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Intravenous Fluids for Children with Gastroenteritis
(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 ...
Treatment of Calf Deep Venous Thrombosis
(Family Physicians Inquiries Network, 2005)
(RCTs)] If anticoagulation is contra-indicated, physicians should monitor for proximal thrombus extension with duplex ultrasound twice weekly for two weeks. [Strength of recommendation: C, based on consensus guideline]...
How should a DEXA scan be used to evaluate bisphosphonate therapy for osteoporosis?
(Family Physicians Inquiries Network, 2005)
If bone density is evaluated after initiating bisphosphonate drug therapy, it should be tested no earlier than 2 years (strength of recommendation [SOR]: B, based on case series of dual energy x-ray absorptiometry [DEXA] ...
Can type 2 diabetes be prevented through diet and exercise?
(Family Physicians Inquiries Network, 2005)
Diets that result in long-term weight loss of 5% to 7%, along with moderate-intensity exercise for more than 150 minutes per week, reduce the incidence of type 2 diabetes for patients with impaired glucose tolerance (IGT) ...
Urine Dipstick for Diagnosing Urinary Tract Infection
(Family Physicians Inquiries Network, 2006)
The sensitivity and specificity of the urine dipstick varies somewhat with the setting and population, as does its recommended interpretation. In low-risk patients with a low pretest probability of UTI, the urine dipstick ...
Colicky baby? Here's a surprising remedy
(Family Physicians Inquiries Network, 2011)
This article suggests that parents of colicky breastfed infants try probiotics (Lactobacillus reuteri), which can significantly reduce daily crying time with no adverse effects. Stength of recommendation: A: A good-quality ...
Experiences influencing physician rural practice and retention : a phenomenological study
(University of Missouri--Columbia, 2009)
that influenced physicians' choices. Family, partners, and loan forgiveness were experiences that influenced practice type and location. Professional support and integration into the community were experiences influencing retention....
Skip this step when checking lipid levels
(Family Physicians Inquiries Network, 2015)
Skip this step when checking lipid levels. Practice changer: requiring your patients to fast before undergoing lipid testing. Nonfasting total cholesterol (TC), high-density lipoprotein cholesterol (HDL), and low-density ...
Should patients with acute DVT limit activity?
(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 ...
Does azithromycin have a role in cesarean sections?
(Family Physicians Inquiries Network, 2017)
Does azithromycin have a role in cesarean sections? Yes, adding azithromycin to the usual antibiotic protocol in nonelective c-sections reduces infections. But not everyone can take advantage of it. PRACTICE CHANGER: ...
How effective are dietary interventions in lowering lipids in adults with dyslipidemia?
(Family Physicians Inquiries Network, 2007)
Diets lower in fat, higher in soy protein, or higher in fiber reduce serum total cholesterol, low-density lipoprotein (LDL), and triglycerides. More restrictive low-fat diets also lower high-density lipoprotein (HDL), while ...
Should you test or treat partners of patients with gonorrhea, chlamydia, or trichomoniasis?
(Family Physicians Inquiries Network, 2010)
Empiric treatment of partners of female or heterosexual male patients diagnosed with gonorrhea or chlamydia using expedited partner therapy (having the index patient deliver therapy to the partner) decreases the risk of ...
Does low-dose aspirin reduce preeclampsia and other maternal-fetal complications?
(Family Physicians Inquiries Network, 2008)
The use of low-dose aspirin during pregnancy decreases the risk of preeclampsia for women considered at increased risk. The effect is smaller for women without risk factors (strength of recommendation [SOR]: A, based on ...
What other STI testing should we do for a patient with chlamydia?
(Family Physicians Inquiries Network, 2007)
Testing for gonorrhea is recommended for a patient with genital chlamydia; also test for gonorrhea and chlamydia in their sexual partner because of the high prevalence of coinfection, particularly among younger patients ...
What are effective medication combinations for dyslipidemia?
(Family Physicians Inquiries Network, 2006)
Many combination drug therapies are effective in treating dyslipidemia. Compared with statin monotherapy, combinations that include ezetimibe (Zetia), a bile acid sequestrant, or niacin further lower low- density lipoprotein ...
What precautions should we use with statins for women of childbearing age?
(Family Physicians Inquiries Network, 2006)
Statins are contraindicated for women who are pregnant or breastfeeding. Data evaluating statin use for women of childbearing age is limited; however, they may be used cautiously with adequate contraception. Pravastatin ...
This obscure herb works for the common cold
(Family Physicians Inquiries Network, 2008)
Offer patients Pelargonium sidoides (30 drops 3 times a day) to reduce the severity and duration of common cold symptoms and to get patients back to work sooner. Stength of recommendation: B: A single well-designed randomized ...
Prenatal care: diagnostics
(Family Physicians Inquiries Network, 2009)
This issue of eMedRef provides information to clinicians on the care that should be given during and immediately after a pregnancy.
Analysis of the information needs of primary care physicians in an electronic health record (EHR)
(University of Missouri--Columbia, 2012)
. An interdisciplinary team conceptualized nine interview questions over weekly group sessions and fictitious but typical acute and chronic physician's documentation (progress notes) was created by two family medicine physicians (JLB and RJK). An analysis of hour long...
Understanding family violence assessment practices of pediatric emergency department nurses and physicians
(University of Missouri--Kansas City, 2011-12-16)
. This is the first study to use the Theory of Planned Behavior (TPB) to explore family violence assessment behaviors. This study used a cross-sectional design and a convenience sample of emergency and urgent care nurses and physicians (n = 132) from a large...