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Are major bleeding events from falls more likely in patients on warfarin?
(Family Physicians Inquiries Network, 2006)
There is no evidence of increased risk for major bleeding as a result of falls in hospitalized patients taking warfarin (strength of recommendation [SOR]: B, based on retrospective cohort studies). In the average patient ...
What are effective medical treatments for adults with acute migraine?
(Family Physicians Inquiries Network, 2006)
Medications collectively referred to as "triptans" (eg, sumatriptan, naratriptan, etc) have been shown to be effective for acute migraine (strength of recommendation [SOR]: A). Nonsteroidal anti-inflammatory drugs ...
What are hospital admission criteria for infants with bronchiolitis?
(Family Physicians Inquiries Network, 2006)
Clinical judgment remains the gold standard for hospital admission of infants with bronchiolitis, and it cannot be replaced by objective criteria (strength of recommendation [SOR]: B, based on prospective and retrospective ...
What are effective treatments for oppositional defiant behaviors in adolescents?
(Family Physicians Inquiries Network, 2006)
Psychological interventions for the family-- such as parenting skills training and behavioral therapy for the child, the parents, or the whole family--reduce conflict behaviors in adolescents with oppositional defiant ...
What is appropriate fetal surveillance for women with diet-controlled gestational diabetes?
(Family Physicians Inquiries Network, 2006)
No evidence clearly supports the practice of increased fetal surveillance in the pregnancies of women with well-controlled (ie, fasting blood sugar <105 mg/dL) class A1 gestational diabetes (strength of recommendation ...
What is the appropriate evaluation and treatment of children who are "toe walkers"?
(Family Physicians Inquiries Network, 2006)
The evaluation of toe-walking focuses on differentiating normal children from those with mild cerebral palsy. Gait analysis may be a useful diagnostic tool, but further investigation is needed to confirm its reliability ...
When should a child with an undescended testis be referred to a urologist?
(Family Physicians Inquiries Network, 2006)
Infants with an undescended testis should be referred between ages 6 and 15 months, since almost all who experience spontaneous descent do so by 6 months (strength of recommendation [SOR]: A, extrapolation from cohort ...
What is appropriate management of iron deficiency for young children?
(Family Physicians Inquiries Network, 2006)
Infants and toddlers with suspected irondeficiency anemia (IDA) should begin treatment with oral ferrous sulfate (3 mg/kg/d of elemental iron). A rise in hemoglobin >1 g/dL after 4 weeks supports the diagnosis of iron ...
What is the recommended approach to asymptomatic patients who develop a reactive PPD?
(Family Physicians Inquiries Network, 2006)
Clinical evaluation and chest x-ray are recommended for asymptomatic patients with a positive purified protein derivative (PPD) test result, to exclude the slight possibility of active tuberculosis (TB). Patients with ...
What are appropriate screening tests for adolescents?
(Family Physicians Inquiries Network, 2006)
Screen all women of childbearing age, including adolescents, for rubella susceptibility (strength of recommendation [SOR]: B). Screen all sexually active adolescent females for chlamydia (SOR: A), gonorrhea (SOR: B), and ...
What is the appropriate use of sunscreen for infants and children?
(Family Physicians Inquiries Network, 2006)
The risk and benefits of sunscreen use for children under the age of 6 months are unknown. To avoid sunburn, infants should be kept out of direct sunlight and be covered with protective clothing (strength of recommendation ...
What is the best surveillance for hepatocellular carcinoma in chronic carriers of hepatitis B?
(Family Physicians Inquiries Network, 2006)
Screening patients with chronic hepatitis B infection (HBsAg+) for hepatocellular carcinoma by alpha-fetoprotein (AFP) or by AFP plus ultrasound (AFP/US) detects hepatocellular carcinoma tumors at earlier stages and increases ...
Project ASSIST Frameworks
(2006)
The attached items are intended to provide a visual representation of the two guiding frameworks that inform the work in Project ASSIST.
Project ASSIST: SI Profiling Activities
(2006)
This set of materials helps schools develop a current and historical perspective of several key components related to school improvement. The materials focus on culture, professional development, organizational structure, ...
When should we screen children for hyperlipidemia?
(Family Physicians Inquiries Network, 2006)
Children should be screened for hyperlipidemia when there is a history of familial hypercholesterolemia (strength of recommendation [SOR]: C). No clear evidence supports screening all children or just those with family ...
Can patients with steatohepatitis take statins?
(Family Physicians Inquiries Network, 2006)
Patients with steatohepatitis who take HMG Co-A reductase inhibitors (statins) lower their elevated liver enzymes and show evidence of improvement in fatty liver on follow-up imaging (strength of recommendation [SOR]: C, ...
Do allergy shots help seasonal allergies more than antihistamines and nasal steroids?
(Family Physicians Inquiries Network, 2006)
Multiple randomized controlled trials (RCTs) demonstrate the effectiveness of both allergen immunotherapy and antihistamines, with or without nasal steroids, in the treatment of seasonal allergic rhinitis (strength of ...
Are oral agents effective for the treatment of verruca vulgaris?
(Family Physicians Inquiries Network, 2006)
Of the available oral therapies for common warts, none has sufficient evidence to recommend it as an effective therapy (strength of recommendation [SOR]: B). To date, no oral agent has been shown to be effective in a ...
Do glucosamine and chondroitin worsen blood sugar control in diabetes?
(Family Physicians Inquiries Network, 2006)
Despite theoretical risks based on animal models given high intravenous doses, glucosamine/chondroitin (1500 mg/1200 mg daily) does not adversely affect short-term glycemic control for patients whose diabetes is well-controlled, ...
Does stopping a statin increase the short-term risk of a cardiovascular event?
(Family Physicians Inquiries Network, 2006)
When hydroxymethyl glutaryl coenzyme A (HMG CoA) inhibitors (statins) are stopped by asymptomatic patients, there appears to be no increased risk of cardiovascular events (strength of recommendation [SOR]: B). However, for ...