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What GI stress ulcer prophylaxis should we provide hospitalized patients?
(Family Physicians Inquiries Network, 2007)
Patients in intensive care unit (ICE) settings who are receiving prolonged mechanical ventilation (for >48 hours) or who have a coagulopathy or multiple organ dysfunction (especially renal failure) should receive stress ...
How effective are dietary interventions in lowering lipids in adults with dyslipidemia?
(Family Physicians Inquiries Network, 2007)
Diets lower in fat, higher in soy protein, or higher in fiber reduce serum total cholesterol, low-density lipoprotein (LDL), and triglycerides. More restrictive low-fat diets also lower high-density lipoprotein (HDL), while ...
Which UTI therapies are safe and effective during breastfeeding?
(Family Physicians Inquiries Network, 2007)
Trimethoprim/sulfamethoxazole (TMP/SM X) has a high success rate in eradicating bacteriuria for women with urinary tract infection and is compatible with breastfeeding (strength of recommendation: C, based on extrapolation ...
Double-dose vitamin D lowers cancer risk in women over 55
(Family Physicians Inquiries Network, 2007)
Increasing the dose of vitamin D3 from the current standard of 400-600 IU per day to 1000 IU per day lowers future risk of cancer in women older than age 55 who do not get adequate vitamin D from sun exposure or diet. ...
Need an add-on to metformin? Consider this
(Family Physicians Inquiries Network, 2017)
Need an add-on to metformin? Consider this. Sulfonylureas have been the preferred add-on therapy to metformin for T2DM, but a study finds that DPP-4s have lower risks of death, CV events, and hypoglycemia. Practice changer: Consider a dipeptidyl...
Childhood alopecia areata: What treatment works best?
(Family Physicians Inquiries Network, 2011)
There are no validated effective treatments for alopecia areata (AA). Topical immunotherapy (squaric acid dibutylester [SADBE] and diphenylcyclopropenone [DPCP]) induces the most significant short-term hair regrowth in ...
It's time to use an age-based approach to D-dimer
(Family Physicians Inquiries Network, 2014)
Use an age-adjusted D-dimer cutoff (patient's age in years [multiplied by] 10 mcg/L) for patients over age 50 years when evaluating for venous thromboembolism (VTE); it reduces false positives without substantially increasing ...
Does azithromycin have a role in cesarean sections?
(Family Physicians Inquiries Network, 2017)
Does azithromycin have a role in cesarean sections? Yes, adding azithromycin to the usual antibiotic protocol in nonelective c-sections reduces infections. But not everyone can take advantage of it. PRACTICE CHANGER: Prescribe a one-time dose...
This obscure herb works for the common cold
(Family Physicians Inquiries Network, 2008)
Offer patients Pelargonium sidoides (30 drops 3 times a day) to reduce the severity and duration of common cold symptoms and to get patients back to work sooner. Stength of recommendation: B: A single well-designed randomized ...
Which drugs are safest for moderate to severe depression in adolescents?
(Family Physicians Inquiries Network, 2008)
Selective serotonin-reuptake inhibitors (SSRIs) appear to be the safest, given current data. Major safety concerns--prompting a US Food and Drug administration (FDA) black box label warning--have been raised about increased ...
When should you consider implanted nerve stimulators for lower back pain?
(Family Physicians Inquiries Network, 2009)
Patients can gain more pain relief from spinal cord stimulation (SCS) than from reoperation (strength of recommendation [SOR]: A, 2 randomized controlled trials [RCTs]). SCS can also treat chronic low back pain effectively ...
How best to diagnose asthma in infants and toddlers?
(Family Physicians Inquiries Network, 2011)
No reliable way exists to diagnose asthma in infants and toddlers. Recurrent wheezing, especially apart from colds, combined with physician diagnosed eczema or atopic dermatitis, eosinophilia, and a parental history of ...
Missouri hospitalist, issue 36 (2011 January-February)
(University of Missouri. Department of Medicine. Division of Hospital Medicine, 2011-01)
What treatments work best for constipation in children?
(Family Physicians Inquiries Network, 2009)
Osmotic laxatives produce the best results. Fiber and behavior modification may have a role. Increased fiber and behavior modification are the most often recommended first steps in managing chronic functional constipation ...
Designated hospice rooms in nursing homes : a new model of end-of-life care
(University of Missouri--Columbia, 2009)
features present in designated hospice rooms; and a prevailing emphasis on accommodating the needs of family members. The findings from this study will be beneficial to nursing home owners and administrators, social workers, and architects dedicated...
Understanding family violence assessment practices of pediatric emergency department nurses and physicians
(University of Missouri--Kansas City, 2011-12-16)
analyses were performed to evaluate two additional yes/no questions related to participants personal experience with family violence. The predictor variables of attitude, subjective norm, and perceived behavioral control made a significant contribution...
Paths to agroforestry: landowner types, land use and perceptions
(University of Missouri--Columbia, 2007)
Land in the United States is predominantly owned by private individuals and families, and has traditionally been used for economic profit through agricultural or timber production. However, U.S. landownership patterns are changing, and an increasing...
An examination of musical instrument practice among collegiate musicians
(University of Missouri--Columbia, 2021)
This dissertation consists of three projects that were designed to investigate collegiate instrumentalists' practice habits and motivation orientations. The first investigation was a review of the literature about instrumental practice strategies...
Promoting parent-child secure attachment bonds in adoptive families through community-based family music groups: a heuristic grounded theory study
(2013)
adoptive family included at least one parent and at least one adopted child under three and one-half years old: siblings also participated. Data sources included three parental interviews, eight-weeks of parental journaling, and an eight-week Kindermusik...
Exploring individual, family, and community factors predicting business success in Hispanic and Latino experiences
(Cambio Center, 2012)
This research examines what selected individual, family, and community factors best predict Hispanic/Latino male and female entrepreneurs? engagement in entrepreneurial activities and business success. In this study, individual factors...