scholarly journals Chronic mesenteric ischemia: current state of the problem

Author(s):  
A. I. Dolgushina ◽  
I. I. Shaposhnik ◽  
A. A. Seljanina ◽  
A. S. Kuznecova ◽  
V. V. Genkel

Chronic mesenteric ischemia until now represent the difficult tasks of primary diagnosis and ambiguous approaches to therapy. This review analyzes domestic and foreign research articles from the PubMed database, the eLibrary scientifi c digital library over the past decades. A review of literary sources allowed to provide modern data on the epidemiology, diagnosis and treatment of chronic mesenteric ischemia from the standpoint of evidence-based medicine.

Author(s):  
Marina Kochiyeva

Data on modern methodological approaches that are used in screening for cancer are summarized. General principles of organizing screening studies are examined from the perspective of evidence-based medicine, target population, research methods, and effectiveness of the implemented screening programs for breast cancer, cervical cancer, and colon cancer are determined.


2003 ◽  
Vol 31 (S4) ◽  
pp. 65-67 ◽  
Author(s):  
Stephanie Zaza ◽  
John Clymer ◽  
Linda Upmeyer ◽  
Stephen B. Thacker

Compared to evidence-based public health, evidence-based medicine is a more familiar phrase. Evidence-based medicine has become increasingly popular in the past decade, due in large part to the emergence of computerized database search technology and advanced statistical tools which allow researchers to quickly identify and summarize vast amounts of scientific information.Today, the concept of evidence-based public health is gaining momentum and has grown in popularity. However, the term “evidence-based” lacks clarification and is subject to a variety of interpretations. The evidence that supports evidence-based medicine or public health may include individual experience, anecdotal information, the content of a single scientific article, or the results of a sophisticated systematic review of scientific literature. The imprecise language used to describe evidence leads to confusion over what types of evidence are most appropriate in answering different types of questions.


2020 ◽  
Vol 24 (1) ◽  
pp. 35-39
Author(s):  
Maria A. Berezhnaya ◽  
V. G. Amcheslavskiy

This article includes studies which meet the requirements of evidence-based medicine and is written for resuscitation and intensive care unit staff. Articles from PubMed database were used in it. The review of the relevant literature is aimed at practitioners and nurses. These recommendations reflect the current scientific and clinical knowledge base. In everyday practice, the differences and limitations of thermal monitoring and the application of thermoregulatory effects in each individual patient should be taken into account. These recommendations should not be construed as a mandatory protocol of action, and the use of these recommendations does not guarantee a specific clinical outcome. There is no conflict of interest.


Biomedicines ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1691
Author(s):  
Jozica Šikić ◽  
Zrinka Planinić ◽  
Vid Matišić ◽  
Tea Friščić ◽  
Vilim Molnar ◽  
...  

SARS-CoV-2 has been circulating in population worldwide for the past year and a half, and thus a vast amount of scientific literature has been produced in order to study the biology of the virus and the pathophysiology of COVID-19, as well as to determine the best way to prevent infection, treat the patients and eliminate the virus. SARS-CoV-2 binding to the ACE2 receptor is the key initiator of COVID-19. The ability of SARS-CoV-2 to infect various types of cells requires special attention to be given to the cardiovascular system, as it is commonly affected. Thorough diagnostics and patient monitoring are beneficial in reducing the risk of cardiovascular morbidity and to ensure the most favorable outcomes for the infected patients, even after they are cured of the acute disease. The multidisciplinary nature of the fight against the COVID-19 pandemic requires careful consideration from the attending clinicians, in order to provide fast and reliable treatment to their patients in accordance with evidence-based medicine principles. In this narrative review, we reviewed the available literature on cardiovascular implications of COVID-19; both the acute and the chronic.


Author(s):  
V. A. Maximov ◽  
I. Yu. Torshin ◽  
O. A. Gromova ◽  
A. N. Galustyan ◽  
I. V. Gogoleva ◽  
...  

The search for original publications on fundamental and clinical medicine that would produce results of the highest scientific quality represents an urgent need for every medical researcher. Such publications are essential, in particular, for the development of reliable treatment standards. The Englishlanguage resources PUBMED and EMBASE are essential to help in solving this problem. However, there is an obvious problem in assessing the quality of the studies found. The paper formulates a method for analyzing the texts of biomedical publications, which is based on an algorithmic assessment of the emotional modality of medical texts (so-called sentiment analysis). The use of the topological theory of data analysis made it possible to develop a set of high-precision algorithms for identifying 16 types of sentiments (manipulative turns of speech, research without positive results, propaganda, falsification of results, negative personal attitude, aggressiveness of the text, negative emotional background, etc.). On the basis of the developed algorithms, a point scale for assessing the sentiment quality of research was obtained, which we called the "β-score": the higher the β-score, the less the evaluated text contains manipulative language constructions. As a result, the ANTIFAKE system (http://antifake-news.ru) was developed to analyze the sentiment-quality of Englishlanguage scientific texts. An analysis of ~ 20 million abstracts from PUBMED showed that publications with low sentiment quality (β-score <0, that is, that the prevalence of manipulative constructions over meaningful ones) is only 19 %. In the overwhelming majority of thematic headings (27,090 out of 27,840 headings of the MESH system PUBMED), a positive dynamics of sentiment quality of the texts of publications is shown by years). At the same time, as a result of the study, 249 headings were identified with sharply negative dynamics of sentiment quality and with a pronounced increase in manipulative sentiments characteristic of the "yellow" English-language press. These headings include tens of thousands of publications in peer-reviewed journals, which are aimed at (1) legalizing ethically unacceptable practices (euthanasia, perversions, so-called "population control", etc.), (2) discrediting psychiatry as a science, (3) media the war against micronutrients and (4) discrediting evidence-based medicine under the guise of developing the so-called "international standards of evidence-based medicine". In general, the developed system of artificial intelligence allows researchers to filter out pseudoscientific publications, the text of which is overloaded with emotional manipulation and which are published under the guise of "evidence-based standards".


2021 ◽  
pp. 108876792110469
Author(s):  
Lynn A. Addington

Over the past 25 years, homicide researchers have largely ignored older adults. This pattern continues even in light of the ongoing demographic shift associated with the aging baby boomer generation. This article reflects on the current state of the literature and discusses areas in need of attention. Future research needs can be categorized into substantive and methodological issues. The insights gained by exploring these topics can generate nuanced explanations for fatal violence against older adults and support future evidence-based prevention policies.


2018 ◽  
Vol 50 (3) ◽  
pp. 223-228
Author(s):  
Lauren N Pearson ◽  
Robert L Schmidt

Abstract Background Systematic reviews (SRs) play a critical role in evidence-based medicine. Objective To determine the publication trends of SRs in clinical laboratory science (CLS). Methods We searched Scopus to identify all reviews published in the top 20 CLS journals during the past 10 years (2008–2017). We determined year of publication, review type (systematic vs narrative), citations, and whether the review was accompanied by a meta-analysis (MA). Results We identified 2934 reviews. Of these, 2833 (96.6%) were narrative reviews, and 98 (3.3%) were SRs. A total of 67 (66.3%) of the SRs were accompanied by a MA. Three journals accounted for 68 of 98 (69.4%) SRs. The percentage of SRs (relative to all reviews) has increased during the past decade (P = .01). SRs were more frequently published in high-impact journals (P <.001). Conclusion The publication rate of SRs in CLS journals has increased during the past decade.


2002 ◽  
Vol 16 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Jane Edwards

The Evidence Based Medicine (EBM)1 framework has been incorporated into the field of healthcare practice over the past decade. Whatever our stance as to its benefits and disadvantages, more and more music therapists in health departments and related clinical posts will be asked to account for their work using this approach to the documentation of clinical effectiveness. It is important that music therapists working within clinical service guidelines understand the framework of EBM and are aware of ways in which they can include its precepts in their justifications for practice and posts. The levels of evidence in an EBM approach are presented and discussed and the issues particular to the application of music therapy research findings are explored. Given the author's experience in paediatric medical settings, some of the examples in this paper will refer to the children's hospital context in particular.


2005 ◽  
Vol 18 (3) ◽  
pp. 209-220
Author(s):  
Elizabeth A. Clements ◽  
Jamie B. Shaskos

Most poisonings reported to American poison control centers occur in the home. The most common route of exposure is ingestion, which is responsible for most fatalities. The goal of gastrointestinal decontamination is to prevent absorption of the toxin. Trends in treating poisoned patients have changed over the past few decades in light of a move toward practicing evidence-based medicine. Efficacy and clinical outcome have come into question and have led to position papers published recently regarding syrup of ipecac, gastric lavage, activated charcoal, and whole-bowel irrigation. These different methods of decontamination and the scientific data supporting each one will be reviewed, and the current controversies surrounding each will be discussed.


2014 ◽  
Vol 2 (1) ◽  
pp. 83
Author(s):  
Andrew Turner ◽  
John Blakey ◽  
Roger Kerry

Miles and Mezzich offer a welcome and comprehensive account of historical recent developments in healthcare and the role of its practice models. They identify a ‘crisis’ in medicine, which seems to have occurred in part because the science of medicine has been over-emphasised and the importance of compassion and care de-emphasised.  As they point out, this crisis has been perceived to have evolved over the past one hundred years. Evidence Based Medicine (EBM) is suggested to be inadequate to solve the crisis and it may be the case that EBM, in fact, has precipitated it because it ignores patients qua persons. It is also suggested that Patient Centred Care (PCC) seeks to address the imbalance, but that this is inadequate, too. Between these existing views it is claimed that Person Centred Medicine (PCM) solves the crisis by giving persons and evidence their proper roles and relative importances


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