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Results 501 - 550 of 1004
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Bakken Suzanne - - 2006
Mobile Decision Support for Advanced Practice Nurses (MODS-APN) is a PDA-based decision support tool designed to assist APNs in the diagnosis and management of smoking cessation, obesity, and depression. It is currently being tested in a randomized, controlled trial (RCT) in a sample of APN students to determine the effect ...
Walden Therese C - - 2006
Clinicians are in the unique position of continually developing a foundation of evidence-based practice each time they evaluate a patient. This is true not only in the field of audiology, but also in all healthcare professions. Typically, evidence-based practice (EBP) is assimilated from a combination of a systematic review of ...
Dunning David M - - 2006
The Resource-Based Relative Value Scale (RBRVS) system instituted by Centers for Medicare and Medicaid Services has lead to the implementation of a new financial analysis paradigm based on relative value units (RVUs). RVU-based financial tools have great potential to allow in-depth analysis of all components of the cancer care delivery ...
Mayer Dan - - 2006
Evidence-based medicine (EBM) has become a watchword for "the new" medical practice in the new century. Whether it represents a paradigm shift or simply a codification of the scientific method in medicine will be debated for years to come. Regardless of the place of EBM in medicine, this "movement" has ...
Onifade P O - - 2006
BACKGROUND: The practice of Evidence-Based Psychiatry started in the 1990's, however prior to this time the practice of psychiatry did have an evidenced base though not structured and systematically spelt out. This study aimed to review the development of the concept and practice of Evidence-Based Psychiatry and to identify position ...
Linskey Mark E - - 2006
Evidence-based medicine is a tool of considerable value for medicine and neurosurgery that provides a secure base for clinical practice and practice improvement, but is not without inherent drawbacks, weaknesses and limitations. EBM finds answers to only those questions open to its techniques, and the best available evidence can be ...
Mehr Stanton R - - 2006
The origins of the Pharmacy and Therapeutics (P&T) Committee is intertwined with the evolution of the modern practice of pharmacy. Although the P&T Committee has been uniquely developed to help make coverage decisions, this implies that its technology assessment function, particularly with regard to medicines, has paved the way to ...
Lyman J - - 2006
We developed Systems and Practice Analysis for Resident Competencies (SPARC), a Web-based tool to support teaching the practice-based learning and improvement (PBLI) ACGME competencies. SPARC allows Department of Medicine residents to explore de-identified, population-based data about their patient panels with peer comparisons. Data primarily comes from an existing data warehouse ...
Campbell John - - 2006
BACKGROUND: Failure to utilise evidence in asthma care is leading to avoidable asthma symptoms for sufferers and costs to health services. OBJECTIVE: This article describes a collaboration between a division of general practice and a university department of general practice to improve uptake of evidence based asthma treatments and to ...
West Adrienne L - - 2006
PURPOSE: To provide a perspective by reviewing the evidence for the role of nutritional supplements and herbal medicines in the common causes of visual impairment. DESIGN: Retrospective literature review. METHODS: Published studies and information found in PubMed, International Bibliographic Information of Dietary Supplements, and selected websites were reviewed for the ...
Pfeffer Jeffrey - - 2006
For the most part, managers looking to cure their organizational ills rely on obsolete knowledge they picked up in school, long-standing but never proven traditions, patterns gleaned from experience, methods they happen to be skilled in applying, and information from vendors. They could learn a thing or two from practitioners ...
Damore Joseph F - - 2006
I applaud doctors Kovner and Rundall for attempting to address the critical management principle of evidence-based management, but encourage them to further study why this principle has not been used more extensively in healthcare organizations. The lack of application calls for new and creative approaches to developing evidence-based management research ...
Bogdan-Lovis Elizabeth A - - 2006
This paper reports research undertaken to assess US certified nurse-midwives' (CNMs) knowledge of, access to, and use of evidence-based medicine (EBM). Findings are presented in the context of interprofessional, institutional, and popular culture. The descriptive study follows concepts of diffusion of innovation, evidence-based patient choice, and authoritative knowledge to analyse ...
Goldenberg Maya J - - 2006
The evidence-based medicine (EBM) movement is touted as a new paradigm in medical education and practice, a description that carries with it an enthusiasm for science that has not been seen since logical positivism flourished (circa 1920-1950). At the same time, the term "evidence-based medicine" has a ring of obviousness ...
De Vries Raymond - - 2006
Most critiques of evidence-based medicine (EBM) focus on the scientific shortcomings of the technique. Social scientists are more likely to criticize EBM for it ideological biases, a criticism that makes sociological sense but is difficult to substantiate. Using data from our studies of (1) the influence of pharmaceutical companies on ...
Murray I R - - 2005
OBJECTIVES: To examine the diagnosis and management of adults attending a sports injury clinic, to establish to what extent the management of the two most common injuries treated at this clinic is evidence based, and to explore factors that affect management. METHODS: A retrospective examination of 100 random case notes ...
Wagner G - - 2005
The new field of Sexual Medicine has now changed to the primary care physician because of the new symptom-treating pharmacological possibilities, a fact not to be foreseen 10 years ago. The future, therefore, is to create the platform for the 'basic doctor' to identify and correctly treat male and female ...
Khalil Karima - - 2005
Little is known of common normal labor hospital practices in Egypt or of their relationship to evidence-based obstetrics. This study documented facility-based practices for normal labor and delivery in Egypt for the first time by categorizing 44 practices observed in a busy obstetric teaching hospital according to the World Health ...
Sykiotis Gerasimos P - - 2005
Twenty-five centuries after Hippocrates, we are at the beginning of an era of individualized, molecular, and genomic medicine, where diagnosis, prognosis, and treatment will be increasingly based on our understanding of the human organism's genetic and molecular composition. The most difficult task in this process has proven to be the ...
Medford A R - - 2005
Pleural disease remains a commonly encountered clinical problem for both general physicians and chest specialists. This review focuses on the investigation of undiagnosed pleural effusions and the management of malignant and parapneumonic effusions. New developments in this area are also discussed at the end of the review. It aims to ...
Kang Jin Oh - - 2005
We implemented a Six Sigma-based quality management program for the PACS to improve the quality of and lessen the necessary resources for its management. With the Six Sigma-based PACS quality management program, we were able to reduce resource requirements while maintaining quality.
Bushby Kate - - 2005
This review highlights emerging evidence on the management of patients with muscular dystrophies. New diagnostic modalities based on muscle biopsy and DNA analysis mean that diagnoses within the heterogeneous group of muscular dystrophies can be much more precise; also, as the phenotypes associated with these different disorders are clarified, new ...
Covit Andrew B - - 2005
Recent advances in endovascular technology have radically changed the options available for the clinical management of the patient with renovascular disease. These treatment options have fueled an ongoing debate concerning the appropriateness of interventional endovascular therapy for the stenotic renal artery versus conservative medical management. This review examines a typical ...
- - 2005
Lasers in Surgery and Medicine regrets to inform readers that the article, "Effects of low-power He-NE laser irradiation on rabbit articular chondrocytes in vitro," by YL Jia and ZY Guo(Vol.34, No.4, pp. 323-328, 2004, DOI.10.1002/lsm.20017 is being retracted on account of concerns over the validity of the data reported therein ...
Duncan Michael J - - 2005
This study examined the influence of familiarization with the backward, overhead medicine ball throw test of explosive power. Male rugby players (N = 28) aged 15 to 16 (M +/- SD = 15.1 +/- 0.5) years completed the medicine ball throw six times. Repeated measures ANOVA indicated that the distance ...
Damaske David L - - 2005
Because of the complexities of warfarin administration and its bleeding complications, a pharmacist-managed protocol for warfarin administration was developed at Baylor University Medical Center. The protocol incorporated current clinical guidelines and evidence-based medicine. Clinical outcomes under the protocol were compared with those of usual care, physician management, in a pilot ...
Miller Franklin G - - 2005
Evidence-based medicine (EBM) relies on accurate data derived from well-designed, clinically relevant randomized controlled trials (RCTs). Most randomized trials, however, are conducted by industry sponsors aiming at licensing and marketing drugs, which may weaken the usefulness of the findings to EBM. Disturbing evidence has emerged of widespread biases in industry-sponsored ...
Verhoeff Monique - - 2006
OBJECTIVES: Chronic suppurative otitis media (CSOM) remains one of the most common childhood chronic infectious diseases worldwide. Although microbial, immunological, and genetically determined factors, as well as Eustachian tube characteristics, are supposed to be involved in the pathogenesis of CSOM, many aspects of the pathogenesis of CSOM still need to ...
Chou Roger - - 2005
Low back pain has long been described as a challenge for both primary care physicians and specialists. Management of low back pain has also been criticized as frequently arbitrary, inappropriate, or ineffective. Contributing factors have been an inadequate evidence base and a need for more rigorous appraisals of the available ...
Tivers M S - - 2005
OBJECTIVES: To gather information about the different techniques employed in general practice and to compare this with current undergraduate teaching. This would provide an insight into any areas of discrepancy and influences on technique in practice. METHODS: A questionnaire was composed and distributed to 407 practices throughout the UK, using ...
Kularatne S A M - - 2005
The management of dengue infection is variable and clinicians often adopt their own methods based on clinical experience. Hence, there is a lack of uniformity in the practice and management of dengue fever (DF) and dengue hemorrhagic fever (DHF) in Sri Lanka. The objectives were to describe the opinions of ...
Dresang Lee T - - 2005
Colposcopy is a diagnostic procedure, most commonly used in the diagnosis of cervical intraepithelial neoplasia and lower genital tract carcinoma. In this article, evidence-based management strategies are updated with discussion of the 2001 American Society for Colposcopy and Cervical Pathology Consensus Guidelines. Practice management issues include methods to improve cervical ...
- - 2005
To document facility-based practices for normal labour and delivery in Egypt, Lebanon, the West Bank (part of the Occupied Palestinian Territory) and Syria and to categorise common findings according to evidence-based obstetrics. Three studies (Lebanon, West Bank and Syria) interviewed a key informant (providers) in maternity facilities. The study in ...
Than Martin - - 2005
While evidence-based medicine may be trumpeted by zealots, managers and politicians, incorporating it into clinical practice is easier said than done. The present article aims to show that it can be achieved and gives some clinical examples to illustrate this. An appendix contains a summary of useful databases and websites ...
Doherty Steven - - 2005
Knowledge translation is the process of taking evidence from research and applying it in clinical practice. In this article I will cite some pivotal moments in the history of medicine to highlight the difficulties and delays associated with getting evidence into practice. These historical examples have much in common with ...
Petrak Frank - - 2005
The aim of this project was to develop evidence-based guidelines regarding psychosocial aspects of diabetes mellitus in an effort to help the clinician bridge the gap between research and practice. Recommendations address the following topics: patient education, behavioural medicine, and psychiatric disorders of particular relevance to diabetes: depression, anxiety disorders, ...
Doherty Steven - - 2005
In this article I will discuss the various definitions of evidence-based medicine (EBM), and summarize the application, criticisms and limitations of EBM. The spectrum of evidence, from pathophysiological inference to randomized controlled trials, will be presented as a mechanism for filtering bias with more rigorous evidence being required when bias ...
Dunbar Richard L - - 2005
Because the landmark trials of lipid-lowering statin drugs excluded patients with very high triglyceride levels, the optimal management of hypertriglyceridemia for atherosclerosis prevention is unknown. The third report of the National Cholesterol Education Program's Adult Treatment Panel (ATP-III) provides a much-needed strategy for managing patients with high triglycerides, based on ...
Korttila K - - 2005
Many scientific articles are written merely to get something published, neglecting the clinician who would like the medical literature to guide their practice. Evidence-based medicine is expected to help in clinical decision-making. Systematic reviews of the literature followed by a meta-analysis of randomized, controlled trials (RCT) have claimed to represent ...
Herbert James D - - 2005
The use of placebos is the "gold standard" in studies of investigational drugs, and of other medical procedures as well. Several recent trends have suggested the use of placebos in studies of psychotherapy to isolate effective treatment components, and as a basis for establishing lists of empirically supported treatments. Unlike ...
Slawson David C - - 2005
To encourage high-quality patient care guided by the best evidence, many medical schools and residencies are teaching techniques for critically evaluating the medical literature. While a large step forward, these skills of evidence-based medicine are necessary but not sufficient for the practice of contemporary medicine. Incorporating the best evidence into ...
Shekelle Paul G - - 2005
The use of complementary and alternative medicine (CAM) continues to grow in the United States. The Agency for Healthcare Research and Quality has devoted a substantial proportion of the Evidence-based Practice Center (EPC) program to systematic reviews of CAM. Such syntheses present different challenges from those conducted on western medicine ...
Cullen Laura - - 2005
The University of Iowa Hospitals and Clinics is a recognized leader in evidence-based practice. Creating organizational excellence in evidence-based practice takes leadership and a committed effort at all levels. Building the capacity, culture, and vision at the organizational and unit levels is needed to promote use of evidence in practice. ...
Cicerone Keith D - - 2005
Both the American Congress of Rehabilitation Medicine and the field of physical medicine and rehabilitation have entered an age of evidence-based rehabilitation. Despite some concerns over the difficulties in applying the methods of evidence-based practice to rehabilitation research, there is little question that we will continue to move in this ...
Green S - - 2005
Systematic reviews form a potential method for overcoming the barriers faced by clinicians when trying to access and interpret evidence to inform their practice. This fourth article in the Evidence-Based Medicine and Healthcare series of the Singapore Medical Journal introduces readers to systematic reviews, outlining why they are important, describing ...
Farrell J J - - 2005
Several recent advances have been made in the evaluation and management of acute lower gastrointestinal bleeding. This review focuses on the management of lower gastrointestinal bleeding, especially acute severe bleeding. The aim of the study was to critically review the published literature on important management issues in lower gastrointestinal bleeding, ...
Parker M - - 2005
According to numerous commentators, clinical freedom, the art of medicine, and, by implication, a degree of patient welfare, are threatened by evidence based medicine (EBM). As EBM has developed over the last fifteen years, claims about better evidence for medical treatments, and improvements in healthcare delivery, have been matched by ...
Lorenz Karl A - - 2005
OBJECTIVE: To examine the reasons and search strategies related to physicians' search for evidence and to compare clinician and physician manager approaches. DESIGN: Qualitative analysis of verbatim transcripts of four focus groups in 2002. Study setting. Clinicians and managers in community practices in Southern California. PARTICIPANTS: Pediatricians, family practitioners, and ...
Turek Paul J - - 2005
Male infertility affects 10% of couples of reproductive age worldwide, and is treatable in many cases. In addition to well-established etiologies, genetic causes of male infertility are now diagnosed more commonly, as our knowledge of genomic medicine advances. Using principles of evidence-based medicine, this review outlines diagnostic and treatment algorithms ...
Urschel John D - - 2005
In clinical research investigators generalize from study samples to populations, and in evidence-based medicine practitioners apply population-level evidence to individual patients. The validity of these processes is assessed through critical appraisal of published articles. Critical appraisal is therefore a core component of evidence-based medicine (EBM). The purpose of critical appraisal ...
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