Now showing items 21-40 of 61

  • Treatment of Bulimia Nervosa 

    Hall, Mary N.; Friedman, R. Joseph II; Leach, Laura (Family Physicians Inquiries Network, 2008)
    Cognitive behavior therapy (CBT) is the most effective treatment for bulimia nervosa based on multiple consistent randomized-controlled trials (RCTs). (Strength of Recommendation [SOR]: A). Guided self-help has not been ...
  • Is there a well-tested tool to detect drug-seeking behaviors in chronic pain patients? 

    Gianutsos, L. Paul; Safranek, Sarah (Family Physicians Inquiries Network, 2008)
    There is no well-tested, easily administered screening tool to detect drug-seeking behaviors in primary care patients taking long-term opioids or being considered for such therapy (strength of recommendation [SOR]: C, ...
  • Should you use steroids to treat infectious mononucleosis? 

    Dickens, Kathryn Paige; Nye, Ann Marie; Gilchrist, Valerie; Rickett, Katherine (Family Physicians Inquiries Network, 2008)
    Studies of steroids to treat infectious mononucleosis have found no significant effect on the clinical course of the illness at 1 to 3 months (strength of recommendation [SOR]: B, 1 randomized controlled trial [RCT] and 1 ...
  • Should you treat carriers of pharyngeal group A strep? 

    Sepdham, Dan; Rao, Shobha; Hitchcock, Kristin (Family Physicians Inquiries Network, 2008)
    The jury is out as to whether you should treat asymptomatic carriers of group A streptococci (GAS), because no studies specifically address the issue. In addition, many patients are unlikely to care about their carrier ...
  • Should you evaluate for CAD in seniors with premature ventricular contractions? 

    Nobles, Michelle B.; Langlois, John P.; Stigleman, Sue (Family Physicians Inquiries Network, 2008)
    Current guidelines suggest evaluating patients with premature ventricular contractions (PVCs) and associated risk factors for underlying coronary artery disease (strength of recommendation [SOR]: C, expert opinion).
  • Quality of Life in Older Persons with Dementia Living in Nursing Homes 

    Sefton, Natalie; Craig, Kevin; Meadows, Susan E. (Family Physicians Inquiries Network, 2008)
    There is no "gold standard" to measure the QOL in older persons with dementia. For those requiring increased care, nursing homes may offer some benefit, including more frequent physician assessment and treatment of pain ...
  • Prophylactic oxytocin: Before or after placental delivery? 

    Kahn, Scott; Meyer, Albert A.; Beste, Janalynn; Flake, Donna (Family Physicians Inquiries Network, 2008)
    Timing alone doesn't influence the drug's efficacy in preventing postpartum bleeding (strength of recommendation: B, randomized controlled trial [RCT] and prospective cohort studies).
  • Medications for Insomnia Treatment in Children 

    Babineau, Sarah; Goodwin, Cheryl (Family Physicians Inquiries Network, 2008)
    Melatonin may be effective for treating insomnia in healthy children and in those with physical or learning disabilities (Strength of Recommendation [SOR]: B). Short-term use of melatonin is safe in children, but there is ...
  • Medical Treatment of Benign Prostatic Hyperplasia 

    Rich, Kevin T.; Safranek, Sarah (Family Physicians Inquiries Network, 2008)
    Although alpha blockers and 5-alpha reductase inhibitors each reduce BPH symptoms more than placebo (Strength of Recommendation [SOR]: A), alpha blockers are more effective than 5-alpha reductase inhibitors. (SOR: B). ...
  • Management of Cervical Lymphadenitis in Children 

    Dulin, Michael F.; Kennard, Timothy P.; Leach, Laura (Family Physicians Inquiries Network, 2008)
    Cervical lymphadenitis, defined as an acute symptomatic enlargement of the cervical lymph nodes, is a common condition in children of all ages. Most cases of cervical lymphadenitis in children are self-limited and can ...
  • Leukotriene Receptor Antagonists for the Treatment of Allergic Skin Disorders 

    Stello, Brian; Schwartz, Linda Matula (Family Physicians Inquiries Network, 2008)
    Evidence from small trials suggests that leukotriene receptor antagonists may have short-term effectiveness in reducing sleep disturbance and the observed intensity of atopic dermatitis in adults and children. (Strength ...
  • What are the repercussions of disclosing a medical error? 

    Calvert, James F. Jr.; Hollander-Rodriguez, Joyce; Atlas, Michel C. (Family Physicians Inquiries Network, 2008)
    Physicians and their staff may experience a resolution of anxiety and guilt that can improve their well-being (strength of recommendation [SOR]: C, based on survey data). Full disclosure has little effect, however, on the ...
  • What is the best portable method of purifying water to prevent infectious disease? 

    Oldham, David; Crawford, Paul; Nichols, William (Family Physicians Inquiries Network, 2008)
    There isn't a single best method, but there are 5 that adequately purify water according to Environmental Protection Agency (EPA) standards. These include 1) boiling for 1 minute if below 2000 m (6562 feet) and 3 minutes ...
  • What are the most effective nonpharmacologic therapies for irritable bowel syndrome? 

    Lynch, April; Webb, Charles W.; Coffey, John B. (Family Physicians Inquiries Network, 2008)
    Herbal formulations, certain probiotics, elimination diets based on immunoglobulin G (IgG) antibodies, cognitive behavioral therapy, and self-help books have been shown to decrease global symptoms of irritable bowel syndrome ...
  • What is the most effective and safe malaria prophylaxis during pregnancy? 

    Wiltz, Scott A.; Crawford, Paul; Nichols, William (Family Physicians Inquiries Network, 2008)
    Chloroquine and mefloquine have superior safety profiles in pregnancy, though all antimalarials are effective for prophylaxis. Antimalarials will decrease the severity of maternal malaria infection and malaria-associated ...
  • What's the most effective treatment for giardiasis? 

    Kiser, Jeffrey D.; Paulson, Christopher P. (Family Physicians Inquiries Network, 2008)
    A single 2-g dose of tinidazole is the best treatment (strength of recommendation [SOR]: A, based on meta-analysis). Other drugs, such as nitazoxanide, metronidazole, mebendazole, and albendazole, can also be used (SOR: ...
  • What drugs are best for bipolar depression? 

    Ukaegbu, Chibuzo; Banks, J. Burton (Jerry Burton), 1963-; Carter, Nakia Joyce (Family Physicians Inquiries Network, 2008)
    Antidepressants, including tricyclics and selective serotonin reuptake inhibitors (SSRIs), are useful adjuncts in short-term treatment of bipolar depression and have low rates of inducing mania (strength of recommendation ...
  • Is training patients in self-examination an effective way to screen for melanoma? 

    Collins, Margaret; Kelsberg, Gary; Safranek, Sarah (Family Physicians Inquiries Network, 2008)
    No studies demonstrate that training patients to examine their skin decreases mortality from melanoma in the general population. Nor is there any evidence to suggest that teaching patients to monitor their skin for suspicious ...
  • Is osteopathic manipulation effective for headaches? 

    Keays, Ashley C.; Neher, Jon O.; Safranek, Sarah (Family Physicians Inquiries Network, 2008)
    Spinal manipulative therapy (SMT), a component of osteopathy, has been shown to be variably effective for the treatment of headaches. For the prophylactic treatment of cervicogenic headaches and for acute tension headaches, ...
  • Is there much risk in using fluoroquinolones in children? 

    Hernandez, Rick; Edgerton, Lisa; Flake, Donna (Family Physicians Inquiries Network, 2008)
    Arthralgias and myalgias have been observed clinically in children and adolescents exposed to fluoroquinolones, but they're transient, disappear when the drug is discontinued, and appear to be no more prevalent than with ...