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Counseling or Antidepressants for Treating Depression?
(Family Physicians Inquiries Network, 2005)
Both antidepressant medications and psychologic treatment are beneficial for adult patients with mild to moderate depression, with no consistent evidence that one type of treatment is more effective than the other. [Strength ...
Statin Therapy in Patients with Type 2 Diabetes
(Family Physicians Inquiries Network, 2005)
Based on current evidence, statin therapy should be offered to all patients with type 2 diabetes who are known to have coronary artery disease. [Strength of recommendation: A] For patients older than 40 years with type 2 ...
Is yearly chest x-ray screening helpful in reducing mortality for smokers?
(Family Physicians Inquiries Network, 2005)
For current and former smokers, the evidence does not support yearly chest x-rays to decrease lung cancer mortality (strength of recommendation [SOR]: A, based on multiple randomized controlled trials). Even with the ...
Which treatments work best for hemorrhoids?
(Family Physicians Inquiries Network, 2009)
Excision is the most effective treatment for thrombosed external hemorrhoids (strength of recommendation [SOR]: B, retrospective studies). For prolapsed internal hemorrhoids, the best definitive treatment is traditional ...
Easing the discomfort of a speculum exam
(Family Physicians Inquiries Network, 2012)
Put lubricating gel, not water, on the speculum every time you do a pelvic exam. Stength of recommendation: B: Based on one good-quality, randomized controlled trial (RCT).
Help smokers quit: Tell them their "lung age"
(Family Physicians Inquiries Network, 2008)
Perform spirometry on patients who smoke -- even if they're asymptomatic -- and show them their lung age that is, the average age of a nonsmoker with a forced expiratory volume at 1 second (FEV1) equal to theirs. Doing so ...
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 is the best noninvasive diagnostic test for women with suspected CAD?
(Family Physicians Inquiries Network, 2010)
Multidetector computed tomography (MDCT) may be the most sensitive and specific noninvasive diagnostic test for women with suspected coronary artery disease (CAD) (strength of recommendation [SOR]: A, multiple prospective ...
Which drugs should post-MI patients routinely receive?
(Family Physicians Inquiries Network, 2010)
patients should be placed on the following medications: antiplatelet agents (strength of recommendation [SOR]: A, meta-analysis for aspirin; A, multiple randomized controlled trials [RCTs] for aspirin plus clopidogrel) a ...
How should you treat trochanteric bursitis?
(Family Physicians Inquiries Network, 2009)
Conservative measures--followed by corticosteroid injection, if necessary--are best. Conservative therapy includes rest, nonsteroidal anti-inflammatory drugs (NSAIDs), and stretching exercises focused on the lower back and ...
What nonpharmacological treatments are effective against common nongenital warts?
(Family Physicians Inquiries Network, 2006)
Cryotherapy has similar cure rates to topical salicylate (a pharmacologic therapy) for non-genital common warts (strength of recommendation [SOR]: B, based on systemic review of variable quality randomized trials). Duct ...
What is the best way to screen for breast cancer in women with implants?
(Family Physicians Inquiries Network, 2008)
Mammography is best. It is considered as effective for screening women who have undergone augmentation mammoplasty as those who have not (strength of recommendation [SOR]: B, limited number of retrospective and prospective ...
Comparison of Patient-Reported Angina with Provider Assigned Canadian Cardiovascular Society Angina Class Before and After Revascularization
(University of Missouri--Kansas City, 2016)
Background: The Canadian Cardiovascular Society (CCS) classification system for angina is a critical
determinant of revascularization appropriateness. A major limitation of CCS is that it rates
patients’ symptoms from ...
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 clinical workup for failure to thrive?
(Family Physicians Inquiries Network, 2008)
The clinical evaluation of failure to thrive (FTT) includes a thorough history and physical examination; observation of parent-child interactions; observation and documentation of the child's feeding patterns; and a home ...
Varicella zoster in pregnancy
(Family Physicians Inquiries Network, 2009)
This issue of eMedRef provides information to clinicians on the pathophysiology, diagnosis, and therapeutics of varicella zoster occurring in pregnant women.
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...
Missouri hospitalist, issue 19 (2009 July 23)
(University of Missouri. Department of Medicine. Division of Hospital Medicine, 2009-07)
Designated hospice rooms in nursing homes : a new model of end-of-life care
(University of Missouri--Columbia, 2009)
An aging population, the prediction that approximately 40% of elderly Americans will die in a nursing home by the year 2020, and a paucity of nursing homes designed to meet the needs of dying residents is creating the perfect storm. In an effort...
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...