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Now showing items 101-120 of 3767
Does regular exercise reduce the pain and stiffness of osteoarthritis?
(Family Physicians Inquiries Network, 2008)
Exercise helps reduce the pain, but it's unclear whether it helps with stiffness. Exercise moderately reduces pain in elderly patients with osteoarthritis (strength of recommendation [SOR]: A, 3 systematic reviews, including ...
What is the best approach to the evaluation of hirsutism?
(Family Physicians Inquiries Network, 2005)
, virilization, or pelvic masses (strength of recommendation [SOR]: B, based on a cohort study in a referral population). Hirsutism with unremarkable history and physical exam findings should be evaluated with a serum total testosterone and dehydroepiandrosterone...
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).
Does neonatal circumcision decrease morbidity?
(Family Physicians Inquiries Network, 2005)
Evidence suggests that neonatal circumcision decreases the incidence of childhood urinary tract infections, phimosis, paraphimosis, balanitis and other genital dermatoses, invasive penile cancer, and the sexually transmitted diseases human papilloma...
How effective is gastric bypass for weight loss?
(Family Physicians Inquiries Network, 2004)
Gastric bypass results in weight loss of approximately 33% at 2 years and 25% at 8 years (strength of recommendation [SOR]: B, based on a cohort study). Gastric bypass is one type of bariatric surgery, which also includes gastroplasty and gastric...
What is the best approach for managing recurrent bacterial vaginosis?
(Family Physicians Inquiries Network, 2004)
The best way to prevent recurrent bacterial vaginosis is to treat the initial episode with the most effective regimen. Metronidazole (500 mg orally twice daily for 7 days) has the lowest recurrence rate among antimicrobial ...
How does VTE risk for the patch and vaginal ring compare with oral contraceptives?
(Family Physicians Inquiries Network, 2008)
Evidence is conflicting with regard to the comparative frequency of venous thrombolic events (VTE) among women using the transdermal patch when compared to an oral contraceptive (OC), even though the patch produces a relatively high serum ethinyl...
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 on a meta-analysis....
When (and how) should you evaluate a child for obstructive sleep apnea?
(Family Physicians Inquiries Network, 2007)
Well-child visits are the appropriate time to screen all children for a history of snoring and apnea (strength of recommendation [SOR]: C, based on expert opinion). Children should be further evaluated for obstructive sleep apnea if parents note...
Can recombinant growth hormone effectively treat idiopathic short stature?
(Family Physicians Inquiries Network, 2008)
Yes--treatment can increase a child's final height. Injections of recombinant human growth hormone (rGH) at least 3 times a week for 4 to 6 years add 3.7 to 7.5 cm to final height in children between 8 and 16 years of age ...
Is high-dose oral B12 a safe and effective alternative to a B12 injection?
(Family Physicians Inquiries Network, 2012)
Both high-dose oral B12 and injected B12 raised low vitamin B12 levels and improved hematologic parameters and neurologic symptoms in short-term studies (3-4 months) predominantly involving patients with conditions associated with intestinal...
What treatments are effective for varicose veins?
(Family Physicians Inquiries Network, 2003)
the most efficacious therapies (strength of recommendation: C, based on case series and extrapolations from small trials.)...
How should we treat major depression combined with anxiety?
(Family Physicians Inquiries Network, 2007)
), bupropion, mirtazapine, nefazodone, and venlafaxine are equally effective for combined symptom relief (strength of recommendation [SOR ]: A, based on systematic review of randomized controlled trials [RCTs])....
Pragmatic Encroachment
(2009)
In his classic (1953) article, Richard Rudner claims that "in accepting a hypothesis the scientist must make the decision that the evidence is sufficiently strong or that the probability is sufficiently high to warrant the acceptance...
What causes a low TSH level with a normal free T4 level?
(Family Physicians Inquiries Network, 2006)
cardiovascular outcomes and evidence is insufficient that it improves neuropsychiatric outcomes (strength of recommendation [SOR]: C). Bone mineral density may be increased with treatment of SCH (SOR: B, based on one randomized clinical trial)....
Does yoga speed healing for patients with low back pain?
(Family Physicians Inquiries Network, 2004)
, standard therapies (strength of recommendation: C, based on 1 randomized pilot study and limited case series)....
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 ...
How safe is vaginal birth after cesarean section for the mother and fetus?
(Family Physicians Inquiries Network, 2006)
Compared with planned repeat low-transverse cesarean section, vaginal birth after cesarean section (VBAC) is not associated with increased risk of maternal or neonatal mortality (strength of recommendation [SOR]: B). ...
Which risk factors and signs and symptoms are associated with coccidioidomycosis?
(Family Physicians Inquiries Network, 2014)
Q: Which risk factors and signs and symptoms are associated with coccidioidomycosis? Evidence-Based Answer: Risk factors for coccidioidomycosis, or valley fever, include lower respiratory tract symptoms lasting longer than 14 days, chest pain, rash...
What is the clinical workup for failure to thrive?
(Family Physicians Inquiries Network, 2008)
The clinical evaluation of failure to thrive (FTT) includes a thorough history and physical examination; observation of parent-child interactions; observation and documentation of the child's feeding patterns; and a home ...