PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Guidelines as Topic”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 811 records · Page 45Linked to original sources
PubMed1996

Primary care diagnosis and pharmacologic treatment of depression in adults.

Depression is a common clinical problem seen in primary care. Despite a high prevalence of depression in patients of all ages, it is underdiagnosed and undertreated by primary care and other nonpsychiatric health care providers-the practitioners most likely to see the patient initially, greater than 50% of the time. Differentiating depression and physical illness is difficult and often comorbidity confounds the problem. Diagnostic criteria for depression are presented along with tips for assessment of suicide risk. Laboratory screening should be done as part of the diagnostic process to document certain changes in physiological parameters related to depression. The choice of treatment for depression includes psychotherapy, medication, ECT, or combined treatment with medication and psychotherapy. The result of managed care is that primary providers are more often responsible for medication management of depression than they were in the past. An overview of antidepressant pharmacotherapeutics for primary care is presented.

Adult↗
PubMed2000

New directions in heart failure management.

Approximately 4.8 million Americans are afflicted with heart failure; this accounts for 800,000 to 900,000 hospital admissions annually. Astute management in the primary care setting is essential for decreasing mortality and minimizing the risk for hospitalization. Although heart failure was initially viewed as a hemodynamic disorder, current evidence overwhelmingly supports that neurohormones, such as angiotensin II and aldosterone, contribute significantly to disease progression. The benefits of angiotensin-converting enzyme inhibitors and other drugs that block these substances are well established. This article discusses current management options that retard left ventricular remodeling to improve systolic function over time.

Angiotensin-Converting Enzyme Inhibitors↗
PubMed2001

Genital herpes in pregnant and nonpregnant women.

The incidence of genital herpes is increasing. Proper diagnosis and management is crucial in pregnant women because transmission to neonates can be deadly. The diagnosis and management of potential genital herpes obstetric complications can decrease transmission rates to neonates. Standards of care have recently changed regarding the clinical presentation of genital herpes: Many cases of genital herpes are asymptomatic. This article discusses management and treatment options in pregnant and nonpregnant women.

Centers for Disease Control and Prevention, U.S.↗
PubMed2000

New rules impact sedation and anesthesia care, Part 1.

Learn why the Joint Commission has revised its anesthesia care standards. The new standards incorporate four sedation levels: minimum sedation, moderate sedation/analgesia, deep sedation/analgesia, and anesthesia.

Anesthesia↗
PubMedDate not supplied

How to start a nurse-managed foot care clinic.

The goals of a nurse-managed clinic are to prevent illness and encourage an active participation in health maintenance by increasing patient knowledge. A nurse-managed clinic that focuses on foot care presents an excellent opportunity to provide quality care to patients who are at risk by monitoring for debilitating foot conditions while teaching proper foot care techniques. It is well documented that foot care can prevent serious complications, such as amputation, making it essential for patients to be educated and receive professional foot care. This article addresses the development of a foot care clinic managed and staffed by nurses.

Documentation↗
PubMed2002

Methods of meta-analysis: an analysis.

PURPOSE OF REVIEW: To understand the principles of systematic reviewing and meta-analysis, using recent examples from the medical literature to highlight some of these points. RECENT FINDINGS: The word 'meta-analysis' is an intimidating one, and its associated jargon makes it seem incomprehensible. Actually, it is only a mathematical maneuver to add up data in a systematic review; it might be better called 'meta-addition'. The systematic review is a process of using the best available evidence to answer a particular clinical question. Data combination (usually done with meta-analysis) increases the power to see small differences and makes a more precise estimate of a treatment effect. Its major drawback is heterogeneity (the proverbial problem of adding apples and oranges). Systematic reviews have been used by medical societies to create position statements. Such statements have suggested that parenteral nutrition is far less efficacious than previously believed. Systematic reviews in some areas of nutritional support have clarified type II errors. Problems exist, however, in a number of the published meta-analyses of aspects of this therapy. SUMMARY: Especially in an era of resource restraint, we need to become more skilled at interpreting evidence from clinical research.

Clinical Trials as Topic↗