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Use physical therapy to head off this deformity in infants
(Family Physicians Inquiries Network, 2009)
Identify infants with positional preference early and consider referral to pediatric physical therapy at 7 or 8 weeks to prevent severe deformational plagiocephaly (DP). Stength of recommendation: B: Based on a single ...
How useful is a physical exam in diagnosing testicular torsion?
(Family Physicians Inquiries Network, 2009)
Physical exam is useful, but imperfect, in ruling out testicular torsion (strength of recommendation [SOR]: C, expert opinion). The cremasteric reflex or a nontender testicle usually excludes testicular torsion, but case ...
What are appropriate screening tests for infants and children?
(Family Physicians Inquiries Network, 2006)
(SOR: C): test for visual acuity yearly starting at age 3 years; test for TB and lead once between the ages of 9 and 12 months, and repeat for high risk or exposure....
Do abnormal fetal kick counts predict intrauterine death in average-risk pregnancies?
(Family Physicians Inquiries Network, 2009)
Structured daily monitoring of fetal movement doesn't decrease the rate of all- cause antenatal death in average-risk pregnancies (strength of recommendation [SOR]: B, single good-quality, randomized controlled trial [RCT]). ...
More help for patients with less severe heart failure
(Family Physicians Inquiries Network, 2011)
Prescribe a mineralocorticoid-receptor antagonist for patients with New York Heart Association (NYHA) Class II systolic heart failure and an ejection fraction (EF) [less than or equal to] 30%. Eplerenone has been found to ...
How should you manage an overweight breastfed infant?
(Family Physicians Inquiries Network, 2009)
Monitor the growth of exclusively breastfed babies by plotting routine weights and lengths on the World Health Organization (WHO) growth curve (strength of recommendation [SOR]: A, systematic reviews). Reassure parents ...
Do TZDs increase the risk of heart failure for patients with diabetes?
(Family Physicians Inquiries Network, 2005)
Patients with diabetes who take thiazolidinediones (TZDs) have a higher incidence of congestive heart failure (CHF) than those who do not; the incidence of CHF is similar with the use of pioglitazone (Actos), troglitazone ...
What is the most effective way to relieve symptoms of acute stress disorder?
(Family Physicians Inquiries Network, 2010)
Cognitive behavioral therapy (CBT) that emphasizes exposure-based treatment is the most effective intervention for adults with acute stress disorder (ASD) (strength of recommendation [SOR]: B, meta-analysis of limited-quality ...
How should we manage a patient with a positive PPD and prior BCG vaccination?
(Family Physicians Inquiries Network, 2006)
Prior bacille Calmette-Guérin (BCG) vaccination increases the likelihood of a positive tuberculosis (TB) 5TU purified protein derivative (PPD) skin test. The PPD response following BCG vaccine varies with age at vaccination, ...
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 chocolate have cardiovascular benefits?
(Family Physicians Inquiries Network, 2010)
Eating chocolate reduces blood pressure in the short term (strength of recommendation [SOR]: B, a meta-analysis and individual randomized controlled trials [RCTs]). No studies, however, have evaluated the long-term ...
Are topical nitrates safe and effective for upper extremity tendinopathies?
(Family Physicians Inquiries Network, 2014)
% and range of motion over 3 days in patients with acute shoulder tendinopathy (strength of recommendation [SOR]: C, small randomized controlled trial [RCT] with no methodologic flaws). NTG patches, when combined with tendon rehabilitation, improve subjective...
Missouri hospitalist, issue 32 (2010 August 26)
(University of Missouri. Department of Medicine. Division of Hospital Medicine, 2010-08)
How can we minimize recurrent ankle sprains?
(Family Physicians Inquiries Network, 2011)
injury after an ankle sprain (SOR: A, 3 randomized control trials [RCTs] and 1 prospective cohort study)....
Can extended anticoagulation prophylaxis after discharge prevent thromboembolism?
(Family Physicians Inquiries Network, 2022)
A meta-analysis confirmed the benefit of thromboprophylaxis with a direct oral anticoagulant for high-risk nonsurgical patients after hospital discharge.
Is your patient still using rosiglitazone?
(Family Physicians Inquiries Network, 2011)
Do not initiate rosiglitazone therapy for patients with diabetes, and consider switching those who are already taking it to pioglitazone. Stength of recommendation: A: Based on a meta-analysis of 56 randomized trials.
Muse, number 43 (2009)
(University of Missouri, Museum of Art and Archaeology, 2009)
Which drugs work best for early Parkinson's disease?
(Family Physicians Inquiries Network, 2012)
Levodopa/carbidopa is the most effective medical therapy for Parkinson's disease, but it's associated with dyskinesia (strength of recommendation [SOR]: A, Cochrane reviews and randomized controlled trials [RCTs]). Treating ...
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...
Wealth accumulation differences between wage-earning and entrepreneurial families : the role of active saving behavior
(University of Missouri--Columbia, 2008)
This study examines the causal relationship between entrepreneurship and wealth accumulation. Saving behavior is a potential source of family wealth differentials. It is proposed that entrepreneurial families exhibit more accelerated active saving...