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Impact of the geriatric patient advocacy and wellness strategy (GeriPAWS) pilot for delirium prevention in acute care surgery patients
(2019)
Seven million patients experience delirium with on 40% receiving diagnosis in the hospital each year. Prevention strategies have been shown to reduce delirium, improve health outcomes, and decrease hospital costs but are ...
Multi-scale synthesis of historical fire regimes along the south-central US prairie-forest border
(SpringerOpen, 2019)
Background: Along the prairie-forest border in the south-central USA exists one of the most extensive areas of uncut forest in the nation ([greater than]323 750 hectares), providing unique potential for developing multi-century ...
Which oral nonopioid agents are most effective for OA pain?
(Family Physicians Inquiries Network, 2019)
Q Which oral nonopioid agents are most effective for OA pain? Evidence-based answer: nonsteroidal anti-inflammatory drugs (nsaids), when used at the maximum clinically effective dose, reduce osteoarthritis (OA) pain in ...
How safe and effective is ondansetron for nausea and vomiting in pregnancy?
(Family Physicians Inquiries Network, 2019)
Q: How safe and effective is ondansetron for nausea and vomiting in pregnancy? Evidence-based answer: oral ondansetron is more effective than a combination of pyridoxine and doxylamine for outpatient treatment of nausea ...
Best timing for measuring orthostatic vital signs?
(Family Physicians Inquiries Network, 2019)
Best timing for measuring orthostatic vital signs? We typically take a blood pressure within 3 minutes of a patient rising from a supine to a standing position. But is that too long? PRACTICE CHANGER: Measure orthostatic ...
Pharmacologic treatment with CPI-613 and PS48 decreases mitochondrial membrane potential and increases quantity of autolysosomes in porcine fibroblasts
(Nature Publishing Group, 2019)
A metabolic phenomenon known as the Warburg effect has been characterized in certain cancerous cells, embryonic stem cells, and other rapidly proliferative cell types. Previously, our attempts to induce a Warburg-like state ...
Is intra-articular platelet-rich plasma injection an effective treatment for knee OA?
(Family Physicians Inquiries Network, 2019)
Q: Is intra-articular platelet-rich plasma injection an effective treatment for knee OA? EVIDENCE-BASED ANSWER: PROBABLY NOT, based on the balance of evidence. While low-quality evidence may suggest potential benefit, the ...
Green building literacy: a framework for advancing green building education
(Springer, 2019)
Background: Despite the increasing square footage of green buildings worldwide, green building expertise remains largely in the domain of building industry professionals. However, the performance of and advocacy for green ...
Does using e-cigarettes cigarette smoking in adolescents?
(Family Physicians Inquiries Network, 2019)
Q: Does using e-cigarettes cigarette smoking in adolescents? Evidence-based answer: Probably. Electronic cigarette (e-cigarette) use by adolescents is associated with a 2- to 4-fold increase in cigarette smoking over the ...
Can unintended pregnancies be reduced by dispensing a year's worth of hormonal contraception?
(Family Physicians Inquiries Network, 2019)
Q. Can unintended pregnancies be reduced by dispensing a year's worth of hormonal contraception? Evidence-based answer: probably, although studies that looked directly at this outcome are limited. A systematic review showed ...
Time to conception after miscarriage : how long to wait?
(Family Physicians Inquiries Network, 2019)
Q: Time to conception after miscarriage: how long to wait? Evidence-based answer: an interpregnancy interval (IPI) of < 6 months following miscarriage is associated with an increased live birth rate in subsequent pregnancy, ...
Does withholding an ACE inhibitor or ARB before surgery improve outcomes?
(Family Physicians Inquiries Network, 2019)
Q: Does withholding an ACE inhibitor or ARB before surgery improve outcomes? EVIDENCE-BASED ANSWER: A GUARDED YES, because the evidence of benefit is from observational studies and applies to noncardiac surgery. Withholding ...
How do these 3 diabetes agents compare in reducing mortality?
(Family Physicians Inquiries Network, 2019)
How do these 3 diabetes agents compare in reducing mortality? A meta-analysis reveals that there may be advantages associated with SGLT-2 inhibitors and GLP-1 agonists that are not associated with DPP-4 inhibitors. PRACTICE ...
Nobel deeds
(University of Missouri. Alumni Association, 2019)
"When Professor Emeritus George Smith answered the phone at his Columbia home on Oct. 3, 2018, the overseas connection was bad, but the news was very good. The Royal Swedish Academy of Sciences had awarded him a Nobel Prize ...
Should you switch the DAPT agent one month after ACS?
(Family Physicians Inquiries Network, 2019)
Should you switch the DAPT agent one month after ACS? A randomized controlled trial says "Yes," but current guidelines say "No." PRACTICE CHANGER: Switch to clopidogrel from one of the newer P2Y12 blockers 1 month after ...
The interplay of immigrant population, unemployment, and education on far-rght support
(University of Missouri -- Kansas City, 2019)
On a few less well-known problems from the latter part of Leonardo of Pisa's Liber abaci
(University of Missouri -- Kansas City, 2019)
Recidivist cycle in the United States: the reciprocal effect of punitive correctional procedures on incarceration
(University of Missouri -- Kansas City, 2019)
Taking matters into their own hands: youths reopen racial discourse throuth flash mobs on the Country Club Plaza
(University of Missouri -- Kansas City, 2019)
Supplemental oxygen : more isn't always better
(Family Physicians Inquiries Network, 2019)
Supplemental oxygen: more isn't always better. A recent study says that in certain populations supplemental oxygen above certain levels can increase mortality. PRACTICE CHANGER Do not use liberal oxygen therapy (SpO2> 96%) ...