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The impact of urbanization on food production and residential land disputes (a global perspective)
(University of Missouri, College of Agriculture, Food and Natural Resources, 2021)
Urbanization is still widely perceived as a social and economic issue that needs to be tackled immediately yet the fact of the matter is that no country has made to the list of developed nation without experiencing rapid ...
Review of Obesity Paradox
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-07)
Introduction: Obesity is a risk factor for many health conditions and complications but may be regarded as a prognostic factor in other conditions. This has been described as the "obesity paradox." The debate whether this ...
“Who? What? Is that a test?” African Americans in non-metropolitan Midwest U.S. identify knowledge gaps and opportunities for PrEP for HIV prevention
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-07)
A substantive gap exists in understanding the knowledge and perception of Pre-exposure prophylaxis (PrEP) among African Americans overall and especially those in non-urban areas. Thus, this analysis explores these issues ...
Transcutaneous carbon dioxide monitoring could reduce physical contact with COVID-19 patients
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-07)
Background: Transcutaneous carbon di-oxide (TcCO2) monitoring can be valuable to allow non-invasive monitoring of plasma carbon dioxide (PaCO2) levels in patients with acute respiratory failure including those with novel ...
Impact of accession to WTO on Agricultural Sector in Vietnam
(University of Missouri, College of Agriculture, Food and Natural Resources, 2021)
After much deliberation, Vietnam officially became a member of World Trade Organisation (WTO) in 2006. There is substantial empirical evidence on how accession to WTO can lead to economic development, improvement in trade ...
Ethnobotanical study and plant dimension classification in Kwan Phayao community areas, Phayao province, Thailand
(University of Missouri, College of Agriculture, Food and Natural Resources, 2021)
This ethnobotanical study is conducted between June 2019 and March 2020 in Kwan Phayao community areas, Phayao Province. This study has been performed in five community markets around the Kwan Phayao market including, the ...
Q Do carotid artery calcifications seen on radiographs predict stenosis in asymptomatic adults?
(Family Physicians Inquiries Network, 2021-09)
Evidence-based answer: not very well. In asymptomatic patients, carotid artery calcification seen on radiograph has a positive predictive value of 70% and a negative predictive value of 75% for carotid artery stenosis ...
An alternative regimen to reduce risk of asthma exacerbations
(Family Physicians Inquiries Network, 2021)
An alternative regimen to reduce risk of asthma exacerbations This study supports the use of an ICS/LABA as needed for adults with intermittent, mild persistent, and moderate persistent asthma. Practice changer: PRACTICE ...
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 ...
Non-Caucasian race, chronic opioid use and lack of insurance or public insurance were predictors of hospitalizations in cyclic vomiting syndrome
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-01)
"Cyclic vomiting syndrome (CVS) is a chronic disorder of gut brain interaction (DGBI) characterized by recurrent episodes of vomiting and is diagnosed with Rome criteria (1). CVS is treated with prophylactic medications ...
Pyogenic liver abscess and gastrointestinal lemierre syndrome due to fusobacterium nucleatum
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-01)
Pyogenic liver abscess (PLA) affects men disproportionately to women and is occurring with increasing incidence. The mortality associated with PLA nears 15% in the Western world. PLA constitutes a significant number of ...
Missed opportunities : the case for inpatient lung cancer screening
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-01)
"Over the past twenty years, the hospitalist field has grown from an uncommon metropolitan profession to a ubiquitous, broad specialty focused on the rapidly evolving field of inpatient medicine 1. Hospitalists are no ...
Antibiotics and COPD : time to order a C-reactive protein test?
(Family Physicians Inquiries Network, 2021-06)
This RCT provided valuable insights as to whether CRP-guided prescribing could safely reduce antibiotic use during acute COPD exacerbations.
Voriconazole-induced Periostitis
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-01)
"CASE: A woman in her 60s presented with complaints of severe multifocal bone pain, including the shoulders, sternum, and hips, which had persisted for several months. Two years earlier, the patient had undergone heart ...
An optimization model to address overcrowding in emergency departments using patient transfer
(Hindawi, 2021)
Overcrowding of emergency departments (EDs) is a problem that affected many hospitals especially during the response to emergency situations such as pandemics or disasters. Transferring nonemergency patients is one approach ...
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: ...
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 ...