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Noncardiac inpatient has acute hypertension: Treat or not?
(Family Physicians Inquiries Network, 2022-09)
A retrospective study found more harm than benefit from treating elevated blood pressure in hospitalized noncardiac patients.
Prescribe an SGLT2 inhibitor for heart failure in the absence of diabetes?
(Family Physicians Inquiries Network, 2021)
Prescribe an SGLT2 inhibitor for heart failure in the absence of diabetes? An RCT demonstrates that dapagliflozin produces better cardiovascular outcomes than placebo for heart failure patients with and without diabetes. PRACTICE CHANGER: Prescribe...
Is it time to approach spontaneous pneumothorax more conservatively?
(Family Physicians Inquiries Network, 2022)
A recent study provides modest evidence for observational management over interventional treatment, sparing patients from invasive procedures.
Consider this Rx for patients with high triglycerides?
(Family Physicians Inquiries Network, 2020)
A daily dose of this prescription fish oil may be worth a trial in light of the cardiovascular benefits it affords statin-treated patients with high triglycerides. PRACTICE CHANGER: Consider icosapent ethyl, 2 g twice daily, for secondary prevention...
Confidently rule out CAP in the outpatient setting
(Family Physicians Inquiries Network, 2021)
Confidently rule out CAP in the outpatient setting. A focus on specific signs and symptoms -- without imaging -- may rule out community-acquired pneumonia in outpatients. PRACTICE CHANGER: You can safely rule out community-acquired pneumonia (CAP...
Which anticoagulant is safest for frail elderly patients with nonvalvular A-fib?
(Family Physicians Inquiries Network, 2022-11)
Consider apixaban, which demonstrated a lower adverse event (AE) rate than warfarin regardless of frailty status, for anticoagulation treatment of older patients with nonvalvular atrial fibrillation (AF); by comparison, ...
Does screening by primary care providers effectively detect melanoma and other skin cancers?
(Family Physicians Inquiries Network, 2020)
outcomes. Visual skin cancer screening overall is associated with false-positive rates as follows: 28 biopsies for each melanoma detected, 9 to 10 biopsies for each basal cell carcinoma, and 28 to 56 biopsies for squamous cell carcinoma. False...
Debt types and burdens by family structures
(2020)
Purpose: The purpose of this study is to examine family structure differences in debt types and burdens of American families. Design/methodology/approach: Data are obtained from the 2016 Survey of Consumer Finances. Eight types of family structures...
Aspirin, yes, for at-risk elderly : but what about the healthy elderly?
(Family Physicians Inquiries Network, 2020)
Aspirin, yes, for at-risk elderly -- but what about the healthy elderly? This study paints a decidedly different picture as to what role -- if any -- aspirin can play in the primary prevention of CVD for older adults. PRACTICE CHANGER: Do...
Do-it-yourself cervical cancer screening?
(Family Physicians Inquiries Network, 2020)
Enlisting patients to self-collect specimens for human papillomavirus testing is an effective way to detect cervical precancer in those who might not otherwise undergo cervical cancer screening. PRACTICE CHANGER: Have patients who decline a pelvic...
Rethinking daily aspirin for primary prevention
(Family Physicians Inquiries Network, 2020)
An updated meta-analysis of newer RCTs seems to settle the matter as to whether to use aspirin in individuals with no known history of atherosclerotic CVD. PRACTICE CHANGER: Do not routinely use aspirin for primary prevention of cardiovascular...
Generational status, social capital and family engagement in immigrant families
(University of Missouri--Columbia, 2021)
This study highlighted the importance of social capital in understanding the disparity in family engagement across immigrant generations. Using the national representative data, the ELS:2002, confirmatory factor analysis (CFA) and structural...
An examination of musical instrument practice among collegiate musicians
(University of Missouri--Columbia, 2021)
This dissertation consists of three projects that were designed to investigate collegiate instrumentalists' practice habits and motivation orientations. The first investigation was a review of the literature about instrumental practice strategies...
Emotion regulation mediates associations between parenting practices and ethnic minority college students' prosocial behaviors
(University of Missouri--Columbia, 2023)
The current study examined associations between Black and Latinx college students' mothers' and fathers' parenting practices, students' emotion regulation, and students' prosocial behaviors. College students (N = 567 participants; 64 percent Latinx...
Parent attachment and prosocial behaviors in Asian Indian young adults : prosocial moral reasoning and respect for family as intervening mechanisms
(University of Missouri--Columbia, 2020)
The primary goal of this study was to examine the intervening roles of prosocial moral reasoning and respect for family in associations between parent attachment and prosocial behaviors in Asian Indian young adults. Participants of this study...
Molecular mechanism, binding free energy, and sequence selectivity of intercalation of doxorubicin and DNA
(2021)
Many drugs interact noncovalently with DNA either by groove binding or intercalation. Intercalation is a key process in drug discovery and biosensor development. Doxorubicin (DOX) is an intercalator drug that treats a wide ...
Secondary benefits of family member participation in treatments for childhood disorders : a multilevel meta-analysis
(University of Missouri--Columbia, 2020)
[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI-COLUMBIA AT REQUEST OF AUTHOR.] Family-based treatments for children with mental health, physical health, and developmental disorders often convey secondary benefits to caregivers and siblings who...
Narrative ephemera : documents in storytelling worlds
(2020)
PURPOSE: Some virtual, immersive stories are filled with documents that users must locate and interact with to experience a narrative. Exploring a new area of inquiry in the information science field, this study focuses ...
Communication at the end-of-life among advanced cancer patients in Ghana: what patients have to say
(University of Missouri--Columbia, 2021)
Individuals with life-limiting illnesses require information and good communication throughout their illness. Effective end-of-life communication (EOLC) improves patients' understanding of their condition, care, and treatment ...
Improving Provider Comfort with the Assessment and Treatment of Erectile Dysfunction
(University of Missouri -- Kansas City, 2020)
Sexuality and optimal erectile function are essential aspects of holistic care. Healthcare
providers, however, do not routinely assess erectile function in male patients during the annual
wellness exam. Men are more ...