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Does any antidepressant besides bupropion help smokers quit?
(Family Physicians Inquiries Network, 2014)
Q: Does any antidepressant besides bupropion help smokers quite? Evidence-based answer: Yes, nortriptyline approximately doubles smoking cessation rates, an effect comparable to bupropion. Adding nortriptyline to nicotine replacement therapy (NRT...
Do complementary agents lower HbA1c when used with standard type 2 diabetes therapy?
(Family Physicians Inquiries Network, 2014)
Q. Do complementary agents lower HbA1c when used with standard type 2 diabetes therapy? A. No, there is no high-quality evidence that supports using complementary or alternative agents to lower hemoglobin A1c (HbA1c) in patients with noninsulin...
What is the best treatment for impetigo?
(Family Physicians Inquiries Network, 2014)
Q. What is the best treatment for impetigo? A. Although evidence is lacking to support a single best treatment for impetigo, topical mupirocin, fusidic acid, gentamicin, and retapamulin are all at least 20% more likely than placebo to produce cure...
Is immediate-release topiramate an effective treatment for adult obesity?
(Family Physicians Inquiries Network, 2014)
Q: Is immediate-release topiramate an effective treatment for adult obesity? Evidence-Based Answer: Yes. Topiramate (at daily doses of 64-400 mg) produces an average 5.34 kg of additional weight loss compared with placebo (95% confidence interval...
An antiemetic for irritable bowel syndrome?
(Family Physicians Inquiries Network, 2014)
An antiemetic for irritable bowel syndrome? A drug used for cancer patients may provide some relief to patients with IBS. Practice changer: Consider prescribing ondansetron up to 24 mg/d for patients who have irritable bowel syndrome with diarrhea...
Think twice about nebulizers for asthma attacks
(Family Physicians Inquiries Network, 2014)
MDIs with spacers are as effective as nebulizers for delivering beta-agonists and less likely to cause adverse effects. Practice changer: Stop ordering nebulizers to deliver beta-agonists to patients over age 2 with mild or moderate asthma...
Which risk factors and signs and symptoms are associated with coccidioidomycosis?
(Family Physicians Inquiries Network, 2014)
Q: Which risk factors and signs and symptoms are associated with coccidioidomycosis? Evidence-Based Answer: Risk factors for coccidioidomycosis, or valley fever, include lower respiratory tract symptoms lasting longer than 14 days, chest pain, rash...
How do hydrochlorothiazide and chlorthalidone compare for treating hypertension?
(Family Physicians Inquiries Network, 2014)
reduction (strength of recommendation [SOR]: B, conflicting network meta-analysis and cohort studies). (No head-to-head studies of hydrochlorothiazide [HCTZ] and chlorthalidone have been done.) Serious hypokalemia and hyponatremia can occur with either...
How can we effectively treat stress urinary incontinence without drugs or surgery?
(Family Physicians Inquiries Network, 2014)
Q. How can we effectively treat stress urinary incontinence without drugs or surgery? A. Pelvic floor muscle training (PFMT) and intravaginal electrical stimulation seem to be the best bets. PFMT increases urinary continence ...
Which prophylactic therapies best prevent gout attacks?
(Family Physicians Inquiries Network, 2014)
Q. Which prophylactic therapies best prevent gout attacks? A. Allopurinol and febuxostat reduce the frequency of gout attacks equally after 8 weeks of treatment (strength of recommendation [SOR]: B, multiple randomized ...
Mizzou weekly, volume 35, number 26 (April 17, 2014)
(University of Missouri--Columbia. Publications and Alumni Communication., 2014)
A therapist survey of evidence-based practices in publicly funded youth mental health
(University of Missouri--Columbia, 2018)
sizes in controlled clinical trials for evidence-based treatments (EBTs) for youth MH problems (Weisz, Jensen-Doss & Hawley, 2006). One potential reason for this discrepancy may be that therapists within TAU contexts are not implementing EBTs. To date...
Automated office BP measurement : the new standard in HTN screening
(Family Physicians Inquiries Network, 2021)
Automated office BP measurement: The new standard in HTN screening. Obtain greater accuracy in blood pressure measurement with an automated office device. PRACTICE CHANGER: Measure patients' blood pressure (BP) using an oscillometric, fully...
Toxic Stress Education for Pediatric Practitioners to Improve Health Outcomes
(University of Missouri--Kansas City, 2018)
Toxic stress associated with adverse childhood experiences during childhood can have
catastrophic lifelong neurobiological, social, and emotional effects and has been shown to
decrease life expectancy up to 20 years. ...
How often does long-term PPI therapy cause clinically significant hypomagnesemia?
(Family Physicians Inquiries Network, 2018)
Q: How often does long-term PPI therapy cause clinically significant hypomagnesemia? EVIDENCE-BASED ANSWER: Rarely. Proton pump inhibitors (PPIs) may be associated with decreases in serum magnesium laboratory values to below 1.6 to 1.8 mg...
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 continue to limit the practice...
Mizzou weekly, volume 35, number 25 (April 10, 2014)
(University of Missouri--Columbia. Publications and Alumni Communication., 2014)
Consider these medications to help patients stay sober
(Family Physicians Inquiries Network, 2015)
Naltrexone can help prevent relapse in recently detoxified patients with alcohol use disorder. The evidence for acamprosate is not quite as strong. Practice changer: Consider prescribing oral naltrexone (50 mg/d) for patients with alcohol use...
Longitudinal, naturalistic study of training and support for implementation of evidence-based youth mental health practices among community providers
(University of Missouri--Columbia, 2021)
support in evidence-based practices (EBPs). To address this need, the current study describes the reach and impact of a county-wide youth MH initiative aimed at increasing youths' and families' access to effective youth MH services by providing free EBP...
Adolescent Sexual and Reproductive Health Services in Pediatric Primary Care
(2017)
Many pediatric primary care clinics fall short in providing comprehensive sexual and
reproductive health services to adolescent patients resulting in missed opportunities for
pregnancy prevention, delays in sexually ...