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Results 451 - 500 of 1006
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Brown Peter R - - 2006
Rodents cause significant damage to lowland irrigated rice crops in the Red River Delta of Vietnam. A four-year study was conducted in 1999-2002 to examine the effectiveness of applying rodent control practices using the principles of ecologically based pest management. Four 100-150 ha study sites adjacent to villages were selected ...
Barry M - - 2006
Restless legs syndrome (RLS) is a common condition that is difficult to diagnose. However, once correctly diagnosed, its management is straightforward and evidence-based. The purpose of this article is to familiarise clinicians with both the symptoms and diagnostic criteria for RLS and to elucidate secondary and often curable causes of ...
Garrison Louis P LP - - 2006
Progress toward personalized medicine in the five years following the sequencing of the human genome has been slower than many expected. We focus on two potential factors that might be important in explaining this disappointing progress: the limitations of genetic prediction and the lack of appropriate economic incentives. Clinical application ...
Sur Roger L - - 2006
PURPOSE: We investigated the attitudes and opinions of urologists toward evidence-based medicine. MATERIALS AND METHODS: In April of 2005 we contacted members of the American Urological Association listed with an e-mail address to participate in a web based survey. Participants were asked to characterize their level of agreement with statements ...
Janda Matthias - - 2006
Pulmonary aspiration of gastric contents in the perioperative phase is associated with increased postoperative morbidity and mortality. For the management of aspiration, differentiation between acid-associated aspiration pneumonitis and aspiration pneumonia as a consequence of a secondary bacterial contamination is of crucial importance. The incidence of aspiration in elective surgery is ...
Roxburgh Michelle - - 2006
The term evidence-based practice is not new. For over twenty years the debate has been ongoing about how to make it happen. To practice within an evidence base, practitioners must determine if the evidence available is relevant for the particular patient (DiCenso et al 1998). This article aims to contextualise, ...
Kochevar Deborah T - - 2006
With a growing number of evidence-based resources being developed for use in veterinary medicine, the time is right for academicians, practitioners, and students to embrace the positive elements of evidence-based veterinary medicine. Clinical pharmacologists, more than most, have all the skills required to use an evidence-based approach effectively for the ...
Morabia Alfredo - - 2006
The French physiologist Claude Bernard (1813-1878) has the unfair reputation of being ferociously opposed to the use of probabilities and statistics in medicine. In the 19th century, he would have been included among those who opposed the emergence of what would eventually become clinical epidemiology. The truth is that Bernard ...
Buetow Stephen - - 2006
Tough but constructive criticisms of evidence-based medicine (EBM) have without doubt informed the evolution and serial reconstitutions of this approach to clinical decision making and behaviour. Yet, concerns about EBM persist and as EBM changes in response to reflection and criticism, so too do the criticisms themselves. This paper describes ...
McQuestion Maurene - - 2006
OBJECTIVES: To review published studies evaluating interventions for the prevention and management of radiation skin reactions/dermatitis. DATA SOURCES: Research studies, review articles, and clinical practice guidelines. CONCLUSION: There is insufficient evidence in the literature to recommend specific topical or oral agents in the prevention or management of skin reactions. Recent ...
Jenicek Milos - - 2006
In the past 14 years, Evidence-Based Medicine (EBM) has enjoyed unprecedented developments and gained widespread acceptance among health professionals. However, should we be content with producing, critically appraising and using the best evidence available for our understanding of health problems and decision making about them? Are our convictions about EBM's ...
Blackmore C Craig - - 2006
The ACR Appropriateness Criteria are an important effort aimed at establishing when imaging should be used in medicine. However, substantial improvements in the Appropriateness Criteria are necessary for them to meet current standards for evidence-based guidelines. In this article, we provide concrete suggestions for improving the evidence basis of the ...
Waldman Marvin H - - 2006
The purpose of this article is to review the history and development of evidence-based medicine, to provide a basic outline of its application to clinical care, and to discuss its pros and cons. This article can be used as a tool in podiatric medicine and surgery to ensure that current ...
Williams Lauren L - - 2006
Healthcare managers were early advocates of evidence-based medicine, given its promise of effectiveness, efficiency, and accountability in medical care. In the course of a decade, the call for evidence has swept the healthcare landscape in medicine and more recently in nursing. Somehow healthcare managers and leaders have largely escaped a ...
Waldman J Deane - - 2006
What we want is retention, not turnover, of our workforce. We should measure what we want-net retention-which is a fundamentally different metric from turnover (not its inverse). Net retention is a highly useful managerial tool, especially for fiscal and strategic planning. Retention enables learning and therefore can facilitate improved medical ...
Porter-O'Grady Tim - - 2006
Teams are the fundamental element of work in the contemporary clinical setting. As interdisciplinary teams become an essential component of the evidence-based framework for clinical practice, their formalization, integration, and synthesis within the practice framework will become increasingly mandatory. Outlined here is a contextual model for team action that is ...
McBrien Hamilton - - 2006
It is increasingly recognized that comorbidity is common in all fields of psychiatry, and furthermore, it is acknowledged that a large number of individuals with genetically determined conditions have associated behavioural phenotypes, and are more susceptible to particular psychiatric and psychological comorbidities than others. It is also recognized that the ...
Hassan Shahid - - 2006
The clinicopathological conference, popularly known as CPC primarily relies on case method of teaching medicine. It is a teaching tool that illustrates the logical, measured consideration of a differential diagnosis used to evaluate patients. The process involves case presentation, diagnostic data, discussion of differential diagnosis, logically narrowing the list to ...
Gay John M - - 2006
The concepts and methods of the different branches of epidemiology, particularly clinical epidemiology, have much to offer the discipline of theriogenology. As with theriogenology, epidemiologic methods evolve when technological innovation enables new approaches to old problems. The recent emergence, from clinical epidemiology, of the evidence-based medicine paradigm in human medicine, ...
McElwee Newell E - - 2006
Drug class reviews are blunt tools for medical decision making. The practice of evidence-based medicine is far more than simply systematic reviews: The patient and doctor are integral. Here we highlight areas of evidence-based coverage decision making where greater balance and transparency could serve to improve the current process, and ...
Newton Opiyo - - 2006
Current resuscitation practices are often poor in low-income settings. The purpose of this review was to summarise recent evidence, relevant to developing countries, on best practice in the provision of newborn resuscitation. Potential studies for inclusion were identified using structured searches of MEDLINE via PubMed. Two reviewers independently evaluated retrieved ...
Khan Khalid S - - 2006
Modern evidence-based medicine (EBM) and its predecessor 'Medecin d'Observation' both emphasise that potential advances in healthcare must be researched and proven to do more good than harm using the principles of clinical epidemiology before they are incorporated into medical practice. EBM is considered an important advance in improving clinical care ...
Iles Ross - - 2006
BACKGROUND AND PURPOSE: [corrected] Evidence-based practice is the explicit use of current best evidence in making decisions about the care of individual patients and is a concept of growing importance for physiotherapy. The aim of the present study was to investigate Australian physiotherapists' self-reported practice, skills and knowledge of evidence-based ...
Hawkins Ralph G - - 2006
In the quest for "evidence-based" medicine, an accepted hierarchy of evidence has been proposed. This hierarchy places in vitro studies and animal data at the base, and puts systematic reviews, meta-analyses, and randomized controlled trials at the pinnacle. However, when clinical medicine faces questions that have not yet been studied ...
Eversole Lewis Roy - - 2006
Oral pathology is the specialty area of dentistry that deals with the diagnosis and management of oral diseases and more specifically, diseases other than dental caries, periodontal disease, restorative dentistry, and orthodontic therapy. Oral medicine represents the clinical arm of oral pathology and deals with diagnosis and treatment of soft-tissue ...
Redman Richard W - - 2006
Leadership succession planning is a key business strategy to help organizational leaders deal effectively with the future. Evidence from industry provides a variety of best practices that can ensure that a pipeline of leaders will be available when they are needed. The author addresses the essential needs that individuals face ...
Rodríguez-Roisin R - - 2006
A review of the most relevant evidence based therapeutic options currently available for the management of exacerbations of COPD.
Smellie William Stuart A - - 2006
This third best practice review examines four series of common primary care questions in laboratory medicine: (i) 'minor' blood platelet count and haemoglobin abnormalities, (ii) diagnosis and monitoring of iron deficiency anaemia , (iii) secondary hyperlipidaemia and hypertriglyceridaemia and (iv) HbA1c and microalbumin use in diabetes. The review is presented ...
Boyle R J - - 2006
Probiotics have recently been advocated for the prevention and treatment of allergic disease (AD). In clinical practice they are increasingly being used for these purposes. Here we review the evidence base for the use of probiotics in the management of AD. We find support for their use in the treatment ...
Nie Ze-Long - - 2006
Symplocarpus, Lysichiton, and Orontium (Orontioideae) are three of the few north temperate genera of the primarily tropical Araceae. Symplocarpus is disjunctly distributed in eastern Asia (3 spp.) and eastern North America (1 sp.); Lysichiton has an intercontinental discontinuous distribution in eastern Asia (1 sp.) and northwestern North America (1 sp.); ...
Michel Luc - - 2006
Clinically relevant attitudes and guidelines issued by a rational evidence based medicine (EBM) approach integrate individual clinical expertise with the best available external clinical evidence from systematic research. However, many physicians, while considering the ultraliberal world they are practising in and fearing that the primary goal of managed care in ...
Jagtenberg Tom - - 2006
Evidence-based medicine (EBM) has been advocated as a new paradigm in orthodox medicine and as a methodology for natural medicines, which are often accused of lacking an adequate scientific basis. This paper presents the voices of tradition-sensitive naturopathic practitioners in response to what they perceive as an ideologic assault by ...
Rosenfeld Richard M - - 2006
OBJECTIVE: This guideline provides evidence-based recommendations to manage diffuse acute otitis externa (AOE), defined as generalized inflammation of the external ear canal, which may also involve the pinna or tympanic membrane. The primary purpose is to promote appropriate use of oral and topical antimicrobials and to highlight the need for ...
McNeill Ted - - 2006
Evidence-based practice (EBP) is considered a hallmark of excellence in clinical practice. However, many social workers are uncertain about how to implement this approach to practice. EBP involves integrating clinical expertise and values with the best available evidence from systematic research while simultaneously considering the client's values and expectations--all within ...
Carr Brandon C - - 2006
PURPOSE OF REVIEW: Over-the-counter cough and cold medicines are widely prescribed by general pediatricians in order to relieve cough and other symptoms in the setting of upper respiratory infections. This article will review the pharmacologic components found in over-the-counter cough medicines, the data concerning their use and efficacy in children, ...
Kamien Max - - 2006
BACKGROUND: Dentists rely on general practitioners to manage a patient's warfarin dose before uncomplicated dental extraction. OBJECTIVE: This article compares common practice of warfarin management with the available clinical evidence. DISCUSSION: Common practice lags more than 20 years behind clinical evidence to the detriment of patients, and with medicolegal consequences ...
Sood A - - 2006
Efficient literature search is essential to the practice of Evidence-Based Medicine. PubMed provides free access to one of the largest searchable biomedical databases. Efficient literature search using PubMed requires a good understanding of the available search strategies and tools. In this article we present a step-by-step approach for performing literature ...
Drewett Melanie - - 2006
Gastroschisis is increasing in frequency and is becoming a common condition. It is now invariably detected antenatally and although the long-term outcome in the majority of cases is excellent, the existence of both fetal and postnatal complications has led to variations in practice to try to optimise outcome. This article ...
Guidotti T L - - 2006
Health and medical knowledge are essential to the resolution of disputes in law and administrative applications (such as workers' compensation) and provide essential input into public policy decisions. There are no socially agreed-upon rules for the application of this knowledge except in the law. On a practical level, the legal ...
Kelton David F - - 2006
Epidemiology in dairy production medicine strives to optimize production through the elimination and control of disease and the implementation of management practices that promote animal health, welfare, productivity, and profitability. Epidemiology in dairy production medicine is a broad discipline that encompasses many inter-related areas of activity. Quantitative epidemiology includes a ...
Heffernan Catherine - - 2006
This systematic review comprises an objective appraisal of the evidence in regard to the management of respiration in patients with motor neuron disease (MND/ALS). Studies were identified through computerised searches of 32 databases. Internet searches of websites of drug companies and MND/ALS research web sites, 'snow balling' and hand searches ...
Bader James D - - 2006
OBJECTIVE: To assess the strength of the evidence describing the effectiveness of alternative strategies to the detection and management of early occlusal caries and suspected occlusal dentinal caries. METHODS: Nine detection and intervention decision points were identified as being central to the management of early occlusal caries and suspected occlusal ...
Dahlin Constance - - 2006
Symptom management requires an understanding of the likely cause of the symptom in the individual patient, comprehensive assessment, and evidence-based interventions. This article explores the management strategies for common symptoms encountered in palliative care practice. Stomatitis, xerostomia, dysphagia, nausea and vomiting, anorexia, constipation, dyspnea, and fatigue are among the symptoms ...
Davidson Karina W - - 2006
We suggest a process for clinical psychologists to collect an evidence base and join the evidence-based movement already underway in many areas of medicine. To illustrate this process, we review the history of cholesterol discovery, evaluation, and management as an evidence-based process, extracting lessons applicable to the field of psychology. ...
Bhandari Mohit - - 2006
The evidence-based medicine (EBM) related concepts of hierarchy of evidence, meta-analyses, confidence intervals, study design, etc. are nowadays so widespread, that clinicians willing to use today's medical literature with understanding have no choice but to become familiar with EBM principles and methodologies. Although surgeons may perceive that evidence-based medicine mandates ...
Thanel Fredric H - - 2006
Evidence-based medicine techniques can be utilized to manage the ever-expanding medical information database. The Sanford School of Medicine of the University of South Dakota has identified "Evidence-Based Medicine" as an institutional priority. Both students and practicing clinicians need to acquire skills that enable them to access and utilize the best ...
Price I H O - - 2006
A national audit of gonorrhoea clinic policy and case management was carried out by postal survey on behalf of the National Audit Group of the British Association for Sexual Health and HIV. Ninety-three clinics out of a total of 278 (33%) and 1324 cases were included. The results showed that ...
Ward Alan - - 2006
There has been recent increasing interest in reflective practice within physiotherapy education as a method for reducing the 'theory-practice gap' and as a means of articulating, exposing and developing knowledge embedded in practice. Several contrasting theories have been developed to explain the role, place, purpose and definition of reflection in ...
Tharakan Binu - - 2006
Chronic fatigue often occurs in aging and in various neurological, psychiatric and systemic diseases. The available therapies in modern medicine are limited. The exploration of potential alternative therapies from traditional medicine is reviewed, as there are several botanicals with experimental evidence of efficacy based on animal models and clinical studies.
Harker, Michael.
Not very long ago the advertising of prescription medicines was directed exclusively at doctors and other healthcare professionals. However, in recent times, there is increasing evidence that consumers need and seek more information concerning their health and well-being. This study focuses on DTCA by pharmaceutical companies; a practice that is ...
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