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Integrated pest management in Missouri's green industries (2008)
(University of Missouri Extension, 2008)
Management of Cervical Lymphadenitis in Children
(Family Physicians Inquiries Network, 2008)
for spontaneous resolution over four to six weeks. (Strength of Recommendation [SOR]: C, based on expert opinion)....
What drugs are best for bipolar depression?
(Family Physicians Inquiries Network, 2008)
Antidepressants, including tricyclics and selective serotonin reuptake inhibitors (SSRIs), are useful adjuncts in short-term treatment of bipolar depression and have low rates of inducing mania (strength of recommendation ...
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 ...
Which lab tests are best when you suspect hypothyroidism?
(Family Physicians Inquiries Network, 2008)
Thyroid-stimulating hormone (TSH) level is the preferred test for initial evaluation of suspected primary hypothyroidism (strength of recommendation [SOR]: C, expert opinion). If TSH is abnormal, a free thyroxine (T4) level ...
How useful are autoantibodies in diagnosing thyroid disorders?
(Family Physicians Inquiries Network, 2008)
Thyrotropin receptor antibodies (TRAb) may be mildly elevated in a variety of thyroid disorders, but a TRAb level >10 U/L increases the probability of Graves' disease by a moderate to large degree (strength of recommendation ...
Differential Diagnosis of Tremor
(Family Physicians Inquiries Network, 2008)
The most common tremor in primary care is an exaggerated physiologic tremor, followed by essential tremor and tremors caused by Parkinson's disease. (Strength of Recommendation [SOR]: C, based on extrapolation from a prospective cohort study...
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 ...
Can recombinant growth hormone effectively treat idiopathic short stature?
(Family Physicians Inquiries Network, 2008)
Yes--treatment can increase a child's final height. Injections of recombinant human growth hormone (rGH) at least 3 times a week for 4 to 6 years add 3.7 to 7.5 cm to final height in children between 8 and 16 years of age ...
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 [SOR]: B, based on a...
Clinical Indicators of Obstructive Sleep Apnea
(Family Physicians Inquiries Network, 2011)
Clinical indicators (e.g., sex, snoring severity, history of apnea, age, menopausal status, waist-to-hip ratio, body habitus) can predict OSA as diagnosed using overnight polysomnography or sleep study. (Strength of Recommendation: B, based...
Diverticulitis
(Family Physicians Inquiries Network, 2008)
This issue of eMedRef provides information to clinicians on the pathophysiology, diagnosis, and therapeutics of diverticulitis.
How do antidepressants affect sexual function?
(Family Physicians Inquiries Network, 2013)
Evidence-based answer: patients treated with elective serotonin reuptake inhibitors (SSRIs) and the serotonin/norepinephrine reuptake inhibitor (SNRI) venlafaxine have significantly higher rates of overall sexual dysfunction--including desire...
How can you help prevent a recurrence of diverticulitis?
(Family Physicians Inquiries Network, 2009)
A high-fiber diet is often prescribed after recovery from acute diverticulitis, based on extrapolation from epidemiologic data showing an association between low-fiber diets and diverticulosis (strength of recommendation [SOR]: C, expert opinion...
Which interventions can increase breastfeeding duration?
(Family Physicians Inquiries Network, 2015)
Q: Which interventions can increase breastfeeding duration? Evidence-based answer: Breastfeeding support, beyond standard care, from lay people or professionals increases both short- and long-term breastfeeding duration (strength of recommendation...
How does VTE risk for the patch and vaginal ring compare with oral contraceptives?
(Family Physicians Inquiries Network, 2008)
Evidence is conflicting with regard to the comparative frequency of venous thrombolic events (VTE) among women using the transdermal patch when compared to an oral contraceptive (OC), even though the patch produces a relatively high serum ethinyl...
Can metformin undo weight gain induced by antipsychotics?
(Family Physicians Inquiries Network, 2008)
of recommendation: B: Based on a single, well-designed, randomized controlled trial....
Which clinical features and lab findings increase the likelihood of temporal arteritis?
(Family Physicians Inquiries Network, 2008)
of this diagnosis (strength of recommendation: B, based on systematic reviews of retrospective cohort studies). Patients with temporal arteritis frequently complain of headaches, and often have mildly abnormal erythrocyte sedimentation rates (ESR), but neither...
Asset accumulation strategies in 3 new settlement Missouri communities : advisory board meeting (April 9, 2008)
(Cambio Center, 2008)
In this advisory board meeting, the advisory discusses the following topics: additions to agenda, project update and comments, advisory board comments, community forums, information pathways for communities, business sector, ...
Management of ADHD in preschool-aged children
(Family Physicians Inquiries Network, 2013)
RCTs.) Alternative therapies, such as elimination diets, have limited evidence of success and should generally be avoided or used in conjunction with standard therapies. (SOR: B, based on a systematic review of a small number of heterogeneous RCTs.)...