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When are antibiotics indicated for acute COPD exacerbations?
(Family Physicians Inquiries Network, 2006)
Antibiotics (including those given orally) reduce mortality and treatment failures for hospitalized patients with acute exacerbations of chronic obstructive pulmonary disease (COPD) (strength of recommendation [SOR]: A, ...
Risks and Benefits of Combination Contraceptives
(Family Physicians Inquiries Network, 2006)
The risks of using oral combination contraceptives include: a three- to sixfold increase in the incidence of venous thromboembolism (VTE) apparent by the fourth month of use and highest between six and 12 months of use; a ...
What is the dietary treatment for low HDL cholesterol?
(Family Physicians Inquiries Network, 2006)
Low-carbohydrate diets raise high-density lipoprotein (HDL) cholesterol levels by approximately 10%; soy protein with isoflavones raises HDL by 3% (strength of recommendation [SOR]: C, based on meta-analysis of physiologic ...
Consider this Rx for patients with high triglycerides?
(Family Physicians Inquiries Network, 2020)
A daily dose of this prescription fish oil may be worth a trial in light of the cardiovascular benefits it affords statin-treated patients with high triglycerides. PRACTICE CHANGER: Consider icosapent ethyl, 2 g twice ...
Early pregnancy loss : pretreat with mifepristone?
(Family Physicians Inquiries Network, 2019)
Early pregnancy loss : pretreat with mifepristone? Yes. While medical management of early pregnancy loss with misoprostol frequently results in treatment failure, pretreating with mifepristone can increase efficacy. PRACTICE ...
Improving Medication Adherence in Patients with Comorbidities
(Family Physicians Inquiries Network, 2011)
[RCTs].) The effect of these interventions on patient-oriented outcomes is not clear. There are no data on physician- or nurse-based interventions for improving medication adherence....
How does pentoxifylline affect survival of patients with alcoholic hepatitis?
(Family Physicians Inquiries Network, 2008)
Pentoxifylline improves short-term survival in patients admitted to the hospital with severe alcoholic hepatitis (strength of recommendation [SOR]: B, a single published randomized controlled trial [RCT]). Pentoxifylline ...
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...
What's the best way to monitor low-risk patients with a history of differentiated thyroid cancer?
(Family Physicians Inquiries Network, 2009)
Recombinant human thyrotropin (rhTSH)-stimulated serum thyroglobulin (Tg) level alone is sufficient to monitor for recurrent disease in low-risk patients with a history of differentiated thyroid cancer (DTC) (strength of ...
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...
A Quack on Trial: Advertising and Education in Missouri's Medical Marketplace, 1850--1890
(2014-09-30)
physicians like Galen Bishop struggled with their organizational minded counterparts, like George Catlett, over the ethical soul of American medicine. Should medicine be an exclusive, well-regulated, morally certified gentlemen's practice? Or, should...
Does screening reduce lung cancer mortality?
(Family Physicians Inquiries Network, 2008)
Neither routine chest x-ray (with or without sputum cytology) nor low-dose computed tomography (CT) have been proven to reduce mortality when used for lung cancer screening, although low-dose CT screening does identify ...
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 ...
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...
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...
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...
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 ...
Mizzou weekly, volume 27, number 32
(University of Missouri--Columbia. University Affairs. Publications and Alumni Communication., 2006)
Making the Frontier’s Anatomical Engineers: Osteopathy, A. T. Still (1828–1917), his Acolytes and Patients
(2020)
This project seeks to understand osteopathy as patients, students, and doctors did during the late nineteenth century. A. T. Still’s osteopathic medical theories proclaimed manual therapeutics to treat disease. Still’s ...
How and in what context do osteopathic medical students learn about interprofessional practice
(University of Missouri--Columbia, 2007)
The purpose of this study was to explore how and in what context osteopathic medical students learn about interprofessional practice. A mixed method design was used to gather data on attitudes of first- and second-year ...