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Now showing items 321-340 of 383
When is it OK for children to start drinking fruit juice?
(Family Physicians Inquiries Network, 2009)
Children should be at least 6 months of age (strength of recommendation [SOR]: C, expert opinion) and parents should provide only 100% fruit juice in a cup (not a bottle). Intake should be limited to 4 to 6 oz a day until ...
Do behavioral interventions improve nighttime sleep in children < 1 year old?
(Family Physicians Inquiries Network, 2022-07)
Q: Do behavioral interventions improve nighttime sleep in children < 1 year old? Evidence-based answer: YES. Infants respond to behavioral interventions, although objective data are limited. Behavioral interventions include ...
How does VTE risk for the patch and vaginal ring compare with oral contraceptives?
(Family Physicians Inquiries Network, 2008)
Evidence is conflicting with regard to the comparative frequency of venous thrombolic events (VTE) among women using the transdermal patch when compared to an oral contraceptive (OC), even though the patch produces a ...
What should you tell pregnant women about exposure to parvovirus?
(Family Physicians Inquiries Network, 2011)
Tell patients that parvovirus infections before 20 weeks' gestation confer a risk of fetal morbidity and mortality as high as 16%, but don't significantly increase long-term developmental sequelae (strength of recommendation ...
What is the most effective way to treat recurrent canker sores?
(Family Physicians Inquiries Network, 2011)
Amlexanox appears to be most effective overall. Amlexanox 5% paste reduces ulcer size, pain duration, and healing time (strength of recommendation [SOR]: A, multiple randomized controlled trials [RCTs]). Topical steroids ...
What risk factors contribute to C difficile diarrhea?
(Family Physicians Inquiries Network, 2011)
Certain antibiotics and using 3 or more antibiotics at one time are associated with Clostridium difficile-associated diarrhea (CDAD) (strength of recommendation [SOR]: B, 1 heterogeneous systematic review and several ...
What's the best drug treatment for premature ejaculation?
(Family Physicians Inquiries Network, 2008)
Antidepressants--specifically clomipramine, fluoxetine, paroxetine, and sertraline--are best and have been shown to improve symptoms of premature ejaculation (strength of recommendation [SOR]: A, meta-analysis of randomized ...
Which medications can be split without compromising efficacy and safety?
(Family Physicians Inquiries Network, 2006)
Split tablets of lisinopril are as effective as whole tablets of the same dose for hypertension (SOR: B, based on small randomized crossover study). Similarly, split tablets of atorvastatin, lovastatin, and simvastatin are ...
What is the best imaging method for patients with a presumed acute stroke?
(Family Physicians Inquiries Network, 2014)
Evidence-based answer: It depends on whether the stroke is ischemic or hemorrhagic. For early detection of ischemic stroke, magnetic resonance imaging (MRI) using diffusion-weighted imaging (DWI) is highly sensitive and ...
How should we treat major depression combined with anxiety?
(Family Physicians Inquiries Network, 2007)
One approach is to use antidepressants alone, which reduce symptoms for patients with major depression plus symptoms of anxiety or major depression plus generalized anxiety disorder. Selective serotonin reuptake inhibitors ...
Are any alternative therapies effective in treating asthma?
(Family Physicians Inquiries Network, 2007)
Yes, some are. Acupuncture relieves subjective symptoms of asthma and reduces medication use in mild to moderate asthma (strength of recommendation [SOR]: A, based on systematic review of randomized controlled trials [RCTs] ...
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 ...
How best to diagnose iron-deficiency anemia in patients with inflammatory disease?
(Family Physicians Inquiries Network, 2012)
The serum ferritin level is the most sensitive and specific initial laboratory test for iron- deficiency anemia (IDA) in patients with inflammation. Serum ferritin levels <45 ng/dL confirm IDA, and levels of ≥100 ng/dL ...
How should you manage an overweight breastfed infant?
(Family Physicians Inquiries Network, 2009)
Monitor the growth of exclusively breastfed babies by plotting routine weights and lengths on the World Health Organization (WHO) growth curve (strength of recommendation [SOR]: A, systematic reviews). Reassure parents ...
What hormonal contraception is most effective for obese women?
(Family Physicians Inquiries Network, 2007)
Depot medroxyprogesterone acetate (DMPA; Depo-Provera) and the combination contraceptive vaginal ring (NuvaRing) are most effective for obese women because they don't appear to be affected by body weight (strength of ...
What is the most effective and safe malaria prophylaxis during pregnancy?
(Family Physicians Inquiries Network, 2008)
Chloroquine and mefloquine have superior safety profiles in pregnancy, though all antimalarials are effective for prophylaxis. Antimalarials will decrease the severity of maternal malaria infection and malaria-associated ...
How effective are hypertension self-care interventions?
(Family Physicians Inquiries Network, 2007)
Simplification of the dosing regimen (eg, once-daily instead of multiple dosing) improves patients' adherence to anti- hypertensive medications (strength of recommendation [SOR]: B, based on a high- quality systematic ...
How much does smoking cessation cut CHD risk?
(Family Physicians Inquiries Network, 2008)
Patients with coronary heart disease (CHD) who refrain from smoking over a 2-year follow-up period decrease their relative risk (RR) for morbidity and mortality by about one third (strength of recommendation [SOR]: A, ...
Should people with a first-degree relative who died from subarachnoid hemorrhage be screened for aneurysms?
(Family Physicians Inquiries Network, 2006)
Patients whose family history includes 1 first-degree relative with subarachnoid hemorrhage caused by intracranial aneurysm (ICA) need not be screened for ICAs (strength of recommendation [SOR]: B, based on a single case ...
What's the best way to treat Achilles tendonopathy?
(Family Physicians Inquiries Network, 2008)
Rest and ice are considered first-line therapy for acute Achilles tendonopathy (strength of recommendation [SOR]: C, expert opinion), as is nonsteroidal anti- inflammatory drugs (NSAIDs) (SOR: B, systematic review). Chronic ...