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Now showing items 2601-2611 of 2611
What effect do inhaled steroids have on delaying the progression of COPD?
(Family Physicians Inquiries Network, 2004)
The annual rate of decline in forced expiratory volume for 1 second (FEV1) has been researchers' gold standard as an objective measure for progression of chronic obstructive pulmonary disease (COPD). Inhaled corticosteroids ...
What is the best approach for patients with ASCUS detected on Pap smear?
(Family Physicians Inquiries Network, 2004)
DNA testing for human papillomavirus (HPV), especially if the sample can be obtained at the same time as the Papanicolaou (Pap) smear, can guide the management of women whose test result shows atypical squamous cells of ...
What is the diagnostic approach to a 1-year-old with chronic cough?
(Family Physicians Inquiries Network, 2004)
Very few studies examine the evaluation of chronic cough among young children. Based on expert opinion, investigation of chronic cough should begin with a detailed history, physical examination, and chest radiograph (strength ...
What is the best way to treat patients with white-coat hypertension?
(Family Physicians Inquiries Network, 2004)
Evidence is conflicting regarding the risk of cardiovascular complications from white- coat hypertension. Some but not all studies show lower cardiovascular event rates for patients with white-coat hypertension compared ...
Should the varicella vaccine be given to all children to prevent chickenpox?
(Family Physicians Inquiries Network, 2004)
Healthy, unimmunized children who have not had varicella infection should be vaccinated (strength of recommendation: A, based on randomized controlled trials). Use of the vaccine in immunocompromised children is still being ...
What are effective treatments for oppositional and defiant behaviors in preadolescents?
(Family Physicians Inquiries Network, 2005)
Parent training is effective for treating oppositional and defiant behaviors (strength of recommendation [SOR]: A, based on systematic reviews). Parent training programs are standardized, short-term interventions that teach ...
What is the evaluation and treatment strategy for Raynaud's phenomenon?
(Family Physicians Inquiries Network, 2005)
Raynaud's phenomenon is diagnosed by history,
which also plays a key role in distinguishing
primary from secondary Raynaud's phenomenon
(strength of recommendation [SOR]: C, based
on expert opinion). The initial treatment ...
What is the addiction risk associated with tramadol?
(Family Physicians Inquiries Network, 2005)
Tramadol (Ultram, generic and with acetaminophen in Ultracet) carries a risk of substance abuse (strength of recommendation [SOR]: B, based on case report surveillance programs). While it appears that tramadol's risk of ...
Should a nylon brush be used for Pap smears from pregnant women?
(Family Physicians Inquiries Network, 2005)
Use of a nylon brush (Cytobrush and others) with spatula to obtain Papanicolaou (Pap) smears from pregnant women is more likely to obtain sufficient endocervical cells, without adverse consequence for the mother or for the ...
Should we recommend universal neonatal hearing screening?
(Family Physicians Inquiries Network, 2005)
Universal neonatal hearing screening leads to both earlier detection and earlier treatment of infants with hearing loss (strength of recommendation [SOR]: A, based on a systematic review). Available evidence suggests early ...
Aspirin Use in Children for Fever or Viral Syndromes
(Family Physicians Inquiries Network, 2009)
Aspirin should not be used to treat acute febrile viral illness in children. (Strength of Recommendation [SOR]: C, based on case- control studies). Although no causal link has been proven, data from case-control and historic ...