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Interventions for Reducing Childhood Obesity - Cochrane for Clinicians - American ...

Apr 1, 2020 - Individual dietary interventions alone fail to change body mass index or the standardized BMI z-score across all age groups. The impact of regular physical activity or combined dietary and physical activity interventions is modest at best.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0401/p394.html

Pulse Oximetry Screening for Critical Congenital Heart Defects in Newborns - Cochrane ...

Apr 1, 2019 - Pulse oximetry is an accurate screening test for critical congenital heart defects in newborns. Pulse oximetry is simple to use, widely available, and has moderate sensitivity (76.3%) and good specificity (99.9%). However, the prevalence of critical congenital heart defects is low, and ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0401/p421.html

Smectite for Acute Infectious Diarrhea in Children - Cochrane for Clinicians - American...

Mar 1, 2019 - When compared with placebo, smectite decreases the duration of diarrhea by about a day, with a mean difference of 24.4 fewer hours of diarrhea (95% confidence interval [CI], 17.9 to 30.9 hours). Smectite also decreases stool output by 11.4 g per kg (95% CI, 0.8 to 22 g per kg).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0301/p294.html

Feed Thickener for Newborn Infants with Gastroesophageal Reflux - Cochrane for ...

Sep 1, 2018 - Feed thickeners decrease the number of reflux episodes in full-term formula-fed infants. Additionally, full-term formula-fed infants with GER who are given thickeners are more than twice as likely to be asymptomatic compared with infants not receiving thickeners at one to eight weeks of...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0901/p275.html

Interventions for Increasing Fruit and Vegetable Consumption in Children Five Years and...

Oct 1, 2018 - Child feeding interventions are effective in the short term (i.e., less than 12 months) for increasing a child's intake of fruits and vegetables, but only by less than 5% of the recommended daily allowance. Conversely, parental nutrition education and multicomponent interventions, such ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/1001/p419.html

Interventions for Treatment of Overweight and Obese Children - Cochrane for Clinicians ...

Aug 1, 2018 - Interventions that include combinations of diet, physical activity, and behavior changes may reduce weight, body mass index (BMI), and BMI z-score (equivalent to BMI-for-age percentile) in overweight and obese children six to 11 years of age.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0801/p151.html

Atypical Antipsychotics for Disruptive Behavior Disorders in Children and Adolescents -...

Jun 1, 2018 - Risperidone reduces measures of aggression and improves conduct in children with disruptive behavior disorders; however, only short-term use is recommended. Weight gain of 2 to 2.5 kg (4.4 to 5.5 lb) is common. There is insufficient evidence to evaluate the benefits of other ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0601/p715.html

Effect of Pacifier Use on Duration of Breastfeeding - Cochrane for Clinicians - ...

Mar 1, 2018 - In healthy, full-term, breastfeeding infants, there is moderate evidence that unrestricted pacifier use, started at birth or after lactation has been established, does not decrease the likelihood of continued exclusive or partial breastfeeding through four months of age.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0301/p311.html

Dietary Interventions for Recurrent Abdominal Pain in Childhood - Cochrane for ...

Jan 1, 2018 - Probiotics relieve pain in children with recurrent abdominal pain in the short term (number needed to treat [NNT] = 8). There is no convincing evidence that fiber supplements improve pain in children with recurrent abdominal pain.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0101/p19.html

Preventing Unintended Adolescent Pregnancy - Cochrane for Clinicians - American Family ...

Apr 1, 2017 - Among adolescents, educational interventions increase reported condom use at most recent intercourse, whereas contraceptive-promoting interventions increase use of hormonal contraception.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0401/p422.html

Zinc Supplementation in Children Six Months to 12 Years of Age - Cochrane for ...

Jan 1, 2015 - Preventive zinc supplementation for children in low- and middle-income countries appears to reduce rates of diarrhea and may slightly reduce rates of growth failure.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2015/0101/p27.html

Fluoride Varnish for Preventing Dental Caries in Children and Adolescents - Cochrane ...

May 1, 2016 - Topically applied fluoride varnishes are safe and effective in preventing dental caries in children and adolescents. There is little information about adverse effects or treatment acceptability. Family physicians should consider incorporating fluoride varnish into childhood preventive ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2016/0501/p743.html

Tricyclic Antidepressants for the Treatment of ADHD in Children and Adolescents - ...

Sep 1, 2015 - TCAs, specifically desipramine and nortriptyline (Pamelor), are superior to placebo at reducing ADHD symptoms in the short term (two to six weeks); however, the quality of evidence is low. Increased heart rate and diastolic blood pressure may be noted with treatment.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2015/0901/p352.html

Interventions Aimed at Increasing Childhood Vaccination Rates - Cochrane for Clinicians...

Nov 1, 2015 - Community discussions, community meetings, and information campaigns may increase immunization uptake in areas with only moderate vaccine use. There is no clear evidence to guide face-to-face educational interventions, and the impact of face-to-face interventions is uncertain in areas ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2015/1101/p775.html

Pharmacologic Therapy for Gastroesophageal Reflux Disease in Children - Cochrane for ...

Sep 1, 2015 - Among infants younger than 12 months diagnosed with GERD, weak evidence supports the use of proton pump inhibitors (PPIs) and histamine H2 antagonists. Among children 12 months and older, studies have shown moderate benefit from PPIs and weak benefit from H2 antagonists for providing ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2015/0901/p351.html

Bronchodilators for Bronchiolitis - Cochrane for Clinicians - American Family Physician

Nov 1, 2014 - Albuterol does not improve any clinical outcomes in the outpatient or inpatient setting and should not be used in the treatment of bronchiolitis in a child 24 months or younger.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/1101/p622.html

Antibiotics for Sore Throat - Cochrane for Clinicians - American Family Physician

Jul 1, 2014 - Compared with placebo, antibiotics can shorten the duration of sore throat symptoms by about 16 hours and can reduce complications. In countries where the absolute rates of complications are higher, antibiotic therapy is more likely to be effective. The effectiveness of antibiotic ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0701/p23.html

Early Developmental Intervention Programs for Preterm Infants - Cochrane for Clinicians...

Mar 1, 2014 - Early intervention programs improve cognitive performance in preterm infants up to 36 months of age, but no effect can be detected by five years of age. A small effect of early intervention on motor performance was found in infancy, but it did not persist until preschool or school age.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0301/p336.html

Optimal Antibiotic Regimen for Treating Lower UTI in Children - Cochrane for Clinicians...

Nov 1, 2013 - For the afebrile child with a UTI, a short course (three to seven days) of antibiotics is as effective at preventing the recurrence of symptomatic UTI as a long course (seven to 10 days). There is no clear evidence of superiority for any one antibiotic regimen.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/1101/p577.html

Screening for Developmental Dysplasia of the Hip in Newborns - Cochrane for Clinicians ...

Jan 1, 2013 - Although screening increases the proportion of newborns who are treated for DDH, there is insufficient evidence that targeted or universal ultrasound screening improves long-term orthopedic outcomes.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/0101/p10.html

Interventions to Prevent Childhood Obesity - Cochrane for Clinicians - American Family ...

Jul 1, 2012 - Overall, children up to 12 years of age benefited from school-based obesity prevention interventions; this effect was not demonstrated among adolescents 13 years and older. Although the overall effect size was small, interventions that promoted physical activity, alone or in combination...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2012/0701/p30.html

Steroids for the Treatment of Otitis Media with Effusion in Children - Cochrane for ...

Feb 1, 2012 - Oral steroid use, alone or in combination with antibiotics, speeds the resolution of otitis media with effusion. However, there is no evidence that oral steroids improve symptoms or affect long-term outcomes, such as hearing loss. Topical nasal steroids have no effect on otitis media ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2012/0201/p235.html

Acellular Vaccines for Preventing Pertussis in Children - Cochrane for Clinicians - ...

Sep 1, 2011 - Multicomponent (i.e., three or more) acellular vaccines are as effective as whole-cell vaccines at preventing pertussis and mild pertussis disease (e.g., cold symptoms, cough without classic whoop or cough paroxysms) in children. Adverse effects are similar to those from placebo and ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/0901/p504.html

Probiotics for Persistent Diarrhea in Children - Cochrane for Clinicians - American ...

Jul 1, 2011 - Limited data suggest that probiotic use decreases duration and frequency of loose stools, and reduces length of hospital stay in children with persistent diarrhea. One high-quality study showed Lactobacillus rhamnosus GG to be effective. Probiotics are generally well tolerated.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/0701/p25.html

Effectiveness of Bronchodilators for Bronchiolitis Treatment - Cochrane for Clinicians ...

May 1, 2011 - Bronchodilators may transiently improve the clinical status of infants with bronchiolitis and no prior history of wheezing. However, moderately strong evidence shows that key outcomes such as oxygen saturation, need for hospitalization, length of hospitalization, and duration of ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/0501/p1045.html

Short Course of Antibiotics for Acute Otitis Media Treatment - Cochrane for Clinicians ...

Jan 1, 2011 - Antibiotic courses between two and seven days in duration are associated with a slightly higher risk of treatment failure than longer courses (number needed to treat = 33), but also a somewhat lower risk of adverse gastrointestinal effects (number needed to harm = 29). Ceftriaxone ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/0101/p37.html

Addition of Long-Acting Beta Agonists for Asthma in Children - Cochrane for Clinicians ...

Mar 1, 2010 - In children with persistent asthma who are already taking inhaled corticosteroids, the addition of a LABA does not lower the rate of exacerbations requiring oral steroids, rescue medication, or hospitalizations, but it improves measurable lung function.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0301/p598.html

Cochrane for Clinicians - Apr 1, 2007 - American Family Physician

Apr 1, 2007 - Children with otitis media with effusion do not benefit from decongestants or antihistamines. Common adverse effects of these therapies are gastrointestinal upset, irritability, drowsiness, and dizziness (number needed to harm = 9).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/0401/p1001.html

Cochrane for Clinicians - Apr 1, 2007 - American Family Physician

Apr 1, 2007 - Topical salicylic or lactic acid and cryotherapy are effective treatments for nongenital warts. Although cryotherapy is somewhat more effective, it is associated with more pain and blistering than salicylic or lactic acid. The spontaneous cure rate of nongenital warts is 50 to 70 ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/0401/p1001a.html

Hepatitis B Vaccine for Infants of HBsAg-Positive Mothers - Cochrane for Clinicians - ...

Jan 1, 2007 - Hepatitis B vaccine, hepatis B immune globulin, and the combination of both reduce the risk of transmission of hepatitis B virus from mother to newborn, especially in newborns of mothers positive for hepatitis B e antigen (HBeAg). The combination of vaccine and immune globulin is more ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/0101/p49.html

Humidified Air for Croup? - Cochrane for Clinicians - American Family Physician

Jan 1, 2007 - Available data do not support a clinically important benefit of humidified air for symptomatic treatment of children with croup. However, it does not appear to be harmful.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/0101/p50.html

Vaccines for Preventing Influenza in Healthy Children - Cochrane for Clinicians - ...

Oct 1, 2006 - Influenza vaccines have good efficacy (i.e., prevention of influenza) in children older than two years, and live, attenuated vaccine is more efficacious than trivalent, inactivated vaccine. Effectiveness (i.e., prevention of influenza-like illness, perhaps a clinically more important ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/1001/p1123.html

Cochrane for Clinicians - Apr 1, 2006 - American Family Physician

Apr 1, 2006 - The single clinical trial on this topic found that inhaled beta agonists do not reduce cough frequency or improve symptoms in children with chronic, nonspecific cough.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0401/p1191a.html

Cochrane for Clinicians - Apr 1, 2006 - American Family Physician

Apr 1, 2006 - Benzodiazepines are safe and effective for the treatment of alcohol withdrawal, particularly for the prevention of withdrawal seizures, although their superiority to anticonvulsants has not been demonstrated convincingly. There is no clear benefit of one benzodiazepine over another or ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0401/p1191.html

Do Tympanostomy Tubes for OME Prevent Hearing Loss? - Cochrane for Clinicians - ...

Sep 1, 2005 - In children with typical hearing and language development, immediate placement of tympanostomy tubes for OME does not improve important long-term outcomes compared with a period of watchful waiting and placement of tubes only if there is no improvement.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0901/p807.html

Cochrane for Clinicians - Jun 1, 2005 - American Family Physician

Jun 1, 2005 - Many patients request delayed umbilical cord clamping in their birth plans. Delayed cord clamping allows continued perfusion while the baby transitions to newborn circulation. However, when an infant is high risk, physicians frequently clamp and cut the cord early to allow the neonatal ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0601/p2091a.html

Cochrane for Clinicians - Jun 1, 2005 - American Family Physician

Jun 1, 2005 - Thickened feeds and metoclopramide reduce symptoms of GER in normally developing infants. However, elevating the head of the crib appears to have no effect.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0601/p2091.html

Glucocorticoids for Treatment of Croup - Cochrane for Clinicians - American Family ...

Jan 1, 2005 - Compared with placebo, treatment with glucocorticoids results in reduced symptoms, less need for treatment with racemic epinephrine, fewer readmissions to emergency departments, and shorter hospital stays.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0101/p66.html

Therapy for Speech and Language Delay - Cochrane for Clinicians - American Family ...

Jun 15, 2004 - Speech and language therapy is effective in children who have problems with expressive vocabulary and pronunciation. There is insufficient evidence regarding interventions for receptive disorders and mixed results for interventions to improve expressive grammar and sentence structure.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/0615/p2823.html

Do Children with Acute Asthma Benefit More from Anticholinergics and Beta2 Agonists ...

Aug 1, 2002 - Children with moderate to severe asthma exacerbations experience improved respiratory function and are less likely to require hospital admission when treated with multiple doses of beta2 agonists combined with anticholinergics. The same benefit has not been proved in children with mild ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2002/0801/p417.html

Is Alarm Intervention Effective in the Treatment of Enuresis? - Cochrane for Clinicians...

May 1, 2002 - Pharmacologic treatments (desmopressin and tricyclic antidepressants) and alarm devices are effective for controlling nocturnal enuresis during treatment. There is limited evidence of lower relapse rates after stopping alarm-device treatment than after stopping medication.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2002/0501/p1798.html

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