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Academic Journals
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From:American Family Physician (Vol. 105, Issue 5) Peer-ReviewedClinical Question Does performing dating ultrasonography before a first-trimester uterine evacuation improve outcomes or safety? Evidence-Based Answer No. Routine use of ultrasonography before a first-trimester...
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From:Journal of Family Practice (Vol. 61, Issue 6) Peer-ReviewedEVIDENCE-BASED ANSWER A/YES, using vaginal suppositories or eating yogurt with Lactobacillus may reduce recurrences of bacterial vaginosis (BY) (strength of recommendation [SOR]: B, randomized controlled trials...
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From:Journal of Family Practice (Vol. 54, Issue 8) Peer-ReviewedEVIDENCE-BASED ANSWER In the initial management of dyspepsia for patients without "alarm" symptoms (weight loss, recurrent vomiting, dysphagia, anemia, evidence of bleeding, onset of dyspepsia after age 45 years),...
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From:Journal of Family Practice (Vol. 64, Issue 11) Peer-ReviewedEVIDENCE-BASED ANSWER A / It's impossible to say for certain in the absence of randomized controlled trials. However, in patients whose impingement symptoms don't improve after 3 to 6 months, arthroscopic subacromial...
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From:Journal of Family Practice (Vol. 58, Issue 8) Peer-ReviewedEvidence-based answer It's useful, but imperfect, in ruling out testicular torsion (strength of recommendation [SOR]: C, expert opinion). The cremasteric reflex or a nontender testicle usually excludes testicular...
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From:Journal of Family Practice (Vol. 62, Issue 7) Peer-ReviewedEVIDENCE-BASED ANSWER A/ATYPICAL ANTIPSYCHOTICS modestly reduce agitation compared with placebo but have significant adverse effects (strength of recommendation [SOR]: A, systematic reviews of randomized controlled...
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From:Journal of Family Practice (Vol. 62, Issue 8) Peer-ReviewedEVIDENCE-BASED ANSWER A / YES. Metformin therapy reduces the risk of developing diabetes for adults with one or more risk factors for at least 5 years (strength of recommendation [SOR]: A, consistent meta-analyses)...
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From:Journal of Family Practice (Vol. 60, Issue 6) Peer-ReviewedEVIDENCE-BASED ANSWER A / CHILDREN AND ADOLESCENTS with attention deficit hyperactivity disorder (ADHD) complete fewer years of school, graduate from high school at a lower rate, and are less likely to enroll in...
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From:Journal of Family Practice (Vol. 59, Issue 9) Peer-ReviewedEVIDENCE-BASED ANSWER A / YES. Exercise reduces patient-perceived symptoms of depression when used as monotherapy (strength of recommendation [SOR]: B, meta-analysis of randomized controlled trials [RCTs] with...
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From:Journal of Family Practice (Vol. 61, Issue 12) Peer-ReviewedEVIDENCE-BASED ANSWER A/NO TOPICAL AGENT has been proven to prevent or reduce stretch marks. Randomized controlled trials (RCTs) show that cocoa butter doesn't prevent stretch marks (strength of recommendation [SOR]:...
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From:Journal of Family Practice (Vol. 64, Issue 10) Peer-ReviewedEVIDENCE-BASED ANSWER A / No, it doesn't affect the risk of I primary breast cancer, but it does (favorably) affect the risk of cancer recurrence. Compared with diets low in soy, high dietary intake of soy protein...
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From:American Family Physician (Vol. 101, Issue 9) Peer-ReviewedClinical Question Does the benefit of megestrol (Megace) outweigh the risks in patients with cancer? Evidence-Based Answer Megestrol may be considered as a component of palliative care nutritional support in...
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From:American Family Physician (Vol. 103, Issue 3) Peer-ReviewedClinical Question How useful are patient-collected human papillomavirus (HPV) vaginal swabs as a screening test for cervical intraepithelial neoplasia (CIN)? Evidence-Based Answer Self-collected vaginal swabs using...
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From:American Family Physician (Vol. 103, Issue 9) Peer-ReviewedClinical Question Are positional therapies an effective method of treating obstructive sleep apnea (OSA)? Evidence-Based Answer Positional therapies for OSA produce moderate improvements (16% to 40%) in clinical...
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From:Journal of Family Practice (Vol. 65, Issue 3) Peer-ReviewedEVIDENCE-BASED ANSWER A / No. Reducing caffeinated coffee consumption by 180 mg of caffeine (the equivalent of 2 cups) per day after 16 weeks' gestation doesn't affect birth weight. Consuming more than 300 mg of...