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Nieschulze, Jens
Sustainable forest management stipulates a periodical assessment of the state of forests at the spatial scale of management activities. Classical forest management planning surveys take place at such a spatial scale, that is, the forest stand. The introduction of continuous cover forestry systems as well as methodological advantages have lad ...
Margison Frank - - 2003
Treatments should be based on reviews of the best available evidence. However, there are different views about the types of evidence that may be included. Evidence-based medicine (EBM) has its own clear hierarchy with systematic reviews of randomized controlled trials (RCTs) at the top level and expert and user opinion ...
Thompson Deb - - 2003
Patients with diabetes are known to be at higher risk of foot ulceration that can often lead to limb amputation. Anecdotal evidence suggested that the provision of a multidisciplinary foot clinic for patients with diabetes could improve outcomes. Although this approach appears common sense the author required evidence to support ...
Bledsoe Bryan E - - 2003
This is an exciting time to be involved in EMS. EMTs and paramedics can derive a great deal of satisfaction by assuring that they have offered their patients the best care available, based not only on their personal expertise, but also on ample external scientific evidence. EBM is a sound ...
Manchikanti Laxmaiah - - 2003
Healthcare decisions are increasingly being made on research-based evidence, rather than on expert opinion or clinical experience alone. Consequently, the process by which the strength of scientific evidence is evaluated and developed by means of evidence-based medicine recommendations and guidelines has become crucial resulting in the past decade in unprecedented ...
Porto James V - - 2003
Browman, Snider and Ellis propose that managers act as catalysts to institute structures for the negotiation of differences between managers and clinicians, primarily around the perceived trade-offs between quality care and resource allocation. Evidence-based medicine and evidence-based management are required to level the playing field, so that quality of care ...
Sim Ida - - 2003
Randomized controlled trials (RCTs) are one of the best sources of evidence for the scientific practice of medicine. However, RCT findings are published only as text articles that are of limited machine understandability. The Trial Bank system captures information about the design, execution, and summary results of RCTs into a ...
Tomasulo Patricia - - 2003
Natural Standard is a new and extremely easy-to-use database consisting of comprehensive evidence-based medicine monographs, and also news brief's on the subject of complementary/alternative medicine therapies. It does not yet contain a huge amount of material, but it is updated frequently, and new information is continuously added. The focus is ...
Festin Mario R - - 2003
OBJECTIVE: To determine the use of the active management of the third stage of labour in 15 university-based obstetric centres in ten developing and developed countries and to determine whether evidence-based practices were being used. METHODS: From March 1999 to December 1999, the Global Network for Perinatal and Reproductive Health ...
Smith Kevin P D - - 2003
This thoughtful essay conveys a logically ordered series of concepts that may help develop a process to more fully integrate evidence into healthcare management decisions. In responding to this article we have tried to think broadly about what might be discovered if the ideas of Browman, Snider and Ellis were ...
Haines Stephen J - - 2003
OBJECTIVE: The evidence-based medicine movement is gaining influence in many medical specialties. Although many think that clinical medicine always has been based on evidence, the discipline of evidence-based medicine places particular emphasis on a defined set of principles of critical analysis of individual research reports, methodologically rigorous synthesis of multiple ...
Morikawa Toshio - - 2003
Four new aromatic constituents, rhododendroketoside, (-)-sakuraresinoside, acernikol, and nikoenoside, were isolated from a Japanese folk medicine, the stem bark of Acer nikoense MAXIM. The structures of the new constituents were determined on the basis of chemical and physicochemical evidence. The principle cyclic diarylheptanoids were found to show inhibitory effects on ...
Kondo Douglas G - - 2003
Psychiatrists need to update their skills to incorporate advances in psychiatric practice and to do so "at the bedside."To this end, evidence-based medicine (EBM), which is widely used as an educational heuristic in other areas medicine and has begun to make inroad in psychiatry training programs, provides practical methods to ...
Upshur R E G - - 2003
This essay explores the role of informal logic and its application in the context of current debates regarding evidence-based medicine. This aim is achieved through a discussion of the goals and objectives of evidence-based medicine and a review of the criticisms raised against evidence-based medicine. The contributions to informal logic ...
Pisanelli Domenico M - - 2003
The "evidence-based medicine" (EBM) paradigm is centered on the concept of "best evidence" and clinical studies based on this approach are more likely to be considered by physicians in their practice. In this paper we describe an ontology representing the concepts involved in evidence-based medicine and meta-analysis and show how ...
Lindstrom Evan Willis - - 2003
This commentary takes up issues from the lead paper by reference to the situation in Australia and New Zealand. It briefly canvasses issues of nomenclature, increasing utilization, the postmodern thesis, the nature of evidence and the impact of the social movement toward evidence-based medicine and broader questions of legitimacy. The ...
Richardson Janet - - 2003
In their lead paper, Kelner and Wellman set out policy recommendations for the development of complementary and alternative medicine (CAM). This commentary examines some of the issues raised by Kelner and Wellman that relate to regulation of the professions and the nature of evidence. The extent to which the development ...
Fritsche L - - 2002
To develop and validate an instrument for measuring knowledge and skills in evidence based medicine and to investigate whether short courses in evidence based medicine lead to a meaningful increase in knowledge and skills. Development and validation of an assessment instrument and before and after study. Various postgraduate short courses ...
Kasper Siegfried - - 2002
This review provides an overview of the evidence related to the role of dopamine deficiency in the pathogenesis of positive and negative schizophrenic symptoms and to the therapeutic use of amisulpride in this indication. It includes concepts of human neurobiology and neuropharmacology and their application to clinical medicine, as well ...
Ward Jeanette E - - 2002
HYPOTHESIS: Not all Australian surgeons are aware of the status of the current evidence for the management of colorectal cancer. DESIGN: Postal survey of Fellows of the Royal Australasian College of Surgeons. PARTICIPANTS: One hundred ninety-five surgeons (127 general surgeons and 68 subspecialist colorectal surgeons) from a response fraction of ...
Schulman Scott R - - 2002
PURPOSE OF REVIEW: The principles of evidence-based medicine are now being applied in anesthesiology and intensive care medicine. The purpose of this review is to acquaint practitioners with the fundamentals of evidence-based medicine and to provide examples of how these principles can be incorporated into clinicians' practice. RECENT FINDINGS: Outcomes ...
Coltrera Marc D - - 2002
Evidence-based medicine has always relied on databases. Anyone who needs to know anything about the outcome of a treatment needs a database, but individual practitioners may feel that database design is beyond them for various reasons. Effective database design does not require complexity. This article seeks to be a practical ...
Li-Tsang Cecilia W P - - 2002
Evidence-based medicine has been practised in the early 1990s in the Western countries and its model has aroused interests in the Asian countries including Hong Kong in the late 1990s. The need for evidence-based practice was called upon by Sackett and his colleagues 14-16 mainly because of the exponential growth ...
Chavasse R J - - 2002
Consultant paediatricians were questioned about their management of wheezing disorders in infants. Salbutamol was the preferred bronchodilator for recurrent wheeze, whereas ipratropium was preferred in viral bronchiolitis. Doses of both medications varied widely. Both inhaled and oral corticosteroids were considered by most respondents. Practice does not clearly follow guidelines or ...
Sackett David L - - 2002
Clinical epidemiology, the what, was introduced by John Paul in 1938, as a new basic science for preventive medicine. Its definition subsequently took on a more bedside tone, but continues to be adapted to the needs of its practitioners. Clinical epidemiology, the who, centers on Alvan Feinstein and the way ...
Green Deborah M - - 2002
Guillain-Barré syndrome (GBS) is the most common cause of acute paralysis, yet the pathogenesis has still not been fully elucidated and specific evidence-based consensus management guidelines have not been developed. This paper reviews the research of the past year dedicated to determining the pathogenesis of GBS, optimizing current management, and ...
Stuttard Pauline - - 2002
In view of changing policy and recommendation for complementary medicine, the moves towards regulatory mechanisms and an evidence base for practice, there is a need to establish the extent to which this is happening within professions and identify away forward that will benefit the individuals and organisations involved. This paper ...
Wilkinson T J - - 2002
BACKGROUND: The use of portfolios can potentially provide flexibility in the summative assessment of doctors in practice. An assessment system should reflect and reinforce the active and planned professional development goals of individual doctors. This paper discusses some of the issues involved in developing such a system. RESULTS: To provide ...
Epling John - - 2002
Though many residencies have recognized the need for instruction in evidence-based medicine, the best way to teach these skills to resident physicians remains uncertain. We designed a curriculum intended to develop a resident-produced, evidence-based guideline for the care of patients with diabetes. Each resident was supervised going through the steps ...
Lorence Daniel P - - 2002
The growing adoption of evidence-based medicine in the United States is acting to cause fundamental changes in the delivery of healthcare management services. With the increasing incorporation of electronic patient records (EPRs) into the day-to-day practice of medicine, it necessitates greater dependence on adequate functioning of such resources, as they ...
Cape John - - 2002
OBJECTIVES: To provide (1) an overview of the purpose of practice improvement methods and a conceptual base for the relationship between the various practice improvement methods; (2) an evidence-based review of the range of practice improvement methods; and (3) practice-based recommendations. DESIGN AND METHOD: Secondary research design using electronic literature ...
Gray Gregory E - - 2002
Evidence-based medicine has been defined as "the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients." Evidence-based practice requires the ability to apply knowledge of medical informatics (eg, efficiently searching the medical literature) and clinical epidemiology (eg, being able to critically ...
Phanareth K - - 2002
We have proposed a clinical treatment guideline for the management of acute, severe asthma and chronic obstructive pulmonarydisease (COPD) using the principles of evidence-based medicine. The content is based upon practical clinical issues in need of consensus. A previous study has shown that this particular area is in serious need ...
Vindlacheruvu Raghu R - - 2002
Aneurysmal SAH is a devastating condition arising suddenly and usually without warning. The best outcomes may be facilitated by prompt recognition/suspicion and immediate referral to the neurosurgical unit. Many contentious issues surround this subject and the ISAT trial should resolve many of these. Modern developments alongside evidence-based practice should hopefully ...
McCrory P - - 2002
The management of an athlete with recurrent concussions, whether persistently symptomatic or not, remains anecdotal. There are no evidence-based guidelines upon which a team physician can advise the athlete. All doctors involved in athlete care need to be aware of the potential for medicolegal problems if athletes are inappropriately returned ...
Tang Augustine T M - - 2002
Recent surveys have uncovered major variations in key aspects of intercostal drain management, suggesting that decisions are being made on individual preferences without resorting to sound evidence. We provide an up-to-date review of the best practice with evidence-based recommendations and expert consensus views. The following aspects of chest drain management ...
Mustoe Thomas A - - 2002
Many techniques for management of hypertrophic scars and keloids have been proven through extensive use, but few have been supported by prospective studies with adequate control groups. Several new therapies showed good results in small-scale trials, but these have not been repeated in larger trials with long-term follow-up. This article ...
Lawn Nicholas D - - 2002
Although generalized tonic-clonic status epilepticus (SE) is frequently seen, an evidence-based approach to management is limited by a lack of randomized clinical studies. Clinical practice, therefore, relies on a combination of expert recommendations, local hospital guidelines and dogma based on individual preference and past successes. This review explores selected and ...
Davies M - - 2002
Recent improvements in parathyroid imaging have led to renewed interest in the criteria for, and the surgical approach to, parathyroidectomy. It therefore seemed appropriate to review current evidence relating to the evaluation and management of primary hyperparathyroidism for those working within a general endocrine service. The recommendations are based on ...
Brown S. R - - 2002
There are numerous definitive reviews concerning aetiology and management of acute and chronic anal fissures. The problem of persistence and recurrence after surgical and nonsurgical therapy has not been specifically addressed and there is little evidence-based guidance for the management of this difficult group of patients. A review of the ...
Scolding N J - - 2002
We have completed a survey of European neurological practice concerning cerebral vasculitis. Twenty-nine respondents from 15 countries provided information concerning the diagnosis and management. The results confirmed the anticipated low frequency of the disease, but also illustrated the power of any putative collaborative effort. Interestingly, there was a wide variation ...
Mansoor Ibrahim - - 2002
Continuous medical education represents the final and often most poorly understood stage of physician education. It is defined as any and all ways by which doctors learn after the formal completion of their training. While evidence-based medicine is defined as "the conscientious, explicit and judicious use of current best evidence ...
Nikolopoulos Thomas P - - 2002
BACKGROUND: Partisan claims supporting the use of microsurgical resection, radiologic surveillance, and radiosurgery in acoustic neuroma management appear widely in the published literature. However, the strength of the evidence supporting these claims has not been assessed, and the management of acoustic tumors continues to be controversial. METHODS: The English-language medical ...
Ford Sarah - - 2002
This study was conducted to explore barriers to the implementation of the 'evidence-based patient choice' (EBPC) consultation in medical practice. The theory behind EBPC encompasses the idea that patients should be provided with evidence-based information in a way that facilitates their ability to make choices or decisions about their health ...
Kovich Olympia - - 2002
BACKGROUND: Perioperative management of therapy with anticoagulants or platelet inhibitors for patients having cutaneous surgery presents dilemmas for dermatologic surgeons. OBJECTIVE: To outline the current spectrum of practice for perioperative management. METHODS: Questionnaires were mailed to 504 dermatologic surgeons. Data included use of warfarin, aspirin, and nonsteroidal anti-inflammatory drugs (NSAIDs) ...
Henggeler Scott W - - 2002
Validated a measure of clinical supervision practices, further validated a measure of therapist adherence, and examined the association between supervisory practices and therapist adherence to an evidence-based treatment model (i.e., multisystemic therapy [MST]) in real-world clinical settings. Evidence of linkages between supervisor adherence to the MST supervisory protocol, as assessed ...
Kohorn Ernest I - - 2002
OBJECTIVE: To determine whether protocols for the management of gestational trophoblastic neoplasia conform to the principles of evidence-based medicine. STUDY DESIGN: Protocols for the management of low- and high-risk gestational trophoblastic neoplasia were examined to determine to what extent they conformed to the principles of evidence-based medicine. RESULTS: Nearly all ...
Buetow S - - 2002
Contesting that a debate on evidence-based health care has taken place, this article charts three paths to the future: continuing avoidance of debate by proponents of evidence-based medicine (EBM); conflict, which the EBM movement courts and critics have espoused, and dialogue. The last portal allows for integration, which would end ...
Upshur Ross E G - - 2002
This essay analyses the concept of ' base' in relation to its use in evidence-based medicine (EBM). It evaluates the extent to which evidence provides a sufficient base for health care to rest and discusses whether medicine needs a base, and, if so, what are the other possible candidates. This ...
Young Sam K - - 2002
This paper presents a review of evidence-based management (EBM), exploring whether management activities within healthcare have been, or can be, subject to the same scientific framework as clinical practice. The evidence-based approach was initially examined, noting the hierarchy of evidence ranging from randomized control trials to clinical anecdote. The literature ...
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