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Now showing items 101-120 of 227
What is the best way to treat tinea cruris?
(Family Physicians Inquiries Network, 2006)
After clinical diagnosis and microscopic confirmation, tinea cruris is best treated with a topical allylamine or an azole antifungal (strength of recommendation: A, based on multiple randomized controlled trials [RCTs]). ...
When should COX-2 selective NSAIDs be used for osteoarthritis and rheumatoid arthritis?
(Family Physicians Inquiries Network, 2006)
Cyclo-oxygenase-2 (COX-2) selective nonsteroidal anti-inflammatory drugs (NSAIDs) are as effective as acetaminophen and nonselective NSAIDs in treating of osteoarthritis, and are equally effective in reducing pain and ...
When are empiric antibiotics appropriate for urinary tract infection symptoms?
(Family Physicians Inquiries Network, 2006)
Healthy, nonpregnant women presenting with the triad of frequency, dysuria, and no vaginal symptoms have about a 96% chance of having an urinary tract infection (UTI) (positive likelihood ratio [LR+]=24.6). Since no ...
What is the best way to manage GERD symptoms in the elderly?
(Family Physicians Inquiries Network, 2006)
No evidence supports one method over another in managing uncomplicated gastroesophageal reflux disease (GERD) for patients aged >65 years. For those with endoscopically documented esophagitis, proton pump inhibitors (PPIs) ...
When should we screen children for hyperlipidemia?
(Family Physicians Inquiries Network, 2006)
Children should be screened for hyperlipidemia when there is a history of familial hypercholesterolemia (strength of recommendation [SOR]: C). No clear evidence supports screening all children or just those with family ...
What is the best way to diagnose a suspected rotator cuff tear?
(Family Physicians Inquiries Network, 2006)
The evaluation of a suspected rotator cuff tear should start with a history and a clinical exam of the shoulder (strength of recommendation [SOR]: B, based on a systematic review of cohort studies). Three clinical test ...
What is the best treatment for mild to moderate acne?
(Family Physicians Inquiries Network, 2006)
For mild comedonal acne, monotherapy with topical retinoids is the treatment of choice (strength of recommendation [SOR]: A). For moderate comedonal and mild to moderate papulopustular acne, combination therapy with either ...
When are antibiotics indicated for acute COPD exacerbations?
(Family Physicians Inquiries Network, 2006)
Antibiotics (including those given orally) reduce mortality and treatment failures for hospitalized patients with acute exacerbations of chronic obstructive pulmonary disease (COPD) (strength of recommendation [SOR]: A, ...
Should patients receive 23-valent pneumococcal vaccination more than once?
(Family Physicians Inquiries Network, 2006)
No patient-oriented evidence supports pneumococcal revaccination of any patient (high-risk or otherwise). Antibody levels may be augmented by revaccination; however, the clinical efficacy of revaccination, even among ...
How should you manage a depressed patient unresponsive to an SSRI?
(Family Physicians Inquiries Network, 2006)
The best approach among studied alternatives to manage a patient with treatment-resistant depression is not clear from the evidence. All of the options reviewed seem to have about a 25% to 30% success rate. Switching to ...
How should we manage a patient with a positive PPD and prior BCG vaccination?
(Family Physicians Inquiries Network, 2006)
Prior bacille Calmette-Guérin (BCG) vaccination increases the likelihood of a positive tuberculosis (TB) 5TU purified protein derivative (PPD) skin test. The PPD response following BCG vaccine varies with age at vaccination, ...
How can you prevent migraines during pregnancy?
(Family Physicians Inquiries Network, 2006)
No randomized controlled trials (RCT) have addressed pharmacologic prophylaxis of migraine for pregnant women. Two studies suggest that nonpharmacologic therapies (combinations of skin warming, relaxation, biofeedback, and ...
What are appropriate screening tests for infants and children?
(Family Physicians Inquiries Network, 2006)
There is adequate evidence for screening neonates for hemoglobinopathies, congenital hypothyroidism, phenylketonuria (strength of recommendation [SOR]: A), and cystic fibrosis (SOR: B). Vision screening should be done for ...
What is appropriate management of iron deficiency for young children?
(Family Physicians Inquiries Network, 2006)
Infants and toddlers with suspected irondeficiency anemia (IDA) should begin treatment with oral ferrous sulfate (3 mg/kg/d of elemental iron). A rise in hemoglobin >1 g/dL after 4 weeks supports the diagnosis of iron ...
What is the recommended approach to asymptomatic patients who develop a reactive PPD?
(Family Physicians Inquiries Network, 2006)
Clinical evaluation and chest x-ray are recommended for asymptomatic patients with a positive purified protein derivative (PPD) test result, to exclude the slight possibility of active tuberculosis (TB). Patients with ...
What are appropriate screening tests for adolescents?
(Family Physicians Inquiries Network, 2006)
Screen all women of childbearing age, including adolescents, for rubella susceptibility (strength of recommendation [SOR]: B). Screen all sexually active adolescent females for chlamydia (SOR: A), gonorrhea (SOR: B), and ...
Urine Dipstick for Diagnosing Urinary Tract Infection
(Family Physicians Inquiries Network, 2006)
The sensitivity and specificity of the urine dipstick varies somewhat with the setting and population, as does its recommended interpretation. In low-risk patients with a low pretest probability of UTI, the urine dipstick ...
Detection of a Far-Infrared Bow-Shock Nebula Around R Hya: the First MIRIAD Results
(American Astronomical Society, 2006)
We present the first results of the MIRIAD (MIPS InfraRed Imaging of AGB Dust shells) project using the Spitzer Space Telescope. The primary aim of the project is to probe the material distribution in the extended
circumstellar ...
Relativistic Reference Frames for Astrometry and Navigation in the Solar System
(arXiv, 2006)
Astrophysical space missions deliver invaluable information about our universe, stellar dynamics of our galaxy, and motion of celestial bodies in the solar system. Astrometric space missions SIMand Gaia will determine ...
Agarose-stabilized gold nanoparticles for surface-enhanced Raman spectroscopic detection of DNA nucleosides
(American Institute of Physics, 2006)
We present surface-enhanced Raman scattering (SERS) studies of DNA nucleosides using biologically benign agarose-stabilized gold nanoparticles (AAuNP). We compare the SERS activity of nucleosides with AAuNP to that of ...