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Term Limits & Tenure in the Missouri General Assembly 2005
(University of Missouri - Columbia Institute of Public Policy, 2005)
The following report examines tenure and turnover in the Missouri General Assembly following the critical 2002 general election and the 2004 election. The 2002 election was the first since the decennial redistricting and the first in which a large...
Missouri Medicaid Program: The A Graphical Profile
(University of Missouri - Columbia Institute of Public Policy, 2005)
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The report uses the most current summary information available and many FY2005 charts are included. However, for some graphics, it was necessary to use older data to achieve a consistent frame of reference. Some Medicaid service types, particularly managed...
Missouri State and Local Open Container Laws
(University of Missouri - Columbia Institute of Public Policy, 2005)
and the
consumption of any alcoholic beverage by both the driver and passenger (see Report 29-2005 for more detail). The current Missouri open container law applies only to the driver, making Missouri one of thirteen states (AK, AR, CO, CT, DE, IN, MO, MS, MT, TN, VA...
Transportation Equity Act: Adopting a Statewide Open Container Law in Missouri
(University of Missouri - Columbia Institute of Public Policy, 2005)
According to the National Highway Traffic Safety Administration (NHTSA), 1,232 fatal vehicle crashes occurredin 2003 on Missouri's highways. Approximately 41 percent of these fatalities involved alcohol. These incidents ...
When is neuroimaging warranted for headache?
(Family Physicians Inquiries Network, 2005)
Neuroimaging is warranted to evaluate headaches when patients present to an emergency department with signs or symptoms of an intracranial lesion. These signs or symptoms include abrupt onset of headache, focal neurological ...
In menopausal women, does fatigue indicate disease?
(Family Physicians Inquiries Network, 2005)
Though fatigue is a commonly reported symptom, high-quality studies evaluating it as a marker for diseases among menopausal women are lacking. Middle-aged women who report fatigue are more apt to screen positive for clinical depression or anxiety...
State of the State on Drug Courts in Missouri
(University of Missouri - Columbia Institute of Public Policy, 2005)
. Missouri had 42,845 drug-related arrests statewide in 2003 (Missouri State Highway Patrol, 2005). Department of Corrections' data indicate that in 2004, 7,832 people
were sentenced to prison or placed on probation for drug-related convictions in Missouri...
Is DEET safe for children?
(Family Physicians Inquiries Network, 2005)
Reported evidence suggests that DEET use is safe for children older than 2 months, with only very rare incidence of major adverse effects (strength of recommendation [SOR]: C). Typically, a topical concentration between 10% and 30% should be used...
Do beta-blockers worsen respiratory status for patients with COPD?
(Family Physicians Inquiries Network, 2005)
second (FEV1), or by changes in patients' self-reported symptoms. If such harmful effects do exist, they are likely to be less clinically important than the substantial proven benefits of beta-blockade for patients with concomitant cardiovascular disease...
Do antibiotics interfere with the efficacy of oral contraceptives?
(Family Physicians Inquiries Network, 2005)
between other antibiotics and oral contraceptive steroids (SOR: B, based on systematic reviews, case reports, and pharmacologic studies). However, current studies may not have separately evaluated the minority of women whose metabolism of contraceptive...
Keeping up with Missouri's Growing LEP Population
(University of Missouri - Columbia Institute of Public Policy, 2005)
with legislation to serve the growing population of Limited English Proficient (LEP) students. As stated in policy note (31-2005), the LEP student growth rate in Missouri has been steady over the past twenty years, with high growth in the past five years. The 2004...
Missouri's Growing Immigrant Population and Implications for School Districts
(University of Missouri - Columbia Institute of Public Policy, 2005)
Missouri has experienced considerable growth in immigration, and this trend is reflected in the growth of Limited English Proficient (LEP) students. There has been steady growth
of LEP students in Missouri over the past ...
What is the best treatment for pertussis?
(Family Physicians Inquiries Network, 2005)
A short-term course of erythromycin, azithromycin, or clarithromycin is as effective as a long-term (2-week) erythromycin therapy in eradicating Bordetella pertussis from the nasopharynx (strength of recommendation [SOR]: ...
Should liver enzymes be checked in a patient taking niacin?
(Family Physicians Inquiries Network, 2005)
No randomized trials directly address the question of frequency of liver enzyme monitoring with niacin use. Niacin use is associated with early and late hepatotoxicity (strength of recommendation [SOR]: B, based on incidence ...
What are effective treatments for oppositional and defiant behaviors in preadolescents?
(Family Physicians Inquiries Network, 2005)
Parent training is effective for treating oppositional and defiant behaviors (strength of recommendation [SOR]: A, based on systematic reviews). Parent training programs are standardized, short-term interventions that teach ...
Combined Oral Contraceptives for Mothers Who Are Breastfeeding
(Family Physicians Inquiries Network, 2005)
There is currently no evidence of harm; however, few patients have been studied and existing studies have many limitations. Therefore, it is not possible to definitively answer this question at this time. The existing ...
Treatment of Early Parkinson's Disease
(Family Physicians Inquiries Network, 2005)
Treatment of early Parkinson's disease with either selegiline (Eldepryl), a dopamine agonist (pramipexole [Mirapex], ropinirole [Requip], or bromocriptine [Parlodel]), or the combination of levodopa and carbidopa (Sinemet) ...
Does early detection of suspected atherosclerotic renovascular hypertension change outcomes
(Family Physicians Inquiries Network, 2005)
We found no evidence for changed outcomes from early detection of renal artery stenosis (RAS). Treatment of RAS in refractory hypertension modestly improves blood pressure control. There was a trend toward improved clinical ...
Does furosemide decrease morbidity or mortality for patients with diastolic or systolic dysfunction?
(Family Physicians Inquiries Network, 2005)
No large-scale randomized, placebo-controlled trials evaluate furosemide's effect on mortality and long-term morbidity in diastolic or systolic dysfunction. In short-term studies, furosemide reduces edema, reduces ...
What is the appropriate diagnostic evaluation of fibroids?
(Family Physicians Inquiries Network, 2005)
Although transvaginal sonography (TVS) has inconsistent sensitivity (0.21-1.00) and specificity (0.53-1.00), its cost-efficiency and noninvasiveness make it the best initial test for ruling in fibroid disease (strength of recommendation [SOR]: B...