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Now showing items 61-80 of 3813
How should we treat major depression combined with anxiety?
(Family Physicians Inquiries Network, 2007)
One approach is to use antidepressants alone, which reduce symptoms for patients with major depression plus symptoms of anxiety or major depression plus generalized anxiety disorder. Selective serotonin reuptake inhibitors ...
Do topical antibiotics improve wound healing?
(Family Physicians Inquiries Network, 2007)
The use of topical triple-antibiotic ointments significantly decreases infection rates in minor contaminated wounds compared with a petrolatum control. Plain petrolatum ointment is equivalent to triple-antibiotic ointments ...
Which women should we screen for gestational diabetes mellitus?
(Family Physicians Inquiries Network, 2010)
, the common practice of universal screening is more sensitive than screening based on risk factors (strength of recommendation [SOR]: B, 1 randomized trial and 3 retrospective cohort studies without patient-oriented outcomes). Historic risk factors are poor...
When are empiric antibiotics appropriate for urinary tract infection symptoms?
(Family Physicians Inquiries Network, 2006)
Healthy, nonpregnant women presenting with the triad of frequency, dysuria, and no vaginal symptoms have about a 96% chance of having an urinary tract infection (UTI) (positive likelihood ratio [LR+]=24.6). Since no ...
Mizzou weekly, volume 22, number 27
(University of Missouri--Columbia. University Affairs. Publications and Alumni Communication., 2001)
What blood tests help diagnose celiac disease?
(Family Physicians Inquiries Network, 2006)
Histological confirmation of infiltrative lesions via small bowel biopsy is the gold standard for diagnosing celiac disease. Four serum antibody assays may serve as a first- step diagnostic tool to identify biopsy candidates: immunoglobulin A tissue...
Should you test for H pylori in patients with nonulcer dyspepsia?
(Family Physicians Inquiries Network, 2011)
reduces symptoms, but doesn't improve quality of life in the short term (SOR: B, systematic review of randomized controlled trials [RCTs] with inconsistent results), but may alleviate symptoms in the long term (SOR: B, RCT with methodological flaws...
Families are for thriving, not just surviving : aged out foster youths' experiences of family, home, and estrangement
(University of Missouri--Columbia, 2018)
heightened. Moreover, findings contribute to social identity and intergroup theorizing through revealing how the family ingroup is being reimagined and complicating our understandings of intergroup distinctions. A host of practical implications...
Is therapy based on endoscopy results better than empiric therapy for dyspepsia?
(Family Physicians Inquiries Network, 2005)
endoscopy, results in significantly fewer endoscopies, which when formally evaluated, may translate into a more cost-effective strategy of care (SOR: A, based on a systematic review). Long-term followup suggests that patients receiving "test and treat...
Are nasal steroid sprays effective for otitis media with effusion?
(Family Physicians Inquiries Network, 2003)
Treatment of otitis media with effusion (OME) with nasal steroids is not recommended (strength of recommendation [SOR]=A, based on systematic review). Limited evidence exists that shows nasal steroids may increase the rate of resolution of OME...
Can probiotics safely prevent recurrent vaginitis?
(Family Physicians Inquiries Network, 2011)
Using vaginal suppositories or eating yogurt with Lactobacillus may reduce recurrences of bacterial vaginosis (BV) (strength of recommendation [SOR]: B, randomized controlled trials [RCTs] with conflicting results). Neither suppositories nor yogurt...
When should a chest x-ray be used to evaluate acute-onset productive cough for adults?
(Family Physicians Inquiries Network, 2005)
Even though the most common reason to order
a chest x-ray in the evaluation of an acute-onset, productive cough is to rule out pneumonia, there is no strong evidence to help a physician decide when to order this chest ...
Are steroid injections effective for tenosynovitis of the hand?
(Family Physicians Inquiries Network, 2007)
and low- quality studies). Injection into the tendon sheath may not be critical to a successful outcome (SOR: B, based on 1 prospective uncontrolled trial)....
Unveiling the influence of family of origin environment and relationship education programming on single adults' relational attitudes
(University of Missouri--Columbia, 2023)
Guided by the Development of Early Adult Romantic Relationships (DEARR) model (Bryant & Conger, 2002), the current study examined how single adults' relational attitudes are shaped by both family of origin environment and relationship education...
What are the best treatments for herpes labialis?
(Family Physicians Inquiries Network, 2007)
: A, based on RCTs). The best prophylaxis for herpes labialis is oral valacyclovir 500 mg daily; it reduces the frequency and severity of attacks (SOR: B, based on RCT). Sunscreen may be effective in sunlight-induced recurrence (SOR: B, based on 2...
Which tool is most useful in diagnosing bipolar disorder in children?
(Family Physicians Inquiries Network, 2007)
No single, well-validated screening instrument for clinical diagnosis of bipolar disorder in children exists. That said, the Kiddie Schedule for Affective Disorders and Schizophrenia (KSADS), a semi-structured interview, ...
Mizzou weekly, volume 22, number 30
(University of Missouri--Columbia. University Affairs. Publications and Alumni Communication., 2001)
Can calcium supplements cause serious adverse effects in healthy people?
(Family Physicians Inquiries Network, 2012)
] that evaluated a predominantly older female population and were limited by study designs). Calcium supplements with or without vitamin D may increase the risk of stroke, with an NNH over 5 years of 283 (SOR: B, meta-analyses of RCTs). Calcium supplementation...
Is pneumococcal vaccine effective in nursing home patients?
(Family Physicians Inquiries Network, 2003)
Evidence from clinical trials supports the use of pneumococcal polysaccharide vaccine for prevention of pneumonia in nursing home patients (strength of recommendation: B, based on randomized, nonblinded clinical trials). ...
What findings distinguish acute bacterial sinusitis?
(Family Physicians Inquiries Network, 2003)
.1-2.5), and purulent secretions in the nasal cavity (LR+, 2.1-5.5) may increase the likelihood of acute bacterial rhinosinusitis. Illness that starts as the common cold and pain on bending forward were not predictors of acute bacterial rhinosinusitis (SOR: B)....