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"Evidence based health care"

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https://www.readbyqxmd.com/read/28275803/-chinese-expert-consensus-on-the-use-of-topical-timolol-maleate-treatment-of-infantile-hemangiomas
#1
Jia-Wei Zheng, Xu-Kai Wang, Cheng-Hong Jiang, Zhong-Ping Qin, Xin-Dong Fan, Yao-Wu Yang, Ran Huo, Shao-Hua Liu, Ji-Hong Zhao, Xiao-Yong Wang, De-Kai Zhou, Shao-Rong Lei
Non-selective β-blocker propranolol has been proved by FDA as the first-line agent for infantile hemangioma (IH) with dramatic response. To reduce the side effects caused by systemic administration of propranolol, timolol maleate treatment has been increasingly used as an alternative to systemic β-blockers and watchful waiting for many IH patients in recent years. However, the appropriate indications, drug dosage, dosing regimen, time for initiation, optimal duration, monitoring for side effects still remains controversial...
December 2016: Shanghai Kou Qiang Yi Xue, Shanghai Journal of Stomatology
https://www.readbyqxmd.com/read/28241762/building-capacity-in-clinical-epidemiology-in-africa-experiences-from-masters-programmes
#2
REVIEW
Taryn Young, Celeste Naude, Tania Brodovcky, Tonya Esterhuizen
BACKGROUND: To describe and contrast programmatic offering of Clinical Epidemiology Masters programmes in Africa, to evaluate experiences of graduates and faculty, and assess if graduates are playing roles in research, practice and teaching of Clinical Epidemiology. METHODS: We searched and identified relevant programmes, reviewed programmatic documentation, interviewed convenors and surveyed graduates. Participants provided informed consent, interviews with faculty were recorded and transcribed for analysis purposes, and graduates participated in an online survey...
February 27, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28207842/evaluating-evidence-based-health-care-teaching-and-learning-in-the-undergraduate-human-nutrition-occupational-therapy-physiotherapy-and-speech-language-and-hearing-therapy-programs-at-a-sub-saharan-african-academic-institution
#3
Anel Schoonees, Anke Rohwer, Taryn Young
BACKGROUND: It is important that all undergraduate healthcare students are equipped with evidence-based health care (EBHC) knowledge and skills to encourage evidence-informed decision-making after graduation. We assessed EBHC teaching and learning in undergraduate human nutrition (HN); occupational therapy (OT); physiotherapy (PT); and speech, language and hearing therapy (SPLH) programs at a sub-Saharan African university. METHODS: We used methodological triangulation to obtain a comprehensive understanding of EBHC teaching and learning: (1) through a document review of module guides, we identified learning outcomes related to pre-specified EBHC competencies; we conducted (2) focus group discussions and interviews of lecturers to obtain their perspectives on EBHC and on EBHC teaching and learning; and we (3) invited final year students (2013) and 2012 graduates to complete an online survey on EBHC attitudes, self-perceived EBHC competence, and their experience of EBHC teaching and learning...
2017: PloS One
https://www.readbyqxmd.com/read/28160888/hearing-the-silenced-voices-of-underserved-women-the-role-of-qualitative-research-in-gynecologic-and-reproductive-care
#4
REVIEW
Angela K Lawson, Erica E Marsh
In order to provide effective evidence-based health care to women, rigorous research that examines women's lived experiences in their own voices is needed. However, clinical health research has often excluded the experiences of women and minority patient populations. Further, clinical research has often relied on quantitative research strategies; this provides an interesting but limited understanding of women's health experiences and hinders the provision of effective patient-centered care. This article defines qualitative research and its unique contributions to research, and provides examples of how qualitative research has given insights into the reproductive health perspectives and behaviors of underserved women...
March 2017: Obstetrics and Gynecology Clinics of North America
https://www.readbyqxmd.com/read/28059020/prevalence-and-incidence-of-systemic-lupus-erythematosus-in-the-adult-population-of-estonia
#5
K Otsa, S Talli, P Harding, E Parsik, M Esko, A Teepere, M Tammaru
Studies have demonstrated considerable variability in systemic lupus erythematosus (SLE) incidence and prevalence estimates. Lack of reliable epidemiological data may hinder evidence-based health care planning. The aim of the present study was to estimate the prevalence and incidence of SLE in the Estonian adult population. The SLE billing cases were extracted from the Estonian Health Insurance Fund database 2006-2010 and verified using health care providers' databases. The patients' life status data for January 1, 2011, were retrieved from the Estonian Population Register...
January 1, 2017: Lupus
https://www.readbyqxmd.com/read/28056964/a-workforce-survey-of-australian-chiropractic-the-profile-and-practice-features-of-a-nationally-representative-sample-of-2-005-chiropractors
#6
Jon Adams, Romy Lauche, Wenbo Peng, Amie Steel, Craig Moore, Lyndon G Amorin-Woods, David Sibbritt
BACKGROUND: This paper reports the profile of the Australian chiropractic workforce and characteristics of chiropractic care from a large nationally-representative sample of practitioners. METHODS: A 21-item questionnaire examining practitioner, practice and clinical management characteristics was distributed to all registered chiropractors (n = 4,684) in Australia in 2015 via both online and hard copy mail out. RESULTS: The survey attracted a response rate of 43% (n = 2,005), and the sample is largely representative of the national chiropractic workforce on a number of key indicators...
January 5, 2017: BMC Complementary and Alternative Medicine
https://www.readbyqxmd.com/read/28018790/reliability-of-the-aboriginal-children-s-health-and-well-being-measure-achwm
#7
Nancy L Young, Mary Jo Wabano, Koyo Usuba, Debbie Mishibinijima, Diane Jacko, Tricia A Burke
PURPOSE: The aim of this research was to evaluate the reliability of the Aboriginal Children's Health and Well-Being Measure© (ACHWM). METHODS: Two cohorts of children from Wiikwemkoong Unceded Territory were recruited for this study. Each child completed the ACHWM independently on a computer tablet running a customized survey app. The data from the first and second cohorts were used to estimate the internal consistencies using Cronbach's alpha. A subgroup of the second cohort completed the survey twice, within the same day...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27993340/bridging-the-gap-between-scientists-and-practitioners-the-challenge-before-us-republished-article
#8
Linda Carter Sobell
The need to develop effective and efficient strategies for the dissemination of evidence-based health care has been recognized by governments, researchers, and clinicians alike. However, recognition and implementation are separate issues. If scientists are to have a significant impact on clinical practice, they will have to learn a new way of "doing business." Lessons from the business community and from the field of diffusion of innovations research (dissemination research) have direct applicability to disseminating science-based clinical procedures...
November 2016: Behavior Therapy
https://www.readbyqxmd.com/read/27716264/current-state-of-ethics-literature-synthesis-a-systematic-review-of-reviews
#9
Marcel Mertz, Hannes Kahrass, Daniel Strech
BACKGROUND: Modern standards for evidence-based decision making in clinical care and public health still rely solely on eminence-based input when it comes to normative ethical considerations. Manuals for clinical guideline development or health technology assessment (HTA) do not explain how to search, analyze, and synthesize relevant normative information in a systematic and transparent manner. In the scientific literature, however, systematic or semi-systematic reviews of ethics literature already exist, and scholarly debate on their opportunities and limitations has recently bloomed...
October 3, 2016: BMC Medicine
https://www.readbyqxmd.com/read/27714524/evolution-of-monitoring-and-evaluation-of-aids-response-in-ukraine-laying-the-groundwork-for-evidence-based-health-care
#10
Kostyantyn Dumchev, Olga Varetska, Ihor Kuzin
Once facing the most severe HIV epidemic in Eastern Europe, Ukraine has built an elaborate Monitoring and Evaluation (M&E) system to track the response to AIDS. This system was developed using recommendations and input from multiple international expert organizations and donors and, at the current stage, serves as a best practice model in many areas. The present paper aims to provide a comprehensive overview of the evolution of the M&E system in Ukraine since its inception. Notable achievements and challenges are described and illustrated by epidemiological data and the recommendations for future development are discussed...
October 6, 2016: AIDS and Behavior
https://www.readbyqxmd.com/read/27703623/how-to-understand-and-conduct-evidence-based-medicine
#11
Hyun Kang
Evidence-based medicine (EBM) is the conscientious, explicit, and judicious use of current best evidence in making decisions regarding the care of individual patients. This concept has gained popularity recently, and its applications have been steadily expanding. Nowadays, the term "evidence-based" is used in numerous situations and conditions, such as evidence-based medicine, evidence-based practice, evidence-based health care, evidence-based social work, evidence-based policy, and evidence-based education...
October 2016: Korean Journal of Anesthesiology
https://www.readbyqxmd.com/read/27566440/resuming-the-discussion-of-amstar-what-can-should-be-made-better
#12
EDITORIAL
Uta Wegewitz, Beate Weikert, Alba Fishta, Anja Jacobs, Dawid Pieper
BACKGROUND: Evidence syntheses, and in particular systematic reviews (SRs), have become one of the cornerstones of evidence-based health care. The Assessment of Multiple Systematic Reviews (AMSTAR) tool has become the most widely used tool for investigating the methodological quality of SRs and is currently undergoing revision. The objective of this paper is to present insights, challenges and potential solutions from the point of view of a group of assessors, while referring to earlier methodological discussions and debates with respect to AMSTAR...
2016: BMC Medical Research Methodology
https://www.readbyqxmd.com/read/27562664/implementation-of-evidence-based-health-care-using-action-research-an-emancipatory-approach
#13
Luciana Cordeiro, Cassia Baldini Soares
The aim of the study is to discuss the emancipatory approach to action research as an appropriate methodology for workers' meaningful implementation of evidence-based health care. Implementation of evidence-based health care using action research is well supported by the literature. There are various approaches to action research, and they are coherent with the objectives and methods elected to develop the investigation. It is not clear which approach of action research is responsible for meaningful worker engagement in changing praxis...
August 2016: International Journal of Nursing Practice
https://www.readbyqxmd.com/read/27532309/the-effectiveness-of-non-pharmacological-interventions-in-the-management-of-symptom-clusters-in-adult-cancer-patients-a-systematic-review-protocol
#14
Ly Thuy Nguyen, Patsy Yates, Lourdes Clemenceau Annoussamy, Trung Quang Truong
To what extent are non-pharmacological interventions effective in reducing symptom clusters in terms of presence, frequency and severity, compared with standard care?More specifically, the objectives are to: CENTER CONDUCTING THE REVIEW:: The Hanoi Medical University Nursing Research Center for Evidence Based Health Care: a Collaborating Centre of the Joanna Briggs Institute; and Centre for Evidence-based Healthy Aging: an Affiliate Centre of the Joanna Briggs Institute, School of Nursing, Queensland University of Technology, Australia...
April 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/27349186/evidence-based-health-care-and-policy-in-africa-past-present-and-future
#15
T Young, P Garner, M Clarke, J Volmink
Africa has high disease burden and health system challenges but is making progress in recognising, accepting and adopting evidence-based health care (EBHC). In this paper, we reflect on the developments of the past two decades and consider further steps that will help with the translation of reliable research results into the decision making process. There has been a rapid growth in various initiatives to promote EBHC in the African region. These include the conduct and reporting of primary and secondary research, research capacity development and supportive initiatives, access to information, and work with decision makers in getting research into clinical guidelines and health policies...
June 24, 2016: Journal of Clinical Epidemiology
https://www.readbyqxmd.com/read/27237731/does-evidence-based-health-care-have-room-for-the-self
#16
S Joshua Thomas
Evidence-based health care (EBHC) has consistently been attacked by opponents for being perniciously reductive. Although these attacks are overwhelmingly framed as critiques of evidence-based medicine, they standardly target the research wing of EBHC upon which evidence-based medicine is dependent, and increasingly extend to adjacent health care disciplines, such as nursing. One of the most persistent forms this line of attack has taken is the allegation that EBHC, with its emphasis on the hierarchy of evidence, grounded in the use of randomized controlled trials, and the clinical guidelines developed on their basis, fails to recognize the patient as the complex self she is, treating her instead as merely a quantifiable, medical-scientific object...
August 2016: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/27182451/a-clinical-trial-of-translation-of-evidence-based-interventions-to-mobile-tablets-and-illness-specific-internet-sites
#17
Carol E Smith, Ubolrat Piamjariyakul, Marilyn Werkowitch, Donna Macan Yadrich, Noreen Thompson, Dedrick Hooper, Eve-Lynn Nelson
This article describes a method to translate an evidence based health care intervention to the mobile environment. This translation assisted patient participants to: avoid life threatening infections; monitor emotions and fatigue; keep involved in healthy activities. The mobile technology also decreased costs by reducing for example travel to visit health care providers. Testing of this translation method and its use by comparison groups of patients adds to the knowledge base for assessing technology for its impact on health outcome measures...
March 2016: International Journal of Sensor Networks and Data Communications
https://www.readbyqxmd.com/read/26995382/toward-evidence-based-health-care-delivery-reform
#18
EDITORIAL
Nihar R Desai
No abstract text is available yet for this article.
April 2016: American Heart Journal
https://www.readbyqxmd.com/read/26868356/research-methods-to-change-clinical-practice-for-patients-with-rare-cancers
#19
REVIEW
Lucinda Billingham, Kinga Malottki, Neil Steven
Rare cancers are a growing group as a result of reclassification of common cancers by molecular markers. There is therefore an increasing need to identify methods to assess interventions that are sufficiently robust to potentially affect clinical practice in this setting. Methods advocated for clinical trials in rare diseases are not necessarily applicable in rare cancers. This Series paper describes research methods that are relevant for rare cancers in relation to the range of incidence levels. Strategies that maximise recruitment, minimise sample size, or maximise the usefulness of the evidence could enable the application of conventional clinical trial design to rare cancer populations...
February 2016: Lancet Oncology
https://www.readbyqxmd.com/read/26857343/the-sociology-of-childbirth-an-autobiographical-journey-through-four-decades-of-research
#20
Ann Oakley
The sociology of childbirth emerged in the 1970s largely as a result of influences from outside sociology. These included feminism, maternity care activism, the increasing medicalisation of childbirth, and evidence-based health care. This paper uses the author's own sociological 'career' to map a journey through four decades of childbirth research. It demonstrates the importance of social networks and interdisciplinary work, particularly across the medical-social science divide and including cross-cultural perspectives, argues that the study of reproduction has facilitated methodological development within the social sciences, and suggests that childbirth remains on the periphery of mainstream sociological concerns...
June 2016: Sociology of Health & Illness
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