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Now showing items 361-380 of 384
Does glucosamine relieve arthritis joint pain?
(Family Physicians Inquiries Network, 2003)
Glucosamine may provide some pain relief. Studies have shown varied results, ranging from glucosamine being superior or equivalent to other agents, to no difference between glucosamine and placebo. However, most of these ...
What's the best treatment for sebaceous cysts?
(Family Physicians Inquiries Network, 2007)
Punch biopsy excision appears to be superior to traditional wide elliptical excision for the treatment of sebaceous cysts when intervention is necessary (strength of recommendation [SOR]: B, based on 1 small randomized ...
What is the role of combination therapy (insulin plus oral medication) in type 2 diabetes?
(Family Physicians Inquiries Network, 2006)
Combination therapy using insulin plus metformin (Glucophage), a sulfonylurea, or both produces glycemic control comparable with using insulin alone, but there is less weight gain when metformin is used (strength of ...
What nonpharmacological treatments are effective against common nongenital warts?
(Family Physicians Inquiries Network, 2006)
Cryotherapy has similar cure rates to topical salicylate (a pharmacologic therapy) for non-genital common warts (strength of recommendation [SOR]: B, based on systemic review of variable quality randomized trials). Duct ...
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 ...
Do intercontraction intervals predict when a woman at term should seek evaluation of labor?
(Family Physicians Inquiries Network, 2009)
A reduction in the intercontraction interval is associated with active labor (strength of recommendation [SOR]: B, cohort study). Most primigravidas who have had regular contractions for 2 hours and multigravidas who have ...
Do OTC remedies relieve cough in acute URIs?
(Family Physicians Inquiries Network, 2009)
Dextromethorphan (DM) for adults and honey for children provide some relief. DM may modestly decrease cough in adults compared with placebo (strength of recommendation [SOR]: B, systematic review of inconsistent or limited ...
How can we keep impaired glucose tolerance and impaired fasting glucose from progressing to diabetes?
(Family Physicians Inquiries Network, 2010)
Lifestyle interventions aimed at weight loss of 5% to 10% of body weight along with moderate aerobic exercise such as brisk walking for 150 minutes a week are the most effective means to prevent impaired fasting glucose ...
How should you evaluate a toddler for speech delay?
(Family Physicians Inquiries Network, 2011)
Use a brief screening tool to assess children for speech and language delay at every preventive visit. If a delay in speech is identified, evaluate the child for potentially treatable causes, starting with a history and ...
What measures relieve postherpetic neuralgia?
(Family Physicians Inquiries Network, 2009)
Tricyclic antidepressants, gabapentin, and pregabalin effectively reduce pain (strength of recommendation [SOR]: A, at least 2 good-quality randomized controlled trials [RCTs] and/or meta-analyses). Opioids have demonstrated ...
What's the most practical way to rule out adrenal insufficiency?
(Family Physicians Inquiries Network, 2009)
A morning serum cortisol level >13 mcg/dL reliably rules out adrenal insufficiency, and the test is easy and safe to perform. Because of low specificity, patients with a level of ≤13 mcg/dL need further evaluation with the ...
What is appropriate management of iron deficiency for young children?
(Family Physicians Inquiries Network, 2006)
Infants and toddlers with suspected irondeficiency anemia (IDA) should begin treatment with oral ferrous sulfate (3 mg/kg/d of elemental iron). A rise in hemoglobin >1 g/dL after 4 weeks supports the diagnosis of iron ...
Does frenotomy help infants with tongue-tie overcome breastfeeding difficulties?
(Family Physicians Inquiries Network, 2015)
Q: Does frenotomy help infants with tongue-tie overcome breastfeeding difficulties? Evidence-based answer: Probably not. No evidence exists for improved latching after frenotomy, and evidence concerning improvements in ...
Chronic supperative otitis media
(Family Physicians Inquiries Network, 2000)
This issue of eMedRef provides information to clinicians on the pathophysiology, diagnosis, and therapeutics of chronic suppurative otitis media.
Which asthma patients should get the pneumococcal vaccine?
(Family Physicians Inquiries Network, 2009)
Adults between the ages of 19 and 64 years who have chronic lung disease, including asthma, should get the vaccine, as should all patients 65 years and older (strength of recommendation [SOR]: C, consensus guide-lines). ...
Does DTC advertising affect physician prescribing habits?
(Family Physicians Inquiries Network, 2010)
Direct-to-consumer advertising (DTCA) is associated with both higher fidelity to minimum treatment recommendations for depression and higher prescribing levels of antidepressants for depression and adjustment disorder ...
Which oral antibiotics are best for acne?
(Family Physicians Inquiries Network, 2011)
Doxycycline is effective (strength of recommendation [SOR]: B, randomized controlled trial) and the antibiotic of choice (SOR: C, expert opinion) for moderate to severe inflammatory acne requiring oral treatment. Limiting ...
What are the adverse effects of prolonged opioid use in patients with chronic pain?
(Family Physicians Inquiries Network, 2011)
Constipation, nausea, and dyspepsia are the most common long-term adverse effects of chronic opioid use (strength of recommendation [SOR]: B, systematic review of low-quality studies). Men may experience depression, fatigue, ...
Chronic Venous Insufficiency (CVI)
(Family Physicians Inquiries Network, 2000)
This issue of eMedRef provides information to clinicians on the pathophysiology, diagnosis, and therapeutics of chronic venous insufficiency.
Should you test for H pylori in patients with nonulcer dyspepsia?
(Family Physicians Inquiries Network, 2011)
Helicobacter pylori in creases the risk of developing peptic ulcer disease (strength of recommendation [SOR]: B, cohort study), but there is no evidence that treating H pylori reduces that risk. Treating H pylori in patients ...