Supporting Evidence-Based Endocrine Practice

2007 ◽  
pp. 87-100
Author(s):  
Steven A. Smith ◽  
Geoffrey S. Gates
Keyword(s):  
Evidence Based ◽  
Supporting Evidence

scholarly journals Antibiotic Use in Hand Surgery: Surgeon Decision Making and Adherence to Available Evidence

Hand ◽  
2018 ◽  
Vol 15 (4) ◽  
pp. 534-541 ◽  
Author(s):  
John C. Dunn ◽  
Kenneth R. Means ◽  
Sameer Desale ◽  
Aviram M. Giladi
Keyword(s):  
Antibiotic Prophylaxis ◽  
Hand Surgery ◽  
Antibiotic Use ◽  
Demographic Variables ◽  
Fisher Exact Test ◽  
Evidence Based ◽  
Supporting Evidence ◽  
Exact Test ◽  
Preoperative Antibiotic Prophylaxis ◽  
Group 1

Background: There are no clearly defined guidelines from hand surgical societies regarding preoperative antibiotic prophylaxis. Many hand surgeons continue to routinely use preoperative prophylaxis with limited supporting evidence. This study aimed to determine for which scenarios surgeons give antibiotics, the reasons for administration, and whether these decisions are evidence-based. Methods: An anonymous 25-question survey was e-mailed to the 921-member American Society for Surgery of the Hand listserv. We collected demographic information; participants were asked whether they would administer antibiotics in a number of surgical scenarios and for what reasons. Respondents were broken into 3 groups based on when they said they would administer antibiotics: Group 1 (40 respondents) would give antibiotics in the case of short cases, healthy patients, without hardware; group 2 (9 respondents) would not give antibiotics in any scenario; and group 3 (129 respondents) would give antibiotics situationally. The Fisher exact test compared demographic variables, frequency of use, and indications of antibiotic prophylaxis. Results: Of the 921 recipients, 178 (19%) responded. Demographic variables did not correlate with the antibiotic use group. Operative case time >60 minutes, medical comorbidity, and pinning each increased antibiotic use. Group 1 respondents were more likely to admit that their practice was not evidence-based (74.4%) and that they gave antibiotics for medical-legal concern (75%). Twenty-two percent of respondents reported seeing a complication from routine prophylaxis, including Clostridium difficile infection. Conclusions: Antibiotics are still given unnecessarily before hand surgery, most often for medical-legal concern. Clear guidelines for preoperative antibiotic use may help reduce excessive and potentially inappropriate treatment and provide medical-legal support.

Supporting Evidence-Based Design

2010 ◽  
pp. 151-165 ◽  
Author(s):  
Ricardo Codinhoto ◽  
Bronwyn Platten ◽  
Patricia Tzortzopoulos ◽  
Mike Kagioglou
Keyword(s):  
Evidence Based ◽  
Supporting Evidence

An Evidence-Based Health Information System Theory

2011 ◽  
pp. 1994-2011
Author(s):  
Daniel Carbone
Keyword(s):  
Information Systems ◽  
Systems Theory ◽  
Health Information ◽  
Health Sector ◽  
Health Information System ◽  
Building Blocks ◽  
Evidence Based ◽  
Supporting Evidence ◽  
The Common ◽  
Is Theory

The aim of this chapter is to bridge the gap between what is known about IS theory and the specifics characteristics of health to develop an evidence based health information systems theory. An initial background first sets the significance for the need to have a solid information systems theory in health and then argues that neither the information systems literature nor the health sector have been able to provide any satisfactory pathway to facilitate the adoption of information systems in health settings. The chapter further continues by reviewing the common pathway to develop information systems theory and the knowledge foundations used in the process, and then proceeds to highlight how this theory was developed. Subsequently, the building blocks (constructs, premises, supporting evidence and conclusions) that underpins the constructs and a brief explanation of the relationships between them is included. A discussion and limitation section is then followed by a conclusion.

Music and mindfulness meditation: Comparing four music stimuli composed under similar principles

2020 ◽  
pp. 030573562096979
Author(s):  
Eugenia Hernandez-Ruiz ◽  
Abbey L Dvorak
Keyword(s):  
Repeated Measures ◽  
Mixed Model ◽  
Mindfulness Meditation ◽  
New Music ◽  
Original Music ◽  
Evidence Based ◽  
Supporting Evidence ◽  
Significant Preference ◽  
Repeated Measures Analysis ◽  
Significant Difference

Mindfulness meditation has frequently used sound and music as an important component. However, research on effective music stimuli is scarce. After a series of studies evaluating the most effective, useful, and preferred auditory stimuli, we were interested in exploring whether these effective musical features were transferred to new music. In this study, we evaluate our original music stimuli with three new stimuli composed under similar principles. Non-musician and musician participants ( N = 114) in a multisite study evaluated their mindfulness state after listening to four music stimuli, and rated their usefulness and preference. Results from a repeated-measures analysis of variance (ANOVA) at each site indicated no significant difference in mindfulness effectiveness. Friedman’s ANOVAs for the usefulness of the music stimuli showed similar non-significant results in both sites. A mixed model among sites did not show significant differences among groups. Preference rankings were not significantly different for non-musicians, but musicians did show a statistically significant preference of the Original stimuli over Stimulus 2, probably due to sound quality. These results indicate the feasibility of transferring previously researched and effective musical features to new stimuli. Identifying the effective “active ingredients” of music interventions may be one way of supporting evidence-based practice in music therapy.

Standards for the Management of Open Fractures

2020 ◽  
Keyword(s):  
Soft Tissue Injuries ◽  
Open Fractures ◽  
Evidence Based ◽  
Supporting Evidence ◽  
Blast Injuries ◽  
Psychological Care ◽  
Lower Limb Injuries ◽  
Nice Guidelines ◽  
Limb Injuries ◽  
Key Aspects

Standards for the Management of Open Fractures provides an evidence-based approach for the management of open fractures, focusing on lower limb injuries. It builds on and expands the National Institute for Health and Care Excellence (NICE) Guidelines to provide a practical approach with supporting evidence. The new edition has been extensively updated and expanded to include key aspects of management, ranging from setting up an orthoplastic service, through to dealing with bone and soft tissue injuries, including in young and older people, patient rehabilitation and psychological care, blast injuries, as well as complications such as infection. The book provides an important resource for orthopaedic and plastic surgeons managing patients with these challenging injuries.

Exploring the Real World: Medical Librarians' Involvement in Supporting Evidence-Based Medicine (EBM) Practice

2013 ◽  
Author(s):  
Ping Li ◽  
Lin Wu
Keyword(s):  
Data Analysis ◽  
Survey Data ◽  
Real World ◽  
Evidence Based Medicine ◽  
Online Survey ◽  
Evidence Based ◽  
Supporting Evidence ◽  
The Real ◽  
Based Medicine

This paper reports the results of an online survey that explores medical librarians’ roles and activities in supporting EBM practice. More than 500 medical librarians replied to the survey. Data analysis reveals that librarians have been taking on various EBM-related responsibilities both routine by nature and project-related.Cet article présente les résultats d’un sondage en ligne portant sur les rôles et les activités des bibliothécaires du domaine des sciences de la santé pour soutenir les pratiques de médecine fondée sur les preuves (MFP). Plus de 500 bibliothécaires ont répondu au sondage. L’analyse des données révèlent que ces bibliothécaires ont participé à des activités routinières et à des projets relevant du domaine de la MFP. 

scholarly journals The Juggling Act of Supervision in Community Mental Health: Implications for Supporting Evidence-Based Treatment

2017 ◽  
Vol 44 (6) ◽  
pp. 838-852 ◽  
Author(s):  
Shannon Dorsey ◽  
Michael D. Pullmann ◽  
Suzanne E. U. Kerns ◽  
Nathaniel Jungbluth ◽  
Rosemary Meza ◽  
...  
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Evidence Based ◽  
Supporting Evidence ◽  
Evidence Based Treatment ◽  
Health Implications
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