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https://www.readbyqxmd.com/read/29045622/international-exchanges-in-primary-care-learning-from-thy-neighbour
#1
Bernadeta Bridgwood, John Park, Claire Hawcroft, Natasha Kay, Eugene Tang
This systematic review describes how international exchange programmes in primary care have been received and evaluated. Electronic databases (MEDLINE, Embase, PsycINFO, EBM reviews, CAB abstracts and PubMED) were searched to identify articles where the main focus of the study was exchanges undertaken in primary care/family medicine until March 2016. Articles were included if they (i) discussed participant exchanges in primary care; (ii) presented associated outcome data-this included (a) individual/group experience of exchange; (b) mechanism of exchange and (c) observations during the exchange...
October 14, 2017: Family Practice
https://www.readbyqxmd.com/read/29031495/evidence-of-mechanism-in-the-evaluation-of-streptomycin-and-thalidomide
#2
Donald Gillies
This paper considers what evidence is needed to establish the effectiveness and safety of a drug therapy. The claim that A cures D is a particular case of a causal claim in medicine. So the paper begins with a general analysis of the evidence for causal claims in medicine. Such evidence is divided into two types: statistical evidence and evidence of mechanism. These are further divided into observational and interventional, producing a 2x2 classification. It is shown that historically there have different assessments of the importance of these different types of evidence...
October 11, 2017: Studies in History and Philosophy of Biological and Biomedical Sciences
https://www.readbyqxmd.com/read/29025125/how-well-do-general-practitioners-manage-laboratory-test-results-for-patients-with-diabetes-mellitus-and-cardiovascular-disease-a-systematic-review
#3
Euan J McCaughey, Julie Li, Tony C Badrick, Johanna I Westbrook, Andrew Georgiou
Purpose: To evaluate how well general practitioners (GPs) manage and respond to laboratory results for patients with diabetes mellitus (DM) and cardiovascular disease (CVD). Data sources: MEDLINE, CINAHL, Embase, EBM reviews, ProQuest and Scopus. Study selection: Peer-reviewed journal articles published between 2000 and 2015 that assessed GPs' management of laboratory results for patients with DM or CVD. Data extraction: Study design and demographics, laboratory tests and key findings relating to GP management of laboratory results were extracted from studies...
August 28, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29018643/case-reports-case-series-from-clinical-practice-to-evidence-based-medicine-in-graduate-medical-education
#4
EDITORIAL
Jerry W Sayre, Hale Z Toklu, Fan Ye, Joseph Mazza, Steven Yale
Case reports and case series or case study research are descriptive studies that are prepared for illustrating novel, unusual, or atypical features identified in patients in medical practice, and they potentially generate new research questions. They are empirical inquiries or investigations of a patient or a group of patients in a natural, real-world clinical setting. Case study research is a method that focuses on the contextual analysis of a number of events or conditions and their relationships. There is disagreement among physicians on the value of case studies in the medical literature, particularly for educators focused on teaching evidence-based medicine (EBM) for student learners in graduate medical education...
August 7, 2017: Curēus
https://www.readbyqxmd.com/read/28988170/effectiveness-of-the-hucare-quality-improvement-strategy-on-health-related-quality-of-life-in-patients-with-cancer-study-protocol-of-a-stepped-wedge-cluster-randomised-controlled-trial-hucare2-study
#5
Caterina Caminiti, Elisa Iezzi, Rodolfo Passalacqua
INTRODUCTION: Our group previously demonstrated the feasibility of the HuCare Quality Improvement Strategy (HQIS), aimed at integrating into practice six psychosocial interventions recommended by international guidelines. This trial will assess whether the introduction of the strategy in oncology wards improves patient's health-related quality of life (HRQoL). METHODS AND ANALYSIS: Multicentre, incomplete stepped-wedge cluster randomised controlled trial, conducted in three clusters of five centres each, in three equally spaced time epochs...
October 6, 2017: BMJ Open
https://www.readbyqxmd.com/read/28986205/-conception-and-implementation-of-a-novel-e-learning-module-with-ebm-learning-contents-in-operative-dentistry
#6
Susanne Gerhardt-Szép, Stefanie Dreher, Stefan Rüttermann, Tobias Weberschock
PURPOSE: Computer-assisted learning (CAL) programs are becoming more widely used in medical and dental training. However, the combination of CAL programs and evidence-based education in dentistry has not been described previously. The aim was to determine the acceptance and user-friendliness of a CAL program combined with evidence-based training. METHODS: The didactic concept of the module includes the case-oriented, problem-based embedding of a total of 32 EbM learning assignments, which can be completed interactively and self-determinedly in an interdisciplinary context using focus patients with different diseases...
October 3, 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28985725/factors-influencing-the-clinical-decision-making-of-midwives-a-qualitative-study
#7
Darie O A Daemers, Evelien B M van Limbeek, Hennie A A Wijnen, Marianne J Nieuwenhuijze, Raymond G de Vries
BACKGROUND: Although midwives make clinical decisions that have an impact on the health and well-being of mothers and babies, little is known about how they make those decisions. Wide variation in intrapartum decisions to refer women to obstetrician-led care suggests that midwives' decisions are based on more than the evidence based medicine (EBM) model - i.e. clinical evidence, midwife's expertise, and woman's values - alone. With this study we aimed to explore the factors that influence clinical decision-making of midwives who work independently...
October 6, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28983199/the-role-of-librarians-in-teaching-evidence-based-medicine-to-pediatric-residents-a-survey-of-pediatric-residency-program-directors
#8
Rachel Boykan, Robert M Jacobson
OBJECTIVE: The research sought to identify the general use of medical librarians in pediatric residency training, to define the role of medical librarians in teaching evidence-based medicine (EBM) to pediatric residents, and to describe strategies and curricula for teaching EBM used in pediatric residency training programs. METHODS: We sent a 13-question web-based survey through the Association of Pediatric Program Directors to 200 pediatric residency program directors between August and December 2015...
October 2017: Journal of the Medical Library Association: JMLA
https://www.readbyqxmd.com/read/28979157/the-role-of-smartphones-in-encouraging-physical-activity-in-adults
#9
REVIEW
Melanie I Stuckey, Shawn W Carter, Emily Knight
Lack of physical activity is a global public health issue. Behavioral change interventions utilizing smartphone applications (apps) are considered a potential solution. The purpose of this literature review was to: 1) determine whether smartphone-based interventions encourage the initiation of, and participation in, physical activity; 2) explore the success of interventions in different populations; and 3) examine the key factors of the interventions that successfully encouraged physical activity. Eight databases (Medline, Scopus, EBM Reviews-Cochrane Central Register of Controlled Trials, EBM Reviews-Cochrane Database of Systematic Reviews, PsycInfo, SportDISCUS, CINAHL, and EMBASE) were searched and studies reporting physical activity outcomes following interventions using smartphone apps in adults were included in the narrative review...
2017: International Journal of General Medicine
https://www.readbyqxmd.com/read/28970607/adaptation-and-validation-of-the-fresno-test-of-competence-in-evidence-based-medicine-in-doctor-of-pharmacy-students
#10
Valerie Coppenrath, Lee Anne Filosa, Elizabeth Akselrod, Katherine M Carey
Objective. To adapt and validate an instrument assessing competence in evidence-based medicine (EBM) in Doctor of Pharmacy students. Methods. The Fresno test was validated in medical residents. We adapted it for use in pharmacy students. A total of 120 students and faculty comprised the validation set. Internal reliability, item difficulty, and item discrimination were assessed. Construct validity was assessed by comparing mean total scores of students to faculty, and comparing proportions of students and faculty who passed each item...
August 2017: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/28967051/additive-manufacturing-of-titanium-alloys-in-the-biomedical-field-processes-properties-and-applications
#11
Francesco Trevisan, Flaviana Calignano, Alberta Aversa, Giulio Marchese, Mariangela Lombardi, Sara Biamino, Daniele Ugues, Diego Manfredi
The mechanical properties and biocompatibility of titanium alloy medical devices and implants produced by additive manufacturing (AM) technologies - in particular, selective laser melting (SLM), electron beam melting (EBM) and laser metal deposition (LMD) - have been investigated by several researchers demonstrating how these innovative processes are able to fulfil medical requirements for clinical applications. This work reviews the advantages given by these technologies, which include the possibility to create porous complex structures to improve osseointegration and mechanical properties (best match with the modulus of elasticity of local bone), to lower processing costs, to produce custom-made implants according to the data for the patient acquired via computed tomography and to reduce waste...
September 25, 2017: Journal of Applied Biomaterials & Functional Materials
https://www.readbyqxmd.com/read/28959479/perspective-and-future-of-evidence-based-medicine
#12
Suning You
BACKGROUND: Evidence-based medicine (EBM) has evolved over a century. EBM is now the guiding principle of medical practice. High-level EBM usually derives from a well-designed, randomised, double blind, placebo controlled trial of parallel groups and sufficient number of patients enrolled. However, in recent times, concerns of EBM misguiding clinical practice have been on the rise. This paper aims at exploring the root cause of why EBM is perhaps losing its touch as the measuring standard of clinical practice...
December 2016: Stroke and Vascular Neurology
https://www.readbyqxmd.com/read/28946764/welcoming-our-first-latin-america-ebm-global-editor-dr-nicola-conran
#13
(no author information available yet)
No abstract text is available yet for this article.
September 2017: Experimental Biology and Medicine
https://www.readbyqxmd.com/read/28937638/effects-of-processing-parameters-on-surface-roughness-of-additive-manufactured-ti-6al-4v-via-electron-beam-melting
#14
Pan Wang, Wai Jack Sin, Mui Ling Sharon Nai, Jun Wei
As one of the powder bed fusion additive manufacturing technologies, electron beam melting (EBM) is gaining more and more attention due to its near-net-shape production capacity with low residual stress and good mechanical properties. These characteristics also allow EBM built parts to be used as produced without post-processing. However, the as-built rough surface introduces a detrimental influence on the mechanical properties of metallic alloys. Thereafter, understanding the effects of processing parameters on the part's surface roughness, in turn, becomes critical...
September 22, 2017: Materials
https://www.readbyqxmd.com/read/28925316/objective-assessment-of-technical-skills-in-otorhinolaryngology-head-and-neck-surgery-residents-a-systematic-review
#15
Érika Mercier, Ségolène Chagnon-Monarque, François Lavigne, Tareck Ayad
Objectives The primary goal is the indexation of validated methods used to assess surgical competency in otorhinolaryngology-head and neck surgery (ORL-HNS) residents. Secondary goals include assessment of the reliability and validity of these tools, as well as the documentation of specific procedures in ORL-HNS involved. Data Sources MEDBASE, OVID, Medline, CINAHL, and EBM, as well as the printed references, available through the Université de Montréal library. Review Methods The PRISMA method was used to review digital and printed databases...
September 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28919831/flipped-classroom-model-for-learning-evidence-based-medicine
#16
Sydney Y Rucker, Zulfukar Ozdogan, Morhaf Al Achkar
Journal club (JC), as a pedagogical strategy, has long been used in graduate medical education (GME). As evidence-based medicine (EBM) becomes a mainstay in GME, traditional models of JC present a number of insufficiencies and call for novel models of instruction. A flipped classroom model appears to be an ideal strategy to meet the demands to connect evidence to practice while creating engaged, culturally competent, and technologically literate physicians. In this article, we describe a novel model of flipped classroom in JC...
2017: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/28916569/effects-of-anthocyanins-on-cardiometabolic-health-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#17
REVIEW
LiPing Yang, WenHua Ling, ZhiCheng Du, YuMing Chen, Dan Li, ShiZhou Deng, ZhaoMin Liu, LiLi Yang
Numerous clinical trials have examined the role of anthocyanins on cardiometabolic health, but their effects have not been quantitatively synthesized and systematically evaluated. The aim of our study was to conduct a systematic review and meta-analysis of randomized controlled trials (RCTs) assessing the effects of anthocyanins on glycemic regulation and lipid profiles in both healthy populations and those with cardiometabolic diseases. The MEDLINE, EMBASE, Cochrane database, OVID EBM Reviews, and clinicaltrials...
September 2017: Advances in Nutrition
https://www.readbyqxmd.com/read/28891507/comparison-of-separation-performance-of-independent-component-analysis-algorithms-for-fmri-data
#18
Yogesh Kumar Sariya, R S Anand
Independent component analysis, a data-driven analysis method, has found significant applications in task-based as well as resting state fMRI studies. There are numbers of independent component analysis algorithms available, but only a few of them have been used frequently so far for fMRI images. With a view that algorithms that are overlooked may outperform the most opted, a comparative study is taken up in this paper to analyze their abilities for the purpose of synthesis of fMRI images. In this paper, ten independent component algorithms: Fast ICA, INFOMAX, SIMBEC, JADE, ERICA, EVD, RADICAL, ICA-EBM, ERBM, and COMBI are compared...
2017: Journal of Integrative Neuroscience
https://www.readbyqxmd.com/read/28883299/cast-milled-and-ebm-manufactured-titanium-differences-in-porcelain-shear-bond-strength
#19
Evaggelia Papia, Pernilla Arnoldsson, Ayna Baudinova, Ryo Jimbo, Per Vult VON Steyern
The objectives were to analyze the oxide layer generated between titanium and porcelain during firing and compare it in different manufacturing techniques: cast, milled and EBM-technique. Seventy two specimens were manufactured, subdivided according to surface treatment: time of passivation (P) and no time of passivation (NP) before porcelain firing. Specimens from each group were analyzed with scanning electron microscopy: one only fired once, and one subjected to six firings. Remaining specimens were subjected to shear bond strength test...
September 7, 2017: Dental Materials Journal
https://www.readbyqxmd.com/read/28874795/tailoring-the-thermal-conductivity-of-the-powder-bed-in-electron-beam-melting-ebm-additive-manufacturing
#20
C J Smith, S Tammas-Williams, E Hernandez-Nava, I Todd
Metallic powder bed additive manufacturing is capable of producing complex, functional parts by repeatedly depositing thin layers of powder particles atop of each other whilst selectively melting the corresponding part cross-section into each layer. A weakness with this approach arises when melting overhanging features, which have no prior melted material directly beneath them. This is due to the lower thermal conductivity of the powder relative to solid material, which as a result leads to an accumulation of heat and thus distortion...
September 5, 2017: Scientific Reports
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