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Auta A - - 2012
This study was aimed at identifying the types of medicines in pharmacy students' residence and to determine if a relationship exists between keeping medicines in students' accommodation and self-medication practices. A cross-sectional survey of a random sample of 240 undergraduate pharmacy students of the University of Jos, Jos, Nigeria, was ...
Barnes Carole - - 2012
The U.S. Environmental Protection Agency encourages school officials to adopt integrated pest management (IPM) to reduce children's exposure to potentially harmful pesticides. In California, the Healthy Schools Act of 2000 (HSA) establishes right-to-know requirements for pesticide use in public schools; requires school districts to designate an IPM coordinator; and requires ...
Bien Matt - - 2012
Evidence-based medicine (EBM) practiced at the point-of-care (POC) requires a specific skill set and appropriate resources. In this paper, we report medical student use of EBM resources in a novel simulated clinical exercise. In addition, we discuss three quality EBM resources, most available through the Sanford School of Medicine of ...
Gilmore Thomas - - 2012
Death in the emergency department (ED) is fairly common. Giving bad news can be difficult, but it is a skill that is vitally important for the emergency physician. In the past it may have been difficult to find good resources on the subject, but now there are many reviews and ...
Ferguson Eamonn - - 2012
Aims: Widening access to medical school is a priority in medical selection. If disadvantaged students do not apply, interventions cannot be effective. To date, no studies have examined factors that predict who chooses to apply to medicine and if socio-demographics influence the profile of those who apply to study medicine. ...
Ali Abdel Aziem A - - 2012
Female Genital Mutilation (FGM) or cutting caries legal and bioethical debates and it is practiced in many developing countries. Random selection of 154 midwives was used for the study during June 2012 and through July 2012 aiming to assess knowledge and attitudes of the midwives towards FGM in Eastern Sudan. ...
Ozer Ozlem - - 2012
The aim was to determine the knowledge, attitude and behavioral levels of people at and above 65 years of age, living in Ankara (Turkey) about alternative medicine. The study was carried out between March - April 2010 through survey application of 200 participants by selective random sampling from the population. ...
Kamrava Kamran K Assistant professor of otolaryngology, ENT, Head & Neck Department and Research Center, Hazrat Rasoul Akram Hospital, Tehran University of medical - - 2012
The Ministry of Health and Medical Education of Iran, and similar institutions in many other countries, advises physicians to use current guidelines for the diagnosis and treatment of acute otitis media (AOM). However, there has been no evaluation of the effectiveness of such guidelines or whether physicians in Iran adhere ...
Philippou Prodromos - - 2011
The recent evolution in the management of vesical lithiasis is a result of the major advancements of modern endourology. The ideal method for achieving stone clearance, however, remains an issue of debate and evidence-based recommendations are lacking. Contemporary literature focuses on management options, such as extracorporeal shockwave lithotripsy, transurethral, percutaneous ...
Malmström Per-Uno - - 2011
Abstract Objective. Hexaminolevulinate (HAL) is an optical imaging agent used with fluorescence cystoscopy (FC) for the detection of non-muscle-invasive bladder cancer (NMIBC). Guidelines from the European Association of Urology (EAU) and a recent, more detailed European expert consensus statement agree that HAL-FC has a role in improving detection of NMIBC ...
Ludlow John W - - 2011
Regeneration of tissues and organs is now within the technological reach of modern medicine. With such advancements, substantial improvements to existing standards-of-care are very real possibilities. This review will focus on regenerative medicine approaches to treating specific maladies of the bladder and kidney, including the biological basis of regeneration and ...
Passamaneck MiChelle - - 2011
Pediatric vesicoureteral reflux is recognized in children whose ureterovesical valve is incompetent, resulting in flow of urine from the kidney to the bladder and back to the kidney. It is a disease process with a rapidly changing management paradigm; more research is being done to determine the long-term outcomes for ...
Coleman Robert - - 2011
What's known on the subject? and What does the study add? Despite evolving understanding of pathogenesis and natural history, controversy exists regarding management of childhood vesicoureteric reflux. Surgical correction of the reflux itself may reduce risk of upper tract complications in some but may not in itself constitute appropriate management ...
Dobrek Ɓukasz - - 2011
Overactive bladder (OAB) is a condition characterized by urgency with or without urgency incontinence (UI), usually with increased daytime frequency and nocturia, which affects even 8-14% of adult population. The gold standards of OAB treatment are antimuscarinics, although this clinical entity is often poorly controlled with these agents. Thus, a ...
Fu L - - 2011
Modern medicine in China owes its origins to Anglo-American medical missionaries who introduced Western medicine into China in the early nineteenth century. In 1835 the first medical missionary to China, the Reverend Dr Peter Parker, founded the Canton Ophthalmic Hospital where he pioneered lithotomy and other surgical operations for Chinese ...
Changizi Ashtiyani Saeed - - 2011
The history of kidney and urologic disorders dates back to the dawn of civilization. Throughout history of medicine, urine, the first bodily fluid to be examined, has continuously been studied as a means of understanding inner bodily function. The purpose of this review was to appraise the contributions of the ...
Martin C J - - 2011
Effective dose (E) is the only comparatively simple dose quantity that is related to health detriment for stochastic effects from exposure to ionising radiation. As such, E has found wide application for medical exposures, as it allows comparisons with doses from different examinations and other sources. E is derived from ...
Silver John R - - 2011
What's known on the subject? and What does the study add? Prior to the First World War, traumatic injuries to the spinal cord rapidly led to death from severe infections of the bladder. During the Second World War, Ludwig Guttmann resurrected the use of intermittent catheterisation at Stoke Mandeville Hospital, ...
Borch Marianne - - 2011
Interstitial cystitis (IC) is a chronic inflammatory condition characterized by urinary frequency, urgency, and pain in the bladder or pelvis that for some can be debilitating. At present, IC is without cure, yet various management modalities are available. This article provides a general overview of the history, symptoms, diagnosis, and ...
Jamison Jim J 2 Lisdoonan Close, Carryduff, Belfast, Northern Ireland, UK, BT8 - - 2011
Management of the neurogenic bladder has the primary objectives of maintaining continence, ensuring low bladder pressure (to avoid renal damage) and avoiding or minimising infection. Options include intermittent urethral catheterisation, indwelling urethral or suprapubic catheterisation, timed voiding, use of external catheter (for men), drug treatment, augmentation cystoplasty and urinary diversion. ...
Considine J J School of Nursing, Deakin University-Northern Health Clinical Partnership, Melbourne, Victoria, Australia. - - 2011
Emergency departments (ED) play a key role in management of exacerbation of chronic obstructive airways disease (COPD). Current guidelines for management of exacerbation of COPD showed highest levels of evidence (Level A and B) were related to use of medications and non-invasive positive pressure ventilation (NIPPV). The aim of this ...
Luker Julie A - - 2010
Adherence to recommended clinical practices improves stroke outcomes. As a result, stroke clinicians are increasingly expected to evaluate the quality of the care they provide so that areas for improvement can be targeted. Finding the best method to evaluate the quality of dysphagia management can be challenging. To systematically review ...
Wilffert Bob - - 2013
Aim of the review The translation of evidence based medicine to a specific patient presents a considerable challenge. We present by means of the examples nortriptyline, tramadol, clopidogrel, coumarins, abacavir and antipsychotics the discrepancy between available pharmacogenetic information and its implementation in daily clinical practice. Method Literature review. Results A ...
Montorsi Francesco - - 2010
Sexual health is an integral part of overall health. Sexual dysfunction can have a major impact on quality of life and psychosocial and emotional well-being. To provide evidence-based, expert-opinion consensus guidelines for clinical management of sexual dysfunction in men. An international consultation collaborating with major urologic and sexual medicine societies ...
Samuels Joanne G - - 2010
Evidence-based pain management, a high-volume hospital service, impacts resource utilization and quality indicators. Despite extensive efforts to improve care, outcomes remain poor, and barriers seem insurmountable. Change management strategies that embrace organizational and individual accountabilities are warranted. Conceptualizing evidence-based pain management within the context of high-reliability theory may help redesign ...
Lowe Dianne - - 2011
Safe, effective (quality) medicines use remains problematic worldwide, yet consumers' medicines use research is not well organised. This creates difficulties for decision makers in identifying evidence or research gaps and in understanding how or why interventions work. Developing a conceptual framework for this evidence helps to organise the evidence for ...
Nicholls Dasha - - 2011
Clinical confidence and coordinated multidisciplinary care can influence the course of anorexia nervosa in children and adolescents. Sicker and younger patients with anorexia nervosa often present first to a paediatrician, requiring early recognition and appropriate management. Paediatric knowledge and skills are also needed to manage the impact of eating disorders ...
Jones Katherine R - - 2010
Improving patient safety and quality requires more consistent application of best practices based on the strongest scientific evidence available. Although evidence-based practice initiatives are increasingly being implemented in healthcare settings, clinicians may not have had the necessary preparation to accurately determine the overall strength of evidence supporting specific practice change ...
Craig Carlton D - - 2010
This paper investigates 10 socio-demographic and case characteristic variables as predictors of use of evidence-based practice and non-evidence-based practice in the treatment of psychological trauma. A national random sample of 2,400 trauma treatment specialists in all 50 states and the District of Columbia were sent surveys with a response rate ...
Nicholson Paul J - - 2010
Occupational contact dermatitis is the most frequently reported work-related skin disease in many countries. A systematic review was commissioned by the British Occupational Health Research Foundation in response to a House of Lords Science and Technology Committee recommendation. The systematic review aims to improve the prevention, identification and management of ...
Dorée Carolyn - - 2010
Transfusion medicine has become a large and complex specialty. Although there are now systematic reviews covering many aspects of transfusion, these span a large number of clinical areas and are published across more than a hundred different medical journals, making it difficult for transfusion medicine practitioners and researchers to keep ...
Iqbal Saima P - - 2010
Shifa College of Medicine introduced a two-week rotation in Family Medicine for their third-year medical students in 2008. The purpose of this study was to determine what impact it made on students and how many would consider becoming Family Physicians in future. A questionnaire-based prospective study conducted at Shifa College ...
Suyemoto Karen L - - 2010
Reviews the book, Intersections of multiple identities: A casebook of evidence-based practices with diverse populations edited by Miguel E. Gallardo and Brian W. McNeill (see record 2009-01329-000). This book aims to present "specific skill development recommendations for applied practice with diverse populations" (p. xxiii). To accomplish this, the editors have ...
Hurwitz Shepard R - - 2010
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 in many regards, these skills of evidence-based medicine are necessary but not sufficient for the practice of contemporary medicine and surgery. ...
Stone Patrick - - 2011
This is a systematic review examining the management of opioid-induced central side effects. It has been conducted as part of a larger European Palliative Care Research collaborative review into the use and role of opioids in cancer pain. The review process identified 26 studies that met the inclusion criteria. The ...
Maffulli Nicola - - 2010
Tendon disorders are frequent and are responsible for much morbidity, both in sport and the workplace. Although several therapeutic options are routinely used, very few well-conducted randomised prospective, placebo, controlled trials have been performed to assist in choosing the best evidence-based management. We performed a comprehensive search of PubMed, Medline, ...
Darlenski Razvigor Borislavov - - 2010
Evidence-based medicine is a paradigm shift in the biomedical field toward scientific-based clinical practice. It is recognized as the process of acquiring and applying into practice the best available research findings in a defined filed. Although the roots of evidenced-based medicine date back more than 150 years, the modern evidenced-based ...
Arlt Sebastian - - 2010
Complementary and Alternative Medicine (CAM) like acupuncture, herbal medicine and homeopathy is increasingly used in the treatment of human and animal disease. On the other hand, CAM is discussed controversially, especially in the context of Evidence-Based Veterinary Medicine (EBVM). This paper provides a balanced analysis of the currently available data ...
McKenzie Suzanne - - 2010
Osteoarthritis, characterised by joint pain and stiffness, is a common and significant chronic disease, reducing mobility and causing considerable impact on quality of life. Multiple evidence based management options are available. The aim of this article is to summarise the main management options suggested in The Royal Australian College of ...
Watine Joseph - - 2010
Although the concept of Evidence-Based Medicine (EBM) is quite popular among English speaking physicians, it still needs to be adopted by an overwhelming majority of health care professionals in countries where English is not familiar. Thus, this concept can be translated in many different, and potentially misleading, ways. This is ...
Adams Jeanette S - - 2010
Evidence-based practice (EBP) is a problem-solving approach to clinical practice that integrates the use of best evidence in combination with a clinician's expertise, along with patient preferences and values, to formulate a plan of care. EBP can validate and promote an infusion alliance. A review is presented of what constitutes ...
Pirotta Marie - - 2010
While effective drugs are available to deal with the symptoms and modify the progress of osteoarthritis and rheumatoid arthritis, these may cause serious adverse events and not all patients will obtain relief. Many people with these diseases use complementary medicines. This article presents an overview of the evidence for the ...
Bell Mandy J MJ University of Pittsburgh, Pittsburgh, PA 15261, USA. - - 2010
Preeclampsia is a hypertensive, multisystem disorder of pregnancy whose etiology remains unknown. Although management is evidence-based, preventative measures/screening tools are lacking, treatment remains symptomatic, and delivery remains the only cure. Past hypotheses/scientific contributions have influenced current understanding of preeclampsia pathophysiology and guided management strategies and classification criteria. To provide insight ...
Grossman Ashley B - - 2010
Adrenal failure secondary to hypothalamo-pituitary disease is a common clinical problem which has serious repercussions. It is essential to perform validated diagnostic procedures and manage such patients with clear objectives and based on well-established replacement programs. PubMed was searched for all data reflecting pituitary hypoadrenalism dating back to 1960 in ...
Basu Sandip - - 2010
In this Perspective the feasibility, scope and impact of integrating PET-based personalized medicine into the evidence-based clinical practice of oncology is discussed. The basic concepts of 'evidence-based medicine' and 'personalized medicine' at times seem contradictory; however, I will discuss, with specific clinical situations as examples, a synergistic and probably incremental ...
Merritt Robert E - - 2010
The management of postoperative alveolar air leaks (AALs) continues to challenge thoracic surgeons. AALs increase length of stay and health care costs, and likely lead to other postoperative complications. Staple line buttresses, topical sealants, pleural tents, pneumoperitoneum, and modifications of traditional chest tube management (ie, reduced suction) have all been ...
Sobin Leslie H - - 2010
This Invited Response addresses concerns and opinions expressed in an Invited Commentary, 'Evidence-based medicine: the time has come to set standards for staging', by Quirke et al., published in this issue of The Journal of Pathology.
Schaberg Madeleine R - - 2010
The introduction of the endoscopic endonasal approach for the management of lesions of the skull base has produced a paradigm shift in the way complicated lesions of this complex anatomic location are managed. The endonasal approach provides the most direct route to the anterior cranial base and adjacent skull base ...
McGinnis Patricia Q - - 2010
The Delphi survey is a useful mechanism to make recommendations for clinical judgments in the absence of practice guidelines for evidence-based decision making. Although there is a great deal of literature about the topic of various methods of balance assessment, decisions about application of research evidence for clinical practice may ...
Burns Patricia B PB Section of Plastic Surgery, Department of Surgery, University of Michigan Health System, Ann Arbor, MI 48109-5340, - - 2010
Evidence-based medicine involves the integration of the best scientific evidence available with physician experience and patient preferences. One of the first steps in evidence-based medicine involves developing a question based on issues encountered with patients or a disease and finding evidence to answer the question. This article is a guide ...
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