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Transportation Equity Act: Adopting a Statewide Open Container Law in Missouri
(University of Missouri - Columbia Institute of Public Policy, 2005)
According to the National Highway Traffic Safety Administration (NHTSA), 1,232 fatal vehicle crashes occurredin 2003 on Missouri's highways. Approximately 41 percent of these fatalities involved alcohol. These incidents cost Missouri $4.74 billion...
Missouri Medicaid Program: The A Graphical Profile
(University of Missouri - Columbia Institute of Public Policy, 2005)
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The report uses the most current summary information available and many FY2005 charts are included. However, for some graphics, it was necessary to use older data to achieve a consistent frame of reference. Some Medicaid service types, particularly managed...
When is neuroimaging warranted for headache?
(Family Physicians Inquiries Network, 2005)
Neuroimaging is warranted to evaluate headaches when patients present to an emergency department with signs or symptoms of an intracranial lesion. These signs or symptoms include abrupt onset of headache, focal neurological ...
Counseling or Antidepressants for Treating Depression?
(Family Physicians Inquiries Network, 2005)
Both antidepressant medications and psychologic treatment are beneficial for adult patients with mild to moderate depression, with no consistent evidence that one type of treatment is more effective than the other. [Strength ...
State of the State on Drug Courts in Missouri
(University of Missouri - Columbia Institute of Public Policy, 2005)
. Missouri had 42,845 drug-related arrests statewide in 2003 (Missouri State Highway Patrol, 2005). Department of Corrections' data indicate that in 2004, 7,832 people
were sentenced to prison or placed on probation for drug-related convictions in Missouri...
Intravenous Fluids for Children with Gastroenteritis
(Family Physicians Inquiries Network, 2005)
Most children with gastroenteritis do not require intravenous fluids and will respond favorably to ORT. Intravenous fluids do not shorten the duration of gastroenteritis and are more likely to cause adverse effects than ...
What are the indications for bariatric surgery?
(Family Physicians Inquiries Network, 2005)
No studies evaluate the commonly used indications for bariatric surgery. Consensus guidelines suggest that the surgical treatment of obesity should be reserved for patients with a body-mass index (BMI) >40 kg/m2 or with ...
Do insulin-sensitizing drugs increase ovulation rates for women with PCOS?
(Family Physicians Inquiries Network, 2005)
Short-term use of metformin (Glucophage) improves ovulation rates for women with polycystic ovary syndrome (PCOS) (strength of recommendation [SOR]: A, based on systematic reviews of randomized controlled trials [RCT]). ...
A 41 year-old man with gastrointestinal symptoms and an unusual exposure history
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2014-07)
Case Report: A 41 year-old previously healthy man was admitted with chief complaints of nausea, vomiting, diarrhea, and headache....
On the RKKY range function of a one dimensional non interacting electron gas
(American Physical Society, 2005)
We show that the pitfalls encountered in earlier calculations of the RKKY range function for a noninteracting one- dimensional electron gas at zero temperature can be unraveled and successfully dealt with through a proper ...
What are effective treatments for oppositional and defiant behaviors in preadolescents?
(Family Physicians Inquiries Network, 2005)
Parent training is effective for treating oppositional and defiant behaviors (strength of recommendation [SOR]: A, based on systematic reviews). Parent training programs are standardized, short-term interventions that teach ...
Colorectal Cancer Screening
(Family Physicians Inquiries Network, 2005)
Both fecal occult blood testing (FOBT) and flexible sigmoidoscopy are effective in screening for colorectal cancer. FOBT can reduce mortality from colorectal cancer. [Strength of recommendation: A, based on high-quality ...
NPH insulin : It remains a good option
(Family Physicians Inquiries Network, 2005)
NPH insulin: It remains a good option. NPH insulin holds its own against basal insulin analogs - and it's cheaper. PRACTICE CHANGER: Consider NPH insulin for patients who require initiation of long-acting insulin therapy ...
What is the best treatment for gastroesophageal reflux and vomiting in infants?
(Family Physicians Inquiries Network, 2005)
The literature on pediatric reflux can be divided into studies addressing clinically apparent reflux (vomiting or regurgitation) and reflux as measured by pH probe or other methods. Sodium alginate reduces vomiting and ...
Treatment of Early Parkinson's Disease
(Family Physicians Inquiries Network, 2005)
Treatment of early Parkinson's disease with either selegiline (Eldepryl), a dopamine agonist (pramipexole [Mirapex], ropinirole [Requip], or bromocriptine [Parlodel]), or the combination of levodopa and carbidopa (Sinemet) ...
St. John's Wort for Depression
(Family Physicians Inquiries Network, 2005)
St. John's wort is safe and effective for short-term (six to eight weeks) relief of mild to moderate depression in adults. [Strength of recommendation: A, based on consistent evidence from high-quality systematic reviews]
Cyclic Vomiting Syndrome in 41 Adults: the illness, the patients and problems of management
(BMC Medicine, 2005-12)
-morbidities and problems encountered in management of 41 adult patients who met the diagnostic criteria for CVS....
Raloxifene for Prevention of Osteoporotic Fractures
(Family Physicians Inquiries Network, 2005)
Raloxifene (60 mg daily for three years) will prevent one vertebral fracture, including asymptomatic fractures, for every 46 postmenopausal women with osteoporosis or presence of previous vertebral fractures. Raloxifene ...
What is the best approach to the evaluation of hirsutism?
(Family Physicians Inquiries Network, 2005)
The evaluation of hirsutism should begin with a history and physical examination to identify signs and symptoms suggestive of diseases such as polycystic ovarian syndrome (PCOS), hypothyroidism, hyperprolactinemia, ...
When should a chest x-ray be used to evaluate acute-onset productive cough for adults?
(Family Physicians Inquiries Network, 2005)
Even though the most common reason to order
a chest x-ray in the evaluation of an acute-onset, productive cough is to rule out pneumonia, there is no strong evidence to help a physician decide when to order this chest ...