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An analysis of risk assessment questions based on loss-averse preference
(2015)
A variety of risk assessment questionnaires are used within the financial planning profession to assess client risk preferences. Evidence indicates that the average person overweighs losses relative to an arbitrary reference ...
Which interventions are effective in managing parental vaccine refusal?
(Family Physicians Inquiries Network, 2017)
Q: Which interventions are effective in managing parental vaccine refusal? A: it's unclear whether educational initiatives alone alter vaccine refusal. Although about a third of parents cite herd immunity as motivation for ...
Segregation between GM and non-GM inputs in EU feed and food supply chains : future scenarios
(University of Missouri, College of Agriculture, Food and Natural Resources, 2017)
This study used a participatory scenario development approach -- more precisely, a two-day exploratory experts-based workshop -- to identify the key driving forces influencing future scenarios for the segregation between ...
Exploring the constraints to further expansion of GM maize production in Portugal
(University of Missouri, College of Agriculture, Food and Natural Resources, 2017)
After 10 years of GM maize cultivation in Portugal, the area produced remains modest, at 6.3% of total maize production in 2015. This fact suggests that significant constraints to further expansion continue to exist. Through ...
The hessian blob algorithm : precise particle detection in atomic force microscopy imagery
(2018)
Imaging by atomic force microscopy (AFM) offers high-resolution descriptions of many biological systems; however, regardless of resolution, conclusions drawn from AFM images are only as robust as the analysis leading to ...
Hypermucoviscous Klebsiella pneumoniae liver abscess in a previously healthy Burmese male
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2014-10)
We report the case of a 38 year-old previously healthy Burmese man who presented with abdominal pain, headache, myalgia, and back pain. He was found to have leukocytosis, transaminitis, hyperbilirubinemia, and evidence of ...
Determining the optimal steroid treatment regimen for COPD exacerbations : A review of the literature
(University of Missouri. Department of Medicine. Division of Hospital Medicine, 2014-07)
In reviewing the literature, there is not a uniform approach to corticosteroid treatment when managing patients with COPD exacerbations. In general it is important to remember: Oral corticosteroids are as effective as IV ...
Sheehan's Syndrome
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2012-05)
A 61 year old female was referred to University Hospital for evaluation due to altered mental status. The patient's symptoms, which had increased over the preceding 12 hours, were characterized as lethargy and decreasing ...
Hospital-acquired infections
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2013-04)
Hospitals in Missouri perform surveillance and external reporting for a number of hospital-acquired infections (HAI). We are required to do so variously by the stateof Missouri, the Centers for Medicare and Medicaid Services ...
Monitoring and metabolic risks with second generation antipsychotics
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2013-07)
As the armamentarium of antipsychotic medications continues to grow, so does data supporting expansion of their use for conditions beyond schizophrenia. For this reason, providers other than psychiatrists may see increasing ...
An electrocardiogram that tells you all you need to know
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2013-04)
This is a 66 year old woman with progressive dyspnea on exertion for 7 months. Based on the ECG findings, what further evaluation is indicated?
Is megestrol acetate safe and effective for malnourished nursing home residents?
(Family Physicians Inquiries Network, 2018)
Q: Is megestrol acetate safe and effective for malnourished nursing home residents? A: no. Megestrol acetate (MA) is neither safe nor effective for stimulating appetite in malnourished nursing home residents. It increases ...
Economic and environmental benefits of biotech potatoes with traits for bruise resistance, late blight resistance, and cold storage
(University of Missouri, College of Agriculture, Food and Natural Resources, 2017)
In 2015 biotech potatoes re-entered the US market after a hiatus since 2001. The JR Simplot Company received regulatory approval for its Innate(TM) 1.0 potatoes that have traits for low acrylamide and resistance to bruising ...
Glass is a viable substrate for precision force microscopy of membrane proteins
(2015)
Though ubiquitous in optical microscopy, glass has long been overlooked as a specimen supporting surface for high resolution atomic force microscopy (AFM) investigations due to its roughness. Using bacteriorhodopsin from ...
Case Report : Uncommon presentation of pernicious anemia, hypothyroidism, and pericardial effusion
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-01)
Introduction: Pernicious anemia is not commonly investigated as an etiology for Vitamin B12 deficiency. However, it is associated with other autoimmune disorders and may be linked with H. pylori infections as well as an ...
Treatment Options for urinary tract infections caused by extended-spectrum B-lactamase-producing Escherichia coli and Klebsiella pneumoniae
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-01)
Increased utilization of antibiotics has contributed to greater resistance among pathogenic bacteria. The prevalence of such organisms has created challenges for practitioners treating bacterial infections. One of the most ...
Overt hepatic encephalopathy : Pharmacotherapy review
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-01)
Hepatic encephalopathy (HE) has a large impact on the patient, caregivers, and health care team. From 2005 to 2009, there were 110,000 hospitalized patients in the United States. Overt hepatic encephalopathy (OHE) may occur ...
An interesting case of anemia
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2014-10)
Cobalamin (Vitamin B12) deficiency can result in abnormalities in all cell lines which normalize after cobalamin replacement. Moreover, Andres et al. reported hematological findings in 201 consecutive patients with vitamin ...
HIV associated Lymphoma
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2014-10)
Questions: Part 1: A 25-year-old HIV-positive male presents with a four day history of fever and headache. Part 2: A PET scan was subsequently performed 2 months later and FDG-avid lesions were noted in the small bowel and ...
New sepsis guidelines
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2013-04)
A number of national groups have gotten together and issued new guidelines for the management of severe sepsis and septic shock, led by our former Pulmonary and Critical Care division director Phillip Dellinger.