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- - 2009
BACKGROUND: Inherited and sporadic medullary thyroid cancer (MTC) is an uncommon and challenging malignancy. The American Thyroid association (ATA) chose to create specific MTC Clinical Guidelines that would bring together and update the diverse MTC literature and combine it with evidence-based medicine and the knowledge and experience of a panel ...
Robinson Paul D - - 2009
The exact incidence of paediatric primary spontaneous pneumothorax (PSP) is unclear, although PSP incidence in the general population is between 6 and 18 per 100,000. PSP has been reported throughout the paediatric age range. A potential genetic predisposition for familial cases has been recently identified. Whilst there is universal consensus ...
Herr Harry W - - 2009
The statistical research on bladder stones conducted by Paris urologist Jean Civiale in the early 19th century provided historical roots for evidence-based medicine. Translations of original documents by Civiale describing his work on treating bladder stones, and the discussion by members of the Paris Academy of Sciences that commented on ...
Hawke Fiona - - 2009
Due to the exponential increase in the quantity and quality of podiatric medicine-related research during the past decade, podiatric physicians are inundated with an insurmountable volume of research relevant to clinical practice. Systematic reviews can refine this literature by using explicit, rigorous, and reproducible methods to identify, critically appraise, and ...
Borntrager Cameo F - - 2009
OBJECTIVE: Studies examining therapists' attitudes toward evidence-based practices, which have at times become conflated with "manualized treatments," have indicated a number of concerns regarding perceived inflexibility, a lack of attention to the therapeutic alliance between provider and client, and a lack of emphasis on clinical judgment. This investigation examined the ...
Thiboutot Diane - - 2009
The Global Alliance to Improve Outcomes in Acne published recommendations for the management of acne as a supplement to the Journal of the American Academy of Dermatology in 2003. The recommendations incorporated evidence-based strategies when possible and the collective clinical experience of the group when evidence was lacking. This update ...
Pham Thao - - 2009
To elaborate a how-to-use abatacept material intended to help physicians in the management of patients with inflammatory diseases treated with this drug in routine practice. 1) Selection of the relevant domains by a rheumatologists' panel; 2) Search for published evidence in each domain; 3) Elaboration of the clinical tool guide ...
Djulbegovic Benjamin - - 2009
BACKGROUND: Since the term "evidence-based medicine" (EBM) first appeared in the scientific literature in 1991, the concept has had considerable influence in many parts of the world. Most professional societies, the public,and funding agencies have accepted EBM with remarkable enthusiasm. The concept of evidence-based practice is now applied in management, ...
Hansten Ruth I - - 2009
A sequential, evidence-based bundle of 10 best bedside practices serves as a template for professional practice and becomes a shared language and standards for interdisciplinary team communication and development. Improvements in registered nurse leadership skill levels, corresponding clinical outcomes, and patient and staff satisfaction have been realized through implementation of ...
De Luca Daniele - - 2009
Early discharge from the maternity hospital is almost becoming the rule: it is not clear if this practice actually increases the rate of newborn rehospitalization, but it surely poses some problems for jaundice management, since hyperbilirubinemia is the most frequent reason for hospital readmission. Available guidelines for jaundice management and ...
Long Lisa English - - 2009
This article describes the process of incorporating evidence into policies and procedures, resulting in the establishment of evidence as a basis for safe practice. The process described includes use of the Rosswurm and Larrabee model for change to evidence-based practice. The model guided the work of evidence-based practice mentors in ...
Lautz David B - - 2009
The objective of this study is to update evidence-based best practice guidelines for specialized facilities and resources for weight loss surgery (WLS). We performed systematic search of English-language literature on WLS and facilities, equipment, and resources published between April 2004 and May 2007 in PubMed, MEDLINE, and the Cochrane Library. ...
Glass Hannah C - - 2009
Seizures in the newborn period are common and frequently indicate serious underlying brain injury. Although accumulating evidence suggests that they may impair brain development, there are currently no evidence-based guidelines for evaluation and management of neonatal seizures. In this review, we will address some of the current controversies facing child ...
Egger Garry J - - 2009
Chronic diseases with a lifestyle-based aetiology currently make up a significant proportion of primary care consultations, but management often falls between the demands of public and clinical health. A modified clinical approach, based around the concept of "lifestyle medicine", helps fill the gap by adding behavioural, motivational and environmental skills ...
LoRusso Patricia - - 2009
Agents that inhibit epidermal growth factor receptor (EGFR) signaling are associated with dermatologic effects, primarily a papulopustular rash. These effects are generally mild-to-moderate in severity, but may negatively affect quality of life and lead to treatment delays, dose modifications, and discontinuation of therapy. These findings underscore the need for effective ...
Tudiver Fred - - 2009
The six competencies of the Accreditation Council for Graduate Medical Education include the lifelong learning skills of evidence-based medicine (EBM)/information mastery. We developed and tested an Objective Structured Clinical Examination (OSCE) station that would measure these skills in family medicine residents. This EBM OSCE station is a 30-minute station within ...
Shulten P - - 2009
BACKGROUND: Evidence supports dietary modifications in the management of gout. Despite this, the degree of implementation of this evidence by nutrition professionals and rheumatologists and those affected by gout is unknown. The present study aimed to compare usual dietary practices of patients with gout to evidence for dietary management of ...
Harrison Mark - - 2009
Human bite injuries are a common injury, roughly accounting for around 0.1% of attendances to Emergency Medicine departments. Morbidities associated with such injuries are legion. Of paramount importance is the potential for infection of the wound site, both bacterial and viral. A retrospective 4-year review of 3136 case notes was ...
Arnold Georgianne L - - 2009
Very long chain acyl-CoA dehydrogenase (VLCAD) deficiency is a disorder of oxidation of long chain fat, and can present as cardiomyopathy or fasting intolerance in the first months to years of life, or as myopathy in later childhood to adulthood. Expanded newborn screening has identified a relatively high incidence of ...
Harris M - - 2009
The aim of this study was to evaluate a novel patient-held manual designed to reduce the evidence-practice gap in chronic obstructive pulmonary disease (COPD). The intervention manual contained summaries of research evidence. It was developed using current best practice for patient information materials and designed to cause discussion of evidence ...
Ball Kay A - - 2009
Patients have the right to make decisions regarding their medical care, including the right to refuse treatment or to issue do-not-resuscitate orders as part of an advance directive. Health care providers must comply with the patient's wishes regarding care. Automatic suspension or continuation of a do-not-resuscitate order for a patient ...
McVaugh Michael - - 2009
We should not assume that medieval physicians did not take pains to found their practice upon evidence. Academic physicians at Montpellier ca. 1300 were cautious about accepting textbook claims for the powers of drugs, and tried to verify each drug's physiological effects before using it; yet they were also flexible, ...
Finkelman Brian S - - 2009
This essay is a "prespective"-the musings of a soon-to-be MD/PhD student on various aspects of the practice of medicine, written just before he began his training in the fall of 2008. It discusses some of the issues-genomic medicine, healthcare reform, and evidence-based medicine-that will likely impact medicine and medical care ...
Tanjong-Ghogomu Elizabeth - - 2009
Providing evidence-based care to patients involves turning a clinical problem into an answerable question, systematically searching for the best evidence relevant to the question, critically appraising that evidence, and, finally, using the evidence as the basis for clinical decisions to solve the problem. While the overload of medical information today ...
Alonso-Coello Pablo - - 2009
BACKGROUND: The philosophy of evidence-based medicine (EBM) was introduced in the early 90s as a new approach to the practice of medicine, using the best available evidence to make decisions about health care. Despite ongoing controversy, EBM has developed enormously and physicians' attitude towards it is generally positive. Nevertheless, in ...
Sadeghi Ramin - - 2009
Evidence-based medicine (EBM) is defined as using the best available evidence for managing patients in daily healthcare practice. Although this approach has been applied successfully in many medical fields, it has not been addressed fully in the radiological discipline in general and nuclear medicine in particular. In this review, the ...
Goldenberg Maya J - - 2009
Because "evidence" is at issue in evidence-based medicine (EBM), the critical responses to the movement have taken up themes from post-positivist philosophy of science to demonstrate the untenability of the objectivist account of evidence. While these post-positivist critiques seem largely correct, I propose that when they focus their analyses on ...
Tonelli Mark R - - 2009
Despite being the central concept to evidence-based medicine (EBM), evidence remains an elusive and controversial notion. Ongoing debates regarding evidence primarily serve to confuse and obfuscate. Examination of the nature of medical decision making without any appeal to evidence reveals a more complete understanding of the optimal practice of clinical ...
Hankinson R J - - 2009
Central to Don Bates's thesis about the role of medicine in the Scientific Revolution is the Greek concept of psyche. This article explores this connection in relation to Galen. Paradoxically, Galen declined to commit himself to any particular view of the soul's real nature, and held aloof from both materialist ...
Heselmans Annemie - - 2009
BACKGROUND: Evidence-based medicine has broadened its scope and is starting to reach insurance medicine. Although still in its initial stages, physicians in the area of insurance medicine should keep up-to-date with the evidence on various diseases in order to correctly assess disability and to give appropriate advice about health care ...
Giacomini Mita - - 2009
The evidence-based medicine (EBM) movement was established to combat capricious reasoning in clinical care, particularly arguments from authority. Critique of authority and appraisal of evidence remain EBM's core values and should be revisited in this era of EBM's maturity and influence. We are now faced with a new form of ...
Haug Richard H - - 2009
The American Association of Oral and Maxillofacial Surgeons (AAOMS) has been at the forefront of formal evidence-based dentistry with such projects as the Parameters of Care: Clinical Practice Guidelines for Oral and Maxillofacial Surgeons, the AAOMS Outcomes Assessment Program, the AAOMS Third Molar Clinical Trial, and the AAOMS "White Paper ...
Johnson Jeremy M - - 2009
Acute cardiogenic pulmonary edema (CPE) is a pathology frequently seen in patients presenting to emergency departments (EDs) and can usually be attributed to preexisting cardiovascular disease. Heart failure alone accounts for more than 1 million hospital admissions annually and has one of the highest ED morbidity and mortality to date ...
Ernst Edzard - - 2009
Complementary/alternative medicine (CAM) has become important, particularly because it is widely used. This article outlines CAM's position between evidence and absurdity. It discusses misconceptions that often mislead the public and shows how CAM can and should be submitted to the principles of evidence- based medicine (EBM). Employing the example of ...
Fajt Virginia R - - 2009
Accessing new knowledge and using it to make decisions is the foundation of evidence-based veterinary medicine (EBVM), the integration of best research evidence with clinical expertise and owner/manager values. Reflecting on our experience with an EBVM-based clinical pharmacology assignment during a clinical rotation, we present the justification for the addition ...
Hilleren-Listerud Amy E - - 2009
The purpose of this project was to incorporate current evidence into length selection for graduated compression stockings (GCS) and intermittent pneumatic compression (IPC) devices in order to evaluate and modify current practice. Staff nurses relate concerns regarding the fit and complications related to poorly fitting thigh length GCS and IPC ...
Braude Hillel D - - 2009
Despite its phenomenal success since its inception in the early nineteen-nineties, the evidence-based medicine movement has not succeeded in shaking off an epistemological critique derived from the experiential or tacit dimensions of clinical reasoning about particular individuals. This critique claims that the evidence-based medicine model does not take account of ...
Ulvenes Lidziya Vanahel - - 2009
OBJECTIVE: To answer five research questions: Do Norwegian physicians know about the three important aspects of EBM? Do they use EBM methods in their clinical practice? What are their attitudes towards EBM? Has EBM in their opinion changed medical practice during the last 10 years? Do they use EBM based ...
Chung Kevin C - - 2009
The use of evidence has become a force in American medicine to improve the quality of health care. Funding decisions from payers will demand studies with high-level evidence to support many of the costly interventions in medicine. Plastic surgery is certainly not immune to this national tidal wave to revamp ...
Vairo Giampietro L - - 2009
Manual therapists question integrating manual lymphatic drainage techniques (MLDTs) into conventional treatments for athletic injuries due to the scarcity of literature concerning musculoskeletal applications and established orthopaedic clinical practice guidelines. The purpose of this systematic review is to provide manual therapy clinicians with pertinent information regarding progression of MLDTs as ...
Al-Gelban Khalid S - - 2009
To explore the attitudes of doctors in the general hospitals and their application of evidence-based medicine (EBM) and to identify the barriers that hinder its use. This study included 346 doctors in the general hospitals of Aseer. A questionnaire was designed to assess their awareness as well as the barriers ...
Adderley, W. Paul
The archaeological interpretation of past land management practices can be greatly enhanced through examination of soil thin sections. Features relating to manuring practice are among those key to interpreting agricultural practices. The sources and the pro¬cesses leading to the distribution of these manure materials may further improve knowledge of the ...
Dahm Philipp - - 2009
PURPOSE: We investigated the attitudes and opinions of urologists toward evidence-based medicine to help guide future efforts of the American Urological Association and other organizations vested in the education and training of urologists. MATERIALS AND METHODS: From August to November 2006 we performed a mail survey of a random sample ...
Bisson Jonathan I - - 2008
Despite ongoing gaps in our knowledge, there is now considerable research evidence available to inform clinical decisions and treatment plans shortly after traumatic events. The author uses two fictional cases to illustrate an evidence-based approach to clinical management following traumatic events. The importance of fully assessing individuals and tailoring management ...
Wing Deborah A - - 2008
OBJECTIVE: To estimate the current scope of practice and evaluate the experience in training of maternal-fetal medicine specialists in the United States. METHODS: We administered an Internet-based, 16-question survey of 1,764 members of the Society for Maternal-Fetal Medicine, inquiring about aspects of fellowship training and scope of practice after completion ...
Curlin Farr A - - 2008
A growing literature on the religious characteristics of health care professionals raises questions about how clinicians' religious traditions and commitments shape their clinical practices. Because medicine is a moral practice, theological and philosophical ideas are operative in any self-conscious application of medical science. As such, disagreements about morally controversial medical ...
Geltzer Anna - - 2009
This paper examines the uses of evidence-based medicine (EBM) in post-Soviet Russia through the use of semi-structured interviews. It asks what it means to talk about practicing evidence-based medicine in a setting where the context of practice presents considerable barriers to the implementation of EBM principles. Drawing on interviews with ...
Visser K - - 2009
To develop evidence-based recommendations for the use of methotrexate in daily clinical practice in rheumatic disorders. 751 rheumatologists from 17 countries participated in the 3E (Evidence, Expertise, Exchange) Initiative of 2007-8 consisting of three separate rounds of discussions and Delphi votes. Ten clinical questions concerning the use of methotrexate in ...
Tabarin A - - 2008
The French Society of Endocrinology convened a multidisciplinary panel of endocrinologists, radiologists, nuclear physicians and surgeons to address the appropriate evaluation and treatment of adrenal incidentalomas. The panel conducted a systematic review of medical literature on the following issues: epidemiology, natural history, radiological and scintigraphic evaluation, endocrine assessment, surgical management ...
Brand Caroline A - - 2008
Osteoarthritis of the hip and knee is an increasingly common condition that is managed principally with lifestyle behaviour changes. Osteoarthritis management can be complex, as it typically affects older patients with multiple comorbidities. There is evidence that opportunities exist to improve uptake of evidence-based recommendations for care, especially for non-pharmacological ...
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