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Lista Ghidurilor pentru maladiile prioritare
Lista Ghidurilor pentru maladiile prioritare

... working within the NHS in England, and providing first contact or primary health care. Patient information from NHS Direct is intended to be printed and given to people with this condition, and the Shared decision making sections are designed to provide a focus for discussion during the consultation ...
Checking semantic consistency: temporal constraints
Checking semantic consistency: temporal constraints

... Checking the consistency of such a set of implicit and explicit constraints is a very hard task, which cannot be performed manually by any expert. On the other hand, within the Artificial Intelligence community, several approaches to perform automatically the propagation of temporal constraints and ...
(NNT)?
(NNT)?

... with the overwhelming amount of data that floods all conscientious clinicians. EBM provides a systematic way for formulating clinical questions, structuring the search for information, and integrating the best available data with a patient’s needs and values to arrive at optimal treatment decisions. ...
Irritable Bowel Syndrome (IBS) Guideline
Irritable Bowel Syndrome (IBS) Guideline

... The American College of Gastroenterology (ACG) Functional Gastrointestinal Disorders Task Force recommended that  physicians should use a broad definition for IBS and defined it as “abdominal discomfort associated with altered bowel  habits” (1).  This task force also concluded that, because the sym ...
Full Topic PDF
Full Topic PDF

... evidence, focusing predominantly on the results of randomized clinical trials and systematic reviews. In the absence of such data, recommendations were based on the results of large cohort studies or smaller clinical studies. Writing group disclosures were listed and revealed that most authors had a ...


... change model ...
Angle-closure glaucomas - Canadian Ophthalmological Society
Angle-closure glaucomas - Canadian Ophthalmological Society

... Laser peripheral iridotomy should almost always be considered to remove the pupil block component in angle closure. It is even indicated in suspected cases of angle closure due to posterior mechanisms or plateau iris appearance in order to eliminate any possible pupillary block component. It is not ...
2016 – 2017 Clinical Practice Guidelines Summary
2016 – 2017 Clinical Practice Guidelines Summary

... * These guidelines are not a statement of benefits. Benefits may vary, and individual coverage, including the terms, limitations, and exclusions, will need to be verified by the plan. For coverage information, please direct patients to contact Customer Service at 1-800-275-2583 (TTY: 711). To order ...
Evidence-based Medicine Workbook
Evidence-based Medicine Workbook

... The flecainide story The history of the use of the drug flecainide to treat heart attacks in the United States in the 1980s is a dramatic example of the gap between research and clinical practice, and the reliance on evidence of a mechanism rather than an outcome. In 1979, the inventor of the defibril ...
Brief Report
Brief Report

... were identified and are summarised in the table below. Six of these, including ACC’s shoulder guideline, are good quality and were developed using recognised evidence based methodologies (i.e. systematic review of literature relating to diagnosis, and consultation with experts). The remaining guidel ...
Therapeutic options - Canadian Ophthalmological Society
Therapeutic options - Canadian Ophthalmological Society

... – preoperative evaluation of the patient by the surgeon, and – frequent postoperative visits (particularly within the first postoperative 12–48 hours) and over the ensuing weeks. Canadian Ophthalmological Society evidence-based clinical practice guidelines for the management of glaucoma in the adult ...
Guideline Newsletter - NHS Greater Glasgow and Clyde
Guideline Newsletter - NHS Greater Glasgow and Clyde

... guidelines met the inclusion criteria: interventions for low back pain stated, recommendations based on or explicitly linked to evidence, and English version available. Guidelines were evaluated independently by two appraisers using a practical tool for this purpose, Users ' Guides to the Medical Li ...
An Introduction to an Evidence-Based Approach to Interventional
An Introduction to an Evidence-Based Approach to Interventional

... circumstances. Clinical practice guidelines present statements of best practice based on a thorough evaluation of the evidence from published studies on the outcomes of treatment. In November 1989, Congress mandated the creation of the Agency for Healthcare Policy and Research (AHCPR). AHCPR was giv ...
6279.02: adult respiratory distress
6279.02: adult respiratory distress

... However, the EHS guidance is advisory and has been developed to assist healthcare professionals, together with patients, to make decisions about the management of the patient’s health, including treatments. It is intended to support the decision making process and is not a substitute for sound clini ...
Clinical issues associated with the use of complementary and alternative medicine chapter 2
Clinical issues associated with the use of complementary and alternative medicine chapter 2

... evidence-based medicine (EBM) sooner rather than later. It promotes the idea that for each form of treatment the evidence regarding clinical effectiveness should be systematically reviewed and the results implemented into practice. However, the relationship between EBM and complementary medicine may ...
Abbreviated-CHAT-asthma-education-PPT
Abbreviated-CHAT-asthma-education-PPT

... related to differences among patients Minimizing variations in practice can improve quality of health care delivery Variation in clinical practice • Variation in beliefs • Variation in interpretation of evidence • Variation in response when evidence is lacking ...
Diagnosis Primary Diagnosis: Secondary Diagnosis: Service
Diagnosis Primary Diagnosis: Secondary Diagnosis: Service

... Perform Digital Cervical Exam Evidence No Digital Cervical Exam Avoid routine perineal shaving Evidence Consider the use of electronic fetal heart rate monitoring (ie, cardiotocography). Evidence For high-risk intrapartum patients, continuous fetal heart rate monitoring should be performed ...
abstracts book - EBHC International Conference 2015
abstracts book - EBHC International Conference 2015

... 33. Smith-Strøm Hilde. Critical appraising of a scientific article. 34. Stern Perry. A student centered journal club enhances skill and behaviors for evidence based practice. 35. Stobart Kent. Can an evidence based medicine intervention be used to teach the rare clinical encounter? 36. Storey Mark. ...
A. UK Guidelines - NHS Greater Glasgow and Clyde
A. UK Guidelines - NHS Greater Glasgow and Clyde

... The British Society for Rheumatology (BSR) Standards, Guidelines and Audit Working Group, in conjunction with the British Society for Antimicrobial Chemotherapy, British Orthopaedic Association, Royal College of General Practitioners and British Health Professionals in Rheumatology, has produced an ...
Grading Strength of Recommendations and Quality of Evidence in
Grading Strength of Recommendations and Quality of Evidence in

... While grading the strength of recommendations and the quality of underlying evidence enhances the usefulness of clinical guidelines, the profusion of guideline grading systems undermines the value of the grading exercise. An American College of Chest Physicians (ACCP) task force formulated the crite ...
A. UK Guidelines - NHS Greater Glasgow and Clyde
A. UK Guidelines - NHS Greater Glasgow and Clyde

... diagnosis and treatment of chronic spinal pain, utilizing all types of evidence and to apply an evidencebased approach, with broad representation by specialists from academic and clinical practices. DESIGN: Study design consisted of formulation of essentials of guidelines and a series of potential e ...
Centre for Philosophy of Natural and Social Science
Centre for Philosophy of Natural and Social Science

... In fact the advocates of RCTs in general, whether explicit EBM-ers or not, tend to hide a much more guarded view behind slogans like those just quoted. The ‘fine print view’ tends to be that, at least under some conditions, some useful and “valid” information can sometimes be gleaned from studies th ...
A Developer`s Guide to Undertaking Rapid Evidence Assessments
A Developer`s Guide to Undertaking Rapid Evidence Assessments

... note that an REA is not designed to drill into the detail of individual studies to the same extent as systematic reviews. Information such as study characteristics, participant characteristics, results and main findings may be extracted. Information can be recorded in a data extraction form, to ensu ...
Choosing the Best Evidence to Guide Clinical Practice: Application
Choosing the Best Evidence to Guide Clinical Practice: Application

... the findings into practice. Evaluation of research generally occurs on 2 levels: rating or grading the evidence by using a formal level-of-evidence system and individually critiquing the quality of the The purpose of determining the level of study. Deter- evidence and then critiquing the study is mi ...
Evidence-based medical practice in the 21st century
Evidence-based medical practice in the 21st century

... ‘Evidence-based medicine (EBM) is a medical movement based upon the application of the scientific method to medical practice, including longestablished existing medical traditions not yet subjected to adequate scientific scrutiny. According to the Centre for Evidence-Based Medicine, “evidence-based ...
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Evidence-based medicine

Evidence-based medicine (EBM) is an approach to medical practice intended to optimize decision-making by emphasizing the use of evidence from well designed and conducted research. Although all medicine based on science has some degree of empirical support, EBM goes further, classifying evidence by its epistemologic strength and requiring that only the strongest types (coming from meta-analyses, systematic reviews, and randomized controlled trials) can yield strong recommendations; weaker types (such as from case-control studies) can yield only weak recommendations. The term was originally used to describe an approach to teaching the practice of medicine and improving decisions by individual physicians about individual patients. Use of the term rapidly expanded to include a previously described approach that emphasized the use of evidence in the design of guidelines and policies that apply to groups of patients and populations (""evidence-based practice policies""). It has subsequently spread to describe an approach to decision making that is used at virtually every level of health care as well as other fields (evidence-based practice).Whether applied to medical education, decisions about individuals, guidelines and policies applied to populations, or administration of health services in general, evidence-based medicine advocates that to the greatest extent possible, decisions and policies should be based on evidence, not just the beliefs of practitioners, experts, or administrators. It thus tries to assure that a clinician's opinion, which may be limited by knowledge gaps or biases, is supplemented with all available knowledge from the scientific literature so that best practice can be determined and applied. It promotes the use of formal, explicit methods to analyze evidence and make it available to decision makers. It promotes programs to teach the methods to medical students, practitioners, and policy makers.
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