| #58. COLD FX evidence: consistently reported inconsistently |
| Author(s): Michael R. Kolber MD MSc, James McCormack BSc (Pharm), Pharm D |
| Publication date: 2011-12-13 |
| Categories: Emergency, Infectious Disease |
COLD FX® evidence: consistently reported inconsistently
Clinical Question: Does CVT-002 (COLD FX®) reduce the chance of upper respiratory tract infections (URTI) or influenza?
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| Tags: Cold Fx, upper respiratory tract infection, URTI, influenza, flu, cold, natural, complementary alternative therapy |
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| #57. Is colchicine an effective alternative to NSAIDs for the treatment of acute gout? |
| Author(s): Christina Korownyk MD CCFP, Michael Kolber MD CCFP |
| Publication date: 2011-11-29 |
| Categories: Rheumatology |
Is colchicine an effective alternative to NSAIDs for the treatment of acute gout?
Clinical Question: For patients with acute gout, is colchicine an effective treatment and when would its use be indicated?
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| Tags: acute gout, gout, gout attack, oral corticosteroids, colchicine, NSAIDs, arthritis |
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| #56. Is quadruple the new triple therapy for H. pylori? |
| Author(s): Christina Korownyk MD CCFP, Michael Kolber MD CCFP |
| Publication date: 2011-11-14 |
| Categories: Gastroenterology |
Is quadruple the new triple therapy for H. pylori?
Clinical Question: Does quadruple therapy (QT) result in superior eradication rates of H. pylori over traditional triple therapy (TT)?
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| Tags: H. pylori, quadruple therapy, triple therapy, Helicobacter pylori, ulcers, chronic gastritis |
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| #55. Roflumilast – COPD relief at last? |
| Author(s): Christina Korownyk MD CCFP, G. Michael Allan MD CCFP |
| Publication date: 2011-10-31 |
| Categories: Pulmonology |
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Clinical Question: Is roflumilast (Daxas®) beneficial as an add-on therapy in the management of COPD?
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| Tags: Roflumilast, COPD, exacerbations, COPD exacerbations, phosphodiesterase, salmeterol, fluticasone |
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| #54. Overactive bladder, urge incontinence and anticholinergic drugs |
| Author(s): Christina Korownyk MD CCFP, G. Michael Allan MD CCFP |
| Publication date: 2011-10-17 |
| Categories: Nephrology, Urology |
Overactive bladder, urge incontinence and anticholinergic drugs
Clinical Question: In patients with overactive bladder (OAB), or urge incontinence, how well do medications work and are any of them better?
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| Tags: Overactive bladder, OAB, anticholinergic, urge incontinence, oxybutynin, Ditropan, tolterodine, Detrol, micturitions, Darifenacin, Enablex, Solifenacin, Vesicare, urinary tract infection, UTI |
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| #53. Advantages and limitations of ‘delayed prescriptions’ of antibiotics for upper respiratory tract infection (URTI) |
| Author(s): Noah Ivers MD CCFP, Bruce Arroll MBChB PhD FRNZCGP, G. Michael Allan MD CCFP |
| Publication date: 2011-10-03 |
| Categories: Emergency, ENT, Infectious Disease |
Advantages and limitations of ‘delayed prescriptions’ of antibiotics for upper respiratory tract infection (URTI)
Clinical Question: What are the advantages and limitations of ‘delayed prescriptions’ of antibiotics fupper respiratory tract infection (URTI)?
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| Tags: antibiotics, delayed prescriptions, upper respiratory tract infection, URTI, Bronchitis, common cold, Pharyngitis, Otitis media, resistant bacteria, delayed antibiotic prescriptions, immediate prescriptions |
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| #52. Are antihypertensive medications effective for migraine prophylaxis? |
| Author(s): Michael J Kapusta BSc (medical student) , G Michael Allan MD CCFP |
| Publication date: 2011-09-19 |
| Categories: Chronic Pain, Neurology |
Are antihypertensive medications effective for migraine prophylaxis?
Clinical Question: In patients with frequent and/or severe migraines, are antihypertensive medications effective in reducing frequency or severity of migraines?
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| Tags: antihypertensive, migraine, prophylaxis, migraine prophylaxis, propranolol, beta-blockers, calcium channel blockers, lisinopril, headache, candesartan, verapamil, ACE inhibitors, ARBs, thiazides, nadolol, metoprolol, Anticonvulsants, Tricyclic anti-depressants |
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| #51. Antidepressants for preventing headaches: Which work and how well? |
| Author(s): G Michael Allan MD CCFP, Michelle Levy MD CCFP |
| Publication date: 2011-09-06 |
| Categories: Chronic Pain, Neurology |
Antidepressants for preventing headaches: Which work and how well?
Clinical Question: In the prevention or prophylaxis of headaches (including migraines), which antidepressants work and how effective are they?
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| Tags: Antidepressants, headaches, migraines, Tricyclic antidepressants, TCA, tension, Selective Serotonin Re-uptake Inhibitor, SSRI, topiramate, beta-blockers, amitriptyline, propranolol, nadolol, depression, insomnia, Anticonvulsants |
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| #50. CT scans and other forms of low-dose ionizing radiation – What is the risk of cancer? |
| Author(s): Christina Korownyk MD CCFP, Edward Wiebe MD FRCPC |
| Publication date: 2011-08-15 |
| Categories: Oncology, Radiology |
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CT scans and other forms of low-dose ionizing radiation – What is the risk of cancer? Clinical Question: Is there an increased incidence of cancer in patients who undergo CT scans?
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| Tags: CT scans, ionizing radiation, cancer, head, chest, Multiphase abdomen, pelvis, dose-dependent, Alternative imaging |
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| #49. Can ondansetron help children vomiting due to gastroenteritis? |
| Author(s): G Michael Allan MD CCFP, Erin Wilson NP(F) MSN |
| Publication date: 2011-07-18 |
| Categories: Emergency, Gastroenterology, Pediatrics |
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Can ondansetron help children vomiting due to gastroenteritis? Clinical Question: In children presenting with vomiting associated with gastroenteritis, what are the benefits and harms of ondansetron?
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| Tags: ondansetron, vomiting, gastroenteritis, children, diarrhea, paediatrics, pediatrics, dehydration |
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| #48. Steroid Injections , Lateral Epicondylitis (Tennis Elbow) – What is the Evidence? |
| Author(s): Christina Korownyk MD CCFP and G Michael Allan MD CCFP |
| Publication date: 2011-06-27 |
| Categories: Orthopedics, Rheumatology |
Steroid Injections & Lateral Epicondylitis (Tennis Elbow) – What is the Evidence?
Clinical Question: Are corticosteroid injections effective in the management of lateral epicondylitis (tennis elbow)?
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| Tags: Steroid Injections, Lateral Epicondylitis, Tennis Elbow, corticosteroid, physiotherapy |
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| #47. Acetylsalicylic acid (ASA) to prevent colorectal cancer? |
| Author(s): Michael Kolber MD CCFP, Clarence KW Wong MD FRCPC |
| Publication date: 2011-05-11 |
| Categories: Gastroenterology, Oncology |
Acetylsalicylic acid (ASA) to prevent colorectal cancer?
Clinical Question: Does taking Acetylsalicylic acid (ASA) decrease incidence and mortality from colorectal cancer?
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| Tags: Acetylsalicylic acid, ASA, colorectal cancer, colorectal, survival, hemorrhagic strokes, gastrointestinal bleeds, chemoprevention, bleeding, hemorrhage |
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| #46. Is any diet better for weight loss or preventing negative health outcomes? |
| Author(s): G. Michael Allan MD, CCFP, Arya M Sharma, MD, PhD, FRCPC |
| Publication date: 2011-04-18 |
| Categories: Endocrinology, Gastroenterology |
Is any diet better for weight loss or preventing negative health outcomes?
Clinical Question: Is any diet better for weight loss or preventing negative health outcomes like heart disease or mortality?
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| Tags: diet, weight loss, heart disease, Low Carbohydrate, low carb, high carb, Mediterranean, weight, blood pressure, cholesterol, hyperglycemic, medications, diabetics, cardiac, obesity, lipid profiles |
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| #45. Polyethylene Glycol (PEG) for Paediatric and Adult Chronic Constipation |
| Author(s): G Michael Allan MD CCFP, Michelle Levy MD CCFP, , Michael Kolber MD CCFP |
| Publication date: 2011-04-04 |
| Categories: Gastroenterology, Pediatrics |
Polyethylene Glycol (PEG) for Paediatric and Adult CConstipation
Clinical Question: How effective is Polyethylene Glycol (PEG) in Paediatric and Adult Chronic Constipation?
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| Tags: Polyethylene Glycol, PEG, Paediatric, chronic, constipation, lactulose, stool, Ford, Ramkumar, Lee-Robichaud, Candy |
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| #44. Screening for Osteoporosis – Who Should Receive Bone Mineral Density Testing? |
| Author(s): Christina Korownyk MD CCFP, G Michael Allan MD CCFP |
| Publication date: 2011-03-21 |
| Categories: Endocrinology, Radiology |
Screening for Osteoporosis – Who Should Receive Bone Mineral Density Testing?
Clinical Question: What is the most efficient way to determine which patients are at high risk of osteoporosis and require further testing (Bone Mineral Density (BMD))?
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| Tags: Osteoporosis, screening, bone mineral density, bone mineral, BMD, postmenopausal, Osteoporosis Self-Assessment Tool, OST, femoral neck osteoporosis, lumbar spine osteoporosis |
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| #43. Vascular Intervention for Multiple Sclerosis |
| Author(s): Michael Kolber MD CCFP, Ken Makus MD FRCPC, G. Michael Allan MD CCFP |
| Publication date: 2011-03-08 |
| Categories: Neurology |
Vascular Intervention for Multiple Sclerosis
Clinical Question: In patients with multiple sclerosis (MS), is angioplasty of obstructed extra-cranial venous lesions safe and does it improve MS symptoms?
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| Tags: Vascular Intervention, Multiple Sclerosis, MS, angioplasty, extra-cranial venous lesions, chronic cerebrospinal venous insufficiency, CCSVI, venous lesions, primary progressive, secondary progressive, relapsing-remitting MS, relapsing, remitting, extra-cranial doppler ultrasound, ECD, cerebral iron deposits, immune response, endovascular angioplasty |
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| #42. Children with Acute Otitis Media: Benefits and Risks of Antibiotics |
| Author(s): G Michael Allan MD CCFP, Christina Korownyk MD, CCFP |
| Publication date: 2011-02-22 |
| Categories: Emergency, ENT, Infectious Disease |
Children with Acute Otitis Media: Benefits and Risks of Antibiotics
Clinical Question: In children with Acute Otitis Media (AOM) what are benefits and risks of antibiotics?
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| Tags: Children, Acute Otitis Media, AOM, antibiotics, clavulanate, augmentin, Bilateral Otitis Media, Amoxicillin |
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| #41. Does Calcium Supplementation Increase the Risk of MI? |
| Author(s): Christina Korownyk MD, CCFP, G. Michael Allan MD CCFP |
| Publication date: 2011-02-07 |
| Categories: Cardiology, Endocrinology |
Does Calcium Supplementation Increase the Risk of MI?
Clinical Question: Does calcium (Ca+) supplementation contribute to increased risk of myocardial infarction (MI) and other cardiovascular disease (CVD)?
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| Tags: Calcium Supplementation, myocardial infarction, MI, Vitamin D, |
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| #40. Topical NSAIDs: Do they top Placebo or Oral NSAIDs? |
| Author(s): G Michael Allan MD CCFP, Robert Turner MSc MD CCFP |
| Publication date: 2011-01-24 |
| Categories: Anesthesiology, Chronic Pain, Orthopedics |
Topical NSAIDs: Do they top Placebo or Oral NSAIDs?
Clinical Question: Are topical NSAIDs effective in reducing pain in acute and chronic (including osteoarthritis) musculoskeletal pain?
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| Tags: Topical NSAIDs, Oral NSAIDs, Acute musculoskeletal pain, diclofenac, ibuprofen, ketoprofen and piroxicam, Chronic musculoskeletal pain, osteoarthritis, back pain, neuropathic, acetaminophen |
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| #39. Dabigatran versus Warfarin in Atrial Fibrillation |
| Author(s): G Michael Allan MD CCFP, Christina Korownyk MD, CCFP, Tammy Bundgard BSP, PharmD , Michael Kolber MD, CCFP |
| Publication date: 2011-01-04 |
| Categories: Cardiology, Neurology |
Dabigatran versus Warfarin in Atrial Fibrillation
Clinical Question: What are the benefits and risks of dabigatran (Pradax) (a direct thrombin inhibitor), compared to warfarin, in patients with atrial fibrillation?
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| Tags: Dabigatran, Warfarin, Atrial Fibrillation, Pradax, direct thrombin inhibitor, stroke, pulmonary embolism, MI, hemorrhage, Creatinine clearance, CrCl, ketoconazole, P-glycoprotein inhibitors, verapamil, amiodarone, quinidine |
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Tools For Practice
NEW - Schedule Change to Tools for Practice
TFP will be circulated every 3 weeks for the months of May and June. Look for the next TFP to be sent to you on May 22, 2012.
Proudly sponsored by ACFP, Tools for Practice is a valuable service for our members. The biweekly articles summarize medical evidence on a clinical question with a focus on information that can modify your day to day practice.
Tools for Practice is coordinated by Dr. G. Michael Allan (Mike), Associate Professor in the University of Alberta Department of Family Medicine. Dr. Allan is a highly respected practitioner and educator. He has been a popular and recurring speaker at the College's Annual Scientific Assemblies, and has agreed to share his knowledge and experience with colleagues through Tools for Practice.
Sign up to receive Tools for Practice
If you are not a member of the ACFP and would like to receive the TFP emails, please contact subscribetfp@acfp.ca to be added to the distribution list.
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