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Department of Family Medicine and Rural Health

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Faculty members in the Department of Family Medicine and Rural Health teach students in all four years of the medical curriculum via lecture and small groups, and in the Clinical Skills and Simulation Center. In addition, faculty members mentor and teach students one-on-one while providing patient care in community-based clinics in Tallahassee and across the state. The mission of the department is to educate and develop exemplary physicians who practice patient-centered health care, discover and advance knowledge, and are responsive to community needs, especially through services to elder, rural, minority, and underserved populations.

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What is the Role of Carbohydrate-Restricted Diets for Patients with Obesity-Related Diseases (Hyperlipidemia, Diabetes, Hypertension, etc)?
What is the Role of Carbohydrate-Restricted Diets for Patients with Obesity-Related Diseases (Hyperlipidemia, Diabetes, Hypertension, etc)?
Compared with low-fat diets, carbohydrate-restricted diets (eg, Atkins) produce more weight loss in the short term (at 6 months but not at 1 year) and produce a greater reduction in glycosylated hemoglobin (HbA1C). (SOR A, based on a meta-analysis.) However, no studies have been published with more than 1 year duration or have focused on patient-oriented outcomes. The American Diabetes Association now recommends either low-carbohydrate or low-fat calorie-restricted diets for weight loss over the short term. (SOR C, based on expert opinion.), Keywords: obesity, weight loss, diet, carbohydrates, Note: Originally published in Evidence Based Practice, Citation: Nagy, S. N., Soberon, A. M., & Rodríguez, J. E. (2008). What is the role of carbohydrate-restricted diets for patients with obesity-related diseases (hyperlipidemia, diabetes, hypertension, etc)? Evidence Based Practice, 11(7): 5.
When is Heparin Indicated for the Management of Acute Stroke?
When is Heparin Indicated for the Management of Acute Stroke?
Heparin does not appear to improve overall outcomes when used for ischemic stroke or within the first 2 weeks of a cardioembolic stroke. (SOR B, extrapolated from meta-analyses of multiple heparinoids.), Keywords: acute stroke, ischemic stroke, heparin, Note: Originally published in Evidence Based Practice, Citation: Murphy, S., & Rodríguez, J. E. (2009). When is heparin indicated for the management of acute stroke? Evidence Based Practice, 12(12): 9.
Which is the Best Surgical Incision/Technique for Cesarean Section?
Which is the Best Surgical Incision/Technique for Cesarean Section?
The Joel-Cohen skin incision is associated with less fever, pain, analgesic use, and blood loss, as well as shorter surgeries and hospital stays when compared with the Pfannenstiel skin incision (SOR: A, based on a systematic review). For uterine incision, the answer is no clear, but blunt dissection is associated with less blood loss when compared with sharp dissection (SOR: A, based on a systematic review and subsequent RCT). Cephalad-caudad blunt dissection appears safer than transverse blunt dissection (SOR: B, based on 1 RCT)., Keywords: cesarean section, Joel-Cohen skin incision, Pfannenstiel, surgical techniques, Note: Originally published in Evidence Based Practice, Citation: LeFranc, N., & Rodríguez, J. E. (2010). Which is the best surgical incision/technique for cesarean section? Evidence Based Practice, 13(8): 10.

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