... the evidence that is available, and to too few incentives and decision supports for evidence- basedcare Pressing need for evidence development More and better evidence including comparative and ... Meeting of the Institute of Medicine (IOM) Entitled Evidence- Based Medicine and the Changing Nature of Health Care, this meeting was held on October 8, 2007, and focused on the potential of evidence- based ... Defining and introducing value in health care, Michael E Porter, 161 References, 172 Appendixes A Meeting Agenda B Biographical Sketches of Principals C IOM Roundtable on Evidence- Based Medicine...
... between nursing staff in nursing homes and homebased care with respect to pain intensity in the lumbar spine In the cervical spine, pain intensity was lower for staff in nursing homes In both groups, ... findings in the lumbar spine, 10 were significantly more often abnormal in staff active in nursing homes than in home care (Table 3) The findings were mostly functional restrictions (including ... nursing staff, by care setting Nursing homes n = 1126 % Home care n = 264 % p-value1 Back pain on the examination day2 - in the lumbar spine - in the cervical spine 18 11 16 n.s
... coaching was identified as an important innovation in improving 'knowledge on the spot', especially in initiating and adapting insulin therapy 'The extra coaching was unique to this project and ... control 'Evidence- based medicine is a relative term something might be evidence- based, but I have in mind other parameters that are much more important In my alternative point of view, I not care ... in the interview and were replaced by the GP next in line In a post-hoc analysis, we found that few new themes were emerging after about 17 interviews, making it unnecessary to continue the interviewing...
... further increased to 10-3 – 10-4 (while retaining specificity) by lowering the annealing temperature to 60°C and increasing the number of PCR cycles but at the expense of a stronger 657 bp sideband ... tested in serial dilutions of cell lines Deltaretrovirus PCR tested in serial dilutions of cell lines Cell line DNA was diluted in genomic DNA from healthy individuals A: cell line Mo T (HTLV-II-infected), ... (HTLV-II-infected), B: cell line MJ (HTLV-I-infected), C: cell line BL3.1 (BLV-infected) First and last lane in every gel: φX174/Hae III size standard (QIAGEN, Hilden/Germany) No cell line harboring STLV-III,...
... including total-body skin examination and counselling to perform skin self-examination? What characteristics should clinicians assess in order to determine risk for melanoma, basal cell carcinoma, ... health care provider trained in screening for skin cancers The general population not at increased risk of skin cancer There is at this time no evidence for or against skin cancer screening of ... skin cancer (i.e., those not included in the increased risk groups described above) Based on the limited evidence available at present, routine counselling on skin selfexamination by primary care...
... essential in seeking better care The practice of EBHC has three main components: generating evidence; seeking and combining (or ‘synthesising’) all evidence, new and old; and disseminating and using ... therapies, evidence- based health care is another umbrella term which includes evidence- based medicine, evidence- based nursing and evidence- based mental health, as well as evidence- based practice, evidence- based ... of randomised clinical trials or systematic reviews); The drive towards evidence- based health care 19 Box 2.1 Journals and databases Evidence- Based Medicine Evidence- Based Nursing Evidence- Based...
... family members and caregivers respectfully standing by Examining the place of birth is helpful in developing an understanding of a society’s approach toward maternity care Beginning this book ... discipline in medicine where something happens by itself, and, in most cases, with no intervention, everything ends well Thinking about this incident, Kloosterman concluded: “Obstetrics is wider and ... attitude is found in the United Kingdom—with its strong emphasis on randomized clinical trials andin the Netherlands—where the government has invested much money in researching and supporting midwife-assisted...
... teacher quality and measurable characteristics such as training and experience is limited and ambiguous (e.g., Rockoff 2004; Rivkin, Hanushek, and Kain 2005; Aaronson, Barrow, and Sander 2007) By ... of specialized teacher training and experience However, the inclusion of an essay exam in our study revealed the novel finding that teachers’ undergraduate training in economics enhanced student ... Experience: Examining the Evidenceand Policy Implications.” CALDER Policy Brief 11 Washington, DC: The Urban Institute Rivkin, Steven G., Eric A Hanushek and John F Kain 2005 “Teachers, Schools and Academic...
... differences in the definition of insurance groups, including the level of the insurance premia and who has to pay these, in the guaranteed payments for total and partial invalidity andin additional ... Full invalidity: from 40% Slovenia No independent insurance Risks are covered by sickness, invalidity and dependent insurance All employees; Students, trainees, handicapped persons during training, ... ease, in Slovakia the fourth most frequent andin Latvia the sixth most frequent In contrast, in Poland 4.8% of all registered occupational diseases are skin diseases, in Estonia about 2.6% and in...
... domains of caregiving and caregiver psychic distress on the one hand, and Page of 11 caregiver’s/patient’s socio-demographic characteristics, clinical features and indices of quality of care, on ... the caregiving role results in strain for the family caregiver The impact of caregiving on the caregiver depends on the characteristics of the patient, the caregiver, their relationship and the ... IEQ-EU domains of caregiving experience and associated factors [12] The highlights of our findings are that, the pattern of associations with domains of caregiving share similarities and differences...
... study was two-fold: to examine patterns of careandoutcomes for patients with SS and HIV/AIDS; and to assess differences in patterns of careandoutcomes for those with SS and HIV/AIDS versus those ... patients receiving carein the ICU [7,8,10,41-43] but, rather, includes all patients with severe sepsis regardless of site of care within the acute care hospital thus permitting examination and comparison ... of careandoutcomesin patients with and without HIV/AIDS with similar serious disease processes Conclusion In conclusion, we found a difference incareand outcome for patients with SS and...
... guidelines - including many of those in the present discussion - must remain fairly broad in order to accommodate controversial and divergent points of view Accordingly, the European guideline ... they continue to regroup regularly in order to refine these recommendations further as permitted by the evolving evidence Competing interests The author declares that they have no competing interests ... Critical Care Vol 11 No Minei recommendation from the bleeding management guideline states that, ‘We recommend that patients presenting with haemorrhagic shock and an identified source of bleeding...
... acquisition and interpretation GI was involved in data acquisition and interpretation, and manuscript drafting SB and AB were involved in data acquisition AF was involved in data interpretation and manuscript ... is evidence that blood lactate levels during the ICU stay are initially higher in pediatric patients receiving a bloodless priming solution than in those receiving a blood-containing priming ... obtained and maintained using antegrade intermittent blood cardioplegia After completion of the CPB and removal of the cannulas, heparin was reversed using protamine sulfate at a 1:1 ratio During...
... to probe in detail but also evinced personal interest in editing, scrutinizing and correcting my thesis and this herculean task cannot be simply acknowledged by mere words I profusely in debt ... occasions of family outings, gatherings and functions I like to thank my parents, my pillars of confidence and my mother in law for providing a calm and peaceful atmosphere while working on my project ... Paralleling the increase of resistance amongst Gram-positive bacteria, resistant Gram-negative bacteria have increased and are of grave concern with a dwindling pipeline of new antibiotics Intensive...
... Implementing evidence- based interventions in a healthcare provider organization is a challenging endeavor, requiring changes in attitudes, beliefs and behavior [1] Mandating change may be a seemingly ... an initiative for developing and spreading collaborative care models for depression within VHA primary care practices [15] In collaborative care models for depression, shown in Figure 1, a care ... leaders, clinicians, and operations staff to implement appropriate evidence- based practices into routine clinical care They work within distinct disease- or condition-specific QUERI Centers and utilize...
... diabetologist (opinion leader): Evidencebased guidelines Evidence- based guidelines and principles of shared care The use of insulin The use of insulin Patient-centered counseling Peer review Standard ... non-adherence to evidence- based guidelines and to reduce 'clinical inertia' in primary care physicians [2123] Clinical inertia is defined as a lack of treatment initiation or intensification in a patient ... to evidencebased guidelines and to reduce the rate of clinical inertia in PCPs The term 'usual' is applied because these interventions address the principal factors contributing to clinical inertia...