Canadian family physician Médecin de famille canadien
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Randomized Controlled Trial Comparative Study
Buprenorphine in the emergency department: Randomized clinical controlled trial of clonidine versus buprenorphine for the treatment of opioid withdrawal.
To compare buprenorphine to clonidine for the treatment of opioid withdrawal in the emergency department (ED) and to study the effect assigned treatment medication had on longer-term addiction treatment outcomes. ⋯ When opioid withdrawal is treated with buprenorphine in the ED, patients are more likely to be receiving opioid agonist treatment and connected with addiction treatment 1 month later.
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Meta Analysis
Opioid use disorder in primary care: PEER umbrella systematic review of systematic reviews.
To summarize the best available evidence regarding various topics related to primary care management of opioid use disorder (OUD). ⋯ There is reasonable evidence that patients with OUD should be managed in the primary care setting. Diagnostic criteria for OUD remain elusive, with 1 reasonable case-finding tool. Methadone and buprenorphine improve treatment retention, while medication-related contingency methods could worsen retention. Counseling is beneficial when added to pharmacotherapy.
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Question I continue to see families in my practice with complaints of having common warts. Despite trying to convince them that no therapy is needed, children and parents ask for advice and therapy. Is duct tape truly effective for common warts, and how is it applied?Answer Common warts (verruca vulgaris) are extremely common in children and are caused by the human papillomavirus. ⋯ With duct tape therapy, apply a small piece of duct tape directly on the wart once every 4 to 7 days; then remove the tape, clean the area with soap and water, and remove the dead skin using an emery board. Apply another piece of tape 12 hours later. Repeat this cycle for 4 to 6 weeks.