[Abdominal pain in the general doctor's practice]

Abdominal pain is a frequent symptom and in the majority of cases the underlying disease is not life threatening. The general practitioner's first task is to differentiate between inflammatory and other diseases. The patient's history, the clinical examination and laboratory tests form the basis for the differential diagnosis. A sonography is the first additional examination in the vast majority of the cases. Accidentally found gallstones usually do not require surgical intervention. Surgery in asymptomatic patients should be limited to gallbladder polyps and patients with calcifications in their gallbladder wall.

Periodontal and general health in long-term periodontal maintenance patients treated in a Norwegian private practice: a descriptive report from a compliant and partially compliant survivor population

BACKGROUND There is weak evidence to support the benefit of periodontal maintenance therapy in preventing tooth loss. In addition, the effects of long-term periodontal treatment on general health are unclear. METHODS Patients who were compliant and partially compliant (15 to 25 years' follow-up) in private practice were observed for oral and systemic health changes. RESULTS A total of 219 patients who were compliant (91 males and 128 females) were observed for 19.1 (range 15 to 25; SD ± 2.8) years. Age at reassessment was 64.6 (range: 39 to 84; SD ± 9.0) years. A total of 145 patients were stable (0 to 3 teeth lost), 54 were downhill (4 to 6 teeth lost), and 21 patients extreme downhill (>6 teeth lost); 16 patients developed hypertension, 13 developed type 2 diabetes, and 15 suffered myocardial infarcts (MIs). A minority developed other systemic diseases. Risk factors for MI included overweight (odds ratio [OR]: 9.04; 95% confidence interval [CI]: 2.9 to 27.8; P = 0.000), family history with cardiovascular disease (OR: 3.10; 95% CI: 1.07 to 8.94; P = 0.029), type 1 diabetes at baseline (P = 0.02), and developing type 2 diabetes (OR: 7.9; 95% CI: 2.09 to 29.65; P = 0.000). A total of 25 patients who were partially compliant (17 males and eight females) were observed for 19 years. This group had a higher proportion of downhill and extreme downhill cases and MI. CONCLUSIONS Patients who left the maintenance program in a periodontal specialist practice in Norway had a higher rate of tooth loss than patients who were compliant. Patients who were compliant with maintenance in a specialist practice in Norway have a similar risk of developing type 2 diabetes as the general population. A rate of 0.0037 MIs per patient per year was recorded for this group. Due to the lack of external data, it is difficult to assess how this compares with patients who have periodontal disease and are untreated.

Civil procedure reports : containing cases under the Code of civil procedure and the general civil practice of the State of New York.

Reports cover 1881-1907.

General rules, including Rules of practice and procedure. : (Effective July 1, 1947)

"FPC A-31"

Accounting in the furniture and woodworking industries, designed in combination with General factory accounting by the same author; to afford a definite standard of practice in the industries referred to in the title ...

Mode of access: Internet.

The absorption refrigerating machine, elementary theory and practice, a complete practical elementary treatise on the absorption system of refrigeration, and its general fundamental principles of operation.

Mode of access: Internet.

An essay on the general principles and present practice of banking, in England and Scotland : with observations upon the justice and policy of an immediate alteration in the charter of the Bank of England, and the measures to be pursued in order to effect it /

Supplementary observations to the third ed. of An essay on the general principles and present practice of banking ... 20 p. at end.

A practical treatise on the law and procedure involved in the preparation and trial of cases of ejectment and other actions at law respecting titles to land, treating particularly of the pleading, practice and evidence, and, in general way, also of the principles of substantive law involved in such actions,

Mode of access: Internet.

The practice of physic in general, as delivered in a course of lectures on the theory of diseases and the proper method of treating them /

Mode of access: Internet.

The general state of medical and chirurgical practice exhibited : showing them to be inadequate, ineffectual, absurd, and ridiculous ... /

Mode of access: Internet.

Cyclopedia of mechanical engineering : a general reference work on machine shop practice, tool making, forging, pattern making, foundry, work, metallurgy, steam boilers and engines, gas producers, gas engines, automobiles, elevators, refrigeration, sheet metal work, mechanical drawing, machine design, etc;

Mode of access: Internet.

Radford's cyclopedia of cement construction; a general reference work on up-to-date practice in the manufacture and testing of cements; the selection of concreting materials, tools, and machinery; the proportioning, mixing, and depositing of concrete, and its application to all types and reinforced; together with analysis of the principles of constructive design, cost estimating, and the allied branches of stone and brick masonry and steel construction; based on the practical experience of a large staff of experts in actual construction work ...

"Prepared under the supervision of William A. Radford, editor-in-chief ... Alfred Sidney Johnson ... editor in charge."

The rural cyclopedia : or a general dictionary of agriculture, and of the arts, sciences, instruments, and practice, necessary to the farmer, stockfarmer, gardener, forester, landsteward, farrier, &c. /

Text in double columns.

Digest of decisions of the Department of the Interior and General Land Office in cases relating to the public lands also tables of cases reported and overruled; statutes cited and construed; circulars; and rules of practice cited and construed.

Description based on: Vol. 1-22.

General rules of practice before the Commission in Proceedings under the Interstate Commerce Act and Related Acts with Approved Forms.

Mode of access: Internet.