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Can metformin undo weight gain induced by antipsychotics?
(Family Physicians Inquiries Network, 2008)
of recommendation: B: Based on a single, well-designed, randomized controlled trial....
What's the most effective treatment for giardiasis?
(Family Physicians Inquiries Network, 2008)
A single 2-g dose of tinidazole is the best treatment (strength of recommendation [SOR]: A, based on meta-analysis). Other drugs, such as nitazoxanide, metronidazole, mebendazole, and albendazole, can also be used (SOR: A, based on randomized...
What could be behind your elderly patient's subjective memory complaints?
(Family Physicians Inquiries Network, 2008)
Depression, anxiety, and dementia, as well as older age, female gender, lower education level, and decreased physical activity, have all been associated with memory loss reported by patients or family members (strength of ...
How useful are autoantibodies in diagnosing thyroid disorders?
(Family Physicians Inquiries Network, 2008)
Thyrotropin receptor antibodies (TRAb) may be mildly elevated in a variety of thyroid disorders, but a TRAb level >10 U/L increases the probability of Graves' disease by a moderate to large degree (strength of recommendation ...
What drugs are best for bipolar depression?
(Family Physicians Inquiries Network, 2008)
Antidepressants, including tricyclics and selective serotonin reuptake inhibitors (SSRIs), are useful adjuncts in short-term treatment of bipolar depression and have low rates of inducing mania (strength of recommendation ...
How do you evaluate macrocytosis without anemia?
(Family Physicians Inquiries Network, 2008)
Start with a detailed history, paying particular attention to medications and alcohol use (strength of recommendation [SOR]: B, prospective cohort studies). Blood testing can include a peripheral smear, evaluation for ...
What medical therapies work for gastroparesis?
(Family Physicians Inquiries Network, 2018)
Q: What medical therapies work for gastroparesis? Evidence-based answer: It's unclear if there are any highly effective medications for gastroparesis (TABLE1-10). Metoclopramide improves the sense of fullness by about 40% for as long as 3 weeks, may...
Does antepartum perineal massage reduce intrapartum lacerations?
(Family Physicians Inquiries Network, 2008)
Yes--to a point. Antepartum perineal massage reduces both the incidence of perineal trauma requiring suturing and the likelihood of episiotomy in women who have never given birth vaginally. It reduces the incidence of ...
What is the best workup for hypocalcemia?
(Family Physicians Inquiries Network, 2008)
Unexplained hypocalcemia can usually be diagnosed by a limited number of serum tests when the cause isn't obvious from the history (recent neck surgery or renal failure): calcium corrected for serum albumin); creatinine; ...
Which medications benefit patients with diastolic heart failure?
(Family Physicians Inquiries Network, 2011)
Angiotensin-converting enzyme inhibitors (ACEIs), propranolol, statins, furosemide, and some angiotensin receptor blockers (ARBs) benefit patients. Medications that reduce mortality in diastolic heart failure include ACEIs ...
Differential Diagnosis of Tremor
(Family Physicians Inquiries Network, 2008)
The most common tremor in primary care is an exaggerated physiologic tremor, followed by essential tremor and tremors caused by Parkinson's disease. (Strength of Recommendation [SOR]: C, based on extrapolation from a prospective cohort study...
Think thiazides are old hat? ALLHAT says think again
(Family Physicians Inquiries Network, 2008)
Use thiazide-type diuretics for hypertension in patients with metabolic syndrome to reduce stroke and heart failure. Stength of recommendation: B: Single well done randomized controlled trial.
Is there much risk in using fluoroquinolones in children?
(Family Physicians Inquiries Network, 2008)
Arthralgias and myalgias have been observed clinically in children and adolescents exposed to fluoroquinolones, but they're transient, disappear when the drug is discontinued, and appear to be no more prevalent than with ...
Can recombinant growth hormone effectively treat idiopathic short stature?
(Family Physicians Inquiries Network, 2008)
Yes--treatment can increase a child's final height. Injections of recombinant human growth hormone (rGH) at least 3 times a week for 4 to 6 years add 3.7 to 7.5 cm to final height in children between 8 and 16 years of age ...
Field borders for agronomic, economic and wildlife benefits (2008)
(University of Missouri--Columbia. Extension Division, 2008)
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...
Let them eat nuts -- this snack is safe for diverticulosis patients
(Family Physicians Inquiries Network, 2009)
Tell patients with diverticular disease that they can eat nuts, corn, and popcorn without fear. There is no truth to the long-held belief that these foods increase the risk of complications. Strength of recommendatin: B: ...
Mizzou Nursing, 2008 Fall
(University of Missouri -- Columbia. School of Nursing., 2008)
Mizzou weekly, volume 30, number 02 (September 4, 2008)
(University of Missouri--Columbia. University Affairs. Publications and Alumni Communication., 2008)
Brain Natriuretic Peptide Levels for Ruling Out Heart Failure
(Family Physicians Inquiries Network, 2011)
A BNP level less than 100 pg per mL (100 ng per L) can rule out heart failure. (Strength of Recommendation [SOR]: A, based on meta-analyses.) BNP levels should be used when the pretest probability of heart failure based on overall clinical...