Primary care physicians

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  • This revised and extended new edition retains the features that made the first edition (Churchill Livingstone, 1993) such a popular text for pediatricians and primary care physicians. Orthopaedic disorders are arranged according to age of onset and also according to their frequency of occurrence. This is supplemented by helpful guidelines for orthopedic referral.

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  • Outline of Tuberculosis - An update for Primary care physicians: Epidemiology of tuberculosis; diagnosis and treatment of latent tuberculosis infection (LTBI); diagnosis of pulmonary tuberculosis, including new diagnostics; Overview of tuberculosis treatment.

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  • Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A cluster randomized trial to improve adherence to evidence-based guidelines on diabetes and reduce clinical inertia in primary care physicians in Belgium: study protocol [NTR 1369]

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  • In these two issues of the Primary Care Clinics of North America, we are pleased to offer you Evidence-Based Approaches to Common Primary Care Dilemmas. During the past decade, evidence-based medicine (EBM) has had a major impact on health care and the way we practice medicine in the office. As the focus of medical research has evolved from disease-based outcomes to the important, patient-oriented outcomes of mortality and quality of life, we are beginning to have answers that change the way we practice.

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  • Current Practice Guidelines in Primary Care, 2008 is intended for primary care clinicians, including not only residents and practicing physicians in the specialties of family medicine, internal medicine, pediatrics, and obstetrics and gynecology, but also medical and nursing students during their ambulatory care rotations, registered nurses, nurse practitioners, and physician assistants. Its purpose is to make screening, prevention, and management recommendations readily accessible and available for clinical decision making.

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  • Primary care clinicians often provide continuity of care, emphasize prevention, and address chronic illness with their patients. All these endeavors require the active involvement of the patient in treatment planning and adherence. An active and healthy therapeutic alliance that recognizes that patients are the chief consumers of health care is essential in this regard. This critical role in directing one’s health care can be either facilitated or complicated by a patient’s emotional, cognitive, and behavioral strengths or weaknesses (ie, mental health).

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  • Since 2005, a dozen of the United States and more than 15 medical specialties have reported a physician shortage or anticipate one in the next few years. This anticipated shortage and a worsening of physician distribution are compounded by a projected increased demand for health care services. Health care of women of all ages is particularly vulnerable. The obstetrician gynecologist workforce is aging and is among the least satisfied medical specialists. Primary care physicians such as family physicians and general internists will be asked to care for more women who are elderly.

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  • The field of movement disorders is relatively broad, encompassing disorders of increased movement, such as tremors, dystonia, and tics, to disorders characterized by a paucity of movement, such as Parkinson’s disease. Our understanding of the pathogenic mechanisms and our treatment options are expanding at a rapid pace. This expansion ranges from the medical and surgical advances in treating Parkinson’s disease to the flood of genetic abnormalities that have now been found to cause various movement disorders.

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  • Harrison's Internal Medicine Chapter 32. Oral Manifestations of Disease Oral Manifestations of Disease: Introduction As primary care physicians and consultants, internists are often asked to evaluate patients with disease of the oral soft tissues, teeth, and pharynx. Knowledge of the oral milieu and its unique structures is necessary to guide preventive services and recognize oral manifestations of local or systemic disease (Chap. e7).

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  • The scope of practice of the gynecologist is broad and challenging. The gynecologist is blessed with the longitudinal care of women from adolescence through the end stages of life. In fact, many women consider their gynecologist their primary care physician. This edition of Obstetrics and Gynecology Clinics of North America explores many of the daily challenges of office practice. Updates in new contraceptive options and in management of dysfunctional uterine bleeding are presented.

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  • A growing body of literature argues that the availability and mix of physician specialties in areas is important for health outcomes. Areas with fewer specialists but higher generalists per capita were found to have better health outcomes or quality of care [21,22]. Goodman [23] found that greater physician supply is associated with both higher area income and lower mortality rates, and argued that regional variations in health outcomes and physician supply will exist as long as there are differences across communities in economic status.

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  • Perhaps you began to think about weight loss surgery after a conversation with your primary care physician, who was concerned about certain health problems that you have been struggling with that are related to obesity, such as heart disease, hypertension, high cholesterol, diabetes, or sleep apnea. Perhaps as weight loss surgeries of various types became more popular in the media, you learned more about one or more of the procedures and thought that some form of weight loss surgery might be right for you.

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  • The Manual of Nursing Home Practice for Psychiatrists is a product of the American Psychiatric Association Council on Aging and the Committee on Long-Term Care and Treatment of the Elderly. Its purpose is to give general psychiatrists, primary care physicians, and others with little if any nursing home experience a practical, accurate, and easily readable guide to serve their needs when responding to a consultation request, attending a patient, or exploring the opportunity to accept a position in a skilled nursing home or other long-term care setting....

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  • This study characterized maxillary sinus mucositis (SIMS) adjacent to teeth with apical periodontitis (AP), and assessed its resolution three months after endodontic treatment. 29 subjects who maxillary posterior teeth with AP were imaged with cone-beam computed tomography (CBCT). Resolution of SIMS was assessed with CBCT three months after treatment, and periapical healing was assessed using the PAI after six months. Four non-compliant subjects were discontinued and SIMS was identified in 14/25 subjects (56%).

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  • Góp Phần Trị Đau Nhức Kinh Niên Để góp phần với Ds Lê văn Nhân bàn luận về Điều Trị Đau Nhức Thần Kinh ở Bệnh Nhân Tiểu Đường trong Mục Dược Phẩm, và Bs Trịnh Cường cùng Ds Trịnh Nguyễn Đàm Giang với đề tài: Một Chút Hiểu Biết về Đau Nhức và Trị Liệu, trong Mục Y Khoa Thực Hành, chúng tôi xin thêm vài ý kiến bài viết trong tường trình Trị Đau Nhức Kinh Niên (Multidiciplinay Approach to the Management of Chronic Pain), của Bs Lisa J.

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  • This chapter is intended to serve as a guide to the evaluation of patients who present with enlargement of the lymph nodes (lymphadenopathy) or the spleen (splenomegaly). Lymphadenopathy is a rather common clinical finding in primary care settings, whereas palpable splenomegaly is less so. Lymphadenopathy Lymphadenopathy may be an incidental finding in patients being examined for various reasons, or it may be a presenting sign or symptom of the patient's illness.

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  • It demands of us that we attend to the enormous unmet needs in child and adolescent mental health, that we recognize the paucity of services precisely where needs are greatest, and that we insist on action to remedy the treatment gap. Some 30 years ago, Julian Tudor Hart, a primary care physician practicing in a low income community in Wales, proposed an inverse care law. It reads: “The availability of good medical care varies inversely with the need for it in the populations served.

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  • If you are currently considering any form of weight loss surgery, it is likely that you have been thinking about your decision for some time. Certainly, it is a decision that warrants much thoughtful consideration. Hopefully this book will help you with various aspects of your decision-making process. Perhaps you began to think about weight loss surgery after a conversation with your primary care physician, who was concerned about specific obesity-related health problems, such as heart disease, hypertension, high cholesterol, diabetes, or sleep apnea....

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  • The law provides grant assistance and scholarship programs for dental professionals, with priority given to those who work in collaboration with primary care providers as well as those who choose to serve vulnerable populations. The ACA also establishes grants to demonstrate the effectiveness of training programs for alternative dental health care providers, including supervised dental hygienists, primary care physicians, dental therapists, and other appropriate health professionals. Currently, primary care providers often see patients who have never been to a dentist.

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  • Williams and Wessel (2004) studied weekly reflective journal entries of 48 physical therapy students, using five levels of reflection (Williams et al. 2000). The five levels, from the least to the most analytic, and the number of students who achieved each were: ‘describes learning’ and ‘analyses learning’ (both 100%); ‘verifies learning’ (96%); ‘gains a new understanding’ (66%); and, ‘indicates future behaviour’ (25%). The studies of students involve larger numbers of participants, and over several pro- fessions and levels of learners.

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