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.

scholarly journals TRADE-OFFS BETWEEN EPISTEMIC AND MORAL VALUES IN EVIDENCE-BASED POLICY

2018 ◽  
Vol 35 (1) ◽  
pp. 49-78 ◽  
Author(s):  
Donal Khosrowi
Keyword(s):  
Controlled Trials ◽  
Evidence Based ◽  
Epistemic Values ◽  
High Quality ◽  
Political Values ◽  
Randomized Controlled ◽  
High Quality Evidence ◽  
Evidence Based Policy ◽  
Trade Offs ◽  
Quality Evidence

Abstract:Proponents of evidence-based policy (EBP) call for public policy to be informed by high-quality evidence from randomized controlled trials. This methodological preference aims to promote several epistemic values, e.g. rigour, unbiasedness, precision, and the ability to obtain causal conclusions. I argue that there is a trade-off between these epistemic values and several non-epistemic, moral and political values. This is because the evidence afforded by standard EBP methods is differentially useful for pursuing different moral and political values. I expand on how this challenges ideals of value-freedom and -neutrality in EBP, and offer suggestions for how EBP methodology might be revised.

BMJ Best Practice

2021 ◽  
Vol 22 (3) ◽  
pp. 18-22
Author(s):  
Jamie Saragossi
Keyword(s):  
Health Care Services ◽  
Best Practice ◽  
Drug Information ◽  
Point Of Care ◽  
The United States ◽  
Evidence Based ◽  
End User ◽  
Quality Research ◽  
Care Services ◽  
Clinical Topic

BMJ Best Practice is an evidence-based point of care tool that helps support clinical decisions by providing the latest and highest quality research available to clinicians. The target audience for this resource is anyone delivering health care services. Currently, BMJ Best Practice is available as an institutional subscription in the United States. The resource includes clinical summaries based on the latest evidence, drug information, clinical calculators, evidence-based tool kits, and patient leaflets. The content provided goes through a rigorous editorial process by expert reviewers who have been required to disclose any financial conflicts. This process can however be relatively time consuming therefore updates that do not pose an immediate harm to patient care could potentially take anywhere from 1 to 3 months to be reflected in the clinical topic overviews. Overall, the tools and content provided on the platform are reliable and easy to navigate for the end user.

Clinical studies of incidental intracranial meningiomas—towards high-quality evidence-based practice

2020 ◽  
Vol 162 (3) ◽  
pp. 673-674
Author(s):  
Abdurrahman I. Islim ◽  
Christopher P. Millward ◽  
Kirsty J. Martin-McGill ◽  
Ruwanthi Kolamunnage-Dona ◽  
Thomas Santarius ◽  
...  
Keyword(s):  
Clinical Studies ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
High Quality ◽  
High Quality Evidence ◽  
Intracranial Meningiomas ◽  
Quality Evidence

Addressing the information needs of older patients

2002 ◽  
Vol 12 (1) ◽  
pp. 5-11 ◽  
Author(s):  
Matthew Harris ◽  
Antony Bayer ◽  
Win Tadd
Keyword(s):  
Therapeutic Intervention ◽  
Older Patients ◽  
Information Needs ◽  
Clinical Governance ◽  
Reliable Information ◽  
Evidence Based ◽  
High Quality ◽  
High Quality Evidence ◽  
Risk Framework ◽  
Quality Evidence

The availability of high-quality, evidence-based, clearly communicated, user-focused information is central to the new NHS. Reliable information empowers patients and their families and enables them to become more knowledgeable about their care and condition following consultation and diagnosis or before a therapeutic intervention. It is an integral part of clinical governance and the clinical risk framework.

Whose Territory is it Anyway? Should Psychiatry own Alcohol and Drugs in Australia?

1994 ◽  
Vol 28 (3) ◽  
pp. 375-377 ◽  
Author(s):  
Alex Wodak
Keyword(s):  
World Health Organisation ◽  
The United States ◽  
World Health ◽  
Improve Treatment ◽  
The United Kingdom ◽  
Alcohol And Drugs ◽  
The World ◽  
The Subject ◽  
The Many ◽  
Drug Problems

Surely alcohol and drug matters in Australia should be regarded as the province of psychiatry? Decades before any other branch of medicine displayed any interest in the subject and long before alcohol and drugs were considered even remotely respectable, numerous Australian psychiatrists provided inspiration and leadership in this Cinderella field. Drs Bartholomew, Bell, Buchanan, Chegwidden, Dalton, Drew, Ellard, Lennane, Milner, Milton, Waddy and Pols are some of the best known among the many Australian psychiatrists who pioneered efforts to improve treatment for patients with alcohol and drug problems. The NHMRC Committee on Alcohol and Drug Dependence, which has a considerable potential for influencing the field in Australia, has always been dominated by psychiatrists. In the United Kingdom and the United States, countries which often serve as models for much of Australian medical and other practice, alcohol and drug matters are determined almost exclusively by psychiatrists. Is there any evidence that they have been held back by a psychiatric hegemony on alcohol and drug's? For many decades (and until quite recently), alcohol and drug matters were handled for the World Health Organisation by its Mental Health Division. Did we suffer globally because WHO placed alcohol and drugs under the control of psychiatry?

Organizing and delivering treatment for ADHD

2018 ◽  
Author(s):  
David Coghill ◽  
Marina Danckaerts
Keyword(s):  
Treatment Initiation ◽  
Careful Consideration ◽  
Routine Clinical Practice ◽  
Evidence Based ◽  
High Quality ◽  
Children With Adhd ◽  
High Quality Evidence ◽  
Ongoing Care ◽  
Evidence Based Guidelines ◽  
Quality Evidence

Following diagnosis, all children with ADHD will require some form of intervention, and most will require treatment over a relatively prolonged period of time. Whilst there are now several high-quality evidence-based guidelines for the management of ADHD, these are often difficult to operationalize into routine clinical practice and as a consequence studies report considerable variations in care at local, national, and international levels. We describe a structured, but flexible, approach to the organization and delivery of ADHD treatments that aims to optimize care and reduce variation in practice. This pathway pays particular attention to optimizing care through careful consideration of the initial targets for treatment and choice of first treatment, initiation and titration of medication treatments, monitoring ongoing care and identifying adverse events, and the adjustment and switching of treatments when outcomes are not optimal.

Asthma guidelines: which is the best of three?

2020 ◽  
Vol 31 (8) ◽  
pp. 344-351
Author(s):  
Andrew Booth
Keyword(s):  
Health Professional ◽  
Evidence Based ◽  
High Quality ◽  
Pharmacological Management ◽  
International Guidelines ◽  
Diagnosis And Management ◽  
Asthma Guideline ◽  
High Quality Evidence ◽  
The Uk ◽  
Quality Evidence

Andrew Booth offers a comprehensive look into national and international guidelines surrounding the diagnosis and management of asthma National and international guidelines provide evidence-based advice on the diagnosis and management of asthma. There are now three potential asthma guidelines to follow, each taking its own unique, and sometimes conflicting direction, creating a total of over 700 pages of high-quality evidence. A puzzle is thus presented to the busy health professional: which guideline do I follow? This article compares and contrasts two national and one international asthma guideline, focusing particularly on diagnosis and pharmacological management. Mortality from asthma is increasing in the UK, making the need for a conjoined guideline more urgent than ever.

scholarly journals Evidence-Based Comparison of Robotic and Open Radical Prostatectomy

2010 ◽  
Vol 10 ◽  
pp. 2228-2237 ◽  
Author(s):  
William T. Lowrance ◽  
Tatum V. Tarin ◽  
Shahrokh F. Shariat
Keyword(s):  
Cost Effectiveness ◽  
Radical Prostatectomy ◽  
Radical Retropubic Prostatectomy ◽  
Evidence Based ◽  
High Quality ◽  
Robotic Assisted ◽  
Retropubic Prostatectomy ◽  
Open Radical Prostatectomy ◽  
High Quality Evidence ◽  
Quality Evidence

The rapid adoption of robotic-assisted laparoscopic radical prostatectomy (RALP) has occurred despite a lack of high-quality evidence demonstrating its oncologic advantages, safety, or cost effectiveness compared with open radical retropubic prostatectomy (ORP). This review examines the current literature comparing ORP and RALP, focusing on perioperative, oncologic, functional, and economic outcomes.

The Response to Acquired Brain Injury in the United Kingdom: A Comparative Review

2019 ◽  
Vol 33 (2) ◽  
pp. 112-125
Author(s):  
Sophie Vivien Foster ◽  
Charles Edmund Degeneffe
Keyword(s):  
United Kingdom ◽  
Brain Injury ◽  
Best Practice ◽  
Acquired Brain Injury ◽  
The United States ◽  
The United Kingdom ◽  
Comparative Review ◽  
The Us ◽  
Care Systems ◽  
History Of

Background and ObjectiveThis article compares the policy, care systems, and legislation surrounding acquired brain injury (ABI) in the United Kingdom (UK) and the United States (US). Consistent with their shared histories, many similarities in terms of culture, language, and politics, and their history of cooperative relations in military and diplomatic efforts, the US and UK have taken similar approaches toward meeting the needs of persons with ABI and their family caregivers. However, important distinctions exist.Method and FindingsThrough a comprehensive narrative review, the article describes both common as well as distinct aspects of the system of ABI services from acute care through to long-term community rehabilitation.ConclusionsThe article concludes by discussing areas of potential collaboration in research, services, policy, and training to advance best practice approaches in both nations.

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