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Do oral decongestants have a clinically significant effect on BP in patients with hypertension?
(Family Physicians Inquiries Network, 2017)
Q: Do oral decongestants have a clinically significant effect on BP in patients with hypertension? Evidence-based answer: It is unclear. Pseudoephedrine causes an average increase of 1.2 mm Hg in systolic blood pressure (BP) in patients...
Oral agent offers relief from generalized hyperhidrosis
(Family Physicians Inquiries Network, 2017)
Hyperhidrosis is a common, self-limiting problem affecting 2% to 3% of the population in the United States. Patients may complain of localized sweating of the hands, feet, face, or underarms or more systemic, generalized sweating in multiple...
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...
Can mobile technology improve weight loss in overweight and obese patients?
(Family Physicians Inquiries Network, 2017)
loss (1.4 to 2.7 kg) in overweight and obese patients (strength of recommendation [SOR]: A, meta-analysis of good quality studies and randomized controlled trials [RCTs]). Interventions that combine nonelectronic measures with mobile technology increase...
Consider melatonin for migraine prevention
(Family Physicians Inquiries Network, 2017)
An effective migraine prevention alternative with minimal adverse effects Melatonin is an accessible and affordable option for preventing migraine headaches in chronic sufferers.
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...
The benefits--and limits-- of PPIs with warfarin regimens
(Family Physicians Inquiries Network, 2017)
Patients on warfarin + antiplatelet/NSAID regimens are likely to benefit from the gastroprotective effect of PPIs. For patients taking warfarin alone, it's a different story. PRACTICE CHANGER: Prescribe a proton pump inhibitor for patients taking...
How do hyaluronic acid and corticosteroid injections compare for knee OA relief?
(Family Physicians Inquiries Network, 2017)
Q How do hyaluronic acid and corticosteroid injections compare for knee OA relief? A: Inconsistent evidence shows a small amount of pain relief early (one week to 3 months) with corticosteroid (CS) injections and an equally ...
Do probiotics reduce C diff risk in hospitalized patients?
(Family Physicians Inquiries Network, 2019)
Do probiotics reduce C diff risk in hospitalized patients? A systematic review and meta-analysis says, "Yes," but that doesn't necessarily mean they will start appearing on hospital formularies. Practice changer: Start probiotics within 1 to 2 days...
Let low-risk moms eat during labor?
(Family Physicians Inquiries Network, 2018)
Let low-risk moms eat during labor? Allowing low-risk pregnant women to eat less restrictive diets during labor may not only make them happier, but may shorten labor, too. Practice changer: Allowing low-risk patients planning for a vaginal delivery...
Can unintended pregnancies be reduced by dispensing a year's worth of hormonal contraception?
(Family Physicians Inquiries Network, 2019)
larger number of pills at one time were more likely to continue using combined hormonal contraception 7 to 15 months later (strength of recommendation [SOR]: A, consistent evidence from 2 cohort studies and 1 randomized, controlled trial), which might...
What's the best VTE treatment for patients with cancer?
(Family Physicians Inquiries Network, 2018)
Q: What's the best VTE treatment for patients with cancer? Evidence-based answer: No. Head-to-head studies directly compare all the main treatments for venous thromboembolism (VTE) in cancer patients. Long-term treatment (3-12 months) with low...
Case Reports : Topiramate, a concealed cause of severe metabolic acidosis
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-07)
Severe metabolic acidosis is common among critically ill patients, and topiramate is a rare cause that may fail recognition. We report a lady with acute encephalopathy who had severe non-anion gap metabolic acidosis that ...
Confidently rule out CAP in the outpatient setting
(Family Physicians Inquiries Network, 2021)
Confidently rule out CAP in the outpatient setting. A focus on specific signs and symptoms -- without imaging -- may rule out community-acquired pneumonia in outpatients. PRACTICE CHANGER: You can safely rule out community-acquired pneumonia (CAP...
Cover crop effects on corn plant water uptake and soil health
(University of Missouri--Columbia, 2019)
, 2017 and 2018. Plant sap flow measurement techniques are among the most reliable methods to evaluate water stress and water consumption by measuring the whole plant transpiration....
Hydrologic Analysis of Rain Garden Performance
(2016)
Urban flooding became a significant issue for many cities worldwide due to rapid urbanization and increased impervious areas over the past two decades ([1]). Rain gardens are considered to be an economically-friendly solution for addressing...
Adaptation of soybean to tropical environments for smallholder farmers
(University of Missouri--Columbia, 2018)
in African breeding materials and released varieties. I also contributed knowledge of the effects of the maturity genes E1, E2, E3 and ELF3 on days to flower and days to maturity. It was discovered that season length can be controlled by choice of the long...
Unveiling the influence of family of origin environment and relationship education programming on single adults' relational attitudes
(University of Missouri--Columbia, 2023)
Guided by the Development of Early Adult Romantic Relationships (DEARR) model (Bryant & Conger, 2002), the current study examined how single adults' relational attitudes are shaped by both family of origin environment and relationship education...
Emotion regulation mediates associations between parenting practices and ethnic minority college students' prosocial behaviors
(University of Missouri--Columbia, 2023)
The current study examined associations between Black and Latinx college students' mothers' and fathers' parenting practices, students' emotion regulation, and students' prosocial behaviors. College students (N = 567 participants; 64 percent Latinx...
Understanding the development of low-income marriages : investigating the antecedents and outcomes of marital functioning
(University of Missouri--Columbia, 2019)
years of marriage. Gender differences emerged, with husbands reporting more stable marital functioning than wives. Guided by the Vulnerability-Stress-Adaptation model, I also found individual (family-of-origin experiences), dyadic (e.g., perceptions...