The Journal of family practice
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Randomized Controlled Trial Clinical Trial
Penciclovir cream for herpes simplex labialis.
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The purpose of this study was to document the prevalence of panic states in patients presenting with chest pain in primary care settings, to determine the recognition rate of panic states by family physicians, and to assess the impact of lack of recognition on interventions and costs. ⋯ Although common, panic states are rarely recognized in patients presenting with complaints of chest pain. The presence of panic leads to more testing, follow-up, and referral with subsequent higher costs. Failure to diagnose panic results in increased prescribing of medications, higher costs, and inappropriate pharmacotherapy.
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Intrathecal analgesia is a highly effective technique for pain relief in the first stage of labor. It is a technically simple procedure that can be easily learned by family physicians currently performing diagnostic lumbar puncture. Its effectiveness, simplicity, and low incidence of serious complications make it especially applicable to the practices of physicians delivering babies in areas where continuous epidural anesthesia is not available. This article describes the procedure of intrathecal analgesia, and discusses advantages, complications, side effects, and applications.