BACKGROUND This study provided the theoretical basis for program development through a new conceptualization of the concept of family physician related health care. METHODS Critical interpretive synthesis (CIS) was used to carry out qualitative analysis and synthesis of the literature from 2006 until 2015. At the beginning of CIS, the search strategy was designed to access electronic database...

www.aafp.org/afp AMERICAN FAMILY PHYSICIAN 1667 Definition Autistic disorder is a pervasive developmental disorder defined behaviorally as a syndrome consisting of abnormal development of social skills (withdrawal, lack of interest in peers), limitations in the use of interactive language (speech as well as nonverbal communication), and sensorimotor deficits (inconsistent responses to environme...

Canadian Family Physician has undergone many transitions over the last 50 years, but none have been as dramatic and traumatic as those that are likely to take place during the next decade. Two months after the College of General Practice of Canada officially came into being in June 1954, its first official publication appeared in the form of a newsletter, hand addressed to each member. Across t...

www.aafp.org/afp AMERICAN FAMILY PHYSICIAN 315 tially estimated an incidence of 75 per 100,000 persons per year, but subsequent prospective studies give a range of 12.6 to 18 per 100,000 persons annually. Controversy still exists about the correct incidence because of differing criteria used to define ARDS. The prevalence of ARDS is reported to be between 15 and 18 percent of all ventilated pat...

www.aafp.org/afp AMERICAN FAMILY PHYSICIAN 1823 Numerous previous trials of new pharmacologic and ventilatory modalities have failed to demonstrate improvement in mortality rates. However, recent trials using a new “lung protective” approach to mechanical ventilation resulted in significant reductions in mortality rates. Data from these studies represent an encouraging breakthrough in the manag...

www.aafp.org/afp AMERICAN FAMILY PHYSICIAN 1379 History The first step in patient assessment is obtaining a thorough history including the presence of risk factors and symptoms. Most neoplastic diseases occur from an inherent tendency or enhanced genetic susceptibility combined with multiple exposures to substances that contribute to the initiation or promotion of carcinogenic change. The two m...

This quote comes from the 33rd William Arnold Conolly Oration given by Max Kamien in Melbourne, Australia, in 2004.1 Dr Kamien was a friend of the late Dr Bass, who had described his first venture into general practice this way. It is a feeling that all family physicians know well, sometimes even after many years in practice. All developing countries have struggled with a declining primary care...

www.aafp.org/afp AMERICAN FAMILY PHYSICIAN 1717 ation of the thyroid subsequent to Graves’ disease and surgical removal of the thyroid gland. Long-term thyroid dysfunction after subacute granulomatous thyroiditis (de Quervain’s thyroiditis) or subacute lymphocytic thyroiditis (silent or painless thyroiditis) is fairly rare. Full thyroid function is regained in 90 percent of patients with these ...