Search
Now showing items 41-60 of 409
Should you consider antibiotics for exacerbations of mild COPD?
(Family Physicians Inquiries Network, 2014)
Consider antibiotics for patients with exacerbations of mild to moderate chronic obstructive pulmonary disease (COPD).
Suspect carpal tunnel? : Try this
(Family Physicians Inquiries Network, 2013)
For best results, use the modified Phalen's test (MPT) rather than the traditional Phalen's when you suspect carpal tunnel syndrome (CTS).
Combatting lice in a single treatment
(Family Physicians Inquiries Network, 2012)
Consider prescribing spinosad -- a recently approved topical pediculicide that is more effective than permethrin and eliminates the need for nit combing -- for children with head lice.
What's best for IBS?
(Family Physicians Inquiries Network, 2012)
Recommend antispasmodics or antidepressants for patients with irritable bowel syndrome (IBS) and explain that, while fiber may have other benefits, it is unlikely to relieve IBS symptoms. Stength of recommendation: A: Based ...
Treat depressed teens with medication and psychotherapy
(Family Physicians Inquiries Network, 2008)
Refer adolescents with moderate to severe depression for cognitive behavioral therapy (CBT) to improve their outcomes. Stength of recommendation: B: Two well-done randomized controlled trials (RCTs).
ACE inhibitors and ARBs: One or the other -- not both -- for high-risk patients
(Family Physicians Inquiries Network, 2009)
Avoid prescribing an angiotensin-converting enzyme (ACE) inhibitor and an angiotensin receptor blocker (ARB) for patients at high risk of vascular events or renal dysfunction. The combination does not reduce poor outcomes, ...
Double-dose vitamin D lowers cancer risk in women over 55
(Family Physicians Inquiries Network, 2007)
Increasing the dose of vitamin D3 from the current standard of 400-600 IU per day to 1000 IU per day lowers future risk of cancer in women older than age 55 who do not get adequate vitamin D from sun exposure or diet. ...
When to suggest this OC alternative
(Family Physicians Inquiries Network, 2009)
Recommend continuous or extended use of the transvaginal contraceptive ring to women who want fewer days of menstrual bleeding and have trouble remembering to, or prefer not to, take a daily pill. If breakthrough bleeding ...
Think thiazides are old hat? ALLHAT says think again
(Family Physicians Inquiries Network, 2008)
Use thiazide-type diuretics for hypertension in patients with metabolic syndrome to reduce stroke and heart failure. Stength of recommendation: B: Single well done randomized controlled trial.
Is this pregnancy viable?
(Family Physicians Inquiries Network, 2013)
Measure serum progesterone levels of women with bleeding or pain and inconclusive ultrasound in early pregnancy to rule out viability, potentially eliminating the need for serial b-hormone human chorionic gonadotropin ...
Steroids for acute COPD - but for how long?
(Family Physicians Inquiries Network, 2014)
Prescribe a 5-day regimen of glucocorticoid therapy for acute chronic obstructive pulmonary disease (COPD) exacerbations; the shorter course of treatment appears to be as effective as a 14-day regimen.
Think twice about nebulizers for asthma attacks
(Family Physicians Inquiries Network, 2014)
MDIs with spacers are as effective as nebulizers for delivering beta-agonists and less likely to cause adverse effects. Practice changer: Stop ordering nebulizers to deliver beta-agonists to patients over age 2 with mild ...
Skip this step when checking lipid levels
(Family Physicians Inquiries Network, 2015)
Skip this step when checking lipid levels. Practice changer: requiring your patients to fast before undergoing lipid testing. Nonfasting total cholesterol (TC), high-density lipoprotein cholesterol (HDL), and low-density ...
This asthma treatment has a lasting side effect in children
(Family Physicians Inquiries Network, 2013)
Before prescribing inhaled corticosteroids (ICS) for a child with asthma, tell the patient -- and parents -- that their use could lead to a small but permanent effect on adult height. Stength of recommendation: B: Based ...
An antiemetic for irritable bowel syndrome?
(Family Physicians Inquiries Network, 2014)
An antiemetic for irritable bowel syndrome? A drug used for cancer patients may provide some relief to patients with IBS. Practice changer: Consider prescribing ondansetron up to 24 mg/d for patients who have irritable ...
Mediterranean diet: Higher fat but lower risk
(Family Physicians Inquiries Network, 2013)
Counsel patients at high risk for cardiovascular disease and stroke to follow a Mediterranean diet, which is associated with a 30% risk reduction.
Aneuploidy screening: Newer noninvasive test gains traction
(Family Physicians Inquiries Network, 2016)
Favorable results from the 2 studies reviewed here have prompted ACOG to recommend that cell-free DNA screening be discussed with all pregnant patients. Practice changer: Discuss cell-free DNA testing when offering fetal ...
Sterile or non-sterile gloves for minor skin excisions?
(Family Physicians Inquiries Network, 2015)
Sterile or non-sterile gloves for minor skin excisions? Non-sterile gloves are just as effective as sterile gloves in preventing surgical site infection after minor skin surgeries. PRACTICE CHANGER: Consider using non-sterile ...
Pulse oximetry for newborns: should it be routine?
(Family Physicians Inquiries Network, 2012)
Ensure that all newborns undergo pulse oximetry screening before discharge -- and that abnormal results are immediately followed up with echocardiography. Stength of recommendation: B: Based on a single cohort study ...
The Impact of the LDP on Corn and Soybean Basis in Missouri
(2000)
Beginning in the fall of 1998 low corn and soybean prices triggered a government price support mechanism established under the 1996 Farm Bill. This mechanism, the loan deficiency payment (LDP), created minor marketing chaos ...