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Now showing items 1-20 of 1668
Do annual pelvic exams benefit asymptomatic women who receive regular Pap smears?
(Family Physicians Inquiries Network, 2015)
Q: Do annual pelvic exams benefit asymptomatic women who receive regular Pap smears? Evidence-based answer: No evidence exists to support a clinical benefit from annual pelvic examinations for asymptomatic women who receive Pap smears every 3 to 5...
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...
Is red-yeast rice a safe and effective alternative to statins?
(Family Physicians Inquiries Network, 2015)
Q: Is red-yeast rice a safe and effective alternative to statins? Evidence-based answer: Yes, but perhaps not the red yeast rice extracts available in the United States. In patients with known coronary artery disease and dyslipidemia (secondary...
Evaluation of acute coronary syndrome risk by hospitalists to expedite discharge of low risk patients
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-01)
Chest pain is a leading cause of Emergency Department (ED) visits. Risk stratification of risk for Acute Coronary Syndrome (ACS) is applied with variability. Revaluation of ACS risk by hospitalists may provide the opportunity ...
Acupuncture for low back pain
(Family Physicians Inquiries Network, 2020)
Clinical Inquiries question: Is acupuncture effective in improving pain relief for low back pain? Evidence-based answer: Acupuncture is an effective treatment for relief from low back pain, even when compared with other interventions (sham...
Behavioral emergency response team (BERT) implementation
(2023)
"Violence is on the rise among healthcare workers. The Joint Commission recommends de-escalation training. De-escalation is the efforts to utilize communication with a patient to reduce agitation or aggression or to allow ...
Evidence-Based Practice Asthma Education in Primary Care
(University of Missouri--Kansas City, 2017)
Asthma affects more than 300 million people across the globe. The financial burden
impacts individuals and their families as well as communities and health care systems. Although
asthma education is a fundamental ...
Infusing Geropsychiatric Nursing Content into Psychiatric Mental Health Nurse Practitioner Curricula: Challenges and Solutions
(2016-05)
Practitioner program in the Midwest served as the setting for the project. The Geropsychiatric Nursing Competency Enhancements for Psychiatric Nurse Practitioners were compared with and integrated into the National Organization for Nurse Practitioner Faculty...
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. ...
The STRATA Study: Structural Antecedents of Tdap Administration in Obstetrical Practices in the Midwestern United States
(University of Missouri -- Kansas City, 2019)
Every year in the United States, young infants die from pertussis. The incidence of
pertussis among infants exceeds that of all other age groups. Protection is only available if
the mother receives the tetanus, diphtheria, ...
A discussion of covid-19 vaccine in relation with traditional chinese medicine belief on weibo
(University of Missouri--Columbia, 2021)
strategic decisions based on their self-diagnose. Traditional Chinese medicine is known for it has less side-effects and its holistic way of thinking – that human body needs to be in harmony with the external environment. When the balance is disrupted...
Effects of an Online Meditation-Based Intervention Compared to an Attention-Controlled Group on Chronic Pain Outcome among Nurses: A Randomized Controlled Pilot Study
(2022)
and acceptability of conducting an online, asynchronous, three-week, double-blind, randomized-controlled meditation-based intervention compared to an active-controlled group on chronic pain outcomes of stress, serum cortisol, self-compassion, professional caring...
What BP target is appropriate for pregnant patients with mild chronic hypertension?
(Family Physicians Inquiries Network, 2023-01)
Treat mild chronic hypertension during pregnancy to a target of [greater than] 140/90 mm Hg to reduce the risk for adverse pregnancy outcomes.
Archives, 2015 Fall
(University of Missouri Health System (MU), 2015)
Complete issue of the online version of Archives for Fall 2015....
Elder mistreatment : a case report
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-07)
characteristics of best practice. Physicians and other providers have a responsibility to better identify and intervene in suspected cases of elder mistreatment and further education must be sought in order to adequately serve the elderly community....
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 ...
Transitional Care Interventions to Reduce Readmission in Patients with Heart Failure
(University of Missouri -- Kansas City, 2020)
Heart failure affects millions of people in the United States and serves as a significant economic
burden on the health care system. The chronic nature of illness serves as a challenge for heart
failure patients to ...
End-tidal carbon dioxide in the diagnosis of acute pulmonary embolism in hospitalized adult patients
(University of Missouri--Columbia, 2018)
Pulmonary embolism (PE) causes 100,000 deaths and contributes to over 4 billion dollars of annual healthcare costs. Acute PE is a diagnostic challenge as symptoms vary widely and are often nonspecific. Definitive diagnosis ...
Put down the electronics after a concussion?
(Family Physicians Inquiries Network, 2023-01)
Advise your teenaged and young adult patients with concussion to avoid electronic screens in the first 48 hours after a concussion to minimize time to symptom resolution.
Clinical Pathway for the Fontan Patient to Standardize Care
(University of Missouri -- Kansas City, 2019)
The Fontan repair is the final stage of surgical palliation for the pediatric patient with a single
ventricle heart. The post-operative medical management of this patient population can be
variable and hospital length ...