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What is the optimal frequency for dental checkups for children and adults?
(Family Physicians Inquiries Network, 2017)
Q: What is the optimal frequency for dental checkups for children and adults? A: It is unclear, but studies suggest that it should be based largely on individual risk. The American Academy of Pediatric Dentistry recommends ...
Are oral emergency contraceptives a safe & effective form of long-term birth control?
(Family Physicians Inquiries Network, 2017)
Q: Are oral emergency contraceptives a safe & effective form of long-term birth control? A: Yes, but not as effective as some other methods. Annual pregnancy rates in women using pericoital levonor- gestrel 150 mcg to 1 ...
What are the benefits/risks of giving betamethasone to women at risk of late preterm labor?
(Family Physicians Inquiries Network, 2018)
Q: What are the benefits/risks of giving betamethasone to women at risk of late preterm labor? Evidence-based answer: Giving betamethasone to women at risk for delivery between 34 weeks 0 days and 36 weeks 6 days can lower ...
Sunscreen Use for Skin Cancer Prevention
(Family Physicians Inquiries Network, 2010)
Daily sunscreen use reduces the incidence of squamous cell carcinoma but not the incidence of basal cell carcinoma. (Strength of Recommendation [SOR]: B, based on a single randomized controlled trial with less than 13 years ...
Does metformin prevent diabetes in at-risk adults?
(Family Physicians Inquiries Network, 2013)
Metformin therapy reduces the risk of developing diabetes for adults with one or more risk factors for at least 5 years (strength of recommendation [SOR]: A, consistent meta-analyses) and perhaps as long as 10 years (SOR: ...
Does caffeine intake during pregnancy affect birth weight?
(Family Physicians Inquiries Network, 2016)
Q: Does caffeine intake during pregnancy affect birth weight? Evidence-based answer: No. Reducing caffeinated coffee consumption by 180 mg of caffeine (the equivalent of 2 cups) per day after 16 weeks-gestation doesn't ...
Which interventions are effective in managing parental vaccine refusal?
(Family Physicians Inquiries Network, 2017)
Q: Which interventions are effective in managing parental vaccine refusal? A: it's unclear whether educational initiatives alone alter vaccine refusal. Although about a third of parents cite herd immunity as motivation for ...
What's the best way to motivate patients to exercise?
(Family Physicians Inquiries Network, 2010)
-component strategies that include school-based interventions combined with either family or community involvement increase physical activity (SOR: A, systematic review)....
Humble families, humble beginnings
(MU Alumni Association, University of Missouri, 2014)
In 1839, about 900 Boone County residents donated cash or land to bring the University of Missouri to Columbia. Although 15 of the donations were $1,000 or more, nearly half of them, 429, were $25 or less. These founding families likely had little...
Can unintended pregnancies be reduced by dispensing a year's worth of hormonal contraception?
(Family Physicians Inquiries Network, 2019)
Q. Can unintended pregnancies be reduced by dispensing a year's worth of hormonal contraception? Evidence-based answer: probably, although studies that looked directly at this outcome are limited. A systematic review showed ...
Complementary and alternative therapies for atopic dermatitis
(Family Physicians Inquiries Network, 2012)
Evening primrose oil may be effective for the treatment of atopic dermatitis. (Strength of Recommendation [SOR]: B, based on one randomized controlled trial [RCT].) Homeopathy may be as good as conventional therapy for ...
Does cervical membrane stripping in women with group B Streptococcus put the fetus at risk?
(Family Physicians Inquiries Network, 2012)
No direct evidence points to fetal harm from cervical membrane stripping (CMS) to induce labor in term pregnancies complicated by group B Streptococcus (GBS) colonization (strength of recommendation [SOR]: B, a Cochrane ...
Do oral contraceptives put women with a family history of breast cancer at increased risk?
(Family Physicians Inquiries Network, 2014)
Q. Do oral contraceptives put women with a family history of breast cancer at increased risk? Evidence-based answer: No. Modern combined oral contraceptive pills (OCPs) don't increase breast cancer risk in women with a family history (strength...
Elevated troponin but no CVD: what's the prognosis?
(Family Physicians Inquiries Network, 2013)
Patients with elevated troponin levels and chronic renal disease, pulmonary hypertension, pulmonary embolism, chronic obstructive pulmonary disease, sepsis, or acute ischemic stroke have a 2- to 5-fold increased risk of ...
What is the best beta-blocker for systolic heart failure?
(Family Physicians Inquiries Network, 2015)
Q: What is the best beta-blocker for systolic heart failure? Evidence-based answer: Three beta-blockers--carvedilol, metoprolol succinate, and bisoprolol--reduce mortality equally (by about 30% over one year) in patients ...
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 ...
What is the best noninvasive diagnostic test for women with suspected CAD?
(Family Physicians Inquiries Network, 2010)
, stress echocardiography and nuclear medicine perfusion testing are still the best well-tested and readily available alternatives in light of the newness of MDCT and concerns regarding its use (SOR: A, meta-analysis and cohort studies). Standard exercise...
Diagnosing Von Willebrand Disease
(Family Physicians Inquiries Network, 2010)
The diagnosis of vWD requires two clinical criteria: (1) a personal history, family history, or physical evidence of mucocutaneous bleeding and (2) a qualitative or quantitative decrease in functional activity of von Willebrand factor (v...
University For Missouri
(MU Alumni Association, University of Missouri, 2018)
Chancellor Alexander N. Cartwright's bold vision for Mizzou prioritizes innovative, hands-on student learning; embraces strategic investments in collaborative research and creative initiatives; and grows the university's community engagement...
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 ...