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Barbara Jamieson, MLS

Article

Childhood alopecia areata: What treatment works best?

Author:
James W. Haynes, MD
Robert Persons, DO
Barbara Jamieson, MLS

EVIDENCE-BASED ANSWER: IT’S UNCLEAR; there are no validated effective treatments for alopecia areata (AA). Topical immunotherapy (squaric acid...

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Article

How does electronic fetal heart rate monitoring affect labor and delivery outcomes?

Author:
Craig Barstow, MD
Robert Gauer, MD
Barbara Jamieson, MLS

EVIDENCE-BASED ANSWER: CONTINUOUS ELECTRONIC FETAL MONITORING (EFM) REDUCES THE RISK OF NEONATAL SEIZURE BY 50% compared with intermittent...

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Article

Which drugs should post-MI patients routinely receive?

Author:
Victor Lin, MD
John R. Holman, MD, MPH
Barbara Jamieson, MLS
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Article

What’s the best way to manage upper extremity venous thrombosis?

Author:
Clayton Rabens, MD
Patricia Goodemote, MD
Barbara Jamieson, MLS

EVIDENCE-BASED ANSWER: STANDARD MANAGEMENT IS BEST: Start with unfractionated heparin or low-molecular-weight heparin and follow with long-term...

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Article

How can you help prevent a recurrence of diverticulitis?

Author:
Lise Weisberger, MD
Barbara Jamieson, MLS

EVIDENCE-BASED ANSWER: A high-fiber diet may help; available evidence doesn’t support other interventions. A high-fiber diet is often prescribed...

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Article

Do abnormal fetal kick counts predict intrauterine death in average-risk pregnancies?

Author:
Andrea L. Darby-Stewart, MD
Carmen Strickland, MD
Barbara Jamieson, MLS

EVIDENCE-BASED ANSWER: No. Structured daily monitoring of fetal movement doesn’t decrease the rate of all-cause antenatal death in average-risk...

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Article

What is the best way to manage phantom limb pain?

Author:
Lance M. Black, MD
Robert K. Persons, DO
Barbara Jamieson, MLS

EVIDENCE-BASED ANSWER: No single best therapy for phantom limb pain (PLP) exists. Treatment requires a coordinated application of conservative,...

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Article

What is the best treatment for oral thrush in healthy infants?

Author:
Cindy W. Su, MD
Sean Gaskie, MD
Barbara Jamieson, MLS

EVIDENCE-BASED ANSWER: Nystatin oral suspension is a safe first-line therapy; fluconazole is more effective (strength of recommendation [SOR]: B,...

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Article

Do COX-2 inhibitors worsen renal function?

Author:
Richard Wall, MD
Carmen Strickland, MD, MPH
Barbara Jamieson, MLS

EVIDENCE-BASED ANSWER: No, COX-2 inhibitors, as a class, do not worsen renal function for those without renal disease. Celecoxib is the only COX-2...

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Article

Are DMARDs effective for rheumatologic diseases besides rheumatoid arthritis?

Author:
Patricia Goodemote, MD
Barbara Jamieson, MLS

EVIDENCE-BASED ANSWER: It’s unclear whether disease-modifying antirheumatic agents (DMARDs) as first-line therapy in nonrheumatoid rheumatologic...

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Article

What treatment approach to intrapartum maternal fever has the best fetal outcomes?

Author:
Matthew Snyder, DO
Paul Crawford, MD
Barbara Jamieson, MLS

EVIDENCE-BASED ANSWER: A combination of beta-lactam and aminoglycoside antibiotics are the recommended empiric agents for the treatment of acute...

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Article

Does warfarin prevent venous thromboembolic events in aPL-positive patients?

Author:
Michael F. Mazzone, MD
Barbara Jamieson, MLS

EVIDENCE-BASED ANSWER: Yes, warfarin is effective in the secondary prevention of venous thromboembolic events (VTEs) for patients positive for...

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Article

How effective are hypertension self-care interventions?

Author:
Anthony J. Viera, MD, MPH
Barbara Jamieson, MLS

EVIDENCE-BASED ANSWER: Simplification of the dosing regimen (eg, once-daily instead of multiple dosing) improves patients’ adherence to...

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Article

Do topical antibiotics improve wound healing?

Author:
Sabina Diehr, MD
Andrew Hamp
Barbara Jamieson, MLS

EVIDENCE-BASED ANSWER: The use of topical triple-antibiotic ointments significantly decreases infection rates in minor contaminated wounds...

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Article

How should we manage a patient with a positive PPD and prior BCG vaccination?

Author:
Kathleen Rowland, MD
Richard Guthmann, MD
Barbara Jamieson, MLS

EVIDENCE-BASED ANSWER: Prior bacille Calmette-Guérin (BCG) vaccination increases the likelihood of a positive tuberculosis (TB) 5TU purified...

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