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When should travelers begin malaria prophylaxis?
(Family Physicians Inquiries Network, 2007)
Travelers should start on chloroquine 1 to 2 weeks before entering an area without chloroquine resistance (strength of recommendation [SOR]: C, based on expert opinion). In areas with chloroquine-resistant Plasmodium falciparum, travelers will need...
What is the addiction risk associated with tramadol?
(Family Physicians Inquiries Network, 2005)
Tramadol (Ultram, generic and with acetaminophen in Ultracet) carries a risk of substance abuse (strength of recommendation [SOR]: B, based on case report surveillance programs). While it appears that tramadol's risk of substance abuse is low (SOR...
What are the indications for evaluating a patient with cough for pertussis?
(Family Physicians Inquiries Network, 2005)
to a prolonged cough illness (strength of recommendation [SOR]: B, based on consecutive cohort studies with poor reference standards). Coughing paroxysms, posttussive vomiting, and absence of fever, while typical of pertussis, are of little help...
When should we screen children for hyperlipidemia?
(Family Physicians Inquiries Network, 2006)
Children should be screened for hyperlipidemia when there is a history of familial hypercholesterolemia (strength of recommendation [SOR]: C). No clear evidence supports screening all children or just those with family history of cardiovascular...
Do inhaled steroids increase the risk of osteoporosis?
(Family Physicians Inquiries Network, 2007)
, systematic reviews and randomized controlled trials [RCTs]). However, higher doses of inhaled corticosteroids may be associated with negative bone density changes at up to 4 years of follow-up (SOR: C, RCTs without change in fracture rates). No evidence...
Does warfarin prevent venous thromboembolic events in aPL-positive patients?
(Family Physicians Inquiries Network, 2007)
-intensity therapy (international normalized ratio [INR] range, 2.0-3.0) appears to be the best balance between risks and benefits (SOR: B, based on meta-analysis of 2 small randomized control trials....
What is the best way to evaluate secondary infertility?
(Family Physicians Inquiries Network, 2007)
, semen analysis, and imaging of the uterus and fallopian tubes (strength of recommendation [SOR]: B, based on cohort studies)....
What are effective medical treatments for adults with acute migraine?
(Family Physicians Inquiries Network, 2006)
Medications collectively referred to as "triptans" (eg, sumatriptan, naratriptan, etc) have been shown to be effective for acute migraine (strength of recommendation [SOR]: A). Nonsteroidal anti-inflammatory drugs ...
Teacher conceptions of authentic science : exploring teachers' practical and formal epistemologies
(University of Missouri--Columbia, 2018)
Reform documents such as A Framework for K-12 Science Education and the Next Generation Science Standards (NGSS) have placed an emphasis on students' understanding and ability to engage in scientific practices. Even with an understanding...
The nature of evidence utilized in healthcare architectural design decisions at five Midwestern critical access hospitals
(University of Missouri--Columbia, 2020)
healthcare design is integral to improving healthcare itself, and it is essential that healthcare administrators make informed architectural design decisions that will ensure organizational success and improve patient outcomes. Evidence-based design (EBD...
Which technique for removing nevi is least scarring?
(Family Physicians Inquiries Network, 2007)
A shave biopsy with a razor blade or #15 scalpel is the best approach for a facial nevus, assuming malignancy is not suspected. The resulting scar is usually flat, smaller than the lesion, has no suture lines, and -- if ...
Practices that constitute successful school superintendent leadership : perceptions from established rural school superintendents
(University of Missouri--Columbia, 2010)
The purpose of this study was to determine which leadership practices are the most crucial in helping school superintendents be successful as school leaders. This is a qualitative study in which six rural Missouri superintendents were interviewed...
What's the best test for underlying osteomyelitis in patients with diabetic foot ulcers?
(Family Physicians Inquiries Network, 2015)
, evidence-based guidelines)....
Does increasing methylphenidate dose aid symptom control in ADHD?
(Family Physicians Inquiries Network, 2003)
not achieve response even at high doses or may cause intolerable side effects. For these children, start a different stimulant medication (strength of recommendation: B, based on extrapolation of 1 randomized controlled trial)....
Facing the pressure : HIPAA hampers health reporting
(University of Missouri--Columbia, 2018)
[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI--COLUMBIA AT REQUEST OF AUTHOR.]
A case study of implementing response to intervention in high school
(University of Missouri--Columbia, 2019)
-implemented response to intervention, or RTI, processes include the following: formation of intervention teams, development of a universal screening process, continual monitoring of students for progress, and use of evidence-based interventions. Previous studies on RTI...
Breast and Cervical Cancer Screening in African American Women After Multiple Interventions
(University of Missouri--Kansas City, 2017)
African American women are consistently diagnosed at later stages of breast and cervical cancer
than Caucasian women, leading to increased morbidity and mortality rates. Although the
mammogram and Papanikolaou (Pap) ...
Adult autism & employment
(University of Missouri--Columbia, 2009)
"This guide is an outgrowth of another book, the Handbook of Disabilities (available online at www.dps.missouri.edu). It grew out of a growing awareness of the limitations of the previous handbook entry on Autism and Autism ...
Patient Satisfaction Outcomes Following Antibiotic Resistance Education for Adults
(University of Missouri -- Kansas City, 2019)
Antibiotics have saved many lives since their discovery, but today, due to overuse, are becoming
less effective. A portion of provider reimbursement from Medicare and Medicaid is based on
patient satisfaction. Because ...
A qualitative analysis of elementary teachers' perceptions about the impact of the IPI process on classroom practices
(University of Missouri--Columbia, 2010)
. The purpose of this study was to explore teachers' perceptions through conversations using personal open-ended, semi-structured interviews in order to gain information on the IPI process and its impact on instructional practices used in the classroom. Based...