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https://www.readbyqxmd.com/read/29667596/becaf-study-caffeine-and-behaviour-in-nursing-homes-a-study-protocol-and-ebm-training-program
#1
M A Kromhout, M van Eijk, M J C Pieper, V G M Chel, W P Achterberg, M E Numans
No abstract text is available yet for this article.
April 2018: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/29666129/preventing-emergency-department-ed-visits-and-hospitalisations-of-older-adults-with-cognitive-impairment-compared-with-the-general-senior-population-what-do-we-know-about-avoidable-incidents-results-from-a-scoping-review
#2
Mireille Gagnon-Roy, Benyahia Hami, Mélissa Généreux, Nathalie Veillette, Marie-Josée Sirois, Mary Egan, Véronique Provencher
OBJECTIVES: Older cognitively impaired adults present a higher risk of hospitalisation and mortality following a visit to the emergency department (ED). Better understanding of avoidable incidents is needed to prevent them and the associated ED presentations in community-dwelling adults. This study aimed to synthetise the actual knowledge concerning these incidents leading this population to ED presentation, as well as possible preventive measures to reduce them. DESIGN: A scoping review was performed according to the Arksey and O'Malley framework...
April 17, 2018: BMJ Open
https://www.readbyqxmd.com/read/29665019/evidence-based-medicine-for-every-day-everyone-and-every-therapeutic-study
#3
REVIEW
Raghav Govindarajan, Pushpa Narayanaswami
The rapid growth in published medical literature makes it difficult for clinicians to keep up with advances in their fields. This may result in a cursory scan of the abstracts and conclusions of a study without critically evaluating study quality. The application of Evidence-Based Medicine (EBM) is the process of converting the abstract task of reading the literature into a practical method of using the literature to inform care in a specific clinical context while simultaneously expanding one's knowledge. EBM involves 4 steps: stating the clinical problem in a defined question; searching the literature for the evidence; critically appraising the evidence for its validity and applying the evidence in the context of the patient's situation, preferences and values...
April 17, 2018: Muscle & Nerve
https://www.readbyqxmd.com/read/29664124/a-comparison-of-the-treatment-recommendations-for-neurogenic-lower-urinary-tract-dysfunction-in-the-national-institute-for-health-and-care-excellence-european-association-of-urology-and-international-consultations-on-incontinence-guidelines
#4
Ashley Jaggi, Marcus Drake, Emad Siddiqui, Francis Fatoye
AIMS: Healthcare guidelines are an important vehicle in establishing up-to-date evidence based medicine (EBM) in clinical practice. Due to varying development processes, clinical guidelines created by different institutions can often contain contrasting recommendations. This can have implications for optimal and standardized patient care across management settings. METHODS: The similarities and differences of treatment recommendations made in the National Institute for Health and Care Excellence (NICE), The European Association of Urology (EAU), and the International Consultation on Continence (ICI) guidelines for neurogenic lower urinary tract dysfunction (NLUTD) were assessed...
April 17, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29657905/knowledge-of-postgraduate-medical-trainees-regarding-epidemiology
#5
Shoaib Shafi, Tayyaba Faisal, Sajida Naseem, Sajida Javed, Haider Ghazanfar
Introduction An understanding of epidemiology is fundamental for designing research and understanding evidence-based medicine (EBM). The purpose of our study was to determine the knowledge of epidemiology among postgraduate medical trainees. Methods We carried out a cross-sectional study from January 2017 to June 2017 at the Regional Centre Islamabad, College of Physicians and Surgeons Pakistan. About 204 postgraduate medical trainee were enrolled in the study after taking written consent. All of the participants were working as a postgraduate medical trainee in different hospitals of Rawalpindi and Islamabad...
February 8, 2018: Curēus
https://www.readbyqxmd.com/read/29655952/population-level-incidence-and-outcomes-of-myocardial-infarction-with-non-obstructive-coronary-arteries-minoca-insights-from-the-alberta-contemporary-acute-coronary-syndrome-patients-invasive-treatment-strategies-coapt-study
#6
Kevin R Bainey, Robert C Welsh, Wendimagegn Alemayehu, Cynthia M Westerhout, Dean Traboulsi, Todd Anderson, Neil Brass, Paul W Armstrong, Padma Kaul
BACKGROUND: Myocardial infarction with non-obstructive coronary arteries (MINOCA) is a known clinical conundrum with limited investigation. Using a large population-based cohort, we examined the incidence, demographic profile, use of evidence-based medicines (EBM) and clinical outcomes of MINOCA patients. METHODS: Patients hospitalized with a primary diagnosis of MI who underwent coronary angiography between 01/04/2002 and 31/03/2014 in Alberta, Canada, were included in the study...
April 4, 2018: International Journal of Cardiology
https://www.readbyqxmd.com/read/29626403/providers-and-patients-caught-between-standardization-and-individualization-individualized-standardization-as-a-solution-comment-on-re-making-the-procrustean-bed-standardization-and-customization-as-competing-logics-in-healthcare
#7
Lena Ansmann, Holger Pfaff
In their 2017 article, Mannion and Exworthy provide a thoughtful and theory-based analysis of two parallel trends in modern healthcare systems and their competing and conflicting logics: standardization and customization. This commentary further discusses the challenge of treatment decision-making in times of evidence-based medicine (EBM), shared decision-making and personalized medicine. From the perspective of systems theory, we propose the concept of individualized standardization as a solution to the problem...
August 12, 2017: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/29620952/anti-inflammatory-activity-of-epimedium-brevicornu-maxim-ethanol-extract
#8
Shan Huang, Ning Meng, Bingquan Chang, Xianghua Quan, RuiYing Yuan, Bin Li
Epimedium brevicornu Maxim has been used as a traditional herbal drug in China. In this study, the anti-inflammatory effects of E. brevicornu Maxim ethanol extract (EBME) were investigated in RAW264.7 macrophages and mice challenged with lipopolysaccharide (LPS). Results showed that EBME attenuated inflammation by decreasing the production of several proinflammatory mediators, such as nitric oxide (NO), prostaglandin (PG) E2 , inducible nitric oxide synthase, and cyclooxygenase-2, in LPS-stimulated RAW264.7 macrophages...
April 5, 2018: Journal of Medicinal Food
https://www.readbyqxmd.com/read/29619575/the-evidence-for-the-role-of-nutraceuticals-in-the-management-of-pediatric-migraine-a-review
#9
REVIEW
Serena L Orr
PURPOSE OF REVIEW: Nutraceuticals are a form of complementary and alternative medicine that is commonly used by children and adolescents with migraine. In this review, observational studies, randomized controlled trials, systematic reviews, and meta-analyses on the efficacy and safety of single compound nutraceuticals for the management of migraine in children and adolescents were identified through a literature search of MEDLINE, Embase, and EBM Reviews-Cochrane Central Register of Controlled Trials...
April 4, 2018: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/29614712/influence-of-inherent-surface-and-internal-defects-on-mechanical-properties-of-additively-manufactured-ti6al4v-alloy-comparison-between-selective-laser-melting-and-electron-beam-melting
#10
Michaela Fousová, Dalibor Vojtěch, Karel Doubrava, Matěj Daniel, Chiu-Feng Lin
Additive manufacture (AM) appears to be the most suitable technology to produce sophisticated, high quality, lightweight parts from Ti6Al4V alloy. However, the fatigue life of AM parts is of concern. In our study, we focused on a comparison of two techniques of additive manufacture-selective laser melting (SLM) and electron beam melting (EBM)-in terms of the mechanical properties during both static and dynamic loading. All of the samples were untreated to focus on the influence of surface condition inherent to SLM and EBM...
March 31, 2018: Materials
https://www.readbyqxmd.com/read/29610991/the-viability-of-probiotics-in-water-breast-milk-and-infant-formula
#11
Claire Watkins, Kiera Murphy, Eugene M Dempsey, Brendan P Murphy, Paul W O'Toole, R Paul Ross, Catherine Stanton, C Anthony Ryan
The aim of this study was to determine bacteriological stability of a probiotic mixture dispersed in various diluents. The commercially available probiotic (Infloran®), containing Bifidobacterium bifidum (109  CFU/250 mg tablet) and Lactobacillus acidophilus (109  CFU/250 mg tablet), was dispersed within expressed breast milk, sterile water, and infant formula and examined at temperatures of 4 and 21 °C. When stored at 4 °C, significant decreases (P < 0.05) in the level of L. acidophilus and B...
April 2, 2018: European Journal of Pediatrics
https://www.readbyqxmd.com/read/29610624/dyspnea-in-children-as-a-symptom-of-acute-respiratory-tract-infections-and-antibiotic-prescribing
#12
Valentina Risteska-Nejashmikj, Snezhana Stojkovska, Katarina Stavrikj
BACKGROUND: Dyspnea is an unpleasant feeling of breathing difficulty, shortness of breath and inability to satisfy the hunger for air. The role of family physicians is to be prepared to recognise dyspnea as a symptom of acute respiratory infections (ARI), to perform triage and managing of children with acute dyspnea and make continuous education of parents. In the treatment of acute dyspnea more important is to treat dyspnea as a symptom than the prescribing of antibiotics (AB). Nowadays, even more often large amount of children, because of the noncompliance in the treatment and the pressure from the parents, unnecessary is hospitalised and frequently used antibiotics: According to the guidelines, a small percentage of children with ARI should be treated with AB...
March 15, 2018: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/29608131/do-patients-with-different-psychiatric-disorders-show-altered-social-decision-making-a-systematic-review-of-ultimatum-game-experiments-in-clinical-populations
#13
Barbara Hinterbuchinger, Alexander Kaltenboeck, Josef Severin Baumgartner, Nilufar Mossaheb, Fabian Friedrich
BACKGROUND: Impairments in social functioning are a common feature of psychiatric disorders. Game paradigms pose a unique way for studying how people make decisions in interpersonal contexts. In the last decade, researchers have started to use these paradigms to study social decision-making in patients with psychiatric disorders. PURPOSE: The aim of this systematic literature review is to summarise the currently available evidence on the behaviour of patients with psychiatric disorders in the commonly used Ultimatum Game (UG)...
April 2, 2018: Cognitive Neuropsychiatry
https://www.readbyqxmd.com/read/29599688/knowledge-attitude-and-practice-toward-evidence-based-medicine-among-hospital-physicians-in-qassim-region-saudi-arabia
#14
Abdussalam Ali Alshehri, Mohammad Saleh Al-Khowailed, Fahad Mohammed Alnuaymah, Asma Sameer Alharbi, Meaad Saif Alromaihi, Ruba Saleh Alghofaili, Wala'a Saleh Al-Maddallah, Selma Jawad Alqattan, Maytha Abdullah Alyahya
Objectives: To determine the knowledge, attitude, and practice regarding evidence-based medicine (EBM) among hospital physicians in Qassim region of Saudi Arabia. Methods: It is a cross-sectional study. A self-administered questionnaire survey was done among 288 physicians working in secondary and tertiary care centers. The study was conducted between June and September 2015. Results: The overall response rate for the survey was 72%. Majority of the respondents had a positive attitude toward EBM and welcomed the concept...
March 2018: International Journal of Health Sciences
https://www.readbyqxmd.com/read/29595127/redefining-the-e-in-ebm
#15
EDITORIAL
Tom Jefferson, Lars Jørgensen
No abstract text is available yet for this article.
April 2018: BMJ evidence-based medicine
https://www.readbyqxmd.com/read/29562913/human-dental-pulp-stromal-cell-conditioned-medium-alters-endothelial-cell-behavior
#16
M A Gharaei, Y Xue, K Mustafa, S A Lie, I Fristad
BACKGROUND: Angiogenesis is of utmost importance for tissue regeneration and repair. Human dental pulp stromal cells (hDPSCs) possess angiogenic potential, as they secrete paracrine factors that may alter the host microenvironment. However, more insight into how hDPSCs guide endothelial cells (ECs) in a paracrine fashion is yet to be obtained. Therefore, the current study aimed to investigate the effect(s) of conditioned medium derived from hDPSCs (hDPSC-CM) on EC behavior in vitro. METHODS: hDPSCs were harvested from third molars scheduled for surgical removal under informed consent...
March 21, 2018: Stem Cell Research & Therapy
https://www.readbyqxmd.com/read/29558330/integrating-information-literacy-and-evidence-based-medicine-content-within-a-new-school-of-medicine-curriculum-process-and-outcome
#17
Joanne M Muellenbach, Kathryn M Houk, Dana E Thimons, Bredny Rodriguez
This column describes a process for integrating information literacy (IL) and evidence-based medicine (EBM) content within a new school of medicine curriculum. The project was a collaborative effort among health sciences librarians, curriculum deans, directors, and faculty. The health sciences librarians became members of the curriculum committees, developed a successful proposal for IL and EBM content within the curriculum, and were invited to become course instructors for Analytics in Medicine. As course instructors, the librarians worked with the other faculty instructors to design and deliver active learning class sessions based on a flipped classroom approach using a proprietary Information Mastery curriculum...
April 2018: Medical Reference Services Quarterly
https://www.readbyqxmd.com/read/29555415/does-the-use-of-a-pulmonary-artery-catheter-make-a-difference-during-or-after-cardiac-surgery
#18
REVIEW
Corey Joseph, Marie Garrubba, Julian A Smith, Angela Melder
Pulmonary artery catheters (PACs) were introduced in 1970. Since then, their use has steadily increased. However, there have been questions raised regarding their efficacy for multiple clinical scenarios. The purpose of this systematic review was to determine the safety and effectiveness of routine use of PACs post cardiac surgery on mortality, complications, days in intensive care unit, days in hospital, and costs in patients undergoing cardiac surgery, or patients who end up in an intensive care unit. METHODS: Medline, All EBM, Embase and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases were searched using predetermined search terms...
February 21, 2018: Heart, Lung & Circulation
https://www.readbyqxmd.com/read/29554625/ecosystem-based-management-of-coastal-zones-in-face-of-climate-change-impacts-challenges-and-inequalities
#19
REVIEW
Gerson Fernandino, Carla I Elliff, Iracema R Silva
Climate change effects have the potential of affecting both ocean and atmospheric processes. These changes pose serious threats to the millions of people that live by the coast. Thus, the objective of the present review is to discuss how climate change is altering (and will continue to alter) atmospheric and oceanic processes, what are the main implications of these alterations along the coastline, and which are the ecosystem-based management (EBM) strategies that have been proposed and applied to address these issues...
March 16, 2018: Journal of Environmental Management
https://www.readbyqxmd.com/read/29531770/critical-appraisal-of-cardiology-guidelines-on-revascularisation-clinical-practice
#20
REVIEW
David R Dobies, Kimberly R Barber
Evidence-based medicine (EBM) provides clinicians with beneficial information. Nonetheless, study findings are often arbitrary, speculative or provisional. The current state of misleading evidence exists in all applications, including those for guideline recommendations. We conductedan appraisal of the American College of Cardiologyand European Society of Cardiology Guidelines for revascularisation of complex coronary anatomy to determine the veracity of the evidence that recommendations were based on. Study-specific critical appraisals were conducted by the authors on the 5-year Synergy between percutaneous coronary intervention with Taxus and cardiac surgery (SYNTAX) and future revascularisation evaluation in patients with diabetes mellitus: optimal management of multivessel disease (FREEDOM) Trials...
2018: Open Heart
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