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Now showing items 21-40 of 1556
What is the optimal frequency for dental checkups for children and adults?
(Family Physicians Inquiries Network, 2017)
Q: What is the optimal frequency for dental checkups for children and adults? A: It is unclear, but studies suggest that it should be based largely on individual risk. The American Academy of Pediatric Dentistry recommends ...
From the journals
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2009-01)
Five article citations of interest to hospitalists.
How do hyaluronic acid and corticosteroid injections compare for knee OA relief?
(Family Physicians Inquiries Network, 2017)
Q How do hyaluronic acid and corticosteroid injections compare for knee OA relief? A: Inconsistent evidence shows a small amount of pain relief early (one week to 3 months) with corticosteroid (CS) injections and an equally ...
A more palatable alternative to oral rehydration therapy for kids
(Family Physicians Inquiries Network, 2016)
A more palatable alternative to oral rehydration therapy for kids. Parents no longer need to struggle to get their kids to drink electrolyte solutions during episodes of mild gastroenteritis; apple juice works just as well. Practice changer...
Does using e-cigarettes cigarette smoking in adolescents?
(Family Physicians Inquiries Network, 2019)
Q: Does using e-cigarettes cigarette smoking in adolescents? Evidence-based answer: Probably. Electronic cigarette (e-cigarette) use by adolescents is associated with a 2- to 4-fold increase in cigarette smoking over the ...
Do probiotics reduce C diff risk in hospitalized patients?
(Family Physicians Inquiries Network, 2019)
Do probiotics reduce C diff risk in hospitalized patients? A systematic review and meta-analysis says, "Yes," but that doesn't necessarily mean they will start appearing on hospital formularies. Practice changer: Start probiotics within 1 to 2 days...
Treating migraines : it's different for kids
(Family Physicians Inquiries Network, 2018)
Treating migraines: Its different for kids. Certain medications used for migraine prevention in adults do not perform the same way in children and adolescents and can actually cause harm. PRACTICE CHANGER: Do not prescribe amitriptyline...
Let low-risk moms eat during labor?
(Family Physicians Inquiries Network, 2018)
Let low-risk moms eat during labor? Allowing low-risk pregnant women to eat less restrictive diets during labor may not only make them happier, but may shorten labor, too. Practice changer: Allowing low-risk patients planning for a vaginal delivery...
Put down the electronics after a concussion?
(Family Physicians Inquiries Network, 2023-01)
Advise your teenaged and young adult patients with concussion to avoid electronic screens in the first 48 hours after a concussion to minimize time to symptom resolution.
Confidently rule out CAP in the outpatient setting
(Family Physicians Inquiries Network, 2021)
Confidently rule out CAP in the outpatient setting. A focus on specific signs and symptoms -- without imaging -- may rule out community-acquired pneumonia in outpatients. PRACTICE CHANGER: You can safely rule out community-acquired pneumonia (CAP...
Tamsulosin for patients with ureteral stones?
(Family Physicians Inquiries Network, 2018)
Tamsulosin for patients with ureteral stones? Yes, but only for some. Find out which of your patients can benefit. PRACTICE CHANGER: Prescribe tamsulosin for stone expulsion in patients with distal ureteral stones 5 to 10 mm in size....
ID corner : fever and infection in older adults
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2009-01)
The IDSA has just released practice guidelines for the evaluation of fever and infection in older adults who are in LTCFs....
Is self-administered DMPA an answer to contraception access in the post-Roe era?
(Family Physicians Inquiries Network, 2023-03)
Consider prescribing self-administered subcutaneous depot medroxyprogesterone acetate (DMPA) for contraception instead of provider-administered DMPA. Self-administration improves contraception continuation rates without ...
Is it better to take that antihypertensive at night?
(Family Physicians Inquiries Network, 2020)
A large RCT in a primary care setting comparing bedtime to upon-waking administration of antihypertensives answers the question. PRACTICE CHANGER: Advise patients to take blood pressure (BP) medication at bedtime rather than upon waking because...
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 types of family structures...
Immediate or delayed pushing in the second stage of labor?
(Family Physicians Inquiries Network, 2020)
Immediate or delayed pushing in the second stage of labor? Is there any advantage to delaying pushing in the second stage of labor for nulliparous women receiving epidural analgesia? PRACTICE CHANGER: Recommend immediate, rather than delayed...
Do prophylactic antipyretics reduce vaccination-associated symptoms in children?
(Family Physicians Inquiries Network, 2020)
Q: Do prophylactic antipyretics reduce vaccination-associated symptoms in children? Yes for acetaminophen, not so much for ibuprofen. Prophylactic acetaminophen reduces the odds of febrile reactions in the first 48 hours ...
Can unintended pregnancies be reduced by dispensing a year's worth of hormonal contraception?
(Family Physicians Inquiries Network, 2019)
Q. Can unintended pregnancies be reduced by dispensing a year's worth of hormonal contraception? Evidence-based answer: probably, although studies that looked directly at this outcome are limited. A systematic review showed ...
Do cinnamon supplements improve glycemic control in adults with T2DM?
(Family Physicians Inquiries Network, 2020)
Q: Do cinnamon supplements improve glycemic control in adults with T2DM? Evidence-based answer: the answer isn't clear. Cinnamon supplements for adults with type 2 diabetes haven't been shown to decrease hemoglobin A1C ...
Case Reports : Topiramate, a concealed cause of severe metabolic acidosis
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-07)
Severe metabolic acidosis is common among critically ill patients, and topiramate is a rare cause that may fail recognition. We report a lady with acute encephalopathy who had severe non-anion gap metabolic acidosis that ...