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Which treatments for persistent otitis media with effusion are beneficial?
(Family Physicians Inquiries Network, 2005)
Treatments such as antibiotics, steroids, antihistamines/decongestants, and mucolytics afford no long-term benefit in the treatment of patients with otitis media with effusion (OME). [Strength of recommendation: A] Surgical ...
Skip this step when checking lipid levels
(Family Physicians Inquiries Network, 2015)
Skip this step when checking lipid levels. Practice changer: requiring your patients to fast before undergoing lipid testing. Nonfasting total cholesterol (TC), high-density lipoprotein cholesterol (HDL), and low-density ...
Pharmacologic therapy for vitamin D deficiency
(Family Physicians Inquiries Network, 2013)
Cholecalciferol (vitamin D3) supplementation should be used for vitamin D repletion because it may be more effective in preventing nonvertebral fractures. (Strength of Recommendation [SOR]: B, based on subgroup analysis ...
How should we follow up a positive screen for anemia in a 1-year old?
(Family Physicians Inquiries Network, 2005)
Healthy infants who test positive for anemia on routine screening at 1 year of age are most likely iron-deficient and may be treated empirically with a trial of iron therapy (3-6 mg of elemental iron/kg/d). Documentation ...
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 the risk of deep vein...
Experiences influencing physician rural practice and retention : a phenomenological study
(University of Missouri--Columbia, 2009)
that influenced physicians' choices. Family, partners, and loan forgiveness were experiences that influenced practice type and location. Professional support and integration into the community were experiences influencing retention....
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 ...
Which patients undergoing noncardiac surgery benefit from perioperative beta-blockers?
(Family Physicians Inquiries Network, 2008)
Patients with moderate to high cardiac risk (a Revised Cardiac Risk Index [RCRI] score of 2 or higher [Table]) have a reduced risk of in-hospital death following perioperative beta-blocker therapy (strength of recommendation ...
How safe is vaginal birth after cesarean section for the mother and fetus?
(Family Physicians Inquiries Network, 2006)
Compared with planned repeat low-transverse cesarean section, vaginal birth after cesarean section (VBAC) is not associated with increased risk of maternal or neonatal mortality (strength of recommendation [SOR]: B). ...
Rocky Mountain Spotted Fever
(Family Physicians Inquiries Network, 2012)
This issue of eMedRef provides information to clinicians on the pathophysiology, diagnosis, and therapeutics of Rocky Mountain Spotted Fever.
Which drugs work best for early Parkinson's disease?
(Family Physicians Inquiries Network, 2012)
Levodopa/carbidopa is the most effective medical therapy for Parkinson's disease, but it's associated with dyskinesia (strength of recommendation [SOR]: A, Cochrane reviews and randomized controlled trials [RCTs]). Treating ...
What is the best surveillance for hepatocellular carcinoma in chronic carriers of hepatitis B?
(Family Physicians Inquiries Network, 2006)
Screening patients with chronic hepatitis B infection (HBsAg+) for hepatocellular carcinoma by alpha-fetoprotein (AFP) or by AFP plus ultrasound (AFP/US) detects hepatocellular carcinoma tumors at earlier stages and increases ...
Missouri Medicaid Program: The A Graphical Profile
(University of Missouri - Columbia Institute of Public Policy, 2005)
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The report uses the most current summary information available and many FY2005 charts are included. However, for some graphics, it was necessary to use older data to achieve a consistent frame of reference. Some Medicaid service types, particularly managed...
Understanding family violence assessment practices of pediatric emergency department nurses and physicians
(University of Missouri--Kansas City, 2011-12-16)
. This is the first study to use the Theory of Planned Behavior (TPB) to explore family violence assessment behaviors. This study used a cross-sectional design and a convenience sample of emergency and urgent care nurses and physicians (n = 132) from a large...
Analysis of the information needs of primary care physicians in an electronic health record (EHR)
(University of Missouri--Columbia, 2012)
. An interdisciplinary team conceptualized nine interview questions over weekly group sessions and fictitious but typical acute and chronic physician's documentation (progress notes) was created by two family medicine physicians (JLB and RJK). An analysis of hour long...
What is the best way to treat tinea cruris?
(Family Physicians Inquiries Network, 2006)
After clinical diagnosis and microscopic confirmation, tinea cruris is best treated with a topical allylamine or an azole antifungal (strength of recommendation: A, based on multiple randomized controlled trials [RCTs]). ...
Missouri Medicaid Program: A Graphical Profile
(University of Missouri Extension, 2005)
This report provides a graphical summary of the Missouri Medicaid program. It is intended to provide background information of the policy issues being considered by the Missouri Medicaid Reform Commission. Medicaid at the ...
How should you evaluate an asymptomatic patient with a femoral or iliac artery bruit?
(Family Physicians Inquiries Network, 2009)
Perform an ankle-arm index (AAI, or ankle- brachial index) test to evaluate for peripheral artery disease (PAD) (strength of recommendation [SOR]: B, cohort studies). If the test detects PAD, recommend steps to modify ...
Which factors increase the risk of an infant becoming an overweight child?
(Family Physicians Inquiries Network, 2009)
Variables that increase the risk of overweight in childhood include formula feeding, high birth weight, high rate of weight gain in the first 4 months of life, low socioeconomic status, and maternal obesity (strength of ...
From ‘Remedy Highly Esteemed’ to ‘Barbarous Practice’: The Rise and Fall of Acupuncture in Nineteenth-Century America
(2015-05-27)
considerable popularity in the United States as far back as the early part of the nineteenth century, with American physicians conducting similar experiments on patients in an effort to determine acupuncture’s underlying mechanism of action. In the second half...