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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...
Profiles of Missouri: Obesity Rate in Missouri
(University of Missouri - Columbia Institute of Public Policy, 2005)
, and data are not available for Hawaii). In this report, F as in Fat: How Obesity Policies are Failing in America, 2005, TFAH outlines the nation's growing problem. Approximately 119 million Americans, or 64.5 percent, are either overweight or obese...
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...
For fibromyalgia, which treatments are the most effective?
(Family Physicians Inquiries Network, 2005)
capacity and sense of well-being for patients with fibromyalgia (SOR: A, based on a systematic review of RCT). Cognitive behavioral therapy improves patients' self-reported symptoms (SOR: A, based on RCTs)....
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...
Do insulin-sensitizing drugs increase ovulation rates for women with PCOS?
(Family Physicians Inquiries Network, 2005)
Short-term use of metformin (Glucophage) improves ovulation rates for women with polycystic ovary syndrome (PCOS) (strength of recommendation [SOR]: A, based on systematic reviews of randomized controlled trials [RCT]). ...
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 ...
Which imaging modality is best for suspected stroke?
(Family Physicians Inquiries Network, 2005)
Patients exhibiting stroke symptoms should have brain imaging immediately within 3 hours of symptom onset (strength of recommendation [SOR]: A, based on systematic review). In the first 3 hours after a suspected cerebrovascular ...
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...
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 the best therapies for acute migraine in pregnancy?
(Family Physicians Inquiries Network, 2005)
No randomized controlled trials of pharmacologic therapy for acute migraine in pregnant women are available. Three treatment studies suggest that nonpharmacological therapies (combinations of skin warming, relaxation, ...
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 ...
What is the best treatment for gastroesophageal reflux and vomiting in infants?
(Family Physicians Inquiries Network, 2005)
The literature on pediatric reflux can be divided into studies addressing clinically apparent reflux (vomiting or regurgitation) and reflux as measured by pH probe or other methods. Sodium alginate reduces vomiting and ...
How should we follow athletes after a concussion?
(Family Physicians Inquiries Network, 2005)
Athletes sustaining a concussion should be held from contact activities a minimum of 7 days; they must be asymptomatic and their coordination and neuropsychological tests should have returned to their pre-injury baseline ...
How useful is high-sensitivity CRP as a risk factor for coronary artery disease?
(Family Physicians Inquiries Network, 2005)
Little evidence supports the use of the high-sensitivity C-reactive protein assay (hs-CRP) as a screening test for cardiovascular disease (CVD) in the healthy adult population. There is significant debate about its use in ...