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Now showing items 1-20 of 6389
Safe-T expanding services and improving patient outcomes
(2023)
"Sexual assault is a serious public health issue affecting men, women and children statewide. In 2021 there were 3,262 reports of sexual assault in Missouri (Missouri State Highway Patrol, 2023). 12% of reported sexual ...
Perceptions, barriers, and methods for the early detection and intervention of clinical deterioration in hospitalized adults
(2023)
) event (Buist et al., 2004). Components of detection tools are founded on evidence that is overwhelmingly retrospective. A common limitation of CD detection is that these tools are often accurate at predicting decline but are not as successful...
From the journals
(University of Missouri. Department of Medicine. Division of Hospital Medicine, 2011-05)
Does ambulatory blood pressure monitoring aid in the management of patients with hypertension?
(Family Physicians Inquiries Network, 2002)
Twenty-four hour ambulatory blood pressure monitoring (ABPM) has a higher correlation with target end-organ damage than standard office measurements and is superior for risk stratification. Because it is more complicated to implement than office-based...
What is the best way to evaluate acute diarrhea?
(Family Physicians Inquiries Network, 2002)
Limited evidence delineates the relative probabilities of causes of acute diarrhea, typically defined as a diarrheal disease lasting 14 days or fewer, in the developed world. Viruses (rotavirus, Norwalk, and other enteric viruses) are responsible...
What is the best treatment for plant-induced contact dermatitis?
(Family Physicians Inquiries Network, 2013)
(strength of recommendation [SOR]: B, small cohort studies). Neither topical pimecrolimus (an immunomodulatory drug) nor jewelweed extract are helpful (SOR: B, 1 small randomized controlled trial [RCT]). Oral steroids improve symptoms in severe cases (SOR: C...
Does evidence support the use of supplements to aid in BP control?
(Family Physicians Inquiries Network, 2020)
Q: Does evidence support the use of supplements to aid in BP control? Evidence-based answer: Yes. A number of well-tolerated natural therapies have been shown to reduce systolic and diastolic blood pressure (BP). (See TABLE1-8 for summary.) However...
What causes a low TSH level with a normal free T4 level?
(Family Physicians Inquiries Network, 2006)
cardiovascular outcomes and evidence is insufficient that it improves neuropsychiatric outcomes (strength of recommendation [SOR]: C). Bone mineral density may be increased with treatment of SCH (SOR: B, based on one randomized clinical trial)....
Does injection of steroids and lidocaine in the shoulder relieve bursitis?
(Family Physicians Inquiries Network, 2004)
Subacromial steroid injection may provide a small, short-term benefit compared with placebo. The short-term effectiveness of steroid injection compared with nonsteroidal anti-inflammatory agents (NSAIDs) remains unclear. ...
Should the varicella vaccine be given to all children to prevent chickenpox?
(Family Physicians Inquiries Network, 2004)
Healthy, unimmunized children who have not had varicella infection should be vaccinated (strength of recommendation: A, based on randomized controlled trials). Use of the vaccine in immunocompromised children is still being studied and has not been...
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...
Addressing alarm fatigue in the intensive care settings : quality improvement framework to reduce secondary alarm notification volume
(2023)
" For nurses working in intensive care units(ICUs),does standardizing middleware algorithms and SAN device notification pathways reduce notification volume and perceptions of alarm fatigue in 5months?"--Research Question.
Do antibiotics prevent recurrent UTI in children with anatomic abnormalities?
(Family Physicians Inquiries Network, 2004)
Evidence is insufficient to recommend for or against antibiotic prophylaxis to prevent recurrent urinary tract infections (UTI) in children with anatomic abnormalities. Guidelines acknowledge this lack of evidence, but still recommend using...
What behavioral interventions are safe and effective for treating obesity?
(Family Physicians Inquiries Network, 2006)
with appropriate use (strength of recommendation [SOR]: A, based on multiple randomized controlled trials). Hypnosis can be used as an adjunct to behavioral therapy for weight loss (SOR: A, based on systematic reviews)....
A therapist survey of evidence-based practices in publicly funded youth mental health
(University of Missouri--Columbia, 2018)
sizes in controlled clinical trials for evidence-based treatments (EBTs) for youth MH problems (Weisz, Jensen-Doss & Hawley, 2006). One potential reason for this discrepancy may be that therapists within TAU contexts are not implementing EBTs. To date...
Longitudinal, naturalistic study of training and support for implementation of evidence-based youth mental health practices among community providers
(University of Missouri--Columbia, 2021)
support in evidence-based practices (EBPs). To address this need, the current study describes the reach and impact of a county-wide youth MH initiative aimed at increasing youths' and families' access to effective youth MH services by providing free EBP...
Treatment of Impetigo
(Family Physicians Inquiries Network, 2007)
of recommendation [SOR]: A) Based on the available evidence on effectiveness, no clear preference can be given for any one oral antibiotic over another. (SOR: A)...
How effective is spironolactone for treating resistant hypertension?
(Family Physicians Inquiries Network, 2019)
Q: How effective is spironolactone for treating resistant hypertension? EVIDENCE-BASED ANSWER: VERY EFFECTIVE. Spironolactone reduces systolic blood pressure (SPB) by 11 to 17 mm Hg and diastolic blood pressure (DPB) by up to 6 mm Hg in patients...
Does birth weight predict childhood obesity?
(Family Physicians Inquiries Network, 2008)
A birth weight greater than 4,000 g is associated with an increased risk of obesity in both childhood and adolescence (strength of recommendation [SOR]: B, systematic review and multiple cohort studies).
From the journals
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2011-05)