Search Results
Results 551 - 600 of 1004
< 7 8 9 10 11 12 13 14 15 16 17 >
Marchevsky Alberto M - - 2005
Evidence-based medicine (EBM) is a school of thought that has spread rapidly through medicine in the past 2 decades and is eliciting an increasing interest in Anatomic Pathology and Laboratory Medicine. It has been defined as "the conscientious, explicit, and judicious use of current best evidence in making decisions about ...
Gossec Laure - - 2005
OBJECTIVES: To develop French evidence-based recommendations for the structural evaluation of rheumatoid arthritis (RA) in everyday practice. METHODS: A scientific committee selected 10 questions using the Delphi consensus procedure. Evidence-based responses to each question were sought by searching the PubMed and Ovid databases and the abstract databases for the 2002, ...
Deng Jun - - 2005
Eight polyoxypregnane glycosides, marsdenosides A-H, were isolated from the CHCl(3)-soluble fraction of the ethanolic extract of the stem of Marsdenia tenacissima, along with six known glycosides and two known polyoxypregnane aglycones. Three polyoxypregnanes, 12beta-O-2-methylbutyryl-tenacigenin A, 11alpha,12beta-di-O-acetyltenacigenin B, and 11alpha-O-tigloyltenacigenin B were also obtained. Their structures were established on the basis ...
Slim Karem - - 2005
Evidence-based medicine can be summarized as the use of current best evidence in the care of individual patients. When applied to surgical practice, it appears clearly that the concept of evidence-based medicine involves some limitations. To discuss these limits, the author went back over the terms of the evidence-based medicine ...
Snow Vincenza - - 2005
This guideline is based on the evidence report and accompanying background papers developed by the Southern California Evidence-Based Practice Center. The American College of Physicians nominated this topic to the Agency for Healthcare Research and Quality Evidence-Based Practice Center program as part of a concerted effort to complement the guidelines ...
Feldstein David A - - 2005
Evidence-based medicine (EBM) was introduced in the early 1990s. In less than 15 years, it has dramatically changed the way that medicine is practiced and taught. Improvements in informatics and evidence resources have helped overcome some of the initial problems and allowed busy clinicians to use EBM in practice. Many ...
Hyland M E - - 2005
This paper proposes the emergent entanglement theory of homeopathy. This is based on the lack of evidence that choice of homeopathic medicine is important and predicts links between effectiveness of homeopathic medicines and their manufacturers. It predicts that there will be a consistent variation, in terms of outcome, between homeopaths, ...
Rock Melanie - - 2005
This ethnographic investigation responds to calls for more social science research on -- versus for or against -- evidence-based medicine (EBM). It centers on the recommendations endorsed, in a set of clinical practice guidelines, by Canadian specialists in the late 1990s for diagnosing diabetes. Empirically, the article mainly relies on ...
Baysan Aylin - - 2005
There is growing interest in the use of ozone in oral healthcare and the National Institute for Clinical Excellence (NICE) is at present reviewing the evidence for its effectiveness in the management of occlusal and plain surface caries. These are only two of the clinical problems for which ozone can, ...
Brown Scott - - 2005
Most models of choice response time base decisions on evidence accumulated over time. A fundamental distinction among these models concerns whether each piece of evidence is equally weighted (lossless accumulation) or unequally weighted (leaky accumulation). The authors tested a hypothesis derived from A. Heathcote and S. Brown's (2002) self-exciting expert ...
Dulcan Mina K - - 2005
Most aspiring child mental health professionals would support the premise that clinical practice should have a scientific foundation. Why, then, is the implementation of evidence-based practice in child and adolescent psychiatry so difficult? Considering the multiple stakeholders in clinical work, impediments are not surprising. Practitioner delays in implementation of research ...
Cherbuin Nicolas - - 2005
Some tasks produce a performance advantage for conditions that require the processing of stimuli in two visual fields compared to conditions where single hemifield processing is sufficient. This advantage, however, disappears with practice. Although no definitive evidence yet exists, there are several possible mechanisms that might lead to improved performance ...
- - 2005
Evidence-based medicine has been used to guide healthcare that works, but sometimes, the system delivers care that ends up too little, too much, or just wrong. Participants at a Washington, DC, forum looked recently at what can be done to make a smoother path to the most effective set of ...
Bruckmeier Karl - - 2005
Most of the Swedish coastal fisheries are not sustainable from either a social, economic or ecological point of view. We propose the introduction of local fisheries management (LFM) as a tool for restructuring the present large-scale management system in order to achieve sustainability. To implement LFM two questions need to ...
Curran Sarah A - - 2005
Despite the plethora of information on human gait analysis, its continued use as a clinical tool remains uncertain. Analysis of gait dysfunction has become integral to podiatric medical practice, and, like many specialized fields, it is rapidly changing to meet the needs of the future. Practice in the 21st century ...
Krishnan Laura L - - 2005
PURPOSE OF REVIEW: This review is intended to update readers on recent developments in the evidence-based practice of rheumatology. RECENT FINDINGS: Several new or updated evidence-based practice guidelines have recently emerged. In addition, a large body of evidence upon which to base practice has been addressed in the many systematic ...
Ley Ronald - - 2005
This article discusses the hyperventilation theory (HVT) of panic attacks (PAs) proposed by R. Ley in the context of criticisms raised by W. T. Roth, F. H. Wilhelm, and D. Pettit. Their interpretation of HVT is flawed by misunderstanding, misinterpretation, and oversimplification of the complex psychophysiological principles on which current ...
Harvey P A - - 2005
BACKGROUND: Evidence-based guidelines exist to guide inpatient management of chronic obstructive pulmonary disease (COPD) exacerbations, but we do not know how well these recommendations are adhered to. AIMS: The aims of this study were: (i) to examine concordance with evidence based guidelines for inpatient management of COPD and (ii)to address ...
Griffiths Peter - - 2005
This paper discusses the significance of postmodernism for healthcare practice, specifically the discourse known as 'evidence-based practice'. It considers two texts, both of which present postmodern analyses of contemporary issues. One text presents a deconstruction of evidence-based practice in an attempt to reveal its 'true' nature, which is portrayed as ...
Yang Yangfan - - 2005
The evidence-based medicine (EBM) is a new medical mode that is completely different from traditional experience-based medicine. The core of EBM is that decision-making during clinical practices must be based on objective research results. With the rapid development of modern ophthalmology, some former viewpoints according to experience-based medicine face challenges. ...
Margolis David J - - 2005
Evidence-based dermatology (EBD) is the application of the principles of evidence-based medicine to the diagnosis and treatment of skin disorders. EBD does not discount the individual dermatologist's clinical judgment. In fact, EBD is based on the interaction of external evidence, the physician's clinical experience, and the patient's experience. Randomized controlled ...
Naughten Flo F University of - - 2005
The heel prick is a common procedure, mainly carried out by midwives. This paper argues that midwifery practice is often based on tradition and habit rather than evidence. Firstly, the evidence on which midwives choose a site for heel prick is examined, and it is argued that practice is based ...
Nolan Alexis - - 2005
From April 1, practice-based commissioning will be operational; meaning practices can request indicative budgets from PCTs. Practices should be incentivised to take on budget deficits. There are concerns that the role of practice-based commissioning as a counterweight to payment by results will reinforce divisions between acute and primary care.
Green Pauline - - 2005
This chapter looks at the evidence base for the practice of fetal medicine and surgery. There is very little good-quality research and much activity is based on case reports and series. However, the philosophy of evidence-based practice is now accepted and new randomized trials are being published in the literature ...
Villanueva-Russell Yvonne - - 2005
Evidence-based medicine (EBM) has grown in popularity and prominence in the world of orthodox medicine since the 1980s. The focus of this article is on the process of developing practice guidelines (one type of EBM) and its effects upon chiropractic, a profession with a "philosophy, science and art" that is ...
Gluckman Ty J - - 2005
CONTEXT: While current practice guidelines provide an evidence-based approach to management of acute coronary syndromes (ACS), application of the evidence by individual physicians has been suboptimal. OBJECTIVE: To assess and synthesize the evidence regarding optimal management of non-ST-segment elevation ACS (NSTE-ACS). DATA SOURCES: Systematic searches of peer-reviewed publications were performed ...
Nolan Alexis - - 2005
A lack of high-quality managers and a need for more commissioning muscle will encourage PCTs to merge. They will not be forced to do so by the government. Practice-based commissioning will take some responsibilities away from PCTs, but they will still have a big agenda. Trusts that have merged in ...
Eddy David M - - 2005
Behind the wide acceptance of the idea of "evidence-based medicine" are two curious facts: There are two very different approaches to applying evidence to medicine, and the most commonly cited definition applies to only one of them. This paper describes the problem that we are asking "evidence" to solve and ...
Kulkarni Abhaya V - - 2005
Although evidence-based medicine (EBM) has gained prominence in current medical practice and research, it has also had to deal with a number of problems and inconsistencies. For example, how do clinicians reconcile discordant results of randomized trials or how do they apply results of randomized trials to individual patients? In ...
Brody Howard - - 2005
An old joke states that one need not worry about one's enemies, but may be in danger from one's friends. We review a number of "enemies" and "friends" of evidence-based medicine (EBM). To understand where these enemies and friends have come from, it is important to see how the rise ...
Brown Donna - - 2005
BACKGROUND: The development of acute pain services (APS), education programmes, and protocols assumed an expectation that health care professionals would integrate evidence into everyday practice. However, research evidence into pain management would suggest that this is not the case. APPROACH: Through a review of the literature, the authors aim to ...
Watson Dougal B - - 2005
Aeromedical decisions take many forms and are made by different groups and individuals. Because of the ubiquity of aviation in the world today, it is important that aeromedical decisions are of the highest quality that can be reasonably achieved. A paradigm of evidence-based aeromedical risk management is reported on here. ...
Thomas Kris G - - 2005
BACKGROUND: Evidence-based medicine (EBM) is a required component of the Accreditation Council for Graduate Medical Education's Practice-Based Learning core competency. PURPOSE: To compare the efficacy of conferences and small-group discussions in enhancing EBM competency. METHODS: EBM conferences and small-group discussions were integrated into an internal medicine curriculum. EBM competency was ...
Akobeng A K - - 2005
Evidence based medicine implies that healthcare professionals are expected to base their practice on the best available evidence. This means that we should acquire the necessary skills for appraising the medical literature, including the ability to understand and interpret the results of published articles. This article discusses in a simple, ...
Falkman Göran - - 2005
In a net-based society, clinicians can come together for cooperative work and distance learning around a common medical material. This requires suitable techniques for cooperative knowledge management and user interfaces that are adapted to both the group as a whole and to individuals. To support distributed management and sharing of ...
Sarkova A - - 2005
These article give you basic information about technique as a means to link eastern and western medicine based on using combination of EAV (Electro-Acupuncture According to Dr. Voll) and gemmotherapy, a special form of phytotherapy. Experience with this method continues to grow steadily and some very interesting results are already ...
Manchikanti Laxmaiah - - 2005
BACKGROUND: The past decade has been marked by unprecedented interest in evidence-based medicine and various types of avenues that can provide valid and reliable information about healthcare, including clinical practice guidelines. Thus, healthcare decisions are purportedly and increasingly being made on research-based evidence rather than on expert opinion or clinical ...
Alam Maqbool - - 2005
Evidence-based medicine (EBM) is a growing international movement in health care that aims to bring the best evidence from medical research to the bedside, clinic and community. Evidence-based medicine de-emphasizes intuition, unsystematic clinical experience and pathophysiologic rationale as sufficient grounds for clinical decision-making and stresses the examination of evidence from ...
Blomgren Karin - - 2005
These clinical practice guidelines aim at providing assistance mainly to primary health care physicians for the diagnosis and management of acute sinusitis. Despite the huge impact of upper respiratory infections, criteria for diagnoses are often vague, and physicians are often uncertain of their diagnoses. This is not surprising, as the ...
Zamvar Usha - - 2005
BACKGROUND: In order to minimise postoperative intraocular pressure (IOP) rise, after routine uncomplicated cataract surgery, prophylaxis may be adopted. Currently, there are no specific guidelines in this regard resulting in wide variation in practice across the UK. We sought to document these variations through a questionnaire survey. METHODS: A questionnaire ...
Lipp Allyson - - 2005
An underpinning tenet of evidence-based practice is that all routine practices should be open to scrutiny. Questioning practice should not be limited to new, experimental procedures, but should also include examination of 'tried and trusted' techniques. Taking this perspective, the author recently contributed to a systematic review evaluating the use ...
Chen Chaomei - - 2005
A crucial step in the practice of evidence-based medicine is to locate the best available evidence regarding to clinical questions. In this article, we demonstrate that combining visualization techniques with traditional methods developed in evidence-based medicine could simplify the task. We describe a unifying framework for searching clinical evidence across ...
Tse Samson - - 2004
Evidence-based practice has become the dominant paradigm in the delivery of rehabilitation programme. However, occupational therapists in Australia and New Zealand have been slow in making the transition to become evidence-based practitioners. Collaboration between the university/tertiary institute and clinical setting is one way that clinicians can be assisted with incorporating ...
Ismach Richard B - - 2004
Evidence-based medicine (EBM) is the rubric for an approach to learning and practicing medicine that applies skills from clinical epidemiology, library science, and information management to clinical practice. Teaching EBM effectively requires a longitudinal approach throughout medical education. This presents many opportunities for academic emergency physicians, especially in the setting ...
Graham Andrew J - - 2004
To determine the grades of recommendations and levels of evidence available if the formal practice of evidence-based medicine is applied to general thoracic surgery. Three general thoracic surgeons, by consensus, developed a sample of 10 clinically important questions. The first 3 steps of evidence-based medicine (creation of answerable clinical questions, ...
Gipson Debbie - - 2005
As clinical judgment has joined forces with evidence-based medicine, nephrologists critically assess the validity of the data available to support therapeutic decisions for children with kidney disease. Unfortunately, a paucity of data often prevents the practice of evidence-based medicine. Three scenarios illustrating the status of evidence and clinical decision making ...
Chan Kitty S - - 2004
OBJECTIVE: To identify strategies for retrieval and evaluation of systematic reviews from a management perspective. STUDY DESIGN: Review of available literature and resources on systematic reviews. METHODS: From published literature on evidence-based medicine and systematic review, we identified resources and adapted retrieval and evaluation strategies for healthcare managers. A published ...
Lockwood Diana - - 2004
Introduction and evaluation of evidence based medicine (EBM) into routine hospital practice. Routine EBM meetings introduced in 1997. Review of outcomes of meetings from 1997 to 2004, focusing on their effect on clinical practice. Referral centre for tropical and domestic infectious diseases. KEY MEASURE FOR IMPROVEMENT: Outcome of meetings, classified ...
Callen J P - - 2004
This paper reviews the latest treatments for cutaneous lupus erythematosus. It focuses on evidence-based guidance for the management of cutaneous lupus erythematosus, with identification of the strength of evidence available at this time. In addition, I have briefly reviewed the epidemiological aspects, diagnosis and evaluation of patients with cutaneous lupus ...
Bleakley C - - 2004
OBJECTIVE: To examine the evidence base of sports medicine research and assess how relevant and applicable it is to everyday practice. METHODS: Original research articles, short reports, and case reports published in four major sport and exercise medicine journals were studied and classified according to the main topic of study ...
< 7 8 9 10 11 12 13 14 15 16 17 >