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Now showing items 41-60 of 10868
Can mobile technology improve weight loss in overweight and obese patients?
(Family Physicians Inquiries Network, 2017)
Q: Can mobile technology improve weight loss in overweight and obese patients? Evidence-based answer: Yes, this technology can help in the short term. Mobile technology compared with minimal or no intervention increases short-term (<6 months) weight...
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 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...
Do oral contraceptives carry a significant risk of stroke for women with migranes?
(Family Physicians Inquiries Network, 2013)
Evidence-based answer: Estrogen-containing oral contraceptives may raise the risk of ischemic stroke in women with migraine, particularly migraine with aura (strength of recommendation [SOR]: C, small case-control studies with methodological flaws...
How should we treat chronic daily headache when conservative measures fail?
(Family Physicians Inquiries Network, 2004)
for the treatment of chronic daily headaches for those patients who have not been treated by conservative measures (strength of recommendation [SOR]: A, based on a metaanalysis of randomized controlled trials [RCTs]). For patients who overuse symptomatic headache...
Does anticoagulation prevent thrombosis for persons with fractures distal to the hip?
(Family Physicians Inquiries Network, 2005)
]: A, based on multiple randomized controlled studies [RCTs]). Evidence is insufficient to show whether LMWH specifically reduces the risk of clinically significant DVTs, and recommendations on its use are conflicting (SOR: C, based on expert opinion...
What treatments relieve arthritis and fatigue associated with systemic lupus erythematosus?
(Family Physicians Inquiries Network, 2014)
to 70% of patients (SOR: b, systematic review of RCTs with limited patient-oriented evidence). Nonsteroidal anti-inflammatory drugs (NSAIDs) and corticosteroids are often used for SLE joint pain (SOR: c, expert opinion). Omega-3 fatty acids may reduce...
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...
What are the risks to the fetus associated with diagnostic radiation exposure during pregnancy?
(Family Physicians Inquiries Network, 2006)
There is no evidence of significant risk to the developing fetus from any single diagnostic x-ray exposure (strength of recommendation: C, based on non-homogenous case-control studies). No studies were found on fetal exposure risks from other forms...
How effective is prophylactic therapy for gout in people with prior attacks?
(Family Physicians Inquiries Network, 2004)
Colchicine (strength of recommendation [SOR]: B, based on 1 double-blind crossover study), allopurinol (SOR: B, based on 2 cohort studies), and weight loss (SOR: B, based on 1 small cohort study) have been shown to reduce symptomatic recurrences...
Do antipyretics prolong febrile illness?
(Family Physicians Inquiries Network, 2004)
(strength of recommendation [SOR]: A-, based on small randomized controlled trials). Acetaminophen did not affect symptoms, overall condition, or time to complete healing in children with varicella, although it increased the time to total scabbing of lesions...
Improving car seat safety anticipatory guidance in the pediatric primary care setting
(University of Missouri--Columbia, 2024)
safety guidelines. The purpose and aims of the project relate to the following PICOT question: In a pediatric primary care clinic (P), how does the implementation of an evidence-based car seat safety handout at well-child visits for newborns to age 13...
What is the best management for patients with evidence of asymptomatic ischemia on exercise stress testing?
(Family Physicians Inquiries Network, 2007)
-EST Heart Rate Recovery. For patients who have a low-risk DTS, the 4-year mortality is less than 1% to 2%; therefore, risk-factor reduction without further investigation is appropriate (strength of recommendation: B, based on cohort studies and consensus...
What medication best prevents migraine in children?
(Family Physicians Inquiries Network, 2003)
controlled trial, prospective or retrospective cohort studies, or trials with conflicting evidence). Flunarizine and nimodipine have the best evidence of benefit in children; however, availability, cost, and side effects limit their usefulness (SOR: B, based...
Which imaging modality is best for suspected stroke?
(Family Physicians Inquiries Network, 2005)
), noncontrast head computerized tomography (CT) is the gold standard for diagnosis of acute hemorrhagic stroke (SOR: C, based on expert panel consensus). However, the sensitivity for hemorrhage declines steeply 8 to 10 days after the event. Eligibility...
Can viscous fiber lower glycemic markers in type 2 diabetes?
(Family Physicians Inquiries Network, 2021)
, recommend viscous fiber supplementation to your patients with type 2 diabetes (T2D), in addition to the usual evidence-based standards of care, to improve markers of glycemic control. STRENGTH OF RECOMMENDATION: C: Based on a meta-analysis and systematic...
Are antibiotics helpful for acute maxillary sinusitis?
(Family Physicians Inquiries Network, 2003)
systematic reviews and randomized controlled trials). Antibiotics can provide symptomatic relief, best demonstrated in patients with bacterial maxillary sinusitis confirmed by computed tomography (CT) or sinus aspiration (SOR: A, based on 1 systematic review...
What are the risks and benefits of elective induction for uncomplicated term pregnancies?
(Family Physicians Inquiries Network, 2006)
Elective induction of labor for term, singleton, uncomplicated pregnancies appears safe for both the mother and infant (strength of recommendation [SOR]: B). The benefit of elective induction for nonmedical reasons is ...
Does any antidepressant besides bupropion help smokers quit?
(Family Physicians Inquiries Network, 2014)
Q: Does any antidepressant besides bupropion help smokers quite? Evidence-based answer: Yes, nortriptyline approximately doubles smoking cessation rates, an effect comparable to bupropion. Adding nortriptyline to nicotine replacement therapy (NRT...
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 ...