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Now showing items 41-60 of 5290
Glycemic Control in Patients with Type 2 Diabetes
(Family Physicians Inquiries Network, 2007)
There is no clearly superior oral agent for glycemic control in patients with type 2 diabetes. (Strength of Recommendation [SOR]: C) Metformin (Glucophage) has shown additional benefit when compared with other treatments (including insulin...
Which smoking cessation interventions work best?
(Family Physicians Inquiries Network, 2011)
Nicotine replacement therapy (NRT), bupropion, nortriptyline, clonidine, and varenicline are all effective, although insufficient evidence exists to recommend one intervention over another (SOR: A, systematic reviews). Effective nonpharmacologic...
What's the best way to manage athletes with amenorrhea?
(Family Physicians Inquiries Network, 2008)
Ruling out secondary causes of amenorrhea is, of course, the first step. Once that's done, you can make a presumptive diagnosis of hypothalamic amenorrhea and advise the patient to increase caloric intake or decrease energy ...
Evaluation of hip pain in older adults
(Family Physicians Inquiries Network, 2012)
The evaluation of hip pain in patients 65 years and older should include a history and physical examination, followed by pertinent imaging studies. (Strength of Recommendation [SOR]: C, based on expert opinion.) Patients who have hip pain for more...
Can sleep apnea be accurately diagnosed at home?
(Family Physicians Inquiries Network, 2019)
Can sleep apnea be accurately diagnosed at home? A recent study says Yes, and that it offers advantages: it can be scheduled faster, is less expensive, and is more acceptable to many patients than lab testing. PRACTICE CHANGER: Consider orderinghome...
Metformin use in adolescents
(Family Physicians Inquiries Network, 2013)
, but it is less effective in preventing or delaying the onset of overt type 2 diabetes. Metformin use reduces body mass index (BMI) for up to six months in adolescents who are obese (Strength of Recommendation [SOR]: C, based on disease-oriented randomized...
Toxic Stress Education for Pediatric Practitioners to Improve Health Outcomes
(University of Missouri--Kansas City, 2018)
Toxic stress associated with adverse childhood experiences during childhood can have
catastrophic lifelong neurobiological, social, and emotional effects and has been shown to
decrease life expectancy up to 20 years. ...
What's the best treatment for CIN 2 or 3?
(Family Physicians Inquiries Network, 2007)
Excision or ablation of the transformation zone are equally effective for treating an initial diagnosis of cervical intraepithelial neoplasia (CIN) grades 2 or 3 in women with a satisfactory colposcopy and no suggestion of microinvasive or invasive...
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...
Global Journalist: Openly gay minister
(2003)
On this August 7, 2003 program Global Journalist asks if the election of an openly gay minister in the United States Episcopal Church minister Gene Robinson, as Bishop of New Hampshire threatens to split the Worldwide ...
Does group prenatal care improve pregnancy outcomes?
(Family Physicians Inquiries Network, 2009)
It may decrease preterm births, especially among higher-risk women--minority women, women of low socioeconomic status, and adolescents (strength of recommendation [SOR]: B, 1 randomized, controlled trial [RCT] and 1 matched ...
Effects of high fat loading on substrate utilization and performance during intermittent exercise in trained athletes
(University of Missouri--Columbia, 2008)
high fat load alters substrate oxidation and performance during high intensity intermittent exercise in trained athletes. Nine wrestlers at the University of Missouri were given a 5 d supplementation of 2.2 g/Kg/d of olive oil. The subjects were tested...
Which drugs are best when aggressive Alzheimer's patients need medication?
(Family Physicians Inquiries Network, 2010)
controlled trials [RCTs]). However, evidence of drug-related deaths in patients taking these drugs mandates weighing the benefits against the risks. SSRIs may be a safer, effective alternative (SOR: B, limited studies). Evidence for the efficacy...
Which nondrug alternatives can help with insomnia?
(Family Physicians Inquiries Network, 2007)
of
recommendation: A, based on systematic reviews). The long-term efficacy of CBT interventions, and their successful implementation by primary care physician (as compared with behavioral science providers), is unclear....
Glucose self-monitoring: Think twice for type 2 patients
(Family Physicians Inquiries Network, 2008)
Stop routinely recommending blood glucose self-monitoring for patients with newly diagnosed type 2 diabetes. Self-monitoring does not improve glycemic control for patients who are not taking insulin, and it increases the risk of depression. Stength...
What treatment approach to intrapartum maternal fever has the best fetal outcomes?
(Family Physicians Inquiries Network, 2007)
A combination of beta-lactam and amino-glycoside antibiotics are the recommended empiric agents for the treatment of acute chorioamnionitis, given that no head-to-head trials exist (strength of recommendation [SOR]: C, based on expert opinion...
Increased Mortality among Survivors of Myocardial Infarction with Kidney Dysfunction: the Contribution of Gaps in the use of Guideline-Based Therapies
(2009-07-08)
% had GFR = 60- < 90, 22% had GFR = 30- < 60, and 8% had GFR < 30 ml/min/1.73 m2. Greater degrees of renal dysfunction were associated with greater 2-year mortality and lower rates of guideline-based therapy among eligible patients. For patients...
Nutrients, chlorophyll and bacterial fecal indicators in coves and open water areas of Lake of the Ozarks, Missouri
(University of Missouri--Columbia, 2009)
Urban development and use of septic tanks in porous soils of Lake of the Ozarks poses a threat to public health via leaching into drinking wells and coves used for swimming. During 2 summers, phosphorus (TP), nitrogen (TN), chlorophyll (Chl), fecal...
What are the most effective ways you can help patients stop smoking?
(Family Physicians Inquiries Network, 2008)
Brief counseling, nicotine replacement therapy, antidepressants, and varenicline all work well. Physician intervention should begin with routine assessment of smoking status for all patients. Brief (3 minutes or less) ...
Acupuncture for low back pain
(Family Physicians Inquiries Network, 2020)
Clinical Inquiries question: Is acupuncture effective in improving pain relief for low back pain? Evidence-based answer: Acupuncture is an effective treatment for relief from low back pain, even when compared with other interventions (sham...