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POEMs

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POEMs: Corticosteroid Injections Ineffective for Knee Osteoarthritis - American Family ...

Sep 15, 2017 - This well-done study found that regular three-month intra-articular injections of triamcinolone for two years resulted in no significant difference in pain and function assessments compared with saline. However, a significant increase in cartilage loss and damage did occur in patients ...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0915/p406.html

POEMs: Steroid Treatment Adds No Benefit to Antihistamines for Acute Hives - American ...

Sep 15, 2017 - The combination approach of steroids and antihista-mines offers no added benefit to antihistamines alone for the treatment of simple urticaria.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0915/p399a.html

POEMs: No Benefit with Addition of TMP/SMX to Cephalexin for Nonpurulent Cellulitis - ...

Sep 15, 2017 - Compared with cephalexin alone, covering for methicillin-resistant Staphylococcus aureus (MRSA) and streptococci with cephalexin plus TMP/SMX does not improve rates of clinical cure when treating nonpurulent cellulitis. However, a trend favoring the combination regimen was found in a ...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0915/p399.html

POEMs: Combination of Resistance and Aerobic Exercise Best for Older Persons with ...

Sep 1, 2017 - In older patients with obesity embarking on a program to improve their health, weight loss accompanied by resistance training and aerobic training resulted in the biggest gains in functional status and physical performance.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0901/p331.html

POEMs: Dexamethasone May Reduce Sore Throat Symptoms in Adults at 48 Hours - American ...

Aug 15, 2017 - A single dose of oral dexamethasone is no more effective than placebo in resolving acute sore throat symptoms at 24 hours in adults who do not receive immediate antibiotic therapy. However, among a multitude of exploratory secondary outcomes, the authors found that, compared with ...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0815/p260a.html

POEMs: Pregabalin Does Not Decrease the Pain of Sciatica - American Family Physician

Aug 15, 2017 - Pregabalin does not relieve pain in patients with sciatica.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0815/p260.html

POEMs: No Added Benefit with Higher Doses of Ketorolac for Treatment of Acute Pain in ...

Aug 15, 2017 - A 10-mg dose of ketorolac is as effective as higher doses for the short-term treatment of acute pain for patients in the emergency department.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0815/p262.html

POEMs: High False-Positive Rate with Lung Cancer Screening - American Family Physician

Jul 15, 2017 - If you are thinking about adding lung cancer screening to your delivery of preventive care, be sure to prepare patients. They are likely to receive a positive result, most of the positive results will not be lung cancer, and one in four patients will require additional tracking (i.e., ...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0715/p128a.html

POEMs: No Increased Risk of ASD, ADHD, or SGA with First-Trimester Antidepressant Use -...

Aug 15, 2017 - This study found that maternal antidepressant use during the first trimester of pregnancy is associated with an increased risk of preterm birth, but not SGA, ASD, or ADHD. Another study in the same issue also reported no increased risk of ASD with in utero exposure to selective ...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0815/p261.html

POEMs: Niacin Does Not Decrease Mortality in Patients with Coronary Artery Disease or ...

Jul 15, 2017 - We are now flush with data about the effects of niacin in patients with elevated cholesterol levels. Despite its ability to raise high-density lipoprotein (HDL) serum cholesterol levels, it does not add additional mortality or morbidity benefit to statin treatment. Patients with ...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0715/p129.html

POEMs: Greater Benefit with Rivaroxaban Than Aspirin for Extended Treatment of VTE - ...

Jul 15, 2017 - Compared with aspirin, the use of rivaroxaban (Xarelto) to extend anticoagulation beyond the initial six to 12 months to treat provoked or unprovoked VTE reduces the risk of recurrent symptomatic VTE without increasing the risk of bleeding. You would need to treat approximately 30 to 33...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0715/p128.html

POEMs: Arthroscopic Meniscal Surgery Is Equivalent to Nonoperative Management - ...

Jul 1, 2017 - The existing research base, with biases that typically make interventions look better, is unable to demonstrate that arthroscopy for meniscal injuries is any better than nonoperative approaches. Because this is a costly intervention and is being used more often, perhaps insurance ...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0701/p55.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: Antibiotics May Equal Surgery for Children with Appendicitis - American Family ...

Jun 1, 2017 - Antibiotic treatment appears to be effective for children with uncomplicated appendicitis without evidence of perforation or rupture, with 97% of children discharged without surgery. Approximately one in seven children will eventually have recurrence and require surgery. A couple of ...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0601/p737.html

POEMs: Testosterone Does Not Improve Cognition in Memory-Impaired Older Men with Low ...

Jun 1, 2017 - Testosterone supplementation for men 65 years or older with age-associated memory impairment and a low baseline testosterone level was not associated with significant improvements in memory or other cognitive functions.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0601/p733a.html

POEMs: Bariatric Surgery Improves Quality of Life and Results in More Weight Loss Than ...

Jun 15, 2017 - Bariatric surgery using Roux-en-Y gastric bypass or sleeve gastrectomy was more effective than intensive medical therapy at improving quality of life and helping patients lose weight and reduce the need for medications. Anemia was more common with sleeve gastrectomy, and approximately ...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0615/p805.html

POEMs: Bare Arm Best for Blood Pressure Measurement - American Family Physician

Jun 1, 2017 - To get the most accurate measure, let patients sit for a few minutes, and then measure their blood pressure on a completely bare arm. Does a difference of 4 mm systolic and 6 to 7 mm diastolic matter?

American Family Physician : POEMs

http://www.aafp.org/afp/2017/0601/p733.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: 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: 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: 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: 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: 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: 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

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