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Treatment of Calf Deep Venous Thrombosis
(Family Physicians Inquiries Network, 2005)
(RCTs)] If anticoagulation is contra-indicated, physicians should monitor for proximal thrombus extension with duplex ultrasound twice weekly for two weeks. [Strength of recommendation: C, based on consensus guideline]...
Brain Natriuretic Peptide Levels for Ruling Out Heart Failure
(Family Physicians Inquiries Network, 2011)
A BNP level less than 100 pg per mL (100 ng per L) can rule out heart failure. (Strength of Recommendation [SOR]: A, based on meta-analyses.) BNP levels should be used when the pretest probability of heart failure based ...
Which imaging modality is best for suspected stroke?
(Family Physicians Inquiries Network, 2005)
Patients exhibiting stroke symptoms should have brain imaging immediately within 3 hours of symptom onset (strength of recommendation [SOR]: A, based on systematic review). In the first 3 hours after a suspected cerebrovascular ...
Is this pregnancy viable?
(Family Physicians Inquiries Network, 2013)
Measure serum progesterone levels of women with bleeding or pain and inconclusive ultrasound in early pregnancy to rule out viability, potentially eliminating the need for serial b-hormone human chorionic gonadotropin ...
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's the best way to screen for anxiety and panic disorders?
(Family Physicians Inquiries Network, 2007)
The GAD-7 has the best evidence and utility in the primary care setting for generalized anxiety disorder (strength of recommendation [SOR]: A), while the proprietary Quick PsychoDiagnostics Panel (QPD) has the best operating ...
What is the best test for peripheral vascular disease?
(Family Physicians Inquiries Network, 2008)
An ankle-brachial index is best for evaluating patients with symptoms of claudication (strength of recommendation [SOR]: B, multiple cohort studies). That said, duplex ultrasonography or magnetic resonance angiography may ...
Which lifestyle interventions effectively lower LDL cholesterol?
(Family Physicians Inquiries Network, 2007)
Counseling, weight loss, exercise, and drinking alcohol all effectively lower low- density lipoprotein cholesterol (LDL-C). Specifically, one to 2 daily drinks of alcohol lowers L DL-C, if consumed regularly for more than ...
Fibroadenoma
(Family Physicians Inquiries Network, 2011)
This issue of eMedRef provides information to clinicians on the pathophysiology, diagnosis, and therapeutics of fibroadenoma.
What's the best treatment for CIN 2 or 3?
(Family Physicians Inquiries Network, 2007)
Excision or ablation of the transformation zone are equally effective for treating an initial diagnosis of cervical intraepithelial neoplasia (CIN) grades 2 or 3 in women with a satisfactory colposcopy and no suggestion ...
How should we use the coronary artery calcium score to predict cardiovascular risk?
(Family Physicians Inquiries Network, 2011)
The coronary artery calcium (CAC) score--an independent predictor of cardiovascular events (strength of recommendation [SOR]: C, systematic review of disease-oriented outcomes)--can be used, in addition to traditional risk ...
Which drugs are safest for moderate to severe depression in adolescents?
(Family Physicians Inquiries Network, 2008)
Selective serotonin-reuptake inhibitors (SSRIs) appear to be the safest, given current data. Major safety concerns--prompting a US Food and Drug administration (FDA) black box label warning--have been raised about increased ...
Time to conception after miscarriage : how long to wait?
(Family Physicians Inquiries Network, 2019)
Q: Time to conception after miscarriage: how long to wait? Evidence-based answer: an interpregnancy interval (IPI) of < 6 months following miscarriage is associated with an increased live birth rate in subsequent pregnancy, ...
A quantitative performace measurement framework for health care systems
(University of Missouri--Columbia, 2006)
of changing ten percent of the physician and nursing manpower, the clinic's expenses, patients' turnout to the operating margin of the clinic. The major accomplishments of this work included the incorporation of a system engineering tool to health care system...
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...
Coronary artery disease: screening, prevention, prognosis
(Family Physicians Inquiries Network, 2012)
This issue of eMedRef provides information to clinicians on the screening for, prevention and prognosis of coronary artery disease.
An evaluation of an Electronic Medical Record (EMR) based system to characterize and correlate physician burnout and EMR use
(University of Missouri--Columbia, 2021)
suggests that Electronic Medical Record use (EMR) is one major contributor due to the increased clerical burden that decreases patient contact time and disrupts the provider clinical workflow. The challenge of improving the physician EMR experience...
Which drugs are most effective for moderate to severe depression in adolescents?
(Family Physicians Inquiries Network, 2008)
Fluoxetine is the only selective serotonin-reuptake inhibitor (SSRI) approved by the US Food and Drug Administration (FDA) to treat depression in children 8 years of age and older; it also has the most favorable benefit-to-risk ...
Impact of Nurse Practitioner Practice Regulation on Access to Healthcare Services
(2014-09-26)
Nurse practitioner (NP) practice regulations vary from state to state across the United States. Despite strong evidence supporting the quality of care and satisfaction with care provided by NPs, restrictive regulations ...
Barriers to Professional Integration Among Latino Immigrants in Missouri
(Cambio Center, 2013)
cultural and linguistic expertise in health care and other professions. By hindering individuals' and families' economic self-sufficiency, such barriers also slow the integration of immigrants into American society. Challenges to immigrants facing...