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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...
Does qHPV vaccine prevent anal intraepithelial neoplasia and condylomata in men?
(Family Physicians Inquiries Network, 2015)
Q: Does qHPV vaccine prevent anal intraepithelial neoplasia and condylomata in men? Evidence-based answer: Yes. Quadrivalent human papillomavirus (qHPV) vaccine reduces rates of anal intraepithelial neoplasia (AIN) by 50% to 54%, and persistent anal...
Is arthroscopic subacromial decompression effective for shoulder impingement?
(Family Physicians Inquiries Network, 2015)
Q: Is arthroscopic subacromial decompression effective for shoulder impingement? Evidence-based answer: It's impossible to say for certain in the absence of randomized controlled trials. However, in patients whose impingement symptoms don't improve...
How effective are opioids for chronic low back pain?
(Family Physicians Inquiries Network, 2015)
Q: How effective are opioids for chronic low back pain? Evidence-based answer: Short-term (<4 months) treatment with opioids provides modest relief of chronic low back pain, but only minimal improvement in function compared with placebo (strength...
Does the presence of a trained support person during labor decrease C-section rates?
(Family Physicians Inquiries Network, 2015)
Q: Does the presence of a trained support person during labor decrease C-section rates? Evidence-based answer: sometimes. The continuous presence of a support person during labor slightly decreases (by about 2%) the likelihood of a cesarean section...
What's the best test for underlying osteomyelitis in patients with diabetic foot ulcers?
(Family Physicians Inquiries Network, 2015)
, evidence-based guidelines)....
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...
Another good reason to recommend low-dose aspirin
(Family Physicians Inquiries Network, 2015)
Evidence shows that daily low-dose aspirin during pregnancy can safely lower the risk of preeclampsia and other adverse outcomes. Practice changer: Prescribe low-dose aspirin (eg, 81 mg/d) to pregnant women who are at high risk for preeclampsia...
This adjunct medication can speed CAP recovery
(Family Physicians Inquiries Network, 2015)
This adjunct medication can speed CAP recovery: Adding prednisone to the antibiotic regimen can help patients hospitalized with community-acquired pneumonia to stabilize more quickly and leave the hospital sooner. PRACTICE CHANGER: Prescribe oral...
What's the best way to predict the success of a trial of labor after a previous C-section?
(Family Physicians Inquiries Network, 2015)
Q: What's the best way to predict the success of a trial of labor after a previous C-section? Evidence-based answer: while 8 scoring tools predict success rates for a trial of labor after previous cesarean section (TOLAC), it's unclear which...
Sterile or non-sterile gloves for minor skin excisions?
(Family Physicians Inquiries Network, 2015)
Sterile or non-sterile gloves for minor skin excisions? Non-sterile gloves are just as effective as sterile gloves in preventing surgical site infection after minor skin surgeries. PRACTICE CHANGER: Consider using non-sterile gloves during minor...
Do statins increase the risk of developing diabetes?
(Family Physicians Inquiries Network, 2015)
Q: Do statins increase the risk of developing diabetes? A: Yes. Statin therapy produces a small increase in the incidence of diabetes: one additional case per 255 patients taking statins over 4 years (strength of recommendation ...
What therapies alleviate symptoms of polycystic ovary syndrome?
(Family Physicians Inquiries Network, 2015)
Q: What therapies alleviate symptoms of polycystic ovary syndrome? A: Treatment of polycystic ovary syndrome (PCOS) in women not actively seeking to become pregnant is symptom-specific. Lifestyle modification (LSM) reduces ...
Patterns and Determinants of GMO Regulations : An Overview of Recent Evidence
(University of Missouri, 2015)
An increasing set of evidence has been reported on how countries set standards on genetically modified food and their subsequent economic effects. Studies typically contain some empirical evidence and some theoretical explanations of the data...
What's the best secondary treatment for patients who fail initial triple therapy for H pylori?
(Family Physicians Inquiries Network, 2018)
Q: What's the best secondary treatment for patients who fail initial triple therapy for H pylori? Evidence-based answer: treating patients with Helicobacter pylori infection who have failed clarithromycin-based triple therapy with either...
The Hidden Treasures of Rome : Tracing the Context of Isolated Artifacts
(University of Missouri--Columbia. Museum of Art and Archaeology, 2015)
How do hyaluronic acid and corticosteroid injections compare for knee OA relief?
(Family Physicians Inquiries Network, 2017)
for symptomatic knee osteoarthritis (OA), but that insufficient evidence exists to recommend HA injections (SOR: B, evidence-based guidelines)....
Treatment Options for urinary tract infections caused by extended-spectrum B-lactamase-producing Escherichia coli and Klebsiella pneumoniae
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-01)
that are typically used in the treatment of UTIs. An analysis of inpatient urinary isolates in the United States found rates of ESBL-producing (ESBL-EC) and (ESBL-KP) to be 6.8[percent] and 10.3[percent], respectively....
Acute Care Update
(University of Missouri. Department of Medicine. Division of Hospital Medicine, 2016-04)
Can mobile technology improve weight loss in overweight and obese patients?
(Family Physicians Inquiries Network, 2017)
Q: Can mobile technology improve weight loss in overweight and obese patients? Evidence-based answer: Yes, this technology can help in the short term. Mobile technology compared with minimal or no intervention increases short-term (<6 months) weight...