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Now showing items 21-40 of 107
Oral versus Intravenous Antimicrobials for Serious Infections
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-07)
"There is a common belief among physicians and patients, that “intravenous (IV) antibiotics are better than oral antibiotics, they are stronger, they work faster”. However, for many infectious conditions, including serious ...
Prescribe an SGLT2 inhibitor for heart failure in the absence of diabetes?
(Family Physicians Inquiries Network, 2021)
Prescribe an SGLT2 inhibitor for heart failure in the absence of diabetes? An RCT demonstrates that dapagliflozin produces better cardiovascular outcomes than placebo for heart failure patients with and without diabetes. ...
This is not the time to modify a HTN regimen
(Family Physicians Inquiries Network, 2021)
This is not the time to modify a HTN regimen. Intensifying hypertension regimens at discharge increases risk in older patients. PRACTICE CHANGER: Avoid intensifying antihypertensive medication regimens at hospital discharge ...
Effect of Chronic Illnesses on Length of Stay and Mortality of Community Acquired Pneumonia in a Community Hospital
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2020-01)
The aim of this study was to determine the effect of demographics, substance abuse, and chronic illnesses on length of hospitalization and mortality of pneumonia. 866 patients admitted to a community hospital with diagnosis ...
Do-it-yourself cervical cancer screening?
(Family Physicians Inquiries Network, 2020)
Enlisting patients to self-collect specimens for human papillomavirus testing is an effective way to detect cervical precancer in those who might not otherwise undergo cervical cancer screening. PRACTICE CHANGER: Have ...
Is the incidence of depressive disorders increased following cerebral concussion?
(Family Physicians Inquiries Network, 2021)
Q: Is the incidence of depressive disorders increased following cerebral concussion? Evidence-based answer: yes, in some populations. Youth and adolescents with self-reported history of concussion had increased risk of ...
Validated scoring system identifies low-risk syncope patients
(Family Physicians Inquiries Network, 2021)
This study validated the Canadian Syncope Risk Score for predicting 30-day serious outcomes in patients presenting to the ED within 24 hours of syncope.
Monotherapy for nonvalvular A-fib with stable CAD?
(Family Physicians Inquiries Network, 2021)
A meta-analysis found oral anticoagulant (OAC) monotherapy provided efficacy comparable to OAC plus single antiplatelet therapy--with lower bleeding risk.
Skip that repeat DXA scan in these postmenopausal women
(Family Physicians Inquiries Network, 2021)
Skip that repeat DXA scan in these postmenopausal women. Repeat bone density measurement offers no advantage in predicting fracture risk in postmenopausal women who do not have osteoporosis. PRACTICE CHANGER: Do not routinely ...
Queer expectations : an empirical critique of rural LGBT+ narratives. Sexualities
(2021)
Much of the body of literature on LGBT+ populations within the United States place urban areas and so-called “gayborhoods” as goals and eventualities, paralleling early U.S. studies on immigration. Using a multi-stage, ...
Q Does inadequate sleep increase obesity risk in children?
(Family Physicians Inquiries Network, 2021-12)
Evidence-based answer: Yes, a link has been established but not a cause-effect relationship. Shorter reported sleep duration in childhood is associated with an increased risk of overweight or obesity years later (strength ...
Q Which injections are effective for lateral epicondylitis?
(Family Physicians Inquiries Network, 2021-11)
Evidence-based answer: placebo injections actually improve lateral epicondylitis at high rates. No other injections convincingly improve it better than placebo. Corticosteroid injection is not superior to saline or anesthetic ...
Debt types and burdens by family structures
(2020)
Purpose: The purpose of this study is to examine family structure differences in debt types and burdens of American families. Design/methodology/approach: Data are obtained from the 2016 Survey of Consumer Finances. Eight ...
Rapid sarcomatous transformation of lung squamous cell carcinoma after neoadjuvant therapy: a case report
(2020)
Sarcomatoid carcinoma is a less common subtype of lung carcinoma (<1%). There is a mesenchymal-epithelial transition component and it carries grave prognosis. It is a subcomponent of Non-small cell lung cancers which is ...
Mental disorders associated with COVID-19 related unemployment
(2021)
In response to the COVID-19 pandemic, restrictions on economic activities have resulted in a sharp rise of unemployment. The purpose of this research is to explore mental disorders associated with COVID-19 related unemployment ...
Does concurrent use of clopidogrel and PPIs increase CV risk in patients with ACS?
(Family Physicians Inquiries Network, 2020)
Q: Does concurrent use of clopidogrel and PPIs increase CV risk in patients with ACS? Evidence-based answer: No. Adding a proton pump inhibitor (PPI) in patients taking antiplatelet medications such as clopidogrel for acute ...
Does screening by primary care providers effectively detect melanoma and other skin cancers?
(Family Physicians Inquiries Network, 2020)
Q: Does screening by primary care providers effectively detect melanoma and other skin cancers? Evidence-based answer: possibly. No trials have directly assessed detection of melanoma and other skin cancers by primary care ...
Does vitamin D supplementation reduce asthma exacerbations?
(Family Physicians Inquiries Network, 2020)
Q: Does vitamin D supplementation reduce asthma exacerbations? Evidence-based answer: YES, to some extent it does, and primarily in patients with low vitamin D levels. Supplementation reduces asthma exacerbations requiring ...
Association of first-line antidepressants and incident adverse metabolic effects
(Family Physicians Inquiries Network, 2020)
Clinical Inquiries question: Are first-line antidepressants associated with incident adverse metabolic effects in adults? Evidence-based answer: Selective serotonin reuptake inhibitors (SSRIs) and bupropion statistically ...
Effect of corticosteroids on pain and function in knee osteoarthritis patients
(Family Physicians Inquiries Network, 2020)
Clinical Inquiries question: Does the type of corticosteroid have an effect on pain and functional status of the knee in osteoarthritis (OA) patients receiving intra-articular injections? Evidence-based answer: In patients ...