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Now showing items 81-100 of 459
Should you still recommend omega-3 supplements?
(Family Physicians Inquiries Network, 2013)
Stop recommending omega-3 fatty acid supplements for cardiovascular protection. They have no significant impact on all-cause mortality, acute myocardial infarction, sudden death, or stroke. Stength of recommendation: A: ...
What is the best initial treatment for venous stasis ulcers?
(Family Physicians Inquiries Network, 2013)
The mainstay of initial treatment of venous stasis ulcers is compression therapy (strength of recommendation [SOR]: A, systematic review of randomized controlled trials [RCTs]). Multicomponent compression therapy is slightly ...
Screening for hepatocellular carcinoma in patients with hepatitis C virus infection
(Family Physicians Inquiries Network, 2013)
There is no evidence that it is beneficial to screen for hepatocellular carcinoma in symptomatic patients with HCV. (Strength of Recommendation [SOR]: C, based on a systematic review and case series studies.) Neither serum ...
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).
How do hydrochlorothiazide and chlorthalidone compare for treating hypertension?
(Family Physicians Inquiries Network, 2014)
Q. How do hydrochlorothiazide and chlorthalidone compare for treating hypertension? A. Both medications reduce theincidence of cardiovascular events in patients with hypertension, but chlorthalidone may confer additional ...
A simple way to reduce catheter-associated UTIs
(Family Physicians Inquiries Network, 2014)
The administration of a prophylactic antibiotic when a surgical patient's urinary catheter is removed can cut the rate of urinary tract infections in half. PRACTICE CHANGER: Ensure that antibiotics are administered to ...
What are the benefits and risks of inhaled corticosteroids for COPD?
(Family Physicians Inquiries Network, 2014)
Q: What are the benefits and risks of inhaled corticosteroids for COPD? A: Inhaled corticosteroids (ICS), either alone or with a long-acting [beta] agonist (LABA), reduce the frequency of exacerbations of chronic obstructive ...
Testosterone Therapy and Risk of Recurrence After Treatment for Prostate Cancer
(Family Physicians Inquiries Network, 2013)
Evidence-Based Answer: Men with symptomatic androgen deprivation who have had clinically curative treatment for organ-confined prostate cancer may have symptomatic improvement with testosterone replacement therapy. (Strength ...
Elevated troponin but no CVD: what's the prognosis?
(Family Physicians Inquiries Network, 2013)
Patients with elevated troponin levels and chronic renal disease, pulmonary hypertension, pulmonary embolism, chronic obstructive pulmonary disease, sepsis, or acute ischemic stroke have a 2- to 5-fold increased risk of ...
Pharmacologic therapy for eustachian tube dysfunction
(Family Physicians Inquiries Network, 2013)
There are no medications that improve patient-oriented outcomes in children or adults with eustachian tube dysfunction. (Strength of Recommendation [SOR]: A, based on a systematic review of randomized controlled trials ...
Suctioning neonates at birth: time to change our approach
(Family Physicians Inquiries Network, 2014)
There's a better way to clear secretions from a neonate's mouth and nose, and it's less likely to cause adverse effects. Practice Changer: Stop suctioning neonates at birth. There is no benefit to this practice, and it can ...
A new adjunctive Tx option for venous stasis ulcers
(Family Physicians Inquiries Network, 2015)
A new adjunctive Tx option for venous stasis ulcers. Practice changer: Consider adding simvastatin 40 mg/d to standard wound care and compression for patients with venous stasis ulcers.
Does topical diclofenac relieve osteoarthritis pain?
(Family Physicians Inquiries Network, 2015)
Q: Does topical diclofenac relieve osteoarthritis pain? Evidence-based answer: Yes, at least in the short term. Topical diclofenac, with and without dimethyl sulfoxide (DMSO), modestly improves pain and function scores (by ...
How best to treat agitation in patients with irreversible dementia?
(Family Physicians Inquiries Network, 2013)
Atypical antipsychotics modestly reduce agitation compared with placebo but have significant adverse effects (strength of recommendation [SOR]: A, systematic reviews of randomized controlled trials [RCTs]). Haloperidol ...
Management of ADHD in preschool-aged children
(Family Physicians Inquiries Network, 2013)
Behavior therapy interventions, such as parent training, are first-line treatment for ADHD in preschool-aged children (three to five years of age). (Strength of Recommendation [SOR]: B, based on a systematic review of a ...
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 ...
Which drugs are most effective for recurrent herpes labialis?
(Family Physicians Inquiries Network, 2014)
Evidence based answer: Daily oral acyclovir or valacyclovir may help prevent herpes simplex labialis (HSL) recurrences (strength of recommendation [SOR]: B, meta-analysis of randomized controlled trials [RCTs] with ...
What is the best imaging method for patients with a presumed acute stroke?
(Family Physicians Inquiries Network, 2014)
Evidence-based answer: It depends on whether the stroke is ischemic or hemorrhagic. For early detection of ischemic stroke, magnetic resonance imaging (MRI) using diffusion-weighted imaging (DWI) is highly sensitive and ...
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 ...
Can yoga reduce symptoms of anxiety and depression?
(Family Physicians Inquiries Network, 2014)
Q. Can yoga reduce symptoms of anxiety and depression? A. Yes, yoga can reduce symptoms of anxiety and depression (strength of recommendation [SOR]: B, systematic reviews of randomized controlled trials [RCTs] with significant ...