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Now showing items 1-20 of 52
Q: Can family physicians accurately screen for AAA with point-of-care ultrasound?
(Family Physicians Inquiries Network, 2021-07)
Evidence-based answer: LIKELY YES. Point-of-care ultrasound (POCUS) screening for abdominal aortic aneurysm (AAA) by nonradiologist physicians is 98% sensitive and 99% specific, compared with imaging performed by radiologists ...
Is the incidence of depressive disorders increased following cerebral concussion?
(Family Physicians Inquiries Network, 2021)
Q: Is the incidence of depressive disorders increased following cerebral concussion? Evidence-based answer: yes, in some populations. Youth and adolescents with self-reported history of concussion had increased risk of ...
Prescribe an SGLT2 inhibitor for heart failure in the absence of diabetes?
(Family Physicians Inquiries Network, 2021)
Prescribe an SGLT2 inhibitor for heart failure in the absence of diabetes? An RCT demonstrates that dapagliflozin produces better cardiovascular outcomes than placebo for heart failure patients with and without diabetes. ...
This is not the time to modify a HTN regimen
(Family Physicians Inquiries Network, 2021)
This is not the time to modify a HTN regimen. Intensifying hypertension regimens at discharge increases risk in older patients. PRACTICE CHANGER: Avoid intensifying antihypertensive medication regimens at hospital discharge ...
Length of stay and its impact on hospitals, physicians and patients : an economic perspective
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-10)
INTRODUCTION: Patient's inpatient Length of stay (LOS) is a frequently used metric in hospital medicine. Decreased in LOS has been correlated with lower risk of opportunistic infections and medication side effects [1]. In ...
Diagnosis and treatment of moccasin-type/hyperkeratotic tinea pedis
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-10)
CASE: A man in his 70s was referred to infectious diseases for evaluation of a clinically unresponsive fungal infection. Eight months ago, the patient noticed bilateral erythematous papules and patches on both feet with ...
Are you a werewolf? : Teaching symbolic interaction theory through game play
(2021)
In this paper, we report on the implementation of using the game Werewolf as a student-centered applied-learning activity to teach symbolic interaction theory and concepts. Engaging with symbolic interaction theory can be ...
The importance of early reconigition : a case of DRESS Syndrome
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-10)
This case examines the presentation, diagnosis, and treatment of an otherwise healthy 22-year-old female who presented to urgent care with abdominal pain and fever 27 days after her first exposure to trimethoprim/sulfamethoxazole ...
Promotion of academic hospitalists : room for improvement
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-10)
Introduction: Academic hospitalist medicine has grown rapidly and often focuses on clinical rather than academic productivity. Hospitalist faculty may face challenges achieving academic promotion. Materials and Methods: ...
Monotherapy for nonvalvular A-fib with stable CAD?
(Family Physicians Inquiries Network, 2021)
A meta-analysis found oral anticoagulant (OAC) monotherapy provided efficacy comparable to OAC plus single antiplatelet therapy--with lower bleeding risk.
Skip that repeat DXA scan in these postmenopausal women
(Family Physicians Inquiries Network, 2021)
Skip that repeat DXA scan in these postmenopausal women. Repeat bone density measurement offers no advantage in predicting fracture risk in postmenopausal women who do not have osteoporosis. PRACTICE CHANGER: Do not routinely ...
Validated scoring system identifies low-risk syncope patients
(Family Physicians Inquiries Network, 2021)
This study validated the Canadian Syncope Risk Score for predicting 30-day serious outcomes in patients presenting to the ED within 24 hours of syncope.
Mental disorders associated with COVID-19 related unemployment
(2021)
In response to the COVID-19 pandemic, restrictions on economic activities have resulted in a sharp rise of unemployment. The purpose of this research is to explore mental disorders associated with COVID-19 related unemployment ...
Queer expectations : an empirical critique of rural LGBT+ narratives. Sexualities
(2021)
Much of the body of literature on LGBT+ populations within the United States place urban areas and so-called “gayborhoods” as goals and eventualities, paralleling early U.S. studies on immigration. Using a multi-stage, ...
Q Does inadequate sleep increase obesity risk in children?
(Family Physicians Inquiries Network, 2021-12)
Evidence-based answer: Yes, a link has been established but not a cause-effect relationship. Shorter reported sleep duration in childhood is associated with an increased risk of overweight or obesity years later (strength ...
Q Which injections are effective for lateral epicondylitis?
(Family Physicians Inquiries Network, 2021-11)
Evidence-based answer: placebo injections actually improve lateral epicondylitis at high rates. No other injections convincingly improve it better than placebo. Corticosteroid injection is not superior to saline or anesthetic ...
Factors affecting the profitability of listed commercial banks in Vietnam : does agriculture finance matter?
(University of Missouri, College of Agriculture, Food and Natural Resources, 2021)
The aim of this study is to examine the factors affecting the profitability of listed commercial banks in Vietnam. The data is collected from balance sheets and income statements (audited financial statements) over the ...
Automated office BP measurement : the new standard in HTN screening
(Family Physicians Inquiries Network, 2021)
Automated office BP measurement: The new standard in HTN screening. Obtain greater accuracy in blood pressure measurement with an automated office device. PRACTICE CHANGER: Measure patients' blood pressure (BP) using an ...
Q: Is ketamine effective and safe for treatment-resistant depression?
(Family Physicians Inquiries Network, 2021-04)
Evidence-based answer: Maybe, but it’s too soon to tell. There is limited evidence that ketamine by itself is effective in the very short term. Single-dose intravenous (IV) ketamine is more likely than placebo (odds ratio ...
Q: Is NPH associated with fewer adverse events than analog basal insulin for adults with T2D?
(Family Physicians Inquiries Network, 2021-05)
Evidence based answer: NO. Insulin glargine may lead to less patient-reported, symptomatic, and nocturnal hypoglycemia, although overall, there may not be a difference in the risk for severe hypoglycemia or hypoglycemia-related ...