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Do endovascular filters prevent PE as effectively as anticoagulants in patients with DVT?
(Family Physicians Inquiries Network, 2010)
Although inferior vena cava filters (IVCFs) reduced the incidence of PE in a randomized controlled trial (RCT), patients treated with IVCFs and anticoagulation with unfractionated heparin or low-molecular- weight heparin ...
How accurate is an MRI at diagnosing injured knee ligaments?
(Family Physicians Inquiries Network, 2010)
MRI is highly accurate in diagnosing injury to the anterior cruciate ligament (ACL) (strength of recommendation [SOR]: A, prospective blinded cohort studies) and posterior cruciate ligament (PCL) (SOR: B, limited number ...
What's the best treatment for pyogenic granuloma?
(Family Physicians Inquiries Network, 2010)
Simple surgical excision is associated with a low risk of recurrence, but often leaves a visible scar. Curettage or shave excision, with cautery, is more likely to succeed in 1 session than cryotherapy; both may leave a ...
What's the best way to motivate patients to exercise?
(Family Physicians Inquiries Network, 2010)
There is no single best strategy to motivate patients to exercise, given the lack of data from rigorous comparison studies. There are, however, several interventions for adults that are effective. They include: writing a ...
Should you test or treat partners of patients with gonorrhea, chlamydia, or trichomoniasis?
(Family Physicians Inquiries Network, 2010)
Empiric treatment of partners of female or heterosexual male patients diagnosed with gonorrhea or chlamydia using expedited partner therapy (having the index patient deliver therapy to the partner) decreases the risk of ...
Should patients with acute DVT limit activity?
(Family Physicians Inquiries Network, 2010)
Ambulation, combined with compression of the affected extremity, appears to be safe for medically stable patients with deep venous thromboses (DVT) (strength of recommendation [SOR]: A, consistent randomized controlled ...
What's best when a patient doesn't respond to the maximum dose of an antidepressant?
(Family Physicians Inquiries Network, 2010)
Consider possible causes of the inadequate response, then weigh treatment options in light of the characteristics of the individual patient and therapy. When managing a patient with nonpsychotic depression and inadequate ...
What's the most effective way to screen patients with a family history of colon cancer?
(Family Physicians Inquiries Network, 2010)
The best approach hinges on the number, degree, and age of relatives diagnosed with colorectal cancer (CRC) or adenomatous polyps (AP). Screening should begin at 40 years of age for patients with a family history of CRC ...
An analysis of risk assessment questions based on loss-averse preference
(2015)
A variety of risk assessment questionnaires are used within the financial planning profession to assess client risk preferences. Evidence indicates that the average person overweighs losses relative to an arbitrary reference ...
Which interventions are effective in managing parental vaccine refusal?
(Family Physicians Inquiries Network, 2017)
Q: Which interventions are effective in managing parental vaccine refusal? A: it's unclear whether educational initiatives alone alter vaccine refusal. Although about a third of parents cite herd immunity as motivation for ...
Segregation between GM and non-GM inputs in EU feed and food supply chains : future scenarios
(University of Missouri, College of Agriculture, Food and Natural Resources, 2017)
This study used a participatory scenario development approach -- more precisely, a two-day exploratory experts-based workshop -- to identify the key driving forces influencing future scenarios for the segregation between ...
Exploring the constraints to further expansion of GM maize production in Portugal
(University of Missouri, College of Agriculture, Food and Natural Resources, 2017)
After 10 years of GM maize cultivation in Portugal, the area produced remains modest, at 6.3% of total maize production in 2015. This fact suggests that significant constraints to further expansion continue to exist. Through ...
The hessian blob algorithm : precise particle detection in atomic force microscopy imagery
(2018)
Imaging by atomic force microscopy (AFM) offers high-resolution descriptions of many biological systems; however, regardless of resolution, conclusions drawn from AFM images are only as robust as the analysis leading to ...
Hypermucoviscous Klebsiella pneumoniae liver abscess in a previously healthy Burmese male
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2014-10)
We report the case of a 38 year-old previously healthy Burmese man who presented with abdominal pain, headache, myalgia, and back pain. He was found to have leukocytosis, transaminitis, hyperbilirubinemia, and evidence of ...
Determining the optimal steroid treatment regimen for COPD exacerbations : A review of the literature
(University of Missouri. Department of Medicine. Division of Hospital Medicine, 2014-07)
In reviewing the literature, there is not a uniform approach to corticosteroid treatment when managing patients with COPD exacerbations. In general it is important to remember: Oral corticosteroids are as effective as IV ...
Sheehan's Syndrome
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2012-05)
A 61 year old female was referred to University Hospital for evaluation due to altered mental status. The patient's symptoms, which had increased over the preceding 12 hours, were characterized as lethargy and decreasing ...
Hospital-acquired infections
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2013-04)
Hospitals in Missouri perform surveillance and external reporting for a number of hospital-acquired infections (HAI). We are required to do so variously by the stateof Missouri, the Centers for Medicare and Medicaid Services ...
Monitoring and metabolic risks with second generation antipsychotics
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2013-07)
As the armamentarium of antipsychotic medications continues to grow, so does data supporting expansion of their use for conditions beyond schizophrenia. For this reason, providers other than psychiatrists may see increasing ...
An electrocardiogram that tells you all you need to know
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2013-04)
This is a 66 year old woman with progressive dyspnea on exertion for 7 months. Based on the ECG findings, what further evaluation is indicated?
Is megestrol acetate safe and effective for malnourished nursing home residents?
(Family Physicians Inquiries Network, 2018)
Q: Is megestrol acetate safe and effective for malnourished nursing home residents? A: no. Megestrol acetate (MA) is neither safe nor effective for stimulating appetite in malnourished nursing home residents. It increases ...