scholarly journals Uncomfortable treatment without diagnosis

2021 ◽  
Vol LIII (1) ◽  
pp. 69-70
Author(s):  
Nikita A. Zorin
Keyword(s):  
Evidence Based Medicine ◽  
Clinical Epidemiology ◽  
Natural Process ◽  
Diagnosis And Treatment ◽  
Evidence Based ◽  
Holistic View ◽  
Theory Of Evidence ◽  
Based Medicine

One explanation for breakdown of the traditional medical connection of diagnosis and treatment is presented. It is suggested that it was a natural process brought to life by the results of the development of genetics and the results of the application of clinical epidemiology (the theory of evidence-based medicine), which led to the beginning of the downfall of the nosological concept, so far de facto, and in the long term de jure. Medicine is painfully returning to a holistic view of a patient.

Disease specificity and evidence-based medicine: a historical perspective

2020 ◽  
Vol 8 (3) ◽  
pp. 308
Author(s):  
Timo Bolt ◽  
F G Huisman
Keyword(s):  
Evidence Based Medicine ◽  
Historical Perspective ◽  
Clinical Epidemiology ◽  
Unintended Consequences ◽  
Current Debate ◽  
Evidence Based ◽  
Negative Consequences ◽  
Based Medicine ◽  
Ontological Concept

This paper seeks to inform the current debate on an alleged ‘crisis’ and the ‘unintended negative consequences’ of evidence-based medicine (EBM) from a historical perspective. EBM can be placed against the background of a long term process of medical quantification and objectification. This long term process was accompanied by a ‘specificity revolution’, which made the ontological concept of diseases as specific entities the central ordering and regulatory principle in healthcare (as well as in clinical epidemiology and EBM). To a certain extent, the debate about EBM’s alleged crisis can be understood as resulting from this specificity revolution. When the ontological concept of disease is applied too rigidly, this will contribute to ‘negative unintended consequences’ of EBM such as ‘poor mapping of multimorbidity’ and medical practice ‘that is management-driven rather than patient-centered’.

scholarly journals Atrioventricular Block in Children

2018 ◽  
Vol 15 (5) ◽  
pp. 365-375
Author(s):  
Igor A. Kovalev ◽  
Yuri M. Belozerov ◽  
Dinara I. Sadykova ◽  
Dina R. Sabirova ◽  
Lyudmila V. Yakovleva ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Atrioventricular Block ◽  
Evidence Based Medicine ◽  
Clinical Guidelines ◽  
Diagnosis And Treatment ◽  
Evidence Based ◽  
Cardiovascular Pathology ◽  
Slowing Down ◽  
Conduction Disorders ◽  
Based Medicine

Rhythm and conduction disorders of the heart occupy one of the leading places in the structure of cardiovascular pathology in children. Atrioventricular block is the slowing down or loss of impulses from the atria to the ventricles. The team of authors presents clinical guidelines based on the principles of evidence-based medicine, including all stages of diagnosis and treatment of children with atrioventricular block. The use of guidelines in clinical practice will allow to choose the best strategy for the diagnosis and treatment of atrioventricular block for each individual patient.

scholarly journals MODERN TECHNIQUES OF DIAGNOSIS AND TREATMENT OF PRECANCEROUS CONDITIONS AND PREVENTIONOF GASTRIC CANCER

2017 ◽  
pp. 45-49
Author(s):  
E. N. Platoshkin ◽  
A. V. Voropayeva ◽  
E. V. Bredikhina ◽  
A. D. Borsuk ◽  
V. D. Voytovich
Keyword(s):  
Gastric Cancer ◽  
Gastric Mucosa ◽  
Cancer Prevention ◽  
Multidisciplinary Team ◽  
Evidence Based Medicine ◽  
Diagnostic Techniques ◽  
Precancerous Conditions ◽  
Diagnosis And Treatment ◽  
Evidence Based ◽  
Based Medicine

The article presents data of international consensuses on the diagnosis and treatment of precancerous changes and conditions of the gastric mucosa and analyzes the experience of application of modern diagnostic techniques by the multidisciplinary team of specialists engaged in the prevention of gastric cancer. In conclusion, the article states the possibility of transition from the position of «evidence-based medicine» to personalized techniques of diagnosis and treatment in the matters of cancer prevention.

scholarly journals ACUTE CYSTITE: CURRENT ISSUES OF DIAGNOSTICS AND ANTIMICROBIAL THERAPY

2018 ◽  
Vol 5 (3) ◽  
pp. 116-127
Author(s):  
Vitaly A. Kaptilnyy ◽  
V. I Mikhailova
Keyword(s):  
Antimicrobial Therapy ◽  
Alternative Treatment ◽  
Evidence Based Medicine ◽  
Diagnosis And Treatment ◽  
Evidence Based ◽  
Acute Cystitis ◽  
Based Medicine

The review considers modern data on the diagnosis and treatment of acute cystitis. Questions of epidemiology and etiology of acute cystitis are covered. Regimens of basic and alternative treatment for acute cystitis are presented in terms of the perspective of evidence-based medicine.

Evidence-based medicine and clinical epidemiology

2022 ◽  
pp. 106-115.e2
Author(s):  
Catherine H. Watson ◽  
Fidel A. Valea ◽  
Laura J. Havrilesky
Keyword(s):  
Evidence Based Medicine ◽  
Clinical Epidemiology ◽  
Evidence Based ◽  
Based Medicine

Clinical Epidemiology (CE) and Evidence-Based Medicine (EBM) in the Asia Pacific region (Round Table Forum)

2013 ◽  
Vol 57 ◽  
pp. S5-S7 ◽  
Author(s):  
Tin Tin Su ◽  
Awang M. Bulgiba ◽  
Pichet Sampatanukul ◽  
Sudigdo Sastroasmoro ◽  
Peter Chang ◽  
...  
Keyword(s):  
Evidence Based Medicine ◽  
Clinical Epidemiology ◽  
Round Table ◽  
Asia Pacific ◽  
Evidence Based ◽  
Pacific Region ◽  
Asia Pacific Region ◽  
Based Medicine

Application of research evidence in clinical practice

2020 ◽  
pp. 73-79
Author(s):  
Andrea Cipriani ◽  
Stefan Leucht ◽  
John R. Geddes
Keyword(s):  
Health Care ◽  
Evidence Based Medicine ◽  
Research Evidence ◽  
Clinical Decision Making ◽  
Evidence Based ◽  
Individual Patient Level ◽  
Patient Values ◽  
The Individual ◽  
Theory Of Evidence ◽  
Based Medicine

The aim of evidence-based medicine is to integrate current best evidence from research with clinical expertise and patient values. However, it is known that one of the major challenges for clinicians is to move from the theory of evidence-based medicine to the practice of it. Evidence-based practice requires new skills of the clinician, including framing a clear question based on a clinical problem, searching and critically appraising the relevant literature, and applying the findings to routine clinical decision-making, ideally at the individual patient level. Scientific evidence is increasingly accessible through journals and information services that should combine high-quality evidence with information technology. However, the process is not straightforward, as there are several barriers to the successful application of research evidence to health care. This chapter discusses both the prospects for harnessing evidence to improve health care and the problems that clinicians will need to overcome to practise ‘evidence-based-ly’.

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