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Varietal resistance of oats to Puccinia Coronifera
(University of Missouri--Columbia, 1917)
Oats grow best in a cool, rather moist climate, and are most largely produced in the North Temperate Zone. Among the leading countries in the production of this crop are the United States, European Russia, Germany, France, ...
Does moderate exercise prevent MI for patients with coronary heart disease?
(Family Physicians Inquiries Network, 2004)
Moderate exercise reduces mortality for patients with known coronary heart disease but does not significantly decrease the risk of recurrent nonfatal myocardial infarction (MI) (strength of recommendation [SOR]: A, based on systematic review...
What treatments prevent miscarriage after recurrent pregnancy loss?
(Family Physicians Inquiries Network, 2005)
Progesterone produces a small but significant decrease in miscarriage among pregnant women with 3 or more unexplained pregnancy losses (strength of recommendation [SOR]: A, based on a meta-analysis of 3 small randomized controlled trials [RCTs...
Quality of tier 1 instruction in an integrated multi-tiered system of support: a mixed methods study
(University of Missouri--Columbia, 2022)
MTSS, should be evidence-based and differentiated to provide high quality educational opportunities to all students. One established approach to providing accessible and differentiated instruction is Universal Design for Learning (UDL), an instructional...
How often is coughing the presenting complaint in patients with gastroesophageal reflux disease?
(Family Physicians Inquiries Network, 2002)
Frequent coughing is a concern for approximately 35% of those with typical gastroesophageal reflux disease (GERD) symptoms of heartburn and acid regurgitation as compared with 11% in those who do not have these symptoms. Among pulmonary clinic...
Improving car seat safety anticipatory guidance in the pediatric primary care setting
(University of Missouri--Columbia, 2024)
safety guidelines. The purpose and aims of the project relate to the following PICOT question: In a pediatric primary care clinic (P), how does the implementation of an evidence-based car seat safety handout at well-child visits for newborns to age 13...
What is a reasonable initial approach to the patient with fatigue?
(Family Physicians Inquiries Network, 2001)
with sedimentation rate, blood count, and glycohemoglobin and thyroid stimulating hormone (TSH) levels, particularly in older patients. Grade of Recommendation: C, based on case series and expert opinion...
In patients with a previous CVA, do antioxidants protect against subsequent stroke?
(Family Physicians Inquiries Network, 2002)
observational studies that suggested a benefit. No studies have assessed only stroke patients and stroke outcomes. (Grade of recommendation: A, based on randomized controlled clinical trials and a systematic review of antioxidants and cardiovascular disease.)...
What is the best treatment for nocturnal enuresis in children?
(Family Physicians Inquiries Network, 2005)
For children with primary nocturnal enuresis,
treatment with enuresis alarms reduced the
number of wet nights by almost 4 per week, with almost half of patients remaining dry for 3 months after treatment (strength of recommendation [SOR]: A, based...
Toxic Stress Education for Pediatric Practitioners to Improve Health Outcomes
(University of Missouri--Kansas City, 2018)
Toxic stress associated with adverse childhood experiences during childhood can have
catastrophic lifelong neurobiological, social, and emotional effects and has been shown to
decrease life expectancy up to 20 years. ...
The effects of practice and working-practice homework on the math achievement of elementary school students showing varying levels of math performance
(University of Missouri--Columbia, 2008)
blocked into one of three achievement groups (top, middle, and lower) based on their pretest scores and randomly assigned either practice or working-practice homework for 6 weeks. The posttest results indicated no statistically significant differences...
Antidepressant Use During Pregnancy
(Family Physicians Inquiries Network, 2011)
the risk of congenital malformations or miscarriage. (Strength of Recommendation [SOR]: B, based on limited-quality, patient-oriented evidence.) The use of SSRIs or TCAs during pregnancy may increase the risk of preterm birth, low birth weight, respiratory...
How should a DEXA scan be used to evaluate bisphosphonate therapy for osteoporosis?
(Family Physicians Inquiries Network, 2005)
If bone density is evaluated after initiating bisphosphonate drug therapy, it should be tested no earlier than 2 years (strength of recommendation [SOR]: B, based on case series of dual energy x-ray absorptiometry [DEXA] scanning precision...
For knee pain, how predictive is physical examination for meniscal injury?
(Family Physicians Inquiries Network, 2004)
No single clinical examination element, or combination of such elements, reliably detects meniscal injury. The McMurray test is best for ruling in meniscal pathology. Assuming a 9% prevalence of meniscal tears among all knee injuries (a rate...
What is the best initial treatment of Parkinson's disease?
(Family Physicians Inquiries Network, 2003)
with placebo, selegiline improves the motor symptoms of Parkinson's disease and allows a physician to delay the introduction of levodopa by 9 to 12 months (strength of recommendation [SOR]: A, based on randomized controlled trials). Dopamine agonists...
Antiviral Agents for Pregnant Women with Genital Herpes
(Family Physicians Inquiries Network, 2005)
There is no evidence that the use of antiviral agents in women who are pregnant and have a history of genital herpes prevents perinatal transmission of herpes simplex virus (HSV) to neonates. [Strength of recommendation: A, based on multiple...
Can you differentiate bacterial from viral pediatric infections based on the CBC?
(Family Physicians Inquiries Network, 2007)
No--the complete blood count (CBC) alone does not have adequate sensitivity or specificity to tell bacterial from viral infections (strength of recommendation [SOR]: B, cohort studies). When used in conjunction with other ...
How effective is spironolactone for treating resistant hypertension?
(Family Physicians Inquiries Network, 2019)
Q: How effective is spironolactone for treating resistant hypertension? EVIDENCE-BASED ANSWER: VERY EFFECTIVE. Spironolactone reduces systolic blood pressure (SPB) by 11 to 17 mm Hg and diastolic blood pressure (DPB) by up to 6 mm Hg in patients...
How should we follow up a positive screen for anemia in a 1-year old?
(Family Physicians Inquiries Network, 2005)
the diagnosis of iron-deficiency (strength of recommendation [SOR]: B; evidence from randomized controlled trials with some conflicting results; lack of evidence for long-term benefits/harms of screening strategies). In these cases, further testing with a...
Is osteoporosis screening in postmenopausal women effective?
(Family Physicians Inquiries Network, 2003)
No single study evaluates the effectiveness of osteoporosis screening. However, screening women over the age of 65 years -- or those between 60-64 years with certain risk factors -- is recommended based on available evidence. First, osteoporosis...