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- 1From: Journal of Family Practice. (Vol. 51, Issue 6) Peer-ReviewedEVIDENCE BASED ANSWER Naltrexone (ReVia) and nalmefene (Revex) are the most effective agents for treating alcoholism. Acamprosate is effective but not available in the United States. Serotonergic agents, selective...
- 2From: Journal of Family Practice. (Vol. 51, Issue 6) Peer-ReviewedKEY POINTS FOR CLINICIANS * High utilizers (6 or more calls per year) represented 0.6% of active patients but accounted for 23% of calls. * The most common reasons for after-hours calls were medication refills and...
- 3From: Journal of Family Practice. (Vol. 51, Issue 6) Peer-ReviewedThe nonsteroidal anti-inflammatory drug (NSAID) class has become large enough to form 3 subgroups: aspirin, the traditional NSAIDs, and the cylooxygenase-2 (COX-2)--inhibiting NSAIDs. Although pharmacologically...
- 4From: Journal of Family Practice. (Vol. 51, Issue 6) Peer-ReviewedMailed, self-administered questionnaires are a common data collection method used in family practice research. However, little guidance exists in the medical literature about survey methodology specifically designed for...
- 5From: Journal of Family Practice. (Vol. 51, Issue 6) Peer-ReviewedKEY POINTS FOR CLINICIANS * Control the risks for the development and progression of heart failure (HF) by controlling hypertension, diabetes, myocardial ischemia, and tobacco and alcohol use. * Treat HF with...
- 6From: Journal of Family Practice. (Vol. 51, Issue 6) Peer-ReviewedKEY POINTS FOR CLINICIANS * Computer-using patients desire Web-based services to augment their care. * Practice Web sites should be designed to go beyond information alone and incorporate services such as online...
- 7From: Journal of Family Practice. (Vol. 51, Issue 6) Peer-ReviewedWilliams JW, Noel PH, Cordes JA, Ramirez G, Pignone M. Is this patient clinically depressed? JAMA 2002; 287:1160-70. * BACKGROUND Depressive disorders are common in primary care, but the optimal approach for...
- 8From: Journal of Family Practice. (Vol. 51, Issue 6) Peer-ReviewedConstipation is an often-overlooked problem in primary care practice. It deserves careful evaluation, including consideration of the many possible causes and appropriate diagnostic testing. Fortunately, most patients...
- 9From: Journal of Family Practice. (Vol. 51, Issue 6) Peer-ReviewedNystrom L, Andersson I, Bjurstam N, et al. Long-term effects of mammography screening: updated overview of the Swedish randomised trials Lancet 2002; 359:909-19. * BACKGROUND A previous meta-analysis of 4 Swedish...
- 10From: Journal of Family Practice. (Vol. 51, Issue 6) Peer-ReviewedIn October 1991, Miami attorneys, Stanley and Susan Rosenblatt, brought a class action suit against the tobacco industry seeking damages on behalf of flight attendants and their survivors, for the diseases and death...
- 11From: Journal of Family Practice. (Vol. 51, Issue 6) Peer-ReviewedKEY POINTS FOR CLINICIANS * Based on this study, cervical cryotherapy increases the risk that a follow-up colposcopic examination will be inadequate. * Further studies are needed to determine the most effective...
- 12From: Journal of Family Practice. (Vol. 51, Issue 6) Peer-ReviewedEVIDENCE-BASED ANSWER Ferrous salt preparations (ferrous sulfate, ferrous gluconate, and ferrous fumarate) are equally tolerable. (Grade of recommendation: A, based on randomized controlled trial.) Controlled-release...
- 13From: Journal of Family Practice. (Vol. 51, Issue 6) Peer-ReviewedKEY POINTS FOR CLINICIANS * The cyclooxygenase-2-specific inhibitor valdecoxib 10 or 20 mg once daily is as effective as naproxen 500 mg twice daily. * Valdecoxib at the recommended dose for treatment of...
- 14From: Journal of Family Practice. (Vol. 51, Issue 6) Peer-ReviewedSinger AJ, Quinn JV, Clark RE, Hollander JE. Closure of lacerations and incisions with octylcyanoacrylate: A multicenter randomized controlled trial. Surgery 2002; 131:270-6. * BACKGROUND Although suturing is the...
- 15From: Journal of Family Practice. (Vol. 51, Issue 6) Peer-ReviewedEVIDENCE-BASED ANSWER Limited evidence delineates the relative probabilities of causes of acute diarrhea, typically defined as a diarrheal disease lasting 14 days or fewer, in the developed world. Viruses (rotavirus,...
- 16From: Journal of Family Practice. (Vol. 51, Issue 6) Peer-Reviewed"Schizophrenic"--the word leapt out At us the way a tidal wave washes over A ship. A single word on his medical chart Took on a life of its own, engulfed us all Into the undertow. He disappeared Beneath the surface of...
- 17From: Journal of Family Practice. (Vol. 51, Issue 6) Peer-ReviewedThis study was undertaken to clarify whether pulmonary hypertension is a useful marker for underlying obstructive sleep apnea in patients with edema. Twenty-eight ambulatory adults with bilateral leg edema and a normal...
- 18From: Journal of Family Practice. (Vol. 51, Issue 6) Peer-ReviewedAuerbach AD, Goldman L. [beta]-Blockers and reduction of cardiac events in noncardiac surgery. Scientific review. JAMA 2002; 287:1435-44. * BACKGROUND Attempts to reduce serious cardiac events during major noncardiac...
- 19From: Journal of Family Practice. (Vol. 51, Issue 6) Peer-ReviewedKEY POINTS FOR CLINICIANS * Diagnosis of depression is associated with higher costs. * Failure to diagnose depression may raise laboratory costs. * Diagnosis of depression with few symptoms deserves study. *...
- 20From: Journal of Family Practice. (Vol. 51, Issue 6) Peer-ReviewedThase ME, Rush AJ, Howland RH, et al. Double-blind switch study of imipramine or sertraline treatment of antidepressant-resistant chromic depression Arch Gen Psychiatry 2002: 59:233-9. * BACKGROUND Many strategies...