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POEMs

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POEMs: Treating Sleep Apnea with Positive Airway Pressure Does Not Reduce Adverse CV ...

Nov 15, 2017 - The use of PAP for adults with sleep apnea does not reduce adverse CV events or mortality. Patients who experience daytime fatigue at baseline benefit from reduced sleepiness and improved physical and mental well-being. Order sleep testing only in patients with signs or symptoms of ...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/1115/od5.html

POEMs: YEARS Clinical Decision Tool Decreases CTA in Patients with Suspected Pulmonary ...

Nov 15, 2017 - In this study, using a simplified algorithm in patients with suspected pulmonary embolism can safely decrease the number of CTAs.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/1115/od3.html

POEMs: Use of Mindfulness or Self-Hypnosis Provides Immediate Pain Relief to ...

Nov 15, 2017 - Compared with psychoeducation, a single 15-minute session of training in mindfulness or self-hypnosis leads to greater immediate pain relief for hospitalized patients with at least moderate pain at baseline.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/1115/od6.html

POEMs: Mite-Impermeable Covers Decrease Hospital Visits in Kids with Asthma - American ...

Nov 15, 2017 - In children with house dust mite allergies and asthma, the use of mite-impermeable bedding decreases the frequency of asthma exacerbations.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/1115/od4.html

POEMs: Treatment of Subclinical Hypothyroidism Ineffective in Older Adults - American ...

Oct 15, 2017 - Treatment of patients with a minimally elevated thyrotropin (thyroid-stimulating hormone) level did not result in any improvement in symptoms. If patients present with a thyrotropin level between 4.6 and 10 mIU per L, repeat the test because the levels often normalize (this occurred in ...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/1015/od3.html

POEMs: Tranexamic Acid Decreased Death from Bleeding but Not All-Cause Mortality in ...

Oct 15, 2017 - In this really large study, tranexamic acid did not decrease the frequency of the primary outcome of death or hysterectomy in women with postpartum hemorrhage. However, there was a very small reduction in the rate of death from bleeding in the women treated with tranexamic acid.

American Family Physician : POEMs

http://www.aafp.org/afp/2017/1015/od1.html

POEMs: Newer Oral Hypoglycemics Do Not Increase or Decrease Mortality - American Family...

Oct 15, 2017 - This seems like a strange question considering that the goal is to decrease mortality with drug therapy. Nevertheless, this study showed that the new kids on the diabetes block—exenatide (Byetta), dulaglutide (Trulicity), sitagliptin (Januvia), saxagliptin (Onglyza), and others—do not ...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/1015/od2.html

POEMs: In Very High-Risk Patients with Vascular Disease, Evolocumab Slightly Reduces ...

Oct 1, 2017 - In an extremely high-risk group of patients with known vascular disease, taking evolocumab instead of placebo in addition to standard statin therapy for slightly more than two years will prevent one myocardial infarction (MI) for every 83 persons treated and prevent one stroke for every...

American Family Physician : POEMs

http://www.aafp.org/afp/2017/1001/p470.html

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: 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: 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: 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: 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: 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 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: 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: 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: 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: 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: 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

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