Search Results
Results 351 - 400 of 1001
< 3 4 5 6 7 8 9 10 11 12 13 >
Van Wilder Philippe - - 2008
OBJECTIVES: The European Transparency Directive requires that reimbursement decisions of member states are taken in a transparent, objective, and verifiable way within strict timelines. We investigated whether evidence of therapeutic value was a factor affecting the Belgian pharmaceutical reimbursement decision without compromising the respect of strict timelines. METHODS: We analyzed ...
Lane, Marcus Benjamin
Copyright © 2002 Elsevier Science Ltd. All rights reserved.
Rouger P - - 2007
Labile blood products are still here to stay for quite a long time. All European surveys come in agreement to reveal that indications, extremely heterogeneous from one country to another, are not fully under control. Both the EuroNet-TMS network and Euro'SAT congresses aim at improving the use of such products ...
Falzon Louise - - 2007
To describe the development of the Cochrane Behavioral Medicine Field database of interventions and its contribution to the knowledge base of this field. A list of behavioural medicine interventions was solicited from content experts. The resulting list of index terms was used to generate a comprehensive search strategy to retrieve ...
Liu Jeffrey C - - 2007
Learning to apply the ever-expanding volume of clinical literature to patient care is critical for the next generation of physicians. This evidence-based medicine (EBM) offers much to improve patient care and outcomes, but should enhance rather than restrict the practice of medicine. Although the barriers to the adoption and teaching ...
Whitley Rob - - 2007
Cultural competence and evidence-based medicine are two powerful discourses that have become core components of contemporary psychiatry. Evidence-based medicine has particularly influenced psychiatry by spawning the enthusiastic creation and adoption of evidence-based practices. Despite their prominence, these paradigms have stood somewhat in isolation from each other. This Open Forum explores ...
Khan Arshad Ali - - 2007
Indwelling shunts to divert CSF flow are essential in treating hydrocephalus. There is a high incidence of shunt malfunction, which accounts for the increasing popularity of endoscopic third ventriculostomy. Failure to recognize and act on symptoms and signs of shunt malfunction may lead to loss of life or to permanent ...
Yang Angela Weihong - - 2009
Chinese medicine (CM) practice, as a knowledge-based industry, has not embraced knowledge management (KM) techniques widely. However, KM may facilitate the adaptation and promotion of evidence-based CM. A KM framework was introduced to its activities in evidence-based CM through the development of a CM portal. A codification strategy was used ...
Jacobson Robert M - - 2007
Many physicians admit to having some degree of innumeracy--difficulty understanding and working with numbers. Yet, increasingly, physicians in all specialties are committing to practicing evidence-based medicine (EBM) and, as a result, must learn to discern quantitative differences and address statistical significance. Although no one expects a practicing physician to be ...
Howland Robert H - - 2007
The goal of evidence-based medicine (EBM) is to support population-based policies and individual medical decisions that serve to improve health outcomes through the use of the most proven effective treatments. The essence of EBM is to use evidence (typically research data) related to the effectiveness of medical interventions to guide ...
Zucker H - - 2007
In many instances medicines are the most cost-effective health-care intervention in saving lives and alleviating the suffering of children in situations of public health concern. The major difference between medicines for adults and medicines for children is that use of medicines in children is much less of an evidence-based process.
Magin Parker - - 2007
The risk of occupational violence is a cause for considerable concern in Australian general practice. Emerging evidence from Australian general practice is consistent with evidence from the United Kingdom that occupational violence is common and has important effects on practitioner welfare and delivery of care. This article provides an overview ...
Korner-Bitensky Nicol - - 2007
RATIONALE: The gap in knowledge translation from research to clinical practice is under scrutiny in stroke rehabilitation. One possible reason for this gap may be a poor understanding of clinicians' practice style traits and how they influence practice behaviours. OBJECTIVES: To identify the prevalence of practice style traits in physical ...
Foote Susan Bartlett - - 2007
Management of technology diffusion to improve quality and constrain spending in health care remains an elusive goal. Along with efforts to improve the quality of evidence, providers and payers must ensure that evidence actually effects changes in practice. Medicare coverage policies grant, limit, and condition payment based on evidentiary standards. ...
MacKinnon Ralph James - - 2007
The principles of evidence-based medicine (EBM) applied to pediatric anesthesia could result in a potent educational tool. At present there is a limited structured evidence base to pediatric anesthesia. However, the wide array of pediatric anesthetic research and clinical practice itself are well suited to the principles of EBM. Best ...
McHugo Gregory J - - 2007
OBJECTIVE: This article presents fidelity outcomes for five evidence-based practices that were implemented in routine public mental health settings in the National Implementing Evidence-Based Practices Project. METHODS: Over a two-year period 53 community mental health centers across eight states implemented one of five evidence-based practices: supported employment, assertive community treatment, ...
Wald Arnold - - 2007
Chronic constipation is a frequent complaint in clinical practice. It is usually amenable to laxatives, which are available with and without prescription. An overemphasis on evidence-based analysis and aggressive marketing of newly developed laxative agents has tilted the recommendations toward more expensive, but not necessarily more effective, agents. This review ...
Keeley Paul W - - 2007
BACKGROUND: In 2001, Good and Stafford published a study attempting to show that inpatient palliative medicine is evidence-based. AIM: To critically examine the papers cited in support of the claim that palliative medicine is evidence-based. METHOD: All the papers cited were re-examined by at least two reviewers. The papers were ...
Stewart Gavin B - - 2007
Bracken (Pteridium aquilinum) is a major problem for livestock-based extensive agriculture, conservation, recreation, and game management globally. It is an invasive species often achieving dominance to the detriment of other species. Control is essential to maintain plant communities such as grassland and lowland heath or if extensive grazing by domestic ...
Hogan David B - - 2007
The authors were charged with making a series of evidence-based recommendations that would provide concrete advice on all aspects of the management of mild to moderate stages of dementia and Alzheimer's disease (AD). The recommendations were primarily targeted to primary care physicians practicing in Canada. The assigned topic area did ...
Fischer Walker C L - - 2007
OBJECTIVES: To review the evidence supporting the inclusion of zinc for diarrhoea management specifically in sub-Saharan Africa where diarrhoea remains a leading cause of morbidity and mortality. DATA SOURCES: We searched PubMed for studies assessing the efficacy and effectiveness of zinc for the treatment and prevention of common childhood morbidities. ...
Middleton Heather - - 2007
Many older people living at home or in residential settings in the community suffer from inflammation of the skin of the lower legs, or venous eczema. Management of this condition may depend on the background of the professional who carries out the initial assessment. Those with a tissue viability background ...
Wernovsky Gil - - 2007
Variability in practice can be considered to foster clinical innovation, and allow for individualized therapeutic plans and independence of practitioners. The Institute of Medicine, however, has issued a report suggesting that variability in patterns of practice are "illogical", and should be avoided whenever possible. Perhaps nowhere in the field of ...
Zheng Xiao-Ling - - 2007
A molecular phylogenetic analysis of Rhizoplaca melanophthalma, Rhizoplaca chrysoleuca, Rhizoplaca peltata and Rhizoplaca haydenii is presented based on the nuclear ribosomal internal transcribed spacer (ITS) regions and morphology. Rhizoplaca species were collected at 3400-3900 m in Tianshan Mountains, Xinjiang province, China. Rhizoplaca haydenii is reported for the first time in ...
Bedenice Daniela - - 2007
One of the fundamental skills required for practicing evidence-based medicine is the development of a well-built clinical question, which specifies the patient group or problem, intervention, and outcome of interest. For this purpose, various "levels of evidence" have been developed in the human literature, which rank the validity of evidence. ...
Yousefi-Nooraie Reza - - 2007
OBJECTIVES: To determine the most important knowledge sources that can influence clinical practice and to cluster them in conceptual groups based on their relative importance. METHODS: Faculty members, fellows and residents of a large teaching tertiary care hospital were asked to rate the importance of different resources in their daily ...
Collins Jannette - - 2007
It is no longer considered acceptable for medical practice to be based largely on clinical anecdotes and expert opinion. Rather, medical decisions should be based on best available evidence. Evidence-based medicine (EBM) is now recognized as a practice that should be learned and practiced by all radiologists, and indeed, all ...
Kelly Anne-Maree - - 2007
In 1993 Emergency Medicine Australasia (then Emergency Medicine [Fremantle]) published a therapeutic review on the management of spontaneous pneumothorax. That review found a lack of high-quality evidence on which to base management decisions and a variety of therapeutic options without clear superiority one over another. Now, almost 15 years later, ...
Amaya-Jackson Lisa - - 2007
Professionals in the child trauma field, eager to bring best practices to children and their families who have suffered from traumatic life events, have developed a number of evidence-based treatments (EBTs) and promising practices available for adoption and implementation into community practice. Clinicians and researchers alike have raised questions about ...
Brinsko Steven P - - 2007
Many procedures performed as part of routine broodmare practice are based on sound clinical judgment and experience or scientific evidence; however, others are based on perceived problems and needs to address them. This article presents four procedures commonly used in broodmare practice, for which there is questionable evidence to substantiate ...
Grover N - - 2007
Cryptococcus neoformans var. grubii and C. gattii were repeatedly isolated from decaying wood of trunk hollows in living trees growing in Jabalpur City in Central India. The isolation of C. gattii has been reported from decayed wood inside trunk hollow of Tamarindus indica (15.6%), Mangifera indica (2.2%), Pithecolobium dulce (12.5%), ...
Scales Charles D CD - - 2007
PURPOSE: Evidence based clinical practice has been defined as the conscientious, explicit and judicious use of the current best evidence in making decisions about the care of individual patients. It refers to a broad set of principles and methods intended to ensure that medical decisions, guidelines and health policy are ...
Arslan Onder - - 2007
Data collection in the field of medicine is extremely important for patient safety. It is viewed as a quality issue in several countries around the world. In order to achieve this goal, nationwide apheresis registries were planned. In 2003, World Apheresis Association (WAA) decided to establish a world-wide apheresis registry. ...
Oudit Deemesh - - 2007
There are an increasing number of our patients on antiplatelet and anticoagulant medications. In the absence of clear guidelines for the perioperative management of these patients presenting for operative dermatological procedures, we undertook a pilot survey of the current practices of dermatologists in the United Kingdom. The aims of our ...
Isaacson Brandon - - 2007
Management of petrous apex pathology poses a unique challenge even to the most seasoned skull base surgeons. The central location in the skull base with adjacent critical neurovascular structures makes access to this region more than a trivial matter. Significant advances in diagnostic imaging have greatly facilitated the diagnosis of ...
Brand Caroline - - 2007
There is an international focus on improving the quality of care for people with chronic conditions, including those with chronic rheumatic conditions such as osteoarthritis (OA). A number of evidence-based clinical practice guidelines exist to guide clinician management of OA of the hip and knee. However, gaps and delays in ...
Barzilai David A - - 2007
Evidence-based medicine (EBM) is a paradigm for systematically collecting, evaluating, and applying the best information currently available to improve patient outcomes. Effective evidence-based practice requires defining an answerable, well-built question, systematically searching for the best current evidence, and appraising that evidence for validity. Essential components of EBM also require using ...
Doran Tim - - 2007
CONTEXT: Workload pressures may lead pre-registration house officers (PRHOs) to undervalue critical appraisal and thinking skills. This study aimed to explore Mersey Deanery PRHOs' attitudes, experiences and perceived readiness for practising evidence-based medicine with critical appraisal skills. METHODS: A cross-sectional survey of 157 PRHOs from 5 postgraduate centres in the ...
Vedam Saraswathi - - 2007
In the United States, access to qualified homebirth providers varies by state, city, and community, and consistent, evidence-based guidelines for intrapartum management at home are not available. This article examines the similarities and differences in midwifery management of the intrapartum, postpartum, and neonatal course between planned homebirths and planned hospital ...
Schmidt Peggy L - - 2007
Over time, evidence-based veterinary medicine (EBVM) should integrate with normal clinical practice. Also, clinical knowledge increases with EBVM, reducing the need for information in one area and allowing veterinarians to explore new areas of specialty or cutting-edge advances in the profession. Textbooks, journals, veterinary conferences, and web sites provide nearly ...
Malone Dermot E - - 2007
So far, this series has described and illustrated the first four steps of the five-step evidence-based practice (EBP) process that was originally designed and taught by the medical epidemiologists of McMaster University (Hamilton, Ontario, Canada) and the National Health Service Centre for Evidence-Based Medicine (University of Oxford, Oxford, England). This ...
Mantzoukas Stefanos - - 2008
AIM: This paper examines the evidence-based practice movement, the hierarchy of evidence and the relationship between evidence-based practice and reflective practice. BACKGROUND: Evidence-based practice is equated with effective decision making, with avoidance of habitual practice and with enhanced clinical performance. The hierarchy of evidence has promoted randomized control trials as ...
Feasby Tom - - 2007
Canada's per capita use of intravenous immune globulin (IVIG) grew by approximately 115% between 1998 and 2006, making Canada one of the world's highest per capita users of IVIG. It is believed that most of this growth is attributable to off-label usage. To help ensure IVIG use is in keeping ...
Alladin Assen - - 2007
This paper briefly surveys the trend of and controversy surrounding empirical validation in psychotherapy. Empirical validation of hypnotherapy has paralleled the practice of validation in psychotherapy and the professionalization of clinical psychology, in general. This evolution in determining what counts as evidence for bona fide clinical practice has gone from ...
Helton William S - - 2007
The acquisition of expertise is an area of controversy between those who lean more toward learning and those who lean more toward talent. Because the genetics and early life experiences of humans are not open to direct manipulation, human studies are of limited use in this debate. Studies using nonhumans ...
Jackson Sue - - 2007
Acupuncture and other types of 'complementary and alternative medicine' (CAM) are proving increasingly popular in the UK. As attempts to incorporate acupuncture into allopathic medicine have grown in number, the issue of assessing its effectiveness in ways consistent with the concept of evidence-based medicine has become more urgent. The nature, ...
Kitto Simon - - 2007
BACKGROUND: Within surgery the debate about the place of evidence-based medicine (EBM) has focused on the nature and compatibility of EBM with surgical practice with an inevitable polarization of opinion. However, EBM techniques are being embedded into undergraduate medical curricula and surgical training programs across Australia. The Monash University Department ...
Coulter Ian D - - 2007
OBJECTIVE: The present paper examines the experience of establishing a center for evidence-based complementary and alternative medicine (EBCAM) practice. It examines both the difficulties and the challenges of doing research to establish EBCAM. The paper also examines the political context of the demand for evidence- based practice (EBP) for CAM. ...
Amin M - - 2007
The objective of this survey is to provide an insight into the knowledge and attitude of the higher surgical trainees in Otolaryngology towards evidence based medicine and evaluate their understanding of medical statistics and use of evidence based medicine in patient management. A self administered anonymous questionnaire was distributed to ...
Macleod Sandy - - 2007
The stimulus inciting Archie Cochrane's interest in scientific medicine was his own ill health and the inability of psychoanalysis to cure his problem of sexual dysfunction. The aetiology and modern management of anejaculation will be considered. The treatment undertaken by Cochrane failed because his condition was organic. Evidence-based medicine was ...
< 3 4 5 6 7 8 9 10 11 12 13 >