Search Results
Results 301 - 350 of 1004
< 2 3 4 5 6 7 8 9 10 11 12 >
Parrilla-Castellar Edgardo R - - 2008
Evidence-based medicine (EBM) is defined as "the process of systematically finding, appraising and using contemporaneous research findings as the basis for clinical decisions". Although EBM has been extensively described across the Americas and Europe, no study has looked at the practice of EBM in Puerto Rico. A cross-sectional analysis based ...
Barford Katharine L - - 2008
Symptom management of the actively treated elderly cancer patient represents an undertreated and disproportionately understudied cohort in oncology. There is a dearth of specific recommendations or guidelines regarding drug selection, dosing, and side effects which account for changes in aging physiology, pharmacokinetics, and idiosynchratic reactions. In treating cardinal symptoms and ...
Alder Elizabeth M - - 2008
To investigate current policy and practice in postnatal depression in Scotland and to consider how effectively guidelines were addressed. A questionnaire survey of all National Health Service Boards in Scotland between September 2003 and February 2004 to determine what written policies for postnatal depression were in place as at September ...
Kim Hyun-Chul - - 2008
The objective was to determine the effects of wastewater effluent organic materials (EfOM) on fouling of ultrafilters (100kDa polyethersulfone (PES)). EfOM constituents were sequentially removed, first by removing particles down to the approximate ultrafilter pore size and then by removing dissolved EfOM based on functionality. Particles and colloids >20nm accounted ...
Kolba Mark P - - 2008
An information-based sensor management framework is presented that enables the automated tasking of a suite of sensors when detecting static targets. The sensor manager chooses the sensors to use and the grid-based locations to observe in order to maximize the expected information gain that will be obtained with each new ...
Harris Juan-Diego - - 2008
Intolerable side effects contribute to poor outcomes among patients managed with opioids, and negotiating these side effects remains an important clinical challenge. Evidence-based approaches to minimizing the side-effect burden from opioids compiled from the literature, and including clinical practice recommendations, focus on (1) reducing the doses of systemic opioids, (2) ...
Hadlock Tessa - - 2008
Facial paralysis has fascinated physicians through the centuries. Management of the condition has evolved extensively over the past 50 years, relying largely upon neural repair techniques and static techniques prior to the 1940s, followed by heavy emphasis on regional muscle transfer by the 1970s. With the advent of the operating ...
Rao Goutham - - 2008
Teaching evidence-based medicine (EBM) has become common in family medicine residency programs. EBM teaching usually takes the form of journal clubs or encouraging residents to use EBM summaries of original articles. Both have significant limitations. Residents and other physicians recognize that understanding statistics is important for interpreting results. Unfortunately, they ...
Wells Richard A - - 2008
In December 2005, 11 Canadian hematologists met to develop an evidence-based clinical practice guideline that would address the diagnosis, monitoring, management, and rationale for the treatment of transfusional iron overload in patients with myelodysplastic syndromes (MDS). This Expert Panel consisted of hematologists from across Canada, each with an active practice ...
Jacobson Joseph O - - 2008
PURPOSE: The Quality Oncology Practice Initiative (QOPI) became available to all American Society of Clinical Oncology member physicians in 2006 as a voluntary medical oncology practice-based quality measurement and improvement project. QOPI assesses practice performance for a series of evidence- and consensus-based process measures, relying on practices to complete structured ...
Gnaiger-Rathmanner J - - 2008
This study is based on 25 well documented reports of cases which responded well to treatment with Petroleum. Materia medica data were compared with results in contemporary clinical practice. Many patients had characteristic skin problems; children often had recurrent or chronic upper respiratory tract problems. The most prominent mental feature ...
Mantzoukas Stefanos - - 2008
This paper provides an analysis on the discourses of reflective practice and evidence-based practice. It commences by examining the role of discourse in describing and defining our beliefs and attitudes. Consequently, it argues that each discourse is based on a certain epistemology, which in effect are language constructs that create ...
Hampson-Evans Darryl - - 2008
Pediatric laryngospasm is an anesthetic emergency. It is a relatively common phenomenon that occurs with varying frequency dependent on multiple factors. In view of this and the clear risks to the patient when it occurs, a consensus committee has been established to determine the evidence based management of this condition. ...
Parry Steve W - - 2008
Falls and syncope are symptoms that commonly present to medical services. Detailed international guidelines for their management are available but tend to be aimed at specialists rather than generalists. Novel, evidence-based algorithms for the management of these symptoms when they present to acute medical services were formulated and their impact ...
Hoppe Daniel J - - 2008
Evidence-based medicine was recently noted as one of the top 15 most important medical discoveries over the past 160 years. Since the term was coined in 1990, EBM has seen unparalleled adoption in medicine and surgery. We discuss the early origins of EBM and its dissemination in medicine, especially orthopaedic ...
Degen Ryan M - - 2008
Evidence based medicine (EBM) is an expanding field that combines clinical intuition with the best available evidence in clinical decision making. The shift to evidence based rationale encourages educating future physicians to formulate appropriate research questions and develop critical appraisal skills that are needed to practice EBM. This article identifies ...
Zandieh Stephanie O - - 2008
BACKGROUND: Challenges in implementing electronic health records (EHRs) have received some attention, but less is known about the process of transitioning from legacy EHRs to newer systems. OBJECTIVE: To determine how ambulatory leaders differentiate implementation approaches between practices that are currently paper-based and those with a legacy EHR system (EHR-based). ...
East James E - - 2008
There is now strong evidence for an alternative pathway of colorectal carcinogenesis implicating hyperplastic polyps and serrated adenomas. This article briefly reviews the evidence for this serrated pathway, provides diagnostic criteria for clinically significant hyperplastic polyps and allied serrated polyps, and suggests how this information may be translated into safe, ...
Lander Dorothy A - - 2008
We present a body of evidence for love medicine, originating in the shamanic physical/spiritual healing arts, embodying end-of-life (EOL) palliation through relationships of loving, artful witness between caregivers and receivers. We base the conclusions of our professional (doctor) and familial (spouse) practices on the practitioner/research methodology, Appreciative Inquiry , focused ...
Sidiropoulos P I - - 2008
OBJECTIVE: Recommendations and/or guidelines represent a popular way of integrating evidence-based medicine into clinical practice. The 3E Initiatives is a multi-national effort to develop recommendations for the management of rheumatic diseases, which involves a large number of experts combined with practising rheumatologists addressing specific questions relevant to clinical practice. METHODS: ...
Smith David Gary - - 2008
Some authors challenge the dominance of evidence-based medicine (EBM) in current medical practice because of its tendency to disregard the patient in the clinical process and thus distort the clinician's view of the patient as the primary focus. This tendency to "scientize" the clinician-patient encounter threatens to seriously reduce the ...
Manchikanti Laxmaiah - - 2008
Evidence-based medicine, systematic reviews, and guidelines are part of modern interventional pain management. As in other specialties in the United States, evidence-based medicine appears to motivate the search for answers to numerous questions related to costs and quality of health care as well as access to care. Scientific, relevant evidence ...
MacRobert Margo - - 2008
Case managers grapple with best methods to infuse case management evidence into their practice. This article examines the role of each case manager as a leader in evidence-based practice (EBP) and emphasizes proven strategies for case management leaders to move EBP into their case management environment. Special focus is placed ...
Dysart-Gale Deborah - - 2008
Evidence-based medicine's (EBM) quantitative methodologies reflect medical science's long-standing mistrust of the imprecision and subjectivity of ordinary descriptive language. However, EBM's attempts to replace subjectivity with precise empirical methods are problematic when clinicians must negotiate between scientific medicine and patients' experience. This problem is evident in the case of bibliotherapy ...
Mastriani Katherine S - - 2008
Evidence-based medicine practices are widely touted in medicine, although their adoption by busy practitioners is problematic and cumbersome. In this study, we examined published evidence underpinning 2 relevant clinical management questions in pediatric epilepsy: when to initiate an antiepileptic drug and when to prescribe the ketogenic diet. We surveyed practicing ...
Fortinsky Richard H - - 2008
This study determined the extent to which fall risk assessment and management practices for older patients were implemented in Medicare-certified home health agencies (HHAs) in a defined geographic area in southern New England that had participated in evidence-based fall prevention training between October 2001 and September 2004. The standardized in-service ...
Sharpley Andrew N - - 2008
Phosphorus (P) loss from agricultural watersheds is generally greater in storm rather than base flow. Although fundamental to P-based risk assessment tools, few studies have quantified the effect of storm size on P loss. Thus, the loss of P as a function of flow type (base and storm flow) and ...
Peppas George - - 2008
Mechanical bowel cleansing (preparation) before colorectal surgery is commonly practiced, and medical care guidelines consent to this regimen. This has been an incontestable routine for surgeons for more than 100 years. However, during the last years, several randomized control trials and three meta-analyses led to the accumulation of enough evidence ...
Goon P - - 2008
Genital warts are the commonest viral STI in the UK, and the incidence continues to rise. Diagnosing, treating and advising patients about this infection remain a large part of the work in any department of GU Medicine. This article reviews and provides the levels of evidence currently available on data ...
Kellum J A - - 2008
The Acute Dialysis Quality Initiative (ADQI) is an ongoing process that seeks to produce evidence-based recommendations for the prevention and management of acute kidney injury (AKI) and on different issues concerning acute dialysis. Our methods involve a combination of both expert panel and evidence appraisal, and this approach was chosen ...
Gunnar Brolinson P - - 2008
Osteopathic medicine is among the fastest-growing sectors of health care. By the year 2020, it is projected that approximately 100,000 doctors of osteopathic medicine will be practicing in the United States. Despite its growing popularity, osteopathic medicine is not as widely understood as traditional medicine, also known as allopathic medicine. ...
Lai C H Eric - - 2008
Endoscopic retrograde cholangiopancreatography (ERCP)-related perforation occurs in 0.1-1.8% of patients after therapeutic ERCP. It is a serious complication with a high mortality. However, little evidence exists in the medical literature and the optimal management remains unclear. This review aims to critically evaluate the optimal management of therapeutic ERCP-related perforation.
Bandopadhayay Prateek - - 2008
Evidence-based medicine (EBM) has become one of the pillars of modern medicine. There are many myths and misconceptions about EBM that retard its application into neurosurgical practice. We aim to dispel some of these. Neurosurgeons should cultivate sound EBM practice and strive to improve the available evidence base for neurosurgery. ...
Amarilys Zaldúa Triana
<p>The author analysis the current semiothic concepts of Occidental Medicine, that culminated in the idea of Medicine Based on Evidences, demonstrating that this practice improves the distance between doctor and patient. The author also recovers the concept of interview to demonstrate the importance of interaction doctor-patient.</p>
Bahtsevani, Christel
Within the evidence-based movement means are developed to support the practitioner in becoming a research consumer with knowledge and skills to create an evidence-based practice (EBP). But little is actually known about whether, and how, this evidence-based accumulation of knowledge is used by practitioners and in what way any actual ...
Holmboe Eric S - - 2008
Few question the need for continuous professional development throughout a physician's career, but rapid changes in health care are creating demand for physicians to acquire new knowledge, skills, and attitudes to implement quality improvement in clinical practice. The Internet and World Wide Web are technologies that have the potential to ...
Hoefer Richard - - 2008
The paradigm of evidence-based practice includes a process for searching, appraising, and synthesizing evidence to answer a question. Two important elements related to macro social work practice must be addressed in this process. One missing link relates to the imperative to foster client self-determination and empowerment by allowing clients to ...
Doust Jenny - - 2008
The context of general practice makes the translation of evidence into clinical practice difficult. General practitioners interested in implementing evidence met at The Royal Australian College of General Practitioners' 2006 Annual Scientific Convention. We discussed evidence based medicine (EBM) journal club as a solution to this problem, including keys to ...
Tsigos Constantine - - 2008
The development of consensus guidelines for obesity is complex. It involves recommending both treatment interventions and interventions related to screening and prevention. With so many publications and claims, and with the awareness that success for the individual is short-lived, many find it difficult to know what action is appropriate in ...
Justice Laura M - - 2008
Evidence-based practice is a process to which clinical professionals adhere when making decisions concerning the assessment or treatment of a given condition. Within the field of speech-language pathology, it is increasingly advocated as best practice. As our profession seeks to transform itself from one that is primarily craft-based to one ...
Papathanasopoulos Panagiotis - - 2008
There is increasing interest in the therapeutic potential of cannabis-based medicinal extracts in multiple sclerosis. Cognitive deficits that have been attributed to long-term heavy recreational use of cannabis are not necessarily extended to controlled pharmaceutical use of cannabis-based medicinal extracts. Available data indicate that after relatively short-term administration of cannabis-based ...
Mc Mahon Ciarán - - 2008
The pervasiveness in psychological literature of the assumption that mental events and psychology in general occur within the person-henceforth the psychological 'interior'- is introduced and the received view of its historical origin is presented. This account is challenged and classical historical source material from the period 100 to 400 CE ...
Feder Martin E - - 2008
The authors report how one academic medical center (AMC) and associated nonclinical departments implemented evidence-based academic criteria and an evidence-based academic vetting process, which may be models for other institutions. In 2004-2005, The University of Chicago Division of the Biological Sciences and Pritzker School of Medicine reconceptualized its appointment, promotion, ...
Netting F - - 2008
The need for using evidence-based macro practices is examined. EBP is viewed as practitioners recognizing client values and then using the most promising research to guide programmatic, organizational, community, and policy activities to facilitate change. There are multiple ways to search for evidence. The nature of evidence in macro practice ...
Roberts-DeGennaro Maria - - 2008
This article addresses some of the challenges and opportunities inherent in the empirical practice movement. In constructing an evidence-based macro practice paradigm, practitioners, educators, and their researcher colleagues will need to work together in critically examining the amount, type, and quality of the evidence that support major theories, policies, and ...
Kerfoot Karlene M - - 2008
As we observe, the political candidates, we have a wonderful laboratory to discover what works and what does not in engaging followers to buy into the leader's message. Relationships and the ability of the candidate and the leader to feel a sense of personal attachment are important keys to success. ...
Collins Beverly - - 2008
Allina Hospitals & Clinics has implemented a fully integrated EHR. In the optimization of the EHR, they examined options for sharing the evidence base behind the content and presenting context sensitive answers to questions. After defining the evaluation criteria and options, they compared the options to the criteria. Allina has ...
Vialle-Valentin Catherine E - - 2008
OBJECTIVES: The 2004 International Conference on Improving Use of Medicines recommended that emerging and expanding health insurances in low-income countries focus on improving access to and use of medicines. In recent years, Community-based Health Insurance (CHI) schemes have multiplied, with mounting evidence of their positive effects on financial protection and ...
Malone Dermot E - - 2008
Increasingly, constructive thought is being given to non-interpretive competencies in Radiology training and practice. Two of these are "Practice-Based Learning" and "Systems-Based Practice". These areas are evolving. It seems likely that, in some way, the paradigm of "Evidence-Based Practice" (EBP) derived from the McMaster/Centre for Evidence-Based Medicine (CEBM) methodology will ...
Häuser Winfried - - 2008
The prevalence of fibromyalgia syndrome (FMS) of 1-2% in the general population associated with high disease-related costs and the conflicting data on treatment effectiveness had led to the development of evidence-based guidelines designed to provide patients and physicians guidance in selecting among the alternatives. Until now no evidence-based interdisciplinary (including ...
< 2 3 4 5 6 7 8 9 10 11 12 >