISSN:0091-3847    

DOI:10.1080/00913847.1995.11947838

出版商:Taylor&Francis    

年代:1995

数据来源: Taylor

ISSN:0091-3847    

DOI:10.1080/00913847.1995.11947839

出版商:Taylor&Francis    

年代:1995

数据来源: Taylor

摘要:

In briefThough 42 snake species in the United States can inflict a poisonous bite, management is the same for 99% of bites because 99% of bites are inflicted by pit vipers. First aid instructions stressing rapid transit to a hospital apply to all bites. Surgical intervention has no place in acute snakebite treatment. Antivenin therapy is appropriate except in cases of mild pit viper envenomation. Pit viper antivenin is the right choice for any pit viper envenomation, and the patient history will guide the choice of coral snake antivenin. For any antivenin administration, care must be taken to prevent allergic reactions. Basic supportive care involves pain control, correcting metabolic and hematologic complications, keeping the patient comfortable, and preventing serum sickness.

ISSN:0091-3847    

DOI:10.1080/00913847.1995.11947840

出版商:Taylor&Francis    

年代:1995

数据来源: Taylor

ISSN:0091-3847    

DOI:10.1080/00913847.1995.11947841

出版商:Taylor&Francis    

年代:1995

数据来源: Taylor