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.
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 ...
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
9780803619043 Our cheapest price for Wound Healing: Evidence-Based Management is $93.85. Free shipping on all orders over $35.00.
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.
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).. ...
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.
... - 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.
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. ...
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 ...
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 ...
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 ...
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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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 ...
Evidence-based information plays a critical role in clinical practice decisions. Secondary sources are often unreliable; its up to the student, then, to critically assess peer-reviewed research literature. Using a highly structured yet accessible method, this best-selling text teaches students to critically analyze research from primary sources. Step-by-step approach- learn to recognize a meaningful study, clues to potential study flaws, and ways to apply solid evidence in clinical practice Simple 6-point framework- learn to evaluate studies in terms of the authors trademark mnemonic device, M.A.A.R.I.E. (Methods, Assignment, Assessment, Results, Interpretation and Extrapolation) Unique Learning Aids - question checklists, real-world scenarious, flaw-catching exercises and more help to make complex concepts easy to grasp
To provide clinicians with an evidence-based overview of all topics related to ultrasound vascular access. An international evidence-based consensus provided definitions and recommendations. Medical l
Crown-or-fill © summarizes the evidence-based literature on treatment outcomes for restorations in posterior teeth as a function of pre-existing conditions. The data presented was collected in 2 published systematic reviews: Afrashtehfar et al (2016) Journal of Prosthetic Dentistry. ...
In a pre-HAART study of 112 patients (62 of whom were HIV seropositive and 50 of whom were HIV seronegative) by Darko et al., 50% of HIV-positive subjects (who at that time had disease classified as CDC stage IV) reported that fatigue interfered with their daily activities, whereas none of the comparison subjects (whose disease was classified as CDC stage III or who were HIV negative) reported problems with fatigue. Employment problems and sleep disturbances were shown to contribute to morbidity and disability in the HIV-infected group. In a later study of 427 patients by Breitbart et al., 52.7% of subjects responded positively to both the "lack of energy" item on the Memorial Symptom Assessment Scale and the "persistent or frequent fatigue" item on the AIDS-specific Physical Symptom Checklist and were subsequently classified as having fatigue. Serum hemoglobin levels (available from a subset of 176 fatigued patients) were significantly lower than in nonfatigued patients (P < .02). A substudy of ...
The practice of evidence-based medicine (EBM) at the DRG level, and the link between DRGs and evidence-based management, will make the DRG system more of an aid by providing an opportunity to produce clinical guidelines and set policy and regulations. Evidence-based medicine attempts to ensure the best prediction of outcomes in medical treatment. It does this through identification of problems, specification of intervention, and the comparison and evaluation of outcomes of treatments.. It is a possibility that practicing EBM for DRG classes in which homogeneous patients with similar clinical and resource intensity conditions have been classified will make DRGs more popular and useful to physicians and health professionals. Then, they will have less of a tendency to regard DRGs as an invasive tool whose purpose is to control the cost of health services at the price of quality. The classification of a homogeneous patient into a DRG class provides the opportunity to collect strong evidence on the ...
Work Matters is a blog about all things related to management, workplaces, and organizations. It is written by Bob Sutton, a Stanford professor and New York Times bestselling author.
In 2006, researchers published a comprehensive evidence-based review of the relationship between studies on nutrients that most strongly suggested potential impacts on health and on conditions (cancer; age-related sensory loss; and cardiovascular, endocrine, neurologic, musculoskeletal, gastroenterologic, renal, and pulmonary diseases) on which experts believe that nutrient supplements have the most potential influence [5]. Considering only published randomized, controlled clinical trials, the investigators found that use of MVMs did not reduce the risk of any chronic disease. (The authors defined MVMs as products containing three or more vitamins and minerals at levels below the UL and no herbs).. An expert panel that reviewed this report and participated in a state-of-the-science conference on MVMs in chronic disease prevention at the National Institutes of Health in 2006 concluded that the present evidence is insufficient to recommend either for or against the use of MVMs by the American ...
A conference to identify issues surrounding evidence-based decision making for vitamin D in primary care will be held December 2- 3, 2014, on the main campus of the National Institutes of Health (NIH) in Bethesda, Maryland. It will also be broadcast as a webinar. The conference discussions will...
In this blog post, NCCIHs Richard Nahin discusses his research study on complementary health approaches for pain management in the U.S. and presents two videos by Partap Khalsa and Wendy Weber.
Innovation , Health Care Advocacy , Evidence-based Medicine. Purchasers of health care - employers, consumers and public agencies - for decades have experienced record growth in spending. Yet evidence does not support that there has been a corresponding improvement in quality and a return on these investments. The Congressional Budget Office estimates that up to 30 percent of care delivered in the United States goes toward unnecessary tests, procedures, doctor visits, hospital stays and other services that may not improve peoples health - and, in fact, may actually cause harm.. It is urgent that physicians and patients work together to make wise treatment decisions - that means helping patients choose care that is supported by evidence that it works on patients like them, it is not duplicative (meaning that it isnt a test or procedure that they already received from another doctor), it wont harm them, and that it is truly necessary. It is equally important that more evidence-based guidelines ...
Pregnancy today is viewed as an act which must be carefully planned and prepared for. Babies cant just be delivered into a situation of stability - a safe, warm home and to parents who love it - long...
Sponsor. Johns Hopkins University. Principal Investigator. Dr. Wanda Nicholson, Obstetrics and Gynecology. Project Run Dates. 2/1/2010 to 10/31/2010. Summary. In January 2010, AHRQ requested that the JHUEPC develop and pilot test a process to identify research needs. The objective of the project was to help AHRQ establish a standard process for identifying research needs in its evidence reports and to identify research needs for the management of Gestational diabetes mellitus.. Associated Publications and other materials. Future Research Needs for the Management of Gestational Diabetes viaPubMed. ...
What is evidence-based medicine?: During the last two decades, a number of projects have faced these problems and forced the development of evidence-based medic
Stephanie Lake. Although society has experimented with unorthodox methods of treating health problems for centuries,[1] the business of complementary and alternative medicine (CAM) has grown and diversified dramatically over the past few decades.[2] Despite the unconventional nature of CAM interventions, their extensive promotion through mainstream outlets blurs the lines between what is and is not scientifically accepted. For example, celebrity cardiologist Dr. Oz recently came under fire at a U.S. Senate hearing after encouraging viewers to take various products that he deemed "miracle" weight-loss cures, despite his awareness of their lack of scientific evidence.[3] While it is hard not to be enticed by the promise of CAM, keeping a close eye on its evidence will be critical as the overlap between personalized and evidence-based medicine increases.. Between 29 % and 42 % of American adults have used some form of CAM in the previous year.[4] In some samples of children living with cancer, the ...
Finden Sie alle Bücher von Hutchinson, Lisa C.; Sleeper, Rebecca B. - Fundamentals of Geriatric Pharmacotherapy: An Evidence-Based Approach. Bei der Büchersuchmaschine eurobuch.com können Sie antiquarische und Neubücher VERGLEICHEN UND SOFORT zum Bestpreis bestellen. 9781585282289
bmjupdates+ uses the same, explicit and reproducible quality filters as Evidence-Based Medicine (http://hiru.mcmaster.ca/ebmj/Ebmp_p.htm) and Evidence-Based Nursing. Applying these criteria to each article in over 110 premier clinical journals (about 50 000 articles per year), about 3000 articles (6%) pass muster-that is, have adequate methods to support their conclusions for key aspects of clinical care.. All (and only!) articles that pass the scientific criteria are assessed for relevance and newsworthiness on 7 point scales via the McMaster Online Rating of Evidence (MORE) system (http://hiru.mcmaster.ca/more/AboutMORE.htm). These ratings are specific for each pertinent clinical discipline for a given article and are provided by ⩾3 practising physicians for each discipline, selected from a panel of over 2000 worldwide. (If you are a physician in independent clinical practice, you are invited to join MORE. Send us an e-mail at MOREMcMaster.ca.). The resulting ...
by Physicians Weekly , Nov 8, 2012. The practice of evidence-based medicine can be especially challenging when managing patients with diabetes. Patients care needs are frequently discussed in routine clinical encounters, but little is known about how patients feel about their burden of treatment (BOT) or if conversations on this topic occur with regularity. In addition, BOT can be interpreted differently by healthcare providers and patients. Issues with BOT may lead providers to intensifying treatments for patients so that they achieve therapeutic targets. Patients, on the other hand, may view BOT more in the context of problems with access to care, side effects, or daily self-care demands. Intriguing New Data on Diabetes Treatment Burden In the January 2012 issue of Diabetes Care, my colleagues and I analyzed videos of primary care encounters between patients with type 2 diabetes and clinicians. Our objective was to see if patients with type 2 diabetes and their clinicians discussed BOT, the ...
At the 43rd AAGL Global Congress on Minimally Invasive Gynecology in Vancouver, Dr. William H. Parker delivered a talk on "Dispelling the Myths With Evidence-based Medicine" during the session entitled "Tackling Controversies and Optimizing Tissue Extraction Techniques in Minimally Invasive Gynecologic Surgery" that was presented in the General Session. We are pleased to present Dr. Parkers remarks for on-demand viewing below. ...
Elsevier, a world-leading provider of scientific, technical and medical information products and services, today announced the availability of a new version of ClinicalKey designed for individual clinicians. ClinicalKey, Elseviers clinical insight engine, now provides quick access to highly targeted content for physicians in 41 specialties, drawing on evidence-based information from more than 900 textbooks and 500 medical journals. Launched in April for institutions, ClinicalKey provides the most current clinically relevant evidence-based answers, as well as expert commentary, MEDLINE abstracts and select third-party journals.. "Physicians want the most accurate answers to their clinical questions in a very short amount of time," said Donne M. Thomas-Patterson, M.D., family practice, Einstein Healthcare Network and member of ClinicalKeys editorial advisory board. "By providing a solution that gives them back some of that valuable time and does not disrupt their workflow, were helping ...
... , 16th Edition by William Prentice (9781259824005) Preview the textbook, purchase or get a FREE instructor-only desk copy.
Im in Chicago teaching today, and one of the topics we touched on briefly was evidence-based medicine. As we were talking I realized that its one of those terms we sling around quite freely, but my hunch is that many people arent particularly clear what it really means. Lucky for us many medical libraries have…
Author: Dana Lawrence and Christine Goertz. Title: An Introduction to Evidence-Based Clinical Practice - Again. Summary: One of your patients is in for treatment and catches you off guard by asking you a question about...
Available in: Paperback. This bestselling pocket guide to the skills of evidence-based medicine succeeds in demystifying the terminology and processes
The BC Medical Journal is a general medical journal published by Doctors of BC. It provides continuing medical education with a focus on evidence-based medicine. ...
Systematically addresses all concepts of concepts How to critically evaluate best evidence, diagnostic tests, systemic reviews, and meta-analysis
We investigated the impact of routine CRP ordering on clinical decision-making in hospitalized febrile children and neonates with suspected neonatal sepsis, the evidence base for such testing, and the one-year direct medical costs due to this practice. We found that routine CRP ordering for diagnostic purposes for these infections failed to inform decision-making in the majority of cases while inflating hospital bills by $26,715.9. Only 12.9% of CRP tests performed on neonates with suspected neonatal sepsis and 29.9% of tests performed on febrile children with suspected bacterial infections informed decision-making. Moreover, the majority of the ordered CRP tests did not have a solid evidence base to support their use as diagnostic tools for the accurate detection of bacterial infections. Almost half of CRP tests ordered during the initial workup of neonatal sepsis and about three-quarters of tests performed to investigate or follow-up children with bacterial infections were non-EB. This ...
50,000 New York residents are diagnosed with severe sepsis or septic shock each year, with 30% of these events resulting in death.
Determine the Level and Quality of Evidence. There are multiple types of studies, with the gold standard being the randomized controlled trial. In general, you can divide studies into primary vs. secondary literature. Primary literature studies the question directly. Secondary literature involves synthesizing and evaluating the primary literature. Both are necessary to answer a clinical question. Examples include:. Primary Literature: cohort studies, case control, case series, randomized control trials. Secondary Literature: meta-analyses, systematic review, evidence-based practice guidelines, critically appraised topics (CATs).. Of note, there are articles published in the medical literature specifically about how to evaluate an article, such as a meta-analysis. These articles may provide a helpful framework when evaluating the quality of the article that you are reviewing for journal club.. Read the Article in Your Preferred Order. Typically, one starts with the abstract, since this is the ...
Krumholz A, Wiebe S, Gronseth G, et al. Practice Parameter: evaluating an apparent unprovoked first seizure in adults (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology and the American Epilepsy Society. Neurology. 2007; 69(21):1996-2007. ...
To mark World Piles Day on 20th November 2015, a free camp was held in C-block crossing Indira Nagar where Professor (Dr) Rama Kant led a team of experts to provide free consultation, examination and some medications to patients of piles, fissure and fistula. Former head of surgery department of KGMU Prof Rama Kant said: "Early diagnosis of piles and other ano-rectal problems, and provision of standardized and evidence-based management and care is a public health imperative. Due to stigma and shame related to ano-rectal problems, patients often delay seeking care, which not only aggravates the problem but also puts them at heightened risk of developing other complications ...
The Global Burden of Disease Study, a comprehensive regional and global assessment of mortality and disability from 107 diseases and injuries and 10 risk factors, is an example of an evidence-based input to public health policy debate. The study, which includes projections of the burden through the year 2020, uses the disability-adjusted life year as a composite measure of years of life lost due to premature mortality and years lived with disability. Future patterns of death and disability are likely to change dramatically because of aging of the worlds population, the epidemic of tobacco-related disease, the human immunodeficiency virus epidemic, and the likely reduction in death rates from communicable diseases in children.. ...
The National Program to Reduce Cardiovascular Risk (NPRCR) Coordinating Committee is the leadership body for the broader NPRCR. The Committee seeks to reduce risk of cardiovascular disease through a national effort to implement evidence-based clinical practice guidelines and interventions to control cardiovascular risk factors (including high blood pressure, high blood cholesterol, and overweight/obesity) in clinical practice settings. Coordinating Committee members engage their respective organizations in Program activities. ...
Evidence-based health practice applies the scientific method to use the best available evidence--from physical exams, diagnostic reviews, medical research, and known risks and benefits of treatment options--when making medical decisions. RAND has investigated the impact of adopting evidence-based health practices on patient care and health care policies, and the greater implications of using a national quality measurement and reporting system.
Evidence-based health practice applies the scientific method to use the best available evidence--from physical exams, diagnostic reviews, medical research, and known risks and benefits of treatment options--when making medical decisions. RAND has investigated the impact of adopting evidence-based health practices on patient care and health care policies, and the greater implications of using a national quality measurement and reporting system.
Evidence-based medicine considers your personal values combined with research and experience to provide better care. We recognize that every person is unique and every situation is different. Evidence-based medicine is used to make the best decisions for each individual patient. This saves you time and money by reducing unnecessary testing and providing you with exactly what you need to get well.. Not every sore throat needs a strep test, not every ankle needs an x-ray. We use evidence-based medicine to make the best decisions for each and every individual patient.. ...
The reason why I crammed these holidays in to such a short space of time will become apparent later on in this post. That is the good news, the bad news is that a couple of months ago I found out that my stem cell transplant hasnt had much effect on my light chains so it is unlikely that Ill have much more time free of treatment.. The further blow is that the boss here at the Manchester Royal Infirmary thinks I will be resistant to the next line of treatment, Revlimid, as it was one of several drugs in the VDR Pace regime that I had before my transplant to which I also didnt respond. After Revlimid there is only one further new line of treatment currently available on the NHS called Pomalidamide and the boss didnt seem to have a good view of that either. I asked her how long she thought Id got, the answer was one to one and half years. I was completely shocked on two levels…….that my stem cell transplant hadnt worked and that my disease may be resistant/refractory to Revlimid which I ...
An overall lack of quality evidence exists for the use of topical analgesics and anesthetics (creams, gels and patches) as a therapeutic method for treating chronic pain, according to a new review published in the journal Dermatitis.
As cesarean rates have climbed to almost one-third of all births in the United States, current research and professional organizations have identified letting labor begin on its own as one of the most important strategies for reducing the primary cesarean rate. At least equally important, letting labor begin on its own supports normal physiology, prevents iatrogenic prematurity, and prevents the cascade of interventions caused by labor induction. This article is an updated evidence-based review of the \
Ford KR, Nguyen A-D, Discchiavi SL, Hegedus EJ, Zuk EF, Taylor JB. An evidence-based review of hip-focused neuromuscular exercise interventions to address dynamic lower extremity valgus. Open Access J of Sports Med. 2015;6: 291-303. Theoretical Framework for Hip-focused neuromuscular exercises to modify lower extremity valgus.. I love this model! It is very unusual in a review paper of strength exercises to see such consideration for all the many other factors that will impact on outcome. I congratulate the authors for this, and they have kindly given me permission to include the model here:. ...
In the past 3 decades, countless randomized trials, meta-analyses, and large observational studies have led to major advances in the care of patients with a diverse array of medical disorders, including heart failure (HF). These studies have spawned the era of evidence-based medicine, and the development and dissemination of authoritative guidelines designed to facilitate patient management under a wide range of clinical situations. Optimally, guideline recommendations are derived from the results of major clinical trials, but it is important to recognize that for a large proportion of important clinical questions for which definitive trials are not available, recommendations are based primarily on expert opinion, which frequently requires modification as new information becomes available. Nonetheless, guidelines are an authoritative resource for practicing physicians, and they serve a vital role in minimizing variations in care by encouraging the implementation of evidence-based interventions ...
Buy, download and read Common Problems in Acute Care Surgery ebook online in PDF format for iPhone, iPad, Android, Computer and Mobile readers. Author: Laura J. Moore; S. Rob Todd. ISBN: 9783319427928. Publisher: Springer International Publishing. This text provides a comprehensive, evidence-based review of the most common clinical problems encountered by acute care surgeons. Focusing on the clinical care of the patient, this volume explores th
Professor Pali Hungin recently completed 12 years as the foundation Dean of Medicine and Head of the School of Medicine, Pharmacy and Health. A medical doctor, he is a member of the Centre for Integrated Healthcare Research within the School. His current role includes responsibility for external/clinical matters with the NHS and other organisations. He is Durham Universitys Director on the Academic Health Science Network NE and Cumbria (AHSN), a council member of the Northern Health Sciences Alliance (NHSA) and an appointed member of the Council of Governors of the Tees, Esk, and Wear Valleys NHS Mental Health Trust.. Professor Hungin has experience of clinical practice and research in primary and secondary care, particularly in family medicine, gastroenterology and cardiovascular disease. His research interests include epidemiology, the earlier detection of disease and the evidence-based management of long-term disorders, including therapeutics.. His publications cover the use of early disease ...
As a primary school teacher turned education researcher I was delighted to have been invited to attend Evidence Live (see here) at the end of June. Education at the chalkface has undertaken somewhat of an evidence-based turn recently. Many say that this turn is modelled on the approach to evidence in healthcare. As such I was keen to compare the content and the tone of the conversation around evidence in both these broad fields.. Ground zero for the evidence-based turn in education is probably the 2013 briefing paper, written by the CEBMs very own Ben Goldacre for then Secretary of State for Education, Michael Gove. Its principal message was to urge more randomized trials to assess the effects of educational interventions. Largely in response to this, Tom Bennet, a teacher and columnist for the Times Educational Supplement, founded researchED, a grassroots forum for teachers and educationalists to talk about the role of evidence at the education chalkface. These events coincided with the ...
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They ensured that their predictive methodology was, if anything, conservative. They also pointed out that the predictions assumed that levels of obesity would remain static, which they reminded us was far from likely. They concluded that it was probable that these figures provide an underestimate of future diabetes prevalence. At the 20th World Diabetes Congress in October 2009 in Montreal the 4th edition of the International Diabetes Federation (IDF) Atlas. was published. This was intended to provide healthcare professionals, scientists, health economists, policy makers, national and international governmental agencies with evidence-based information and projections on the current and future magnitude of the diabetes epidemic.2 this website It is explicit in the executive summary of the Atlas3 that it aims to highlight the evidence base needed for governments, civil society, international health organizations and the health community to make informed decisions on prevention and care ...
The contents page of the latest issue of the Journal of Intensive Care Medicine is available via the following link. The issue includes a review on the Evidence-Based Management of Common Gallstone-Related Emergencies and an article covering the Chest Radiological Findings of Patients with Severe H1N1 Pneumonia Requiring Intensive Care. Only those who have a…
In his last interview, evidence-based trainer Menno Henselmans shared some of his secrets for looking like a professional fitness model without starving himself or using drugs. In response to several…
EBSCOs Nursing Reference Center contains Evidence-Based Information. See EBSCOs 7-Step Evidence-Based methodology and editorial process.
The governments current scheme raises a number of ethical concerns. Obstructing scientific progress or misrepresenting scientific evidence to fit a political agenda harms scientists, patients, and society at large. The mission of mental health scientists in the US, as stated by the National Institute of Mental Health (NIMH) is to "transform the understanding and treatment of mental illnesses through basic and clinical research, paving the way for prevention, recovery, and cure." However, in the case of developing novel therapies using recreational drugs like MDMA, drug policy prevents scientists from paving that road. This is simply unethical. As Doblin clearly stated, "when scientists see that politics is blocking their research, they have an obligation to point that out." Scientists should challenge such practices by speaking out in public forums, participating in educational programs that promulgate evidence-based information, and supporting political organizations that advocate drug policy ...
Objectives: To present and analyse the literature sources regarding the management of Behçet disease (BD) identified during the systematic literature research, which formed the basis for the European League Against Rheumatism (EULAR) evidence-based recommendations for the management of BD.. Methods: Problem areas and related keywords regarding the management of BD were determined by the multidisciplinary expert committee commissioned by EULAR for developing the recommendations. A systematic literature research was performed using MedLine and Cochrane Library resources through to December 2006. Meta-analyses, systematic reviews, randomised controlled trials (RCTs), open studies, observational studies, case control studies and case series involving ⩾5 patients were included. For each intervention the effect size and number needed to treat were calculated for efficacy. Odds ratios and numbers needed to harm were calculated for safety issues of different treatment modalities where ...
... is a high quality, peer-reviewed, international open access clinical medical journal. Critical Care aims to improve the care of critically ill patients by acquiring, discussing, distributing, and promoting evidence-based information relevant to intensivists.. The journal publishes commentaries, reviews, and research in all areas of intensive care and emergency medicine. Critical Care aims to provide a comprehensive overview of the intensive care field.. ...
ABC of Diabetes provides primary care practitioners with a practical guide to all aspects of diabetes including the aetiology, diagnosis and management of Types 1 and 2 diabetes, detection and prevention, and the organization of care and support.. Advances in diabetes care take place at a rapid rate and this new edition is updated throughout to cover the latest evidence-based information for contemporary practice. A new chapter describes the management of severe and complex obesity complicated by diabetes and the management of patients through bariatric surgery.. It also covers the growing number of devices and digital technology, including health informatics, that can assist in diabetes care and provides evidence of their benefit. With more links to useful websites and resources online, it is now easier than ever to keep up-to-date with changes.. Drawing on the professional and teaching experience of an expert author team, ABC of Diabetes is an essential guide for general practice, primary care ...
Worldwide economic constraints on health care systems have highlighted the importance of evidence-based medicine and evidence-based health policy. The resulting clinical trials and health services research studies require instruments to monitor the outcomes of care and the output of the health system. However, the over-abundance of competing measurement scales can make choosing a measure difficult at best.
When you read hundreds of letters from readers every month, as I do, common patterns of argument emerge. I cant answer every note individually, so in this column Id like to at least respond to one type of assertion. That is the idea, whenever the letter writer doesnt agree with an expert-informed point of view expressed in Scientific American, that science should not mention or touch on politically sensitive areas-that science is somehow apart from social concerns. I say: Wrong.. Science findings are not random opinions but the result of a rational, critical process. Science itself advances gradually through a preponderance of evidence toward a fuller understanding about how things work. And what we learn from that process is not just equivalent to statements made by any another political-interest group. It is evidence-based information that is subject to constant questioning and testing from within the scientific community. Thus, the science-informed point of view is a more authoritative and ...
10 important changes to the 2016 ADA diabetes guidelines are discussed. The American Diabetes Association (ADA) publishes an updated Standards of Medical Care in Diabetes each year in order to educate on various components of diabetes care. Although not intended to preclude clinical judgment, it provides evidence-based recommendations on screening, diagnostic, and therapeutic interventions in order to optimally treat patients with diabetes.
All results for evidence-based information from National Institute for Health Research - NIHR or Improving Access to Psychological Therapies for health and social care.
This collection focuses on conditions related to mental disorders.. These comprehensive and concise factsheets are physician-reviewed and reflect the most current, evidence-based information. Relevant sources are provided for each fact sheet. ...
This collection focuses on conditions related to hormones, nutrition and/or metabolism.. These comprehensive and concise factsheets are physician-reviewed and reflect the most current, evidence-based information. Relevant sources are provided for each fact sheet. ...
Evidence-based recommendations on the recognition, assessment, care and treatment of antenatal and postnatal mental health problems in women
All results for evidence-based information in Prescribing and Technical Information or Economic Evaluations from 8 sources for health and social care.
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Breastfeeding Your BabyAnswers to Common Questions Written by the American Academy of Pediatrics, this booklet provides families with breastfeeding basics. It includes the most recent evidence-based information in a short, easy-to-read format. Written at a 7th grade reading level. © 2015. Benefits of breastfeedingHow breastfeeding works Getting started Beyond the first feeding fussy breastfed baby Caring for your breasts medication, alcohol, tobacco, sickness, breast surgery expression weaning
Conduct successful Medicines Use Reviews (MURs) with this comprehensive book. Contains evidence-based information, tips and guidance.