Canadian family physician Médecin de famille canadien
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To review the differences between physiologic and pathologic phimosis, review proper foreskin care, and discuss when it is appropriate to seek consultation regarding a phimotic foreskin. ⋯ Physiologic phimosis is often seen by family physicians. These patients and their parents require reassurance of normalcy and reinforcement of proper preputial hygiene. Consultation should be sought when evidence of pathologic phimosis is present, as this requires surgical management.
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Review Comparative Study
Single-dose intrathecal analgesia to control labour pain: is it a useful alternative to epidural analgesia?
To examine the safety and efficacy of single-dose spinal analgesia (intrathecal narcotics [ITN]) during labour. ⋯ Physicians practising modern obstetrics in rural and small urban centres might find single-dose ITN a useful alternative to parenteral or epidural analgesia for appropriately selected patients.
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Review
Cancers related to genetic mutations: important psychosocial issues for Canadian family physicians.
To review psychosocial issues family physicians might wish to be aware of when discussing genetic testing for predisposition for cancer with their patients. ⋯ Family physicians are likely in the best position to discuss genetic testing for predisposition for cancer with their patients given their knowledge of both the tests and their patients' ability to cope with testing.
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To provide family physicians with a review of evidence supporting fluoroquinolone therapy for defined patient populations with acute exacerbations of chronic bronchitis (AECB) and community-acquired pneumonia (CAP). ⋯ Current data show clinical utility and cost-effectiveness of fluoroquinolones in lower respiratory tract infections. The most recently issued AECB and CAP guidelines now recommend these antimicrobial agents as first-choice agents for specific patient populations.
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To review the evidence on safe and effective prescribing of opioids for chronic non-malignant pain. ⋯ Opioids are safe and effective for managing chronic pain.