A system of traditional medicine which is based on the beliefs and practices of the Chinese culture.
Therapeutic approach tailoring therapy for genetically defined subgroups of patients.
A medical specialty concerned with the diagnosis and treatment of diseases of the internal organ systems of adults.
A specialty field of radiology concerned with diagnostic, therapeutic, and investigative use of radioactive compounds in a pharmaceutical form.
Systems of medicine based on cultural beliefs and practices handed down from generation to generation. The concept includes mystical and magical rituals (SPIRITUAL THERAPIES); PHYTOTHERAPY; and other treatments which may not be explained by modern medicine.
System of herbal medicine practiced in Japan by both herbalists and practitioners of modern medicine. Kampo originated in China and is based on Chinese herbal medicine (MEDICINE, CHINESE TRADITIONAL).
The art and science of studying, performing research on, preventing, diagnosing, and treating disease, as well as the maintenance of health.
The study and practice of medicine by direct examination of the patient.
Chinese herbal or plant extracts which are used as drugs to treat diseases or promote general well-being. The concept does not include synthesized compounds manufactured in China.
A field of medicine concerned with developing and using strategies aimed at repair or replacement of damaged, diseased, or metabolically deficient organs, tissues, and cells via TISSUE ENGINEERING; CELL TRANSPLANTATION; and ARTIFICIAL ORGANS and BIOARTIFICIAL ORGANS and tissues.
The branch of medicine concerned with the evaluation and initial treatment of urgent and emergent medical problems, such as those caused by accidents, trauma, sudden illness, poisoning, or disasters. Emergency medical care can be provided at the hospital or at sites outside the medical facility.
An approach of practicing medicine with the goal to improve and evaluate patient care. It requires the judicious integration of best research evidence with the patient's values to make decisions about medical care. This method is to help physicians make proper diagnosis, devise best testing plan, choose best treatment and methods of disease prevention, as well as develop guidelines for large groups of patients with the same disease. (from JAMA 296 (9), 2006)
The traditional Hindu system of medicine which is based on customs, beliefs, and practices of the Hindu culture. Ayurveda means "the science of Life": veda - science, ayur - life.
Therapeutic practices which are not currently considered an integral part of conventional allopathic medical practice. They may lack biomedical explanations but as they become better researched some (PHYSICAL THERAPY MODALITIES; DIET; ACUPUNCTURE) become widely accepted whereas others (humors, radium therapy) quietly fade away, yet are important historical footnotes. Therapies are termed as Complementary when used in addition to conventional treatments and as Alternative when used instead of conventional treatment.
The discipline concerned with using the combination of conventional ALLOPATHIC MEDICINE and ALTERNATIVE MEDICINE to address the biological, psychological, social, and spiritual aspects of health and illness.
A medical discipline that is based on the philosophy that all body systems are interrelated and dependent upon one another for good health. This philosophy, developed in 1874 by Dr. Andrew Taylor Still, recognizes the concept of "wellness" and the importance of treating illness within the context of the whole body. Special attention is placed on the MUSCULOSKELETAL SYSTEM.
The field of medicine concerned with physical fitness and the diagnosis and treatment of injuries sustained in exercise and sports activities.
Programs of training in medicine and medical specialties offered by hospitals for graduates of medicine to meet the requirements established by accrediting authorities.
A system of traditional medicine which is based on the beliefs and practices of the African peoples. It includes treatment by medicinal plants and other materia medica as well as by the ministrations of diviners, medicine men, witch doctors, and sorcerers.
A medical specialty concerned with the use of physical agents, mechanical apparatus, and manipulation in rehabilitating physically diseased or injured patients.
Medical specialty concerned with the promotion and maintenance of the physical and mental health of employees in occupational settings.
The medical science concerned with the prevention, diagnosis, and treatment of diseases in animals.
Use of plants or herbs to treat diseases or to alleviate pain.
An agency of the NATIONAL INSTITUTES OF HEALTH concerned with overall planning, promoting, and administering programs pertaining to advancement of medical and related sciences. Major activities of this institute include the collection, dissemination, and exchange of information important to the progress of medicine and health, research in medical informatics and support for medical library development.
Drugs considered essential to meet the health needs of a population as well as to control drug costs.
Medical specialty concerned with environmental factors that may impinge upon human disease, and development of methods for the detection, prevention, and control of environmentally related disease.
Medical practice or discipline that is based on the knowledge, cultures, and beliefs of the people of KOREA.
Educational institutions for individuals specializing in the field of medicine.
A branch of medicine concerned with the total health of the individual within the home environment and in the community, and with the application of comprehensive care to the prevention and treatment of illness in the entire community.
The branch of medicine concerned with diseases, mainly of parasitic origin, common in tropical and subtropical regions.
Use for general articles concerning medical education.
A course of study offered by an educational institution.
A branch of medicine concerned with the role of socio-environmental factors in the occurrence, prevention and treatment of disease.
Time period from 1901 through 2000 of the common era.
The interrelationship of medicine and religion.
A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family.
A medical specialty concerned with the diagnosis and treatment of SLEEP WAKE DISORDERS and their causes.
Educational programs for medical graduates entering a specialty. They include formal specialty training as well as academic work in the clinical and basic medical sciences, and may lead to board certification or an advanced medical degree.
The capability to perform acceptably those duties directly related to patient care.
The teaching staff and members of the administrative staff having academic rank in a medical school.
Written or other literary works whose subject matter is medical or about the profession of medicine and related areas.
Individuals enrolled in a school of medicine or a formal educational program in medicine.
Concentrated pharmaceutical preparations of plants obtained by removing active constituents with a suitable solvent, which is evaporated away, and adjusting the residue to a prescribed standard.
A medical specialty primarily concerned with prevention of disease (PRIMARY PREVENTION) and the promotion and preservation of health in the individual.
Plants whose roots, leaves, seeds, bark, or other constituent parts possess therapeutic, tonic, purgative, curative or other pharmacologic attributes, when administered to man or animals.
The alterations of modes of medical practice, induced by the threat of liability, for the principal purposes of forestalling lawsuits by patients as well as providing good legal defense in the event that such lawsuits are instituted.
A branch of dentistry dealing with diseases of the oral and paraoral structures and the oral management of systemic diseases. (Hall, What is Oral Medicine, Anyway? Clinical Update: National Naval Dental Center, March 1991, p7-8)
Selection of a type of occupation or profession.
Branch of medicine involved with management and organization of public health response to disasters and major events including the special health and medical needs of a community in a disaster.
Time period from 1801 through 1900 of the common era.
The period of medical education in a medical school. In the United States it follows the baccalaureate degree and precedes the granting of the M.D.
Material prepared from plants.
A medical-surgical specialty concerned with the morphology, physiology, biochemistry, and pathology of reproduction in man and other animals, and on the biological, medical, and veterinary problems of fertility and lactation. It includes ovulation induction, diagnosis of infertility and recurrent pregnancy loss, and assisted reproductive technologies such as embryo transfer, in vitro fertilization, and intrafallopian transfer of zygotes. (From Infertility and Reproductive Medicine Clinics of North America, Foreword 1990; Journal of Reproduction and Fertility, Notice to Contributors, Jan 1979)
Hospital department responsible for the administration and management of nuclear medicine services.
Health as viewed from the perspective that humans and other organisms function as complete, integrated units rather than as aggregates of separate parts.
Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.
A system of therapeutics founded by Samuel Hahnemann (1755-1843), based on the Law of Similars where "like cures like". Diseases are treated by highly diluted substances that cause, in healthy persons, symptoms like those of the disease to be treated.
Research that involves the application of the natural sciences, especially biology and physiology, to medicine.
Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.
An occupation limited in scope to a subsection of a broader field.
Medical complexes consisting of medical school, hospitals, clinics, libraries, administrative facilities, etc.
The interdisciplinary field concerned with the development and integration of behavioral and biomedical science, knowledge, and techniques relevant to health and illness and the application of this knowledge and these techniques to prevention, diagnosis, treatment, and rehabilitation.
Drugs intended for human or veterinary use, presented in their finished dosage form. Included here are materials used in the preparation and/or formulation of the finished dosage form.
Medicines that can be sold legally without a DRUG PRESCRIPTION.
The assessing of academic or educational achievement. It includes all aspects of testing and test construction.
Materials or substances used in the composition of traditional medical remedies. The use of this term in MeSH was formerly restricted to historical articles or those concerned with traditional medicine, but it can also refer to homeopathic remedies. Nosodes are specific types of homeopathic remedies prepared from causal agents or disease products.
Societies whose membership is limited to physicians.
A subspecialty of internal medicine concerned with the study of the RESPIRATORY SYSTEM. It is especially concerned with diagnosis and treatment of diseases and defects of the lungs and bronchial tree.
Undergraduate education programs for second- , third- , and fourth-year students in health sciences in which the students receive clinical training and experience in teaching hospitals or affiliated health centers.
Time period from 2001 through 2100 of the common era.
The principles of professional conduct concerning the rights and duties of the physician, relations with patients and fellow practitioners, as well as actions of the physician in patient care and interpersonal relations with patient families.
Time period from 1701 through 1800 of the common era.
The self administration of medication not prescribed by a physician or in a manner not directed by a physician.
Individuals licensed to practice medicine.
Critical and exhaustive investigation or experimentation, having for its aim the discovery of new facts and their correct interpretation, the revision of accepted conclusions, theories, or laws in the light of newly discovered facts, or the practical application of such new or revised conclusions, theories, or laws. (Webster, 3d ed)
Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.
Traditional Arabic methods used in medicine in the ARAB WORLD.
Time period from 1601 through 1700 of the common era.
The educational process of instructing.
The practice of medicine as applied to special circumstances associated with military operations.
The period of history from the year 500 through 1450 of the common era.
Laws concerned with manufacturing, dispensing, and marketing of drugs.
A publication issued at stated, more or less regular, intervals.
The interactions between physician and patient.
The effect of herbs, other PLANTS, or PLANT EXTRACTS on the activity, metabolism, or toxicity of drugs.
Knowledge, attitudes, and associated behaviors which pertain to health-related topics such as PATHOLOGIC PROCESSES or diseases, their prevention, and treatment. This term refers to non-health workers and health workers (HEALTH PERSONNEL).
A branch of medicine which deals with sexually transmitted disease.
A drugless system of therapy, making use of physical forces such as air, light, water, heat, massage. Treatments are often diet- and nutrition-oriented with attention given to the patient's personal history and lifestyle. (From Cassileth, Alternative Medicine Handbook, 1998, p329)
The field of medicine concerned with understanding the biochemical basis of health and disease and involved in developing diagnostic and therapeutic methods that utilize MOLECULAR BIOLOGY techniques.
Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided.
Time period from 1401 through 1500 of the common era.
Women licensed to practice medicine.
A medical specialty concerned with maintaining health and providing medical care to children from birth to adolescence.
Compliance with a set of standards defined by non-governmental organizations. Certification is applied for by individuals on a voluntary basis and represents a professional status when achieved, e.g., certification for a medical specialty.
Mystical, religious, or spiritual practices performed for health benefit.
The vital life force in the body, supposedly able to be regulated by acupuncture. It corresponds roughly to the Greek pneuma, the Latin spiritus, and the ancient Indian prana. The concept of life-breath or vital energy was formulated as an indication of the awareness of man, originally directed externally toward nature or society but later turned inward to the self or life within. (From Comparison between Concepts of Life-Breath in East and West, 15th International Symposium on the Comparative History of Medicine - East and West, August 26-September 3, 1990, Shizuoka, Japan, pp. ix-x)
The largest country in North America, comprising 10 provinces and three territories. Its capital is Ottawa.
Time period from 1501 through 1600 of the common era.
The application of medical knowledge to questions of law.
That segment of commercial enterprise devoted to the design, development, and manufacture of chemical products for use in the diagnosis and treatment of disease, disability, or other dysfunction, or to improve function.
The branch of medicine concerned with the physiological and pathological aspects of the aged, including the clinical problems of senescence and senility.
Those physicians who have completed the education requirements specified by the American Academy of Family Physicians.
Facilities for the preparation and dispensing of drugs.
"The business or profession of the commercial production and issuance of literature" (Webster's 3d). It includes the publisher, publication processes, editing and editors. Production may be by conventional printing methods or by electronic publishing.
Treatment of disease by inserting needles along specific pathways or meridians. The placement varies with the disease being treated. It is sometimes used in conjunction with heat, moxibustion, acupressure, or electric stimulation.
The use of DRUGS to treat a DISEASE or its symptoms. One example is the use of ANTINEOPLASTIC AGENTS to treat CANCER.
Created 7 April 1992 as a result of the division of Yugoslavia.
Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.
The expected function of a member of the medical profession.
Communication, in the sense of cross-fertilization of ideas, involving two or more academic disciplines (such as the disciplines that comprise the cross-disciplinary field of bioethics, including the health and biological sciences, the humanities, and the social sciences and law). Also includes problems in communication stemming from differences in patterns of language usage in different academic or medical disciplines.
The application of scientific knowledge or technology to the field of radiology. The applications center mostly around x-ray or radioisotopes for diagnostic and therapeutic purposes but the technological applications of any radiation or radiologic procedure is within the scope of radiologic technology.
The study of plant lore and agricultural customs of a people. In the fields of ETHNOMEDICINE and ETHNOPHARMACOLOGY, the emphasis is on traditional medicine and the existence and medicinal uses of PLANTS and PLANT EXTRACTS and their constituents, both historically and in modern times.
Stipends or grants-in-aid granted by foundations or institutions to individuals for study.
The capability to perform the duties of one's profession generally, or to perform a particular professional task, with skill of an acceptable quality.
The concept concerned with all aspects of providing and distributing health services to a patient population.
Services providing pharmaceutic and therapeutic drug information and consultation.
Educational programs designed to inform physicians of recent advances in their field.
The occupational discipline of the traditional Chinese methods of ACUPUNCTURE THERAPY for treating disease by inserting needles along specific pathways or meridians.
A branch of genetics which deals with the genetic variability in individual responses to drugs and drug metabolism (BIOTRANSFORMATION).
The prediction or projection of the nature of future problems or existing conditions based upon the extrapolation or interpretation of existing scientific data or by the application of scientific methodology.
Restoration of human functions to the maximum degree possible in a person or persons suffering from disease or injury.
The application of discoveries generated by laboratory research and preclinical studies to the development of clinical trials and studies in humans. A second area of translational research concerns enhancing the adoption of best practices.
The practice of medicine concerned with conditions affecting the health of individuals associated with the marine environment.
Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.
The process of formulating, improving, and expanding educational, managerial, or service-oriented work plans (excluding computer program development).
A system of traditional medicine which is based on the beliefs and practices of the Tibetan culture.
In Chinese philosophy and religion, two principles, one negative, dark, and feminine (yin) and one positive, bright, and masculine (yang), from whose interaction all things are produced and all things are dissolved. As a concept the two polar elements referred originally to the shady and sunny sides of a valley or a hill but it developed into the relationship of any contrasting pair: those specified above (female-male, etc.) as well as cold-hot, wet-dry, weak-strong, etc. It is not a distinct system of thought by itself but permeates Chinese life and thought. A balance of yin and yang is essential to health. A deficiency of either principle can manifest as disease. (Encyclopedia Americana)
Studies designed to assess the efficacy of programs. They may include the evaluation of cost-effectiveness, the extent to which objectives are met, or impact.
Physicians who serve in a medical and administrative capacity as head of an organized medical staff and who also may serve as liaison for the medical staff with the administration and governing board.
Drugs manufactured and sold with the intent to misrepresent its origin, authenticity, chemical composition, and or efficacy. Counterfeit drugs may contain inappropriate quantities of ingredients not listed on the label or package. In order to further deceive the consumer, the packaging, container, or labeling, may be inaccurate, incorrect, or fake.
The period of history before 500 of the common era.
Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)
A system of medical care regulated, controlled and financed by the government, in which the government assumes responsibility for the health needs of the population.
Drugs whose drug name is not protected by a trademark. They may be manufactured by several companies.
The reciprocal interaction of two or more professional individuals.
The use of one's knowledge in a particular profession. It includes, in the case of the field of biomedicine, professional activities related to health care and the actual performance of the duties related to the provision of health care.
Professional medical personnel approved to provide care to patients in a hospital.
A historical and cultural entity dispersed across the wide geographical area of Europe, as opposed to the East, Asia, and Africa. The term was used by scholars through the late medieval period. Thereafter, with the impact of colonialism and the transmission of cultures, Western World was sometimes expanded to include the Americas. (Dr. James H. Cassedy, NLM History of Medicine Division)
A loose confederation of computer communication networks around the world. The networks that make up the Internet are connected through several backbone networks. The Internet grew out of the US Government ARPAnet project and was designed to facilitate information exchange.
Multidisciplinary field focusing on prevention of infectious diseases and patient safety during international TRAVEL. Key element of patient's pre-travel visit to the physician is a health risk assessment.
The granting of a license to practice medicine.
Branch of medicine concerned with the prevention and control of disease and disability, and the promotion of physical and mental health of the population on the international, national, state, or municipal level.
Disorders that result from the intended use of PHARMACEUTICAL PREPARATIONS. Included in this heading are a broad variety of chemically-induced adverse conditions due to toxicity, DRUG INTERACTIONS, and metabolic effects of pharmaceuticals.
Certification as complying with a standard set by non-governmental organizations, applied for by institutions, programs, and facilities on a voluntary basis.
Physicians who are employed to work exclusively in hospital settings, primarily for managed care organizations. They are the attending or primary responsible physician for the patient during hospitalization.
The branch of pharmacology that deals directly with the effectiveness and safety of drugs in humans.
The use of statistical methods in the analysis of a body of literature to reveal the historical development of subject fields and patterns of authorship, publication, and use. Formerly called statistical bibliography. (from The ALA Glossary of Library and Information Science, 1983)
Exclusive legal rights or privileges applied to inventions, plants, etc.
The relation between the mind and the body in a religious, social, spiritual, behavioral, and metaphysical context. This concept is significant in the field of alternative medicine. It differs from the relationship between physiologic processes and behavior where the emphasis is on the body's physiology ( = PSYCHOPHYSIOLOGY).
Conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes school admission or job interviews.
A love or pursuit of wisdom. A search for the underlying causes and principles of reality. (Webster, 3d ed)
New abnormal growth of tissue. Malignant neoplasms show a greater degree of anaplasia and have the properties of invasion and metastasis, compared to benign neoplasms.
Major administrative divisions of the hospital.
Historically, the treatment of disease by the administration of animal organs or their extracts (after Brown-Sequard). At present synthetic preparations substitute for the extracts of a gland. (From Stedman, 26th ed)
Conferences, conventions or formal meetings usually attended by delegates representing a special field of interest.
Process that is gone through in order for a drug to receive approval by a government regulatory agency. This includes any required pre-clinical or clinical testing, review, submission, and evaluation of the applications and test results, and post-marketing surveillance of the drug.
Educational programs designed to ensure that students attain prespecified levels of competence in a given field or training activity. Emphasis is on achievement or specified objectives.
The study of natural phenomena by observation, measurement, and experimentation.
The upward or downward mobility in an occupation or the change from one occupation to another.
Directions written for the obtaining and use of DRUGS.
The specialty related to the performance of techniques in clinical pathology such as those in hematology, microbiology, and other general clinical laboratory applications.
Directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery.
The exchange or transmission of ideas, attitudes, or beliefs between individuals or groups.
Works about clinical trials that involve at least one test treatment and one control treatment, concurrent enrollment and follow-up of the test- and control-treated groups, and in which the treatments to be administered are selected by a random process, such as the use of a random-numbers table.
Decisions, usually developed by government policymakers, for determining present and future objectives pertaining to the health care system.
Musculoskeletal manipulation based on the principles of OSTEOPATHIC MEDICINE developed in 1874 by Dr Andrew Taylor Still.
Organizations which certify physicians and dentists as specialists in various fields of medical and dental practice.
A system for verifying and maintaining a desired level of quality in a product or process by careful planning, use of proper equipment, continued inspection, and corrective action as required. (Random House Unabridged Dictionary, 2d ed)
The body of truths or facts accumulated in the course of time, the cumulated sum of information, its volume and nature, in any civilization, period, or country.
The exchange of students or professional personnel between countries done under the auspices of an organization for the purpose of further education.
The process of making a selective intellectual judgment when presented with several complex alternatives consisting of several variables, and usually defining a course of action or an idea.
The terms, expressions, designations, or symbols used in a particular science, discipline, or specialized subject area.
A medical-surgical specialty concerned with management and care of women during pregnancy, parturition, and the puerperium.
A modified Greco-Arabic medical system flourishing today as unani medicine. It was the product of Arab physicians and scholars captivated by Greek philosophy, science, and medicine. It is practiced today in India and Pakistan, largely as a type of herbal medicine. (From Magner, A History of Medicine, 1992, p136)
The aggregate of various economic, political, and social policies by which an imperial power maintains or extends its control over other areas or peoples. It includes the practice of or belief in acquiring and retaining colonies. The emphasis is less on its identity as an ideological political system than on its designation in a period of history. (Webster, 3d ed; from Dr. J. Cassedy, NLM History of Medicine Division)
Those persons legally qualified by education and training to engage in the practice of pharmacy.
Senior professionals who provide guidance, direction and support to those persons desirous of improvement in academic positions, administrative positions or other career development situations.
The premier bibliographic database of the NATIONAL LIBRARY OF MEDICINE. MEDLINE® (MEDLARS Online) is the primary subset of PUBMED and can be searched on NLM's Web site in PubMed or the NLM Gateway. MEDLINE references are indexed with MEDICAL SUBJECT HEADINGS (MeSH).
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Economic aspects of the field of medicine, the medical profession, and health care. It includes the economic and financial impact of disease in general on the patient, the physician, society, or government.
A plan for collecting and utilizing data so that desired information can be obtained with sufficient precision or so that an hypothesis can be tested properly.
A systematic statement of policy rules or principles. Guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by convening expert panels. The text may be cursive or in outline form but is generally a comprehensive guide to problems and approaches in any field of activity. For guidelines in the field of health care and clinical medicine, PRACTICE GUIDELINES AS TOPIC is available.
The interaction of two or more persons or organizations directed toward a common goal which is mutually beneficial. An act or instance of working or acting together for a common purpose or benefit, i.e., joint action. (From Random House Dictionary Unabridged, 2d ed)
The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.
Public attitudes toward health, disease, and the medical care system.
Information systems, usually computer-assisted, designed to store, manipulate, and retrieve information for planning, organizing, directing, and controlling administrative activities associated with the provision and utilization of radiology services and facilities.
Organizations representing specialized fields which are accepted as authoritative; may be non-governmental, university or an independent research organization, e.g., National Academy of Sciences, Brookings Institution, etc.
A province of Canada lying between the provinces of Manitoba and Quebec. Its capital is Toronto. It takes its name from Lake Ontario which is said to represent the Iroquois oniatariio, beautiful lake. (From Webster's New Geographical Dictionary, 1988, p892 & Room, Brewer's Dictionary of Names, 1992, p391)
Hospitals engaged in educational and research programs, as well as providing medical care to the patients.
Financial support of research activities.
Licensed physicians trained in OSTEOPATHIC MEDICINE. An osteopathic physician, also known as D.O. (Doctor of Osteopathy), is able to perform surgery and prescribe medications.
The determination of the nature of a disease or condition, or the distinguishing of one disease or condition from another. Assessment may be made through physical examination, laboratory tests, or the likes. Computerized programs may be used to enhance the decision-making process.
Geographic area in which a professional person practices; includes primarily physicians and dentists.
The collective designation of three organizations with common membership: the European Economic Community (Common Market), the European Coal and Steel Community, and the European Atomic Energy Community (Euratom). It was known as the European Community until 1994. It is primarily an economic union with the principal objectives of free movement of goods, capital, and labor. Professional services, social, medical and paramedical, are subsumed under labor. The constituent countries are Austria, Belgium, Denmark, Finland, France, Germany, Greece, Ireland, Italy, Luxembourg, Netherlands, Portugal, Spain, Sweden, and the United Kingdom. (The World Almanac and Book of Facts 1997, p842)
The use of mind to cure disease, particularly physical illness.

Towards evidence-based health care reform. (1/6496)

Health care reform in Europe is discussed in the light of the Ljubljana Charter, with particular reference to progress made in Estonia and Lithuania.  (+info)

Investigating fatigue of less than 6 months' duration. Guidelines for family physicians. (2/6496)

OBJECTIVE: To develop an evidence-based systematic approach to assessment of adult patients who present to family physicians complaining of fatigue of less than 6 months' duration. The guidelines present investigative options, making explicit what should be considered in all cases and what should be considered only in specific situations. They aim to provide physicians with an approach that, to the extent possible, is based on evidence so that time and cost are minimized and detection and management of the cause of the fatigue are optimized. QUALITY OF EVIDENCE: MEDLINE was searched from 1966 to 1997 using the key words "family practice" and "fatigue." Articles about chronic fatigue syndrome were excluded. Articles with level 3 evidence were found, but no randomized trials, cohort studies, or case-control studies were found. Articles looking specifically at the epidemiology, demographics, investigations, and diagnoses of patients with fatigue were chosen. Articles based on studies at referral and specialty centres were given less weight than those based on studies in family physicians' offices. MAIN MESSAGE: Adherence to these guidelines will decrease the cost of investigating the symptom of fatigue and optimize diagnosis and management. This needs to be proved in practice, however, and with research that produces level 1 and 2 evidence. CONCLUSIONS: Adults presenting with fatigue of less than 6 months' duration should be assessed for psychosocial causes and should have a focused history and physical examination to determine whether further investigations should be done. The guidelines outline investigations to be considered. The elderly require special consideration. These guidelines have group validation, but they need to be tested by more physicians in various locations and types of practices.  (+info)

Infective endocarditis and dentistry: outcome-based research. (3/6496)

Antibiotic prophylaxis for prevention of infective endocarditis has long been recommended for patients receiving dental care. Two studies of patients with endocarditis found limited risk associated with dental treatment. It is imperative that guidelines for therapy be based on outcome studies and on evidence of safety, efficacy and cost effectiveness.  (+info)

A design model for computer-based guideline implementation based on information management services. (4/6496)

Clinical practice guidelines must be implemented effectively if they are to influence the behavior of clinicians. The authors describe a model for computer-based guideline implementation that identifies eight information management services needed to integrate guideline-based decision support with clinical workflow. Recommendation services determine appropriate activities in specific clinical circumstances. Documentation services involve data capture. Registration services integrate demographic and administrative data. Explanation services enhance the credibility of automated recommendations by providing supportive evidence and rating the quality of evidence. Calculation services measure time intervals, suggest medication dosages, and perform other computational tasks. Communication services employ standards for information transfer and provide data security. Effective presentation services facilitate understanding of complex data, clarify trends, and format written materials (including prescriptions) for patients. Aggregation services associate outcomes with specific guideline interventions. The authors provide examples of the eight services that make up the model from five evidence-based practice parameters developed by the American Academy of Pediatrics.  (+info)

Maternity Care Guidelines checklist. To assist physicians in implementing CPGs. (5/6496)

PROBLEM BEING ADDRESSED: Implementing the recommended clinical practice guidelines for prenatal care can be difficult for busy practitioners because the guidelines are numerous and continually being revised. OBJECTIVE OF PROGRAM: To develop a checklist outlining the current recommended activities for prenatal care to assist practitioners in providing evidence-based interventions to pregnant women. MAIN COMPONENTS OF PROGRAM: We reviewed guidelines for prenatal care from the Canadian Task Force on the Periodic Health Examination (CTFPHE) and from the report of the US Preventive Services Task Force (USPSTF). We searched MEDLINE for interventions commonly performed in pregnancy, but not reviewed by either task force. Interventions graded A or B are listed in bold type on the checklist. Interventions graded C by either task force or recommended by organizations not necessarily using the same rigorous criteria are listed in plain type. Recommended interventions are displayed along a time line under three headings: clinical maneuvers, investigations, and issues for discussion. Pilot testing by 12 practising physicians and 12 family practice residents showed that most respondents thought the checklist very useful. CONCLUSIONS: Providing a one-page checklist summarizing recommended clinical maneuvers, investigations, and topics for discussion should help physicians with implementing the many clinical practice guidelines for prenatal care.  (+info)

Achieving 'best practice' in health promotion: improving the fit between research and practice. (6/6496)

This paper is based on the proposition that transfer of knowledge between researchers and practitioners concerning effective health promotion interventions is less than optimal. It considers how evidence concerning effectiveness in health promotion is established through research, and how such evidence is applied by practitioners and policy makers in deciding what to do and what to fund when addressing public health problems. From this examination it is concluded that there are too few rewards for researchers which encourage research with potential for widespread application and systematic development of promising interventions to a stage of field dissemination. Alternatively, practitioners often find themselves in the position of tackling a public health problem where evidence of efficacy is either lacking, or has to be considered alongside a desire to respond to expressed community needs, or the need to respond to political imperative. Several different approaches to improving the fit between research and practice are proposed, and they include improved education and training for practitioners, outcomes focussed program planning, and a more structured approach to rewarding research development and dissemination.  (+info)

Evidence for success in health promotion: suggestions for improvement. (7/6496)

This paper argues that health promotion needs to develop an approach to evaluation and effectiveness that values qualitative methodologies. It posits the idea that qualitative research could learn from the experience of quantitative researchers and promote more useful ways of measuring effectiveness by the use of intermediate and indirect indicators. It refers to a European-wide project designed to gather information on the effectiveness of health promotion interventions. This project discovered that there was a need for an instrument that allowed qualitative intervention methodologies to be assessed in the same way as quantitative methods.  (+info)

What proportion of primary psychiatric interventions are based on evidence from randomised controlled trials? (8/6496)

OBJECTIVES: To estimate the proportion of psychiatric inpatients receiving primary interventions based on randomised controlled trials or systematic reviews of randomised controlled trials. DESIGN: Retrospective survey. SETTING: Acute adult general psychiatric ward. SUBJECTS: All patients admitted to the ward during a 28 day period. MAIN OUTCOME MEASURES: Primary interventions were classified according to whether or not they were supported by evidence from randomised controlled trials or systematic reviews. RESULTS: The primary interventions received by 26/40 (65%; 95% confidence interval (95% CI) 51% to 79%) of patients admitted during the period were based on randomised trials or systematic reviews. CONCLUSIONS: When patients were used as the denominator, most primary interventions given in acute general psychiatry were based on experimental evidence. The evidence was difficult to locate; there is an urgent need for systematic reviews of randomised controlled trials in this area.  (+info)

Through its Vitamin D Initiative, the National Institutes of Health (NIH) Office of Dietary Supplements (ODS) leads several efforts to advance scientific understanding of vitamin D and health. On December 2-3, 2014, ODS sponsored a conference and videocast titled, Vitamin D: Moving Toward Evidence-based Decision Making in Primary Care, at NIHs Natcher Conference Center in Bethesda, MD, in collaboration with federal cosponsors. This conference provided a forum to identify and discuss issues focused on evidence-based decision making for vitamin D in primary care settings. Also, research gaps and data needs relevant to improving approaches and reducing uncertainties surrounding vitamin D were highlighted ...
When Robert M. Califf, MD, takes over as FDA commissioner, the prominent cardiologist plans on focusing on evidence-based medicine and recruiting and retaining talent at the agency. Califf spoke with the Washington Post in a brief interview soon after the Senate confirmed his appointment on Feb. 24.
What We Have Learned and What We Need to Know. by John R. Wingard, Editor. Evidence-based medicine is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidence-based medicine means integrating individual clinical experience with the best available external clinical evidence from systematic research.1. The American Society for Blood and Marrow Transplantation (ASBMT) has supported the conduct of a series of evidence-based reviews exploring the role of hematopoietic cell transplantation (HCT) in various hematologic disorders over the past several years. Earlier reviews can be viewed at the Societys Web site at www.asbmt.org. The enclosed abridged report summarizes the major findings of two recent reviews addressing the role of HCT in the management of acute lymphoblastic leukemia, one review in children, the other in adults.. A number of lessons have been learned during the course of this effort ...
TY - JOUR. T1 - Pioglitazone and metformin fixed-dose combination in type 2 diabetes mellitus. T2 - An evidence-based review of its place in therapy. AU - Derosa, Giuseppe. AU - Salvadeo, S. A T. PY - 2008. Y1 - 2008. N2 - Introduction: Type 2 diabetes mellitus, a metabolic disease with increasing incidence, is one of the most important cardiovascular risk factors. Insulin resistance represents the common mechanism that leads to type 2 diabetes in obese subjects. Metformin and the thiazolidinediones, pioglitazone and rosiglitazone, are insulin-sensitizing agents available for treatment of type 2 diabetes. Large clinical trials have demonstrated the effectiveness of both metformin and pioglitazone in reducing cardiovascular morbidity and mortality. The fixed-dose combination of metformin and pioglitazone appears to be a good option for treating diabetes in insulin-resistant patients. Aims: The purpose of this article is to review the place in therapy of a fixed-dose combination of pioglitazone ...
Neil Buckholtz, PhD (Chairperson), Chief, Dementias of Aging Branch, Neuroscience and Neuropsychology of Aging Program, National Institute on Aging, National Institutes of Health, Bethesda, Maryland; Lisa Ahramjian, MS, Communications Specialist, Office of Medical Applications of Research, Office of the Director, National Institutes of Health, Bethesda, Maryland; Shilpa Amin, MD, MBSc, Medical Officer, Evidence-based Practice Centers Program, Center for Outcomes and Evidence, Agency for Healthcare Research and Quality, Rockville, Maryland; Lynda A. Anderson, PhD, Director, Healthy Aging Program, Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Coordinating Center for Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia; Nancy C. Andreasen, MD, PhD (Conference and Panel Chairperson‡), Director, Mental Health Clinical Research Center; Director, Psychiatric Iowa Neuroimaging Consortium; and Andrew H. Woods Chair ...
TY - GEN. T1 - EBCPG. T2 - 9th International Congress on Nursing Informatics, NI 2006. AU - Yang, Wen Wen. AU - Chiang, I-Jen. PY - 2006. Y1 - 2006. N2 - Evidence-based clinical practice guidelines (CPG) have been recognized as an important guide to physicians for decision-making. These guidelines can assist physicians in giving good clinical care to their patients. Based on the overall healthcare improvements, medical care quality can be preserved while practice discrepancies and errors can be eliminated. Clear representation and accessible guideline content at the point care are also critical. One way to make implementation easier is through computerized and visualized guidelines combined with evidence-based literature. Therefore, this paper presents a computerized guideline system, EBCPG, which is composed of three main components: CPGs exploration, EBM exploration and Web-base management to accommodate clinician decision-making and maintainability. Two tasks based on CPGs exploration and ...
TY - JOUR. T1 - Barriers and facilitators of evidence-based management of patients with bacterial infections among general dental practitioners. T2 - a theory-informed interview study. AU - Newlands, Rumana. AU - Duncan, Eilidh M.. AU - Prior, Maria. AU - Elouafkaoui, Paula. AU - Elders, Andrew. AU - Young, Linda. AU - Clarkson, Jan E.. AU - Ramsay, Craig R.. AU - Translation Research in a Dental Setting (TRiaDS) Research Methodology Group. N1 - Acknowledgements We thank all the participants for their contribution to the study. We thank the TRiaDS Research methodology group including I Black, D Bonetti, H Cassie, M Eccles, S Eldridge, JJ Francis, JM Grimshaw, L Macpherson, L McKee, S Michie, N Pitts, D Richards, D Stirling, C Tilley, C Torgerson, S Treweek, L Vale and A Walker for their guidance and contribution to the design and development of the study. We would also like to thank Sarah Blackburn, Lorna Barnsley and Jill Farnham for providing invaluable administrative support for this ...
July 11-12 and 19, 2014. Local Coordinator: Dr Swaroop N. The Oxford University Maternal and Perinatal Health Institute (OMPHI) in collaboration with the Geneva Foundation for Medical Education and Research (GFMER) has provided health professionals from Karnataka in Southern State of India with a three-day, free training course on The evidence-based management of Postpartum Haemorrhage. The course was developed in an e-learning format and sponsored by the Maternal Health Task Force at the Harvard School of Public Health and the funding was provided by the Bill & Melinda Gates Foundation.. The training was conducted with the support of Karnataka Health Promotion Trust (KHPT), India and held at the Hospet Province on 11th & 12th July 2014 and at Gulbarga Province on 19th July 2014. The event was facilitated by Dr Swaroop N, technical manager Maternal, Neonatal and Child Health (MNCH) Project, Dr Pavan BS, technical Manager MNCH Project, Dr L Troy Cunningham, Deputy Director-Quality Improvement ...
OBJECTIVE To develop evidence-based recommendations on how to investigate and follow-up undifferentiated peripheral inflammatory arthritis (UPIA). METHODS 697 rheumatologists from 17 countries participated in the 3E (Evidence, Expertise, Exchange) Initiative of 2008-9 consisting of three separate rounds of discussions and modified Delphi votes. In the first round 10 clinical questions were selected. A bibliographic team systematically searched Medline, Embase, the Cochrane Library and ACR/EULAR 2007-2008 meeting abstracts. Relevant articles were reviewed for quality assessment, data extraction and synthesis. In the second round each country elaborated a set of national recommendations. Finally, multinational recommendations were formulated and agreement among the participants and the potential impact on their clinical practice was assessed. RESULTS A total of 39,756 references were identified, of which 250 were systematically reviewed. Ten multinational key recommendations about the investigation
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Acknowledgments. Foreword.. Preface.. Part I: Introduction.. 1 The philosophy of evidence-based medicine.. 1.1 What on earth was medicine based on before evidence-based medicine?. 1.2 Scope of the book.. 1.3 How the claims of EBM will be examined.. 1.4 Structure of what is to come.. 2 What is EBM?. 2.1 EBM as a self-proclaimed Kuhnian paradigm.. 2.2 The motivation for the birth of EBM: a sketch.. 2.3 Original definition of EBM.. 2.4 Reaction to criticism of the EBM system of evidence: more subtle, more or less the same.. 3 What is good evidence for a clinical decision?. 3.1 Introduction.. 3.2 Evidence for clinical effectiveness.. 3.3 Strong evidence tells us what?. Part II: Do randomization, double masking, and placebo controls rule out more confounding factors than their alternatives?. 4 Ruling out plausible rival hypotheses and confounding factors: a method.. 5 Resolving the paradox of effectiveness: when do observational studies offer the same degree of evidential support as randomized ...
Until now, the impact of evidence-based practice centers (EPCs) on hospital decision making has been relatively unclear-but new data from Penn Medicine researchers suggest that hospital EPCs can accurately distribute clinical evidence and are useful in influencing the stakeholder decision-making process.
TY - JOUR. T1 - Evidence-based clinical practice guidelines for inflammatory bowel disease 2020. AU - Nakase, Hiroshi. AU - Uchino, Motoi. AU - Shinzaki, Shinichiro. AU - Matsuura, Minoru. AU - Matsuoka, Katsuyoshi. AU - Kobayashi, Taku. AU - Saruta, Masayuki. AU - Hirai, Fumihito. AU - Hata, Keisuke. AU - Hiraoka, Sakiko. AU - Esaki, Motohiro. AU - Sugimoto, Ken. AU - Fuji, Toshimitsu. AU - Watanabe, Kenji. AU - Nakamura, Shiro. AU - Inoue, Nagamu. AU - Itoh, Toshiyuki. AU - Naganuma, Makoto. AU - Hisamatsu, Tadakazu. AU - Watanabe, Mamoru. AU - Miwa, Hiroto. AU - Enomoto, Nobuyuki. AU - Shimosegawa, Tooru. AU - Koike, Kazuhiko. N1 - Funding Information: This article was supported by a Grant-in-Aid from JSGE. The authors thank the investigators and supporters for participating in the studies. The authors express special appreciation. To Mr. Yuji Tatsugami and Miss. Ayari Sada (Nankodo) for their help in creating these guidelines. Funding Information: This work was supported by Health and Labour ...
What Do We Mean By Research Evidence? In the justice system, the term evidence is used in a variety of ways. It can refer to items collected at a crime scene, eyewitness accounts, or security camera footage. These types of evidence are referred to as legal evidence.. For the purposes of the EBDM initiative, however, the term evidence is used to describe findings from empirically sound social science research. The initiative refers to the results of this research as evidence-based policy and practice.. ...
In the first encounter, the nurse role modelsevidence-based practice (mode 1 in table 1⇑), combining the actual doing with the think aloud technique to guide the learners attention to what is being done. By using mode 1, we demonstrate to learners how we incorporate evidence, along with other knowledge, into clinical decisions, so that they come to see the use of evidence as part of good clinical practice. We show by example that we really do it, and we can give pointers on when, where, and how to do it, too. Given the maxim actions speak louder than words, we can expect this first mode of teaching evidence-based practice to be very effective in and of itself, and it should reinforce what learners derive from other modes.. In the second encounter, the teacher weavesevidence in among the other facts and skills being taught (mode 2 in table 1⇑). When we teach clinical topics with evidence in the mix, we show by example how to integrate evidence with other useful knowledge in the context ...
The purpose and procedure section in each issue of Evidence-Based Medicine describes the criteria for selecting articles for inclusion. The journals read are also listed in each issue. All articles that meet our criteria in the reviewed journals are cited in Evidence-Based Medicine, but there is not enough space to abstract them all. The following articles passed all criteria but were not abstracted. Practising clinicians rated them for clinical relevance and newsworthiness, and the mean scores are displayed. A fuller list of articles and a sample of the rating form are available on the Evidence-Based Medicine web site (http://www.evidence-basedmedicine.com/cgi/content/full/10/4/e1).. ...
2-Day Mindfulness, Compassion & Biofeedback: Evidence-Based Strategies to Improve Self-Regulation & Stress Reduction in Clients with PTSD, Anxiety, Chronic Pain & More
Report of the Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child Neurology Society. J.J. Riviello, Jr., MD; S. Ashwal, MD; D. Hirtz, MD; T. Glauser, MD; K. Ballaban-Gil, MD; K. Kelley, MD; L.D. Morton, MD; S. Phillips, MD; E. Sloan, MD; and S. Shinnar, MD, PhD. Endorsed by the American College of Emergency Physicians on August 31, 2006; by the American Academy of Pediatrics on October 3, 2006; and by the American Epilepsy Society on October 3, 2006.. Approved by the Quality Standards Subcommittee on January 28, 2006; by the Practice Committee on August 5, 2006; and by the AAN Board of Directors on August 17, 2006.. ...
Despite its recent development, evidence-based medicine (EBM) is increasingly being implemented in clinical practice, taught in medical schools, and relied upon in government policy-making. Although the principles guiding EBM may seem simple, the translation of scientific and clinical evidence into medical practice has inherent challenges. This review of EBM provides an overview of the history and development of EBM. In addition, we discuss some of the current academic groups that provide EBM resources, specifically the Cochrane Collaboration and the Therapeutics Initiative. We also present several challenges that face the practice of EBM and the barriers that persist in the medical curricula as educators strive to teach these concepts.. Full text (PDF, 484KB). Diao D, Galm B, Shamon S. Evidence-Based Medicine: An Introduction for Medical Students. UBCMJ. 2009 1(1):16-18.. ...
Dont kid yourself. Big Corporations are never altruistic for the sake of being altruistic. They cant be. They have share-holders to keep happy. Every single thing they do and every move they make is predicated on making money and increasing market share. The bigger the corporation, the more money it takes to keep the wheels turning. The real question we need to be asking in light of this story is can we trust them? Can we trust The Industries mentioned (Big Pharma and medical device makers) to play nice? Are you kidding me? HERE are a few of my posts on Evidence-Based Medicine, revealing why it will never be the bell tower of truth that DR. GORSKI and others believe it to be. But these links dont even begin to tell the whole story --- not even the tip of the tip of the tip of the iceberg. This problem of COI in the medical industry is so prevalent that its basically winked at --- that is until someone gets caught. Then, by golly, they need to pay! This is always stated in the most ...
AACC offers a wealth of information on Evidence-based Medicine. This web page displays selected articles, books, and other valuable resources that best match the topic.
Evidence-Based Health Practice is an introductory level text for undergraduate students studying in allied health, public health and nursing courses in Australia and New Zealand. It explains research methodology in relation to evidence-based practice and interprofessionalism, and provides students with relevant information to help them develop the skills they need to find, understand and evaluate evidence.
Events - Family Medicine: An Evidence-Based Approach to Patient Care - Hyatt Sarasota on Sarasota Bay - Sarasota - Florida - United States - United States - Family Medicine: An Evidence-Based Approach to Patient Care \r\n March 3-7, 2014 (8:00am-12:15pm) \r\n Meeting Site: Sarasota, FL \r\n Sponsor/Certification: American Medical Seminars, Inc. designates these live activities for a maximum of 20 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. \r\n Daily Outline: \r\n Day 1 Anemia - A Finding, Not Yet a Diagnosis. Venous Thromboembolism (VTE): Diagnosis and Treatment. Chronic Pain. Update on COPD. Day 2 Asthma Update. Foot and Ankle Injuries. Evaluation and Treatment of Hypertensive Patients. Treating Patients with Type 2 Diabetes Mellitus. Day 3 Ischemic Heart Disease in Women. Osteoporosis: Treatment and Prevention. Domestic Violence. The Knee: A Critical Evaluation of Two Common Problems. Day 4
Justification The accident rate increases to 15.1 MVA/MVMT for 80 to 85 year old drivers and 38.8 accidents per million vehicle miles traveled (MVA/MVMT )for drivers over age 85, while the average annual mileage driven decreases from 13,000 miles per year for drivers age 40 to 44, to 2,615 miles for drivers 80 to 84.
TY - BOOK. T1 - The Arm Book. T2 - How to Deal with Upper Limb Pain or Injury - Based on the Latest Medical Research AU - Kendall, Nicholas. AU - Birrell, Lisa. AU - Bainbridge, LC. AU - Pearce, Brian. AU - Burton, Anthony. PY - 2011/9/26. Y1 - 2011/9/26. N2 - This booklet provides evidence-based information for people with common upper limb problems. The Arm Book outlines why people suffer from arm pain and gives advice on how best to recover, advising on what is best and safe to do.Based on scientific evidence this publication answers important questions and includes the very latest thinking on the subject. It is aimed at sufferers of arm pain as well as employers, doctors and therapists for handing out to their patients. It aims to improve arm problems and have a positive influence on health and vocational outcomes.. AB - This booklet provides evidence-based information for people with common upper limb problems. The Arm Book outlines why people suffer from arm pain and gives advice on ...
Grant applications, reviews, correspondence, agenda, reports, minutes, newsletters, articles, pre-launch copy of Evidence-Based Cardiovascular Medicine. Correspondence from Shah Ebrahim, Carolyn Summerbell, John Garrow, Antonio Dans, Allan Kitching and Salim Yusuf. ...
Elessi, K., Albarqouni, L., Glasziou, P. & Chalmers, I., 28 Mar 2020, In: The Lancet. 395, 10229, p. e60 1 p.. Research output: Contribution to journal › Letter › Research › peer-review ...
This is a measure of the proportion of people in a population who have a disease at a point in time, or over some period of time.. « Back to Glossary Index ...
Years ago, when the phrase evidence-based medicine was first being popularized, my friend and colleague Dr Bob Meek remarked, Whats new about that? He was correct; there was nothing new about the idea. In my experience, doctors have always tried to manage patients based on the best available evidence.. David Sackett, credited with popularizing evidence-based medicine defined it as the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients. Who could argue with that?. One group that seeks to impose unproven top-down protocols on clinicians calls itself EvidenceNetwork.ca. They show how one can hijack a theoretically good concept and manipulate the model to create what they believe are valid guidelines pertaining to clinical treatments in which they have little or no expertise. That particular group lists nonclinical self-proclaimed experts who offer expert guidance in those areas.. I believe there are two kinds of ...
Updated 13 June 2016. We rated medical care services as Good overall because;. Care was provided in line with national best practice guidelines and medical care services participated in the majority of clinical audits where they were eligible to take part. National audits indicated that the majority of patients experienced good outcomes. Improvements had been made in the provision of stroke care although some improvements were still required. Action plans were in progress where areas for improvement had been identified. There was a focus on discharge planning from the moment of admission and there was good multidisciplinary working to support this.. Incidents were reported and investigated appropriately. Lessons were learnt and improvements made following incidents and findings were fed back to staff. There were systems in place to keep people safe and staff were aware of how to ensure patients were safeguarded from abuse. The hospital was clean and staff followed good hygiene practices. ...
In this work, we described the development of evidence-based guidelines for the care of patients with diabetes by primary care practitioners, using glycemic and blood pressure control and retinal screening as examples. The careful review and analysis of an independently prepared, evidence-based synthesis by a multispecialty panel of experts provided the best available evidence to the working group. Guidelines are meant to be applicable to large and complex health care systems and yet to empower the process of individual patient-practitioner counseling and goal setting based on individual risk stratification. The VA/DoD Clinical Guidelines for Treatment of Diabetes are intended to be a unifying standard of medical practice for the two largest agencies in the federal health care system that provide direct health care.. Some may criticize certain recommendations as being economically motivated with a design to minimize short-term costs. However, any target value endorsed by a guideline obligates ...
Derek Rowlands graduated in Physiology and in Medicine, from Manchester University. He subsequently worked at Manchester Royal Infirmary, Hammersmith Hospital and the Mayo Clinic and for over 25 years was Consultant Cardiologist at the Manchester Royal Infirmary. Following his retirement from the NHS he has continued to undertake regular outpatient clinical work at the Alexandra Hospital and has an ongoing programme of writing and teaching. He is particularly committed to improving the quality of ECG interpretation in the NHS and has (jointly with Dr. Philip Moore) written an editorial on the subject for the current (May 2014) issue of the British Journal of Cardiology ...
Evidence-based medicine refers to an approach to the teaching and practice of medicine that developed in the late 1980s and early 1990s. The approach emphasizes that medicine should be practiced according to evidence that can be assayed on the basis of its quality. The idea is that from among competing claims that physicians might face concerning various courses of action they might take, they can choose a course from evidence that has been assessed rigorously and presented systematically.. An influential aspect of the evidence-based medicine approach has been the Cochrane corroboration which is a collaboration of physicians and scientists who undertake detailed, systematic reviews of the evidence surrounding given courses of action. They attempt to gather all relevant information, including research that was conducted to a high standard but its results were not published. (Failure to publish the results of clinical trials appears to be common in the pharmaceutical industry, where there is no ...
A variety of emotional and behavioural disorders may develop following stroke. In stroke, prevalence rates of depression and anxiety have been reported to be as high as 24% and 29% respectively. These rates may be influenced by a combination of factors such as age, sex, socioeconomic factors, functional independence post-stroke, and the presence of cognitive disorders post-stroke which play a crucial role in an individuals emotional well-being and can significantly impact recovery. Many studies have investigated pharmacological and non-pharmacological treatment options for post-stroke mood disturbances; however, no consensus has been reached regarding the most effective and viable treatment option available although the most effective treatment option appears to be pharmacological. This chapter explores the evidence of the various interventions on reducing post-stroke depression and other mood disorders, and delves into the possible risk factors that can facilitate the occurrence of post-stroke ...
In this review, rehabilitative therapies of upper extremity complications are summarized, the current literature articles are described and scored, and recommendations are made based on the most up to date evidence ...
Periodontal diseases are initiated by a pathogenic biofilm, in a susceptible host, affecting the tooth periodontium. Its possible association with many biologic systems has been studied. In this evidence based review, a comprehensive literature search was carried out to assess if there is an association between periodontal diseases and female infertility. An extensive search was conducted in PubMed and Cochrane Library. Epidemiological studies, experimental studies, inquiries or editorials on the theme periodontitis and infertility published until May 2016 were included. The initial search retrieved 47 papers, from which six were selected due to inclusion criteria. The epidemiological study with the highest level of evidence concluded that periodontal disease might be a factor that increases the time to conception, on average, in two months more, which is as negative as obesity. The authors stated that all patients before attempting to conceive could be oriented to have a dental checkup, as they ...
Title: Evidence-Based Medicine recent issues, Description: Evidence-Based Medicine RSS feed -- recent issues, By: Feedage Forager, ID: 380085, Grade: 86, Type:
This review presents published evidence of the impact of Open Access on the academy, economy and society. Overall, the evidence points to a favorable impact of OA on the scholarly literature through increased dissemination and reuse. OA has the potential to be a sustainable business venture for new and established publishers, and can provide substantial benefits to research- and development-intensive businesses, including health organisations, volunteer sectors, and technology. The social case for OA is strong, in particular for advancing citizen science initiatives, and leveling the playing field for researchers in developing countries ...
Multiple sclerosis (MS) is a neurodegenerative, T lymphocyte-mediated, autoimmune disease of uncertain etiology. Although genetic susceptibility may be involved, epidemiologic studies suggest environmental influence because the development of MS correlates most strongly with rising latitude in both the northern and southern hemispheres.28 Migration studies show that risk can be modified at an early age from both low to high and high to low prevalence rates.28 Exposure to sun in early childhood is associated with reduced risk of developing MS29 and population-based studies about MS in Canada have also shown that birth timing is a risk factor for MS because there are statistically significantly fewer patients with MS born in November and more born in May compared with controls.30 A birth-timing association suggests that seasonality and sunlight exposure may also have an effect on the developing fetus in utero.30,31. Several studies have shown that vitamin D affects the growth and differentiation ...
New developments in the treatment and management of phenylketonuria (PKU) as well as advances in molecular testing have emerged since the National Institutes of Health 2000 PKU Consensus Statement was released. An NIH State-of-the-Science Conference was convened in 2012 to address new findings, particularly the use of the medication sapropterin to treat some individuals with PKU, and to develop a research agenda. Prior to the 2012 conference, five working groups of experts and public members met over a 1-year period. The working groups addressed the following: long-term outcomes and management across the lifespan; PKU and pregnancy; diet control and management; pharmacologic interventions; and molecular testing, new technologies, and epidemiologic considerations. In a parallel and independent activity, an Evidence-based Practice Center supported by the Agency for Healthcare Research and Quality conducted a systematic review of adjuvant treatments for PKU; its conclusions were presented at the ...
A hallmark symptom of heart failure (HF) is exercise intolerance, typically evidenced by excessive shortness of breath, and/or fatigue with exertion. In recent years, the physiologic response to progressive exercise using direct measures of ventilation and gas exchange, commonly termed the cardiopul …
Abigail Shefer, Peter Briss, Lance Rodewald, Roger Bernier, Ray Strikas, Hussain Yusuf, Serigne Ndiaye, Sheree Wiliams, Marguerite Pappaioanou and Alan R. Hinman. in Epidemiologic Reviews Published on behalf of Johns Hopkins Bloomberg School of Public Health ...
Smoking is on the decline in the United States with about 20% of American adults reporting that they currently smoke and although it has declined in
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There is a growing awareness that inflammation plays a contributory role in numerous pathologies, including pancreatic carcinogenesis. Inflammatory states are characterized by the creation of reactive oxygen species and the induction of cell cycling for tissue growth and repair. The initiation, prom …
This is a detailed review of the blood type diet. Proponents of this popular diet claim that the health effects of different foods depend on blood type.
Cellulite is a multifactorial condition that is present in 80-90 % of post-pubertal women. Despite its high prevalence, it remains a major cosmetic concern for women. A wide range of products and trea
This cluster randomised controlled trial examines a sustainable approach to enhance uptake of evidence-based care for unhealthy alcohol use in primary health care services targeting Indigenous Australians. It utilises a collaborative approach to select and implement service-wide changes to optimise care. The effectiveness of the service-wide intervention will then be assessed by routinely downloaded data on implementation of screening and treatment, including pharmacotherapies. Any changes in consumption will be described.
Practical resources to support evidence-based healthcare decisions are rapidly evolving. New and better services are being created through the combined forces of increasing numbers of clinically important studies, increasingly robust evidence synthesis and synopsis services, and better information technology and systems. The need for these resources is spurred by demands for higher quality at lower cost from health services, but the impact of better information resources is being blunted by noisy pretenders promising the earth but yielding just the dirt. Providers and consumers of evidence-based health care can help themselves to best current evidence by recognising and using the most evolved information services for the topics that concern them.. The figure provides a 4S hierarchical structure, with original studies at the base, syntheses (systematic reviews) of evidence just above the base, synopses of studies and syntheses next up, and the most evolved evidence-based information ...
The Antithrombotic Therapy and Prevention of Thrombosis Evidence-Based Clinical Practice Guidelines was published in the February, 2012 issue of the journal CHEST. The rigorousness of methodology and the appraisal of evidence used in this version of the guidelines have lead to a fewer strong 1A recommendations compared to the last report. This version of the guidelines also included, for the first time, a chapter on diagnosis and addressing patients with symptoms and signs suggesting deep vein thrombosis. ...
TY - JOUR. T1 - Evidence-based clinical practice guidelines for liver cirrhosis 2015. AU - Fukui, Hiroshi. AU - Saito, Hidetsugu. AU - Ueno, Yoshiyuki. AU - Uto, Hirofumi. AU - Obara, Katsutoshi. AU - Sakaida, Isao. AU - Shibuya, Akitaka. AU - Seike, Masataka. AU - Nagoshi, Sumiko. AU - Segawa, Makoto. AU - Tsubouchi, Hirohito. AU - Moriwaki, Hisataka. AU - Kato, Akinobu. AU - Hashimoto, Etsuko. AU - Michitaka, Kojiro. AU - Murawaki, Toshikazu. AU - Sugano, Kentaro. AU - Watanabe, Mamoru. AU - Shimosegawa, Tooru. N1 - Publisher Copyright: © 2016, Japanese Society of Gastroenterology. Copyright: Copyright 2017 Elsevier B.V., All rights reserved.. PY - 2016/7/1. Y1 - 2016/7/1. N2 - The Japanese Society of Gastroenterology revised the evidence-based clinical practice guidelines for liver cirrhosis in 2015. Eighty-three clinical questions were selected, and a literature search was performed for the clinical questions with use of the MEDLINE, Cochrane, and Igaku Chuo Zasshi databases for the period ...
TY - JOUR. T1 - Evaluation of patients with pulmonary nodules. T2 - When is it lung cancer? ACCP evidence-based clinical practice guidelines (2nd edition). AU - Gould, Michael K.. AU - Fletcher, James. AU - Iannettoni, Mark D.. AU - Lynch, William R.. AU - Midthun, David E.. AU - Naidich, David P.. AU - Ost, David E.. PY - 2007/9. Y1 - 2007/9. N2 - Background: Pulmonary nodules are spherical radiographic opacities that measure up to 30 mm in diameter. Nodules are extremely common in clinical practice and challenging to manage, especially small, subcentimeter nodules. Identification of malignant nodules is important because they represent a potentially curable form of lung cancer. Methods: We developed evidence-based clinical practice guidelines based on a systematic literature review and discussion with a large, multidisciplinary group of clinical experts and other stakeholders. Results: We generated a list of 29 recommendations for managing the solitary pulmonary nodule (SPN) that measures at ...
Surgeons at the Manchester Royal Infirmary (MRI) have today become the first to use 3D technology in what is hoped to be the first of many operations using this technique.  62 year old John Green has undergone a 3D hand-held...
Joshi, G. P., Rawal, N., Kehlet, H. and on behalf of the PROSPECT collaboration (2012), Evidence-based management of postoperative pain in adults undergoing open inguinal hernia surgery. Br J Surg, 99: 168-185. doi: 10.1002/bjs.7660 ...
1. AAN QSS Init. Treatment PD (Jan 2002) Miyasaki JM, Martin W, Suchowersky O, Weiner WJ, Lang AE. Practice parameter: initiation of treatment for Parkinsons disease: an evidence-based review: Report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology 2002 Jan 8; 58(1):11-7. 2. AAN QSS PD Diag. (April 2006) Suchowersky O, Reich S, Perlmutter J, Zesiewicz T, Gronseth G, Weiner WJ, Quality Standards Subcommittee of the American Academy of Neurology. Practice parameter: diagnosis and prognosis of new onset Parkinson disease (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology 2006 Apr 11; 66(7):968-75. 3. AAN QSS PD Dyskin (April 2006) Pahwa R, Factor SA, Lyons KE, Ondo WF, Gronseth G, Bronte-Stewart H, Hallet M, Miyasaki J, Stevens J, and Weiner WJ. Practice Parameter: Treatment of Parkinsons disease with motor fluctuations and dyskinesia (an evidence-based review): Report of the quality ...
Practicing according to the principles of evidence-based medicine involves the application of national practice guidelines, current clinical research, and experience to guide the diagnosis of a condition and selection of appropriate treatment. Although this practice is important in all fields of health care today, it is becoming increasingly important in specialty pharmacy. Given that drug spending for specialty pharmaceuticals is growing at 2.5 times the rate of nonspecialty spending1 and that total health care costs for specialty patients are 17.5 times higher than nonspecialty patients,2 increased focus has been placed on the use of specialty medications and concern over how to manage costs while ensuring appropriate utilization and quality care.. Specialty pharmacy is a growing area of pharmacy practice focused on providing drug therapy management and dispensing services for patients requiring treatment with medications that are used to treat rare, chronic, or genetic conditions. Patients ...
1. Robertson VJ, Baker KG. A review of therapeutic ultrasound: effectiveness studies. Phys Ther. 2001;81:1339-1350. 2. van der Heijden GJ, Beurskens AJ, Koes BW, et al. The efficacy of traction for back and neck pain: a systematic, blinded review of randomized clinical trial methods. Phys Ther. 1995;75:93-104. 3. Philadelphia Panel. Philadelphia Panel evidence-based clinical practice guidelines on selected rehabilitation interventions for neck pain. Phys Ther. 2001;81:1701-1717. 4. Philadelphia Panel. Philadelphia Panel evidence-based clinical practice guidelines on selected rehabilitation interventions for low back pain. Phys Ther. 2001;81:1641-1674. 5. Philadelphia Panel. Philadelphia Panel evidence-based clinical practice guidelines on selected rehabilitation interventions for shoulder pain. Phys Ther. 2001;81:1719-1730. 6. Milne S, Welch V, Brosseau L, et al. Transcutaneous electrical nerve stimulation (TENS) for chronic low back pain. Cochrane Database Syst Rev. 2001;(2):CD003008. 7. ...
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Elie A. Akl, MD, MPH, PhD, associate professor of medicine, family medicine and social and preventive medicine at the University at Buffalo School of Medicine and Biomedical Sciences and School of Public Health and Health Professions, participated in developing the new, evidence-based guidelines published earlier this month, titled Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. A photo of Akl is here: http://www.buffalo.edu/news/hires/ElieAkl11.jpg. Akl is an expert in guideline methodology and evidence-based medicine, in which the best available evidence from peer-reviewed scientific data is applied to the clinical care of patients.. He served on the five-member executive committee of the guideline and contributed to 10 of the 24 peer reviewed papers reporting these guidelines. He also was the editor on two of the most important papers on treatment of clots and the treatment of stroke.. The ...
Shahjahan Khan, University of Southern Queensland, Australia, reports on the workshop on Evidence-based Decision and Statistical Meta-Analysis with Application, sponsored by the Government of Brunei:. The Department of Planning, Development and Research (DPDR) of the Ministry of Education, Government of Brunei Darussalam, organised a three-day workshop on Evidence-based Decision and Meta-Analysis with Applications from 23-25 January 2017 at the Rizqun International Hotel in Bandar Sri Begawan, Brunei.. Professor Shahjahan Khan, University of Southern Queensland, Toowoomba, Australia and the Chief Editor of Journal of Applied Probability and Statistics (JAPS), presented the Workshop. The free statistical software MetaXL, an add-on to MS Excel, was extensively used to illustrate various statistical computations and conduct meta-analyses of different datasets from many diverse areas including education.. The Assistant Director of DPDR, Dr Hj Ashri bin Haji Ahmad welcomed the participants and ...
The Agency for Healthcare Research and Quality has pursued its commitment to evidence-based practice through research and programs that have produced important new information about the benefits, risks, costs, and cost-effectiveness of specific treatments and technologies for common and costly conditions such as back pain, prostate disease, and pneumonia (5-7). Perhaps the most visible commitment to evidence-based practice was AHRQs support of a clinical practice guideline program that produced 19 guidelines from 1990 to 1996 (http://www.ahrq.gov/clinic/cpgonline.htm) on important conditions such as heart failure and otitis media (8). A program initially requested by Congress, the guidelines proved popular with many stakeholders, and their explicit methods helped elevate the standards for evidence-based guidelines. At the same time, they also revealed limitations of centrally developed, government-sponsored guidelines. The process of convening individual panels, commissioning background ...
Lbk Bank Statement Get top and popular direct downloads, online streaming, news, weather, live scores, live tv, and tons of information. Does anybody know what lbk is i have 2 purchases on my bank account for or sometime the abreviations are on the back of the statement. Planter Union Bk. of sum Bk. of Bank ofS. c. lBk. of IFarmers 4». Ex. chanics Bk. Charleston. Aoemge qf bank statements for the Deb d by. First what is bank. AVG Internet Security AVG Technologies - they provide anti-virus and internet safety software. They provide individuals and businesses with loans to pay their insurance premiums. Zum Inhalt springen portal flash game dieser Gebühr sind zum Teil Leistungen wie.. It specializes in providing consumer loans. Son Dakika Lbk On My Bank Statement Haberleri. Argentina Australia Brazil Canada France Germany India Indonesia Italy Malaysia Borussia augsburg New Zealand Philippines Quebec Singapore Taiwan Lbk bank statement Kong Spain Thailand United States Vietnam Espanol. Term ...
Download the ECHO flyer here. NHLBI GUIDELINES. Access the NHLBI Guidelines for Evidence-Based Management of Sickle Cell Disease.. The purpose of the Evidence-Based Management of Sickle Cell Disease: Expert Panel Report (EPR), 2014 is to synthesize the available scientific evidence on sickle cell disease and offer guidance to busy primary care clinicians. Readers should remember that the document is intended to provide guidance for management, not to be rigidly prescriptive. Developed by an expert panel composed of healthcare professionals with expertise in family medicine, general internal medicine, adult and pediatric hematology, psychiatry, transfusion medicine, obstetrics and gynecology, emergency department nursing, and evidence-based medicine. Panel members were selected by the National Heart, Lung, and Blood Institutes (NHLBIs) leadership. The purpose of these guidelines is to help people living with sickle cell disease (SCD) receive appropriate care by providing the best ...
We propose using appropriate-use criteria (AUC) as the methodology of choice for formulating and disseminating evidence-based medicine guidelines in sports medicine and arthroscopy. AUC provide a structured process for integrating findings from the scientific literature with clinical judgment to produce explicit criteria for determining the appropriateness of specific treatments. The use of AUC will enable surgeons to treat patients in a more consistent manner based on expert clinical consensus and evidence-based medicine.
While much excitement has been generated surrounding evidence-based medicine, internal documents from the pharmaceutical industry suggest that the publicly available evidence base may not accurately...
From the Task Force on Community Preventive Services, provides information on the studies used in the evidence review on community water fluoridation, the suitability of the study designs, and quality of the evidence used to determine the magnitude of effectiveness of community water fluoridation.. Summary Report ...
On 7 May 2014, the WHO Country Office in Tajikistan supported the Tajik State Medical University and the Evidence-Based Medicine Center in conducting a conference on the role of evidence-based medicine (EBM) in improving health care quality and enhancing medical education.
Evaluating Information Tutorial Learn how to evaluate information found in books, articles and websites. (from Duke University Medical Center Library and Health Sciences Library, UNC-Chapel Hill). Information Mastery A series of workshops gives and overview, skills, making decisions better. and communicating risks and benefits (from the National Prescribing Centre, United Kingdom). Introduction to Evidence-Based Practice Intended for any health care practitioner or student who needs a basic introduction to the principles of Evidence-Based Practice. (from Duke University Medical Center Library and Health Sciences Library, UNC-Chapel Hill) ...
Normal systolic (SBP) and diastolic (DBP) blood pressure is defined as ,95th percentile for the childs age, gender, and height percentile.1 Stage 1 hypertension (HTN) is SBP and/or DBP ≥95th percentile but ,99th percentile+5 mm Hg; Stage 2 HTN is SBP and/or DBP ,99th percentile +5 mm Hg. It is important to measure BP by auscultation with a cuff that covers ≥80% of the midarm circumference; a smaller cuff can result in artificially high readings.1 Ambulatory BP monitoring demonstrates that daytime SBP, DBP, and mean arterial BP increase significantly with increasing BMI.25 Although the pathophysiology of HTN in children with obesity is not fully understood,26 hyperinsulinemia, adipokine activation, perinephric fat effects on the kidney and cytokine action on the vascular endothelium, and cortisol and nitric oxide levels are contributory.27-29. Diagnosing and managing HTN quickly and effectively may affect long-term morbidity. Increased BMI in childhood predicts arterial stiffening in ...
The literature on complementary and alternative medicine (CAM) is expanding. One of the most common conditions for which CAM is studied in the pediatric population is migraine. Nutraceuticals are a form of CAM that is being used for pediatric migrain
Evidence-Based Health Promotion Interventions for People with Disabilities: Results of a Systematic Review of Literature, by Tom Seekins & Tory Kimpton
Ashwagandha is one of the most widely studied adaptogenic (helps body adapt to stress) herbs on the planet. Its use dates back to before there was written records and it is alleged to have a wide range of health applications, mostly relating to the fact that it can reduce stress (both physical indications and mental perception).. We discuss the anti-stress benefits of Ashwagandha in this article, but in the context of Epicenter, Team Six Supplements is likely concerned with preliminary research which indicates Ashwagandha can increase Testosterone slightly, but enough to elicit muscle and strength gains.. Further research has confirmed that Ashwagandha (KSM-66) can restore sex hormone levels and sperm count in instances of infertility, adding to the notion that it is indeed an effective natural Testosterone boosting agent.. Epicenter contains a standardized, reliable form of Ashwagandha known as KSM-66. We generally recommend either KSM-66 or Sensoril, as the liklihood that a non-brand name ...
Safed Musli is an Indian herb which has traditionally been used as an aphrodisiac and remedy for sexual dysfunction.. A 2011 study, published in Andrologia, found that mice fed Safed Musli experienced improved erectile function on par with low dose Testosterone treatment.. No studies have directly tested the effects of Safed Musli on testosterone, but a 2009 study noted increased prostatic weigh in mice fed 200mg/kg/day for 30 days, indicative of increased Testosterone.. Unfortuantely, this study did not measure serum Testosterone, so it cant be definitively stated that the results were due to increased Testosterone.. Due to the lack of human studies, Safed Musli still has a long way to go before it can be considered an effective test-booster, but the preliminary evidence suggests that, at the very least, it may enhance libido and improve sexual health. So, in the context of Stoked XT, it makes sense.. ...
Description : This issue of Veterinary Clinics of North America: Exotic Animal Practice, Edited by Drs. Nicola Di Girolamo and Alexandra Winter, focuses on Evidence-Based Clinical Practice in Exotic Animal Medicine. Topics include: Why should we direct our efforts toward evidence-based practice and knowledge creation?; Practical application of evidence-based practice; Evidence-based advances in avian medicine; Evidence-based advances in reptile medicine; Evidence-based advances in rabbit medicine; Evidence-based advances in ferret medicine; Evidence-based advances in rodent medicine; Evidence-based advances in fish and aquatic animal medicine; Evidence-based analgesia in exotic animals; Evidence-based anesthesia in exotic animals; Evidence-based reptile housing and nutrition; Evidence-based rabbit housing and nutrition; Basic statistics for the exotic animal practitioner (numerical outcomes, P values, t-test, anova); Advanced statistics for the exotic animal practitioner (categorical data, ...
Gout is the most common form of inflammatory arthritis. Hyperuricaemia is the pre-requisite for gout and is influenced by variable modifiable and non-modifiable risk factors. Clinical features unique for gout are due to deposition of monosodium urate (MSU) crystal in articular and extra articular tissues. Among various treating agents, anti-inflammatory drugs and urate lowering therapies (ULT) are used widely and successfully, however, non-medicinal means are also effective in the disorder. In their updated guidelines, ACR (2012) and EULAR (2016) recommended both medicinal and non-medicinal approaches that could be used in treating gout, though some of the recommendations are based on lower level of evidence. Moreover, researchers’ continued effort in finding new gout managing agents appear promising, for example, role of Lesinurad in gout management (CLEAR1, CLEAR2). In this new synthesis the author is aimed to provide updated information on gout management based on a systematic review including
Authors note - Readers may find these related articles of interest:. The Dark Side of Quality. Evidence-based guidelines wont prevent malpractice claims. Germs and the Pseudoscience of Quality Improvement. ______________________. We hold these truths to be self-evident:. A hospital administrator with a clipboard is in search of a physician who isnt following evidence-based guidelines.. There are fads in medicine just as there are in fashion-todays evidence-based medicine may be tomorrows malpractice.. Did your hospital, like so many, abruptly switch from povidone-iodine antiseptic solution to ChloraPrep® for cleaning a patients skin before surgery? If so, Im sure the staff was told that ChloraPrep would be more effective and cheaper. No doubt, they were also warned of the extra precautions that must be taken with ChloraPrep to prevent operating room fires, since ChloraPrep contains highly flammable 70% isopropyl alcohol in addition to chlorhexidine. Even the fire risk apparently ...
Whaley, Paul and Halsall, Crispin James (2016) Assuring high-quality evidence reviews for chemical risk assessment:five lessons from guest editing the first environmental health journal special issue dedicated to systematic review. Environment International, 92-93. pp. 553-555. ISSN 0160-4120 Full text not available from this repository ...
Variation in development methods of Pressure Ulcer Risk Assessment Instruments has led to inconsistent inclusion of risk factors and concerns about content validity. A new evidenced-based Risk Assessment Instrument, the Pressure Ulcer Risk Primary Or Secondary Evaluation Tool - PURPOSE-T was developed as part of a National Institute for Health Research (NIHR) funded Pressure Ulcer Research Programme (PURPOSE: RP-PG-0407-10056). This paper reports the pre-test phase to assess and improve PURPOSE-T acceptability, usability and confirm content validity. A descriptive study incorporating cognitive pre-testing methods and integration of service user views was undertaken over 3 cycles comprising PURPOSE-T training, a focus group and one-to-one think-aloud interviews. Clinical nurses from 2 acute and 2 community NHS Trusts, were grouped according to job role. Focus group participants used 3 vignettes to complete PURPOSE-T assessments and then participated in the focus group. Think-aloud participants were
AbstractGallstone-related disease is among the most common clinical problems encountered worldwide. The manifestations of cholelithiasis vary greatly, ranging from mild biliary colic to life-threatening gallstone pancreatitis and cholangitis. The vast majority of gallstone-related diseases encounter
Disaster Med Public Health Prep. 2011 Oct;5(3):202-12. doi: 10.1001/dmp.2011.68. Epub 2011 Oct 10. Research Support, Non-U.S. Govt; Review
While assessments are often used as screeners or diagnostic tools, they can also be helpful tools throughout treatment. The integrative Evidence-Based Assessment (EBA) model is a framework for using clinical psychological assessments at all stages of clinical care: for prediction, prescription, and process.[58] With prediction of adolescent substance disorder, consistent use of brief screeners for substance use in mental health and medical care settings can catch substance use that would otherwise go undetected, allowing for early intervention and treatment implementation.[59][60] In the absence of these screeners, clinical judgement alone underestimates adolescent substance use and often doesnt identify the problem until late-stage behavioral issues become apparent.[61] With prescription, assessments can help a clinician determine the best treatment plan for an adolescent with a substance use disorder, considering the individual holistically. In this vein, assessments can help the ...
The campus community is invited to meet the four finalists for the position of vice president for Student Affairs in open forums beginning Jan. 17. Wanda Overland, associate vice president for student affairs and dean of students at Bowling Green University in Ohio, will host an open forum on Jan. 17, 11:30 a.m. to 1 p.m., in the Bronco Student Center?s England Evans Room. David Behrs, vice president of enrollment management and student life at Dominican University of California in San Rafael, will host an open forum on Jan. 23, 11:30 a.m. to 1 p.m., in the Bronco Student Center?s Orion Suite. Doug Freer, Cal Poly Pomona?s associate vice president of Student Affairs, will host an open forum on Feb. 3, 11:30 a.m. to 1 p.m., in the Bronco Student Center?s Ursa Minor Room. Jonathan Long, vice president for student services at Johnson County Community College in Kansas, will host an open forum on Feb. 10, 11:30 a.m. to 1 p.m., in the CLA?s Heritage Conference Room. Candidate vitaes can be found ...
OBJECTIVE To provide health care providers, patients, and the general public with a responsible assessment of currently available data regarding the use of endoscopic retrograde cholangiopancreatography (ERCP) for diagnosis and therapy. PARTICIPANTS A non-Federal, non-advocate, 13-member panel representing the fields of gastroenterology, hepatology, clinical epidemiology, oncology, biostatistics, surgery, health services research, radiology, internal medicine, and the public. In addition, experts in these same fields presented data to the panel and to a conference audience of approximately 300. EVIDENCE Presentations by experts; a systematic review of the medical literature provided by the Agency for Healthcare Research and Quality; and an extensive bibliography of ERCP research papers, prepared by the National Library of Medicine. Scientific evidence was given precedence over clinical anecdotal experience. CONFERENCE PROCESS Answering predefined questions, the panel drafted a statement based on
From the clinical perspective, the study design and the ensuing LOE classification may not always be the most important factor to consider while assessing the available evidence. Occasionally, even a well conducted RCT may not necessarily generate new knowledge superior to the knowledge gained from a case series study. Thus an RCT may be less significant to the clinical decision making than a case series study. For example, when a clinician assesses the benefits and risks of a possible treatment modality, the use of LOE alone can be misleading. An historical example is the use of Bisphosphonates for dental purposes:. Bisphosphonates (BPs) are a class of drugs that inhibit bone resorption and they are successfully used across a wide range of medical disciplines for bone diseases (Molvik & Khan 2015; Costa 2014; Anagha & Sen 2014; Giusti 2014; Bhatt et al. 2014; Eriksen et al. 2014). However, like any drug, BPs possess the risk of side effects. BPs-related osteonecrosis of the jaw (BRONJ) has been ...
Ramey DW, Duren S. Nutritional Content of Five Equine Nutritional Supplements Relative to a 500-kg Working Horse, in Proceedings. Am Assoc Equine Pract 2011;187-191. Paper presented at: 57th Annual Convention of the American Association of Equine Practitioners; 2011 Nov 20; San Antonio, TX.. Ramey DW, Keegan K, Pai FP, Yonezawa Y. Plastic Horseshoe Pads Do Not Attenuate Hoof Wall Vibrations in Trotting Horses, in Proceedings. Am Assoc Equine Pract 2008;240-243. Paper presented at: 54th Annual Convention of the American Association of Equine Practitioners; 2008 Dec; San Diego, CA.. Ramey DW. An Introduction to Evidence-Based Medicine; An Evidence-Based Assessment of Alternative Therapies in the Horse; Colic: An Evidence-based Approach to the Decision for Surgery in the Field; An Evidence-Based Assessment of the Diagnosis and Treatment of Common Equine Endocrine Disorders; The Evidence in Support of Routine Preventive Care: Parasite Control, Routine Dental Interventions, and Vaccination; An ...
eLearning Series on Evidence-based Malaria Social & Behavior Change Communication: From Theory to Program Evaluation - Ongoing, online training series Offered by the NetWorks Project and the Health Communication Capacity Collaborative (HC3), this online training series - which is available on an ongoing basis - is designed to strengthen capacity on how to use evidence and data to create strong social and behaviour change communication (SBCC) programmes for malaria prevention and control. For more information, go to http://www.comminit.com/ci-classifieds/content/elearning-series-evidence-based-malaria-social-behavior-change-communication-theory-prog. ...
High-quality evidence supports metformin use for diabetes prevention among younger or more obese individuals or for women with a history of gestational diabetes. Clinicians should consider prescribing metformin, in addition to intensive lifestyle interventions, in accordance with patients values and preferences.
Radcliffe Infirmary Oxford; Royal Infirmary Aberdeen; General Hospital Birmingham; St. Georges Hospital and Hammersmith Hospital London; City Hospital Belfast; North Staffordshire Royal Infirmary, Stoke-on-Trent; Royal Victoria Hospital Belfast St. Helier Hospital Carshalton; Whittington Hospital London; Norfolk and Norwich Hospital Norwich; Lister Hospital Stevenage; Ipswich Hospital Ipswich; inewells Hospital Dundee; Northampton Hospital Northampton; Torbay Hospital Torbay; Peterborough General Hospital Peterborough; Scarborough Hospital Scarborough; Derbyshire Royal Infirmary Derbyshire; Manchester Royal Infirmary Manchester; Hope Hospital Salford; Leicester General Hospital Leicester; and Royal Devon and Exeter Hospital Exeter, U.K. ...
|P|It is now widely accepted that there are important links between inactivity and lifestyle-related chronic diseases, and that exercise can bring tangible therapeutic benefits to people with long-term chronic conditions. |EM|Exercise and Chronic Disease: An Evidence-Based Approach|/EM| offers the most up-to-date survey currently available of the scientific and clinical evidence underlying the effects of exercise in relation to functional outcomes, disease-specific health-related outcomes and quality of life in patients with chronic disease conditions.|/P| |P|Drawing on data from randomized controlled trials and observational evidence, and written by a team of leading international researchers and medical and health practitioners, the book explores the evidence across a wide range of chronic diseases, including:|/P| |P||/P| |UL| |LI|cancer|/LI| |LI|heart disease|/LI| |LI|stroke|/LI| |LI|diabetes|/LI| |LI|parkinsons disease|/LI| |LI|multiple sclerosis|/LI| |LI|asthma.|/LI||/UL| |P|Each chapter addresses
Institution: Manchester Royal Infirmary, Manchester, UK. A short-cut review was carried out to establish the best clinical test for diagnosing a full thickness rotator cuff tear. Five studies were directly relevant to the question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these studies are shown … ...
Evidence-based Public Health: Effectiveness and efficiency continues the themes raised in Public Health Evidence - tackling health inequalities. Written by the same author team, this book is a comprehensive reference to evidence-based approaches in public health.
Selectives. Selectives are completed in a variety of formats and approval is based on a set of criteria. Historically, Selectives have included Toxicology in New York City, or an additional block of Trauma, Emergency or Surgery (lumps and bumps). These Selective are tailored toward your stated objectives.. Academic Activities. Emergency Medicine core content material is covered during weekly academic half days. Thursday mornings are the Academic Half Day for Emergency Medicine. Sessions include core content, Tintinalli Rounds, Skill Sessions, radiology, examination preparation, bioethics, and administration.. In addition, there will be four Simulation Sessions with high fidelity simulators through the academic year. Finally, there is a day in the Anatomy Lab practicing procedures on cadavers.. Research / Rounds. Residents are expected to complete a resident research project on evidence-based medicine skills. It is expected you have the ability to search data bases, critically appraise the ...
Agencies in Australia, France, Germany, and the U.K. have comparative effectiveness research agencies that offer lessons for the United States.
Eventbrite - The Dental Implant Clinic presents SWHATS - Supportive Periodontal Therapy. An evidence-based approach - Wednesday, 13 September 2017 at The Dental Implant Clinic, Bath, England. Find event and ticket information.
This article contains Orthopedic Traumatology: An Evidence-Based Approach 2ND Edition PDF for free download. This book has been authored by Manish K. Sethi.
Evidence Based Medicine. 18 (4): 141-142. doi:10.1136/eb-2012-100961. PMID 23125237. Antonio MA, Meyn LA, Murray PJ, Busse B, ... Addressing the problem of genetic heterogeneity among a vast number of strains identified as L. acidophilus based on phenotypic ... Scientists have stated that evidence from clinical trials proves that these probiotics will safely and effectively treat ... "DNA fingerprinting of Lactobacillus crispatus strain CTV-05 by repetitive element sequence-based PCR analysis in a pilot study ...
Goodyear-Smith, F (2008). "Evidence-based or evidence-biased? Author reply". Journal of Forensic and Legal Medicine. 15 (7): ... "Evidence-based or evidence-biased? Letter to the Editor". Journal of Forensic and Legal Medicine. 15 (7): 471-472. doi:10.1016/ ... Evidence Based Medicine. 10 (1): 23. doi:10.1136/ebm.10.1.23. Goodyear-Smith, FA; Halliwell, J (2009). "Anticonvulsants for ... It is important that discussion is informed by science and that claims of both benefits and risks are evidence-based, to ensure ...
Evidence-Based Nursing: A Guide to Clinical Practice. Mosby, 2005. Guyatt GH. Evidence-Based Medicine [editorial]. ACP Journal ... November 1992). "Evidence-based medicine. A new approach to teaching the practice of medicine". JAMA. 268 (17): 2420-5. PMID ... and Medicine at McMaster University in Hamilton, Ontario. He is known for his leadership in evidence-based medicine, a term ... Evidence-based medicine came 7th, ahead of the computer and medical imaging. [3][4] Guyatt's concerns with the role of the ...
Evidence-Based Dermatology. Evidence-based Medicine. London: BMJ Books. ISBN 978-1-4051-4518-3. Archived from the original (PDF ... Diagnosis is typically based on the appearance of the lesions. Prevention includes hand washing and not sharing personal items ... There is no high-quality evidence for cimetidine. However, oral cimetidine has been used as an alternative treatment for the ... Imiquimod is a form of immunotherapy initially proposed as a treatment for molluscum based on promising results in small case ...
Evidence-based medicine. 14 (5): 132-4. doi:10.1136/ebm.14.5.132. PMID 19794009. "A history of the evolution of guidelines for ... The EQUATOR Network was formally launched on 26 June 2008 at the Royal Society of Medicine in London, UK. The event also hosted ... BMC Medicine. 8: 24. doi:10.1186/1741-7015-8-24. PMC 2874506. PMID 20420659. Simera, I.; Moher, D.; Hoey, J.; Schulz, K. F.; ... empirical evidence supporting or refuting the inclusion of crucial items in reporting guidelines, evaluations of the quality of ...
Evidence Based Medicine. 8 (2): 58. doi:10.1136/ebm.8.2.58. Gibbs, S; Harvey, I; Sterling, JC; Stark, R (2003). "Local ... On health information websites, duct tape is referred to as a treatment with mixed evidence of efficacy, no good evidence or ... There is mixed evidence that occlusive treatment with various types of duct tape is effective. Clinical trials in 2012 ... Adolescent Medicine. 160 (11): 1121-5. doi:10.1001/archpedi.160.11.1121. PMID 17088514. Wenner R, Askari SK, Cham PM, Kedrowski ...
"Evidence-based Medicine". en.moz.gov.ua. Retrieved 2020-10-25. "Reperfusion Network". en.moz.gov.ua. Retrieved 2020-10-25. ... introduced the principles of evidance-based medicine in Ukraine, coordinated the work of the Directorate of Medical Services. ... He also initiated the Ministry's Order that allowed doctors to use evidance-based guidelines from foreign countries in their ... 2014-2016: war surgery - Medical director of "Patriot Defence" - tactical medicine training (combat lifesaver courses (CLS), ...
Evidence Based Medicine. 11 (2): 54. doi:10.1136/ebm.11.2.54. PMID 17213084. S2CID 30618719. Archived (PDF) from the original ... Walker M (2005). "Status epilepticus: an evidence based guide". BMJ. 331 (7518): 673-677. doi:10.1136/bmj.331.7518.673. PMC ... U.S. National Library of Medicine. Medicine portal. ... The evidence is inconclusive whether lorazepam if taken early ... There is no evidence of accumulation of lorazepam on administration up to six months. On regular administration, diazepam will ...
"Evidence Based Medicine, 3rd ed." London; Elsevier Churchill Livingstone, 2005 Sackett, D. L., et al., "Evidence-Based Medicine ... 2008). "An evidence-based medicine approach in determining factors that may affect outcome in lumbar total disc replacement". ... Based on the CDC guideline, a single dose of prophylactic antibiotic was proven to be efficacious for the prevention of ... Based on the Centers for Disease Control and Prevention guideline, their antibiotic prophylaxis was changed to the day of ...
Evidence-Based Medicine. 21 (2): 41-5. doi:10.1136/ebmed-2015-110302. PMID 26612071. S2CID 353523. Garrett, John (2018-10-24). ... A Case-Based Guide to Critical Thinking in Medicine, Cham: Springer International Publishing, pp. 21-56, doi:10.1007/978-3-319- ... The expert halo effect is synonymous with authority bias in medicine, where the expert is seen as infallible. Issues arise in ... This is evident several scenarios: Politics - evidence for this subset in the political world comes from research into ...
Evidence-Based Medicine. 13 (6): 173. doi:10.1136/ebm.13.6.173. PMID 19043031. S2CID 26714233. "Diabetes Prevention Program ( ... Evidence also supports thiazolidinediones but there are safety concerns, and data on newer agents such as GLP-1 receptor ... Most involve the reduction of added sugars and fats but there remains a lack of conclusive evidence proving the best approach. ... Prediabetes is a risk factor for mortality and there is evidence of cardiovascular disease developing prior to a diagnosis of ...
Epistemology Evidence-based practices Evidence-based medicine Evidence-based policy Further research is needed HARKing List of ... Evidence-Based Medicine. 14 (5): 132-4. doi:10.1136/ebm.14.5.132. PMID 19794009. S2CID 36739841. Ioannidis, JPA (2016). "Why ... The field seeks to improve the quality of scholarly research by implementing evidence-based practices in academic publishing. ... Wilson, Mitch; Moher, David (March 2019). "The Changing Landscape of Journalology in Medicine". Seminars in Nuclear Medicine. ...
Evidence-Based Medicine. 11 (6): 184. doi:10.1136/ebm.11.6.184. PMID 17213178. Plummer, Faye; Manea, Laura; Trepel, Dominic; ... Archives of Internal Medicine. 166 (10): 1092-7. doi:10.1001/archinte.166.10.1092. PMID 16717171. CS1 maint: discouraged ... Annals of Internal Medicine. 146 (5): 317-25. doi:10.7326/0003-4819-146-5-200703060-00004. hdl:2027.42/151274. PMID 17339617. ... Archives of Internal Medicine. 166 (10): 1092. doi:10.1001/archinte.166.10.1092. ISSN 0003-9926. Official website Online ...
Evidence-Based Medicine. 12 (2): 39. doi:10.1136/ebm.12.2.39. PMID 17400631. S2CID 43254510. Coombes, BK; Bisset, L; Brooks, P ... Although it can be considered an evidence-based practice, long-term results have not yet been determined. There are differences ... Evidence for oral NSAIDs is mixed. Evidence is poor for long term improvement from injections of any type, whether ... A review of the evidence related to surgery found that published studies were of low quality and did not show that surgery was ...
Evidence-Based Medicine. 16 (4): 117-8. doi:10.1136/ebm1204. PMID 21402567. S2CID 20470125. Tian T, Yang KQ, Cui JG, Zhou LL, ... This evidence justified development of a UL for folate. In general, ULs are set for vitamins and minerals when evidence is ... Some evidence links a shortage of folate with clinical depression. Limited evidence from randomized controlled trials showed ... Evidence of a negative health effect of folic acid in blood is not consistent, and folic acid has no known cofactor function ...
Evidence-Based Medicine. 13 (6): 173. doi:10.1136/ebm.13.6.173. PMID 19043031. Alustiza, Elena (2020). Tackling risk factors ... "Improving diabetes prevention with benefit based tailored treatment: risk based reanalysis of Diabetes Prevention Program". BMJ ... There is evidence relating consumption of coffee with prevention of type 2 diabetes. However, it is unclear if coffee causes ... Foods with low glycemic index rich in fiber and other important nutrients are recommended notwithstanding insufficient evidence ...
Evidence-Based Medicine. 13 (5): 154. doi:10.1136/ebm.13.5.154. PMID 18836122. S2CID 29062377. Barritt DW, Jordan SC (June 1960 ... Tintinalli JE (2010). Emergency Medicine: A Comprehensive Study Guide (Emergency Medicine (Tintinalli)) (7 ed.). New York: ... based on pooled data) Score 2.0 to 6.0 - Moderate (probability 29% based on pooled data) Score 4 - PE likely. Consider ... American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition)". Chest. 133 (6 Suppl): 71S-109S ...
"Acute acoustic trauma , Evidence-Based Medicine Guidelines". evidence.unboundmedicine.com. Retrieved 2020-11-12. Harada, ... The diagnosis is based on what environmental factors of that loud noise that was exposed. Audiometry will be used to detect ...
Chia, CT; Neinstein, RM; Theodorou, SJ (January 2017). "Evidence-Based Medicine: Liposuction". Plastic and Reconstructive ... To address safety issues, the American Society of Plastic Surgeons (ASPS) published in 2009 Evidence-Based Patient Safety ... the ASPS Patient Safety Committee Evidence-Based Patient Safety Advisory: Liposuction, Plastic and Reconstructive Surgery: ... Evidence does not support an effect on weight beyond a couple of months and does not appear to affect obesity-related problems ...
Holroyd-Leduc J, Reddy M (9 March 2012). Evidence-Based Geriatric Medicine. John Wiley & Sons. pp. 299-. ISBN 978-1-118-28181-9 ... Vaugeois JM, Pouhé D, Lemonnier F, Costentin J (1994). "Neurochemical and behavioral evidence for a central indirect ...
BMJ Evidence-Based Medicine. 15 (5): 155-6. doi:10.1136/ebm1104. ISSN 2515-446X. PMID 20688846. S2CID 206927829. "Honours and ... 2012 Awarded the Bengt Ihre Medal by the Swedish Society of Medicine 2011 Awarded the President's Medal by the British Society ...
O'Sullivan, JW; Banerjee, A; Heneghan, C; Pluddemann, A (April 2018). "Verification bias". BMJ evidence-based medicine. 23 (2 ...
Commentary". Evidence-Based Cardiovascular Medicine. 9 (4): 284-7. doi:10.1016/j.ebcm.2005.09.021. PMID 16380055. Assessment of ... The abbreviation TNK is common for referring to tenecteplase, but abbreviating drug names is not best practice in medicine, and ... The New England Journal of Medicine. 366 (12): 1099-107. doi:10.1056/NEJMoa1109842. hdl:1959.13/1039697. PMID 22435369. Gurbel ... The New England Journal of Medicine. 366 (12): 1099-107. doi:10.1056/NEJMoa1109842. hdl:1959.13/1039697. PMID 22435369. ...
A window to a whole new dynamic in integrative medicine". Evidence Based Integrative Medicine. 2 (1): 3-8. doi:10.2165/01197065 ... Professor and Co-Director of Biostatistics in the Department of Preventative Medicine at the USC Keck School of Medicine, found ... UCLA Department of Medicine. Archived from the original on 11 January 2008. Harvard RSI Action Group: handout document, and ... Los Angeles: MindBody Medicine Publications, 1999, ISBN 1-929997-05-1. Schechter D, Smith AP (2005). "Long-Term Outcome of Back ...
Jefferson T, Jørgensen L (April 2018). "Redefining the 'E' in EBM". BMJ Evidence-Based Medicine. 23 (2): 46-47. doi:10.1136/ ... In fact, from the most rigorous versions of the evidence-based perspective, the distance to go is still quite formidable. Most ... The academic medicine community is working hard on trying to raise compliance with good reporting standards, but there is still ... A few variations can occur, as follows: Many journals have a convention of omitting the "Introduction" heading, based on the ...
"Laser Surgery for Warts", webmd.com Kunnamo, Ilkka (2005). Evidence-based Medicine Guidelines. John Wiley and Sons. p. 422. ... Blackwell Science, p. 1044, ISBN 0-632-06429-3 Bacelieri R, Johnson SM (2005). "Cutaneous warts: An evidence-based approach to ... Bacelieri R, Johnson SM (2005). "Cutaneous warts: an evidence-based approach to therapy". Am Fam Physician. 72 (4): 647-52. ... Diagnosis is typically based on symptoms. Treatment is only needed if it is causing symptoms. This may include salicylic acid, ...
Ilkka Kunnamo (4 March 2005). Evidence-Based Medicine Guidelines. John Wiley & Sons. p. 1211. ISBN 978-0-470-01184-3.. ...
BMJ Evidence-Based Medicine. doi:10.1136/bmjebm-2020-111432. "Facts about FASDs". 16 April 2015. Archived from the original on ... Neonatal Medicine: The Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania ... Evidence of harm from less than two drinks per day or 10 drinks per week is not clear. The American Academy of Pediatrics ... There is no evidence that a hemoglobin level of 7 grams/100 ml or higher is detrimental to pregnancy, but it must be ...
BMJ Evidence-based Medicine. 23 (1): 1-3. doi:10.1136/ebmed-2017-110886. PMID 29367314. O'Sullivan, Jack W; Albasri, Ali; ... Disease mongering False positive Medicalization Interventionism (medicine) Patient education Schooliosis Screening (medicine) ... There is considerable evidence that the problem of overdiagnosis is much greater for lung cancer screening using spiral-CT ... Overstating the evidence for lung cancer screening: the International Early Lung Cancer Action Program (I-ELCAP) study. Arch ...
2005). Evidence-based medicine guidelines. Chichester: Wiley. p. 214. ISBN 978-0-470-01184-3. Frew AJ (2008). "Chapter 42: ... There is limited evidence for improved health-related quality of life and lung function. Evidence suggests that sublingual ... Thus an expert panel felt that evidence was insufficient to support its use. There is no clear evidence that breathing ... George, Ronald B. (2005). Chest medicine : essentials of pulmonary and critical care medicine (5th ed.). Philadelphia: ...
Abnormalities in the skull baseEdit. Impaired venous outflow is often caused by a hypoplastic jugular foramen.[23] This causes ... Some evidence for this statement has been provided by studies using computed tomographic (CT) scans and magnetic resonance ... The New England Journal of Medicine. 362 (23): 2185-93. doi:10.1056/NEJMoa0907328. PMID 20558369.. ... This growth pattern exerts an effect at the base of the skull, which is not even when the child is assessed from a point of ...
In the United States, this is guided by the evidence-based guideline most recently updated in 2018 by the American College of ... AMDA - The Society for Post-Acute and Long-Term Care Medicine (February 2014), "Ten Things Physicians and Patients Should ... The Society for Post-Acute and Long-Term Care Medicine, retrieved 20 April 2015. . ...
Evidence-Based Medicine. 13 (6): 173. doi:10.1136/ebm.13.6.173. PMID 19043031.. ... "An Evidence-Based Medicine Approach to Antihyperglycemic Therapy in Diabetes Mellitus to Overcome Overtreatment". Circulation. ... "In Feinglos MN, Bethel MA (eds.). Type 2 diabetes mellitus: an evidence-based approach to practical management. Contemporary ... critical review and evidence base". Nutrition. 31 (1): 1-13. doi:10.1016/j.nut.2014.06.011. PMID 25287761.. ...
The 1978 film F.I.S.T., directed by Norman Jewison and starring Sylvester Stallone, is loosely based on the Teamsters Union and ... Several studies have found evidence that trade unions can reduce competitiveness due to a reduction of business profit, which ... including the fields of education and medicine, but also have a strong presence in the agricultural sector.[31] In general, ... The 1979 film Norma Rae, directed by Martin Ritt and starring Sally Field, is based on the true story of Crystal Lee Jordan's ...
"How Much of CAM Is Based on Research Evidence?". Evidence-based Complementary and Alternative Medicine. 2011: 676490. doi: ... holistic medicine, natural medicine, unorthodox medicine, fringe medicine, unconventional medicine, and new age medicine are ... evidence-based medicine supported by solid data or unproven medicine, for which scientific evidence is lacking. ... "Integrative medicine": A brand, not a specialty. Science Based Medicine *^ a b c d e f Barrett, Stephen; London, William M.; ...
These heightened levels of collagen helped facilitate adhesions and anchorage-independent cell growth and provided evidence of ... Catenins at the US National Library of Medicine Medical Subject Headings (MeSH). ... but much more work is needed before an adequate treatment based on this concept can be determined. Lab studies have also ...
Family-pedigree based mapping[edit]. Family based QTL mapping, or Family-pedigree based mapping (Linkage and association ... University of South Dakota School of Medicine. Archived from the original on 30 December 2006. Retrieved 6 January 2007.. ... Instead Darwin used the emergence of such features in breeding populations as evidence that mutation can occur at random within ... Using family-pedigree based approach has been discussed (Bink et al. 2008). Family-based linkage and association has been ...
Modern medicine's understanding of the quick onset of muscle atrophy is a major factor behind the practice of getting ... Based upon a meta-analysis of seven randomized controlled trials that was published in 2015, HMB supplementation has efficacy ... A growing body of evidence supports the efficacy of HMB as a treatment for reducing, or even reversing, the loss of muscle mass ... Muscular atrophy at the US National Library of Medicine Medical Subject Headings (MeSH). ...
Wainer H (2014). Medical Illuminations: Using Evidence, Visualization and Statistical Thinking to Improve Healthcare. Oxford ... The genome of S. pneumoniae is a closed, circular DNA structure that contains between 2.0 and 2.1 million base pairs depending ... New England Journal of Medicine. 354 (1): 44-53. doi:10.1056/NEJMra052116. ISSN 0028-4793. PMID 16394301.. ... S. pneumoniae can also be distinguished based on its sensitivity to lysis by bile, the so-called "bile solubility test". The ...
"The New England Journal of Medicine. 372 (25): 2423-27. doi:10.1056/NEJMoa1500306. hdl:2328/35704. PMC 4547451. PMID 25950269. ... Evidence indicates that both domestic dogs and pigs can also be infected with EBOV.[83] Dogs do not appear to develop symptoms ... Developments in organ-on-a-chip technology have led to a chip-based model for Ebola haemorrhagic syndrome.[262] ... "New England Journal of Medicine. 372 (25): 2423-27. doi:10.1056/NEJMoa1500306. hdl:2328/35704. ISSN 0028-4793. PMC 4547451. ...
... including evidence-based approaches for safe patient handling.[2]. The North Carolina Center for Nursing featured Durham in a ... Durham's team continued their interprofessional work with North Carolina State University College of Veterinary Medicine. The ... when she developed simulation-based educational activities to reflect cutting-edge pedagogy.[5][6] ...
Aidan Carney and based on statistical evidence, was that the basophil adenoma Minnie might have harbored underwent partial ... "The American Journal of Medicine. 118 (12): 1340-1346. doi:10.1016/j.amjmed.2005.01.059. PMID 16378774. Retrieved January 30, ... The clinical diagnosis must be based on the presence of one or more of the symptoms listed below, because the syndrome itself ... A population-based study". Journal of Clinical Endocrinology and Metabolism. 86 (1): 117-123. doi:10.1210/jcem.86.1.7093. PMID ...
"New England Journal of Medicine. 368 (18): 1713-1722. doi:10.1056/NEJMsa1212321. ISSN 0028-4793. PMC 3701298. PMID 23635051.. ... Similarly, if a child lives with someone other than a parent, he may still be eligible based on its individual status.[74] ... Evidence from HIFA-waiver expansions". Journal of Public Economics. 154: 67-94. doi:10.1016/j.jpubeco.2017.09.001.. ... Journal of Law and Medicine. 19 (2): 335-53. PMID 22320007. Archived from the original (PDF) on November 29, 2014. Retrieved ...
An artist's rendering of a temporary wood house, based on evidence found at Terra Amata (in Nice, France) and dated to the ... The Woman in the Shaman's Body: Reclaiming the Feminine in Religion and Medicine. New York: Bantam. ... In particular, Emil Bächler suggested (based on archaeological evidence from Middle Paleolithic caves) that a bear cult was ... the earliest solid evidence for the existence of home bases or central campsites (hearths and shelters) among humans only dates ...
June 2012). "Topical antimicrobial treatment of acne vulgaris: an evidence-based review". American Journal of Clinical ... There is a lack of high-quality evidence for the use of acupuncture, herbal medicine, or cupping therapy for acne.[166] ... "BMJ Clinical Evidence (Review). 2008: 1714. PMC 2907987. PMID 19450306.. *^ Del Rosso JQ, Silverberg N, Zeichner JA (April 2016 ... Veterinary Medicine. 1914. Archived from the original on 12 March 2017.. *^ Radostits OM, Gay CC, Hinchcliff KW, Constable PD ( ...
... an evidence-based review". British journal of hospital medicine (London, England : 2005). 75 (3): 143-7. doi:10.12968/hmed. ... a b MedlinePlus Medical Encyclopedia: Nosebleed U.S. National Library of Medicine Medline Plus service. Retrieved 2010-03-15. ... Low relative humidity of inhaled air (particularly during cold winter seasons).[3] Evidence to support this however is weak.[4] ... J. F. Lubianca Neto; F. D. Fuchs; S. R. Facco; M. Gus; L. Fasolo; R. Mafessoni; A. L. Gleissner (1999). "Is epistaxis evidence ...
Based on its safety and effectiveness in clinical trials,[42] rituximab was approved by the U.S. Food and Drug Administration ... "WHO Model List of Essential Medicines (19th List)" (PDF). World Health Organization. April 2015. Archived (PDF) from the ... There is some evidence for efficacy, but not necessarily safety, in a range of other autoimmune diseases, and rituximab is ... Rituximab was approved for medical use in 1997.[6] It is on the World Health Organization's List of Essential Medicines, the ...
In addition, a genetic mismatch as small as a single DNA base pair is significant so perfect matches require knowledge of the ... G-CSF has also been described to induce genetic changes in mononuclear cells of normal donors.[44] There is evidence that ... Mahla RS (2016). "Stem cells application in regenerative medicine and disease threpeutics". International Journal of Cell ... Allers, K.; Hutter, G.; Hofmann, J.; Loddenkemper, C.; Rieger, K.; Thiel, E.; Schneider, T. (2010). "Evidence for the cure of ...
... -based planning is what was used to build the US industrial giants before WWII (e.g., Dow, DuPont, GM) and it is what ... In medicine, this era brought innovations such as open-heart surgery and later stem cell therapy along with new medications and ... Yet, scientific evidence fails to clearly demonstrate that technology has displaced so many workers that it has created more ... Moorey, Peter Roger Stuart (1999) [1994]. Ancient Mesopotamian Materials and Industries: The Archaeological Evidence. Winona ...
Evidence-based Clinical Guideline Number 7. Royal College of Obstetricians and Gynaecologists. p. 43. ISBN 1-904752-06-3. OCLC ... If a bad thing happens because of a surgery or medicine that a doctor gives, or because of a miscarriage, it is called a ... Fetal Medicine: Basic Science and Clinical Practice (Elsevier Health Sciences 1999), page 835. ... Based on their system of morals, people have different opinions about it. Religion can also influence this opinion. ...
A review found that in the antenatal period (before labour) there is no evidence to suggest that monitoring women with high- ... Category I (Normal): Tracings with all these findings present are strongly predictive of normal fetal acid-base status at the ... and the Society for Maternal-Fetal Medicine. The Royal College of Obstetricians and Gynaecologists and the Society of ... Category II (Indeterminate): Tracing is not predictive of abnormal fetal acid-base status, but evaluation and continued ...
"Coconut shelter: evidence of tool use by octopuses". EduTube Educational Videos. Retrieved 4 February 2014.. ... Two possible extant cephalopod phylogenies, based on genetics studies by Strugnell et al. 2007, are shown in the possible ... IEEE Engineering in Medicine and Biology Society. 25 (3): 40-56. doi:10.1109/MEMB.2006.1636351.. ... Ancient seafaring people were aware of the octopus, as evidenced by certain artworks and designs. For example, a stone carving ...
In China, archaeological evidence of medicine in Chinese dates back to the Bronze Age Shang Dynasty, based on seeds for ... Folk medicine may also be referred to as traditional medicine, alternative medicine, indigenous medicine, or natural medicine. ... Traditional medicine[edit]. Main article: Traditional medicine. Traditional medicine (also known as indigenous or folk medicine ... Early records on medicine have been discovered from ancient Egyptian medicine, Babylonian Medicine, Ayurvedic medicine (in the ...
Based on the historical record of the mid-17th century, it has been estimated that most Lenape polities consisted of several ... 1983a Author found no strong evidence that Indians purposely burned large areas, but they did burn small areas near their ... Weslager, C.A. Magic Medicines of the Indians. Signet, 1974. ASIN B001VIUW08. ... Tantaquidgeon, Gladys, 1942, A Study of Delaware Indian Medicine Practice and Folk Beliefs, Harrisburg. Pennsylvania Historical ...
The standard morphology based orders could be used if we really wanted, but they're obsolete and so I don't think they add ... Re: Evidence of cyanobacterial microfossil controversyEdit. Questioning the oldest signs of life Simpson S SCIENTIFIC AMERICAN ... I just picked up "The Poisoner's Handbook: Murder and the Birth of Forensic Medicine in Jazz Age New York" by Deborah Blum, and ... Questioning the evidence for Earth's oldest fossils Brasier MD, Green OR, Jephcoat AP, et al. NATURE 416 (6876): 76-81 MAR 7 ...
In cultures with a solid establishment of evidence-based medicine, they are considered a subtype of a larger category of ... There is very little supporting evidence for this theory.[29] The DSM-IV lists conversion disorders instead of the current FND ... Clinical findings provide evidence of incompatibility between the symptom and recognized neurological or medical conditions. ... Though there is limited evidence, outcomes appear to be relatively poor with a review of outcome studies finding that two ...
"The Egyptian Journal of Radiology and Nuclear Medicine. 48: 245-250. doi:10.1016/j.ejrnm.2016.10.007.. ... The decision to treat is based on a belief that the child will be disabled by being extremely short as an adult, so that the ... "Psychiatry Online Strong Inverse Association Between Height and Suicide in a Large Cohort of Swedish Men: Evidence of Early ... there is some evidence to suggest that there is an inverse linear relationship with height and with risk of suicide.[6] ...
"Secondhand Smoke Exposure and Cardiovascular Effects: Making Sense of the Evidence". Institute of Medicine. 2009. Retrieved 5 ... Typically, such arguments are based upon an interpretation of John Stuart Mill's harm principle which perceives smoke-free laws ... Evidence basis[edit]. Main article: Passive smoking. Research has generated evidence that second-hand smoke causes the same ... The New England Journal of Medicine. 337 (15): 1052-7. doi:10.1056/NEJM199710093371506. hdl:1765/59780. PMID 9321534.. ...
European Medicines Agency. Boehringer Ingelheim International GmbH. 16 October 2013. Retrieved 28 January 2014.. ... February 2015). "Afatinib versus cisplatin-based chemotherapy for EGFR mutation-positive lung adenocarcinoma (LUX-Lung 3 and ... although there is emerging evidence to support its use in other cancers such as breast cancer.[9] ... "electronic Medicines Compendium. Boehringer Ingelheim Limited. 20 January 2014. Retrieved 28 January 2014.. ...
... an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology". Neurology. 69 (1 ... "Wilderness & Environmental Medicine. 21 (3): 270-271. doi:10.1016/j.wem.2010.04.005. ISSN 1080-6032. PMID 20832708.. ... the CDC only included laboratory evidence based on (1) and (2) in their surveillance case definition. The case definition now ... Cases have been reported as far east as the island of Newfoundland.[105][214][215][216] A model-based prediction by Leighton et ...
The Cochrane Database of Systematic Reviews is considered the gold standard for evidence-based medicine. Essential Evidence ... Abstracts of the Cochrane Database of Systematic Reviews that summarize the worlds best evidence on the effectiveness of more ...
Evidence-based dentistry Evidence-based design Evidence-based nursing Evidence-based policy Evidence-based practices Evidence- ... Evidence-Based Medicine Working Group (November 1992). "Evidence-based medicine. A new approach to teaching the practice of ... Centre for Evidence-based Medicine at the University of Oxford. Evidence-Based Medicine at Curlie. ... limitations unique to evidence-based medicine and misperceptions of evidence-based-medicine") and the five-point categorization ...
Information Use Behavior of Clinicians in Evidence-Based Medicine Process in Thailand Somrux Sahapong MA*, Lampang Manmart PhD ... Evidence-Based Medicine Process in Thailand * 1. Information Use Behavior of Clinicians in Evidence-Based Medicine Process in ... Impact of an based medicine in clinical curriculum. Ann Acad evidence-based medicine curriculum on medical Med Singapore 2006; ... evidence during consultations. Int J Med Inform Richardson WS. Evidence based medicine: what 2005; 74: 1-12. it is and what it ...
Based Medicine in Practice Carolyn M. Clancy, MD DirectorAgency for Healthcare Research and Quality … ... Implementation of evidence based medicine in practice * 1. Implementation of Evidence- Based Medicine in Practice Carolyn M. ... Enabling Evidence-Based Medicine through Health IT Streamlining Information and Clinical Processes Faster and broader ... Transforming Healthcare through Evidence-based Medicine Chicago, IL - October 4, 2012 * 2. Understanding a Changing Landscape ...
Samuel Hahnemann, and are based in the law of similars, also known as like cures like. ... Samuel Hahnemann, and are based in the law of similars, also known as like cures like. ... Evidence-Based Homeopathic Family Medicine. Analysis by Dr. Joseph Mercola Fact Checked ... The accompanying eBook, "Evidence-Based Homeopathic Family Medicine," is nearly 550 pages and filled with specific references, ...
The Centre for Evidence-Based Medicine (CEBM), based in the Nuffield Department of Primary Care Health Sciences at the ... The Graduate School includes a MSc in Evidence-Based Health Care and a DPhil in Evidence-Based Health Care, along with a range ... "MSc in Evidence-Based Health Care". Retrieved 23 July 2015. CS1 maint: discouraged parameter (link) "DPhil in Evidence-Based ... professor of evidence-based medicine Notable fellows include: Iain Chalmers Muir Gray Professor Rod Jackson, University of ...
Seven alternatives to evidence based medicine BMJ 1999; 319 :1618 doi:10.1136/bmj.319.7225.1618 ... Seven alternatives to evidence based medicine. BMJ 1999; 319 doi: https://doi.org/10.1136/bmj.319.7225.1618 (Published 18 ... Is ophthalmology evidence based? A clinical audit of the emergency unit of a regional eye hospital ...
Systematically addresses all concepts of concepts How to critically evaluate best evidence, diagnostic tests, systemic reviews ... Evidence-Based Medicine Associated with Evidence-based Medicine (EBM) since its inception in 1992, when I was a Rockefeller ... Scientific Director of the Gulf Reference Centre for Evidence-Based Medicine at the College of Medicine & Medical Sciences, the ... Fundamentals of Evidence Based Medicine. Authors. * Kameshwar Prasad Copyright. 2014. Publisher. Springer India. Copyright ...
Andrew Weil is a rock star in the complementary and alternative medicine (CAM) and integrative medicine (IM) movement. ... Indeed, this is a major reason that the term science-based medicine, as opposed to evidence-based medicine, was coined in the ... This is the classic clash between evidence-based medicine and fantasy-based medicine. They hope that by tearing down the RCT, ... You are the cause of neglecting actual evidence-based medicine in favor of profiteering-based medicine promoted by ...
Evidence based medicine gives individuals information based on a philosophy of life or values that they often cannot relate to ... Sackett et al define evidence based medicine as "the integration of best research evidence with clinical expertise and patient ... Although they make decisions based on evidence, they view this evidence through a filter that is based on their own individual ... There is a vast literature on evidence based choice, communicating evidence based information, and ethical considerations of ...
Evidence-based medicine (EBM): an effective set of algorithms or a one size fits all shortcut that can prejudice ... But sometimes we are not, and despite all evidence the patient lives. We generally call this a "hunch," but I believe that it ... Erich H. Loewy, MD, Professor of Medicine (emeritus); Founding Alumni Association Chair of Bioethics; Associate, Department of ... Journal Article Ejection Fraction in Heart Failure Revisited-Where Does the Evidence Start? ...
... how to translate them into effective searches for the best evidence, how to critically appraise that evidence for its validity ... Evidence Based Medicine provides a clear explanation of the central questions of EBM - how to ask answerable clinical questions ... prescription estimate evaluating event rate Evidence Based Evidence Based Medicine evidence resources evidence-based medicine ... Evidence-based Medicine: How to Practice and Teach EBM.. Volume 1 of Evidence-based Medicine: How to Practice and Teach EBM, ...
Evidence-Based Medicine - An Oral History, JAMA and the BMJ, 2014. *Centre for Evidence-based Medicine at the University of ... and paved the way for the introduction of evidence-based methods.. Evidence-basedEdit. The term "evidence-based medicine", as ... Evidence-Based Medicine Working Group (November 1992). "Evidence-based medicine. A new approach to teaching the practice of ... limitations unique to evidence-based medicine and misperceptions of evidence-based-medicine")[70] and the five-point ...
Evidence-based medicine. We rely on the latest medical information to guide our approach. We have a team that researches ... Evidence-based medicine and systematic reviews. Recovering at work is an important part of a persons medical treatment and ... Since 2007, our Evidence-Based Practice Group has been a partner organization to Cochrane Canada, the national centre of the ... to gather evidence-based insight into recovery-at-work programs. ... Evidence-based medicine and systematic reviews Basics of ...
Evidence-based medicine. We rely on the latest medical information to guide our approach. We have a team that researches ... Evidence-based medicine and systematic reviews. Recovering at work is an important part of a persons medical treatment and ... Since 2007, our Evidence-Based Practice Group has been a partner organization to Cochrane Canada, the national centre of the ... In 2017, the Evidence-Based Practice Group conducted reviews on naltrexone as treatment for complex regional pain syndrome ( ...
Evidence-based medicine synonyms, Evidence-based medicine pronunciation, Evidence-based medicine translation, English ... dictionary definition of Evidence-based medicine. n. 1. a. The science and art of diagnosing and treating disease or injury and ... Evidence-based medicine Ear Nose Throat J 2006;85(10):624-5.. Evidence-based medicine: yet more concerns ... provided a review of evidence-based medicine (EBM) as it applies to pathology.. More on Evidence-Based Medicine ...
... yet ancient world of complementary and alternative medicine. ... Evidence-Based Complementary and Alternative Medicine (eCAM) is ... To receive news and publication updates for Evidence-Based Complementary and Alternative Medicine, enter your email address in ... Scientific Evidence for Korean Medicine and Its Integrative Medical Research 2017, Wansu Park, Vesna Sendula-Jengic, Seong S. ... Evidence-Based Study to Compare Daodi Chinese Traditional Medicinal Material and Non-Daodi Chinese Traditional Medicinal ...
Ethics and evidence-based medicine. Simon R Tomlinson, Kerry J Breen, Malcolm H Parker, Chris B Del Mar, Paul P Glasziou, Lucie ... is misleading if Tomlinson wishes to imply that the two issues he has raised can be attributed to the evidence-based medicine ( ... 5 Department of Public Health and Community Medicine, Faculty of Medicine, University of Sydney, Sydney, NSW. ... While there are several ethical issues which may arise in acquiring and applying evidence to clinical practice and health ...
Reviews how strong the evidence is for recommending one approach over another. • Highlights areas where evidence is not based ... Evidence-based Paediatric and Adolescent Diabetes brings together an international group of paediatric diabetes specialists to ... Evidence-Based Paediatric and Adolescent Diabetes. Jeremy Allgrove, Peter Swift, Stephen Greene ... From a careful review of the latest research, they propose the best possible evidence-based recommendations for the care of ...
... the popular use of herbal medicine in the form of complementary and alternative medicine (CAM) or phytomedicine in the last two ... the issue of integration of CAM medicine, including herbal preparations, into modern medicine has been the subject of ongoing ... in which its modern medicine practitioners have been required to receive some formal training in traditional Chinese medicine ( ... TCM), so that they are aware of suitable approaches in TCM during their practice of Western medicines. However, documentation ...
Level 1 evidence, as proposed by the Oxford Centre for Evidence-based Medicine (www.cebm.net/levels_of_evidence), would be ... Evidence-based medicine (EBM) may be defined as "the conscientious, explicit and judicious use of current best evidence in ... Evidence-Based Medicine: Haute Couture or the Emperors New Clothes?. Section Editor(s): Horlocker, Terese T. MDHorlocker, ... Home , June 2005 - Volume 100 - Issue 6 , Evidence-Based Medicine: Haute Couture or the Emperors New... ...
Evidence-based medicine (EBM) is the application of the scientific method to medicine. This is done by applying modern ... It stands at the gates of medicine and guards against quackery. Its worth stressing here that, while evidence-based medicine ... Evidence-based medicine: old French wine with a new Canadian label?, P K Rangachari, J R Soc Med. 1997 May; 90(5): 280-284. ... evidence-based and science-based.[5] It was suggested by an unnamed Trump official that the euphemistic statement "CDC bases ...
EFORT , Thank you London! , Scientific Content , Scientific Sessions Information , Evidence Based Medicine (EBM) ... The Current Best Evidence For Pharmaceutical Thrombo-Prophylaxis In Total Hip And Knee Arthroplasty. Miscellaneous General ...
When I think about visualization of evidence-based medicine, the evidence-based pyramid immediately comes to mind. It is an ... Tag Archives: evidence-based medicine. Narrative as Evidence January 26, 2018. First Year Academic Librarian Experience, ... I learned about evidence-based medicine and the importance of clinical expertise combined with clinical evidence and patient ... So, how should evidence-based medicine be represented?. I have presented my own perceptions sprinkled with perceptions from ...
The Pittsburgh Business Times reports how evidence-based technologies at the University of Pittsburgh Medical Center (UPMC) ... Bringing evidence-based medicine to the patient bedside already has begun in several of UPMCs 18 hospitals. In Presbys ... is expected to speed implementation of evidence based-medicine over the eight-year life of the agreement.. Heres how: UPMC ... UPMC: Charting the Progress of Evidence-Based Medicine. May 18th, 2005 Editors Informatics ...
... pseudoscienceclinical trialsintegrative medicinepediatricsalternative medicinequackademic medicinetraditional Chinese medicine ... Founder and currently Executive Editor of Science-Based Medicine Steven Novella, MD is an academic clinical neurologist at the ... More Evidence Raw Milk is Bad. More evidence that raw milk has no health benefit, but does carry higher health risks. ... should be based on the best evidence currently available evaluated as much as possible within a thorough scientific context. ...
Evidence-based medicine. A new approach to teaching the practice of medicine.. Evidence-Based Medicine Working Group. ... Evidence-based medicine: a new paradigm for the patient. [JAMA. 1993]. *Evidence-based medicine: a new paradigm for the patient ... Evidence-based medicine. A new approach to teaching the practice of medicine. [Can J Surg. 2007] ... Progress in evidence-based medicine. [JAMA. 2008]. *Effect of preoperative smoking cessation interventions on postoperative ...
... revealing the weaknesses in the evidence base and how easily clinical trials can mislead, than any other researcher. ... If Evidence Based Medicine is not based on evidenced-science, its not evidence based anything. When non-evidence based ... the father of evidence-based medicine, entitled "Evidence-based medicine has been hijacked: a report to David Sackett." ... This was long before I appreciated the difference between science-based medicine (SBM) and evidence-based medicine (EBM). So a ...
... internal documents from the pharmaceutical industry suggest that the publicly available evidence base may not accurately... ... While much excitement has been generated surrounding evidence-based medicine, ... marketing-based medicine is the current reality.. Keywords. Evidence-based medicine Marketing Marketing-based medicine ... From Evidence-based Medicine to Marketing-based Medicine: Evidence from Internal Industry Documents. ...
There is no doubt Evidence based Medicine is the future of way medicine is going to be practiced be it in a developed country ... Evidence Based Medicine 2015;20(1):3-4. (2) Flum DR, Koepsell T. The clinical and economic correlates of misdiagnosed ... Windish [1] reviewing a number of Evidence-Based Medicine (EBM) smartphone apps. Immediate access to brief summaries of the ... Windish [1] reviewing a number of Evidence-Based Medicine (EBM) smartphone apps. Immediate access to brief summaries of the ...
  • Let's face it, Dr. Andrew Weil is a rock star in the "complementary and alternative medicine" (CAM) and "integrative medicine" (IM) movement. (scienceblogs.com)
  • The only forces greater than Dr. Weil in promoting the infiltration of pseudoscience into academic medicine have been the Bravewell Collaborative and the National Center for Complementary and Alternative Medicine (NCCAM) . (scienceblogs.com)
  • To receive news and publication updates for Evidence-Based Complementary and Alternative Medicine, enter your email address in the box below. (hindawi.com)
  • Although sometimes referred to as complementary and alternative medicine, or CAM, the terminology encompassing these approaches has evolved to reflect the benefits patients derive when combined with traditional anticancer treatments. (healio.com)
  • A study presented at this year's European Society for Medical Oncology Congress showed a majority of patients who used complementary medicines were poorly informed about safety and the risk for interactions with anticancer therapies. (healio.com)
  • About half (51%) reported using any complementary medicine in their lifetime, and 44% reported that their cancer diagnosis sparked their interest in such treatments. (healio.com)
  • Patients mostly accessed information on complementary and alternative medicines on the internet or through other media, friends and healing professionals," study researcher Peter Hohenberger, MD, head of the division of surgical oncology at thoracic surgery at Medical Faculty Mannheim at University of Heidelberg in Germany, said in a press release. (healio.com)
  • In recent decades an important social movement related to Complementary and Alternative Medicine has been identified worldwide. (scielo.br)
  • The indexed literature on Complementary and Alternative Medicine (CAM) has had around two hundred new clinical studies per annum added to it, leading to a considerable increase in the availability of evidence about its use 1 . (scielo.br)
  • Methods to Provide Evidence in Evidence-based Complementary Medicine? (egms.de)
  • It is accepted that different concepts exist in medicine such as Complementary Medicine (CM) and Scientific Medicine (SM). (egms.de)
  • To develop evidence-based recommendations for complementary and alternative medicine (CAM) in multiple sclerosis (MS). (neurology.org)
  • The term was originally used to describe an approach to teaching the practice of medicine and improving decisions by individual physicians about individual patients. (wikipedia.org)
  • Guyatt and others first published the term two years later (1992) to describe a new approach to teaching the practice of medicine. (wikipedia.org)
  • Evidence-based medicine ( EBM ) is an approach to medical practice intended to optimize decision-making by emphasizing the use of evidence from well-designed and well-conducted research . (wikipedia.org)
  • [2] It has subsequently spread to describe an approach to decision-making that is used at virtually every level of health care as well as other fields ( evidence-based practice ). (wikipedia.org)
  • [ citation needed ] Called "clinical judgment" and "the art of medicine", the traditional approach to making decisions about individual patients depended on having each individual physician determine what research evidence, if any, to consider, and how to merge that evidence with personal beliefs and other factors. (wikipedia.org)
  • However, proof of efficacy or safety for the vast majority of herbal medicine has not been fully established through an evidence-based approach. (nih.gov)
  • A new approach to teaching the practice of medicine. (nih.gov)
  • The medical field itself has been edging toward a similar approach in recent years with 'evidence based medicine,' an approach that assumes it is possible to determine what works and what doesn't by reviewing published medical literature. (bookofjoe.com)
  • Geriatric medicine: an evidence based approach is a clinical reference for health care professionals who manage older patients, and summarizesup-to-date research literature in a style that can be directly applied by busy healthcare professionals and provide a useful resource for reference. (feedbooks.com)
  • Greenhaigh and her colleagues do not propose that we abandon an evidence-based approach. (theincidentaleconomist.com)
  • The revised and improved definition of evidence-based medicine is a systematic approach to clinical problem solving which allows the integration of the best available research evidence with clinical expertise and patient values . (fsu.edu)
  • EBM is an analytical approach with a fundamental knowledge base and a set of tools. (the-hospitalist.org)
  • He argued that EBM requires a bottom-up approach that integrates the best external evidence with individual clinical expertise and patients' choice. (the-hospitalist.org)
  • There are situations when taking an educated, evidence-informed approach exploring some of these alternative agents may lead to relief of symptoms or even antitumor effects. (healio.com)
  • I know that many Western doctors immediately disregard this type of evidence without conversation or consideration, and I don't think that's an effective (nor patient-friendly) approach. (harvard.edu)
  • The course structure and approach were based on best practices in adult learning, including interactivity, case-based learning, skill-focused objectives, and sequential monthly modules. (nature.com)
  • This evidence review and its recommendations focus on interventions and outcomes to provide a robust approach to the prevention, identification, and management of occupational asthma, based on and using the best available medical evidence. (bmj.com)
  • This review was commissioned and funded by the British Occupational Health Research Foundation (BOHRF) to provide a robust approach to the prevention, identification, and management of OA, based on and using the best available medical evidence. (bmj.com)
  • Evidence-Based Medicine (EBM) (or more appropriately termed Evidence-Based Practice) is an approach to the practice of healthcare comprised of the synthesis of the best available evidence from the biomedical literature, the clinical expertise of the provider, and the preferences of the patient. (entnet.org)
  • The term first appeared in the medical literature in 1992 (G. Guyatt et al, JAMA 268:2420-5) as an evolving approach to the teaching of medicine. (csam-asam.org)
  • We have previously discussed P values and confidence intervals-two of the most common statistical outcomes upon which clinical decisions are based. (the-hospitalist.org)
  • The goal of evidence-based medicine is ultimately to improve patient outcomes and quality of care. (nih.gov)
  • Use of these guidelines by clinicians, educators, policymakers, and researchers who design, report, and evaluate or review RCTs will strengthen the research itself and accelerate efforts to apply behavioral medicine research to improve the processes and outcomes of behavioral medicine practice. (nih.gov)
  • And by conforming care to standards based on good evidence, we should achieve better outcomes for patients. (theincidentaleconomist.com)
  • But that evidence needs to be validated by clinical outcomes and not be dependent on self-appointed overseers who lack appropriate expertise and knowledge in terms of clinical outcomes. (bcmj.org)
  • By following the principles of evidence-based medicine, specialty pharmacy is able to achieve the goal most important to patients, payers, and other health care practitioners-optimizing clinical treatment outcomes at the lowest cost. (pharmacytimes.com)
  • Application of evidence-based practices is critical to ensuring the safe and effective use of specialty medications, optimizing treatment outcomes, and minimizing health care costs both today and in the future. (pharmacytimes.com)
  • 1. Information Use Behavior of Clinicians in Evidence-Based Medicine Process in Thailand Somrux Sahapong MA*, Lampang Manmart PhD*, Dusadee Ayuvat PhD*, Somkiat Potisat MD** Part of a thesis entitle: Role and competencies of medical information professionals in evidence-based medicine. (slideshare.net)
  • Department of Humanities & Social Sciences, Khon Kaen University, Khon Kaen, Thailand ** Department of Medical Service, Ministry of Public Health, Nonthaburi, Thailand Objective: To investigate the information-use behavior of Thai clinicians in the evidence-based medicine (EBM) process. (slideshare.net)
  • Material and Method: Based on the survey research, 198 questionnaires were sent to EBM clinicians working in public hospitals in Thailand. (slideshare.net)
  • You may think that the problem is that the evidence-based clinicians got off on the wrong foot by oversimplifying the patients when they developed their algorithms. (theincidentaleconomist.com)
  • We need to gain a better understanding (perhaps beginning with a synthesis of the cognitive psychology literature) of how clinicians and patients find, interpret, and evaluate evidence from research studies, and how (and if) these processes feed into clinical communication, exploration of diagnostic options, and shared decision making. (theincidentaleconomist.com)
  • The tips presented here have been adapted from approaches developed by educators experienced in teaching evidence-based medicine skills to clinicians. (cmaj.ca)
  • Chapters written by leading clinicians and researchers in the field are supported by tables of evidence that summarize systematic reviews and randomized controlled trials. (researchandmarkets.com)
  • My experience as an old "detailman" litterally living in doctor's offices,medical schools, hospitals, pharmacies, nursing homes, and clinics for 35 years, has given me a special appreiciation for clinicians who have the ability to practice medicine on this level. (blogspot.com)
  • The tips in this article are adapted from approaches developed by educators with experience in teaching evidence-based medicine skills to clinicians. (cmaj.ca)
  • Evidence based decision making in healthcare has recently received a lot of attention by all health care stakeholders including clinicians, researchers, managers and policy makers. (igi-global.com)
  • Rather, clinicians must apply their expertise to assess the patient's problem and must also incorporate the research evidence and the patient's preferences or values before making a management recommendation (Figure 1) (Haynes et al. (ukessays.com)
  • David M. Eddy first began to use the term "evidence-based" in 1987 in workshops and a manual commissioned by the Council of Medical Specialty Societies to teach formal methods for designing clinical practice guidelines. (wikipedia.org)
  • Eddy first published the term "evidence-based" in March, 1990, in an article in the Journal of the American Medical Association that laid out the principles of evidence-based guidelines and population-level policies, which Eddy described as "explicitly describing the available evidence that pertains to a policy and tying the policy to evidence instead of standard-of-care practices or the beliefs of experts. (wikipedia.org)
  • Whether applied to medical education, decisions about individuals, guidelines and policies applied to populations, or administration of health services in general, evidence-based medicine advocates that to the greatest extent possible, decisions and policies should be based on evidence, not just the beliefs of practitioners, experts, or administrators. (wikipedia.org)
  • [ citation needed ] In the case of decisions which applied to groups of patients or populations, the guidelines and policies would usually be developed by committees of experts, but there was no formal process for determining the extent to which research evidence should be considered or how it should be merged with the beliefs of the committee members. (wikipedia.org)
  • All of our treatment guidelines are based on the latest medical and scientific information. (worksafebc.com)
  • Doctors and other health care providers nationwide are turning to standardized protocols, based on scientifically proven guidelines, to enhance the treatment they provide. (medgadget.com)
  • Download software from the Internet and you'll have clinical guidelines, evidenced-based disease-management tools and the latest information from peer-reviewed journals at your fingertips. (aafp.org)
  • We propose using appropriate-use criteria (AUC) as the methodology of choice for formulating and disseminating evidence-based medicine guidelines in sports medicine and arthroscopy. (rti.org)
  • This methodology also will ensure that guidelines represent all stakeholders and available evidence. (rti.org)
  • In this Wall Street Journal op-ed , Norbert Gleicher suggests that expert panels won't improve health care because the the quality of the research on which they would base their physician practice guidelines is not reliable. (thehealthcareblog.com)
  • Evidence based guidelines often map poorly to complex multimorbidity. (theincidentaleconomist.com)
  • Evidence based guidelines mapping poorly" means that algorithms designed to guide treatment for a single disorder fail when you apply them to a patient with several disorders. (theincidentaleconomist.com)
  • Evidence-Based Medicine Guidelines (EBMG) is an easy-to-use collection of clinical guidelines for primary and ambulatory care linked to the best available evidence. (duodecim.fi)
  • The process used by Duodecim Publishing Company Ltd to produce EBM Guidelines and Evidence Summaries has been accredited by NHS Evidence. (duodecim.fi)
  • We describe the 22 CONSORT guidelines and explain their application to behavioral medicine research and to evidence-based practice. (nih.gov)
  • Additional behavioral medicine-specific guidelines (e.g., treatment adherence) are also presented. (nih.gov)
  • This fully revised new edition reflects the most recent evidence using the approved evidence-based medicine (EBM) guidelines and methodology. (researchandmarkets.com)
  • Endoscopic management of acute necrotizing pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) evidence-based multidisciplinary guidelines. (annals.org)
  • Recent publication of practice parameters for surgery in adults with obstructive sleep apnea (OSA) by the American Academy of Sleep Medicine (AASM) has set off another round of debate on the need for otolaryngologists to get involved in generating their own guidelines. (enttoday.org)
  • Although otolaryngologists have yet to agree on whether or not the time is right for guidelines on surgical treatment for sleep apnea, consensus can be claimed regarding the need perceived by the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) to get on the evidence-based bandwagon. (enttoday.org)
  • A study, published last year in the Journal of the American College of Radiology, found that use of CT scans dropped by about a third after the introduction of pre-authorization based on American College of Radiology guidelines. (thehealthcareblog.com)
  • The suggested mechanism to achieve uniformity in part involves clinician adherence to practice guidelines, which is seen as synonymous with evidence-based practice. (theincidentaleconomist.com)
  • The guidelines aim to improve the prevention, identification, and management of occupational asthma by providing evidence based recommendations on which future practice can be based. (bmj.com)
  • Evidence based statements and recommendations were graded according to the Royal College of General Practitioner's star system and the revised Scottish Intercollegiate Guidelines Network grading system. (bmj.com)
  • Evidence based guidelines have become benchmarks for practice in healthcare and the process used to prepare them is well established. (bmj.com)
  • While certain guidelines and recommendations are steeped in strong, sound evidence, it is important to note that the best available biomedical evidence is often incomplete and/or is developed at the epidemiologic level, and should, therefore, serve as a guide for the provider that must be interpreted and applied with professional judgment to the care of individual patient. (entnet.org)
  • Practicing according to the principles of evidence-based medicine involves the application of national practice guidelines, current clinical research, and experience to guide the diagnosis of a condition and selection of appropriate treatment. (pharmacytimes.com)
  • Evidence-based guidelines indicate that key factors in successful viral eradication include the use of and adherence to the current gold standard for treating hepatitis C-pegylated interferon in combination with ribavirin for up to 48 weeks. (pharmacytimes.com)
  • A philosophy of medical epidemiology, however, is not a philosophy of medicine. (wiley.com)
  • Unless, that is, clinical medicine is or ought to be simply applied clinical epidemiology. (wiley.com)
  • The Centre for Evidence-Based Medicine (CEBM), based in the Nuffield Department of Primary Care Health Sciences at the University of Oxford, is an academic-led centre dedicated to the practice, teaching, and dissemination of high quality evidence-based medicine to improve healthcare in everyday clinical practice. (wikipedia.org)
  • CEBM is the academic lead for Oxford University's Graduate School in Evidence-Based Healthcare, together with the university's Department of Continuing Education. (wikipedia.org)
  • The Graduate School includes a MSc in Evidence-Based Health Care and a DPhil in Evidence-Based Health Care, along with a range of short courses, including a course on the History and Philosophy of Evidence-Based Healthcare. (wikipedia.org)
  • In its broadest form, evidence-based medicine is the application of the scientific method into healthcare decision-making. (wikipedia.org)
  • Evidence-informed person -centered healthcare part I: do 'cognitive biases plus' at organizational levels influence quality of evidence? (bmj.com)
  • Cognitive biases plus': covert subverters of healthcare evidence. (bmj.com)
  • 14. Selected evidence-based healthcare resources on the web. (barnesandnoble.com)
  • It is also clear that EBM is not about cost cutting, although many hospital medicine programs were started with this as the primary goal, given the current healthcare environment. (the-hospitalist.org)
  • It may be that good evidence is cost-efficient in certain situations, while in others it may require the healthcare system to invest more in itself if available evidence supports doing so. (the-hospitalist.org)
  • Putting it bluntly, it's because the cornerstone of evidence synthesis, the systematic review, is becoming increasingly out of touch with the needs of today's healthcare systems. (bmj.com)
  • Approaches to Evidence-Based Management and Decision-Making in Healthcare Organizations: Lessons for Developing Nations. (igi-global.com)
  • Abstracts of the Cochrane Database of Systematic Reviews that summarize the world's best evidence on the effectiveness of more than 3300 therapeutic interventions. (essentialevidenceplus.com)
  • Evidence-Based Practice is defined as, "Making a conscientious effort to base clinical decisions on research that is most likely to be free from bias, and using interventions most likely to improve how long or well patients live. (fsu.edu)
  • Systematic reviews of the available published evidence are required to identify interventions that lead to improvements in behavior, health, and well-being. (nih.gov)
  • Evidence based medicine has been a topic of considerable controversy in medical and health care circles over its short lifetime, because of the claims made by its exponents about the criteria used to assess the evidence for or against the effectiveness of medical interventions. (bmj.com)
  • Rethinking Knowledge: Evidence-Based Medicine" will address how randomized clinical trials provide the highest quality of evidence with regard to the efficacy and safety of medical interventions such as drugs and surgical procedures. (columbia.edu)
  • Evidence-based medicine "converts the abstract exercise of reading and appraising the literature into the pragmatic process of using the literature to benefit individual patients while simultaneously expanding the clinician's knowledge base. (fsu.edu)
  • In 1996, David Sackett and colleagues clarified the definition of this tributary of evidence-based medicine as "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. (wikipedia.org)
  • So a couple of weeks ago it was with much interest that I read an article by Ioannidis framed as an open letter to David Sackett, the father of evidence-based medicine, entitled " Evidence-based medicine has been hijacked: a report to David Sackett . (scienceblogs.com)
  • A Canadian doctor David Sackett in the 1990s created the term Evidence-based Medicine [ 2 ] (EBM) (McQueen, 2001) and gave it its most renowned and accepted definition to this date. (ukessays.com)
  • This doesn't stop Shannon et al from presenting these concepts as though EBM and science-based medicine (SBM) don' t consider questions of whether treatments work under real-life conditions. (scienceblogs.com)
  • We have a team that researches various treatments and practices, to gather evidence-based insight into recovery-at-work programs. (worksafebc.com)
  • Over the last couple of decades, Ioannidis has arguably done more to reveal the shortcomings of the medical research enterprise that undergirds our treatments, revealing the weaknesses in the evidence base and how easily clinical trials can mislead, than any other researcher. (scienceblogs.com)
  • After all, their reasoning-if you can call it that-seems to boil down to: If "conventional" medicine is built on such shaky science, then their pseudoscience isn't wrong after all, given that the same scientific enterprise upon which conventional medicine is based produces the findings that reject their dubious claims and treatments. (scienceblogs.com)
  • Evidence of efficacy of different treatments is often lackingbecause older people are under-represented in clinical trials, and the specific needs of older people are rarely discussed specifically in more general texts. (feedbooks.com)
  • What about widely used conventional treatments in veterinary medicine? (wunc.org)
  • This paper takes epistemological issues as its primary focus, rather than ethical or policy issues raised by EBM, in the belief that many of the latter issues turn, or have been made to turn, on questions of methodology in the evaluation and testing of treatments, in outcome measurement, and in evidence synthesis. (bmj.com)
  • The researchers' goal was to develop and complete rubrics for assessing these tools based on criteria for a general evaluation of tools (reviewing content, search options, quality control, and grading) and criteria for an evaluation of clinical summaries (searching tools for treatments of common diagnoses and evaluating summaries for quality control). (nih.gov)
  • About 20 years ago, Lau wrote one of the first computer programs to aid in such "meta-analyses" of study data and co-authored a landmark set of papers in the New England Journal of Medicine and the Journal of the American Medical Association applying the techniques to studies of heart attack treatments. (medicalxpress.com)
  • Research to develop evidence-based medicine methods has value beyond determining the comparative effectiveness of treatments. (medicalxpress.com)
  • New edition of "Testing Treatments", best pop science book on Evidence Based Medicine ever. (badscience.net)
  • unfortunately, major investments in biomedical research, leading to new and better tests and treatments, has spurred the development of critical appraisal of the medical literature and evidence-based medicine (Haynes et al. (ukessays.com)
  • There are definitely practices like that in conventional, science-based medicine. (wunc.org)
  • Finally, resident doctors' prejudices against homeopathy can be extended to practices other than allopathic medicine. (scielo.br)
  • There is a strong case for decision making based on best practices and evidence-based decision making. (bcmj.org)
  • It] means integrating individual clinical expertise with the best available external clinical evidence from systematic research. (wikipedia.org)
  • This branch of evidence-based medicine aims to make individual decision making more structured and objective by better reflecting the evidence from research. (wikipedia.org)
  • CEBM has developed a widely adopted systematic hierarchy of the quality of medical research evidence, named the levels of evidence. (wikipedia.org)
  • In March 2016, research at the centre systematically identified 353 medicinal products withdrawn worldwide because of adverse drug reactions, assessed the level of evidence used for making the withdrawal decisions, and found that only 40 drugs were withdrawn worldwide. (wikipedia.org)
  • Medicine has a long tradition of both basic and clinical research that dates back at least to Avicenna [3] [4] and more recently to protestant reformation exegesis of the 17th and 18th centuries. (wikipedia.org)
  • [16] These areas of research increased awareness of the weaknesses in medical decision making at the level of both individual patients and populations, and paved the way for the introduction of evidence-based methods. (wikipedia.org)
  • It is the "conscientious, explicit and judicious use of the current best evidence from clinical care research in making decisions about the care of individual patients. (iffgd.org)
  • As I discussed in my previous post , the evidence-based pyramid prioritizes research that reduces bias. (acrlog.org)
  • Essentially, evidence-based clinical decisions should consider the best of (1) the best research evidence, (2) clinical expertise, and (3) patient values and preferences. (acrlog.org)
  • As medical librarians we generally focus on delivering strategies for the best research evidence. (acrlog.org)
  • A new IOM report makes recommendations that aim to ensure that progress in omics-based test development is grounded in sound scientific evidence and is reproducible, resulting in improved health care and continued public trust in research. (cdc.gov)
  • This is particularly true among family medical physicians, [ 16-18 ] whose personal beliefs about effective LBP care are often discordant with what is known from external research evidence. (chiro.org)
  • With an improved layout, this second edition of Evidence-based Medicine Toolkit offers more up-to-date guidance as well as new sections on important areas of research. (barnesandnoble.com)
  • With these added features to make the job easier, the new Toolkit is now an even better companion for all health care professionals using evidence-based methodology in their research and practice. (barnesandnoble.com)
  • Misalignment Between Research Hypotheses and Statistical Hypotheses: A Threat to Evidence-Based Medicine? (springer.com)
  • Prima facie, one cannot gain proper evidence for one's research hypothesis employing a misaligned statistical hypothesis. (springer.com)
  • The primary message of evidence-based medicine is that critical assessment of every aspect of research is necessary to ensure that we make the best possible decisions for our patients. (the-hospitalist.org)
  • Since the programmatic outline of evidence based medicine in Cochrane's lectures, various elements have been added, including cost effectiveness analysis, a deepened focus on the types of outcome measures used in evaluation, an expanded range of research synthesis tools (notably meta-analysis of existing data sets), and a heightened attention to patient relevant measures and to patient involvement in evaluation. (bmj.com)
  • Evidence Based Medicine and Practice follows a progressive editorial policy that encourages researchers to submit the original research, reviews and editorial observations as articles, well supported by tables and graphic representation. (omicsonline.org)
  • In areas where evidence is insufficient to recommend a practice, summaries of the available research are provided to assist in decision-making. (researchandmarkets.com)
  • The research sought to establish a rubric for evaluating evidence-based medicine (EBM) point-of-care tools in a health sciences library. (nih.gov)
  • This concise, easy to understand and learner-friendly book invites the readers to actively particpate in the understanding of medical statistical concepts that are frequently used in health care research and evidence-based practice worldwide. (researchandmarkets.com)
  • The concept of evidence based medicine (EBM), defined as the "integration of best research evidence with clinical expertise and patient values", 1 has been gaining popularity in the past decade. (bmj.com)
  • Evidence-Based Medicine and Clinical Research: Both Are Needed, Neither Is Perfect. (annals.org)
  • Not much evidence based research has been carried out on prevention of hamstring strain. (bmj.com)
  • A new center at Brown University, led by a team of five experts in evidence-based medicine, will advance the study of turning heaps of data in research papers into a powerful understanding that doctors and scientists can apply. (medicalxpress.com)
  • A central tenet of evidence-based medicine that doctors should base treatment decisions on what rigorous quantitative research has found to be the most likely outcome for patients is a simple one. (medicalxpress.com)
  • Howick accepts and defends EBM's positivist assertion of the relative value of knowledge derived from clinical research and the corollary asserting a hierarchy of evidence rather than taking on the question directly and without preconceived conclusions. (wiley.com)
  • Transferring evidence from research into practice, 1. (springer.com)
  • The role of clinical care research evidence in clinical decisions. (springer.com)
  • As such, research evidence is often not the sole determinant of clinical decisions. (entnet.org)
  • 2002). Subsequent versions have emphasized that research evidence alone is not an adequate guide to action. (ukessays.com)
  • The reality is that allopathic medicine typically uses drugs and procedures in manners not supported by research. (gonstead.com)
  • EBM offers a tested scientific point of view that references applied clinical research when filtered through standards of evidence designed to minimize bias by the use of strong statistical designs. (csam-asam.org)
  • Systematic reviews of randomised clinical trials (encompassing homogeneity) are seen as the highest possible level of evidence, as full assessment and aggregated synthesis of underlying evidence is possible. (wikipedia.org)
  • I attended sessions covering topics including survey design, information literacy assessment, National Library of Medicine updates, using Python to navigate e-mail reference, systematic reviews, and so many engaging posters! (acrlog.org)
  • EBM also includes a rigorous framework for the assessment and classification of biomedical evidence whereby the quality of the evidence is graded based on the study design and the potential for error and bias that could lead to false or misleading results. (entnet.org)
  • This evidence-based assessment of ultrasound-guided regional anesthesia reviews findings from our 2010 publication and focuses on new meta-analyses, randomized controlled trials, and large case series published since 2009. (asra.com)
  • Essential Evidence Plus includes the latest and most up-to-date summaries of systematic reviews from the Cochrane Library, which are the most rigorous and reliable evaluations of medical therapies available. (essentialevidenceplus.com)
  • Each chapter includes non-drug therapy, drug therapy, and consumer evidence-based summaries. (wiley.com)
  • The text now places greater emphasis on GRADE - a transparent framework for developing and presenting summaries of evidence - to allow readers to easily evaluate the quality of evidence and the strength of recommendations. (researchandmarkets.com)
  • The first part of this Open Evidence Review consists of searching the evidence and posting summaries of all included studies, which are accessible from the searchable table below. (cebm.net)
  • Our aim is to provide accessible summaries of the evidence of transmission dynamics for COVID-19. (cebm.net)
  • 2. Understanding a Changing Landscape Health care reform, including payment reform, has already begun - How is evidence integrated into the new environment? (slideshare.net)
  • The integration of herbal and other forms of traditional medicine (TM) can be done in one of the following three ways: First, it can be incorporated as an integral part of a country's formal health care system, with each being separately recognized as legitimate forms of health care within the same framework. (nih.gov)
  • Second, it can be practice integrated with modern medicine by individual health care practitioners. (nih.gov)
  • The incorporation of traditional and modern evidence-based medicine (EBM) as integral parts of a country's formal health care system is most likely to be achieved and has been demonstrated to be practicable in many countries, particularly in Asian countries such as China, Japan, Korea, and India, among others ( World Health Organization 2001 ). (nih.gov)
  • On the other hand, the incorporation of traditional medical modalities such as herbal medicine into modern or EBM by either the second or third method of health care integration is not easily achieved for a host of reasons, including scientific, cultural, educational, and legal. (nih.gov)
  • This emerging field is sometimes called evidence-based medicine, and advocates say it promises to improve patient care, reduce mistakes and lower health care costs. (medgadget.com)
  • This service delivers the latest clinical abstracts from the National Library of Medicine and health care news from Reuters to your desktop computer for synchronizing to your PDA. (aafp.org)
  • Norbert Gleicher's Op-Ed page piece in yesterday's Wall Street Journal succinctly undressed the erstwhile new belle of the health care reform ball, namely 'evidence-based' medicine, which purports to create best-practice scenarios based on the results of published reports as opposed to old-fashioned physician experience and judgment. (bookofjoe.com)
  • Within mainstream health care, the customary management of low back pain (LBP) by primary care medical physicians is often not evidence based. (chiro.org)
  • That's the proposal of another movement for the reform of evidence-based medicine, the Institute of Medicine 's Learning Health Care System initiative. (theincidentaleconomist.com)
  • The practice of evidence-based medicine is a process of lifelong, self-directed, problem-based learning in which caring for one's own patients creates the need for clinically important information about diagnosis, prognosis, therapy and other clinical and health care issues. (fsu.edu)
  • A conference on the role of evidence-based medicine (EBM) in improving health care quality and enhancing medical education took place on 7 May 2014 in Tajikistan for health professionals and representatives of medical educational institutions in Kazakhstan, Kyrgyzstan and Tajikistan, as well as representatives of international organizations. (who.int)
  • In Germany, the Institute for Quality and Cost Effectiveness in Health Care (IQWIG) has recently concluded that there is no evidence for the use of PET/CT in malignant lymphomas, squamous cell carcinomas of the head and neck, ovarian cancer, malignant melanoma, high-grade brain tumors, and recurrent colorectal cancer ( 3 ). (snmjournals.org)
  • Statistics Workbook for Evidence-based Health Care. (researchandmarkets.com)
  • Relevant for anyone needing to use statistics, this workbook is an ideal resource for all health care professionals and students, especially those learning and practising evidence-based medicine. (researchandmarkets.com)
  • Health care professionals are increasingly required to base clinical decisions on the best available evidence. (bmj.com)
  • It is important that health care professionals develop key EBM skills including the ability to find, critically appraise, and incorporate sound scientific evidence into their own practice. (bmj.com)
  • Evidence-based medicine will be extraordinarily important as we move forward in a new health care environment," said Dr. Edward Wing, dean of medicine and biological sciences at Brown. (medicalxpress.com)
  • Increased use of evidence-based medicine is a major emphasis of health care reform under the Affordable Care Act passed in 2010. (medicalxpress.com)
  • So we should be able to get more value for our health care dollars by reducing unnecessary variation in care, where unnecessary means a deviation from the standard of care that is neither responsive to patient's preferences nor justified by good evidence. (theincidentaleconomist.com)
  • The current buzzword in health care and health care-related issues is "evidence-based medicine. (gonstead.com)
  • Because this is the fastest-growing segment of drug spending and the largest proportion of the drug development pipeline, understanding the evolving evidence supporting the use of these treatment options and identifying their appropriate place in therapy will continue to be a focus for health care providers and payers alike. (pharmacytimes.com)
  • The term "evidence-based medicine" was introduced slightly later, in the context of medical education. (wikipedia.org)
  • Part of a thesis entitle: Role and competencies of medical information professionals in evidence-based medicine. (slideshare.net)
  • In collaboration with the British Medical Journal, Carl Heneghan and team found no evidence that Tamiflu helped to reduce complications of influenza. (wikipedia.org)
  • This book provides both a background to evidence-based medicine and an easy transition from some of the classical statistics of medical care to everyday practice. (springer.com)
  • This is an extraordinarily useful book for understanding evidence-based medicine and a pragmatic look at medical statistics. (springer.com)
  • For decades, the People's Republic of China has touted a system of medical education in which its modern medicine practitioners have been required to receive some formal training in traditional Chinese medicine (TCM), so that they are aware of suitable approaches in TCM during their practice of Western medicines. (nih.gov)
  • In this chapter, we examine the current status and major scientific issues or factors that affect the integration of herbal medicine into evidence-based medical therapy. (nih.gov)
  • In the thousands-year old history of medicine, medical decisions have been based on careful observation mixed with superstition . (rationalwiki.org)
  • We're trying to take our very nice art of medicine and turn it into an engineered process," said Dr. G. Daniel Martich, vice president of the University of Pittsburgh Medical Center's electronic medical records project. (medgadget.com)
  • Instead, she spoke with her gynecologist, who-contrary to best medical evidence at the time-recommended against such treatment. (bookofjoe.com)
  • McKenzie's blog, The SkeptVet , aims to bring a calm voice of evidence-based skepticism in analyzing medical options for dogs and cats. (wunc.org)
  • Evidence-Based Orthopedics is an invaluable resource for orthopedic specialists, surgeons, trauma surgeons, trainees, and medical students. (researchandmarkets.com)
  • Is There Evidence for Evidence-Based Medical Imaging? (snmjournals.org)
  • A new publication, Evidence-Based Medicine , will be introduced later this year by the American College of Physicians and the British Medical Journal Publishing Group. (annals.org)
  • The new faculty members include Dr. Thomas Trikalinos, Dr. Joseph Lau, and Prof. Christopher Schmid, a highly regarded trio currently based at Tufts University Medical Center in Boston. (medicalxpress.com)
  • Actually determining what the medical literature has to say about a treatment, not just in one study but in many, is a complex scientific endeavor that is still a growing area of study, said Terrie Fox Wetle, associate dean of medicine for public health. (medicalxpress.com)
  • The Accreditation Council for Graduate Medical Education (ACGME) invokes evidence-based medicine (EBM) principles through the practice-based learning core competency. (wiley.com)
  • It has been suggested that since its introduction in 1992, the term evidence-based medicine (EBM) has reached almost iconic status within the medical lexicon. (enttoday.org)
  • 17 Programs that are grounded in evidence-based principles of adult learning and medical education have a greater impact on physician performance than programs that do not incorporate such principles. (nature.com)
  • As a 4th year medical student, not far from the days when I will be making similar decisions for my patients, I applaud you for noting the absurdity of some of the things we do in medicine. (blogspot.com)
  • User's guides to the medical literature: a manual for evidence-based clinical practice. (springer.com)
  • The lack of adequate evidence should never be used as the sole consideration for the determination of medical necessity or payment. (entnet.org)
  • In contrast to traditional medical practice, evidence-based medicine has downgraded the power of ad hoc clinical experience. (csam-asam.org)
  • Established in 1999, the Consortium of Academic Health Centers for Integrative Medicine represents 44 academic health centers in the United States and Canada. (nih.gov)
  • The prevalence of integrative medicine approaches has transformed care in many specialties, perhaps none more so than oncology. (healio.com)
  • Sixty percent of patients acknowledged they had insufficient knowledge about the safety of integrative medicine, and only 7% reported receiving any information about the safety of these approaches from oncologists. (healio.com)
  • The term "Evidence-based medicine" was introduced in 1990 by Gordon Guyatt of McMaster University. (wikipedia.org)
  • This has become a controversial topic, as the United Kingdom government spend £473 million (as of 2014[update]) on the purchase of Tamiflu, despite the systematic review claiming to find no evidence for the effectiveness of it. (wikipedia.org)
  • Sadly, in the drive to emphasize the importance of delineating clearly sound measures of clinical effectiveness, modern medicine has come to equate RCTs as the final arbitrators of clinical decision making. (scienceblogs.com)
  • To determine whether or not there is any evidence to support the efficacy and/or effectiveness of the use of a weighted blanket as treatment for patients diagnosed with Post-Traumatic Stress Disorder (PTSD). (worksafebc.com)
  • To determine whether there is any evidence to support the efficacy and/or effectiveness of using restricted environmental stimulus therapy (REST) as treatment for patients diagnosed with Post-Traumatic. (worksafebc.com)
  • To determine whether or not there is evidence to support the efficacy and/or effectiveness of the Portable Neuromodulation Stimulator (PoNS®) as treatment for patients with traumatic brain injuries, in. (worksafebc.com)
  • The evidence based medicine movement is normally traced back to a series of lectures given in 1972 by the epidemiologist Archie Cochrane entitled Effectiveness and efficiency: random reflections on health services . (bmj.com)
  • If the effectiveness under day-today conditions is to be shown the clinical trial is not useful because the sequence of decisions in a clinical trial is different from the sequence of decisions in day-to-day medicine. (egms.de)
  • CME Courses, to include topics, objectives and certification can be found at https://www.americanmedicalseminars.com This CME Activity is designed for Primary Care Practitioners, Internal Medicine, Emergency Medicine, General Practice, and even Specialists who would like practical and clinically relevant reviews and updates in Primary Care Medicine. (drugs.com)
  • To gather systemic review data base, a bibliographic search usually is conducted in the PubMed and in Cochrane Central Register of Controlled Trials databases to address a common clinical challenge. (scirp.org)
  • March 2011−September 2013 MEDLINE search), classified articles, and linked recommendations to evidence. (neurology.org)
  • It looks like they've also done an evidence search. (coursera.org)
  • So looking here, where have they done the evidence search? (coursera.org)
  • However, there has been little standardization for grading evidence ( 4 ) and recommendations for a single question often vary greatly depending on the methodology of the review. (lww.com)
  • It is a very uncomfortable feeling to go against what is considered "standard of care" and not to throw in the towel when overwhelming evidence points to a patient's imminent demise. (medscape.com)
  • With authoritative reviews based on Cochrane and other systematic reviews and high quality trials, the recommendations in this book provide unique information for treatment options in the context of the individual patient's needs. (wiley.com)
  • Since 2007, our Evidence-Based Practice Group has been a partner organization to Cochrane Canada, the national centre of the Cochrane Collaboration . (worksafebc.com)
  • Level 1 evidence, as proposed by the Oxford Centre for Evidence-based Medicine ( www.cebm.net/levels_of_evidence ), would be considered extremely strong evidence to guide practice. (lww.com)
  • While one might be quick to dismiss this defensive stance as an example of 'funding source bias', given that the author is in the employ of the Centre for Evidence-based Medicine at the University of Oxford, Howick's commitment to the cause of EBM comes through as both thoughtful and genuine. (wiley.com)
  • Oxford Centre for EBM Levels of Evidence), but the thrust of each is the same. (csam-asam.org)
  • In 2017, the Evidence-Based Practice Group conducted reviews on naltrexone as treatment for complex regional pain syndrome (CRPS) (June 2017), and neuropathic pain (September 2017). (worksafebc.com)
  • He discussed "evidence-based" policies in several other papers published in JAMA in the spring of 1990. (wikipedia.org)
  • Is standard allopathic medicine more "evidence-based" than other forms of care like chiropractic? (gonstead.com)
  • In a previous blog, CDC's Office of Public Health Genomics announced a list of health-related genomic tests and applications, stratified into three tiers according to the availability of scientific evidence and evidence-based recommendations as a result of systematic reviews. (cdc.gov)
  • The appropriate integration of genomics into routine practice stands to significantly impact medicine. (nature.com)
  • The introductory section covers the principles of evidence-based medicine in rheumatology, followed by clinical chapters covering all the major disorders. (wiley.com)
  • Westby G. Fisher, MD, FACC is a board certified internist, cardiologist, and cardiac electrophysiologist (doctor specializing in heart rhythm disorders) practicing at NorthShore University HealthSystem in Evanston, IL, USA and is a Clinical Associate Professor of Medicine at University of Chicago's Pritzker School of Medicine . (blogspot.com)
  • The systematic review produced 52 graded evidence statements and 22 recommendations based on 223 studies. (bmj.com)
  • Just because big pharma misbehaves, EBM has flaws, and conventional medicine practitioners don't always use the most rigorous evidence does not mean that, for example, homeopathy, acupuncture, or energy medicine works. (scienceblogs.com)
  • The days of bloodletting with leeches are behind us, but rigorous scientific evaluation of medicine reached critical mass only in the last century. (the-hospitalist.org)
  • Medicine has a long history of scientific inquiry about the prevention, diagnosis, and treatment of human disease. (wikipedia.org)
  • Evidence-based medicine ( EBM ) is the application of the scientific method to medicine . (rationalwiki.org)
  • In essence alternate narratives to the scientific evidence can be manufactured, or can emerge spontaneously, and then take on a life of their own. (sciencebasedmedicine.org)
  • I am skeptical of the taste claim, because of the mountain of scientific evidence that taste is extremely subjective and amenable to other sensory clues and expectations. (sciencebasedmedicine.org)
  • It's someone who refrains from judging a claim until they have examined the evidence dispassionately - someone who gives preference to scientific evidence over personal experience, anecdote, tradition or history. (wunc.org)
  • Of course, the concept of practicing medicine based on the scientific method has been around for years. (the-hospitalist.org)
  • Evidence based medicine (EBM) is an important movement within medicine and health services, which has had considerable success over the past 30 years in promoting critical scientific and practical awareness of the status of different claims to therapeutic knowledge. (bmj.com)
  • and the majority demonstrated prejudice, affirming that there is not enough scientific evidence to support homeopathy, defending their position based on personal opinion, limited clinical practice and on information circulated in the mass media. (scielo.br)
  • Scientific medicine, by its very nature, implies both theory and practice that flow from objective, verifiable, shared data-the "evidence. (annals.org)
  • We really want to bolster the scientific infrastructure at FDA and take advantage of the opportunity that we have to have much better evidence," Califf told the Washington Post . (cardiovascularbusiness.com)
  • books.google.com - Evidence Based Medicine provides a clear explanation of the central questions of EBM - how to ask answerable clinical questions, how to translate them into effective searches for the best evidence, how to critically appraise that evidence for its validity and importance, and how to integrate it with. (google.com)
  • An early critique of statistical methods in medicine was published in 1835. (wikipedia.org)
  • However, the products' methods for locating and grading evidence varied widely in transparency and process. (nih.gov)
  • In addition, EBM tools need to provide more information about authorship, reviewers, methods for evidence collection, and grading system employed. (nih.gov)
  • Evidence-Based science began to develop in the early 90s and was later named "Evidence Based Medicine" after its methods have been applied in health-related fields. (igi-global.com)
  • There is no evidence that ultrasound is inferior to alternative nerve localization methods. (asra.com)
  • The task of staying current, although never easy, is made much simpler by incorporating the tools of EBM such as the ability to track down and critically appraise evidence, and incorporate it into everyday clinical practice. (bmj.com)
  • External clinical evidence informs, but does not replace, individual clinical expertise. (the-hospitalist.org)
  • Subscribe to the BMJ Clinical Evidence Blog​ blog feed here. (bmj.com)
  • What has changed in clinical medicine in recent decades is the very nature of clinical evidence itself, in three important ways: the standards for gathering it, the tools for analyzing it, and the social context in which it is used. (annals.org)
  • Evidence-based medicine (EBM) is "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. (wikipedia.org)
  • Population-based data are applied to the care of an individual patient, while respecting the fact that practitioners have clinical expertise reflected in effective and efficient diagnosis and thoughtful identification and compassionate use of individual patients' predicaments, rights, and preferences. (wikipedia.org)
  • For tumors that overexpress HER 2, trastuzumab-based chemotherapy is now the standard of care and it has improved the rate of response, time to progression, and the overall survival in patients with metastatic breast cancer, as well as disease-free and overall survival in patients with localized invasive breast cancer. (scirp.org)
  • Evidence-based medicine (EBM) may be defined as "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients" ( 1 ). (lww.com)
  • The use of AUC will enable surgeons to treat patients in a more consistent manner based on expert clinical consensus and evidence-based medicine. (rti.org)
  • Subsequently, as the EBM movement matured as a discipline, the early proponents and developers provided a more complete definition: "Evidence based medicine is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients. (the-hospitalist.org)
  • Most patients use integrative therapy in conjunction with conventional chemotherapy and radiation regimens to alleviate symptoms, according to Lorenzo Cohen, PhD. "It's a very small percentage who are using these approaches alone as true alternative medicine seeking a cure. (healio.com)
  • While it may seem like a reasonable thing to do, we want to make sure patients have evidence-based information on these products. (healio.com)
  • An extensive body of evidence has accumulated over the last 20 years demonstrating the ability of nuclear cardiology techniques, particularly myocardial perfusion imaging (MPI), to identify and risk stratify patients with coronary artery disease. (bmj.com)
  • EBM allows the integration of good quality published evidence with clinical expertise and the opinions and values of the patients and their families or carers. (bmj.com)
  • There has been a huge shift in the way that people who work in medicine relate to patients. (badscience.net)
  • In fact, no physician that I can think of has over the course of his lifetime done more to promote the rise of quackademic medicine than Dr. Weil. (scienceblogs.com)
  • The physician must decide whether the external evidence applies to the individual patient at all and, if so, how it should be integrated into a clinical decision (1). (the-hospitalist.org)
  • Homeopathy has been a form of medicine for hundreds of years. (mercola.com)
  • The Cochrane Database of Systematic Reviews is considered the gold standard for evidence-based medicine. (essentialevidenceplus.com)
  • Kn owingly "biology is less reproducible than physics and mechanic engineering", in order to overcome the disagreements and to find common grounds, we s till rely on meta-analysis and systemic reviews for the highest level of evidence. (scirp.org)
  • The Cochrane Collaboration is the largest organization in the world engaged in the production and maintenance of evidence-based reviews. (lww.com)
  • The posters and presentations about systematic reviews covered evidence-based medicine. (acrlog.org)
  • Canadian Association of General Surgeons and American College of Surgeons Evidence Based Reviews in Surgery. (nih.gov)
  • That sounds right, but what actually is wrong with following an algorithm, if the evidence indicates that the algorithm leads to better decisions? (theincidentaleconomist.com)
  • The second edition offers a streamlined presentation and an improved standardized format emphasizing how evidence in each chapter directly affects clinical decisions. (researchandmarkets.com)
  • and the recognition that values and preferences are as important as evidence in determining optimal clinical decisions. (theincidentaleconomist.com)
  • The well-built clinical question: a key to evidence-based decisions. (springer.com)
  • It further seeks to provide key examples of decision-making and ways to seek evidence, types of evidence, and approaches to making evidence-based decisions. (igi-global.com)
  • Conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. (ukessays.com)
  • Figure 1: Early model of the key elements for evidence based clinical decisions (Haynes et al. (ukessays.com)
  • As for the increasing costs of medications, Califf told the Washington Post that the FDA does not control prices and cannot make approval decisions based on costs. (cardiovascularbusiness.com)
  • that you know the evidence is strong when you're actually making clinical decisions. (coursera.org)
  • Once a researcher who studied monkey behavior, he earned his veterinary medicine degree from the University of Pennsylvania in 2001. (wunc.org)
  • Evidence-based Oncology was published at ASCO in May 2003 and immediately made a big impact on the world of clinical oncology. (wiley.com)
  • Several funded as well as unfunded projects were carried out during this period resulting in international as well as national publications Area of experience:Evidence-Based Medicine Associated with Evidence-based Medicine (EBM) since its inception in 1992, when I was a Rockefeller fellow at the McMaster University, Canada, known as the birthplace of EBM. (springer.com)
  • A regular faculty at the world renowned Annual Workshop on 'How to Teach Evidence-Based Clinical Practice' held at McMaster University, Canada. (springer.com)
  • The term evidence-based medicine first appeared in 1990 in the information brochure for McMaster University Internal Medicine Residency Program. (springer.com)
  • When "experts" also have a professional or financial stake in the success of any treatment that they are promoting, anecdotal evidence loses validity. (csam-asam.org)
  • But sometimes we are not, and despite all evidence the patient lives. (medscape.com)
  • Bringing evidence-based medicine to the patient bedside already has begun in several of UPMC's 18 hospitals. (medgadget.com)
  • Evidence-based medicine: a new paradigm for the patient. (nih.gov)
  • Is the evidence patient oriented? (fsu.edu)
  • The next phase in the revolution of patient care is the confluence of technology, EBM, and hospital medicine. (the-hospitalist.org)
  • EBM is not without its critics: "It is cookbook medicine," "It focuses on cost efficiency," "I can't find an RCT that fits my patient," and "It doesn't take into account the clinician's experience" are often argued points. (the-hospitalist.org)
  • The practice of EBM should therefore aim to deliver optimal patient care through the integration of current best evidence and patient preferences, and should also incorporate expertise in performing clinical history and physical examination. (bmj.com)
  • Dr. Carpenter is a faculty member for Best Evidence in Emergency Medicine and was supported by the Washington University Goldfarb Patient Safety award. (wiley.com)
  • Hey Doc, probably the best way to describe in the grand rounds your actions is PBM (patient-based medicine). (blogspot.com)
  • The least reliable evidence comes from patient testimonials, case reports, and even expert opinion because of placebo effects and biases inherent in expectations. (csam-asam.org)
  • The authors hypothesized that among a representative sample of emergency medicine (EM) residency programs, a wide variability in EBM resident training priorities, faculty expertise expectations, and curricula exists. (wiley.com)
  • The $402 million deal UPMC recently inked with IBM Corp. is expected to speed implementation of evidence based-medicine over the eight-year life of the agreement. (medgadget.com)
  • The reason is that evidence-based medicine might also be called "medicine guided by statistical learning from data" and it is hard to learn anything from statistical data unless you can simplify your problem to some degree. (theincidentaleconomist.com)
  • Evidence-based medicine frequently uses statistical hypothesis testing. (springer.com)
  • Many statistical tests are based on the theory of the bell curve, or normal distribution. (the-hospitalist.org)