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Now showing items 41-60 of 7497
What is the best treatment for pertussis?
(Family Physicians Inquiries Network, 2005)
A short-term course of erythromycin, azithromycin, or clarithromycin is as effective as a long-term (2-week) erythromycin therapy in eradicating Bordetella pertussis from the nasopharynx (strength of recommendation [SOR]: A; based on one meta...
An examination of musical instrument practice among collegiate musicians
(University of Missouri--Columbia, 2021)
indicated that collegiate instrumentalists should (a) develop and strengthen self-regulation skills, (b) arrange practice time based on individual schedules, and (c) cope with challenges through discussing potential solutions with peers and instrumental...
Can CBT effectively treat adult insomnia disorder?
(Family Physicians Inquiries Network, 2018)
Q: Can CBT effectively treat adult insomnia disorder? Evidence-based answer: Yes. Cognitive behavioral therapy (CBT) administered individually, in a group setting, or on the internet is effective for treating insomnia in adults compared with control...
Best Alternatives to Statins for Treating Hyperlipidemia
(Family Physicians Inquiries Network, 2007)
but not total mortality. (SOR: A, based on review of RCTs). The effects of ezetimibe (Zetia) on cardiovascular outcomes and mortality are unknown. (SOR: C, based on a single RCT with disease-oriented evidence). Omega-3 fatty acid supplementation does not clearly...
What is the best treatment for plantar fasciitis?
(Family Physicians Inquiries Network, 2003)
Mechanical therapies -- such as taping, tension night splinting, and rigid arch support -- are the most effective treatment for plantar fasciitis (strength of recommendation: A, based on randomized controlled trials). If limited or no improvement...
History, exam, and labs: Is one enough to diagnose acute adult appendicitis?
(Family Physicians Inquiries Network, 2007)
No, none of the 3--history, exam, or labs-- is sufficiently accurate to diagnose acute appendicitis (strength of recommendation [SOR]: A, based on meta-analysis of high- quality studies). When combined, the following tests are helpful: an elevated C...
How do hyaluronic acid and corticosteroid injections compare for knee OA relief?
(Family Physicians Inquiries Network, 2017)
Q How do hyaluronic acid and corticosteroid injections compare for knee OA relief? A: Inconsistent evidence shows a small amount of pain relief early (one week to 3 months) with corticosteroid (CS) injections and an equally small improvement in pain...
What treatments are safe and effective for mild to moderate hypertension in pregnancy?
(Family Physicians Inquiries Network, 2004)
There is considerable debate concerning the treatment of mild to moderate essential hypertension during pregnancy. Evidence suggests that because of the potential risk of fetal intrauterine growth restriction, treatment of hypertension should...
Statin Therapy in Patients with Type 2 Diabetes
(Family Physicians Inquiries Network, 2005)
Based on current evidence, statin therapy should be offered to all patients with type 2 diabetes who are known to have coronary artery disease. [Strength of recommendation: A] For patients older than 40 years with type 2 diabetes who are not known...
Evaluation of asymptomatic atrial fibrillation
(Family Physicians Inquiries Network, 2012)
In hemodynamically stable patients without acute chest pain, the evaluation and treatment of atrial fibrillation should not change based on symptoms alone. (Strength of Recommendation: A, based on multiple cohort studies.) As many as 75 percent...
Q: Is event-driven PrEP dosing for HIV as effective as daily dosing?
(Family Physicians Inquiries Network, 2021-06)
Evidence based answer: PROBABLY, although there are no head-to-head trials comparing the 2 dosing regimens. Event-driven pre-exposure prophylaxis (PrEP) dosing reduces HIV conversion by 86% compared to placebo (strength of recommendation [SOR]: B...
Screening for hepatocellular carcinoma in patients with hepatitis C virus infection
(Family Physicians Inquiries Network, 2013)
There is no evidence that it is beneficial to screen for hepatocellular carcinoma in symptomatic patients with HCV. (Strength of Recommendation [SOR]: C, based on a systematic review and case series studies.) Neither serum AFP measurement nor...
How best to diagnose asthma in infants and toddlers?
(Family Physicians Inquiries Network, 2011)
No reliable way exists to diagnose asthma in infants and toddlers. Recurrent wheezing, especially apart from colds, combined with physician diagnosed eczema or atopic dermatitis, eosinophilia, and a parental history of ...
What medical therapies work for gastroparesis?
(Family Physicians Inquiries Network, 2018)
Q: What medical therapies work for gastroparesis? Evidence-based answer: It's unclear if there are any highly effective medications for gastroparesis (TABLE1-10). Metoclopramide improves the sense of fullness by about 40% for as long as 3 weeks, may...
Teacher conceptions of authentic science : exploring teachers' practical and formal epistemologies
(University of Missouri--Columbia, 2018)
Reform documents such as A Framework for K-12 Science Education and the Next Generation Science Standards (NGSS) have placed an emphasis on students' understanding and ability to engage in scientific practices. Even with an understanding...
Is lower BP worth it in higher-risk patients with diabetes or coronary disease?
(Family Physicians Inquiries Network, 2016)
Q: Is lower BP worth it in higher-risk patients with diabetes or coronary disease? Evidence-based answer: There is no simple answer; the risk/benefit picture is complicated. Controlling blood pressure to a target of 130/80 mm Hg or lower produces...
Evidence-Based Practice Asthma Education in Primary Care
(University of Missouri--Kansas City, 2017)
Asthma affects more than 300 million people across the globe. The financial burden
impacts individuals and their families as well as communities and health care systems. Although
asthma education is a fundamental ...
What's best for croup?
(Family Physicians Inquiries Network, 2011)
(strength of recommendation [SOR]: A, meta-analysis and randomized controlled trials [RCTs]). A 0.15 mg/kg dose of oral dexame thasone is as effective as larger doses (SOR: B, small RCTs). Nebulized racemic or L-epinephrine reduces severity of symptoms...
What are effective medical treatments for adults with acute migraine?
(Family Physicians Inquiries Network, 2006)
Medications collectively referred to as "triptans" (eg, sumatriptan, naratriptan, etc) have been shown to be effective for acute migraine (strength of recommendation [SOR]: A). Nonsteroidal anti-inflammatory drugs ...
Supplemental oxygen : more isn't always better
(Family Physicians Inquiries Network, 2019)
Supplemental oxygen: more isn't always better. A recent study says that in certain populations supplemental oxygen above certain levels can increase mortality. PRACTICE CHANGER Do not use liberal oxygen therapy (SpO2> 96%) in acutely ill adults...