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Now showing items 41-60 of 1145
Are inhalers with spacers better than nebulizers for children with asthma?
(Family Physicians Inquiries Network, 2004)
Metered-dose inhalers with a spacer (MDI/S) are as good as, or better than, nebulizers for children with asthma. This is based on numerous randomized controlled trials that compared outcomes such as hospital admission ...
Is antibiotic prophylaxis effective for recurrent acute otitis media?
(Family Physicians Inquiries Network, 2004)
For children who have recurrent episodes of clinically diagnosed acute otitis media (AOM), antibiotic prophylaxis significantly reduces recurrence, although the effect is not large (strength of recommendation: A-, based on 1 systematic review...
Do antibiotics prevent recurrent UTI in children with anatomic abnormalities?
(Family Physicians Inquiries Network, 2004)
Evidence is insufficient to recommend for or against antibiotic prophylaxis to prevent recurrent urinary tract infections (UTI) in children with anatomic abnormalities. Guidelines acknowledge this lack of evidence, but ...
How should we treat chronic daily headache when conservative measures fail?
(Family Physicians Inquiries Network, 2004)
For the purposes of this review, we considered conservative measures to include such therapies as nonsteroidal anti-inflammatory drugs (NSAIDs), physical therapy, and acetaminophen with codeine. Amitriptyline is the ...
Which blood tests are most helpful in evaluating pelvic inflammatory disease?
(Family Physicians Inquiries Network, 2004)
No individual or combination of blood tests can reliably diagnose pelvic inflammatory disease (PID)(strength of recommendation [SOR]: A, metaanalysis). The combination of white blood cell count, C-reactive protein (CRP), ...
Is folate supplementation indicated for patients with CAD?
(Family Physicians Inquiries Network, 2004)
There is insufficient evidence to advocate the routine use of folate supplementation for the treatment of coronary artery disease (CAD). High levels of serum homocysteine have been associated in several studies with an ...
Do acetaminophen and an NSAID combined relieve osteoarthritis pain better than either alone?
(Family Physicians Inquiries Network, 2004)
Combining nonsteroidal anti-inflammatory drugs (NSAIDs) and acetaminophen for short courses provides more relief of pain in osteoarthritis without an increase in side effects (strength of recommendation [SOR]=B). Combining ...
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 ...
Does yoga speed healing for patients with low back pain?
(Family Physicians Inquiries Network, 2004)
The use of yoga is consistent with recommendations for activity, as tolerated, for patients with low back pain. Literature evaluating the effectiveness of yoga for low back pain is scant, so it is unclear if yoga is ...
Does treatment of acne with Retin A and tetracycline cause adverse effects?
(Family Physicians Inquiries Network, 2004)
Self-Adverse reactions to long-term tetracycline therapy are rare, and most will occur within 2 months of initiating therapy (strength of recommendation [SOR]: B, systematic review of ecological studies). Rare but serious ...
What is the most effective way for relieving constipation in children aged >1 year?
(Family Physicians Inquiries Network, 2004)
A combination of laxatives, behavioral therapy, and balanced diet is the treatment of choice for pediatric constipation (strength of recommendation [SOR]: B, based on randomized, nonrandomized, controlled and uncontrolled clinical trials). Laxatives...
Is exercise treadmill testing useful for detecting heart disease in women?
(Family Physicians Inquiries Network, 2004)
Exercise treadmill testing has a sensitivity of 70% and specificity of 61% for the detection of coronary artery disease (CAD) in women (strength of recommendation [SOR]: A, based on a meta-analysis). It is useful for ...
What Is the Best Antiviral Agent for Influenza Infection?
(Family Physicians Inquiries Network, 2004)
Four antiviral agents have been approved by the U.S. Food and Drug Administration for the treatment of influenza infection: amantadine (Symmetrel), oseltamivir (Tamiflu), rimantadine (Flumadine), and zanamivir (Relenza). ...
Screening Mammography in Women 40 to 49 Years of Age
(Family Physicians Inquiries Network, 2004)
While there is strong agreement among experts and evidence in the literature to recommend that women 50 to 69 years of age undergo screening with mammography for breast cancer, the question of screening women 40 to 49 years ...
Do steroid injections help with osteoarthritis of the knee?
(Family Physicians Inquiries Network, 2004)
Intra-articular steroid injections appear to provide 2 to 6 weeks of pain relief for patients with knee osteoarthritis (strength of recommendation [SOR]: A). Higher-dose steroids with or without joint lavage can provide ...
Does warfarin prevent deep venous thrombosis in high-risk patients?
(Family Physicians Inquiries Network, 2004)
Warfarin (Coumadin) is effective in preventing deep venous thrombosis (DVT) among patients with a history of DVT. Conventional dosing and longer durations are the most effective, but the ideal length of therapy is unknown ...
Which healthy adults should take aspirin?
(Family Physicians Inquiries Network, 2004)
In adults with no history of cardiovascular disease, aspirin reduces the risk of nonfatal myocardial infarction (MI). Aspirin prophylaxis does not decrease all-cause mortality, risk of fatal coronary heart disease, or risk ...
How should thyroid replacement be initiated?
(Family Physicians Inquiries Network, 2004)
Levothyroxine (LT4) should be used alone as initial replacement for patients with hypothyroidism (strength of recommendation [SOR]: A). The optimal initial dose is 1.6 μg/kg/d for healthy people aged 60 years or younger ...
Is the ThinPrep better than conventional Pap smear at detecting cervical cancer?
(Family Physicians Inquiries Network, 2004)
Conclusions regarding the ThinPrep are difficult to make due to the complexity of cervical cancer screening and the lack of adequate outcomebased data. However, current evidence supports the following: the ThinPrep is more ...
Is combining ACE inhibitors and ARBs helpful or harmful?
(Family Physicians Inquiries Network, 2004)
The combination of angiotensin-converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs) has been studied for treatment of heart failure, hypertension, and proteinuric renal disease. Combination therapy ...