scholarly journals Evidence-Based Chinese Medicine for Hypertension

2013 ◽  
Vol 2013 ◽  
pp. 1-12 ◽  
Author(s):  
Jie Wang ◽  
Xingjiang Xiong
Keyword(s):  
Chinese Medicine ◽  
Tai Chi ◽  
Clinical Evidence ◽  
Poor Quality ◽  
Evidence Based ◽  
Hypertensive Patients ◽  
Primary Endpoints ◽  
Potential Benefits ◽  
Public Health Challenge

Hypertension is an important worldwide public -health challenge with high mortality and disability. Due to the limitations and concerns with current available hypertension treatments, many hypertensive patients, especially in Asia, have turned to Chinese medicine (CM). Although hypertension is not a CM term, physicians who practice CM in China attempt to treat the disease using CM principles. A variety of approaches for treating hypertension have been taken in CM. For seeking the best evidence of CM in making decisions for hypertensive patients, a number of clinical studies have been conducted in China, which has paved the evidence-based way. After literature searching and analyzing, it appeared that CM was effective for hypertension in clinical use, such as Chinese herbal medicine, acupuncture, moxibustion, cupping, qigong, and Tai Chi. However, due to the poor quality of primary studies, clinical evidence is still weak. The potential benefits and safety of CM for hypertension still need to be confirmed in the future with well-designed RCTs of more persuasive primary endpoints and high-quality SRs. Evidence-based Chinese medicine for hypertension still has a long way to go.

scholarly journals The Use of Evidence-Based Acupuncture: Current Evidence

2022 ◽  
Author(s):  
Dedi Ardinata
Keyword(s):  
Clinical Evidence ◽  
Scientific Evidence ◽  
Current Evidence ◽  
Systematic Research ◽  
Evidence Based ◽  
Clinical Expertise ◽  
Quality Of Evidence ◽  
Assessment Development ◽  
Evidence Quality

Evidence-based medicine (EBM), which emphasizes that medical decisions must be based on the most recent best evidence, is gaining popularity. Individual clinical expertise is combined with the best available external clinical evidence derived from systematic research in the practice of EBM. The key and core of EBM is the hierarchical system for categorizing evidence. The Grading of Recommendations, Assessment, Development and Evaluations (GRADE) system divides evidence quality into four categories: high, moderate, low, and very low. GRADE is based on the lowest quality of evidence for any of the outcomes that are critical to making a decision, reducing the risk of mislabeling the overall evidence quality, when evidence for a critical outcome is lacking. This principle is also used in acupuncture as a complementary and integrative treatment modality, but incorporating scientific evidence is more difficult due to a number of factors. The goal of this chapter is to discuss how to establish a clinical evidence system for acupuncture, with a focus on the current quality of evidence for a variety of conditions or diseases.

scholarly journals Methods for evaluating the quality of information on health websites: Systematic Review (2001-2014)

2021 ◽  
Vol 3 (3) ◽  
pp. 994-1056
Author(s):  
Rodolfo Paolucci ◽  
André Pereira Neto
Keyword(s):  
Systematic Review ◽  
Health Information ◽  
Evaluation Criteria ◽  
Developed Countries ◽  
Poor Quality ◽  
Evidence Based ◽  
Methodological Framework ◽  
Quality Of Information ◽  
Information Updating

The Internet is a major source of health information, but the poor quality of the information has been criticized for decades. We looked at methods for assessing the quality of health information, updating the findings of the first systematic review from 2002. We searched 9 Health Sciences, Information Sciences, and multidisciplinary databases for studies. We identified 7,718 studies and included 299. Annual publications increased from 9 (2001) to 53 (2013), with 89% from developed countries. We identified 20 areas of knowledge. Six tools have been used worldwide, but 43% of the studies did not use any of them. The methodological framework of criteria from the first review has been the same. The authors were the evaluators in 80% of the studies. This field of evaluation is expanding. No instrument simultaneously covers the evaluation criteria. There is still a need for a methodology involving experts and users and evidence-based indicators of accuracy.

Design for Automatic Cone-Shaped Dynamic Traditional Chinese Medicine Extraction Equipment

2011 ◽  
Vol 50-51 ◽  
pp. 363-367
Author(s):  
Bo Liu ◽  
Hai Ning Wang
Keyword(s):  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
High Efficiency ◽  
Extraction Process ◽  
Poor Quality ◽  
Structure Design ◽  
Innovation Research ◽  
Extraction Equipment ◽  
Process Structure

In order to solve the low automatic degree and poor quality of extract production to traditional Chinese medicine, a new automatic cone-shaped dynamic traditional Chinese medicine extraction equipment is designed. This equipment has innovation research in extraction process, structure design aspects, to achieve high efficiency, saving energy and automatic extraction purpose.

Quality Assessment of Economic Evaluations of Suicide and Self-Harm Interventions

Crisis ◽  
2018 ◽  
Vol 39 (2) ◽  
pp. 82-95 ◽  
Author(s):  
Lizell Bustamante Madsen ◽  
Michael Eddleston ◽  
Kristian Schultz Hansen ◽  
Flemming Konradsen
Keyword(s):  
Cost Effective ◽  
Poor Quality ◽  
Economic Evaluations ◽  
Global Public Health ◽  
Quality Appraisal ◽  
Public Health Challenge ◽  
Self Harm ◽  
Harm Prevention ◽  
Appraisal Tool

Abstract. Background: Death following self-harm constitutes a major global public health challenge and there is an urgent need for governments to implement cost-effective, national suicide prevention strategies. Aim: To conduct a systematic review and quality appraisal of the economic evaluations of interventions aimed at preventing suicidal behavior. Method: A systematic literature search was performed in several literature databases to identify relevant articles published from 2003 to 2016. Drummond's 10-item appraisal tool was used to assess the methodological quality of the included studies. Results: In total, 25 documents encompassing 30 economic evaluations were included in the review. Of the identified evaluations, 10 studies were found to be of poor quality, 14 were of average quality, and six studies were considered of good quality. The majority of evaluations found the interventions to be cost-effective. Limitations: Several limitations were identified and discussed in the article. Conclusion: A notable few economic evaluations were identified. The studies were diverse, primarily set in high-income countries, and often based on modeling, emphasizing the need for more primary research into the topic. The discussion of suicide and self-harm prevention should be as nuanced as possible, including health economics along with cultural, social, and political aspects.

scholarly journals Knowledge Transfer in Surgery: Skills, Process and Evaluation

2007 ◽  
Vol 89 (8) ◽  
pp. 749-753 ◽  
Author(s):  
Martin Dawes ◽  
Marko Lens
Keyword(s):  
Health Care ◽  
Knowledge Transfer ◽  
Clinical Evidence ◽  
Essential Element ◽  
Routine Clinical Practice ◽  
Evidence Based ◽  
Literature Teaching ◽  
Based Medicine ◽  
Practice Skills

INTRODUCTION Knowledge transfer is an essential element in the management of surgical health care. In a routine clinical practice, surgeons need to make changes to the health care they provide as new clinical evidence emerges. MATERIALS AND METHODS The information was derived from the authors' experience and research in evidence-based practice, searching of the literature, teaching and organisation of various national and international workshops on evidence-based medicine. DISCUSSION This manuscript discusses principles of knowledge transfer in surgery including evaluation of recommended changes that can improve quality of health care in routine surgical practice. Skills, process and evaluation are carefully described. Continuous information delivery is required to enable surgeons to improve knowledge transfer and to keep up to date their knowledge.

scholarly journals 688 Cancellation Rate of Prostate Template Biopsy: Are There Any Merits to Implementing Pre-Operative Bowel Preparations?

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
P Lim ◽  
A Damola ◽  
I Apakama
Keyword(s):  
George Eliot ◽  
Poor Quality ◽  
Routine Practice ◽  
Improvement Project ◽  
Transperineal Prostate Biopsy ◽  
Cancellation Rate ◽  
Potential Benefits ◽  
Bowel Prep ◽  
Bowel Preparations

Abstract Introduction The aim of this quality improvement project was to analyse the cancellation rates of the template biopsy done at the George Eliot Hospital. The focus was mainly on those due to poor bowel prep whereby manual evacuations have failed. Locally we have sometimes noted the failure rate of transperineal prostate biopsy as a result of the poor quality of the ultrasound due to inadequately evacuated rectum. Unfortunately, there are very limited studies which have looked into this issue hence the significance of this problem is not universally acknowledged. Method Retrospective review of all the template biopsies that were planned from April 2019 to April 2020 using the operation notes and local theatre management software. Results There was a total of 105 planned template biopsies from April 2019 to April 2020. 72 cases were attempted and within this, 7 of these cases required manual evacuations in which 3 resulted in abandonment of procedure. There were 33 cases which were cancelled due various other reasons. Conclusions The results showed that the failure rates due to poor bowel prep were not significant (4%). Based on these findings we have decided not to proceed with the implementation of pre-operative bowel prep with phosphate enema as we felt that the potential benefits were not enough for it be initiated as a routine practice. We aim to address the other reasons identified for cancellations.

scholarly journals Review of Recent Rehabilitation Techniques for Fall Prevention in Parkinson’s Disease

2021 ◽  
pp. 184-192
Author(s):  
R. Shruthi ◽  
K. M. Krishnaprasad
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Fall Prevention ◽  
Tai Chi ◽  
Data Extraction ◽  
Poor Quality ◽  
The Past ◽  
Negative Results ◽  
Electronic Data Base

Background: Recurrent falls are a common phenomenon in Parkinson’s disease (PD) patients which leads to increased healthcare costs, poor quality of life, and caregiver burden. Through suitable exercise training fall in PD patients can be prevented or minimized. Aim of this review was to provide recent information of different intervention strategies to prevent falls in PD. Methodology: Electronic data base such as PubMed and Scopus indexed journals were searched from the past five year to retrieve recent evidence. Keywords such as Parkinson’s disease, fall prevention and rehabilitation were used. Only Systematic review and RCT were added for the higher-level evidence data extraction. Conclusion: Eexercise-based program and Tai chi were found to have positive evidences for preventing falls in PD patients. However, various mechanism behind the fall in PD as well as worsening of the symptoms as the result of disease progression may be the reason behind the negative results of some of the intervention.

Patient’s perspective and awareness of materials used in dentistry

2020 ◽  
pp. 1-10
Author(s):  
Muhammad Sajid ◽  
Asfia Saeed ◽  
Yousaf Athar ◽  
Sohrab Khan ◽  
Usman Anwer Bhatti ◽  
...  
Keyword(s):  
Dental Materials ◽  
Poor Quality ◽  
Scientific Data ◽  
Urban Setting ◽  
Teaching Hospitals ◽  
Evidence Based ◽  
Materials Used ◽  
Source Of Information ◽  
Evidence Based Dentistry

Abstract Objective: To assess patients’ knowledge and attitude towards different dental materials used in private and public dental facilities in an urban setting. Method: The cross-sectional study was conducted at the Islamabad Dental and Medical College, Islamabad, Pakistan, from February to July 2019, and comprised individuals at private dental clinics and teaching hospitals. Data was collected using a pre-validated structured questionnaire that recorded socio-demographic information as well as patients’ perception on evidence-based dentistry using visual analogue, trust on the dentist, quality of materials and the source of information. Data was analysed using SPSS 21. Results: Of the 269 participants, 151(56.1%) were females with a mean age of 33.87±12.63 years, and 118(43.9%) were males with a mean age of 33.28±13.71 years. Overall, 208(77.3%) respondents were in favour of using materials with long-term scientific data; 201(74.7%) recognised a difference in quality of materials used at private clinics and teaching hospitals; 128(63.7%) believed that poor quality materials were used in teaching hospitals; 229(85%) trusted their dentists for using high-quality materials; and 108(40%) identified dentists as the source of information. There was a significant relationship between patient’s education level and realising the importance of using dental materials supported by scientific evidence (p?0.01). Conclusion: Majority of subjects believed that poor quality materials were used in teaching hospitals compared to private dental facilities. Key Words: Patient-centred care, Evidence-based dentistry, Continuous...

scholarly journals Barriers and facilitators to promoting evidence uptake in Chinese medicine: a qualitative study in Hong Kong

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Charlene Hoi Lam Wong ◽  
Jeffrey Van Ho Tse ◽  
Per Nilsen ◽  
Leonard Ho ◽  
Irene Xin Yin Wu ◽  
...  
Keyword(s):  
Hong Kong ◽  
Chinese Medicine ◽  
Randomized Trials ◽  
Clinical Evidence ◽  
Barriers And Facilitators ◽  
World Health ◽  
Routine Practice ◽  
Evidence Based ◽  
The World ◽  
Evidence Based Healthcare

Abstract Background In response to the World Health Organization’s recommendation, policy makers have been adopting evidence-based healthcare approach to promote the development of traditional, complementary and integrative medicine (TCIM) into Hong Kong’s health system. Disseminating synopses of clinical evidence from systematic reviews or randomized trials is regarded as a potentially effective strategy to promote evidence uptake. The study aimed to identify barriers and facilitators to implementing this strategy among Hong Kong Chinese medicine practitioners (CMPs). Methods Twenty-five CMPs aged under 45 years and trained in Hong Kong after reunification with China in 1997 were interviewed individually. Four clinical evidence synopses of randomized trials and systematic reviews on Chinese medicine interventions were presented, and CMPs were asked to comment on their applicability in routine practice. The Consolidated Framework for Implementation Research (CFIR) was applied to guide interview and analysis. Results The barriers included: i) CMPs’ perceived difficulties in applying complex evidence in decision-making and ii) inadequate training and limited consultation time. The facilitators were i) availability of publicly accessible and user-friendly synopses, ii) formation of community of evidence-based practice among CMPs with input from key opinion leaders, iii) opportunity for interprofessional collaborations with conventional healthcare providers, and iv) patients’ demand for evidence-based clinical advice. Besides, i) CMPs’ knowledge and beliefs in evidence-based healthcare approach, ii) presentations of evidence-based information in the synopses, and iii) clinical decision making as influenced by quality of evidence reported acted as both barriers and facilitators. Conclusions This CFIR-based qualitative study investigated how the World Health Organization recommendation of promoting evidence use in routine practice was perceived by CMPs trained in Hong Kong after reunification with China in 1997. Key barriers and facilitators to applying evidence were identified. Such results will inform tailoring of implementation strategies for promoting evidence uptake, in the context of a well-developed health system dominated by conventional medicine.

Sign in / Sign up

Export Citation Format

Share Document