Now showing items 41-60 of 485
SSRIs for depression/heart failure patients? Not so fast
(Family Physicians Inquiries Network, 2017-09)
This study should put to rest the practice of starting SSRIs in depressed patients with heart failure in an attempt to affect CVD outcomes. PRACTICE CHANGER: Do not prescribe selective serotonin reuptake inhibitors to ...
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 ...
Tamsulosin for patients with ureteral stones?
(Family Physicians Inquiries Network, 2018-01)
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 ...
Consider melatonin for migraine prevention
(Family Physicians Inquiries Network, 2017-05)
An effective migraine prevention alternative with minimal adverse effects Melatonin is an accessible and affordable option for preventing migraine headaches in chronic sufferers.
Should you switch the DAPT agent one month after ACS?
(Family Physicians Inquiries Network, 2019)
Should you switch the DAPT agent one month after ACS? A randomized controlled trial says “Yes,” but current guidelines say “No.” PRACTICE CHANGER: Switch to clopidogrel from one of the newer P2Y12 blockers 1 ...
Using impact asthma echo to influence physician self-efficacy and guideline adherence
(University of Missouri--Columbia, 2018)
Asthma ECHO influence primary care provider self-efficacy? How does engagement in the learning activities of Impact Asthma ECHO promote clinical guideline adherence? Participants included 19 Primary Care providers participating in Impact Asthma ECHO via...
How safe and effective is ondansetron for nausea and vomiting in pregnancy?
Q: How safe and effective is ondansetron for nausea and vomiting in pregnancy? Evidence-based answer: oral ondansetron is more effective than a combination of pyridoxine and doxylamine for outpatient treatment of nausea ...
College catalog, 2016-2018
(University of Missouri, College of Veterinary Medicine, 2016)
College of Veterinary Medicine, 2016-2018 college catalog. Note: A catalog for 2015 was not produced....
Infosphere, number 29 (March 1998)
(University of Missouri--Columbia, 1998-03)
First-time, mild diverticulitis: Antibiotics or watchful waiting?
(Family Physicians Inquiries Network, 2018-07)
First-time, mild diverticulitis: antibiotics or watchful waiting? Dn't jump to antibiotic Tx for mild, uncomplicated diverticulitis, a recent RCT says. Observation may be just as effective. Practice changer: For mild, ...
"Cold turkey" works best for smoking cessation
(Family Physicians Inquiries Network, 2017-03)
"Cold turkey" works best for smoking cessation. PRACTICE CHANGER: Counsel patients who want to quit smoking that abrupt smoking cessation is more effective for long-term abstinence than taking a gradual approach. STRENGTH ...
A Vitamin D Protocol Post Liver Transplantation
(University of Missouri--Kansas City, 2017)
Adults with compromised liver function are inherently deficient and especially vulnerable to the consequences of vitamin D deficiency. Consequences of vitamin D deficiency include liver disease progression, infection, ...
Infosphere, number 05 (Feb/Mar 1995)
(University of Missouri--Columbia, 1995-02)
Does physical therapy improve symptoms of fibromyalgia?
(Family Physicians Inquiries Network, 2003-09)
Physical therapy is minimally effective in the treatment of fibromyalgia, with immediate post-treatment improvement in pain and tender points, and both short- and longer-term improved self-efficacy (confidence in performing ...
Direct oral anticoagulants or warfarin for A fib?
(Family Physicians Inquiries Network, 2017-08)
A recent study evaluated the effectiveness of 3 direct oral anticoagulants and warfarin in patients with atrial fibrillation. So which agents came out on top? PRACTICE CHANGER: Use direct oral anticoagulants instead of ...
Does azithromycin have a role in cesarean sections?
(Family Physicians Inquiries Network, 2017-12)
Does azithromycin have a role in cesarean sections? Yes, adding azithromycin to the usual antibiotic protocol in nonelective c-sections reduces infections. But not everyone can take advantage of it. PRACTICE CHANGER: ...
Use of The Rapid Assessment for Adolescent Preventive Services © (RAAPS) Tool for Improving Detection and Follow-up Rates in Adolescents
A primary health concern in the adolescent population is the issue of preventable risky behaviors, which can lead to injury and even death. The primary care provider is responsible for identification of risky behavior ...
Improving Identification of Adolescents at Risk for Substance Use Disorders
(University of Missouri -- Kansas City, 2019)
The American Academy of Pediatrics recommends screening adolescent patients for drug and alcohol use following a standardized process and utilizing a developmentally appropriate screening tool. The purpose of the ...
Which combined OC to prescribe with CV safety in mind?
(Family Physicians Inquiries Network, 2017-07)
When prescribing combined oral contraceptives, choose one containing levonorgestrel and low-dose estrogen (20 mcg) to minimize the risks of pulmonary embolism, ischemic stroke, and myocardial infarction.
How often does long-term PPI therapy cause clinically significant hypomagnesemia?
Q: How often does long-term PPI therapy cause clinically significant hypomagnesemia? EVIDENCE-BASED ANSWER: Rarely. Proton pump inhibitors (PPIs) may be associated with decreases in serum magnesium laboratory values to below 1.6 to 1.8 mg...