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POEMs

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POEMs: Topiramate and Amitriptyline Not Effective for Migraine in Children - American ...

May 15, 2017 - Topiramate, amitriptyline, and placebo all led to a similar, substantial improvement in migraine frequency and disability. How to harness this strong placebo effect for our patients is an important, but unanswered, question.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0515/od2.html

POEMs: More Accurate Prediction of the Pretest Probability of Cardiovascular Disease ...

May 15, 2017 - The European approach to determining the pretest likelihood of coronary artery disease (CAD) in patients with chest pain is superior to that of the Diamond-Forrester approach recommended by U.S. guidelines, and will result in less need for immediate invasive treatment.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0515/od1.html

POEMs: Pelvic Floor Exercises Modestly Improve Pelvic Floor Prolapse Symptoms - ...

May 15, 2017 - In women with mild to moderate pelvic floor prolapse, a formal program including physiotherapist-guided pelvic floor exercises only modestly improved symptoms.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0515/od3.html

POEMs: One-Third of Adults with Diagnosed Asthma Can Be Weaned Off All Asthma ...

May 1, 2017 - This study found that current asthma was ruled out after repeated testing in one-third of adults with physician-diagnosed asthma. Patients ruled out for current asthma were less likely to be using asthma medications or daily controlling medications and less likely to have undergone ...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0501/p586.html

POEMs: Repeat Cytology Within Six Months Equals Colposcopy for Younger Women with ASCUS...

Apr 1, 2017 - Among women 22 to 27 years of age with an index cervical cytology showing abnormal squamous cells of undetermined significance (ASCUS) or low-grade squamous intraepithelial lesion (LSIL), the incidence of invasive cervical cancer did not differ between repeat cytology within six months ...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0401/p455.html

POEMs: If You Give Amoxicillin/Clavulanate to Six- to 23-Month-Olds with AOM, 10 Days ...

Apr 1, 2017 - These authors begin with the assumption that we should treat children who have AOM with amoxicillin/clavulanate. The greatest benefit was in children one to two years of age who had more severe pain and fever. In children with less severe symptoms, observation should still be the ...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0401/p457.html

POEMs: Single-Dose Dexamethasone an Option for Acute Adult Asthma - American Family ...

Mar 15, 2017 - A single dose of 12-mg dexamethasone, which has a longer duration of action than prednisone, is almost as effective as five days of 60-mg prednisone for the prevention of relapse in adults with acute asthma treated in an emergency department.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0315/od1.html

POEMs: PCI Has More Benefits and Harms Than CABG for Selected Patients with Left Main ...

Apr 1, 2017 - Patients undergoing PCI had fewer early myocardial infarctions, but more later deaths and later myocardial infarctions. There are other benefits to PCI, including shorter hospital stay, lower cost, and faster recovery. But patients should be informed of the tradeoffs, and it is ...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0401/p455a.html

POEMs: Placebo Plus Message of Benefit Decreases Chronic Low Back Pain - American ...

Apr 1, 2017 - These investigators gave twice daily placebo to patients with chronic back pain and told them it was placebo. They also told them that placebos can have a pronounced effect (which is true). The addition of placebo to usual care improved patients' pain and disability scores over the ...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0401/p456.html

POEMs: Antipsychotics Worsen Symptoms in Patients with Delirium Who Receive Palliative ...

Mar 15, 2017 - For hospitalized patients with acute delirium and symptoms of distress who are receiving palliative care, the use of risperidone (Risperdal) or haloperidol at conservative oral doses worsens symptoms and may shorten overall survival.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0315/od3.html

POEMs: Detrimental Effect of Tight Glucose Control on CV Mortality Persists Over Nine ...

Mar 15, 2017 - The initial Action to Control Cardiovascular Risk in Diabetes (ACCORD) study, which compared standard treatment with intensive control, found that despite good intentions, cardiovascular (CV) and overall mortality are significantly higher when blood glucose levels are lower.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0315/od2.html

POEMs: Semaglutide Reduces CV Events in High-Risk Patients with Type 2 Diabetes ...

Mar 15, 2017 - Semaglutide significantly reduced the composite outcome of CV death, nonfatal myocardial infarction, and nonfatal stroke (number needed to treat [NNT] = 43 over 2.1 years). It was generally well tolerated, and it reduced body weight by approximately 6.4 to 9.5 lb (2.9 to 4.3 kg).

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0315/p396.html

POEMs: Steroids at 34 to 36 Weeks’ and Before Term Cesarean Decrease Respiratory ...

Feb 15, 2017 - For women admitted for imminent premature delivery at 34 to 36 weeks of gestation, one or two doses of betamethasone or dexamethasone (8 to 12 mg) decrease the likelihood of neonatal respiratory distress syndrome and shorten lengths of stay in the intensive care unit.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0215/od2.html

POEMs: Chocolate Consumption May Make Acne Vulgaris Worse - American Family Physician

Jan 15, 2017 - This study found a statistically significant increase in facial acne lesions among college students 48 hours after ingesting chocolate instead of jelly beans (average compared with baseline: 4.8 new lesions vs. 0.7 fewer lesions, respectively).

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0115/p122a.html

POEMs: Active Surveillance for Localized Prostate Cancer: No Increased Mortality, but ...

Feb 1, 2017 - This landmark study compared active surveillance with radical prostatectomy or radiation therapy for patients with T1c or T2 prostate cancer. The benefits of active surveillance include avoiding radical therapy in one-half of the patients, with no effect on disease-specific survival or ...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0201/p196.html

POEMs: Sertraline Reduces Risk of Depression in Adults After Traumatic Brain Injury - ...

Feb 1, 2017 - This study found that sertraline is more effective than placebo (number needed to treat = 6) in preventing the onset of a major depressive disorder in adults following a TBI. This study included patients with mild, moderate, and severe TBI.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0201/p194.html

POEMs: Brief Interventions for Weight Management in Kids Are Not Effective - American ...

Feb 1, 2017 - Calculating the BMI of children and adolescents in primary care practices and counseling those who are overweight is ineffective to reduce BMI in children over several years of follow-up.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0201/p194a.html

POEMs: CA 125 Relatively Specific for Diagnosing Endometriosis - American Family Physician

Jan 15, 2017 - For women with symptoms suggestive of endometriosis, serum CA 125 is a relatively specific (93%) and noninvasive test. It can be used to make a presumptive diagnosis in cases for which a medical management approach is being considered without having to perform a (diagnostic standard) ...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0115/p122.html

POEMs: Tamsulosin Beneficial for Passage of 5- to 10-mm Distal Ureteral Stones - ...

Jan 15, 2017 - Tamsulosin promotes stone passage of distal ureteral stones that are 5 to 10 mm in size. You would need to treat five such patients to get one stone passage. Smaller stones tend to pass on their own at a rate of 86% in this study.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0115/p123a.html

POEMs: In Patients with Vascular Disease, Treating Sleep Apnea Does Not Reduce the Risk...

Jan 15, 2017 - Compared with usual care, the use of CPAP provides a modest improvement in daytime sleepiness, but does not reduce the likelihood of cardiovascular events, even in a high-risk population.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0115/p123.html

POEMs: Hypertensive Urgency Not Really an Urgent Problem - American Family Physician

Nov 1, 2016 - It seems that rapid treatment of patients with hypertensive urgency is unsuccessful and unnecessary. In this study of almost 60,000 patients, 80% did not have controlled blood pressure (less than 140/90 mm Hg) after one month of treatment, including patients who were hospitalized. On ...

American Family Physician : POEMs

http://www.aafp.org/afp/2016/1101/p750a.html

POEMs: Step-by-Step Approach to Ruling Out Infant Infection Is Accurate - American ...

Dec 1, 2016 - The Step-by-Step approach, using a basic physical examination and readily available urine and blood tests (without lumbar puncture; see the Synopsis section), can successfully identify low-risk infants younger than 90 days who will not need empiric antibiotic treatment and lumbar ...

American Family Physician : POEMs

http://www.aafp.org/afp/2016/1201/p933.html

POEMs: Cervical Treatment Associated with Adverse Obstetric Outcomes - American Family ...

Dec 1, 2016 - Cervical treatments for dysplasia and early cervical carcinoma are associated with subsequent risk of preterm birth. Excisional treatments carry higher risk than ablative treatments, and multiple treatments carry higher risk than single treatments. The frequency and severity of ...

American Family Physician : POEMs

http://www.aafp.org/afp/2016/1201/p933a.html

POEMs: Larger Bottles Associated with Greater Weight in Infants - American Family ...

Dec 1, 2016 - In nonbreastfed infants, using large bottles (at least 6 oz [180 mL]) to feed infants two months of age was associated with greater weight gain by six months of age. The authors did not report adverse effects associated with bottle size. This is an interesting study that suggests that ...

American Family Physician : POEMs

http://www.aafp.org/afp/2016/1201/p936.html

POEMs: Lumbar Fusion No Better Than Exercise and Therapy in the Long Term - American ...

Dec 1, 2016 - This trial is a good example of how to do just about everything wrong to get the results you want. The authors did not conceal allocation, did not mask anyone in the study, used an unvalidated and subjective primary outcome, and downplayed the intention-to-treat analysis. Funding for ...

American Family Physician : POEMs

http://www.aafp.org/afp/2016/1201/p937.html

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