Browsing by Author/Contributor "Meadows, Susan E."

Now showing items 1-20 of 24

  • Are drug therapies effective in treating Bell's palsy? 

    Shannon, Scott E.; Meadows, Susan E. (Family Physicians Inquiries Network, 2003)
    Early use of corticosteroid therapy results in less autonomic synkinesis and possibly improved rates of recovery in adults (strength of recommendation: C); there is no proven benefit in children (SOR: B). Adding acyclovir ...

  • Do acetaminophen and an NSAID combined relieve osteoarthritis pain better than either alone? 

    Buescher, Jennifer J.; Meadows, Susan E. (Family Physicians Inquiries Network, 2004)
    Combining nonsteroidal anti-inflammatory drugs (NSAIDs) and acetaminophen for short courses provides more relief of pain in osteoarthritis without an increase in side effects (strength of recommendation [SOR]=B). Combining ...

  • Does acyclovir help herpes simplex virus cold sores if treatment is delayed? 

    Madigosky, Wendy S.; Meadows, Susan E. (Family Physicians Inquiries Network, 2004)
    When herpes simplex virus (HSV) type 1 lesions are in the papule or vesicle stage, there is no benefit to starting oral acyclovir (strength of recommendation [SOR]: C, based on expert opinion). However, topical acyclovir ...

  • Does neonatal circumcision decrease morbidity? 

    Kinkade, Scott; Meadows, Susan E. (Family Physicians Inquiries Network, 2005)
    Evidence suggests that neonatal circumcision decreases the incidence of childhood urinary tract infections, phimosis, paraphimosis, balanitis and other genital dermatoses, invasive penile cancer, and the sexually transmitted ...

  • For knee pain, how predictive is physical examination for meniscal injury? 

    Ellis, Mark R.; Griffin, Kyle W.; Meadows, Susan E. (Family Physicians Inquiries Network, 2004)
    No single clinical examination element, or combination of such elements, reliably detects meniscal injury. The McMurray test is best for ruling in meniscal pathology. Assuming a 9% prevalence of meniscal tears among all ...

  • How much does smoking cessation cut CHD risk? 

    Frothingham, Shazia M.; Smith, Patrick O.; Payne, Thomas J.; Meadows, Susan E. (Family Physicians Inquiries Network, 2008)
    Patients with coronary heart disease (CHD) who refrain from smoking over a 2-year follow-up period decrease their relative risk (RR) for morbidity and mortality by about one third (strength of recommendation [SOR]: A, ...

  • In patients with a previous CVA, do antioxidants protect against subsequent stroke? 

    Spencer, Donald C.; Meadows, Susan E. (Family Physicians Inquiries Network, 2002)
    Most recent randomized controlled clinical trials have not found a benefit in antioxidants (vitamin C, vitamin E, and/or beta-carotene) for preventing cardiovascular disease, including stroke. These recent clinical studies ...

  • Intravenous Fluids for Children with Gastroenteritis 

    Banks, J. Burton (Jerry Burton), 1963-; Meadows, Susan E. (Family Physicians Inquiries Network, 2005)
    Most children with gastroenteritis do not require intravenous fluids and will respond favorably to ORT. Intravenous fluids do not shorten the duration of gastroenteritis and are more likely to cause adverse effects than ...

  • Quality of Life in Older Persons with Dementia Living in Nursing Homes 

    Sefton, Natalie; Craig, Kevin; Meadows, Susan E. (Family Physicians Inquiries Network, 2008)
    There is no "gold standard" to measure the QOL in older persons with dementia. For those requiring increased care, nursing homes may offer some benefit, including more frequent physician assessment and treatment of pain ...

  • Should home apnea monitoring be recommended to prevent SIDS? 

    Shoemaker, Michael D.; Ellis, Mark R.; Meadows, Susan E. (Family Physicians Inquiries Network, 2004)
    While home apnea monitoring may find an increased incidence of apnea and bradycardia in preterm infants compared with term infants, no association links these events with sudden infant death syndrome (SIDS). Apnea of ...

  • Should patients with acute DVT limit activity? 

    Saab, Rola; Stevermer, James J.; Meadows, Susan E. (Family Physicians Inquiries Network, 2010)
    Ambulation, combined with compression of the affected extremity, appears to be safe for medically stable patients with deep venous thromboses (DVT) (strength of recommendation [SOR]: A, consistent randomized controlled ...

  • What are effective therapies for Clostridium difficile- associated diarrhea? 

    Ohl, Michael E.; Stevermer, James J.; Meadows, Susan E. (Family Physicians Inquiries Network, 2005)
    Oral metronidazole and oral vancomycin are equally effective treatments for Clostridium difficile- associated diarrhea (CDAD) (strength of recommendation [SOR]: A, based on randomized trials). Oral vancomycin is considerably ...

  • What are the most effective interventions to reduce childhood obesity? 

    Hill, John C.; Smith, Peter C.; Meadows, Susan E. (Family Physicians Inquiries Network, 2002)
    Efforts to increase physical activity or decrease sedentary activities have shown some short-term benefit, and adding dietary changes may be more effective. Aiming interventions at parents, intensive family therapy, ...

  • What is the best approach to goiter for euthyroid patients? 

    Hoffman, M. Rebecca; Meadows, Susan E. (Family Physicians Inquiries Network, 2007)
    A detailed history and exam, confirmation of euthyroid status, and imaging when appropriate is the best approach to euthyroid patients with thyroid enlargement in regions where goiters are not endemic. Ultrasound imaging ...

  • What is the best duration of steroid therapy for contact dermatitis (rhus)? 

    Craig, Kevin; Meadows, Susan E. (Family Physicians Inquiries Network, 2006)
    Scant evidence exists for the best duration of steroid therapy for contact dermatitis due to plants (rhus). Review articles recommend 10 to 21 days of treatment with topical or oral corticosteroids for moderate to severe ...

  • What is the best therapy for constipation in infants? 

    Ellis, Mark R.; Meadows, Susan E. (Family Physicians Inquiries Network, 2002)
    The best treatment for minor, self-limited constipation (infant dyschezia) may be observation and parental education about its benign nature. (Grade of recommendation: D, expert opinion.) For cases requiring treatment, ...

  • What is the initial approach to the treatment of shoulder pain? 

    Weismantel, David; Abbott, Cathleen M.; Meadows, Susan E. (Family Physicians Inquiries Network, 2002)
    There is some limited evidence supporting the use of nonsteroidal anti-inflammatory drugs (NSAIDs) in the initial treatment of shoulder pain. There is no evidence in support of most other therapies, including intra-articular ...

  • What is the prognosis of postherpetic neuralgia? 

    Gazewood, John D.; Meadows, Susan E. (Family Physicians Inquiries Network, 2003)
    Postherpetic neuralgia occurs rarely among patients aged <50 years with herpes zoster. The incidence, duration, and severity of post-herpetic neuralgia increases with age, but older patients usually have only mild pain. ...

  • What is the target for low-density lipoprotein cholesterol in patients with heart disease? 

    Stevermer, James J.; Meadows, Susan E. (Family Physicians Inquiries Network, 2002)
    Large published randomized controlled trials (RCTs) show that pravastatin and simvastatin are well-tolerated and reduce major coronary events such as death, myocardial infarction, and revascularization by about 25%. The ...

  • What levels of cholesterol should be treated for primary prevention? 

    Seaton, Terry L.; Meadows, Susan E. (Family Physicians Inquiries Network, 2002)
    The levels of cholesterol that should be treated for primary prevention are based on low-density lipoprotein cholesterol (LDL-C) levels of > 100 mg/dL to > 190 mg/dL and vary according to whether the patient's risk is high, ...