Evidence-Based Approach to Evaluate Information Published in the Pathology Literature and Integrate It with Personal Experience

2011 ◽  
pp. 189-201 ◽  
Author(s):  
Alberto M. Marchevsky ◽  
Mark R. Wick
Keyword(s):  
Personal Experience ◽  
Evidence Based

scholarly journals 2nd Mexican Consensus of Endovenous Chemical Ablation (Scleorotherapy) 2018

Phlebologie ◽  
2019 ◽  
Vol 48 (06) ◽  
pp. 377-387
Author(s):  
F. Vega Rasgado ◽  
J. Ángel López Paredes ◽  
J. A. Serralde Gallegos ◽  
D. Bolaños Celaya ◽  
C. Ramírez Cadena ◽  
...  
Keyword(s):  
Latin American ◽  
Personal Experience ◽  
Venous Insufficiency ◽  
Evidence Based ◽  
European Consensus ◽  
Sclerosing Agents ◽  
Venous Diseases ◽  
Chemical Ablation ◽  
Based Medicine ◽  
Methods Of Application

Abstract Background Sclerotherapy has been carried out since 1516 and is accepted and performed worldwide according to many references from books and journals. Mexican doctors participated in other consensuses in order to obtain various agreements, references, methods and procedures that are universally accepted to establish this document, including the European consensus of sclerotherapy 2003 and its last revision in 2006, the Clinical practice guidelines for prevention, diagnosis and treatment of chronic venous insufficiency in 2009 in México, the Argentine and Latin American consensus for sclerotherapy in 2012, European sclerotherapy guidelines in chronic venous diseases of 2013,and various literature sources as well. The first Mexican consensus on sclerotherapy published in January 2014 which was reviewed and updated in this document. Objective Review and update the general bases of Endovenous Chemical Ablation (ECA) also known as Sclerotherapy, according to evidence-based medicine updating the previously published consensus. Method General questions about Endovenous Chemical Ablation (ECA) were established concerning: indications, contraindications, types of sclerosing agents and the concentrations used, patient position, methods of application, way to prepare and preserve the sclerosants, necessary equipment, injection volumes, differents administration ways, compressive therapy and special comments. To answer these questions the existing literature and the topics in which the reports showed uniformity were consulted. A panel of experts was constituted who provided their personal experience, the answers were formulated in the form of clinical guidelines or general recommendations to provide concrete answers to the specific questions, in some issues we include possible accepted variations.

scholarly journals The nature and role of experiential knowledge for environmental conservation

2006 ◽  
Vol 33 (1) ◽  
pp. 1-10 ◽  
Author(s):  
IOAN FAZEY ◽  
JOHN A. FAZEY ◽  
JANET G. SALISBURY ◽  
DAVID B. LINDENMAYER ◽  
STEVE DOVERS
Keyword(s):  
Personal Experience ◽  
Expert Knowledge ◽  
Quantitative Information ◽  
Environmental Conservation ◽  
Experiential Knowledge ◽  
Evidence Based ◽  
Types Of Knowledge ◽  
Conservation Actions ◽  
Types Of Information

Understanding the nature and role of experiential knowledge for environmental conservation is a necessary step towards understanding if it should be used and how it might be applied with other types of knowledge in an evidence-based approach. This paper describes the nature of experiential and expert knowledge. It then discusses the role of experiential knowledge as a complement to scientific knowledge and explains the interplay between experiential knowledge with conservation research and practice using a simple conceptual model of how individuals learn. There are five main conclusions: (1) because experiential knowledge will always play a role in decision-making, enhancing ability to learn from experiences (including research) will have a significant influence on the effectiveness of conservation outcomes; (2) while experiential knowledge is qualitatively very different from quantitative information, both are important and complementary; (3) some experiential knowledge can be expressed quantitatively, but experiential knowledge can be difficult to isolate as single facts or propositions and qualitative methods will therefore often be required to elicit experiential knowledge; (4) because each person's expertise is unique, when using experiential knowledge the extent of a person's experience and its relevance to a particular problem need to be specified; and (5) as with any form of knowledge, there are limitations to that derived from personal experience. Synthesis and communication of research is therefore essential to help prevent erroneous thinking and, where possible, experiential knowledge should be used in conjunction with other types of information to guide conservation actions.

scholarly journals Competences and Barriers for the Evidence-Based Practice in Nursing: an integrative review

2018 ◽  
Vol 71 (4) ◽  
pp. 2030-2038 ◽  
Author(s):  
Fernanda Carolina Camargo ◽  
Helena Hemiko Iwamoto ◽  
Cristina Maria Galvão ◽  
Gilberto de Araújo Pereira ◽  
Raymann Benzi Andrade ◽  
...  
Keyword(s):  
Personal Experience ◽  
Observational Studies ◽  
Evidence Based Practice ◽  
Resistance To Change ◽  
Nursing Assistants ◽  
Integrative Review ◽  
Evidence Based ◽  
Cross Sectional ◽  
Evidence Evaluation ◽  
Evaluation Work

ABSTRACT Objective: To analyze knowledge, attitudes, practices, and frequent barriers to the implementation of the Evidence-Based Practice among nursing assistants in the hospital. Method: This is an integrative review, whose search for primary studies occurred in the PubMed, CINAHL and LILACS databases. For the analysis, cross-sectional observational studies were included in English, Portuguese and Spanish, published in nursing journals, from January 2007 to July 2016. Results: The search resulted in 363 articles, including nine primary studies. The sources of recurrent evidence among care nurses were: personal experience and local care protocols. These professionals presented weaknesses in the implementation of the Evidence-Based Practice related to the lack of knowledge for evidence evaluation, work overload and resistance to change of practice. Final considerations Nurses presented favorable attitudes, however, with little knowledge to perform the Evidence-Based Practice. Results can support interventions for its implementation in the hospital.

scholarly journals How to find the right job or, at least, avoid the failure of choosing the wrong one

2019 ◽  
Vol 15 (2) ◽  
pp. 13-17
Author(s):  
Gerhard Bissels
Keyword(s):  
Personal Experience ◽  
Evidence Based ◽  
Anecdotal Evidence ◽  
The Right

This paper aims to help medical librarians spot potential friction with a would-be employer. This is achieved by naming the most important aspects to focus on while choosing a new position, in order to avoid disappointment in a new role. It summarises anecdotal evidence based on personal experience.

scholarly journals Direct-to-Consumer Genetic Ancestry Testing in Clinical Encounters: Perspectives From Psychotherapy Cases (Preprint)

2020 ◽  
Author(s):  
Caryn Kseniya Rubanovich ◽  
Wendy Zhang ◽  
Cinnamon S Bloss
Keyword(s):  
Genetic Testing ◽  
Personal Experience ◽  
Genetic Ancestry ◽  
Evidence Based ◽  
Future Directions ◽  
Direct To Consumer ◽  
Clinical Encounters ◽  
Health Related

UNSTRUCTURED Despite the fact that direct-to-consumer (DTC) genetic ancestry testing (GAT) has been available for two decades, there is a lack of evidence-based guidance for clinicians who may work with patients who raise the topic of DTC-GAT. Although DTC-GAT accounts for the majority of the DTC genetic testing marketplace, it has received less attention than health-related testing from scientific and clinical communities. Importantly, however, from our personal experience, patients have been raising the topic of DTC-GAT in clinical encounters, including psychotherapy sessions. In this viewpoint, we present two cases of patients seen by two of the authors to raise awareness of this issue. We describe the implications of DTC-GAT for patients and clinicians, offer recommendations, and suggest future directions.

Paediatric Nephrology

2019 ◽  
Author(s):  
Lesley Rees ◽  
Detlef Bockenhauer ◽  
Nicholas J.A. Webb ◽  
Marilynn G. Punaro
Keyword(s):  
Personal Experience ◽  
Best Practice ◽  
The United States ◽  
Evidence Based ◽  
Electrolyte Disorders ◽  
The United Kingdom ◽  
High Quality Evidence ◽  
General Paediatrician ◽  
The Many ◽  
Quality Evidence

This is a comprehensive, clinically orientated guide to the management of children with all forms of renal disease. Its purpose is to be a portable but complete reference for the day-to-day, bedside, and outpatient management of all conditions, either by the general paediatrician in their own hospital, by specialist paediatric nephrologists, or in shared care between general hospitals and specialized centres. Using bullet points and text boxes, it is easy to use, even in an emergency. The focus is principally on investigation and management, but it also includes some pathophysiology in order to enable better understanding of conditions such as fluid and electrolyte disorders in particular. Where possible, evidence-based recommendations are made, though in the many instances where high-quality evidence is lacking, recommendations are made based on the authors’ personal experience and current best practice. The chapters have been written by four authors who are experienced consultants at three large children’s hospitals in the United Kingdom and the United States.

Generation V: Millennial Vegans in Israel

2020 ◽  
Vol 49 (5) ◽  
pp. 564-586
Author(s):  
Liora Gvion
Keyword(s):  
Personal Experience ◽  
Marketing Strategies ◽  
The Political ◽  
Economic Systems ◽  
Evidence Based ◽  
Complex World ◽  
Types Of Information

This study asks how and why veganism becomes a way of constructing generational identities and worldviews. Focusing on Israeli millennial vegans, I argue that veganism enables millennials to constitute a generational mode of thought that differentiates them from preceding generations through three interrelated practices: replacing evidence-based knowledge with other types of information, based on personal experience and consensual agreement among peers; constructing an Israeli identity that shifts commitment from national issues to global ones; and establishing spaces of consumption that operate according to marketing strategies meant to socialize practitioners into becoming critical consumers while participating in a young urban lifestyle. All of these position veganism as a means by which millennials exert control where they can, in an increasingly complex world, while refraining from challenging the political and economic systems.

Sharing elements of effective practice to address earlier signs of family violence

2019 ◽  
Vol 44 (3) ◽  
pp. 182-190 ◽  
Author(s):  
Liz Curran
Keyword(s):  
Family Violence ◽  
Reflective Practice ◽  
Empirical Evidence ◽  
Personal Experience ◽  
Evidence Based ◽  
Effective Practice ◽  
Women And Children

This article explores how, as a society, we might be able to better respond to women and children experiencing family violence. Through the lens of reflective practice as a lawyer, researcher, service evaluator and personal experience this article shares elements of good and effective practice to address earlier the tell-tale signs of family violence and lead to improved responsiveness and client-centred practice. It is shaped not just through a legal lens but also through insights from other disciplines and first-hand experiences of how things need to, and could, improve based upon my recent empirical, evidence-based research.

scholarly journals Knowledge, evidence, expertise? The epistemics of experience in contemporary healthcare

2020 ◽  
Vol 16 (2) ◽  
pp. 267-284
Author(s):  
Fadhila Mazanderani ◽  
Tehseen Noorani ◽  
Farzana Dudhwala ◽  
Zara Thokozani Kamwendo
Keyword(s):  
Personal Experience ◽  
Healthcare Services ◽  
Evidence Based ◽  
Mutual Aid ◽  
Policy And Practice ◽  
User Experiences ◽  
Patient Feedback ◽  
Self Help ◽  
The Status ◽  
Patient Activism

This paper explores how personal experience acquires the status of knowledge and/or evidence in contemporary healthcare contexts that emphasise being both patient-centred and evidence-based. Drawing on a comparative analysis of three case studies ‐ self-help and mutual aid groups; online patient activism; and patient feedback in healthcare service delivery ‐ we foreground: a) the role that different technologies and temporalities play in how experience is turned (or fails to be turned) into knowledge or evidence; b) the role that experts-of-experience, in addition to the more frequently referenced experts-by-experience, play in mediating how, when and why experience is turned into an epistemic resource; and finally, c) how the need to be ‘evidence-based’ remains a persistent, yet at times productive, challenge to how patient and user experiences are incorporated in contemporary healthcare policy and practice. Throughout the paper, we argue that it is necessary to look at both democratic and epistemic imperatives for including patient and service users in healthcare services and policymaking based on their experience.

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