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April 2005 (Vol. 54, No. 4)

Editorial

Family vs general practice: More similarities than differences?
Jeff Susman, MD

 

InfoPOEMsŪ

False-positive PSA associated with increased worry and fears

 High-dose zafirlukast in emergency department provides small benefit in acute asthma

Popular diets equally effective for losing weight

 Aspirin plus PPI safer than clopidogrel if there is history of GI bleeding

Clinical decision rules accurately predict stroke risk in atrial fibrillation

 

Applied Evidence

Acute otitis media: Making sense of recent guidelines on antimicrobial treatment
Michael E. Pichichero, MD; Janet R. Casey, MD

 Of mites and men: reference bias in narrative review articles
Lasse M. Schmidt, MD; Peter C. Gøtzsche, MD;, DrMedSci

Photo Rounds

Unilateral rash on a baby girl
Amor Khachemoune, MD, CWS; Ben N. Lockshin, MD; Hazem El-Gamal, MD

 

Practice Alert

Meningococcal vaccine: New product, new recommendations
Doug Campos-Outcalt, MD, MPA

 

Supplement

Treating Community-acquired Bacterial Respiratory Tract Infections:
Stephen Brunton, MD

 

Clinical Inquiries

How does tissue adhesive compare with suturing for superficial lacerations?
Douglas F. Aukerman, MD; Wayne J. Sebastianelli, MD; Joan Nashelsky, MLS
Commentary
• Skin adhesives offer reduced pain and less time spent closing the wound
Dana Nadalo , MHS, PA-C; Patricia Janki , MD, PA

 What interventions reduce the risk of contrast nephropathy for high-risk patients?
Paul D. Grossman, MD; Martha Burroughs, MLS
Commentary
• Avoid radiocontrast agents when possible; consider hydration and acetylcysteine
Richard A. Guthmann , MD

What interventions can help patients stop using chewing tobacco?
Kenesha D. Smith, PharmD; Mollie Ashe Scott, PharmD, BCPS, CPP; Elizabeth Ketterman, MLS
Commentary
• NRT not recommended for smokeless users; try bupropion, behavioral therapy
Patrick O. Smith , PhD

 Does furosemide decrease morbidity or mortality for patients with diastolic or systolic dysfunction?
Amrit Singh, MD; Jean Blackwell, MLS
Commentary
• Helpful in the acute setting, diuretics shouldn’t be used alone chronically
Jon Neher , MD

What is the best treatment for gastroesophageal reflux and vomiting in infants?
Vanessa McPherson, MD; Sarah Towner Wright, MLS
Commentary
• Lack of age-appropriate RCTs make evidence-based treatment difficult
Alfreda L. Bell , MD

 Does anticoagulation prevent thrombosis for persons with fractures distal to the hip?
Julie Brogren, MD; Gary Kelsberg, MD; Sarah Safranek, MLIS
Commentary
• Although LMWH costs more than daily warfarin, it has fewer complications
Dana Nadalo , MHS, PA-C; Patricia Janki , MD, PA

Language of Evidence

About levels of evidence
Alan Finkelstein, MD

 

Family Medicine Forum

Professional obligation
William A Hensel, MD; Jennifer Yates, MD

 

Letters to the Editor

Vesiculobullous disease

 Tramadol addiction

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