scholarly journals Classifications of endometriosis

2017 ◽  
Vol 66 (2) ◽  
pp. 77-92 ◽  
Author(s):  
Edvard K Aylamazyan ◽  
Mariya I Yarmolinskaya ◽  
Arseniy S Molotkov ◽  
Dmitry Z Tsitskarava
Keyword(s):  
Clinical Practice ◽  
Empirical Evidence ◽  
Hormonal Therapy ◽  
Clinical Course ◽  
Pain Syndrome ◽  
Routine Clinical Practice ◽  
Evidence Based ◽  
New Classification ◽  
New Guidelines

In the article a review of the main classifications of endometriosis is presented. Main drawbacks of existing classifications have been revealed. A need for a new classification of the disease, which has to be empirical, evidence-based, containing terms that have unambiguous definitions, applicable for various clinical situations, taking into account new clinical forms and able to predict a course of the disease (including the development of pain syndrome and infertility), it’s outcomes and a risk of recurrence is stressed. The new classification of endometriosis has to be based on resolutions of a consensuses and applicable for new guidelines for diagnosis and treatment. For the new classification it is essential to be approachable and easy-to-use in routine clinical practice. It has to allow a physician to determine a stage the disease promptly and meaningfully. A new Protocol taking into account a combination of different forms of endometriosis (superficial, deep infiltrative, adenomyosis, endometriomas, extragenital), color of endometriotic lesions, special aspects of clinical course, results of hormonal examination, reproductive plans and prior hormonal therapy is proposed.

scholarly journals Adherence to evidence-based pressure injury prevention guidelines in routine clinical practice: a longitudinal study

2017 ◽  
Vol 14 (6) ◽  
pp. 1290-1298 ◽  
Author(s):  
Wendy Chaboyer ◽  
Tracey Bucknall ◽  
Brigid Gillespie ◽  
Lukman Thalib ◽  
Elizabeth McInnes ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Longitudinal Study ◽  
Injury Prevention ◽  
Routine Clinical Practice ◽  
Evidence Based ◽  
Pressure Injury ◽  
Prevention Guidelines ◽  
Pressure Injury Prevention

scholarly journals Psychiatry in the future

2004 ◽  
Vol 28 (8) ◽  
pp. 277-278
Author(s):  
Frank Holloway
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Evidence Based Medicine ◽  
Cochrane Collaboration ◽  
Routine Clinical Practice ◽  
Evidence Based ◽  
Policy Makers ◽  
The Future ◽  
The Cochrane Collaboration ◽  
Based Medicine

In an era of evidence-based medicine, policy-makers and researchers are preoccupied by the task of ensuring that advances in research are implemented in routine clinical practice. This preoccupation has spawned a small but growing research industry of its own, with the development of resources such as the Cochrane Collaboration database and journals such as Evidence-Based Mental Health. In this paper, I adopt a philosophically quite unfashionable methodology – introspection – to address the question: how has research affected my practice?

scholarly journals A New Classification for Hemorrhoidal Disease: The Creation of the “BPRST” Staging and Its Application in Clinical Practice

2020 ◽  
Vol 36 (4) ◽  
pp. 249-255 ◽  
Author(s):  
Carlos Walter Sobrado Júnior ◽  
Carlos de Almeida Obregon ◽  
Afonso Henrique da Silva e Sousa Júnior ◽  
Lucas Faraco Sobrado ◽  
Sérgio Carlos Nahas ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Strong Association ◽  
Management Strategies ◽  
Hemorrhoidal Disease ◽  
New Classification ◽  
The Past ◽  
Internal Hemorrhoids ◽  
New Treatment ◽  
Treatment Alternatives

Purpose: Present an updated classification for symptomatic hemorrhoids, which not only guides the treatment of internal hemorrhoids but also the treatment of external components. In addition, this new classification includes new treatment alternatives created over the last few years.Methods: Throughout the past 7 years, the authors developed a method to classify patients with symptomatic hemorrhoids. This study, besides presenting this classification proposal, also retrospectively analyzed 149 consecutive patients treated between March 2011 and November 2013 and aimed to evaluate the association between the management adopted with Goligher classification and our proposed BPRST classification.Results: Both classifications had a statistically significant association with the adopted management strategies. However, the BPRST classification tended to have fewer management discrepancies when each stage of disease was individually analyzed.Conclusion: Although there is much disagreement about how the classification of hemorrhoidal disease should be updated, it is accepted that some kind of revision is needed. The BPRST method showed a strong association with the management that should be adopted for each stage of the disease. Further studies are needed for its validation, but the current results are encouraging.

Bladder pain syndrome: Prevalence and routine clinical practice in women attending functional urology and urodynamics units in Spain

2019 ◽  
Vol 43 (2) ◽  
pp. 62-70
Author(s):  
G. Morales-Solchaga ◽  
C. Zubiaur-Libano ◽  
L. Peri-Cusí ◽  
J.M. Adot-Zurbano ◽  
S. Arlandis-Guzmán ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Pain Syndrome ◽  
Bladder Pain Syndrome ◽  
Routine Clinical Practice ◽  
Bladder Pain ◽  
Functional Urology

scholarly journals Uniformisation des taux de profit et hypothèse sectorielle

2009 ◽  
Vol 53 (3) ◽  
pp. 351-369
Author(s):  
Alain Chiavelli ◽  
Michel Rainelli
Keyword(s):  
Economic Theory ◽  
Empirical Evidence ◽  
New Classification ◽  
Statistical Observation ◽  
Long Time

Abstract The hypothesis of an equalization of sectorial rates of profit has an important role to play in the economic theory. Though it has been formulated a long time ago (A. Smith, D. Ricardo…), now as a definite principle (with its mechanism) and now as a postulate, it is however contradicted by statistical observation. There have been various answers to this problem. We propose to study it in a new light, emphasizing that the formulation of this "law" as well as its empirical evidence are registered within the traditional framework of activity sector. Then, we have to think about the latter as it has a fundamental role to play. But the activity sector is no longer a homogeneous category, for firms can considerably differentiate the conditions (technological and financial ones) of capital allowance, independently of any reference to the notion of product. Then, we must think over this problem, no longer wondering where this allowance of the capital is produced, but how. This brings us to propose the elaboration of a new classification of the firms, that leads to an analysis at an "intermediary level" other than the insufficient level that results from the division of the economy into activity sectors.

Measurement to Improve Treatment Delivery: A Commentary on the HiTOP Measure Development Project

Assessment ◽  
2021 ◽  
pp. 107319112110509
Author(s):  
Shannon Sauer-Zavala
Keyword(s):  
Clinical Practice ◽  
Clinical Utility ◽  
Measure Development ◽  
Development Project ◽  
Routine Clinical Practice ◽  
Evidence Based ◽  
Treatment Delivery ◽  
Improve Treatment ◽  
Measurement Strategy ◽  
Symptom Level

The focus on this commentary will be on how dimensional models of psychopathology, particularly HiTOP model, have the potential to significantly streamline treatment efforts and increase the likelihood that evidence-based interventions are more widely integrated in clinical practice. The approach to assessment adopted by the HiTOP consortium is likely to have an outsized impact on whether these innovations are adopted in routine clinical practice. Toward that end, I provide suggestions for a measurement strategy that can maximize clinical utility. In particular, the tension between creating items that reflect all phenomena at the sign/symptom level to refine our understanding of relationships among psychopathological constructs and creating a measure that is suitable for clinical practice is explored.

Dissemination and Implementation of Evidence-Based Assessment

2018 ◽  
pp. 17-31
Author(s):  
Amanda Jensen-Doss ◽  
Lucia M. Walsh ◽  
Vanesa Mora Ringle
Keyword(s):  
Public Health ◽  
Clinical Practice ◽  
Therapeutic Relationship ◽  
Clinical Assessment ◽  
Routine Clinical Practice ◽  
Dissemination And Implementation ◽  
Clinical Settings ◽  
Assessment Practices ◽  
Evidence Based ◽  
Case Formulation

Abstract: The goal of evidence-based practice in psychology (EBPP) is to improve public health through the application of research-supported assessment, case formulation, therapeutic relationship, and treatment approaches. Although EBPP is defined broadly, many efforts to improve practice have focused on treatment, with less attention paid to other aspects of practice. In this chapter, it is argued that significant work is needed to encourage the dissemination of information about evidence-based assessment (EBA) and its implementation in routine clinical practice. The chapter discusses how EBA differs from usual clinical assessment practices and describes efforts to increase the use of EBA. Finally, the chapter presents suggestions for steps that must be taken to advance the use of EBA in clinical settings.

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