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Complementary and alternative therapies for atopic dermatitis
(Family Physicians Inquiries Network, 2012)
Evening primrose oil may be effective for the treatment of atopic dermatitis. (Strength of Recommendation [SOR]: B, based on one randomized controlled trial [RCT].) Homeopathy may be as good as conventional therapy for eczema. Probiotics (SOR: A...
What's best for IBS?
(Family Physicians Inquiries Network, 2012)
Recommend antispasmodics or antidepressants for patients with irritable bowel syndrome (IBS) and explain that, while fiber may have other benefits, it is unlikely to relieve IBS symptoms. Stength of recommendation: A: Based on a meta-analysis....
Rethinking antibiotics for sinusitis-again
(Family Physicians Inquiries Network, 2012)
Stop prescribing amoxicillin for acute rhinosinusitis. It's unlikely to provide a speedier recovery than over-the-counter (OTC) remedies alone. Stength of recommendation: B: Based on a single high-quality randomized controlled trial....
Efficacy of an online problem-based learning course in occupational therapy education
(2012)
Problem-based learning (PBL) is a teaching method created in the 1960's that encourages students to improve their critical thinking and clinical reasoning skills through case studies, group work, discussions with faculty facilitation, and no lecture...
Screening Mammography for Reducing Breast Cancer Mortality
(Family Physicians Inquiries Network, 2012)
in this age group is 15 percent, similar to that of women 50 years and older (14 percent). To prevent one breast cancer death, 1,904 women 40 to 49 years of age must be screened annually for 10 years, compared with 1,339 women 50 to 59 years of age. Although...
What are the benfits and risks of IUDs in adolescents?
(Family Physicians Inquiries Network, 2012)
Little available evidence specifically addresses the benefits and risks of intrauterine devices (IUDs) in adolescents. Most studies have evaluated IUD use in nulliparous adults. Levonorgestrel IUDs cause less menstrual bleeding than oral...
Tension headache
(Family Physicians Inquiries Network, 2012)
This issue of eMedRef provides information to clinicians on the pathophysiology, diagnosis, and therapeutics of tension headaches.
Intranasal steroids vs antihistamines: which is better for seasonal allergies and conjunctivitis?
(Family Physicians Inquiries Network, 2012)
--by about 25% more than placebo, whereas oral antihistamines decrease TNSS by 5% to 10% (strength of recommendation [SOR]: B, systematic review of randomized controlled trials [RCTs], most without clinically validated or standardized outcome measures...
What treatments relieve painful heel cracks?
(Family Physicians Inquiries Network, 2012)
Emollient cream may alleviate pain and dryness and improve the appearance of heel cracks (strength of recommendation [SOR]: B, one small randomized trial). Foot soaks followed by mechanical debridement and topical petrolatum ...
Treatment of motion sickness
(Family Physicians Inquiries Network, 2012)
Scopolamine should be used to reduce nausea associated with motion sickness, but it does not reduce vomiting. (Strength of Recommendation [SOR]: A, based on multiple randomized controlled trials [RCTs].) Firstgeneration antihistamines...
Does ultrasound screening for abdominal aortic aneurysm reduce mortality?
(Family Physicians Inquiries Network, 2012)
population-based randomized controlled trials [RCTs]). Evidence is inadequate to demonstrate benefits of screening in women....
Evaluation of elevated serum transaminase levels
(Family Physicians Inquiries Network, 2012)
The evaluation of patients with elevated transaminase levels should be individualized based on the presence of symptoms or physical examination findings that suggest serious disease or hepatic decompensation. (Strength of Recommendation [SOR]: C...
Does blood pressure screening benefit children?
(Family Physicians Inquiries Network, 2012)
]: C, expert opinion), scant evidence links earlier detection and treatment of childhood hypertension with improved patient-oriented outcomes. However, detecting childhood hypertension may help identify adults who would benefit from earlier treatment...
Can calcium supplements cause serious adverse effects in healthy people?
(Family Physicians Inquiries Network, 2012)
Calcium supplements with or without vitamin D increase the risk of myocardial infarction (MI), with numbers needed to harm (NNH) over 5 years of 69 to 240 (strength of recommendation [SOR]: B, meta-analyses of randomized ...
Medications for weight loss in patients with Type 2 diabetes mellitus
(Family Physicians Inquiries Network, 2012)
Fluoxetine (Prozac) and orlistat (Xenical) produce modest short-term weight loss, but their long-term benefits are unclear and their safety is uncertain. (Strength of Recommendation [SOR]: B, based on a meta-analysis of randomized controlled trials...
Exercise induced asthma
(Family Physicians Inquiries Network, 2012)
This issue of eMedRef provides information to clinicians on the pathophysiology, diagnosis, and therapeutics of exercise induced asthma.
Treatment of HSV infection in late pregnancy
(Family Physicians Inquiries Network, 2012)
, based on one systematic review.) Suppressive therapy at the time of delivery can reduce the rate of recurrence, the risk of asymptomatic viral shedding, and the number of cesarean deliveries because of active HSV infection. Women with active lesions...
DEXA screening: are we doing too much?
(Family Physicians Inquiries Network, 2012)
Reconsider the intervals at which you recommend rescreening for osteoporosis; for postmenopausal women with a baseline of normal bone mineral density (BMD) or mild osteopenia, a 15-year interval is probably sufficient. Strength of recommendation B...
Advantages of the no-scalpel vasectomy technique
(Family Physicians Inquiries Network, 2012)
The no-scalpel vasectomy (NSV) technique should be used instead of the standard incisional method. (Strength of Recommendation: A, based on systematic reviews, mixed-quality randomized controlled trials [RCTs], cohort studies, and case...
Would this long-acting bronchodilator be better for your patient?
(Family Physicians Inquiries Network, 2012)
of recommendation: A: Based on one well-designed randomized controlled trial....