Applied Evidence
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Applied Evidence
Turning team-based care into a winning proposition
Team-based care can go a long way toward improving patient outcomes. This review—with accompanying tips and resource lists—can help.
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Applied Evidence
What you must know before you recommend a probiotic
Evidence for using probiotics for diarrhea and other GI ailments is mixed. This article—with an at-a-glance guide—summarizes when it's worth...
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Applied Evidence
Speech, language, hearing delays: Time for early intervention?
A wait-and-see approach may not be best for the child exhibiting delayed development. This review—complete with extensive resource lists—can...
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Applied Evidence
Intrathecal analgesia: Time to consider it for your patient?
When systemic analgesics or antispasmodics fail to control chronic pain or cause intolerable adverse effects, an intrathecal drug delivery system...
Case Reports
Clinical Inquiries
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Clinical Inquiries
Does the presence of a trained support person during labor decrease C-section rates?
EVIDENCE-BASED ANSWER: Sometimes. The continuous presence of a support person during labor slightly decreases (by about 2%) the likelihood of a...
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Clinical Inquiries
How well do antivirals shorten genital herpes pain duration?
EVIDENCE-BASED ANSWER: Oral and intravenous (IV) acyclovir each shorten the duration of pain for a first primary outbreak of herpes by about 50%;...
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Clinical Inquiries
Are inhaled steroids effective for a postviral cough?
EVIDENCE-BASED ANSWER: No. Inhaled corticosteroids (ICS) don’t improve postviral cough in adults with subacute (3-8 weeks) or chronic (>8 weeks...
Commentary
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Commentary
Team-based care: Worth a second look
Photo Rounds
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Photo Rounds
Painless penile papule
The asymptomatic lesion on our HIV-positive patient’s penis suggested an STD, but the patient said he hadn’t had any sexual partners for many...
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Photo Rounds
Plaques on dorsal hands & arms
This patient’s slow-growing lesions hadn’t responded to topical steroids or antifungals. Careful consideration of her work environment led us to a...
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Photo Rounds
Finger pain, rashes
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Photo Rounds
Hand pain
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Photo Rounds
Left knee pain
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Photo Rounds
Crooked fingers
Practice Alert
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Practice Alert
Immunization update: What’s changed, what’s on the way
A 9-valent HPV vaccine may soon be marketed and 2-dose schedules could be on the horizon. Two new meningococcal B vaccines will also be available...
PURLs
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PURLs
A new adjunctive Tx option for venous stasis ulcers
Adding simvastatin to standard wound care improves ulcer healing rates and times as well as the patient’s quality of life.
Also In This Issue
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Video
Consider this Tx option for insomnia: Sedating antidepressants
Karl Doghramji, MD, describes the use of sedating antidepressants for the treatment of insomnia.