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- 1From: Journal of Family Practice. (Vol. 50, Issue 5) Peer-ReviewedSETTING THE BAR FOR ACCEPTING POSITIVE FINDINGS TO THE EDITOR: The editorial by Dr Woolf[1] in the December JFP raises the important issues of how high to set the methodologic bar for accepting positive findings and...
- 2From: Journal of Family Practice. (Vol. 50, Issue 5) Peer-ReviewedThe article "Which Should Come First: Rigor or Relevance?" (Slawson, DC, Shaughnessy AF, Barry HC. J Fam Pract 2000; 50:209-10) should have included a conflict of interest statement, stating that the authors of this...
- 3From: Journal of Family Practice. (Vol. 50, Issue 5) Peer-ReviewedNielsen GL, Sorensen HT, Larsen H, Pedersen L. Risk of adverse birth outcome and miscarriage in pregnant users of non-steroidal anti-inflammatory drugs: population based observational study and case-control study. BMJ...
- 4From: Journal of Family Practice. (Vol. 50, Issue 5) Peer-ReviewedKEY POINTS * Patients with common conditions are not often referred to specialists. * Greater patient comorbidity increases the chances of referral. * Health plans that assess physician referral behavior must...
- 5From: Journal of Family Practice. (Vol. 50, Issue 5) Peer-Reviewed* OBJECTIVES We evaluated the relative effectiveness of 2 interventions for patients with alcohol problems. * STUDY DESIGN A nonrandomized intervention study was used to compare usual care (control) with a 5- to...
- 6From: Journal of Family Practice. (Vol. 50, Issue 5) Peer-ReviewedReginster JY, Leroisy R, Rovati LC, et al. Long-term effects of glucosamine sulfate on osteoarthritis progression: a randomized, placebo-controlled clinical trial. Lancet 2001; 357:251-56. * BACKGROUND Traditional...
- 7From: Journal of Family Practice. (Vol. 50, Issue 5) Peer-ReviewedKEY POINTS * Analyses of National Collaborative Perinatal Project (NCPP) data from the 1970s and Medicaid data from the 1990s support an association between third trimester maternal urinary tract infection (UTI) and...
- 8From: Journal of Family Practice. (Vol. 50, Issue 5) Peer-ReviewedKEY POINTS * Rural health care providers vary in their perceptions and use of telemedicine. * Factors such as economic ramifications, efficacy, social pressure, and apprehension influence whether and how fast...
- 9From: Journal of Family Practice. (Vol. 50, Issue 5) Peer-ReviewedDuley L, Henderson-Smart D, Knight M, King J. Antiplatelet drugs for prevention of pre-eclampsia, and its consequences: a systematic review. BMJ 2001; 322:329-33. * BACKGROUND The increased platelet and endothelial...
- 10From: Journal of Family Practice. (Vol. 50, Issue 5) Peer-ReviewedA Randomized Trial in Patients Aged 18 to 59 Years KEY POINTS * For patients with dysthymia, pharmacotherapy should be used as a first-line treatment. * Also consider, for patients with dysthymia,...
- 11From: Journal of Family Practice. (Vol. 50, Issue 5) Peer-ReviewedEskola J, Kilpi T, Palmu A, et al. Efficacy of a pneumococcal conjugate vaccine against otitis media. N Engl J Med 2001; 344:403-09. * BACKGROUND An effective pneumococcal vaccine could reduce the incidence of otitis...
- 12From: Journal of Family Practice. (Vol. 50, Issue 5) Peer-ReviewedKEY POINTS * Certain combinations of symptoms are highly predictive of acute otitis media (AOM). * Uncomplicated AOM resolves spontaneously in 80% of children. * Most children may be safely treated initially...
- 13From: Journal of Family Practice. (Vol. 50, Issue 5) Peer-ReviewedEVIDENCE-BASED ANSWER Either oral or vaginal metronidazole or vaginal clindamycin provides equivalent treatment for bacterial vaginosis in nonpregnant women (Table). Oral clindamycin 300 mg twice daily for 7 days is...
- 14From: Journal of Family Practice. (Vol. 50, Issue 5) Peer-ReviewedKEYP0INTS * Hypnotic preparation for labor and delivery can be an effective intervention in: * reducing the number of complications. * reducing surgical interventions. * reducing length of postpartum...
- 15From: Journal of Family Practice. (Vol. 50, Issue 5) Peer-ReviewedGrady G, Brown J, Vittinghoff E, Applegate W, Varner E, Snyder T. Postmenopausal hormones and incontinence: the Heart and Estrogen/progestin Replacement Study. Obstet Gynecol 2001; 97:116-20. * BACKGROUND Estrogen is...
- 16From: Journal of Family Practice. (Vol. 50, Issue 5) Peer-ReviewedWhat Do Patients Expect? KEY POINTS * Most family practice patients have E-mail access. * Such access among these patients varies among practices. * Family practice patients especially want to use Email to...
- 17From: Journal of Family Practice. (Vol. 50, Issue 5) Peer-Reviewed* OBJECTIVES Sudden infant death syndrome (SIDS) is a major cause of infant mortality and is associated with the prone sleeping position. Our goal was to determine changes in newborn nursery policies and practices...
- 18From: Journal of Family Practice. (Vol. 50, Issue 5) Peer-ReviewedBeing an effective manager of information is a central task for family physicians, yet many ignore the most powerful information management tool ever invented: the computer. This month's issue of JFP features several...
- 19From: Journal of Family Practice. (Vol. 50, Issue 5) Peer-ReviewedEVIDENCE-BASED ANSWER Acupuncture, biofeedback, and S-adenosyl methionine (SAMe) have been shown to have some efficacy in the treatment of fibromyalgia in randomized controlled trials. Spa treatments, hypnotherapy,...
- 20From: Journal of Family Practice. (Vol. 50, Issue 5) Peer-ReviewedWho Needs Treatment and How Do We Know? It is tempting to agree with Barrett and colleagues[1] that dysthymia in primary care is a separate and unique syndrome that requires pharmacologic intervention, though...