Treatment of subclinical hypothyroidism with levothyroxine may be of most benefit to patients with symptoms suggestive of hypothyroidism and those patients with thyroid-stimulating hormone (TSH) levels higher than 10 μIU per mL (10 mIU per L...

St. John's wort is safe and effective for short-term (six to eight weeks) relief of mild to moderate depression in adults. [Strength of recommendation: A, based on consistent evidence from high-quality systematic reviews]

Healthy infants who test positive for anemia on routine screening at 1 year of age are most likely iron-deficient and may be treated empirically with a trial of iron therapy (3-6 mg of elemental iron/kg/d). Documentation of response to iron confirms...

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....

The most common tremor in primary care is an exaggerated physiologic tremor, followed by essential tremor and tremors caused by Parkinson's disease. (Strength of Recommendation [SOR]: C, based on extrapolation from a ...

There is no single approach to glycemic control that is better than another for reducing neonatal mortality and morbidity. Glycemic control--regardless of whether it involves diet, glyburide, or insulin--leads to fewer ...

For hyperglycemic patients admitted to an intensive care unit (ICU), the target blood glucose level should be [less than or equal to] 180 mg/dL, not 81 to 108 mg/dL. More aggressive glucose lowering is associated with a ...

the risk of congenital malformations or miscarriage. (Strength of Recommendation [SOR]: B, based on limited-quality, patient-oriented evidence.) The use of SSRIs or TCAs during pregnancy may increase the risk of preterm birth, low birth weight, respiratory...

This issue of eMedRef provides information to clinicians on the pathophysiology, diagnosis, and therapeutics of pregnancy.

. The report uses the most current summary information available and many FY2005 charts are included. However, for some graphics, it was necessary to use older data to achieve a consistent frame of reference. Some Medicaid service types, particularly managed...

This report provides a graphical summary of the Missouri Medicaid program. It is intended to provide background information of the policy issues being considered by the Missouri Medicaid Reform Commission. Medicaid at the ...

This issue of eMedRef provides information to clinicians on the indications, preparation and procedure for performing a punch biopsy.

Perform an ankle-arm index (AAI, or ankle- brachial index) test to evaluate for peripheral artery disease (PAD) (strength of recommendation [SOR]: B, cohort studies). If the test detects PAD, recommend steps to modify ...

This issue of eMedRef provides information to clinicians on the care that should be given during and immediately after a pregnancy.

. 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...

No studies demonstrate that training patients to examine their skin decreases mortality from melanoma in the general population. Nor is there any evidence to suggest that teaching patients to monitor their skin for suspicious ...

Fluoxetine is the only selective serotonin-reuptake inhibitor (SSRI) approved by the US Food and Drug Administration (FDA) to treat depression in children 8 years of age and older; it also has the most favorable benefit-to-risk ...

An ankle-brachial index is best for evaluating patients with symptoms of claudication (strength of recommendation [SOR]: B, multiple cohort studies). That said, duplex ultrasonography or magnetic resonance angiography may be a preferable first step...

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 ...

This issue of eMedRef provides information to clinicians on the pathophysiology, diagnosis, and therapeutics of Wegener's granulomatosis.