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  1. Article ; Online: Rural Matters - Coronavirus and the Navajo Nation.

    Kovich, Heather

    The New England journal of medicine

    2020  Volume 383, Issue 2, Page(s) 105–107

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections/ethnology ; Family/ethnology ; Humans ; Indians, North American ; Interpersonal Relations ; New Mexico/epidemiology ; Pandemics ; Pneumonia, Viral/ethnology ; Rural Population ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-04-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMp2012114
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Ua VI Zs.34: Show issues Location:
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  2. Article ; Online: Roadside Assistance.

    Kovich, Heather

    The New England journal of medicine

    2019  Volume 381, Issue 22, Page(s) 2087–2089

    MeSH term(s) Accidents, Traffic ; Clinical Competence ; Emergency Medical Services ; Humans ; Male ; Motorcycles ; Multiple Trauma/therapy
    Language English
    Publishing date 2019-11-27
    Publishing country United States
    Document type Journal Article ; Personal Narrative
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMp1907848
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: And How Long Will You Be Staying, Doctor?

    Kovich, Heather

    The New England journal of medicine

    2017  Volume 376, Issue 14, Page(s) 1307–1309

    MeSH term(s) Humans ; Physicians, Primary Care/supply & distribution ; Referral and Consultation/utilization ; Rural Health Services/manpower ; Time Factors ; United States
    Language English
    Publishing date 2017-04-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMp1613899
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Pharmacologic Treatment of Depression.

    Kovich, Heather / Kim, William / Quaste, Anthony M

    American family physician

    2023  Volume 107, Issue 2, Page(s) 173–181

    Abstract: The prevalence of depression and the use of antidepressant medications have risen steadily in the United States over the past three decades. Antidepressants are the most commonly prescribed medications for U.S. adults 20 to 59 years of age. Second- ... ...

    Abstract The prevalence of depression and the use of antidepressant medications have risen steadily in the United States over the past three decades. Antidepressants are the most commonly prescribed medications for U.S. adults 20 to 59 years of age. Second-generation antidepressants (e.g., selective serotonin reuptake inhibitors, serotonin-norepinephrine reuptake inhibitors, serotonin modulators, atypical antidepressants) are first-line therapy for depression. Psychotherapy, including cognitive behavior therapy and other types of individual and group therapy, is also a first-line treatment. The combination of medication and psychotherapy is preferred for severe depression. Treatment history, comorbidities, costs, and risk of adverse effects should be considered when choosing an antidepressant medication. Although many patients use antidepressants indefinitely, few studies have examined safety and effectiveness beyond two years. There is an increased risk of relapse or recurrence of depressive symptoms when an antidepressant is discontinued, compared with continued use. Gradually tapering the dosage while concurrently providing cognitive behavior therapy can decrease this risk. High-quality evidence on antidepressant use in pregnancy is lacking. Depression and use of antidepressants are both associated with preterm birth.
    MeSH term(s) Infant, Newborn ; Adult ; Female ; Pregnancy ; Humans ; United States ; Depression/drug therapy ; Premature Birth ; Antidepressive Agents/therapeutic use ; Antidepressive Agents/adverse effects ; Depressive Disorder/drug therapy ; Selective Serotonin Reuptake Inhibitors/therapeutic use ; Antidepressive Agents, Second-Generation/therapeutic use
    Chemical Substances Antidepressive Agents ; Selective Serotonin Reuptake Inhibitors ; Antidepressive Agents, Second-Generation
    Language English
    Publishing date 2023-02-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 412694-4
    ISSN 1532-0650 ; 0002-838X ; 0572-3612
    ISSN (online) 1532-0650
    ISSN 0002-838X ; 0572-3612
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  6. Article ; Online: Common Questions About the Pharmacologic Management of Depression in Adults.

    Kovich, Heather / DeJong, Amanda

    American family physician

    2015  Volume 92, Issue 2, Page(s) 94–100

    Abstract: One in 11 U.S. adults currently meets diagnostic criteria for major depressive disorder, and a similar number report that they have taken an antidepressant medication in the past 30 days. In the primary care population, medications are modestly superior ... ...

    Abstract One in 11 U.S. adults currently meets diagnostic criteria for major depressive disorder, and a similar number report that they have taken an antidepressant medication in the past 30 days. In the primary care population, medications are modestly superior to placebo in achieving remission, with a number needed to treat of seven or eight for selective serotonin reuptake inhibitors and seven to 16 for tricyclic antidepressants. The benefit of antidepressants over placebo is more pronounced in patients with severe depression. Second-generation antidepressants are generally considered first-line therapy. Specific therapy choice should be based on cost, patient preference, and adverse effect profile. About two-thirds of patients receiving second-generation antidepressants experience at least one adverse effect during treatment. Nausea and vomiting are the most common reasons for discontinuation of therapy. The optimal treatment duration is unclear, but clinical guidelines suggest four to 12 months for an initial episode of major depression. Patients with recurrent depression may benefit from prolonged treatment. High-quality evidence is lacking on the benefits and harms of antidepressant use in pregnancy. It is unclear whether selective serotonin reuptake inhibitor use in breastfeeding mothers causes adverse effects in their infants, but sertraline and paroxetine transfer to breast milk in lower concentrations than other antidepressants. Consensus guidelines recommend a "start low, go slow" approach to antidepressant therapy in older persons; preferred medications include citalopram, escitalopram, sertraline, mirtazapine, and venlafaxine.
    MeSH term(s) Adult ; Antidepressive Agents/therapeutic use ; Depression/drug therapy ; Depressive Disorder, Major/drug therapy ; Drug Administration Schedule ; Humans ; Serotonin and Noradrenaline Reuptake Inhibitors/therapeutic use ; Treatment Outcome
    Chemical Substances Antidepressive Agents ; Serotonin and Noradrenaline Reuptake Inhibitors
    Language English
    Publishing date 2015-07-15
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 412694-4
    ISSN 1532-0650 ; 0002-838X ; 0572-3612
    ISSN (online) 1532-0650
    ISSN 0002-838X ; 0572-3612
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  7. Article ; Online: Clinical inquiries. Does the age you introduce food to an infant affect allergies later?

    Kovich, Heather / Huntington, Jane / Safranek, Sarah / Stephens, Mary M

    The Journal of family practice

    2007  Volume 56, Issue 9, Page(s) 749–750

    MeSH term(s) Age Factors ; Animals ; Child, Preschool ; Eggs/adverse effects ; Fish Products/adverse effects ; Food Hypersensitivity/etiology ; Food Hypersensitivity/prevention & control ; Humans ; Infant ; Milk/adverse effects ; Nuts/adverse effects ; Randomized Controlled Trials as Topic
    Language English
    Publishing date 2007-09
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 197883-4
    ISSN 1533-7294 ; 0094-3509
    ISSN (online) 1533-7294
    ISSN 0094-3509
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    Zs.A 1274: Show issues Location:
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    Zs.MO 444: Show issues

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  8. Article ; Online: Ovarian torsion associated with appendicitis in a 5-year-old girl: a case report and review of the literature.

    Hoey, Brian A / Stawicki, Stanislaw P / Hoff, William S / Veeramasuneni, Ravi K / Kovich, Heather / Grossman, Michael D

    Journal of pediatric surgery

    2005  Volume 40, Issue 9, Page(s) e17–20

    Abstract: Acute ovarian torsion is an uncommon cause of abdominal pain in female children and is often difficult to differentiate from other conditions causing lower abdominal pain. Acute adnexal pathology associated with appendicitis is very rare, with only a ... ...

    Abstract Acute ovarian torsion is an uncommon cause of abdominal pain in female children and is often difficult to differentiate from other conditions causing lower abdominal pain. Acute adnexal pathology associated with appendicitis is very rare, with only a handful of reports available in the literature. Reported is a case of ovarian torsion associated with appendicitis in a 5-year-old girl along with a comprehensive literature review.
    MeSH term(s) Abdominal Pain/etiology ; Acute Disease ; Appendectomy ; Appendicitis/complications ; Appendicitis/surgery ; Appendix/pathology ; Child, Preschool ; Fallopian Tubes/pathology ; Fallopian Tubes/surgery ; Female ; Humans ; Necrosis ; Ovarian Diseases/etiology ; Ovarian Diseases/surgery ; Ovariectomy ; Torsion Abnormality/etiology ; Torsion Abnormality/surgery ; Treatment Outcome
    Language English
    Publishing date 2005-09
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 80165-3
    ISSN 1531-5037 ; 0022-3468
    ISSN (online) 1531-5037
    ISSN 0022-3468
    DOI 10.1016/j.jpedsurg.2005.05.068
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 607: Show issues Location:
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