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Now showing items 61-80 of 7228
Is there a primary care tool to detect aberrant drug-related behaviors in patients on opioids?
(Family Physicians Inquiries Network, 2014)
in primary care patients who have been prescribed opioids within the past 12 months with a sensitivity of 77% and specificity of 77% (strength of recommendation [SOR]: B, cohort studies). Although not validated in primary care populations, 3 other instruments...
When you suspect ACS, which serologic marker is best?
(Family Physicians Inquiries Network, 2014)
measurement of troponin levels at presentation and then 3 and 6 hours afterward increases the diagnostic sensitivity for acute myocardial infarction (AMI) (SOR: A, multiple, small prospective studies)....
Does postcoital voiding prevent urinary tract infections in young women?
(Family Physicians Inquiries Network, 2002)
Healthy women who urinate within 15 minutes of sexual intercourse may be slightly less likely to develop a urinary tract infection (UTI) than women who do not urinate afterward (grade of recommendation: D, extrapolation of single case-control study...
What is the best treatment for impetigo?
(Family Physicians Inquiries Network, 2014)
Q. What is the best treatment for impetigo? A. Although evidence is lacking to support a single best treatment for impetigo, topical mupirocin, fusidic acid, gentamicin, and retapamulin are all at least 20% more likely than placebo to produce cure...
Does moderate exercise prevent MI for patients with coronary heart disease?
(Family Physicians Inquiries Network, 2004)
Moderate exercise reduces mortality for patients with known coronary heart disease but does not significantly decrease the risk of recurrent nonfatal myocardial infarction (MI) (strength of recommendation [SOR]: A, based on systematic review...
Which nonhormonal treatments are effective for hot flashes?
(Family Physicians Inquiries Network, 2016)
Q: Which nonhormonal treatments are effective for hot flashes? Evidence-based answer: Selective serotonin reuptake inhibitors (SSRIs [fluoxetine, sertraline, paroxetine]) and the selective norepinephrine reuptake inhibitor (SNRI) venlafaxine...
Antibiotic Prophylaxis to Prevent Recurrent UTI in Children
(Family Physicians Inquiries Network, 2011)
Antibiotic prophylaxis to prevent recurrent UTI may be considered in infants and children with or without vesicoureteral reflux (VUR) after a first UTI. (Strength of Recommendation [SOR]: B, based on inconsistent evidence from systematic reviews...
Is metformin effective for reducing weight in obese or overweight adolescents?
(Family Physicians Inquiries Network, 2021)
Q: Is metformin effective for reducing weight in obese or overweight adolescents? Evidence based answer: Yes, to some degree—but it is of uncertain clinical significance. Over a period of 6 months, metformin modestly reduced weight (–2.1 kg...
Evidence-Based Practice Asthma Education in Primary Care
(University of Missouri--Kansas City, 2017)
Asthma affects more than 300 million people across the globe. The financial burden
impacts individuals and their families as well as communities and health care systems. Although
asthma education is a fundamental ...
When should patients with mitral valve prolapse get endocarditis prophylaxis?
(Family Physicians Inquiries Network, 2004)
Patients with suspected mitral valve prolapse (MVP)should undergo echocardiography before any procedure that may place them at risk for bacteremia. Patients with MVP and documented absence of mitral regurgitation or valvular ...
From the journals
(University of Missouri. Department of Medicine. Division of Hospital Medicine, 2011-03)
District Workforce Development and Instructional Capacity: A Strategic Perspective
(2008-03)
Some depictions of human resource (HR) functions tend to see connections to core missions, e.g., teaching and learning, as a
“hub and spoke” arrangement with HR functions such as recruitment, selection,
induction, ...
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 month after an acute coronary vent, while...
Do calcium supplements prevent postmenopausal osteoporotic fractures?
(Family Physicians Inquiries Network, 2003)
patients, who have a high rate of vitamin D deficiency (strength of recommendation: A, based on randomized controlled trials)....
When are antibiotics indicated for acute COPD exacerbations?
(Family Physicians Inquiries Network, 2006)
Antibiotics (including those given orally) reduce mortality and treatment failures for hospitalized patients with acute exacerbations of chronic obstructive pulmonary disease (COPD) (strength of recommendation [SOR]: A, based on systematic reviews...
Which oral antifungal works best for toenail onychomycosis?
(Family Physicians Inquiries Network, 2013)
Terbinafine, 250 mg daily for 12 to 16 weeks, produces higher clinical cure rates than either pulsed-dose itraconazole or weekly fluconazole (strength of recommendation [SOR]: A, multiple randomized controlled trials ...
Treatment of Early Parkinson's Disease
(Family Physicians Inquiries Network, 2005)
with entacapone (Stalevo) improves symptoms and quality of life, but all medication regimens are associated with significant side effects (Table 1). There is no compelling evidence favoring a medication option, so treatment should be individualized. [Strength...
Does adjunctive oxytocin infusion during balloon cervical ripening improve labor induction?
(Family Physicians Inquiries Network, 2022-03)
Q: Does adjunctive oxytocin infusion during balloon cervical ripening improve labor induction? Evidence-based answer: YES. Compared to the use of a transcervical balloon alone, combined cervical ripening with a balloon catheter and oxytocin shortens...
What is the best way to treat tinea cruris?
(Family Physicians Inquiries Network, 2006)
After clinical diagnosis and microscopic confirmation, tinea cruris is best treated with a topical allylamine or an azole antifungal (strength of recommendation: A, based on multiple randomized controlled trials [RCTs]). Differences in current...
Should we screen adults for asymptomatic microhematuria?
(Family Physicians Inquiries Network, 2004)
Screening patients for asymptomatic microhematuria does not appear to improve outcomes, since screening does not identify a population with increased prevalence of urologic malignancy (strength of recommendation [SOR]: A, based on prospective cohort...